Tiyeni tiphunzire za kufufuza mbali yakumanja ya mtima (Kukonza Mtima Wabwino)

Dokotala atakuuzani kuti muyenera kuyesedwa kotchedwa "Right Heart Catheterization," kodi munali ndi mantha pang'ono? Ndizachilendo kuti aliyense amve mantha pang'ono komanso chidwi akamanena kuti chinthu chonga "catheter" chikulowetsedwa mumtima. Koma musachite mantha. Lero, tikambirana za izi mosavuta, mwanjira yomwe imayankha mafunso onse omwe muli nawo m'maganizo mwanu. Kenako mudzazindikira kuti ichi si chinthu choopa.

Mwachidule, kodi Right Heart Catheterization ndi chiyani?

Iyi ndi mayeso apadera kwambiri. Mwachidule, imayesa momwe mtima wanu ukugwira ntchito, kutanthauza momwe ukupopera magazi. Mayesowa amathandiza kupeza lingaliro lolondola la kuthamanga kwa magazi ndi kuchuluka kwa mpweya, makamaka kumbali yakumanja ya mtima wanu ndi m'mapapo.

Madokotala amatchanso izi kuti "catheterization ya mitsempha ya m'mapapo." Nthawi zina mumamvanso kuti imatchedwa "catheter ya Swan-Ganz." Zonsezi ndi mayina a mayeso omwewo.

Kuti achite mayesowa, dokotala wanu adzagwiritsa ntchito chubu chopyapyala komanso chosinthasintha chotchedwa catheter . Chubuchi chimalowetsedwa kudzera mu mtsempha waukulu m'khosi mwanu, m'mimba mwanu, kapena m'dzanja lanu ndipo chimakulungidwa mosamala kumbali yakumanja ya mtima wanu. Kuchokera pamenepo, chidzatsogoleredwa kupita ku mtsempha waukulu womwe umanyamula magazi kupita ku mapapo anu, mtsempha wa m'mapapo . Umu ndi momwe chidziwitso chimayezedwera mkati mwa mtima wanu.

N’chifukwa chiyani kuli kofunikira kuchita mayeso otere?

Chidziwitso chomwe chapezeka kuchokera mu mayesowa ndi chamtengo wapatali kwambiri. Chimathandiza madokotala kuzindikira matenda osiyanasiyana molondola ndikuwona momwe akuchiritsira bwino matendawa.

Gome ili m'munsimu likuwonetsani matenda akuluakulu omwe amafunika mayesowa.

Kuphatikiza apo, mayesowa angafunike musanayambe kapena mutachita opaleshoni yoika ziwalo zina, komanso musanayike chipangizo chapadera chomwe chimathandiza mtima (`(chipangizo chothandizira ventricle yakumanzere)`).

Kodi pali kusiyana kotani pakati pa mayeso awiriwa omwe amachitika mbali yakumanja ndi yakumanzere ya mtima?

Inde, ili ndi funso lofunika kwambiri. Pali mayeso omwe amachitidwa mbali yakumanja ya mtima (`catheterization ya mtima wakumanja`) ndi mayeso omwe amachitidwa mbali yakumanzere ya mtima (`catheterization ya mtima wakumanzere`). Pali kusiyana koonekeratu pakati pa ziwirizi.

Kodi muyenera kukonzekera bwanji mayesowa?

Chabwino, tsopano tiyeni tiwone momwe mungakonzekerere tsiku lisanafike. Dokotala wanu adzakupatsani malangizo enieni pankhaniyi, koma izi ndi zinthu zofunika kuchita.

• Uzani dokotala wanu za mankhwala onse omwe mukumwa: Ndikofunikira kuuza dokotala wanu za mankhwala aliwonse omwe mumalandira kuchokera kwa dokotala, mavitamini, zowonjezera, kapena mankhwala omwe mukumwa popanda chilolezo cha dokotala. Mankhwala ena, makamaka oletsa magazi kuundana , angafunike kuyimitsidwa masiku angapo mayeso asanachitike.
• Bweretsani munthu kunyumba: Mwina simungathe kuyendetsa galimoto nokha mukamaliza mayeso, choncho ndikofunikira kubweretsa munthu kunyumba.
• Chotsani zodzikongoletsera ndi utoto wa misomali: Musanayesedwe, chotsani zodzikongoletsera zonse monga mikanda, zibangili, ndi mphete. Chotsani utoto uliwonse wa misomali, ngati ulipo.
• Kusala Kudya: Mudzauzidwa kuti musadye kapena kumwa chilichonse kwa maola 6 mpaka 12 mayeso asanachitike. Ndikofunikira kwambiri kutsatira malangizo awa molondola.

Kodi chimachitika ndi chiyani pa tsiku la mayeso?

Njira yonseyi ingatenge maola angapo, koma nthawi yomwe catheter imakhalapo nthawi zambiri imakhala pafupifupi ola limodzi.

Asanayambe mayeso...

Mukapita ku chipinda chapadera cha chipatala ("cath lab"), namwino adzabwera ndikukuuzani kuti muvale diresi la kuchipatala. Adzakuuzani kuti mupite ku bafa ndikutulutsa chikhodzodzo chanu. Kenako adzakugonetsani patebulo loyezera ndikuyika tinthu tating'onoting'ono pachifuwa chanu. Izi zimatchedwa ma electrode . Izi zimagwiritsidwa ntchito poyang'anira momwe mtima wanu ukuyendera (monga ECG) panthawi yonse yoyezetsa.

Nthawi zambiri, simungagone chifukwa cha mayesowa. Komabe, nthawi zina mungapatsidwe mankhwala ochepetsa ululu kapena mankhwala okuthandizani kugona kapena kupumula kudzera mu cannula (IV) yomwe imayikidwa mumtsempha m'dzanja lanu.

Pa nthawi ya mayeso...

Mwadzuka nthawi ino. Dokotala ndi gulu lake akukufotokozerani zonse.

1. Choyamba, malo omwe catheter idzayikidwe (khosi, m'chiuno, kapena mkono) amatsukidwa ndipo tsitsi lililonse limachotsedwa ngati pakufunika kutero.

2. Kenako , mankhwala oletsa ululu amabayidwa kuti achepetse ululu m'derali. Kuti musamve kupweteka kwambiri.

3. Tsopano, pogwiritsa ntchito singano yapadera, mtsempha wamagazi umalowetsedwa ndipo catheter imalowetsedwa kudzera mmenemo.

4. Kenako, pang'onopang'ono komanso mosamala, pamene mukuyang'ana chithunzi chapadera monga x-ray, catheter imatsogoleredwa kumbali yakumanja ya mtima ndi mtsempha wa m'mapapo.

5. Katheta ikafika pamalo oyenera, kuthamanga kwa magazi kumayesedwa pamalo aliwonse ndipo magazi amatengedwa ngati pakufunika kutero.

6. Panthawiyi, mungapemphedwe kuti mukhale chete, mupume kapena mupume kaye, kapena kusintha momwe thupi lanu lilili.

7. Nthawi zina, mutha kuwonanso momwe kugunda kwa mtima wanu kumasinthira mukamachita masewera olimbitsa thupi (mwachitsanzo, kugwiritsa ntchito makina opalira pedal mutagona pabedi).

8. Pomaliza, catheter imachotsedwa mosamala, ndipo pulasitala kapena bandeji imayikidwa pamalo olowetsera.

Kodi izi zimapweteka?

Mungamve kupweteka pang'ono mukabayidwa mankhwala oletsa kumva kupweteka. Mungamvenso kupanikizika pang'ono mukabayidwa catheter. Kupatula apo, palibe kupweteka pamene catheter ikulowa. Komabe, mungamve zinthu monga:

• Kupweteka pachifuwa kapena kumva ngati kugunda kwa mtima kwasowa pamene catheter ikugunda makoma a mtima.
• Mutu, kumva chizungulire.
• Kumva nseru.
• Kumva ngati ukutsokomola.
• Kumva kutentha pamene mankhwala aperekedwa.

Kodi pali zoopsa zilizonse pa mayesowa?

Kutsegula mtima kumanja nthawi zambiri ndi njira yotetezeka kwambiri. Komabe, monga njira ina iliyonse yachipatala, ikhoza kukhala ndi zoopsa zazing'ono kwambiri. Dokotala wanu angakulimbikitseni pokhapokha ngati mwaganiza kuti ubwino wa njira imeneyi ndi woposa zoopsa zake.

Zina mwa zoopsa zomwe zingachitike ndi izi:

• Matenda a ziwengo chifukwa cha mankhwala kapena zinthu zomwe zimagwiritsidwa ntchito.
• Kusakhazikika kwa mtima (Arrhythmia).
• Kutuluka magazi kapena kuvulala komwe katheta imayikidwa.
• Magazi amaundana.
• Matenda.
• Kawirikawiri, kuwonongeka kwa mtima kapena mitsempha yamagazi, matenda a mtima kapena sitiroko.

Kumbukirani kuti zoopsazi sizichitika kawirikawiri. Gulu lachipatala lili okonzeka mokwanira kupewa zinthu ngati izi.

Mukufuna kuchita chiyani mukafika kunyumba?

Mudzayang'aniridwa kwa maola angapo mutamaliza mayeso ndipo mudzatumizidwa kunyumba. Samalani ndi zinthu izi mukapita kunyumba.

• Kupuma: Pumulani tsiku lonse. Pewani kupindika, kunyamula, kapena kukankha kwa maola osachepera 24.
• Pewani kuyendetsa galimoto: Ngati mwapatsidwa mankhwala ochepetsa kugona, musayendetse galimoto kapena kugwiritsa ntchito makina olemera kwa maola 24.
• Imwani madzi ambiri: Kumwa madzi ambiri ndikwabwino m'thupi.
• Samalani bandeji: Sungani bandejiyo pamalo oikira catheter kwa nthawi yonse yomwe dokotala wanu wakuuzani (nthawi zambiri tsiku limodzi kapena awiri).
• Kusamba: Musasambe kwa maola 24-48. Komanso, musalowe m'bafa mpaka bala litachira kwathunthu. Mukasamba, musakanda bala mwamphamvu, koma lisungeni lonyowa.

Ngati muli ndi zizindikiro izi, imbani dokotala nthawi yomweyo!

Ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa, imbani dokotala wanu nthawi yomweyo . Kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.