We yu dɔktɔ tink se yu gɛt prɔblɛm fɔ blo ɔ yu gɛt at prɔblɛm, dɛn kin want fɔ no gud gud wan wetin de apin insay yu at, nɔto so? Na tɛm lɛk dis, tide wi go tɔk bɔt wan spɛshal tin we dɛn kin yuz fɔ gɛt rili kɔrɛkt infɔmeshɔn bɔt aw yu at de wok. Dɛn kɔl am di Swan-Ganz Kateta. Sɔntɛm yu nɔ yɛri bɔt dis nem, bɔt na tɛst we rili impɔtant.
Fɔ tɔk am simpul wan, wetin na dis Swan-Ganz paip?
Swan-Ganz kateta na wan tiub we rili tin, we kin chenj (kateta). Dɛn kin kɔl am bak ‘pulmonary artery catheter’. Tink bɔt am lɛk smɔl tiub we gɛt 4 smɔl tiub dɛn insay. Ɛni wan pan dɛn tiub ya gɛt difrɛn wok.
Dɛn kin yuz am mɔ fɔ mɛzhɔ infɔmeshɔn bɔt aw yu blɔd de wok, dat na aw blɔd de muv fayn fayn wan (hɛmodaynamiks).
Dis na di tin dɛm we di difrɛn pat dɛm (pɔt dɛm) na dis paip de du:
- Dɛn kin gi wata ɔ mɛrɛsin we nid fɔ de na di at dairekt wan.
- Dɛn kin mɛzhɔ di blɔd prɛshɔn we de insay di difrɛn chɛmba dɛn na di at ɛn insay di blɔd vesel dɛn kɔrɛkt wan.
- we dεn put dis tכb insay di men at we de kכri bכdi go na di lכng dεm (di pulmonary atεri), dεn de yuz am fכ inflate wan sכmכl balכn we de εp fכ dayrekt am to di rayt ples.
- Dɛn kin tek blɔd sɛmpul bak frɔm di at we de kɛr blɔd go na di lɔng dɛn.
Wetin dɔktɔ dɛn no frɔm dis tiub?
Dis tɛst kin gi yu dɔktɔ wan rili klia pikchɔ bɔt aw yu at gɛt wɛlbɔdi. I tan lɛk se yu de luk insay yu at.
| Infɔmeshɔn we dɛn dɔn gɛt | Wetin dat de tɔk? |
|---|---|
| Prεshכn na di chεmba dεm na di rayt say na di at | Yu kin no wetin na di prɛshɔn fɔ ful-ɔp we di at ful-ɔp wit blɔd. |
| di prεshכn na di lεft vεntrikl na di at (wan εstimat) . | Yu kin gɛt wan rough aidia bɔt di funkshɔnaliti na di lɛft say. |
| Prεshכn na di atεri na di pulmonari | i de εp fכ no di kכndyushכn dεm lεk pulmonary hypertension (high blכd prεshכn na di bכdi vεsul dεm we kכnekt to di lכng). |
| Di Ɔtput fɔ di Kadyak | Yu kin mɛzhɔ ɛksaktɔli ɔmɔs blɔd yu at de pɔmp tru yu bɔdi insay wan minit. |
| Di wok we di at valv dɛn de du | Yu kin gɛt aidia bɔt tin dɛn lɛk if di at valv dɛn de wok fayn ɛn if blɔd de lik frɔm dɛn. |
Yu tink se dɛn stil de yuz dis we?
Yɛs, na fɔ tru. dis mכt dεn stil kכnsidr am as di "gold standad" fכ gεt di mכst akכrd infכmeshכn bכt di prεshכn insay di at dεm na di at εn lכng dεm.
Bɔt di yus fɔ dis we dɔn go dɔŋ dis biɛn tɛm, mɔ fɔ di wan dɛn we sik bad bad wan na di say dɛn we dɛn de kia fɔ pipul dɛn we sik bad bad wan. dis na bikoz fכ divεlכpmεnt fכ divεlכpmεnt fכ lεs risky, nכn invasive mεtכd dεm lεk ``Echocardiography`` (wan skan fכ di at) we kin gεt infכmeshכn we i nכ go insay di bכdi.
Udat nid fɔ tek dis tɛst?
Yu dɔktɔ kin tɛl yu fɔ du dis tɛst if i sɔprayz ɔ no se yu gɛt wan pan dɛn sik ya:
- I nɔ kin izi fɔ yu fɔ blo
- At atak
- At we nɔ de wok fayn
- Shok we de mek pɔsin in at
- Pulmonari haypatɛyshɔn
- Di at ritm dɛn we nɔmal
- Pɔlmonari ɛmbolizm
- Tamponade fɔ di at
- Di at kɔndishɔn dɛn we dɛn bɔn wit
dis we ya dεn kin yuz bak fכ gεt infכmeshכn bכt di at in wok bifo εn afta big כpεrayshכn, lεk fכ transplant at כ fכ implant lεft vεntrikul εp divays.
Lɛ wi lan smɔl bɔt aw dɛn kin du dis tɛst.
Dɛn kin du dis tɛst na ɔspitul kadyak kateshɔn lab. No nid fɔ wɔri bɔt dis. Di dɔktɔ dɛn go tray fɔ mek yu fil fayn as yu ebul.
Wetin kin apin bifo di tɛst?
1. Di dɔktɔ go ɛksplen to yu klia wan wetin mek ɛn aw dɛn de du dis tɛst.
2. If yu de tek ɛni mɛrɛsin, dɛn go aks yu if yu nid fɔ stɔp am bifo di tɛst.
3. Dɛn go advays yu fɔ avɔyd fɔ it ɔ drink fɔ sɔm awa bifo di tɛst.
4. Dɛn go gɛt yu rayt fɔ gri (permishɔn) fɔ du dis tɛst.
5. Dɛn go mek yu ledɔm pan spɛshal bed.
6. Dɛn go gi yu mɛrɛsin tru wan vein (`IV`) fɔ rilaks yu ɛn numb di pen.
We dɛn de du di tɛst
Fɔs, di dɔktɔ go klin di say we dɛn go put di tiub fayn fayn wan (bɔku tɛm na di nɛk, chɛst, ɔ leg) ɛn mek di say we yu de nɔ fil fayn so dat yu nɔ go fil ɛni pen. afta dat, dεn kin tek tεm put di Swan-Ganz tכb insay wan big vein εn tכd tru di rayt vεntrikul na di at to di men at we de go na di lכng dεm (pulmonary artery).
We di dɔktɔ de du dis, i kin wach di ɛkstrem rayt fim na monita fɔ mek shɔ se di tiub de jɔs usay i fɔ go. So i rili sef.
Afta dɛn dɔn mɛzhɔ ɔl di tin dɛn we dɛn nid, dɛn kin tek tɛm pul di tiub.
Afta di tɛst
Afta dɛn dɔn pul di tiub, dɛn go put bandej ɔ plasta na di say fɔ mek ɛni blɔd nɔ kɔmɔt. If dɛn bin put di tiub tru yu leg, dɛn go aks yu fɔ ledɔm na bed fɔ tu to siks awa. I nɔmal fɔ si smɔl brus usay dɛn put di tiub. Dis go dɔn insay lɛk wan ɔ tu wik so.
Risk de pan dis?
Dis na di tin we impɔtant pas ɔl. di risk fכ komplikεshכn dεm we yu put Swan-Ganz tyub bכku bכku wan . Dat min se, i nɔ rich 0.5%. Dat min se if dɛn du dis to 200 pipul dɛn, na wan pɔsin nɔmɔ go gɛt prɔblɛm. Bɔt, lɛk ɛni ɔda mɛrɛsin, na smɔl risk de.
- Infεkshכn na di say we dεn put di tכb insay.
- Wan bɔbul we gɛt briz we de go insay wan blɔd vesel.
- if dεn yuz chεst vein (subclavian vein), i rili sכm chans fכ damej di lכng dεm.
- Di at we nɔ de bit.
- Damej pan at wɔl, valv, ɔ at (dis nɔ kin apin so ɔltɛm).
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
If yu gɛt ɛni wan pan dɛn tin ya we yu go na os afta di tɛst, tɛl yu dɔktɔ wantɛm wantɛm.
- If di wund usay dɛn put di tiub swel ɔ if blɔd ɔ ɔda wata de lik frɔm am .
- If di leg usay dɛn put di tiub, nɔ gɛt swɛlin ɔ swɛlin .
Mɛsej we dɛn kin kɛr go na os
- Di Swan-Ganz tiub na spɛshal tɛst we de gi rili kɔrɛkt infɔmeshɔn bɔt aw di at de wok ɛn di blɔd prɛshɔn.
- Di infɔmeshɔn we yu go gɛt frɔm dis go ɛp yu dɔktɔ bad bad wan fɔ no di sik we yu gɛt ɛn pik di tritmɛnt we fit ɛn di bɛst fɔ am.
- Di risk dɛm fɔ dis tɛst rili smɔl. Di dɔktɔ dɛn kin tek tɛm du dis, ɛn dɛn kin wach yu ɔltɛm.
- If yu notis ɛnitin we nɔ kɔmɔn (lɛk fɔ swel ɔ blɔd) afta yu dɔn du di tɛst, i impɔtant fɔ mek yu nɔ fred ɛn tɛl di dɔktɔ wantɛm wantɛm.
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