Mwoyo Yenzira Inoshandiswa Kubata Mhando Dzakasiyana Mwoyo
Cardiac catheterization uye angiography inowedzera kuongorora zvirwere umo catheters (kwenguva refu yakaoma, micheka yakaonda) inopfurikidza nemidziyo yeropa uye mumoyo, kuti iongorore maitiro uye kushanda kwemwoyo nemidziyo yeropa yakapoteredza.
Nemhaka yokuti ruzivo rwakakosha ruzhinji runogona kuwanikwa kubva kuongororo idzi, dzinoitwa munenge vese varwere vanofungidzirwa nokuda kwekushanda kwepfungwa chero ipi zvayo, kusanganisira chirwere chepamusoro , kana kuti angioplasty uye inopisa .
Catheterization Inoitwa Sei?
Munhu ane miedzo iyi ndeyebhishopi yakakosha yecatheterization, uye inoiswa pane imwe tafura yekuongorora. Mushure mokunge anesthesia yemunharaunda inopiwa, catheter inowanikwa mumidziyo yeropa mumugwagwa, ruoko, maoko kana mutsipa. Iyo catheter inosungirirwa kana kuburikidza nekambiso kadiki, kana kuti neshandwe-tsvimbo. Dzimwe nguva, catheters inowanikwa kubva kune imwe nzvimbo. Rimwechete mumidziyo yeropa, catheters iri mberi kusvika pamwoyo uchishandisa x-ray kutungamirirwa.
Penguva iyo, catheters inowanzoendeswa kunzvimbo dzakasiyana-siyana mukati memwoyo, uye zvinetso mukati memakamuri akasiyana emwoyo zvinotaridzirwa. Kuyera izvi zvinokonzera kusagadzikana zvinogona kubatsira zvikuru pakuongorora mamwe marudzi ezvirwere zvepfungwa. Semuenzaniso, chirwere chemwoyo chinonzi valve chinogona kuonekwa kuburikidza nekuyera dambudziko rakasiyana pakati pemakamuri emwoyo. Semuenzaniso, mu mitral stenosis kuruboshwe rwemhirizhonga yepamusoro yepamusoro kune yakasara ventricular pressure apo mitral valve yakazaruka, zvichiratidza kuti valve haisati yazarura zvachose, uye kuti kuvhara kwechikamu kune ropa kunowanikwa apo iyo isingafaniri kuva.
Zviratidzo zveRopa zvinogona kutorwa kuburikidza ne catheter kubva munzvimbo dzakasiyana-siyana mumoyo, kuti uone kuwanda kwomweya muropa. Oxygen mazinga kurutivi rworudyi rwe mwoyo inofanira kupera, asi ma okisijeni mairi kune rumwe rutivi rworuboshwe rwemoyo (mushure mekunge ropa rapfuura nemapapu) razadza zvakare.
Saka kusiyanisa kwakasiyana-siyana kweropa mumhepo mumakamuri akasiyana-siyana emwoyo kunogona kuratidza "shunt," kana kusauya kweropa kusingaperi mukati memwoyo, kazhinji kunokonzerwa nehutano hwemwoyo hunokanganisa seanormal septal defect .
Pakupedzisira, kuburikidza nekupinza dhayi kuburikidza necatheter apo mifananidzo yakakurumidza x-ray yakanyorwa, "mafirimu" anogona kuitwa neropa rinoyerera mukati memakamuri emwoyo, kana kuburikidza nemakironi emakoroni - inonzi inozivikanwa seangiography (inonziwo arteriography).
Kana imwe nzira yapera, catheter (s) inobviswa. Kushambadzira kunotungamirirwa nekuisa kudzvinyirira pane catheter insertion site ye 30 - 60 maminitsi.
Chii Chinonzi Caratheac Catheterization Inoshandiswa?
Cardiac catheterization uye angiography inogona kuratidze ruzivo rwakakosha pamusoro pehupenyu hwemwoyo, pamusoro pemabasa emakamuri emwoyo, pamusoro pemagetsi emwoyo (kana ari maduku kwazvo - stenosis - kana kushaya simba-kudzokerazve), pamusoro pekukanganisa kwemwoyo, uye pamusoro pe nzvimbo uye kuoma kwemablockage mumaroto e coronary .
Dzimwe nguva catheterization yemwoyo inogona kushandiswa kupa chirwere chematambudziko akasiyana-siyana emwoyo. Catheterizations yokurapa inosanganisira nzira dzokurapa mitral stenosis kana aortic stenosis , nzira dzokuvhara patent foramen ovale , uyewo, nzira dzokugadzirisa matambudziko mumakoronary artery (angioplasty uye stent placement).
Ndeapi Ngozi dzeCardiac Catheterization uye Angiography?
Cardiac catheterization uye angiography yakachengeteka, asi nokuti iyo inopesana nzira dzinobatanidza moyo, zvinetso zvakawanda zvinogoneka. Nokuda kwechikonzero ichi hakuna munhu anofanirwa kunge ane catheterization yepanyama kunze kwekuti paine mukana wakajeka wekuti ruzivo rwakawanikwa kubva muhutano ruchava rwekubatsira zvikuru.
Zvimwe zvishoma zvinokonzerwa nemuchengetedzo wemwoyo zvinosanganisira kubuda ropa kunzvimbo ye catheter kuisa, kushungurudzika kwepfungwa kwemwoyo kunokonzerwa ne catheter inogumbura mwoyo musumbu, uye kuchinja kwenguva pfupi muropa.
Zvimwe zvinetso zvakakosha zvinosanganisira kuperesa kwerusvingo rwemwoyo (zvichikonzera chirwere chinopisa upenyu chinonzi tamponade yemwoyo ), kamwe-kamwe kuvharwa kwegoniyoni (inotungamirira kuhope yemwoyo ), kubuda ropa kukuru, kurohwa , kana kugadziriswa kune dhayi inoshandiswa muangiography .
Mukuwedzera, catheterization yemwoyo uye angiography inoda kujekesa kune imwe nzvimbo yemirairo. Kufanana nehupi hupi hwehutano hwekurapa huchishandisa mashizha, catheterization yemwoyo inogona kuwedzera kuwedzera kwehupenyu hwehupenyu hwekuwana kenza.
Shoko Rinobva
Cardiac catheterization uye angiography inoparadza miedzo yemwoyo inogona kubatsira zvikuru pakuongorora mhando dzakasiyana dzezvirwere zvepfungwa, uye mukugadzirira uye kunyange kutora chirwere.
> Sources:
> Moscucci M. Grossman naBaim's Cardiac Catheterization, Angiography, uye Intervention, 8th ed, Wolters Kluwer / Lippincott Williams & Wilkins, Philadelphia 2013. p.223.