Angiologie
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AngiologickĂ© (cĂ©vnĂ) vyšetĹ™enĂ
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Pacienti jsou k angiologickĂ©mu vyšetĹ™enĂ odesĂlánĂ praktickĂ˝m lĂ©kaĹ™em, internistou, diabetologem, ortopedem, neurologem, dermatologem, ÄŤi jinĂ˝m specialistou. Angiolog poskytuje specializovanou angiologickou péči, která je zaměřena na vyšetĹ™ovánĂ, léčenĂ a sledovánĂ nemocnĂ˝ch s chorobami cĂ©v a dále na vyšetĹ™ovánĂ a léčbu rizikovĂ˝ch faktorĹŻ kardiovaskulárnĂch onemocnÄ›nĂ. V péči o nemocnĂ© s chronickĂ˝mi formami cĂ©vnĂch onemocnÄ›nĂ je velmi dĹŻleĹľitá spolupráce s praktickĂ˝m lĂ©kaĹ™em a internistou.
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Angiolog vyšetĹ™uje, léčà a doporuÄŤuje dalšà vyšetĹ™ovacĂ a léčebnĂ© postupy (napĹ™Ăklad katetrizace perifernĂch tepen nebo doporuÄŤenĂ k operaci varixĹŻ).
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Pacienti s nestabilnĂmi, závaĹľnĂ˝mi nebo komplikovanĂ˝mi formami cĂ©vnĂch onemocnÄ›nĂ onemocnÄ›nĂ zĹŻstávajĂ trvale pod kontrolou angiologa.
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Která onemocnÄ›nĂ angiolog vyšetĹ™uje a léčĂ:
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- Ischemická choroba dolnĂch konÄŤetin (zúženĂ nebo uzávÄ›ry tepen dolnĂch konÄŤetin)
- ZúženĂ nebo uzávÄ›ry tepen zásobujĂcĂch mozek (ve spolupráci s neurology)
- Zúženà nebo uzávěry ledvinných tepen
- ZúženĂ nebo uzávÄ›ry tepen zásobujĂcĂch vnitĹ™nĂ orgány
- Žilnà trombosy (uzávěry žil)
- KĹ™eÄŤovĂ© ĹľĂly
- Žilnà nedostatečnost (např. otoky, bércové vředy)
- Poruchy mikrocirkulace (napĹ™. prokrvenĂ rukou, nohou – napĹ™. bÄ›lánĂ prstĹŻ v chladu -napĹ™. u revmatologickĂ˝ch onemocnÄ›nĂ)
- Diabetická noha (ve spolupráci s diabetologem, neurologem, chirurgem atd.)
- UrÄŤenĂ cĂ©vnĂho podĂlu na potĂĹľĂch pacienta (napĹ™. arthrosa + kĹ™eÄŤovĂ© ĹľĂly + postiĹľenĂ tepen + postiĹľenĂ páteĹ™e + neurologickĂ© postiĹľenĂ)
- RizikovĂ© faktory (napĹ™. zvýšená hladina cholesterolu, obesita, kouĹ™enĂ)
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Která vyšetřenà může pacient v angiologické ambulanci podstoupit:
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- Klinická vyšetĹ™enĂ
- Ultrazvuková vyšetřenà tepenného systému
- Ultrazvuková vyšetĹ™enĂ ĹľilnĂho systĂ©mu
- Mapovánà křečových žil pomocà ultrazvuku před operacà křečových žil
- Pletysmografické metody, metody digitálnà fotopletysmografie
- Vyšetřenà kapilárnà perfuse
- VyšetĹ™enĂ perifernĂch prstovĂ˝ch tlakĹŻ
- IndexĹŻ ABI (ankle brachial index)
- LaboratornĂ vyšetĹ™enĂ
- Podobaroskopie
- NÄ›která z kardiologickĂ˝ch vyšetĹ™ovacĂch metod, pokud je indikována
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Angiology (vascular) examinations
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Patients are sent to an angiology examination by a general practitioner, internist, diabetologist, an orthopaedic surgeon, neurologist, dermatologist, or another specialist. An angiologist provides specialized care in angiology focused on the examination, treatment and monitoring of patients with vascular diseases, as well as on the examination and treatment of cardiovascular disease risk factors. In the care of patients with chronic forms of vascular disease it is very important to cooperate with a general practitioner and internist.
An angiologist investigates, treats and recommends further examination and treatment methods (such as peripheral arterial catheterization or a recommendation to varicose vein surgery).
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Patients with unstable, severe or complicated forms of vascular disease remain permanently under the angilologist supervision.
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Diseases investigated and treated by an angiologist
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- Peripheral arterial disease (narrowing or obstruction of arteries of the lower extremities)
- Narrowing or blockage of arteries supplying the brain (in collaboration with neurologists)
- Narrowing or blockage of kidney arteries
- Narrowing or blockage of arteries supplying the internal organs
- Venous thrombosis (closures of veins)
- Varicose veins
- Venous insufficiency (e.g. swelling, venous ulcers)
- Microcirculation disorders (e.g. blood supply to the hands and feet – e.g. whitening of the fingers in the cold – e. g. with rheumatic diseases)
- Diabetic foot (in collaboration with a diabetologist, neurologist, surgeon, etc.)
- Determining the vascular contribution to patient problems (e.g. arthrosis + varicose veins + spine disease - neurological disease)
- Risk factors (e.g. increased cholesterol, obesity, smoking)
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Examinations that the patient can undergo in the angiology outpatient department
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- Clinical examinations
- Ultrasonic examination of the arterial system
- Ultrasonic examination of the venous system
- Mapping of varicose veins using ultrasound before surgery for varicose veins
- Plethysmographic methods, digital photo plethysmography
- Examination of capillary perfusion
- Examination of peripheral finger pressure
- ABI Indices (ankle brachial index)
- Laboratory tests
- Podobaroscopy
- Some of cardiology examination methods, if indicated
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