Tiyeni tiphunzire za Catheterization ya Mtima Wabwino?

Kodi dokotala wanu wakuuzani kuti muyesedwe? Kapena mwina mukungofuna kudziwa. Tiyeni tiwone mwachidule zomwe zimachitika, momwe zimachitikira, komanso chifukwa chake zimachitika. Musadandaule, ndikufotokozerani zonse.

Kodi kulowetsa mtima koyenera kumeneku ndi chiyani?

Mwachidule, iyi ndi mayeso apadera omwe amachitidwa kuti aone momwe mtima wanu ukugwira ntchito. Makamaka, imayesa kuthamanga kwa magazi ndi kuchuluka kwa mpweya m'mbali yakumanja ya mtima wanu ndi m'mapapo anu. Izi nthawi zina zimatchedwa catheterization ya mitsempha ya m'mapapo . Ena angatchulenso kuti mayeso a Swan-Ganz catheter .

Kuti achite izi, madokotala amagwiritsa ntchito chubu chopyapyala komanso chosinthasintha chotchedwa catheter . Chubuchi chimalowetsedwa mu mtsempha waukulu m'khosi mwanu, m'mimba mwanu, kapena m'dzanja lanu, ndipo chimalowetsedwa pang'onopang'ono kudzera mbali yakumanja ya mtima wanu ndi mtsempha waukulu wamagazi womwe umanyamula magazi kupita kumapapu anu , mtsempha wa m'mapapo . Taganizirani ngati kuyika kamera kakang'ono mkati, koma kamayesa kuthamanga ndi mpweya.

N’chifukwa chiyani mayesowa ndi ofunikira kwambiri? Kodi apeza chiyani?

Mayeso a "Right Heart Catheterization" awa amathandiza madokotala kupeza zambiri zokhudza matenda ambiri. Nazi zitsanzo zingapo:

• Kugwedezeka kwa mtima: Matenda oopsa omwe amapezeka mtima ukasiya kupopa magazi moyenera.
• Matenda a mtima: Matenda omwe minofu ya mtima imafooka kapena kukula.
• Matenda a mtima obadwa nawo: Anthu ena amabadwa ndi zilema zina za mtima. Yang'anani ngati ali ndi vuto.
• Kulephera kwa mtima: Pamene mtima sungathe kupompa magazi okwanira.
• Matenda a valavu ya mtima: Pamene mavalavu mumtima sakugwira ntchito bwino.
• Kuthamanga kwa magazi m'mapapo: Kupanikizika kowonjezereka m'mitsempha yamagazi yomwe imanyamula magazi kupita ku mapapo.

Komanso, nthawi zina mayesowa angakhale ofunikira musanayambe kapena mutayika chiwalo, kapena musanayike chipangizo chapadera chomwe chimathandiza mtima, monga ``Chida Chothandizira Kumanzere kwa Ventricular'' . Chifukwa izi zimapatsa madokotala chithunzi chomveka bwino cha momwe mtima ulili.

Kodi kusiyana kotani pakati pa kuchita izi mbali yakumanja ya mtima ndi kuchita kumanzere?

Inde, pali kusiyana kwakukulu pakati pa ziwirizi. Tiyeni tiwone zomwe zili.

Mu catheter ya mtima wakumanja, dokotala amaika chubu chopyapyala (catheter) mu mtsempha.. Kutanthauza kuti, kuchokera ku mtsempha womwe umanyamula magazi odetsedwa. Izi ndi zomwe zimapita kumbali yakumanja ya mtima. Izi zimayesa makamaka kuthamanga kwa magazi mu atrium yanu yakumanja, ventricle yakumanja, ndi mtsempha wamagazi womwe umanyamula magazi kupita kumapapu anu.

Koma mu catheter ya mbali yakumanzere, catheter imayikidwa mu mtsempha wamagazi . Ndiko kuti, mtsempha womwe umanyamula magazi oyera. Mwachitsanzo, mtsempha wamagazi wa m'chiuno womwe uli m'mwendo, mtsempha wamagazi wa m'manja, kapena mtsempha wa m'khwapa. Apa ndi pomwe mbali yakumanzere ya mtima imapita. Izi zimayesa kuthamanga kwa magazi m'chifuwa chakumanzere, zimayang'ana aorta ndi valavu yake, ndikuyang'ana zotsekeka zilizonse m'mitsempha yamtima zomwe zimapereka magazi kumtima. Kuyesaku kwa mbali yakumanzere kumatchedwanso kuti catheterization ya mtima kapena coronary angiography . Kodi mukumvetsa kusiyana kwake?

Ndani akuchita mayeso awa? Kodi amachitika kuti?

Mayeso a `(Right Heart Catheterization)` awa amachitikira m'chipinda chapadera m'chipatala. Amatchedwa `Cardiac Catheterization Laboratory` kapena `cath lab` mwachidule. Amachitidwa ndi gulu lophunzitsidwa bwino la akatswiri. Nthawi zambiri amatsogozedwa ndi `Advanced Heart Failure Cardiologist` kapena `Interventional Cardiologist`. Chifukwa chake, mutha kukhala otsimikiza kuti muli m'manja abwino.

Kodi muyenera kukonzekera bwanji izi?

Dokotala wanu adzakupatsani malangizo enieni a momwe mungakonzekere, koma nthawi zambiri zimakhala ngati izi:

• Muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa. Izi zikuphatikizapo mankhwala olembedwa ndi dokotala, zowonjezera, ndi mankhwala ogulitsidwa kunja kwa ofesi. Mankhwala ena, makamaka mankhwala oletsa magazi kuundana/ochepetsa magazi , angafunike kuyimitsidwa kwa masiku angapo. Izi ziyenera kuchitika monga momwe dokotala wanu wanenera.
• Bweretsani munthu wina kuti akutengereni kunyumba mukamaliza mayeso, chifukwa nthawi zina zimakhala zovuta pang'ono, kapena ngati mwapatsidwa mankhwala omwe amakupangitsani kugona, si bwino kuyendetsa galimoto.
• Chonde chotsani zodzikongoletsera zilizonse kapena utoto wa misomali womwe mungakhale nawo.
• Musadye kapena kumwa chilichonse kwa maola 6 mpaka 12 mayeso asanachitike. Izi ndizofunikira kwambiri, chifukwa mimba yopanda kanthu imapangitsa mayeso kukhala osavuta, ndipo mutha kukonzekera pakagwa ngozi.

Ndikofunikira kwambiri kutsatira zinthu izi molondola kuti mupambane mayesowo.

Kodi chimachitika ndi chiyani mayeso asanachitike?

Pamene mayeso akuyamba, dokotala kapena namwino adzachita izi:

• Mudzapemphedwa kuvala diresi la kuchipatala ndi kukodza (kuchotsa chikhodzodzo).
• Amakuuza kuti ugone pabedi lapadera.
• Amaika tinthu tating'onoting'ono pachifuwa panu. Amatchedwa ma electrode . Izi ndi zomwe zimayang'anira ntchito ya mtima wanu nthawi zonse, monga ECG.

Nthawi zambiri, iyi ndi mayeso achangu otchedwa ``Right Heart Catheterization'', kotero simunapatsidwe mankhwala oletsa ululu kwathunthu. Izi zikutanthauza kuti mukumva bwino. Koma nthawi zina, chubu chaching'ono chotchedwa ``IV line'' chingaikidwe mumtsempha womwe uli m'dzanja lanu, momwe mungapatsidwe madzi kapena mankhwala ochepetsa ululu omwe angakupangitseni kumva bata pang'ono kapena kugona. Izi zimachitika kuti muchepetse kusasangalala kwanu.

Kodi chimachitika ndi chiyani panthawi ya mayeso? Kodi mungayembekezere chiyani?

Mayeso okha nthawi zambiri amatenga pafupifupi ola limodzi. Komabe, nthawi yokonzekera ndi nthawi yochira pambuyo pa mayeso zingatenge maola angapo. Musadandaule, izi ndi zachilendo.

Mudzakhala mukuzindikira nthawi yonse yoyezetsa. Dokotala adzachita izi:

• Malo omwe catheter idzalowetsedwe (pakhosi, m'dzanja, kapena pakhosi) adzayeretsedwa ndipo, ngati pakufunika, tsitsi lina lidzametedwa.
• Mankhwala oletsa ululu am'deralo amabayidwa kuti achepetse ululu pamalopo. Mukatero simudzamva kupweteka kulikonse. Zidzamveka ngati nyerere yaying'ono ikukulumani mukalandira jakisoni.
• Kenako, pogwiritsa ntchito singano yapadera kapena chida chaching'ono, bowo laling'ono limapangidwa mumtsempha. Imeneyi ikhoza kukhala mtsempha wa femoral womwe uli m'mwendo wanu, mtsempha wa jugular womwe uli m'khosi mwanu, kapena mtsempha womwe uli m'dzanja lanu.
• Tsopano, chubu chopyapyala chimenecho, catheter , chimalowetsedwa pang'onopang'ono ndikutsogoleredwa ku ziwalo zosiyanasiyana za mtima ndi mitsempha yamagazi. Simudzachimva pamene chikuchitidwa.
• Muyeso umatengedwa kuchokera kumadera ofunikira, ndipo nthawi zina chitsanzo chaching'ono cha minofu (chitsanzo cha minofu / biopsy) cha mtima chingatengedwe, chomwe chimachitidwanso kudzera mu catheter iyi.
• Nthawi zina mungauzidwe kuti mukhale chete, musinthe momwe thupi lanu lilili, kapena mupume m'njira inayake.
• Nthawi zina, dokotala wanu angakupempheninso kuti muchite masewera olimbitsa thupi pang'ono (mwina poyendetsa pang'ono ndi phazi lanu). Izi zikuwonetsa momwe kugunda kwa mtima wanu kumasinthira panthawi yochita masewera olimbitsa thupi.
• Mungaperekenso mankhwala ena kudzera mu IV yomwe ili m'dzanja lanu ndikuwona momwe mtima wanu umayankhira.
• Pomaliza pake, catheter imachotsedwa ndipo bala laling'ono limatsekedwa.

Palibe choopa, madokotala ndi anamwino onse ali nanu, ngati mukumva kusasangalala, auzeni.

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Mayeso atatha, gulu lachipatala linachotsa ma electrode omwe anali pachifuwa pake.Adzachotsa IV ndikuyiyika. Kenako mudzatengedwa kupita ku chipinda china (chipinda chochiritsira) . Kumeneko adzayang'ana mosamala zotsatirazi:

• Kodi pali magazi aliwonse omwe akuchokera komwe katheta inayikidwa?
• Kuthamanga kwa magazi.
• Kugunda kwa mtima.
• Kutentha kwa thupi.

Mudzayang'aniridwa mpaka zonsezi zitabwerera mwakale.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire?

Gulu la azachipatala lidzakudikirirani kwa maola angapo. Anthu ambiri amatha kupita kunyumba pambuyo pake. Koma kumbukirani kuti wina akuyendetseni chifukwa mungamve tulo kapena kutopa.

Komabe, ngati mayeso apeza vuto lalikulu, mungafunike kuyesedwanso, kulandira chithandizo, kapena kukhalabe kuchipatala. Dokotala adzakuuzani za izi.

Kodi mayesowa amapweteka?

Funso limene anthu ambiri amafunsa ndi ili. Uzani dokotala zomwe mukumva panthawi yonse yoyezetsa.

Kawirikawiri, mumamva kupweteka pang'ono mukalandira jakisoni wochepetsa kumva dzanzi. Mungamvenso kupanikizika pang'ono mukayika catheter. Kuphatikiza apo, anthu ena angakumane ndi izi:

• Pamene catheter ikugunda makoma a mtima wanu, mungamve kugwedezeka pachifuwa kapena kugwedezeka . Izi ndi zachilendo, choncho musadandaule.
• Anthu ena angavutike mutu .
• Mungamve chizungulire (mutu wopepuka) .
• Kungakhale nseru .
• Mungamve kupanikizika pang'ono pamene catheter ikuyenda kudzera m'mitsempha yamagazi.
• Mungamve kufuna kutsokomola .
• Mankhwala ena angayambitse kutentha pang'ono kapena kufinya .

Kaya mukumva bwanji, uzani dokotala kapena namwino. Adzakuthandizani.

Kodi pali zoopsa zilizonse zomwe zingachitike pa mayesowa?

`(Kukonza Mtima Wabwino)` nthawi zambiri ndi mayeso otetezeka . Komabe, monga mayeso ena aliwonse azachipatala, amatha kukhala ndi zoopsa zina. Popeza ndi njira yolowerera , ndikofunikira kudziwa zoopsa zake:

• Matenda a ziwengo ku mankhwala kapena zinthu zomwe zimagwiritsidwa ntchito.
• Kusakhazikika kwa kugunda kwa mtima `(Arrhythmia)` .
• Kuwonongeka pang'ono kwa mitsempha yamagazi (Kuwonongeka kwa mitsempha yamagazi) (izi zimachitika kawirikawiri).
• Kutuluka magazi kapena kuvulala kungachitike pamalo pomwe catheter idayikidwa.
• Magazi amaundana (izi ndizosowa kwambiri).
• Kawirikawiri, mtima tamponade ,Zingakhale ngati matenda a mtima kapena sitiroko . Izi sizichitika kawirikawiri, koma ndikofunikira kudziwa.
• Matenda angachitike.
• Mapapu osweka (izi ndizosowa kwambiri).

Chofunika kwambiri ndichakuti zoopsa zambirizi ndi zazing'ono kwambiri. Madokotala amachita izi pokhapokha ngati akuganiza kuti ubwino wake ndi waukulu kwambiri kuposa zoopsa zazing'ono. Ngati muli ndi mafunso okhudza izi, musaope kufunsa dokotala wanu.

Kodi ndidzadziwa liti zotsatira za mayeso?

Nthawi zambiri, dokotala amakambirana nanu za zotsatira musanapite kunyumba. Kapena, amakupemphani kuti mubwerenso tsiku lina kuti mukakambirane za zotsatira zake ('nthawi yotsatira') . Komabe, mudzapatsidwa kufotokozera momveka bwino za zotsatira zake.

Kodi ndiyenera kudzisamalira bwanji ndikamaliza mayeso?

Mukapita kunyumba, dokotala wanu kapena namwino adzakupatsani malangizo a momwe mungakhalire, zomwe mungachite, ndi zomwe simuyenera kuchita. Nthawi zambiri amanena zinthu motere:

• Pewani kupindika, kunyamula, kukankha, kapena kukoka kwa maola angapo, kapena masiku angapo. Izi zitha kukhudza malo a catheter.
• Ngati mwapatsidwa mankhwala ochepetsa ululu omwe amakupangitsani kugona, musayendetse galimoto kapena kugwiritsa ntchito makina olemera kwa kanthawi.
• Imwani madzi ambiri. Amathandiza kutulutsa tizilombo toyambitsa matenda m'thupi komanso amathandiza kuti mankhwala achoke m'thupi.
• Ikani bandeji pamalo pomwe panayikidwa catheter kwa tsiku limodzi kapena awiri. Sinthani monga momwe dokotala wanu wanenera.
• Mukhoza kuyika paketi ya ayezi pamalopo kuti muchepetse ululu kapena kutupa kulikonse .
• Musasambe kwa maola 24 mpaka 48 mutamaliza kuyezetsa. Ngati mwasamba, musasambe mpaka bala litachira kwathunthu.
• Ngati bala lanyowa, liume pang'onopang'ono, osapukuta mwamphamvu.

Kutsatira malangizo awa mosamala n'kofunika kwambiri kuti munthu achire msanga.

Kodi mukufuna kulankhula ndi dokotala nthawi yanji mukamaliza kuyezetsa?

Ngati mukukumana ndi zizindikiro izi mutamaliza kuyezetsa, muyenera kuwona dokotala kapena kupita kuchipatala nthawi yomweyo:

• Ngati pali kutuluka magazi kuchokera pamalo a catheter, kapena ngati pali chotupa chachikulu pamenepo.
• Ngati kugunda kwa mtima kuli kofulumira kapena kosasinthasintha.
• Ngati mwendo kapena mkono umene catheter yalowetsedwamo ukupweteka, ukusanduka buluu, ukuzizira, kapena ukumva dzanzi.
• Kutaya chidziwitso.
• Zizindikiro za matenda a mtima:Kupweteka pachifuwa kapena kupanikizika, thukuta kwambiri, kupuma movutikira.
• Zizindikiro za matenda: Malungo, kufiira, kutuluka magazi ngati mafinya, kutupa, ndi kutentha pamalo olumikizirana.

Ngati chinthu chonga ichi chichitika, funsani upangiri kwa dokotala mwamsanga.

Kotero, uthenga womaliza wopita nawo kunyumba:

Chabwino, ndikukhulupirira kuti tsopano mwamvetsa bwino mayeso omwe tidakambirana otchedwa ``Right Heart Catheterization''.

Mwachidule, iyi ndi mayeso omwe amayesa kuthamanga kwa magazi mu atrium yakumanja, ventricle, ndi pulmonary artery. Izi zimathandiza madokotala kuzindikira ndi kuchiza matenda a mtima ndi mapapo.

Ngati dokotala akukuuzani kuti muyesedwe, dokotalayo adzakufotokozerani zonse, kuphatikizapo chifukwa chake, momwe mungakonzekerere, komanso zomwe zotsatira zake zidzatanthauza. Musachite mantha, funsani ngati muli ndi mafunso. Chofunika kwambiri ndikudziwa thanzi lanu.

Kutsegula m'mimba kwa mtima, mayeso a mtima, kuthamanga kwa magazi m'mapapo, matenda a mtima, labu ya cath, thanzi la mtima, mayeso azachipatala