La Angiography yolembedwa ndi mayeso omwe amakupatsani mwayi wowonera Mitsempha yamtima, ndiko kuti, mitsempha yobweretsa magazi kumtima.

X-ray iyi ya mitsempha yam'mitsempha imapangitsa kuti zikhale zotheka makamaka kuwonetsetsa kuti sipang'ono kapena kutsekedwa ndi zolembera zapakhosi.atherosclerosis.

Coronary CT scan kapena co scanner kumakupatsaninso mwayi wowona mitsempha yapamtima, koma m'njira yocheperako kuposa coronary angiography (izi zimafunikira kubowola kwa mtsempha wamagazi, pomwe scanner imangofunika kutulutsa kwa mtsempha kuti mubaya mankhwala osiyanitsa).

Coronary angiography imakhalabe yowunikira kuti muwone mitsempha yapamtima ndikuwona kuchepa kulikonse (= zoletsa) zomwe zingasokoneze kuyenda kwa magazi kupita kumtima. Izi zitha kukhala chifukwa cha angina, kulephera kwa mtima, komanso infarction ya myocardial. Imachitidwa nthawi zambiri kuposa Coroscanner, yomwe imasungidwa pazinthu zina.

Zizindikiro za coronary angiography ndizo:

• Kukhalapo kwa ululu pachifuwa, zomwe zimachitika makamaka panthawi yochita masewera olimbitsa thupi (zadzidzidzi kapena zokonzekera)
• kulamulira ndi kuyang'anira opaleshoni ya coronary bypass zakhazikitsidwa kale
• kuchita preoperative assessment ngati valvulopathie (= matenda a valve ya mtima) mwa odwala ena
• kuyang'ana zolepheretsa kubadwa (kobadwa nako) kwa mitsempha ya m'mitsempha.

Coronary angiography ndi kuyesa kosavutira komwe kumafunikira kubayidwa kwa mtsempha wamagazi kuti mubayire chinthu chosiyana ndi ayodini, opaque ku X-ray. Pochita opaleshoni, dokotala amaika catheter yopyapyala mu groin (mtsempha wachikazi) kapena wa dzanja (radial artery) pambuyo pa opaleshoni yam'deralo ndi "kukankhira" kukamwa kwa mitsempha ya m'mitsempha ya kumanja ndi kumanzere, kuti alowetse mankhwala kumeneko mu chipinda cha radiology.

Kenako chipangizocho chimajambula zithunzi zingapo, pamene wodwalayo amakhala atagona. Coronary angiography nthawi zambiri imafuna kukhala m'chipatala kwa maola 24 mpaka 48, ngakhale kuti kulowetsedwa kudzera m'mitsempha yamagazi kumapangitsa kuti wodwala atuluke mwachangu.

Munthuyo wagona pansi, ndipo makina a x-ray kapena scanner imatenga zithunzi zingapo pambuyo poti sing'anga yosiyanitsa ibayidwe. Gawoli ndi lopanda ululu komanso lachangu.

Kuwunika kumapangitsa kuti athe kuwonetsa kuchepa kapena kutsekeka kulikonse kwa mitsempha ya coronary. Malinga ndi kuchuluka kwa kuchepa komanso zizindikiro za wodwalayo, gulu lachipatala lingasankhe kuchita chithandizo nthawi yomweyo monga coronary angiography, kuti asalandirenso chipatala.

Pali zosankha zingapo:

• ndiangioplasty : womwe umapangidwa ndi kukulitsa mtsempha wotsekeka pogwiritsa ntchito baluni yopumira, yokhala kapena popanda kuyika prosthesis (= stent, mtundu wa mauna ang'onoang'ono omwe amatsegula mtsemphawo)
• le kudutsa (yomwe imakhala yopatutsa kuzungulira popewa mtsempha wotsekeka)