Kia titiro hohonu tātou ki te ngākau! Akohia te Swan-Ganz Catheterization!

Kua rongo pea koe i ngā whakamātautau maha a ngā tākuta hei rapu i te mate manawa. I ētahi wā me mōhio rātou ki ngā mea e tupu ana i roto i te manawa, te nekehanga o te toto, me te pēhanga. Ko tētahi taputapu me tētahi tikanga motuhake e whakamahia ana i ngā wā pēnei ko te Swan-Garns catheterization. Me kōrero ngāwari tātou mō tēnei?

He aha te Swan-Ganz Catheter?

He ngāwari noa iho, he ngongo tino angiangi, he motuhake. He rite ki tētahi tutei iti e whakanohoia ana e ngā tākuta ki roto i tō tinana hei tiki kōrero. Ka kiia hoki he catheter uaua pūkahukahu nā te mea ka mutu ki te uaua matua (artery) e kawe ana i te toto ki ō pukahukahu.

E whā ngā ngongo iti ake o tēnei katitere, arā, ngā 'awa' , e uru ana ki roto i te ngongo matua. He rite ki ngā rori taha iti e hono ana ki tētahi rori nui. He rerekē te mahi a ia o ēnei awa.

• Tukuna he wai, he rongoā rānei ki te ngākau. Whakaarohia, tera ētahi wā me tuku tika ētahi rongoā ki te ngākau, tika? Ka taea tēnei te whakamahi mō tētahi mea pēnei.
• Inehia te pēhanga toto i ngā wāhanga rerekē o te tinana. Tirohia te pēhanga i roto i te ngākau me ngā uaua e kawe ana i te toto ki ngā pukahukahu.
• Te pupuhi i tētahi poihau iti. Ka whakamahia tēnei katitere hei ārahi i te katitere ki te wāhi tika i roto i te uaua pūkahukahu. Ka āwhina hoki te poihau ki te tango i ētahi inenga.
• Tangohia he tauira toto mai i te uaua pūkahukahu. He mea nui tēnei hei tirotiro i ngā ihirangi o te toto e haere ana ki ngā pūkahukahu (hei tauira, te nui o te hāora).

He aha tā tātou e ako ai i tēnei Swan-Ganz?

Pērā i te mekanika e tirotiro ana i ngā mea katoa o roto i te miihini o te motuka hei tirotiro mēnā he raruraru, ka whakamahia e ngā tākuta tēnei catheter hei rapu i te maha o ngā kōrero mō te pai o te mahi a tō manawa.

Anei ngā mea matua ka taea e koe te mōhio:

• Ko te pēhanga i roto i ngā rūma i te taha matau o tō ngākau (te "ātrium matau" me te "ventricle matau") ina kī ana i te toto. He mea tino nui te pēhanga i roto i ēnei rūma ina tomo te toto ki te ngākau, ā, ina papua hoki i waho o te ngākau.
• Ka taea e koe te whiwhi whakaaro whānui mō te pēhanga i roto i ngā rūma o te taha maui o te ngākau (te "atrium maui" me te "ventricle maui"). Ka inehia tēnei mā te kōpiko.
• Te pēhanga i roto i te uaua i whakaurua ai te catheter.
• Te pēhanga o tō uaua pūkahukahu. Mā tēnei ka ine i te pēhanga o te toto i a ia e haere ana ki ō pūkahukahu.
• Kei te pēhea te nui o te toto e pupuhihia ana e tō ngākau puta noa i tō tinana ia meneti. He inenga tino nui tēnei.
• Mēnā kei te mahi tika ngā takirere o tō ngākau.

Kei te whakamahia tonutia te Swan-Ganz Catheter?

Ae, kei te whakamahia tonutia tēnei tikanga e ngā tākuta nā te mea he tokomaha te hunga e whakaaro ana koinei te huarahi pai ki te tiki kōrero tika mō ngā mea e pā ana ki roto i te ngākau me te uaua pūkahukahu. He rite ki te ' paerewa koura'.

Engari kua iti ake te whakamahinga i roto i te rūma whawhati tata mō ngā tūroro tino mate. Engari, he taputapu kore-whakaeke e kiia nei ko te echocardiography kei te whakamahia pinepinetia. Nā te mea kāore he mōrearea iti o te echocardiography e pā ana ki te whakaurunga o te catheter Swan-Ganz.

Ko wai e hiahia ana ki te Swan-Ganz Catheter?

Ka whakatau te tākuta ki te whakamahi i tēnei catheter mēnā e whakapae ana rātou kei a koe, e mōhio ana rānei kei a koe tētahi o ēnei tohumate, āhuatanga rānei e whai ake nei:

• Te poto o te manawa (ki te kore e mārama te take)
• Te ngoikore o te ngākau
• Ngā manawataki o te ngākau rerekē
• Te ohorere o te ngākau
• Te ohorere i puta mai i te whānui o ngā oko toto (Te ohorere tohatoha)
• Te pericarditis whakapūmau ( te whakapakeketanga o te kiriuhi e karapoti ana i te ngākau )
• Te whakaekenga o te ngakau
• Te tamponade o te ngākau (te kohikohinga wai huri noa i te ngākau )
• Te toto toto tiketike o te pūkahukahu (te pikinga o te pēhanga i roto i ngā uaua o ngā pūkahukahu)
• Te embolism pūkahukahu
• Mate ngakau whānau o te pakeke

Ehara i te mea koinā anake, ka whakamahia hoki tēnei katitere hei kohikohi i ngā mōhiohio i mua atu, ā, i muri i te whakawhitinga ngākau, i mua atu, ā, i muri i te tāutanga o tētahi taputapu āwhina ventricular maui, me mua atu, ā, i muri mai hoki i ētahi atu pokanga.

He pēhea te mahi a te Swan-Ganz Catheter?

He tino māmā noa iho. E ai ki taku kōrero i mua ake nei, ka whakamahia e ngā tākuta ngā 'awa' rerekē, ngā ngongo iti rānei i runga i tēnei catheter hei kohikohi i ngā mōhiohio mai i roto i tō tinana. I a tēnei catheter e haere ana i roto i ngā rūma i te taha matau o te ngākau (te atrium matau me te ventricle matau), ka inehia e rātou te pēhanga i roto i aua rūma. Kātahi, ina tomo ki roto i te uaua pūkahukahu, ka whakamahia e rātou he poihau iti i te pito o te catheter hei ine i te pēhanga i roto i taua uaua. Koinei te huarahi e whiwhi ai rātou i ngā mōhiohio nui mō te rere o te toto i roto i te ngākau me ngā pukahukahu.

He aha ngā mea hei tumanakohia i mua i te whakaurunga o te catheterization Swan-Ganz?

I mua i tēnei whakamātautau, ka whakamārama te tākuta i ngā mea e whai ake nei ki a koe:

• Mā rātou koe e whakamārama ki te aha e hiahiatia ana mā te whakamahi i te catheter Swan-Ganz. Ka taea e koe te pātai i ō pātai i tēnei wā.
• Mena kei te tango koe i ētahi rongoā i mua i te whakamātautau, ka pātaihia koe mēnā me mutu ētahi o aua rongoā. Nō reira, me whakamōhio atu ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
• Ka tonoa koe kia mutu te kai me te inu mō ētahi haora i mua i te whakaurunga o te catheter.
• Kei te tonoa tō whakaaetanga ki te whakahaere i tēnei whakamātautau.
• Ka tonoa koe kia takoto ki runga i tētahi moenga motuhake i roto i te taiwhanga whakauru catheter o te ngākau.
• Ka hoatu he rongoā hei whakangā mā roto i te cannula intravenous (IV). Mā tēnei ka āwhina i a koe kia iti ake te manukanuka me te ahotea.

He aha ngā mea ka tupu i te wā e whakauruhia ai te Swan-Ganz Catheterization?

I tēnei wā, ko ngā mahi a te tīma hauora e whai ake nei:

• Ka horoia rawatia te wāhi e whakaurua ai te catheter (he uaua nui i te waewae, i te kaki, i te uma rānei) i te tuatahi, kātahi ka whakangāwarihia te wāhi (whakamamae) kia kore ai koe e mamae.
• Kātahi ka whakauruhia he catheter Swan-Ganz ki roto i te uaua mā te wāhi ngenge.
• Ka tukuna te katitere mā roto i ngā rūma i te taha matau o te ngākau. I a ia e haere ana , ka aroturukitia tonutia ngā whakaahua hihi-X i runga i te aroturuki hei whakaatu i te wāhi kei reira te katitere. He rite ki te GPS e whakaatu ana i te ara.
• Hei whakamutunga, ka tukuna te catheter ki roto i te uaua pūkahukahu.
• I muri i te kohikohi i ngā mōhiohio katoa e tika ana, ka tangohia marietia te catheter.

He aha ngā mea hei tumanakohia i muri i te whakaurunga o te catheterization Swan-Ganz?

Kia tangohia te catheter Swan-Ganz e te tākuta, ka pēhia e ia te wāhi i whakaurua ai te catheter mō tētahi wā. Kātahi ka tāpirihia he takai ki te wāhi.

Ko te mea nui, mēnā i whakaurua te catheter ki roto i tō waewae, ka kīia atu ki a koe kia takoto noa mō ngā haora e rua ki te ono, kaua e nekehia tō waewae. He mea tino nui tēnei, ki te kore ka toto pea koe.

He mea noa te pā mai o tētahi maru iti ki te wāhi i werohia ai te catheter. Ka ora ake i roto i te wiki, i ngā wiki e rua, i ngā wiki e toru rānei te roa.

He aha ngā mōrearea o te Tātaritanga o te Swan-Ganz Catheterization?

He iti noa te mōrearea o tētahi tikanga hauora. Engari he tino onge ngā raruraru mai i te catheter Swan-Garns – iti iho i te 0.5%. Ko te tikanga, i roto i te kotahi rau tāngata, kāore pea e pā ki tētahi.

Heoi anō, tera pea ētahi tūponotanga iti ka puta. Ko ēnei:

• Mate. Mena ka uru ngā iroriki ki te wāhi o te katitere.
• He mirumiru hau i roto i tō uaua toto.
• Te hinga o te pukahukahu. Ka puta pea tēnei mōrearea i ētahi wā mēnā ka whakamahia te uaua subclavian i te kaki.
• Tērā pea ka puta he manawataki o te ngākau rerekē (arrhythmia). Ka puta pea tēnei i ētahi wā ina tukuna te catheter mā roto i te ngākau.
• He iti noa te whara ki te pakitara o te ngākau, ki te takirere, ki te uaua pūkahukahu rānei. He tino onge hoki ēnei.

E mōhio ana ngā tākuta ki ēnei tūponotanga, ā, ka mahi rātou i ngā mahi katoa hei whakaiti i aua tūponotanga. Nō reira , i te nuinga o te wā, ka taea te whakahaere angitu i tēnei whakamātautau me te kore he raruraru.

Ka aha te tākuta ki ngā hua o te Swan-Ganz Catheterization?

He rite ngā mōhiohio ka riro mai i te whakamātautau ki tētahi puranga mōhiohio. Ka whakamahia e tō tākuta ēnei mōhiohio hei whakatau i te maimoatanga e hiahiatia ana e koe.

Mā ngā hua o te whakamātautau ka taea te whakaū mēnā he mate hauora tōu. Ka taea hoki e ēnei te āwhina i te tīma hauora ki te whakatau i te nui o tō raruraru.

I runga i te āhua o te mate, ka taea te whakamahi i ngā maimoatanga e whai ake nei:

• Ngā rongoā. (Ka taea te hoatu i ētahi rongoā mā te 'port' i roto i te catheter Swan-Ganz, mā te 'IV' rānei i roto i te uaua i tō ringaringa.)
• Ngā tikanga hauora kē atu. `(Ngā Tikanga)`
• Pokanga. `(Pokanga)`

Āhea ahau me kite anō i te tākuta?

Mena ka pāngia koe e tētahi o ngā mea e whai ake nei i muri i te whakamātautau, me whakamōhio tonu atu ki tō tākuta:

• Mena kei te pupuhi te wāhi i whakaurua ai te katitere, kei te puta mai rānei he toto, he wai rānei i roto.
• Mena he ngoikore, he pupuhi rānei te waewae i whakaurua ai te catheter.

Ki te kitea tētahi o ēnei tohu, kaua e warewaretia. He pai ake te rapu tohutohu hauora tonu.

Ko te mea nui hei maumahara (Karere hei tango ki te kāinga)

He whakamātautau te kāteretere Swan-Ganz e whakarato ana i ngā mōhiotanga whai hua ki ngā tākuta hei āwhina i a rātou ki te tautuhi i tētahi raruraru o tō ngākau, o tō pukahukahu rānei. Mā ēnei mōhiotanga ka āwhina i ngā tākuta ki te whakarato i te maimoatanga pai rawa atu me te tika rawa atu ki a koe .

Mā te tīma hauora koe e whakarite kia noho humarie, kia marino hoki i te wā o tēnei whakamātautau. He iti rawa hoki te tūponotanga o ngā raruraru. Nō reira, ki te tūtohu te tākuta i tēnei momo whakamātautau, kāore he take e wehi ai koe. Kōrerohia ō pātai, ō ruarua rānei ki te tākuta, ā, whakatauhia.

` Ngākau, te kātetere Swan-Ganz, te uaua pūkahukahu, te toto toto tiketike, te mate ngakau, ngā pukahukahu, ngā whakamātautau hauora