Reka twige ibyerekeye Swan-Ganz Catheterization, ireba imbere mu mutima.

Iyo umuganga wawe akeka ko ufite ikibazo cyo guhumeka cyangwa ko ufite ikibazo cy'umutima, aba ashaka kumenya neza ibirimo kuba mu mutima wawe, sibyo? Mu bihe nk'ibi, uyu munsi tugiye kuvuga ku gikoresho cyihariye gikoreshwa mu kubona amakuru nyayo ku mikorere y'umutima wawe. Kitwa Swan-Ganz Catheter. Ushobora kuba utarabyumva kuri iri zina, ariko ni ikizamini cy'ingenzi cyane.

Mu magambo make, uyu muyoboro wa Swan-Ganz ni iki?

Catheter ya Swan-Ganz ni umuyoboro muto cyane kandi woroshye (catheter). Nanone yitwa 'catheter y'imitsi y'ibihaha'. Tekereza nk'umuyoboro muto ufite imiyoboro ine mito imbere. Buri muyoboro ufite akazi gatandukanye.

Ikoreshwa cyane cyane mu gupima amakuru yerekeye imikorere y'imiyoboro y'amaraso yawe, ni ukuvuga uburyo amaraso agenda neza (hemodynamics).

Ibi ni byo ibice bitandukanye (ibyambu) by'uyu muyoboro bikora:

• Ibinyobwa cyangwa imiti ikenewe bishobora gutangwa mu mutima.
• Umuvuduko w'amaraso uri mu byumba bitandukanye by'umutima no mu miyoboro y'amaraso ushobora gupimwa neza.
• Iyo uyu muyoboro winjiye mu muyoboro mukuru ujyana amaraso mu bihaha (umuyoboro w’ibihaha), ukoreshwa mu gutera umupira muto ufasha kuwuyobora ahantu heza.
• Ingero z'amaraso zishobora no gufatwa mu mitsi ijyana amaraso mu bihaha.

Ni iki abaganga bazi kuri uyu muyoboro w'amazi?

Iki kizamini gishobora guha muganga wawe ishusho isobanutse neza y'uko umutima wawe umeze neza. Ni nko kureba imbere mu mutima wawe.

Ese ubu buryo buracyakoreshwa?

Yego rwose. Ubu buryo buracyafatwa nk' "igipimo ngenderwaho cy'agaciro" cyo kubona amakuru nyayo ku bijyanye n'umuvuduko uri mu mitsi y'umutima n'ibihaha.

Ariko, ikoreshwa ry'ubu buryo ryagabanutse vuba aha, cyane cyane ku barwayi barembye cyane mu byumba byita ku barwayi barembye cyane. Ibi biterwa n'iterambere ry'uburyo budatera ibyago byinshi kandi budatera indwara nka "Echocardiography" (gupima umutima) bushobora kubona amakuru butinjiriye mu mubiri.

Ni nde ukeneye gukora iki kizamini?

Muganga wawe ashobora kukugira inama yo gupima iki kizamini niba akeka cyangwa azi ko ufite imwe muri izi ndwara zikurikira:

• Guhumeka bigoranye
• Indwara y'umutima
• Umutima unanirwa
• Ihungabana riterwa n'umutima
• Umuvuduko ukabije w'amaraso mu bihaha
• Imivuduko y'umutima idasanzwe
• Guhagarika imitsi y'ibihaha
• Tamponade y'umutima
• Indwara z'umutima wavukanye

Ubu buryo bukoreshwa kandi mu kubona amakuru ajyanye n'imikorere y'umutima mbere na nyuma yo kubagwa bikomeye, nko guterwa umutima cyangwa guterwa igikoresho gifasha umutima gutera amaraso mu mitsi y'ibumoso.

Reka twige gato ku buryo iki kizamini gikorwa.

Iki kizamini gikunze gukorerwa muri laboratwari yo kwa muganga ivura indwara z'umutima. Nta mpamvu yo guhangayika kuri ibi. Abaganga bazagerageza kugukomeza uko bishoboka kose.

Ni iki kibaho mbere y'ikizamini?

1. Muganga azagusobanurira neza impamvu n'uburyo iki kizamini gikorwa.

2. Niba ufata imiti iyo ari yo yose, uzasabwa kuyihagarika mbere yo gupimwa.

3. Uzagirwa inama yo kwirinda kurya cyangwa kunywa amasaha make mbere yo kwipimisha.

4. Uruhushya rwawe rwanditse (uruhushya) rwo gukora iki kizamini ruzaboneka.

5. Uzasabwa kuryama ku buriri bwihariye.

6. Uzahabwa imiti inyuze mu mutsi (`IV`) kugira ngo ikuruhure kandi ikugire ibinya.

Mu gihe cy'ikizamini

Ubwa mbere, umuganga azasukura neza ahantu umuyoboro uzashyirwa (ubusanzwe mu ijosi, mu gituza, cyangwa ku kuguru) kandi agatera ibisebe aho hantu kugira ngo utababara. Hanyuma, umuyoboro wa Swan-Ganz winjizwa witonze mu mutsi munini hanyuma unyuze mu ventricle y'iburyo y'umutima ukagera ku mutsi mukuru ugana mu bihaha (imitsi y'ibihaha).

Iyo amakuru yose akenewe amaze gupimwa, umuyoboro ukurwaho witonze.

Nyuma y'ikizamini

Nyuma yo gukuraho umuyoboro, bande cyangwa plaster bizashyirwa aho hantu kugira ngo amaraso ahagarike. Niba umuyoboro washyizwemo unyuze mu kaguru kawe, uzasabwa kuryama mu buriri amasaha abiri kugeza kuri atandatu. Ni ibisanzwe kubona agasebe gato aho umuyoboro washyizwe. Ibi bizashira mu cyumweru kimwe cyangwa bibiri.

Ese hari ingaruka muri ibi?

Iki ni cyo kintu cy'ingenzi cyane. Ingaruka zo kugira ingorane zikomoka ku gushyiramo umuyoboro wa Swan-Ganz ni nke cyane . Ni ukuvuga munsi ya 0.5%. Ibyo bivuze ko ibi bikozwe ku bantu 200, umuntu umwe gusa ni we uzagira ikibazo. Ariko, nk'uko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nke cyane.

• Kwandura aho umuyoboro w'amaraso washyizwe.
• Umwotsi w'umwuka winjira mu mitsi y'amaraso.
• Iyo hakoreshejwe umutsi wo mu gituza (umutsi wo mu gice cya subclavian), hari amahirwe make cyane yo kwangirika kw'ibihaha.
• Umutima utari usanzwe.
• Kwangirika k'urukuta rw'umutima, valve, cyangwa umutsi utera amaraso (ibi bibaho gake cyane).

Niba ufite ibi bimenyetso, hamagara muganga wawe ako kanya.

Niba uhuye n'ibi bikurikira iyo ugiye mu rugo nyuma yo gupimwa, bimenyeshe muganga wawe ako kanya.

• Iyo igikomere aho umuyoboro washyizwe cyabyimbye cyangwa niba amaraso cyangwa andi mazi arimo kuvamo .
• Iyo hari ibinya cyangwa kubyimba ku kaguru aho umuyoboro washyizwe.