Tiyeni tiphunzire za Cardiac Catheterization m'njira yosavuta!

Kodi munapitapo kukaonana ndi dokotala chifukwa cha kupweteka pachifuwa kapena kuvutika kupuma ndipo anakuuzani kuti muyenera kuchitidwa 'Cardiac Catheterization'? Mwina munachita mantha pang'ono mutamva dzinali. Ndizachilendo kumva mantha mukamva mawu oti 'kuika chinachake mumtima mwanu'. Koma kwenikweni si nkhani yaikulu monga momwe timaganizira, ndipo si chinthu choopa. Tiyeni tikambirane izi mosavuta lero, ndikupeza mayankho a mafunso onse omwe muli nawo m'maganizo mwanu.

Kodi Catheterization ya Mtima ndi Chiyani?

Mwachidule, iyi si opaleshoni yotsegula mtima. Iyi ndi njira yapadera yoyesera momwe mtima wanu ukugwira ntchito. Zili ngati kuyang'ana mkati mwa mtima wanu.

Pa njira imeneyi, dokotala amaika chubu chopyapyala kwambiri komanso chosinthasintha (catheter) kudzera mu mtsempha womwe uli m'dzanja lanu kapena m'mimba mwanu komanso mumtima mwanu. Chubuchi chimalola dokotala kuona bwino momwe mitsempha ya mtima ilili, mitsempha yamagazi yomwe imapereka magazi kumtima, ndi zipinda zamtima.

Kodi pali mitundu ina iliyonse ya mayeso awa?

Inde, pali mitundu iwiri ikuluikulu. Zimatengera mtsempha wamagazi komwe catheter imayikidwa komanso gawo la mtima lomwe likuyesedwa.

N’chifukwa chiyani dokotala angalimbikitse mayeso amenewa?

Pakhoza kukhala zifukwa zingapo zomwe dokotala wanu angakulimbikitseni mayesowa.

• Dziwani chifukwa chenicheni chomwe chimayambitsa kupweteka pachifuwa kwanu pafupipafupi kapena kugunda kwa mtima kosazolowereka .
• Yang'anani ngati mitsempha yamagazi ya mtima yatsekeka kapena ngati pali mavuto ndi ma valve a mtima .
• Tengani chidutswa chaching'ono cha minofu ya mtima kuti mukachiyese (biopsy) .
• Yang'anani matenda omwe amafooketsa minofu ya mtima (cardiomyopathy) .
• Yang'anani ngati magazi ali ndi kuthamanga kwa magazi m'mitsempha yamagazi yolumikizidwa ndi mapapo (pulmonary hypertension) .
• Pezani zambiri zomwe sizinapezeke mu mayeso ena (monga ECG, Echo).
• Kuyezetsa kumeneku n'kofunika kwambiri kuti mudziwe njira yabwino kwambiri yothandizira. Mwachitsanzo, kaya kuchita angioplasty , stent placement, kapena coronary artery bypass grafting (CABG) pochiza mtsempha wotsekeka.

Kodi izi zimagwira ntchito bwanji? Kodi chimachitika n’chiyani mkati?

Katheta ikafika pafupi ndi mtima, madzi apadera (zinthu zosiyana) amalowetsedwa m'mitsempha yamagazi kudzera mu izo. Chifukwa madzi awa amaonekera bwino pa X-ray, dokotala amatha kuwona momwe magazi akuyendera mkati mwa mitsempha yamagazi ya mtima pogwiritsa ntchito makanema a X-ray omwe amatengedwa nthawi yomweyo (izi zimatchedwa coronary angiogram ).

Kuchokera ku zithunzi za X-ray izi, dokotala akhoza:

• Pezani komwe mtsempha wamagazi watsekeka kapena kuchepetsedwa .
• Unikani kukula ndi mawonekedwe a zipinda za mtima ndi mitsempha yamagazi.
• Yang'anani ngati pali mabowo achilendo kapena kutuluka kwa magazi kulikonse mumtima.

Nthawi zina, dokotala amathanso kuchita chithandizo china poyesa izi. Izi zikutanthauza kuti ngati vuto lapezeka, ndizotheka kupereka yankho nthawi yomweyo.

• Angioplasty: Kutsegulanso mtsempha wamagazi wotsekedwa mwa kuudzaza ndi chinthu chonga baluni.
• Kuika stent: Kuyika chipangizo chaching'ono chonga mesh mu mtsempha wamagazi wotseguka kuti usatsekenso.
• Valvuloplasty: Kutsegula valavu ya mtima yopapatiza.

Kodi izi zitenga nthawi yayitali bwanji?

Mayeso okhawo amatenga mphindi 30 zokha . Koma zimatenganso nthawi kuti mukonzekere mayesowo komanso kuti muyang'aniridwe mukamaliza mayesowo. Chifukwa chake, mungafunike kukhala m'chipatala kwa maola 5-9 kapena kuposerapo . Chifukwa chake, yembekezerani kukhala m'chipatala tsiku lonse tsiku lomwe mudzayesedweli.

Kodi mungayembekezere chiyani musanayambe, panthawi komanso pambuyo pa mayeso?

Ndikofunikira kwambiri kuti mudziwe za njirayi pasadakhale.

Musanayambe mayeso

• Mudzalangizidwa kuti musadye kapena kumwa kwa maola 6-8 musanayesedwe.
• Dokotala wanu angakuuzeni kuti musiye kwakanthawi kapena kusintha mlingo wa mankhwala ena omwe mukumwa (makamaka mankhwala ochepetsa magazi).
• Uzani dokotala wanu za ziwengo zilizonse zomwe muli nazo komanso mankhwala onse omwe mumagwiritsa ntchito.
• Mukapita kuchipatala, mudzapatsidwa chovala chapadera choti muvale.
• Kansalu (IV line) kamayikidwa mu mtsempha womwe uli m'dzanja kuti ipereke mankhwala ndi madzi.
• Kuti muwone momwe mtima wanu umagunda, ma electrode, ofanana ndi ma stickers, amaikidwa pachifuwa panu. Izi zimalumikizidwa ku makina a EKG .
• Adzakupatsani mankhwala ochepetsa ululu kuti akuthandizeni kupumula. Koma muli ndi chikumbumtima ndipo mutha kumva zomwe dokotala akunena.

Pa nthawi ya mayeso

• Malo omwe catheter idzalowetsedwe (mkono kapena khosi) amadulidwa ndi singano yaying'ono.
• Kenako catheter imadutsa mumtsempha kupita kumtima. Mutha kumva kupanikizika pang'ono panthawiyi, koma sipadzakhala kupweteka .
• Mukalowetsa madzi osiyanitsa pakati pa mtima, mungamve kutentha pang'ono . Izi zitha pakangopita masekondi ochepa.
• Mudzapemphedwa kuti mugwire mpweya wanu kwakanthawi mukamajambula X-ray.
• Mayeso akatha, catheter imachotsedwa.

Pambuyo pa mayeso

• Katheta imayikidwa ndipo malowo amamangiriridwa mwamphamvu kuti magazi asiye kutuluka.
• Ngati zachitika ndi manja: Muyenera kusunga mkono wanu wowongoka kwa ola limodzi. Mutha kuyenda.
• Ngati zinachitikira m'mimba: Muyenera kugona pabedi ndi mwendo wanu wowongoka kwa maola angapo (pafupifupi 2-6) kuti mupewe kutuluka magazi.
• Muyenera kumwa madzi ambiri kuti madzi osiyanitsa atuluke m'thupi lanu mwachangu.
• Nthawi zambiri mukhoza kupita kunyumba tsiku lomwelo, koma nthawi zina mungapemphedwe kuti mugone m'chipatala usiku wonse.
• Simungathe kuyendetsa galimoto mukamapita kunyumba , mumafunika wina woti akutengereni kunyumba.
• Muyenera kupewa kunyamula zinthu zolemera ndi ntchito yolemetsa kwa masiku angapo.
• Mungathe kusamba, koma si bwino kuviika bala m'madzi (monga kusamba, kusambira) kwa sabata imodzi.

Kodi zoopsa zake ndi ziti?

Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali zoopsa zina zomwe zimachitika, koma kumbukirani kuti mavuto aakulu ndi osowa kwambiri .

• Kusamva bwino kwa mankhwala ena kapena mankhwala ena chifukwa cha mankhwala ena.
• Kutuluka magazi, kuvulala, kapena matenda pamalo oikira catheter.
• Kugunda kwa mtima kosazolowereka.
• Kuthamanga kwa magazi pang'ono.
• Pali chiopsezo chochepa kwambiri cha magazi kuundana, matenda a mtima, kapena sitiroko.
• Kuwonongeka kwa impso (makamaka kwa anthu omwe ali ndi matenda a impso omwe analipo kale).

Mukafunika kuonana ndi dokotala mwachangu

Ngati mukukumana ndi zizindikiro zotsatirazi mutabwerera kunyumba, dziwitsani dokotala wanu nthawi yomweyo .

• Ngati mukumva malungo .
• Ngati mukumva chizungulire kapena kukomoka.
• Ngati malo omwe catheter inayikidwapo atupa, apweteka, kapena ngati magazi kapena madzi ena akutuluka kuchokera pamenepo .
• Ngati mukumva kupweteka kwatsopano pachifuwa kapena mukuvutika kupuma .
• Ngati mukumva kusintha kwa mtundu, dzanzi, kapena kuzizira m'dzanja lanu kapena mwendo (m'mbali momwe catheter inalowetsedwa).

Ngati mukukumana ndi zizindikiro zofanana ndi matenda a mtima kapena sitiroko, musataye nthawi ndipo pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) kuchipatala nthawi yomweyo.