Catheterization Yamtima
Catheterization ya mtima wakumanja ndi njira yodziwira yomwe imagwiritsidwa ntchito kuyeza mbali yakumanja ya kuchuluka kwa mtima ndi ntchito yake komanso kayendedwe ka m'mapapo. Panthawi yochita opaleshoniyo, kachubu kakang'ono, kosinthasintha kotchedwa catheter kamalowa m'gawo loyenera la mtima wogunda kudzera m'mitsempha. Mtsempha umenewu nthawi zambiri umapezeka mu groin kapena khosi. Akakhala pamalo, catheter imatha kuyeza mitundu yosiyanasiyana ya hemodynamic monga kuthamanga kwa mtima kumanja, kuthamanga kwa atrium yoyenera, kutulutsa mtima, komanso kuthamanga kwapamtima. Pofuna kuwunika ndikuwunika momwe zinthu zilili monga matenda a mtima, matenda a mtima, komanso kuthamanga kwa magazi kwa mitsempha ya m'mapapo, njira yamtima yolondola imagwiritsidwa ntchito. Ikhoza kupereka deta yothandiza kutsogolera zosankha zokhudzana ndi chithandizo ndikuwunika zotsatira zopindulitsa za chithandizo. Zonse zikaganiziridwa, catheterization yamtima yoyenera ndi chida chothandizira kuthana ndi matenda amtima chifukwa imapangitsa kuwunika kolondola kwa hemodynamic ndikuwongolera chithandizo cha odwala.
Sungitsani MisonkhanoAbout Right Heart Catheterization
Zizindikiro za Catheterization ya Mtima: Mtima wa catheterization, njira yongowononga, imaphatikizapo kulowetsa kachubu kakang'ono (catheter) mumtsempha wamagazi wopita kumtima. Itha kukhala ndi zoopsa zina ngakhale ili yotetezeka. Kupsa mtima pang'ono kapena mikwingwirima pamalo oyika catheter ndizizindikiro zodziwika pambuyo pa njira, ndipo nthawi zambiri zimatha posachedwa. Zotsatira zoyipa kwambiri, ngakhale sizodziwika, zimatha kukhala matenda, kutuluka magazi, komanso kusagwirizana ndi utoto wosiyanasiyana. Kuonjezera apo, pambuyo kapena panthawi ya chithandizo, odwala amatha kusintha kuthamanga kwa magazi, kupweteka pachifuwa, kapena kugunda kwa mtima komwe kumakhala kosasinthasintha. Zizindikiro zazikulu monga kupweteka pachifuwa, kupuma movutikira, kapena zizindikiro za sitiroko (monga kufooka mwadzidzidzi kapena dzanzi) zimafunikira chithandizo chamankhwala nthawi yomweyo. Pambuyo pa catheterization ya mtima, kuwunika ndi kutsata chisamaliro ndikofunikira.
Catheterization ya mtima imayambitsa: Mtima catheterization, njira yodziwira komanso yopindulitsa ya matenda a mtima, imakhala ndi zoopsa zomwe zingatheke. Izi zimaphatikizapo kutaya magazi pamalo oikamo catheter, kusagwirizana ndi mankhwala osiyanitsa, stenosis kapena magazi m'mitsempha chifukwa cha kuvulala kwa mitsempha ya magazi, kukula kwa magazi, kuwonongeka kwa mtima kwa impso kuchokera kuzinthu zosiyana, sitiroko kapena matenda a ischemic monga zotsatira za kutuluka kwa magazi, ndi matenda. Zovuta ndizosazolowereka, koma zikachitika, chithandizo chamankhwala mwachangu komanso kuyang'anira mosamala ndikofunikira. Catheterization ya mtima imakhala yotetezeka komanso yothandiza pamene odwala amadziwitsidwa za zoopsa zomwe zimachitika ndipo akatswiri azachipatala amatenga njira zodzitetezera kuti achepetse zotsatira zoipa.
Chithandizo cha mtima catheterization: Zochizira pambuyo pa catheterization ya mtima zimayang'ana kwambiri kuwongolera zovuta zomwe zingatheke komanso kulimbikitsa kuchira. Izi zimaphatikizapo kupereka mankhwala kuti athetse ululu kapena kupewa matenda, kuyang'anitsitsa magazi kapena hematomas pamalo oikapo, komanso kupereka mpweya kwa munthu amene akuchitidwa opaleshoni kuti atulutse mankhwala osiyanitsa ndi kupewa kuwonongeka kwa impso. Ma anticoagulants atha kuperekedwa kwa odwala kuti ateteze magazi kuundana, ndipo kuwunika kwamtima kumatha kuchitidwa kuti adziwe ndikuchiza arrhythmia. Ndikofunikiranso kuyang'anitsitsa ngati pali zizindikiro za sitiroko kapena allergenic reaction. Kuyambitsanso ntchito pang'onopang'ono ndikulimbikitsa thandizo loyambirira popewa zinthu monga kuundana kwa magazi. Maulendo otsatila amathandiza akatswiri azachipatala kuti ayang'ane momwe akuchira komanso kuthana ndi zovuta zilizonse zomwe zikuchitika. Pambuyo pa catheterization ya mtima, odwala ambiri amatha kuyembekezera kuchira msanga ndi chisamaliro choyenera ndi kuyang'aniridwa.
Njira ya Right Heart Catheterization
Odwala akukonzekera: Wodwalayo amaikidwa patebulo lachipatala pamalo ogona. Pamalo oika catheter, yomwe nthawi zambiri imakhala m'mimba kapena m'khosi, mankhwala oletsa ululu amaperekedwa pamene zizindikiro zofunika zikuyang'aniridwa mosamala.
Kuyika kwa Catheter: Pansi pa fluoroscopy kapena motsogozedwa ndi ultrasound, catheter yaying'ono, yosinthika imayikidwa mumtsempha wawukulu, nthawi zambiri mtsempha wa chikazi mu groin, ndikuwongolera dongosolo lonse la mitsempha kumanja kwa mtima.
Kuyeza kwa Pressure: Masensa apadera a catheter amagwiritsidwa ntchito kuti azindikire kupanikizika mkati mwa ventricle yoyenera ndi atrium pambuyo poti catheter ilowa m'zipindazi. Zimathandizira pakuwunika momwe mtima umagwirira ntchito komanso kuzindikira matenda monga mtima kulephera kapena pulmonary hypertension.
Kuyesa Magazi: Kuti aone kuchuluka kwa okosijeni ndi mikhalidwe ina komanso kuphunzira za momwe mapapu ndi mtima zimagwirira ntchito, zitsanzo za magazi zimatengedwa kuchokera ku zipinda zamtima zosiyanasiyana.
Kuunika kwa Kutulutsa kwa Mtima: Pofufuza mmene mtima umagwirira ntchito ndiponso mmene kayendedwe ka mtima kamayendera, kutulutsa kwa mtima ndi zinthu zina za hemodynamic akuyerekezedwa pogwiritsa ntchito njira yotenthetsera mpweya kapena njira zina.
Njira zomwe mungafune: Catheterization yamtima yolondola ingaphatikizepo kuyika kwapacemaker kwakanthawi kapena kutulutsa kwa baluni kwa ma valve amtima, pakati pa njira zina.
Kuchotsa Catheter ndi Kusamalira Pambuyo pa Kachitidwe: Miyezo yonse ikatha, catheter imachotsedwa mosamala, ndipo kukakamiza kumayikidwa pamalo oyikapo kuti asatuluke magazi. Wodwalayo amayang'aniridwa kwa kanthawi kochepa pambuyo pa ndondomeko kuti atsimikizire kukhazikika asanayambe kutulutsa kapena chithandizo china.
