Reka turebe mu mutima! Menya ibijyanye no gukoresha uburyo bwa Swan-Ganz Catheterization!

Ushobora kuba warumvise ko abaganga bakora ibizamini bitandukanye kugira ngo barebe indwara z'umutima. Hari igihe baba bakeneye kumenya neza ibirimo kuba mu mutima, uko amaraso agenda, n'umuvuduko w'amaraso. Igikoresho cyihariye n'uburyo bukoreshwa mu bihe nk'ibi byitwa Swan-Garns catheterization. Ese twavuga kuri ibi mu magambo make?

Catheter ya Swan-Ganz ni iki?

Mu magambo make, ni umuyoboro muto cyane kandi wihariye. Ni nk'agatsi gato abaganga bashyira mu mubiri wawe kugira ngo babone amakuru. Nanone kitwa catheter y'imitsi y'ibihaha kuko igera mu mitsi mikuru (imitsi) ijyana amaraso mu bihaha byawe.

Iyi catheter ifite imiyoboro ine mito, cyangwa 'ibyambu' , bijya mu muyoboro munini. Ni nk'imihanda mito yo ku ruhande ihuza n'umuhanda umwe munini. Buri cyambu gifite akazi kacyo.

• Ohereza ibinyobwa cyangwa imiti ku mutima. Tekereza nawe, hari igihe imiti imwe n'imwe ikenera gutangwa mu mutima, sibyo? Iyi ishobora gukoreshwa ku kintu nk'icyo.
• Pima umuvuduko w'amaraso mu bice bitandukanye by'umubiri. By'umwihariko, genzura umuvuduko uri mu mutima no mu mitsi ijyana amaraso mu bihaha.
• Gushyiramo umwuka mu gikapu gito. Iyi katheta ikoreshwa mu kuyobora katheta aho iherereye mu mitsi y'ibihaha. Iyi katheta inafasha mu gupima bimwe na bimwe.
• Fata ikizamini cy'amaraso mu mitsi yo mu bihaha. Ibi ni ingenzi kugira ngo urebe ibikubiye mu maraso ajya mu bihaha (urugero, ingano ya ogisijeni).

Ni iki twakwigira kuri iyi Swan-Ganz?

Nk’uko umukanishi agenzura buri kintu cyose kiri muri moteri y’imodoka kugira ngo arebe niba hari ikibazo, abaganga bakoresha iyi catheter kugira ngo bamenye amakuru menshi yerekeye uko umutima wawe ukora.

Dore ibintu by'ingenzi ushobora kumenya:

• Umuvuduko mu byumba biri iburyo bw'umutima wawe ("atrium y'iburyo" na "ventricle y'iburyo") iyo byuzuye amaraso. Umuvuduko muri ibi byumba ni ingenzi cyane iyo amaraso yinjira mu mutima n'iyo arimo gusohoka mu mutima.
• Ushobora kubona igitekerezo cy’umuvuduko mu byumba biri ibumoso bw’umutima ("atrium y’ibumoso" na "ventricle y’ibumoso"). Ibi bipimirwa mu buryo burambuye.
• Umuvuduko mu mitsi aho catheter yashyizwe.
• Umuvuduko w'amaraso mu mitsi yawe y'ibihaha. Ibi bipima umuvuduko w'amaraso uko agenda ajya mu bihaha byawe.
• Umutima wawe usohoka ute? Ni ukuvuga, ingano y'amaraso umutima wawe upompa mu mubiri wawe wose ku munota. Iki ni igipimo cy'ingenzi cyane.
• Niba imiyoboro y'amaraso mu mutima wawe ikora neza.

Ese Catheter ya Swan-Ganz iracyakoreshwa?

Yego, abaganga baracyakoresha ubu buryo kuko abantu benshi babona ko ari bwo buryo bwiza bwo kubona amakuru nyayo ku bibera mu mutima no mu mitsi y'ibihaha. Ni nk'aho ari ' igipimo cya zahabu'.

Ariko ubu ntabwo ikoreshwa kenshi mu cyumba cy’ubutabazi ku barwayi barembye cyane. Ahubwo, igikoresho kidakoreshwa cyitwa echocardiography kirimo gukoreshwa kenshi. Ibi biterwa nuko echocardiography idafite ingaruka nto zishobora kubaho iyo ushyizemo catheter ya Swan-Ganz.

Ni nde ukeneye Catheter ya Swan-Ganz?

Mu gihe umuganga asanzwe afata icyemezo cyo gukoresha iyi catheter iyo akeka ko uyifite, cyangwa azi ko usanzwe uyifite, kimwe mu bimenyetso cyangwa indwara zikurikira:

• Kubura umwuka (niba impamvu idasobanutse neza)
• Umutima unanirwa
• Imivuduko y'umutima idasanzwe
• Ihungabana riterwa n'umutima
• Ihungabana riterwa no kwaguka kw'imitsi y'amaraso (Distributive shock)
• Indwara ya Constrictive pericarditis ( gukomera kw'urugingo rukikije umutima )
• Indwara y'umutima
• Tamponade y'umutima (amazi yiyongera ku mutima )
• Umuvuduko ukabije w'amaraso mu bihaha (umuvuduko wiyongera mu mitsi y'ibihaha)
• Guhagarika imitsi y'ibihaha
• Indwara z'umutima zavutse ku bantu bakuru

Si ibyo gusa, iyi catheter ikoreshwa no gukusanya amakuru mbere na nyuma yo gutera umutima, mbere na nyuma yo gushyiraho igikoresho gifasha mu mitsi y'ibumoso, ndetse na mbere na nyuma y'ubundi bubagwa.

Katheteri ya Swan-Ganz ikora ite?

Biroroshye cyane. Nkuko nabivuze mbere, abaganga bakoresha 'ports' zitandukanye cyangwa imiyoboro mito kuri iyi catheter kugira ngo bakusanye amakuru ari imbere mu mubiri wawe. Iyo iyi catheter inyura mu byumba biri iburyo bw'umutima (atrium y'iburyo na ventricle y'iburyo), bapima umuvuduko muri ibyo byumba. Hanyuma, iyo igiye mu mitsi y'ibihaha, bakoresha agapira gato ku mpera ya catheter kugira ngo bapime umuvuduko uri muri iyo mitsi. Uku niko babona amakuru menshi y'ingenzi ku bijyanye n'imitembera y'amaraso mu mutima no mu bihaha.

Ni iki wakwitega mbere yo gukoresha Catheterization ya Swan-Ganz?

Mbere y'iki kizamini, muganga azagusobanurira ibi bikurikira:

• Bazagusobanurira icyo biteze gukora bakoresheje katheteri ya Swan-Ganz. Ushobora kubaza ikibazo icyo ari cyo cyose ufite muri iki gihe.
• Niba urimo gufata imiti iyo ari yo yose mbere yo kwipimisha, uzasabwa niba ukeneye kuyihagarika. Rero menya neza ko wabwiye muganga wawe imiti yose urimo gufata.
• Uzasabwa guhagarika kurya no kunywa amasaha make mbere yo gushyirwa mu katheta.
• Uruhushya rwawe rwo gukora iki kizamini rurasabwa.
• Uzasabwa kuryama ku gitanda cyihariye muri laboratwari yo gupima umutima.
• Umuti wo kuruhuka uzawuhabwa binyuze mu mitsi (IV). Ibi bizagufasha kugabanya guhangayika no guhangayika.

Ni iki kibaho mu gihe cyo gukaraba Swan-Ganz?

Muri iki gihe, itsinda ry’abaganga riri gukora ku buryo bukurikira:

• Aho katheteri izashyirwa (akenshi umutsi munini wo ku kaguru, mu ijosi, cyangwa mu gituza) habanza gusukurwa neza kandi aho hantu hagacika intege (anesthesia) kugira ngo utababara.
• Hanyuma, katheteri ya Swan-Ganz ishyirwa mu mitsi inyuze mu gace k'ibinure.
• Catheter inyura mu byumba biri iburyo bw'umutima. Uko igenda , amashusho ya X-ray ahora akurikiranwa kuri ecran kugira ngo yerekane aho catheter iri. Ni nk'aho GPS ikwereka inzira.
• Amaherezo, catheter inyuzwa mu mitsi y'ibihaha.
• Nyuma yo gukusanya amakuru yose akenewe, katheteri ikurwamo witonze.

Ni iki wakwitega nyuma yo gukaraba Swan-Ganz?

Nyuma yuko umuganga akuyemo katheta ya Swan-Ganz, azashyira igitutu aho katheta yashyizwemo igihe gito. Hanyuma, hazashyirwa igitambaro aho hantu.

Igikuru ni uko niba catheter yashyizwe mu kuguru kwawe, bazakubwira kuryama ntugire ikibazo amasaha abiri kugeza kuri atandatu nta kuguru kwawe. Ibi ni ingenzi cyane, bitabaye ibyo ushobora kuva amaraso.

Ni ibisanzwe kugira agahu gato aho kateteri yashyizwe. Kazakira ubwako mu cyumweru kimwe, ibyumweru bibiri cyangwa bitatu nibura.

Ni izihe ngaruka mbi zo guterwa na Swan-Ganz Catheterization?

Ubu, uburyo ubwo aribwo bwose bwo kwa muganga bufite ingaruka nke. Ariko ingorane ziva kuri katheteri ya Swan-Garns ni nke cyane - munsi ya 0.5%. Ibyo bivuze ko mu bantu ijana, birashoboka ko bitazagera kuri umwe muri bo.

Ariko, hari ingaruka nkeya zishobora kubaho. Izo ngaruka ni izi:

• Kwandura. Iyo mikorobe zinjiye aho catheter iherereye.
• Umwotsi w'umwuka uri mu mitsi yawe y'amaraso.
• Ibihaha byacitse. Izi ngaruka zishobora kubaho rimwe na rimwe iyo hakoreshejwe umutsi wo mu ijosi wa subclavian.
• Imikorere y'umutima idasanzwe (arrhythmia). Ibi rimwe na rimwe bishobora kubaho iyo catheter inyujijwe mu mutima.
• Kwangirika guto ku rukuta rw'umutima, valve, cyangwa imitsi yo mu bihaha. Ibi nabyo ni gake cyane.

Abaganga bazi neza izi ngaruka kandi bafata ingamba zose zishoboka kugira ngo bazigabanye. Kubwibyo , akenshi iki kizamini gishobora gukorwa neza nta kibazo.

Ni iki muganga akora ku bisubizo bya Swan-Ganz Catheterization?

Amakuru yavuye mu kizamini ni nk'ububiko bw'amakuru menshi. Muganga wawe azakoresha aya makuru kugira ngo afate icyemezo cy'uburyo ukeneye bwo kwivuza.

Ibisubizo by'ibizamini bishobora kwemeza niba ufite ikibazo cy'uburwayi. Bishobora kandi gufasha itsinda ry'abaganga kumenya uburemere bw'ikibazo cyawe.

Bitewe n'uko ikibazo giteye, ubuvuzi bukurikira bushobora gukorwa:

• Imiti. (Imiti imwe ishobora gutangwa binyuze muri 'port' muri katheta ya Swan-Ganz, cyangwa binyuze muri 'IV' mu mitsi iri mu kuboko kwawe.)
• Ubundi buryo bwo kwivuza. `(Uburyo)`
• Kubaga. `(Kubagwa)`

Ni ryari ngomba kongera kubonana na muganga?

Niba uhuye n'ibi bikurikira nyuma yo gupimwa, menya neza ko wabimenyesheje muganga wawe ako kanya:

• Iyo aho catheter ishyirwa habyimbye, cyangwa niba amaraso cyangwa andi mazi arimo gusohoka.
• Niba ukuguru aho catheter yashyizwe wumva nta kintu kimeze neza cyangwa byarabyimbye.

Niba ufite kimwe muri ibi bimenyetso, ntukirengagize. Ni byiza guhita ugisha inama kwa muganga.

Ikintu cy'ingenzi cyo kwibuka (Ubutumwa bwo kujyana mu rugo)

Catheter ya Swan-Ganz ni ikizamini gitanga amakuru y'agaciro ku baganga kugira ngo kibafashe gusuzuma ikibazo cy'umutima cyangwa ibihaha byawe. Aya makuru afasha abaganga kuguha ubuvuzi bwiza kandi bukwiye .

Itsinda ry’abaganga rizagufasha kumenya neza ko wumva umerewe neza kandi utuje muri iki kizamini. Nanone, amahirwe yo kugira ibibazo ni make cyane. Kubwibyo, niba muganga agusabye ubwoko bw'ikizamini, nta mpamvu yo kugitinya. Ganira na muganga ku bibazo cyangwa gushidikanya ufite kandi ubikemure.

Umutima , katheteri ya Swan-Ganz, imitsi yo mu bihaha, umuvuduko w'amaraso, indwara z'umutima, ibihaha, ibizamini by'ubuvuzi