Lɛ wi luk dip dip wan insay di at! Lan bɔt Swan-Ganz Kateshɔn!

Yu go mɔs dɔn yɛri se dɔktɔ dɛn kin du difrɛn tɛst fɔ no if pɔsin gɛt at sik. Sɔntɛnde, dɛn kin nid fɔ no gud gud wan wetin de apin insay di at, aw di blɔd de muv, ɛn wetin na di prɛshɔn. wan spεshal divays εn prosidכs we dεn kin yuz tεm lεk dεn ya dεn kכl am Swan-Garns kateshכn. Wi go tɔk bɔt dis insay simpul wɔd dɛn?

Wetin na Swan-Ganz Kateta?

Fɔ tɔk am simpul wan, na wan tiub we rili tan ɛn we spɛshal. I tan lɛk smɔl spay we dɔktɔ dɛn kin put insay yu bɔdi fɔ gɛt infɔmeshɔn. dεn kכl am bak pulmonary artery catheter biכs i de εnd כp na di men vein (artery) we de kכri bכdi to yu lכng.

dis kateshכn gεt fכ sכm sכm tכb dεm, כ ‘pכt' , we de go insay di men tכb. Dɛn tan lɛk smɔl smɔl sayd rod dɛn we de kɔnɛkt to wan big rod. Ɛni wan pan dɛn pɔt dɛn ya gɛt difrɛn wok.

• Send wata ɔ mɛrɛsin to di at. Tink bɔt am, tɛm kin de we dɛn nid fɔ gi sɔm mɛrɛsin dɛn dairekt to di at, nɔto so? Dɛn kin yuz dis fɔ sɔntin lɛk dat.
• Mekɔp blɔd prɛshɔn na difrɛn pat dɛn na di bɔdi. spεshal wan, chεk di prεshכn insay di at εn na di vein dεm we de kכri bכdi to di lכng.
• Fɔ blo wan smɔl balyɔn. dis kateshכn dεn de yuz fכ εp fכ gayd di kateshכn to di kכrekt ples na di pulmonari at. Di balyɔn kin ɛp bak fɔ mek sɔm mɛzhɔmɛnt dɛn.
• Tek blɔd sɛmpul frɔm di pulmonary artery. dis imכtant fכ chεk wetin de insay di bכdi we de go na di lכng (fכ egzampl, di כksijεn we de insay).

Wetin wi kin lan frɔm dis Swan-Ganz?

Jɔs lɛk aw mɛkanik kin chɛk ɔltin na motoka in injin fɔ si if prɔblɛm de, na so dɔktɔ dɛn kin yuz dis kateshɔn fɔ no bɔku tin bɔt aw yu at de wok fayn.

Na di men tin dɛn we yu go no:

• di prεshכn na di chεmba dεm na di rayt say na yu at (di ``rayt atrium'' εn ``rayt vεntrikl'') we dεn fulכp wit bכdi. di prεshכn we de insay dεn chεmba dεm ya rili imכtant we bכdi de go insay di at εn we dεn de pכmp am kכmכt na di at.
• yu kin gεt rכf aidia fכ di prεshכn na di chεmba dεm na di lεft say na di at (di ``lεft atrium'' εn ``lεft vεntrikl''). Dɛn kin mɛzhɔ dis insay wan kɔv.
• Di prɛshɔn we de na di vein usay dɛn put di kateshɔn.
• Yu pulmonary artery prɛshɔn. Dis kin mɛzhɔ di prɛshɔn we blɔd de gi as i de travul go na yu lɔng.
• Aw yu at de kɔmɔt? Dat min se, ɔmɔs blɔd yu at de pɔmp ɔlsay na yu bɔdi fɔ wan minit. Dis na wan we we rili impɔtant fɔ mɛzhɔ.
• If di valv dεm na yu at de wok fayn fayn wan.

Yu tink se dɛn stil de yuz di Swan-Ganz Kateta?

Yɛs, dɔktɔ dɛn stil de yuz dis we bikɔs bɔku pipul dɛn kin tink se na di bɛst we fɔ gɛt kɔrɛkt infɔmeshɔn bɔt wetin de apin insay di at ɛn di pulmonari at. I tan lɛk ' gold standad'.

Bɔt naw dɛn nɔ de yuz am bɔku tɛm na di imejensi rum fɔ di wan dɛn we sik bad bad wan. Bifo dat, dɛn de yuz wan tin we nɔ de ambɔg pɔsin we dɛn kɔl ɛkokadyografi mɔ. dis na biכs εkokadyografi nכ gεt di sכm sכm risk dεm we kin apin we dεn put Swan-Ganz kateshכn.

Udat nid Swan-Ganz Kateta?

Dɔktɔ go disayd fɔ yuz dis kateshɔn if dɛn tink se yu gɛt, ɔ no se yu dɔn gɛt, ɛni wan pan dɛn simptom ɔ kɔndishɔn ya:

• Shortness of breath (if di kɔz nɔ klia) .
• At we nɔ de wok fayn
• Di at ritm dɛn we nɔmal
• Shok we de mek pɔsin in at
• Shok we kin kam bikɔs di blɔd vesel dɛn dilayt (Distributive shock) .
• Kɔnstriktiv pɔrikarditis
• At atak
• Cardiac tamponade (we wata kin gɛda rawnd di at ) .
• Pulmonary hypertension (di prɛshɔn we de go ɔp na di vein dɛn na di lכng) .
• Pɔlmonari ɛmbolizm
• Adult congenital hat sik we dɛn bɔn wit

Nɔto dat nɔmɔ, dɛn kin yuz dis kateshɔn bak fɔ gɛda infɔmeshɔn bifo ɛn afta dɛn transplant di at, bifo ɛn afta dɛn put wan lef ventrikular ɛp divays, ɛn bifo ɛn afta sɔm ɔda ɔpreshɔn dɛn.

Aw di Swan-Ganz Kateta de wok?

I rili simpul. As a bin dɔn tɔk, dɔktɔ dɛn kin yuz difrɛn ‘pɔt’ ɔ smɔl tiub dɛn na dis kateshɔn fɔ gɛda infɔmeshɔn frɔm insay yu bɔdi. as dis kateshכn de pas tru di chεmba dεm na di rayt say na di at (di rayt atria εn di rayt vεntrikl), dεn de mכsu di prεshכn na dεn chεmba dεm. Dɔn we i go insay di pulmonari at, dɛn kin yuz wan smɔl balyɔn we de na di ɛnd pan di kateshɔn fɔ mɛzhɔ di prɛshɔn we de insay da at de. Dis na aw dɛn kin gɛt bɔku impɔtant infɔmeshɔn bɔt aw blɔd de flɔ na di at ɛn di lɔng.

Wetin fɔ ɛkspɛkt bifo Swan-Ganz Kateshɔn?

Bifo dis tɛst, di dɔktɔ go ɛksplen to yu dɛn tin ya:

• Dɛn go ɛksplen to yu wetin dɛn de ɛkspɛkt fɔ du we dɛn de yuz di Swan-Ganz kateshɔn. Yu kin aks ɛni kwɛstyɔn we yu gɛt dis tɛm.
• If yu de tek ɛni mɛrɛsin bifo di tɛst, dɛn go aks yu if yu nid fɔ stɔp sɔm pan dɛn. So mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
• Dɛn go aks yu fɔ stɔp fɔ it ɛn drink fɔ sɔm awa bifo dɛn put di kateshɔn.
• Wi de aks yu fɔ alaw yu fɔ du dis tɛst.
• Dɛn go aks yu fɔ ledɔm pan spɛshal bed na wan kadyak kateshɔn lab.
• Dɛn go gi yu mɛrɛsin fɔ rilaks tru wan kanula we dɛn kin put insay yu bɛlɛ (IV). Dis go ɛp yu nɔ go wɔri ɛn strɛs.

Wetin kin apin we dɛn de yuz Swan-Ganz Kateshɔn?

Dis tɛm ya, di mɛdikal tim de wok lɛk dis:

• di say we dεn go put di kateshכn (bכku tεm na big vein na di leg, nεk, כ chεst) dεn fכs klin am gud gud wan εn dεn de nכm di εria (anεsthεsia) so dat yu nכ go fil εni pen.
• afta dat, dεn de put wan Swan-Ganz kateta insay di vein tru di εria we nכ de sכmtεm.
• di kateshכn de go bifo tru di chεmba dεm we de na di rayt say na di at. As i de travul , dɛn kin wach di X-ray pikchɔ dɛn ɔltɛm na wan monita fɔ sho usay di kateshɔn de. I tan lɛk GPS we de sho yu di rod.
• fכ finish, dεn de pas di kateshכn insay di pulmonari at.
• Afta dɛn dɔn gɛda ɔl di tin dɛn we dɛn nid, dɛn kin tek tɛm pul di kateshɔn.

Wetin fɔ ɛkspɛkt afta Swan-Ganz Kateshɔn?

Afta di dɔktɔ pul di Swan-Ganz kateshɔn, i go put prɛshɔn na di say we dɛn put di kateshɔn fɔ sɔm tɛm. Dɔn, dɛn go put bandej na di sayt.

Di tin we impɔtant pas ɔl na dat if dɛn put di kateshɔn na yu leg, dɛn go tɛl yu fɔ ledɔm fɔ tu to siks awa ɛn nɔ muv yu leg. Dis rili impɔtant, ɔdasay yu kin blɔd.

I nɔmal fɔ gɛt smɔl brus usay dɛn put di kateshɔn. I go wɛl fɔ insɛf insay wan wik, tu, ɔ tri wiks at ɔl.

Wetin na di risk dɛm fɔ Swan-Ganz Catheterization?

Naw, ɛni mɛrɛsin we dɛn kin du kin gɛt smɔl prɔblɛm. bכt di komplikεshכn dεm frכm wan Swan-Garns kateshכn kin rili rεs – less dan 0.5%. Dat min se pan wan ɔndrɛd pipul dɛn, sɔntɛm i nɔ go apin to wan.

Bɔt sɔm smɔl smɔl prɔblɛm dɛn de we kin apin. Dɛn na:

• Sik we de prɛd. If di jεm dεm go insay di sayt we di kateshכn de.
• Wan ɛya bɔbul na yu blɔd vesel.
• Di lɔng we dɔn fɔdɔm. dis risk kin apin sכmtεm if dεn yuz di sabklavian vein na di nεk.
• di at ritm we nɔr nכmal (arrhythmia) kin apin. dis kin apin sכmtεm we dεn pas di kateshכn tru di at.
• Smɔl damej na di at wɔl, valv, ɔ di pulmonari at. Dɛn tin ya bak nɔ kin apin so ɔltɛm.

Dɔktɔ dɛn no gud gud wan bɔt dɛn prɔblɛm ya ɛn dɛn kin du ɔl wetin dɛn ebul fɔ du fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn. So , bɔku tɛm, dɛn kin du dis tɛst fayn fayn wan ɛn nɔ gɛt ɛni prɔblɛm.

Wetin di dɔktɔ kin du wit di tin dɛn we kin kɔmɔt frɔm Swan-Ganz Catheterization?

Di infɔmeshɔn we dɛn kin gɛt frɔm di tɛst tan lɛk bɔku bɔku tin dɛn we dɛn dɔn fɛn. Yu dɔktɔ go yuz dis infɔmeshɔn fɔ disayd us tritmɛnt yu nid.

Di tɛst rizɔlt kin kɔnfirm if yu gɛt mɛdikal kɔndishɔn. Dɛn kin ɛp di dɔktɔ dɛn bak fɔ no aw yu prɔblɛm siriɔs.

Dipen pan di kɔndishɔn, dɛn kin du dɛn tritmɛnt ya:

• Di mɛrɛsin dɛn we dɛn kin yuz. (Dεn kin gi sכm mεdikeshכn dεm tru wan ‘pכt’ insay wan Swan-Ganz kateshכn, כ tru wan ‘IV’ insay wan vein na yu an.)
• Ɔda tin dɛn we dɛn kin du fɔ mɛn pipul dɛn. `(Di we aw dɛn de du tin)`
• Ɔpreshɔn. `(Ɔpreshɔn)`

Ustɛm a fɔ go to di dɔktɔ bak?

If yu gɛt ɛni wan pan dɛn tin ya afta di tɛst, mek shɔ se yu tɛl yu dɔktɔ wantɛm wantɛm:

• If di say we dɛn put di kateshɔn dɔn swel, ɔ if blɔd ɔ ɔda wata de kɔmɔt insay.
• If di leg usay dɛn put di kateshɔn de fil nɔm ɔ i dɔn swel.

If yu gɛt ɛni wan pan dɛn sayn ya, nɔ ignore dɛn. I bɛtɛ fɔ mek yu go to dɔktɔ wantɛm wantɛm.

Di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Di Swan-Ganz kateta na tɛst we de gi valyu infɔmeshɔn to dɔktɔ dɛn fɔ ɛp dɛn fɔ no if yu gɛt prɔblɛm wit yu at ɔ yu lɔng. Dis infɔmeshɔn de ɛp dɔktɔ dɛn fɔ gi yu di bɛst ɛn di rayt tritmɛnt .

Di mɛdikal tim go mek shɔ se yu fil fayn ɛn rilaks we dɛn de du dis tɛst. Dɔn bak, di chans fɔ gɛt prɔblɛm dɛn kin rili smɔl. So, if dɔktɔ tɛl yu fɔ du dis kayn tɛst, i nɔ nid fɔ fred am. Tɔk bɔt ɛni kwɛstyɔn ɔ dawt we yu gɛt wit di dɔktɔ ɛn sɔlv am.

` At, Swan-Ganz kateta, pulmonari at, blɔd prɛshɔn, at sik, lɔng, mɛdikal tɛst