Reka twige ku bijyanye no gusuzuma uruhande rw'iburyo rw'umutima (Catheterization y'umutima w'iburyo)

Ubwo muganga yakubwiraga ko ugomba gupimwa "Right Heart Catheterization," wari ufite ubwoba gato? Ni ibisanzwe ko umuntu yumva afite ubwoba kandi afite amatsiko iyo avuze ko ikintu nk'iki "catheter" kirimo gushyirwa mu mutima. Ariko ntugire ubwoba. Uyu munsi, turaganira kuri ibi mu buryo bworoshye, mu buryo busubiza ibibazo byose ufite mu mutwe wawe. Hanyuma uzamenya ko iki atari ikintu cyo gutinya nyuma ya byose.

Mu magambo make, Catheterization y'umutima mwiza ni iki?

Iki ni ikizamini cyihariye cyane. Muri make, gipima uburyo umutima wawe ukora, ni ukuvuga uburyo utera amaraso neza. Iki kizamini gifasha kubona neza urugero rw'umuvuduko w'amaraso n'umwuka wa ogisijeni, cyane cyane mu ruhande rw'iburyo rw'umutima wawe no mu bihaha.

Abaganga kandi babyita "catheterization y'imitsi y'ibihaha." Hari igihe uzumva byitwa "catheter ya Swan-Ganz." Aya yose ni amazina y'ikizamini kimwe.

Kugira ngo ukore iki kizamini, muganga wawe azakoresha umuyoboro muto kandi woroshye witwa catheter . Uyu muyoboro ushyirwa mu mutsi munini uri mu ijosi ryawe, mu nda, cyangwa ku kuboko hanyuma ugashyirwa mu ruhande rw'iburyo rw'umutima wawe. Kuva aho, uzayoborwa mu mutsi mukuru ujyana amaraso mu bihaha byawe, umuyoboro w'ibihaha . Uku niko amakuru apimwa mu mutima wawe.

Kuki ari ngombwa gukora ikizamini nk'iki?

Amakuru yavuye muri iki kizamini ni ingenzi cyane. Bifasha abaganga gusuzuma neza indwara zitandukanye no kubona uburyo bashoboye kuzivura.

Imbonerahamwe iri hepfo irakwereka indwara z'ingenzi zisaba iki kizamini.

Byongeye kandi, iki kizamini gishobora kuba ngombwa mbere cyangwa nyuma yo kubagwa ingingo zimwe na zimwe, na mbere yo gushyiraho igikoresho cyihariye gifasha umutima (`(igikoresho gifasha umutima w'ibumoso)`).

Ni irihe tandukaniro riri hagati y'ibi bizamini bibiri bikorerwa ku mpande z'iburyo n'ibumoso z'umutima?

Yego, iki ni ikibazo cy'ingenzi. Hari ikizamini gikorerwa iburyo bw'umutima (`Catheterization y'umutima y'iburyo`) n'ikizamini gikorerwa ibumoso bw'umutima (`Catheterization y'umutima y'ibumoso`). Hari itandukaniro rigaragara hagati y'ibyo byombi.

Wakwitegura ute iki kizamini?

Noneho reka turebe uko wakwitegura umunsi ubanziriza uwo. Muganga wawe azaguha amabwiriza yihariye kuri ibi, ariko ibi ni ibintu rusange ugomba gukora.

• Bwira muganga wawe imiti yose ufata: Ni ngombwa kubwira muganga wawe imiti yose ufata, vitamine, inyongeramusaruro, cyangwa imiti ufata utari mu ikarita ya muganga. Imiti imwe, cyane cyane imiti igabanya amaraso , ishobora gukenera guhagarikwa iminsi mike mbere yo gupimwa.
• Uzazane umuntu mu rugo: Ushobora kuba udashobora gutwara imodoka yawe nyuma y'ikizamini, bityo ni ngombwa kuzana umuntu mu rugo.
• Kuraho imitako n'amabara yo ku nzara: Mbere yo gupima, kuraho imitako yose nk'imikufi, imiringa, n'impeta. Kuraho imitako iyo ari yo yose, niba ihari.
• Kwiyiriza ubusa: Uzabwirwa kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose amasaha 6 kugeza kuri 12 mbere yo kwipimisha. Ni ngombwa cyane gukurikiza iyi nama neza.

Ni iki kibaho ku munsi w'ikizamini?

Igikorwa cyose gishobora gufata amasaha menshi, ariko igihe catheter iba iriho ubusanzwe ni isaha imwe.

Mbere y'ikizamini...

Nyuma yo kujyanwa mu cyumba cyihariye cy’ibitaro ("laboratoire ya cath"), umuforomo azaza akakubwira kwambara ikanzu yo mu bitaro. Azakubwira kujya mu bwiherero no gukuramo uruhago rwawe. Hanyuma azagutegeka kuryama ku meza yo gupima hanyuma ashyireho uduce duto ku gituza cyawe. Ibi byitwa electrodes . Ibi bikoreshwa mu kugenzura imikorere y'umutima wawe (nk'isuzuma rya ECG) mu gihe cyose cy'ikizamini.

Akenshi, ntuzasinzira kuri iki kizamini. Ariko, hari igihe ushobora guhabwa umuti utuma umuntu asinzira cyangwa umuti ugufasha gusinzira cyangwa kuruhuka ukoresheje cannula (IV) ishyizwe mu mitsi yo mu kuboko kwawe.

Mu gihe cy'ikizamini...

Muri iki gihe uri maso. Muganga n'ikipe barimo kugusobanurira byose.

1. Ubwa mbere, agace kazashyirwamo katheteri (ijosi, ikibuno, cyangwa ukuboko) karasukurwa kandi umusatsi uwo ari wo wose ugakurwaho bibaye ngombwa.

2. Hanyuma , umuti ugabanya ububabare uterwa mu gace runaka kugira ngo ugabanye ububabare. Bityo ntuzumva ububabare bwinshi.

3. Noneho, hakoreshejwe urushinge rwihariye, umuyoboro w'amaraso winjizwamo hanyuma katheteri inyuzwamo.

4. Hanyuma, buhoro buhoro kandi witonze, mu gihe ureba ecran yihariye nka x-ray, catheter iyoborwa mu ruhande rw'iburyo rw'umutima no mu mitsi y'ibihaha.

5. Iyo catheter imaze kugera mu mwanya wayo, igitutu kiri aho hantu hose kirapimwa hanyuma amaraso agafatwa bibaye ngombwa.

6. Muri iki gihe, ushobora gusabwa kuguma uhagaze, guhumeka cyangwa guhagarara gato, cyangwa guhindura uko umubiri wawe uhagaze.

7. Hari igihe ushobora no kubona uburyo umutima wawe utera iyo ukora imyitozo ngororamubiri (urugero, gukoresha imashini ikoresha pedal uryamye ku buriri).

8. Amaherezo, catheter ikurwaho witonze, hanyuma hagashyirwa plaster cyangwa igitambaro aho umuntu yinjiriye.

Ibi birababaza?

Ushobora kumva ububabare gato iyo utewe umuti utera ibisebe. Ushobora kandi kumva umuvuduko muto iyo ushyizwemo catheter. Uretse ibyo, nta bubabare bubaho iyo catheter yinjiyemo. Ariko, ushobora kumva ibintu nk'ibi:

• Kubabara mu gituza cyangwa kumva umutima ubuze aho utera iyo catheter igeze ku nkuta z'umutima.
• Kuribwa umutwe, kumva ndi mu mutwe.
• Kumva ufite isesemi.
• Kumva nkorora.
• Ukumva ushyushye iyo uhawe umuti.

Ese hari ingaruka zishobora guterwa n'iki kizamini?

Gukoresha catheter y'umutima iburyo muri rusange ni uburyo bwizewe cyane. Ariko, kimwe n'ubundi buryo bwose bwo kwa muganga, bushobora kugira ingaruka ntoya cyane. Muganga wawe azakugira inama gusa ari uko uhisemo ko inyungu z'uburyo bwo gukora ziruta ingaruka mbi.

Zimwe mu ngaruka zishobora kubaho ni izi:

• Ubwivumbure ku miti cyangwa ibindi bintu byakoreshejwe.
• Umutima utari umeze neza (Arrhythmia).
• Kuva amaraso cyangwa gukomereka aho catheter ishyizwe.
• Amaraso apfutse.
• Kwandura indwara.
• Ni gake cyane, kwangirika k'umutima cyangwa imiyoboro y'amaraso, indwara y'umutima cyangwa indwara yo gucika kw'imitsi.

Wibuke ko izi ngaruka zidakunze kubaho. Itsinda ry'abaganga ryiteguye neza gukumira ikintu nk'iki.

Urashaka gukora iki nugera mu rugo?

Uzakurikiranwa amasaha make nyuma yo gupimwa hanyuma woherezwe mu rugo. Witondere ibi bintu nyuma yo gutaha.

• Kuruhuka: Kuruhuka umunsi wose. Irinde kunama, guterura, cyangwa gusunika byibuze amasaha 24.
• Irinde gutwara imodoka: Niba wahawe umuti wo gusinzira woroshye, ntugatware imodoka cyangwa ngo ukoreshe imashini ziremereye mu gihe cy'amasaha 24.
• Nywa amazi menshi: Kunywa amazi menshi ni ingirakamaro ku mubiri.
• Wite ku gitambaro: Shyira igitambaro aho gishyirwa catheter igihe cyose muganga wawe akubwira (ubusanzwe umunsi umwe cyangwa ibiri).
• Kwiyuhagira: Ntukajye wiyuhagira amasaha 24-48. Nanone, ntukinjire mu bwogero kugeza igihe igisebe kizakira neza. Mu gihe wiyuhagira, ntugakore cyane ku gisebe, ahubwo ugikomeze kuba gitose.

Niba ufite ibi bimenyetso, hamagara muganga wawe vuba!

Niba ubonye kimwe mu bimenyetso biri hepfo, hamagara muganga wawe vuba . Cyangwa ujye mu Ishami ryita ku Butabazi bw'Ibanze (ETU) ry'ibitaro biri hafi yawe.