Ngatitarisei zvakadzama mumoyo! Dzidza nezve Swan-Ganz Catheterization!

Pamwe wakambonzwa kuti vanachiremba vanoita bvunzo dzakasiyana-siyana kuti vaone kana paine chirwere chemwoyo. Dzimwe nguva vanoda kuziva zviri kuitika mumoyo, kuti ropa riri kufamba sei, uye kuti pressure yacho iri papi. Mudziyo wakakosha uye nzira inoshandiswa panguva dzakadai inonzi Swan-Garns catheterization. Tingataura nezveizvi nemashoko akareruka here?

Chii chinonzi Swan-Ganz Catheter?

Zvichitaurwa zviri nyore, ichubhu yakatetepa zvikuru, yakakosha. Zvakafanana nekatsori kadiki kanoiswa navanachiremba mumuviri wako kuti vawane ruzivo. Inonziwo catheter yetsinga dzemapapu nekuti inoguma yava mutsinga huru (tsinga) inotakura ropa kuenda kumapapu ako.

Catheter iyi ine machubhu mana madiki, kana kuti 'maports' , anopinda mukati mechubhu huru. Akafanana nemigwagwa midiki yemumativi inobatanidza nemugwagwa mumwe chete mukuru. Imwe neimwe yemigero iyi ine basa rakasiyana.

• Tumira mvura kana mishonga kumoyo. Funga nezvazvo, pane dzimwe nguva apo mimwe mishonga inofanira kupiwa zvakananga kumoyo, handiti? Izvi zvinogona kushandiswa kune chimwe chinhu chakadai.
• Yera BP munzvimbo dzakasiyana dzemuviri. Zvikuru sei, tarisa BP iri mukati memwoyo nemutsinga dzinotakura ropa kuenda kumapapu.
• Kufuridza bharumu diki. Katheta iyi inoshandiswa kutungamira katheta kunzvimbo chaiyo mutsinga dzemapapu. Bharumu iri rinobatsirawo kutora zvimwe zviyero.
• Tora ropa kubva mutsinga dzemapapu. Izvi zvakakosha kuti utarise zviri muropa riri kuenda kumapapu (semuenzaniso, huwandu hweokisijeni).

Chii chatingadzidza kubva kuSwan-Ganz iyi?

Kungofanana nemakanika anoongorora zvese zviri muinjini yemotokari kuti aone kana paine dambudziko, vanachiremba vanoshandisa katheta iyi kuti vawane ruzivo rwakawanda nezvekuti mwoyo wako uri kushanda zvakanaka sei.

Heano zvinhu zvikuru zvaunogona kuziva:

• Kumanikidzwa kuri mumakamuri ari kurudyi kwemoyo wako (''right atrium'' uye ''right ventricle'') pazvizere neropa. Kumanikidzwa kuri mumakamuri aya kwakakosha zvikuru kana ropa richipinda mumoyo uye kana richiburitswa mumoyo.
• Unogona kuwana pfungwa isina kujeka yekumanikidzwa kuri mumakamuri ari kuruboshwe rwemoyo ('left atrium' uye 'left ventricle'). Izvi zvinoyerwa nekakombama.
• Kumanikidzwa mutsinga yakapinzwa catheter.
• Kumanikidzwa kwetsinga dzemapapu. Izvi zvinoyera kumanikidzwa kweropa parinenge richienda kumapapu ako.
• Mwoyo wako unobuda sei? Kureva kuti, ropa rakawanda sei rinopombwa nemoyo wako mumuviri wako paminiti. Ichi chiyero chakakosha zvikuru.
• Kana mavharuvhu ari mumoyo mako ari kushanda nemazvo.

Ko Swan-Ganz Catheter ichiri kushandiswa here?

Ehe, vanachiremba vachiri kushandisa nzira iyi nekuti vanhu vazhinji vanoona senzira yakanakisisa yekuwana ruzivo rwakarurama nezvezviri kuitika mutsinga yemwoyo neyemapapu. Zvakafanana ne ' gold standard'.

Asi ikozvino haichashandiswi kakawanda mukamuri rekukurumidzira revarwere vanorwara zvakanyanya. Pane kudaro, chishandiso chisingapindi muropa chinonzi echocardiography chiri kushandiswa kakawanda. Izvi zvinodaro nekuti echocardiography haina njodzi diki dzingangoitika kana uchiisa catheter yeSwan-Ganz.

Ndiani anoda Swan-Ganz Catheter?

Chiremba anowanzo sarudza kushandisa catheter iyi kana vachifungidzira kuti unayo, kana kuti vachiziva kuti watove nayo, chimwe chezviratidzo kana mamiriro ezvinhu anotevera:

• Kushaya mweya (kana chikonzero chacho chisina kujeka)
• Kukundikana kwemoyo
• Kurira kwemwoyo kusina kujairika
• Kuvhunduka kwemwoyo
• Kuvhunduka kunokonzerwa nekuwanda kwetsinga dzeropa (Distributive shock)
• Kuomarara kweganda rakatenderedza mwoyo (constrictive pericarditis)
• Kumira kurova kwemoyo
• Mwoyo wemunhu unogara wakaungana (cardiac tamponade )
• Kukwira kweropa mumapapu (kumanikidzwa kwakawedzerwa mutsinga dzemapapu)
• Kubatanidzwa kwemapapu
• Chirwere chemwoyo chekuzvarwa nacho chevanhu vakuru

Hazvisi izvozvo chete, catheter iyi inoshandiswawo kuunganidza ruzivo usati waisa mwoyo uye mushure mekuisirwa, usati waisa uye mushure mekuisirwa mudziyo wekubatsira ventricular yeruboshwe, uye usati waisa uye mushure mekuvhiyiwa kumwe.

Catheter yeSwan-Ganz inoshanda sei?

Zviri nyore kwazvo. Sezvandambotaura, vanachiremba vanoshandisa 'ports' dzakasiyana kana machubhu madiki ari pacatheter iyi kuti vaunganidze ruzivo kubva mukati memuviri wako. Catheter iyi painopfuura nemumakamuri ari kurudyi kwemoyo (atrium yekurudyi neventricle yekurudyi), vanoyera kumanikidzwa kuri mumakamuri iwayo. Zvadaro, painopinda mutsinga yemapapu, vanoshandisa bharumu diki riri kumagumo kwecatheter kuti vayere kumanikidzwa kuri mukati metsinga iyoyo. Iyi ndiyo nzira yavanowana nayo ruzivo rwakakosha nezvekuyerera kweropa mumoyo nemapapu.

Chii chekutarisira Swan-Ganz Catheterization isati yasvika?

Chiremba achakutsanangurira zvinotevera usati waongororwa:

• Vachakutsanangurira zvavanotarisira kuita vachishandisa katheta yeSwan-Ganz. Unogona kubvunza chero mibvunzo yaunayo panguva ino.
• Kana uri kutora mishonga usati waongororwa, uchabvunzwa kana uchida kurega mimwe yacho. Saka iva nechokwadi chekuudza chiremba wako nezvemishonga yese yauri kutora.
• Uchakumbirwa kuti urege kudya nekunwa kwemaawa mashoma usati waiswa catheter.
• Mvumo yenyu inokumbirwa kuti muite bvunzo iyi.
• Uchakumbirwa kurara pamubhedha wakakosha murabhoritari yekurapa cardiac catheterization.
• Mushonga wekuzorodza uchapihwa kuburikidza ne intravenous cannula (IV). Izvi zvichakubatsira kuti usanyanya kunetseka uye usanyanya kushushikana.

Chii chinoitika panguva yeSwan-Ganz Catheterization?

Panguva ino, timu yezvekurapa iri kushanda seinotevera:

• Nzvimbo ichaiswa catheter (kazhinji tsinga huru mugumbo, mutsipa, kana chipfuva) inotanga yacheneswa zvakanaka uye nzvimbo yacho inobatwa nechinhu chinorema (anesthesia) kuitira kuti usanzwa kurwadziwa.
• Zvadaro, katheta yeSwan-Ganz inopinzwa mutsinga kuburikidza nenzvimbo isina chinhu.
• Catheter inofambiswa nepakati pemakamuri ari kurudyi rwemoyo. Painofamba , mifananidzo yeX-ray inogara ichitariswa pamonitor kuratidza kuti catheter iri kupi. Yakafanana neGPS inokuratidza nzira.
• Pakupedzisira, catheter inopfuudzwa mutsinga dzemapapu.
• Mushure mekuunganidza ruzivo rwese rwakakosha, catheter inobviswa nokungwarira.

Chii chekutarisira mushure meSwan-Ganz Catheterization?

Kana chiremba abvisa katheta yeSwan-Ganz, anoisa simba panzvimbo yakaiswa katheta kwenguva yakati. Zvadaro, bhandeji rinozoiswa panzvimbo yacho.

Chinhu chinonyanya kukosha ndechekuti kana catheter yakaiswa mugumbo rako, uchaudzwa kuti urare wakanyarara kwemaawa maviri kusvika matanhatu usingafambise gumbo rako. Izvi zvakakosha zvikuru, zvikasadaro unogona kubuda ropa.

Zvakajairika kuva nekakuvara kadiki pakaiswa catheter. Kanopora kega mukati mevhiki imwe chete, mavhiki maviri, kana matatu.

Ndeipi njodzi dzeSwan-Ganz Catheterization?

Iye zvino, chero nzira yekurapa ine njodzi shoma. Asi matambudziko anobva kuSwan-Garns catheter haawanzoitiki - ari pasi pe0.5%. Izvi zvinoreva kuti pavanhu zana, pamwe hazvizoitiki kune mumwe wavo.

Zvisinei, kune njodzi diki diki dzingangoitika. Idzi ndeidzi:

• Utachiona. Kana utachiona hukapinda panzvimbo ine catheter.
• Chifuva chemhepo chiri mutsinga yako yeropa.
• Mapapu akaputsika. Njodzi iyi inogona kuitika dzimwe nguva kana tsinga yemumutsipa ikashandisa subclavian vein.
• Kurongeka kwemoyo (arrhythmia) kunogona kuitika. Izvi zvinogona kuitika dzimwe nguva kana catheter ikapfuura nepamoyo.
• Kukuvadzwa kudiki kumadziro emwoyo, vharuvhu, kana tsinga dzemapapu. Izvi hazviwanzoitiki.

Vanachiremba vanoziva njodzi idzi uye vanotora matanho ese anogoneka kudzideredza. Nokudaro , kazhinji, bvunzo iyi inogona kuitwa zvinobudirira pasina matambudziko.

Chiremba anoitei nemhedzisiro yeSwan-Ganz Catheterization?

Ruzivo rwakawanikwa kubva mukuongororwa rwakafanana nedura reruzivo rwakawanda. Chiremba wako achashandisa ruzivo urwu kusarudza marapirwo aunoda.

Mhedzisiro yebvunzo inogona kusimbisa kana uine chirwere. Inogonawo kubatsira timu yezvekurapa kuona kuti dambudziko rako rakakura zvakadii.

Zvichienderana nemamiriro ezvinhu, nzira dzinotevera dzinogona kutorwa:

• Mishonga. (Mimwe mishonga inogona kupihwa kuburikidza ne 'port' muSwan-Ganz catheter, kana kuburikidza ne 'IV' mutsinga iri muruoko rwako.)
• Dzimwe nzira dzekurapa. `(Maitiro)`
• Kuvhiyiwa. `(Kuvhiyiwa)`

Ndinofanira kuona chiremba zvakare rini?

Kana ukasangana nechimwe chezvinotevera mushure mekuongororwa, iva nechokwadi chekuzivisa chiremba wako nekukasika:

• Kana nzvimbo inopinzwa catheter yakazvimba, kana ropa kana chimwe chinhu chiri kubuda mairi.
• Kana gumbo rakaiswa catheter rikanzwa serisina simba kana kuti rakazvimba.

Kana uine chimwe chezviratidzo izvi, usazviregeredza. Zvakanaka kutsvaga rubatsiro rwechiremba nekukasika.

Chinhu chakakosha kurangarira (Mharidzo Yekuenda Kumba)

Catheter yeSwan-Ganz inzira yekuongorora inopa ruzivo rwakakosha kuvanachiremba kuti vabatsirwe kuona dambudziko remwoyo kana mapapu. Ruzivo urwu runobatsira vanachiremba kukupai kurapwa kwakanakisa uye kwakakodzera .

Chikwata chevanachiremba chichave nechokwadi chekuti wakasununguka uye wakasununguka panguva yekuongororwa uku. Zvakare, mikana yekusangana nematambudziko yakaderera zvikuru. Saka, kana chiremba akakurudzira rudzi urwu rwekuongororwa, hapana chikonzero chekukutya. Kurukura chero mibvunzo kana kusava nechokwadi kwauinako nachiremba woigadzirisa.

Moyo , katheta yeSwan-Ganz, tsinga dzemapapu, BP, chirwere chemwoyo, mapapu, bvunzo dzezvekurapa