We di dɔktɔ tɛl yu se yu nid fɔ du wan tɛst we dɛn kɔl "Right Heart Catheterization," yu bin de fred smɔl? I nɔmal fɔ mek ɛnibɔdi fil smɔl fred ɛn want fɔ no mɔ we dɛn se dɛn de put sɔntin lɛk "kateta" insay di at. Bɔt nɔ fred. Tide, wi go tɔk bɔt dis rili simpul wan, insay wan we we go ansa ɔl di kwɛstyɔn dɛn we yu gɛt na yu maynd. Dɔn yu go no se dis nɔto sɔntin we yu fɔ fred afta ɔl.
Fɔ tɔk am simpul wan, wetin na Rayt At Kateshɔn?
Dis na tɛst we rili spɛshal. Fɔ tɔk am simpul wan, i de mɛzhɔ aw yu at de wok fayn, dat na aw i de pɔmp blɔd fayn fayn wan. Dis tɛst de ɛp fɔ gɛt kɔrɛkt aidia bɔt di blɔd prɛshɔn ɛn ɔksijɛn lɛvɛl, mɔ na di rayt say na yu at ɛn na di lɔng.
Dɔktɔ dɛn kin kɔl dis bak "pulmonary artery catheterization." Sɔntɛnde yu go yɛri bak we dɛn kɔl am "Swan-Ganz kateta." Dis na ɔl nem fɔ di sem tɛst.
Fɔ du dis tɛst, yu dɔktɔ go yuz wan tin we tan lɛk tiub we kin chenj we dɛn kɔl kateta . Dɛn kin put dis tiub tru wan big vein na yu nɛk, groin, ɔ an ɛn tek tɛm tred am na di rayt say na yu at. Frɔm de, dɛn go gayd am go insay di men at we de kɛr blɔd go na yu lɔng, we na di at we de na di pulmonari . Dis na aw dɛn kin mɛzhɔ infɔmeshɔn insay yu at.
Wetin mek i nid fɔ du dis kayn tɛst?
Di infɔmeshɔn we dɛn gɛt frɔm dis tɛst rili valyu. I kin ɛp dɔktɔ dɛn fɔ no di kayn sik dɛn we dɛn kin gɛt ɛn si aw dɛn kin ebul fɔ trit dɛn.
Imajin, jɔs lɛk aw mɛkanik kin yuz spɛshal tin dɛn fɔ chɛk if prɔblɛm de wit motoka in injin, na so di dɔktɔ kin yuz dis kateshɔn fɔ no di prɛshɔn ɛn ɔksijɛn lɛvɛl we de insay di at.
Di tebul we de dɔŋ ya de sho yu di men mɛrɛsin dɛn we nid fɔ du dis tɛst.
| Kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Shok we de mek pɔsin in at | Wantɛm wantɛm, di at nɔ kin ebul fɔ pɔmp inof blɔd to di bɔdi. |
| Di sik we dɛn kɔl Cardiomyopathy | I nɔ izi fɔ pɔmp blɔd bikɔs di at mɔsul de wik ɔ big. |
| Hat sik we dɛn bɔn wit | Difrɛn difrɛn at prɔblɛm dɛn we dɛn kin bɔn wit. |
| At we nɔ de wok fayn | Di at nɔ kin ebul fɔ pɔmp blɔd fɔ mit di bɔdi in nid. |
| Di sik we de mek pɔsin gɛt at valv | di valv dεm na di at nכ de opin כ klos fayn fayn wan. |
| Pulmonari haypatɛyshɔn | Prɛshɔn pasmak na di blɔd vesel dɛm we de kɛr blɔd go na di lɔng dɛm. |
apat frכm dat, dis tεst kin nid bifo כ afta sכm כgan transplant כpεrayshכn dεm, εn bifo dεn instכl spεshal divays we de εp di at (`(left ventricular assist device)`).
Wetin na di difrɛns bitwin dɛn tu tɛst ya we dɛn kin du na di rayt ɛn lɛft say na di at?
Yɛs, dis na impɔtant kwɛstyɔn. wan tεst de we dεn kin du na di rayt say na di at (`Right heart catheterization`) εn wan tεst de we dεn kin du na di lεft say na di at (`Left heart catheterization`). I klia se difrɛns de bitwin dɛn tu.
| Tin | Rayt At Kateshɔn (rayt sayd) . | Lɛft At Kateshɔn (lɛft say) . |
|---|---|---|
| Tiub we dɛn kin put kateta insay | Tru wan vein (na di nɛk, di groin, ɔ di an) . | Tru wan at (bɔku tɛm na di groin ɔ an) . |
| Di pat na di at we dɛn de chɛk | di rayt atria, di rayt vεntrikl, εn di pulmonari at na di at. | di lεft vεntrikl na di at, di aorta, εn di korona at dεm we de gi bכdi to di at. |
| Di men tin we dɛn want fɔ du | Fɔ mɛzhɔ di prɛshɔn na di rayt say na di at ɛn di lɔng dɛn. | Fɔ chɛk fɔ si if di korona at dɛn dɔn blok. |
| Ɔda nem dɛn | Pulmonari atεri katetεrayzεshכn | Kadiak kateshɔn, Koronari angiografi |
Aw yu fɔ rɛdi fɔ dis tɛst?
Okay, naw mek wi si aw yu fɔ pripia di de bifo. Yu dɔktɔ go gi yu patikyula instrɔkshɔn bɔt dis, bɔt dɛn tin ya na di jenɛral tin dɛn fɔ du.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek: I impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek, vaytamɛn, sɔpɔtmɛnt, ɔ mɛrɛsin we yu de tek we yu nɔ de bay. Sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek dɛn nɔ gɛt blɔd , dɛn kin nid fɔ stɔp sɔm dez bifo dɛn du di tɛst.
- Briŋ pɔsin wit yu na os: Sɔntɛm yu nɔ go ebul fɔ drayv yusɛf afta di tɛst, so i impɔtant fɔ mek yu kam wit pɔsin na os.
- Rimov di jɔyri ɛn nel polish: Bifo di tɛst, pul ɔl di jɔyri lɛk nɛks, breslɛt, ɛn ring. Rimov ɛni nel polish, if ɛni wan de.
- Fastin: Dɛn go tɛl yu nɔ fɔ it ɔ drink ɛnitin fɔ 6 to 12 awa bifo di tɛst. I rili impɔtant fɔ fala dis advays di rayt we.
Wetin kin apin di de we dɛn de du di tɛst?
Di ɔl di tin we dɛn kin du kin tek sɔm awa, bɔt di tɛm we di kateshɔn kin de na in ples kin bi lɛk wan awa so.
Bifo di tɛst...
Afta dɛn kɛr yu go na wan spɛshal yunit na di ɔspitul (a "cath lab"), wan nɔs go kam insay ɛn tɛl yu fɔ wɛr ɔspitul gɔn. Dɛn go tɛl yu fɔ go na di bafa ɛn ɛmti yu blad. Dɔn dɛn go mek yu ledɔm na tebul fɔ ɛgzamin ɛn tay smɔl pat dɛn na yu chɛst. Dɛn kɔl dɛn tin ya ilɛktrɔd . Dɛn kin yuz dɛn tin ya fɔ wach aw yu at de wok (lɛk ECG) ɔl di tɛm we dɛn de du di tɛst.
Bɔrku tɛm, dɛn nɔ go put yu na slip fɔ dis tɛst. Bɔt sɔntɛnde dɛn kin gi yu wan mɛrɛsin we de mek yu fil fayn ɔ mɛrɛsin fɔ ɛp yu fɔ slip ɔ rilaks tru wan kanula (IV) we dɛn put insay wan vein na yu an.
We dɛn de du di tɛst...
Yu de wek dis tɛm. Di dɔktɔ ɛn di tim de ɛksplen ɔltin to yu.
1. Fɔs, dɛn kin klin di say we dɛn go put di kateshɔn (nɛk, groin, ɔ an) ɛn pul ɛni ia if nid de.
2. Dɔn , dɛn kin injɛkt wan lokal anestetik fɔ mek di say nɔ gɛt bɛtɛ trɛnk. So yu nɔ go fil bɔku pen.
3. Naw, we yu de yuz spɛshal nidul, dɛn de put di blɔd vesel ɛn put di kateshɔn tru am.
4. Dɔn, rili slo ɛn tek tɛm, we yu de luk spɛshal skrin lɛk ɛkstrem rayt, dɛn de gayd di kateshɔn insay di rayt say na di at ɛn go insay di pulmonari at.
5. We di kateshɔn dɔn de na di kɔrɛkt pozishɔn, dɛn kin mɛzhɔ di prɛshɔn na ɛni say ɛn tek blɔd sɛmpul if nid de.
6. Insay dis tɛm, dɛn kin aks yu fɔ de stil, blo ɔ stɔp, ɔ chenj yu bɔdi pozishɔn.
7. Sɔntɛnde, yu kin si bak aw yu at rit kin chenj we yu de du ɛksɛsayz (fɔ ɛgzampul, yu kin yuz pedal mashin we yu de ledɔm na bed).
8. Fɔ dɔn, dɛn kin tek tɛm pul di kateshɔn, ɛn put plasta ɔ bandej na di say we dɛn put am.
Yu tink se dis kin mek pɔsin fil bad?
Yu kin fil smɔl pen we dɛn injɛkt di mɛrɛsin we de mek yu nɔ fil fayn. Yu kin fil bak smɔl prɛshɔn we dɛn put di kateshɔn. Ɔda pas dat, no pen nɔ de we di kateshɔn go insay.Bɔt yu kin fil tin dɛn lɛk:
- Chɛst pen ɔ filin fɔ mis at bit we di kateshɔn de nak di at wɔl dɛn.
- Ɛd we de at, we yu de fil lɛk yu ed de tɔn.
- Fɔ fil lɛk se yu de fil lɛk yu nɔs.
- Fɔ fil lɛk se yu de kɔf.
- Wan wam filin we dɛn gi di mɛrɛsin.
If yu fil ɛni wan pan dɛn tin ya, tɛl di dɔktɔ ɔ nɔs wantɛm wantɛm. I rili impɔtant.
Ɛni risk de fɔ dis tɛst?
Rayt at kateshɔn na jɔs wan we we rili sef . Bɔt lɛk ɛni ɔda mɛrɛsin, i kin gɛt smɔl smɔl prɔblɛm dɛn. Yu dɔktɔ go jɔs tɛl yu fɔ du am if yu disayd se di bɛnifit dɛn we yu go gɛt pas di prɔblɛm dɛn we yu go gɛt.
Sɔm prɔblɛm dɛn we kin apin na:
- Alɛji fɔ mɛrɛsin ɔ tin dɛn we dɛn kin yuz.
- Di at we nɔ de bit ɔltɛm (Aritmia).
- Blɔd ɔ brus usay dɛn put di kateshɔn.
- Blɔd we de klɔt.
- Sik we de prɛd.
- Nɔr kin bɔrku, pwɛl hat ɔr blɔd vesel, at atak ɔr strok.
Mɛmba se dɛn bad tin ya nɔ kin apin so ɔltɛm. Di mɛdikal tim dɔn rɛdi gud gud wan fɔ mek dɛn nɔ gɛt sɔntin lɛk dis.
Wetin yu want fɔ du we yu rich na os?
Dɛn go de wach yu fɔ sɔm awa afta di tɛst ɛn sɛn yu na os. Tek tɛm wit dɛn tin ya afta yu dɔn go na os.
- Rɛst: Rɛst di ɔda pat na di de. Nɔ bɛn, es, ɔ push fɔ at le 24 awa.
- Nɔ drayv: If dɛn dɔn gi yu layt slip mɛrɛsin, nɔ drayv ɔ yuz ebi ebi mashin fɔ 24 awa.
- Drink plɛnti wata: If yu drink bɔku wata, i fayn fɔ di bɔdi.
- Tek kia ɔf di bandej: Kip di bandej na di say we dɛn put di kateshɔn fɔ as lɔng as yu dɔktɔ tɛl yu (bɔku tɛm wan ɔ tu dez).
- Fɔ was: Nɔ was fɔ 24-48 awa. Dɔn bak, nɔ go insay bathtub te di wund wɛl ɔl. We yu de was, nɔ rɔb di wund tumɔs, bɔt kip am wet.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm!
If yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya, kɔl yu dɔktɔ we yu nɔ go te . Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
| Sayn we de wɔn pɔsin | Wetin fɔ pe spɛshal atɛnshɔn to |
|---|---|
| Blɔd ɔ swel na di say we dɛn put di kateshɔn | If di blɔd nɔ stɔp ɔ if big, pen lump fɔm de. |
| Sayn dɛn we de sho se pɔsin gɛt infekshɔn | Rɛd, swel, wam, pus, ɔ fiva rawnd di wund. |
| At bit fast ɔ i nɔ de bit ɔltɛm | If yu fil se yu chɛst de bit ɔ yu at bit de fil strenj. |
| Wan chenj na wan an ɔ leg | If di an ɔ leg usay dɛn put di kateshɔn de at, tɔn blu, kol, ɔ tingul. |
| Di sayn dɛn we de sho se pɔsin gɛt at atak | Chɛst de pen ɔ tayt, yu de swet pasmak, i nɔ izi fɔ blo. |
| Lɔs fɔ no bɔt sɔntin | If yu lɔs kɔnshɛns wantɛm wantɛm. |
Mɛsej we dɛn kin kɛr go na os
- Rayt At Kateshɔn na impɔtant ɛn jɔs sef tɛst we de chɛk aw di rayt say na yu at de wok.
- Fɔ fala di dɔktɔ in instrɔkshɔn (fast, mɛrɛsin instrɔkshɔn) fayn fayn wan bifo dis tɛst.
- Nɔ fred fɔ tɛl di mɛdikal tim bɔt ɛni diskɔmfɔt we yu fil we yu de du di tɛst.
- I rili impɔtant fɔ rɛst ɛn tek kia ɔf di wund afta yu dɔn go na os.
- Yu fɔ no di sayn dɛn we de sho se yu de wɔn yu. If ɛni wan pan dɛn sayn ya apin, go to dɔktɔ wantɛm wantɛm.
- If yu stil gɛt kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk bɔt am wit yu dɔktɔ.
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