Reka twige ibijyanye no gukamura umutima neza (Right Heart Catheterization)?

Ese muganga wawe yakubwiye gukora iki kizamini? Cyangwa wenda ufite amatsiko gusa. Reka turebere hamwe icyo ari cyo, uko gikorwa, n'impamvu gikorwa. Ntugahangayike, nzagusobanurira byose.

Uku gufunga umutima neza ni iki?

Mu magambo make, iki ni ikizamini cyihariye gikorerwa kugira ngo harebwe uko umutima wawe ukora. By’umwihariko, gipima umuvuduko w’amaraso n’urugero rwa ogisijeni mu ruhande rw’iburyo rw’umutima wawe no mu bihaha byawe. Ibi rimwe na rimwe byitwa catheterization y’imitsi y’ibihaha . Abandi bashobora kandi kubyita ikizamini cya Swan-Ganz catheter .

Kugira ngo babigereho, abaganga bakoresha umuyoboro muto kandi woroshye witwa catheter . Uyu muyoboro ushyirwa mu mutsi munini uri mu ijosi ryawe, mu nda, cyangwa mu kuboko, kandi unyuzwa buhoro buhoro mu ruhande rw'iburyo rw'umutima wawe no mu mutsi mukuru w'amaraso ujyana amaraso mu bihaha byawe , umutsi w'amaraso utera ibihaha . Tekereza nko gushyiramo kamera nto, ariko ipima umuvuduko n'umwuka wa ogisijeni.

Kuki iki kizamini ari ingenzi cyane? Kizagaragaza iki?

Iki kizamini cya "Right Heart Catheterization" gifasha abaganga kubona amakuru yerekeye indwara nyinshi no kuzivura. Dore ingero nke:

• Ihungabana ry’umutima: Indwara ikomeye ibaho iyo umutima uhagaritse gukompa amaraso neza.
• Cardiomyopathy: Indwara aho imitsi y'umutima icika intege cyangwa ikaguka.
• Indwara z'umutima bavukanye: Hari abantu bashobora kuvukana inenge zimwe na zimwe z'umutima. Reba niba zihari.
• Kunanirwa k'umutima: Iyo umutima udashobora kuvoma amaraso ahagije.
• Indwara y'imitsi y'umutima: Iyo imitsi y'umutima idakora neza.
• Umuvuduko ukabije w'amaraso mu bihaha: Ubwiyongere bw'umuvuduko mu mitsi ijyana amaraso mu bihaha.

Nanone, rimwe na rimwe iki kizamini gishobora kuba ngombwa mbere cyangwa nyuma yo guterwa urugingo, cyangwa mbere yo gushyiramo igikoresho cyihariye gifasha umutima, nka "Igikoresho cyo gufasha umutima mu nda y'ibumoso" . Kuko ibi biha abaganga ishusho isobanutse neza y'uko umutima umeze.

Ni irihe tandukaniro riri hagati yo kubikora iburyo bw'umutima no kubikora ibumoso?

Yego, hari itandukaniro rikomeye hagati y’ibyo byombi. Reka turebe ibyo ari byo.

Mu gupima umutima mu buryo bw'iburyo, muganga ashyira umuyoboro muto (catheter) mu mutsi.Ni ukuvuga, biva mu mutsi utwara amaraso yanduye. Ibi ni byo bijya iburyo bw'umutima. Ibi ahanini bipima umuvuduko uri mu gice cyawe cy'iburyo, mu gice cy'iburyo, no mu mitsi y'ibihaha ijyana amaraso mu bihaha byawe.

Ariko muri catheter yo ku ruhande rw'ibumoso, catheter ishyirwa mu mitsi . Ni ukuvuga, umutsi utwara amaraso meza. Urugero, umutsi wo mu kibuno mu kuguru, umutsi wo mu kibuno mu kuboko, cyangwa umutsi wo mu gituza mu kwaha. Aha niho uruhande rw'ibumoso rw'umutima rujya. Ibi bipima umuvuduko muri ventricle y'ibumoso, bireba aorta na valve yayo, kandi bigashakisha aho imitsi yo mu mutima ifungana itanga amaraso mu mutima. Iki kizamini cyo ku ruhande rw'ibumoso gikunze kwitwa catheterization y'umutima cyangwa angiography y'umutima . Urabyumva itandukaniro?

Ni nde uri gukora iki kizamini? Gikorerwa he?

Iki kizamini cya `(Right Heart Catheterization)` gikorerwa mu cyumba cyihariye mu bitaro. Byitwa `Cardiac Catheterization Laboratory` cyangwa `cath lab` mu magambo ahinnye. Gikorwa n'itsinda ry'inzobere ryahuguwe. Ubusanzwe kiyoborwa na `Advanced Heart Failure Cardiologist` cyangwa `Interventional Cardiologist`. Rero, ushobora kwizera ko uri mu maboko meza.

Wakwitegura ute ibi?

Muganga wawe azaguha amabwiriza yihariye y'uko wakwitegura, ariko akenshi ni nk'ibi:

• Ugomba kubwira muganga wawe imiti yose ufata. Harimo imiti yanditswe na muganga, inyunganiramirire, n'indi miti igurishwa mu kigo. Imiti imwe, cyane cyane imiti igabanya amaraso/igabanya ubukana bw'amaraso , ishobora gukenera guhagarikwa iminsi mike. Ibi bigomba gukorwa nk'uko muganga wawe yabikubwiye.
• Uzazane umuntu agujyane mu rugo nyuma yo gupimwa, kuko rimwe na rimwe bishobora kukubabaza gato, cyangwa niba uhawe imiti igutera gusinzira, si byiza gutwara imodoka.
• Kuraho imitako cyangwa irangi ry'inzara ushobora kuba wambaye.
• Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose amasaha 6 kugeza kuri 12 mbere yo gupimwa. Ibi ni ingenzi cyane, kuko kubura icyo urya bituma ikizamini cyoroha, kandi ushobora kwitegura mu gihe cy’impanuka.

Ni ingenzi cyane gukurikiza ibi bintu neza kugira ngo utsinde ikizamini neza.

Ni iki kibaho mbere y'ikizamini?

Mu gihe ikizamini kigiye gutangira, umuganga cyangwa umuforomo azakora ibi bikurikira:

• Uzasabwa kwambara ikanzu yo kwa muganga no kunyara (gusohora inshinge).
• Bakubwira kuryama ku buriri bwihariye.
• Bishyira uduce duto tw'ibintu ku gituza cyawe. Bitwa electrodes . Ibi ni byo bikurikirana buri gihe imikorere y'umutima wawe, nka ECG.

Akenshi, iki ni ikizamini cyihuse cyitwa "Right Heart Catheterization", bityo ntuba utewe ikinya burundu. Ibi bivuze ko uba ufite ubwenge. Ariko rimwe na rimwe, umuyoboro muto witwa "IV line" ushobora gushyirwa mu mitsi mu kuboko kwawe, aho ushobora guhabwa ibinyobwa cyangwa imiti igabanya ububabare izatuma wumva utuje cyangwa usinziriye. Ibi bikorwa kugira ngo ugabanye ububabare bwawe.

Ni iki kibaho mu gihe cy'ikizamini? Ni iki wakwitega?

Ikizamini ubwacyo gikunze gufata isaha imwe. Ariko, igihe cyo kwitegura n'igihe cyo gukira nyuma y'ikizamini bishobora gufata amasaha menshi. Ntugahangayike, ibi ni ibisanzwe.

Uzaba ufite ubwenge mu gihe cyose cy'ikizamini. Muganga azakora ibi bikurikira:

• Ahantu hazajya hashyirwamo catheter (ku muhogo, ku kuboko, cyangwa mu ijosi) hazajya hasukurwa, kandi nibiba ngombwa, umusatsi umwe uzakogoshwa.
• Uterwa agace gato k'ikinyabutabire cyo mu gace kugira ngo ugabanye ububabare. Hanyuma ntuzumva ububabare ubwo aribwo bwose. Bizumva nk'aho agakoko gato kari kukuruma igihe utewe urushinge.
• Hanyuma, hakoreshejwe urushinge rwihariye cyangwa igikoresho gito, hakorwa umwobo muto mu mutsi. Uyu ushobora kuba umutsi wo mu kirenge cyawe, umutsi wo mu ijosi, cyangwa umutsi wo mu kuboko kwawe.
• Noneho, uwo muyoboro muto, catheter , winjizwa buhoro buhoro ukagezwa mu bice bitandukanye by'umutima n'imitsi y'amaraso. Ntuzabyumva mu gihe urimo gukorwa.
• Ibipimo bifatwa uhereye ku bice bikenewe, kandi rimwe na rimwe hashobora gufatwa icyitegererezo gito cy'umubiri (icyitegererezo cy'ingingo / biopsy) cy'umutima, ibyo nabyo bigakorwa binyuze muri iyi catheter.
• Hari igihe ushobora kubwirwa kuguma uhagaze, guhindura uko umubiri wawe uhagaze, cyangwa guhumeka mu buryo runaka.
• Mu bihe bimwe na bimwe, muganga wawe ashobora no kugusaba gukora imyitozo ngororamubiri mike (wenda ukoresheje ikirenge cyawe ukoresheje pedali nto). Ibi bizareba uburyo umutima wawe utera mu gihe cy'imyitozo.
• Ushobora kandi gutanga imiti imwe n'imwe binyuze mu kanwa kawe ka IV maze ukareba uko umutima wawe uyifata.
• Amaherezo, catheter irakurwamo maze igisebe gito kirafungwa.

Nta cyo ugomba gutinya, abaganga n'abaforomo bose bari kumwe nawe, niba wumva ikintu kikubangamiye, babwire.

Bigenda bite nyuma y'ikizamini?

Nyuma y'uko ikizamini kirangiye, itsinda ry'abaganga ryakuyemo electrodes zari zifatanye n'igituza cye.Bazakuramo imashini ya IV bakayishyiramo. Hanyuma uzajyanwa mu cyumba cyihariye (icyumba cyo gutabara) . Aho bazareba neza ibi bikurikira:

• Ese hari amaraso ava aho catheter yashyizwe?
• Umuvuduko w'amaraso.
• Igipimo cy'umutima.
• Ubushyuhe bw'umubiri.

Uzakurikiranwa kugeza igihe ibi byose bizagarukira uko bisanzwe.

Bifata igihe kingana iki kugira ngo umuntu akire?

Itsinda ry'abaganga rizagutegereza amasaha make. Abantu benshi bashobora gutaha nyuma y'ibyo. Ariko ibuka ko hari umuntu ugutwara kuko ushobora kumva usinziriye cyangwa unaniwe.

Ariko, niba ikizamini gisanze hari ikintu gikomeye, ushobora gukenera gukorerwa ibindi bipimo, kuvurwa, cyangwa kuguma mu bitaro. Muganga azabikubwira.

Ese iki kizamini cyaba kibabaza?

Iki ni ikibazo abantu benshi bibaza. Bwira muganga uko wumva umeze mu gihe cyose cy'ikizamini.

Ubusanzwe, uzumva ububabare gato iyo utewe urushinge rwo kubura ibisebe. Ushobora kandi kumva umuvuduko muto iyo ushyizwemo catheter. Byongeye kandi, hari abantu bashobora guhura n'ibi bikurikira:

• Mu gihe catheter igera ku nkuta z'umutima wawe, ushobora kumva urimo kunyeganyega mu gituza cyangwa ukumva ukubita cyane. Ibi ni ibisanzwe, rero ntugahangayike.
• Hari abantu bashobora kurwara umutwe .
• Ushobora kumva umeze nk'ufite umutwe ugororotse (socks) .
• Umuntu ashobora kugira isesemi .
• Ushobora kumva umuvuduko muke mu gihe catheter inyura mu mitsi y'amaraso.
• Ushobora kumva ushaka gukorora .
• Imiti imwe ishobora gutera kumva ushyushye cyangwa ushyushye gato.

Icyo waba wumva cyose, bwira umuganga cyangwa umuforomo. Bazagufasha.

Ese hari ingaruka zishobora guterwa n'iki kizamini?

`(Gupima umutima mu buryo bw'iburyo)` muri rusange ni ikizamini cyizewe . Ariko, kimwe n'ikizamini cyose cy'ubuvuzi, gishobora kugira ingaruka zimwe na zimwe. Kubera ko ari uburyo butera indwara , ni ngombwa kumenya izo ngaruka:

• Ubwivumbure ku miti cyangwa ibindi bintu byakoreshejwe.
• Ugutera kw'umutima kutumvikana neza `(Arrhythmia)` .
• Kwangirika guto ku mitsi y'amaraso (Kwangirika kw'imitsi) (ibi bibaho gake cyane).
• Kuva amaraso cyangwa gukomereka bishobora kubaho aho catheter yashyizwe.
• Amaraso ashobora kuzura (ibi nabyo ni gake cyane).
• Gake cyane, umutima utera tamponade ,Bishobora kuba nk'indwara y'umutima cyangwa indwara yo mu bwonko . Ibi ni gake cyane, ariko ni ngombwa kubimenya.
• Kwandura bishobora kubaho.
• Ibihaha byacitse (ibi nabyo ni gake cyane).

Igikuru ni uko ingaruka nyinshi muri izi ziba nke cyane. Abaganga bakora iki kizamini gusa iyo batekereje ko inyungu zacyo ari nyinshi cyane kuruta ingaruka nto. Niba ufite ikibazo kuri ibi, ntutinye kubaza muganga wawe.

Ni ryari nzamenya ibisubizo by'ikizamini?

Akenshi, muganga azakubwira ibyavuye mu bushakashatsi mbere yo gutaha. Cyangwa, bazagusaba kugaruka ku wundi munsi kugira ngo muganire ku byavuye mu bushakashatsi ('gukurikirana') . Ariko, uzasobanurirwa neza ibyavuye mu bushakashatsi.

Nkwiye kwiyitaho nte nyuma yo kwipimisha?

Umaze gutaha, umuganga wawe cyangwa umuforomo azaguha amabwiriza y'uko waguma, icyo wakora n'icyo utagomba gukora. Akenshi bavuga ibintu nk'ibi:

• Irinde kunama, guterura, gusunika, cyangwa gukurura amasaha menshi, cyangwa ndetse iminsi. Ibi bishobora kugira ingaruka ku gice cy'umuyoboro wa catheter.
• Niba wahawe umuti utuma usinziriza, ntugatware imodoka cyangwa ngo ukoreshe imashini ziremereye igihe gito.
• Nywa amazi menshi. Bifasha gukura mikorobe mu mubiri kandi bigafasha umuti kuva mu mubiri.
• Shyira igitambaro aho catheter yashyizwe mu gihe cy'umunsi umwe cyangwa ibiri. Gihindure nk'uko muganga yabigutegetse.
• Ushobora gushyira agapaki k'urubura kuri ako gace kugira ngo ugabanye ububabare cyangwa kubyimba .
• Ntukajye wiyuhagira amasaha 24 kugeza kuri 48 nyuma yo gupimwa. Irinde koga kugeza igihe igisebe gikize neza.
• Iyo igikomere kitose, gikore kumutsa buhoro buhoro, utiriwe ugikanda cyane.

Gukurikiza aya mabwiriza witonze ni ingenzi cyane kugira ngo umuntu akire vuba.

Ni ryari wifuza kuvugana na muganga nyuma yo gusuzumwa?

Niba ubonye kimwe muri ibi bimenyetso nyuma yo gupimwa, ugomba kujya kwa muganga cyangwa kujya kwa muganga ako kanya:

• Niba hari amaraso ava aho catheter iri, cyangwa niba hari ikibyimba kinini cyavutse.
• Niba umutima utera vuba cyangwa utari mu buryo busanzwe.
• Iyo ukuguru cyangwa ukuboko aho catheter yinjijwe bibabaza, bigahinduka ubururu, bikamera nk'ibikonje, cyangwa bikamera nk'ibihumyo.
• Gutakaza ubwenge.
• Ibimenyetso by'indwara y'umutima:Kubabara mu gituza cyangwa umuvuduko, ibyuya byinshi, guhumeka nabi.
• Ibimenyetso by'ubwandu: Umuriro, gutukura, kuva amaraso nk'ibibyimba, kubyimba no gushyuha aho catheter ishyirwa.

Niba ikintu nk'iki kibaye, shaka inama kwa muganga vuba.

Rero, ubutumwa bwa nyuma bwo kujyana mu rugo:

Sawa, rero ndizera ko ubu usobanukiwe neza ikizamini twavuze cyitwa "Right Heart Catheterization".

Muri make, iki ni ikizamini gipima umuvuduko uri mu gice cy'iburyo cy'umutima, mu mitsi yo mu bwonko, no mu mitsi y'ibihaha. Ibi bifasha abaganga gusuzuma no kuvura indwara z'umutima n'ibihaha.

Niba muganga agusabye gukora iki kizamini, muganga azagusobanurira byose, harimo impamvu yacyo, uburyo bwo kucyitegura, n'icyo ibisubizo bizasobanura. Ntutinye, bariza niba ufite ikibazo. Ikintu cy'ingenzi ni ukumenya ubuzima bwawe.

Gupima umutima , ibizamini by'umutima, umuvuduko ukabije w'amaraso mu bihaha, indwara z'umutima, laboratwari ya cathérapie, ubuzima bw'umutima, ibizamini by'ubuvuzi