Tiyeni tiphunzire za Swan-Ganz Catheterization, yomwe imayang'ana mkati mwa mtima.

Dokotala wanu akamaganiza kuti mukuvutika kupuma kapena kuti muli ndi vuto la mtima, amafuna kudziwa zomwe zikuchitika mumtima mwanu, sichoncho? Nthawi ngati izi, lero tikambirana za chipangizo chapadera chomwe chimagwiritsidwa ntchito kupeza chidziwitso cholondola cha momwe mtima wanu ukugwirira ntchito. Chimatchedwa Swan-Ganz Catheter. Mwina simunamvepo za dzinali, koma ndi mayeso ofunikira kwambiri.

Mwachidule, kodi chitoliro cha Swan-Ganz ichi n'chiyani?

Catheter ya Swan-Ganz ndi chubu chopyapyala kwambiri komanso chosinthasintha (catheter). Imatchedwanso 'catheter ya mitsempha ya m'mapapo'. Taganizirani ngati chubu chaching'ono chokhala ndi machubu anayi ang'onoang'ono mkati mwake. Chubu chilichonse chili ndi ntchito yosiyana.

Amagwiritsidwa ntchito makamaka poyesa chidziwitso chokhudza momwe magazi amayendera, kutanthauza momwe magazi akuyendera (hemodynamics).

Izi ndi zinthu zomwe zigawo zosiyanasiyana (madoko) a chitolirochi zimachita:

• Madzi kapena mankhwala ofunikira angaperekedwe mwachindunji kumtima.
• Kuthamanga kwa magazi m'zipinda zosiyanasiyana za mtima ndi m'mitsempha yamagazi kumatha kuyezedwa molondola.
• Pamene chubu ichi chalowetsedwa mu mtsempha waukulu womwe umanyamula magazi kupita nawo ku mapapo (mtsempha wa m'mapapo), chimagwiritsidwa ntchito kudzaza baluni yaying'ono yomwe imathandiza kuitsogolera kumalo oyenera.
• Chitsanzo cha magazi chingatengedwenso kuchokera mumtsempha wamagazi womwe umanyamula magazi kupita nawo ku mapapo.

Kodi madokotala amadziwa chiyani kuchokera ku chubu ichi?

Kuyezetsa kumeneku kungapatse dokotala wanu chithunzi chomveka bwino cha momwe mtima wanu ulili wathanzi. Zili ngati kuyang'ana mkati mwa mtima wanu.

Kodi njira iyi ikugwiritsidwabe ntchito?

Inde, ndithudi. Njira imeneyi imaonedwabe kuti ndi "muyezo wabwino kwambiri" wopezera chidziwitso cholondola kwambiri chokhudza kuthamanga kwa magazi mkati mwa mitsempha ya mtima ndi mapapo.

Komabe, kugwiritsa ntchito njira imeneyi kwachepa posachedwapa, makamaka kwa odwala omwe ali ndi vuto lalikulu m'zipinda zosamalira odwala kwambiri. Izi zikuchitika chifukwa cha kupangidwa kwa njira zosaopsa komanso zosavulaza monga ``Echocardiography`` (kujambula mtima) komwe kungapeze chidziwitso popanda kulowa m'thupi.

Ndani ayenera kuchita mayeso awa?

Dokotala wanu angakulangizeni mayesowa ngati akukayikira kapena akudziwa kuti muli ndi vuto limodzi mwa matenda awa:

• Kuvuta kupuma
• Matenda amtima
• Kulephera kwa mtima
• Kusokonezeka kwa mtima
• Kuthamanga kwa magazi m'mapapo
• Miyimbo ya mtima yosazolowereka
• Kutsekeka kwa m'mapapo
• Tamponade ya mtima
• Matenda a mtima obadwa nawo

Njirayi imagwiritsidwanso ntchito kupeza chidziwitso chokhudza momwe mtima umagwirira ntchito opaleshoni yayikulu isanachitike komanso itatha , monga kuyika mtima wina kapena kuyika chipangizo chothandizira ventricle yakumanzere.

Tiyeni tiphunzire pang'ono za momwe mayesowa amachitikira.

Kuyezetsa kumeneku nthawi zambiri kumachitika mu labu yachipatala yoyezetsa matenda a mtima. Palibe chifukwa chodera nkhawa ndi izi. Madokotala adzayesetsa kukupangitsani kukhala omasuka momwe mungathere.

Kodi chimachitika ndi chiyani mayeso asanachitike?

1. Dokotala adzakufotokozerani momveka bwino chifukwa chake komanso momwe mayesowa akuchitikira.

2. Ngati mukumwa mankhwala aliwonse, mudzafunsidwa ngati mukufunika kuwasiya musanayesedwe.

3. Mudzalangizidwa kuti musamadye kapena kumwa kwa maola angapo musanayesedwe.

4. Chilolezo chanu cholembedwa (chilolezo) chochita mayeso awa chidzapezeka.

5. Mudzagonekedwa pabedi lapadera.

6. Mudzapatsidwa mankhwala kudzera mu mtsempha (`IV`) kuti mupumule ndikuchepetsa ululu.

Pa nthawi ya mayeso

Choyamba, dokotala adzayeretsa bwino malo omwe chubucho chidzalowetsedwe (nthawi zambiri khosi, chifuwa, kapena mwendo) ndikupangitsa kuti malowo asamveke bwino kuti musamve kupweteka kulikonse. Kenako, chubu cha Swan-Ganz chimalowetsedwa mosamala mumtsempha waukulu ndikudutsa mu ventricle yakumanja ya mtima kupita ku mtsempha waukulu womwe umapita ku mapapo (pulmonary artery).

Pambuyo poti zonse zofunika zayesedwa, chubucho chimachotsedwa mosamala.

Pambuyo pa mayeso

Pambuyo poti chubucho chachotsedwa, bandeji kapena pulasitala zidzaikidwa pamalopo kuti magazi asamatuluke. Ngati chubucho chalowetsedwa kudzera mu mwendo wanu, mudzapemphedwa kuti mugone pabedi kwa maola awiri kapena asanu ndi limodzi. Ndizachilendo kuona kachilonda kakang'ono komwe kalowetsedwako chubucho. Izi zidzatha pakatha sabata imodzi kapena ziwiri.

Kodi pali chiopsezo pa izi?

Ichi ndiye chinthu chofunikira kwambiri. Chiwopsezo cha mavuto chifukwa choyika chubu cha Swan-Ganz ndi chochepa kwambiri . Izi zikutanthauza kuti, zosakwana 0.5%. Izi zikutanthauza kuti ngati izi zichitika kwa anthu 200, munthu m'modzi yekha ndiye adzakhala ndi vuto. Koma, monga momwe zimakhalira ndi njira iliyonse yachipatala, pali chiopsezo chochepa kwambiri.

• Matenda pamalo pomwe chubucho chinayikidwa.
• Mpweya wolowa mu mtsempha wamagazi.
• Ngati mtsempha wa pachifuwa (mtsempha wa subclavian) ugwiritsidwa ntchito, pali mwayi wochepa kwambiri woti mapapo awonongeke.
• Kugunda kwa mtima kosazolowereka.
• Kuwonongeka kwa khoma la mtima, valavu, kapena mtsempha wamagazi (izi zimachitika kawirikawiri).

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo.

Ngati mukumana ndi zotsatirazi mukapita kunyumba mutatha kuyezetsa, dziwitsani dokotala wanu nthawi yomweyo.

• Ngati bala lomwe thireyi inalowetsedwamo latupa kapena ngati magazi kapena madzi ena akutulukamo .
• Ngati mwendo uli ndi dzanzi kapena kutupa komwe thireyi inalowetsedwa.