Muedzo unotarisa mukati memoyo: Ngatidzidzei nezveTransesophageal Echocardiogram (TEE)!

Chiremba wako akaraira here bvunzo yakakosha yekutarisa matambudziko emoyo wako? Ingave bvunzo ye '(Transesophageal Echocardiogram)', kana sezvatinoidana kuti `(TEE)`. Kunyangwe zvinganzwika sezvisinganzwisisike, inzira inokubvumira kuona mamiriro emoyo wako zvakajeka, kubva mukati chaimo. Saka ungave uchitya kana kuda kuziva nezveizvi. Saka ngatitaurei nezvebvunzo iyi ye '(TEE)' zviri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi bvunzo iyi (TEE)? Inoitwa sei?

Muchidimbu, Transesophageal Echocardiogram ibvunzo rinoshandisa mafungu eruzha kutora mifananidzo yemoyo wako. Iyi ibvunzo zvakare ye echo. Asi yakasiyana zvishoma neTransthoracic Echocardiogram (TTE) inowanzoitwa pachipfuva. Izvi zvinodaro nekuti mifananidzo yacho inotorwa kubva mukati memuviri.

Chiremba, chishandiso chitete, chakareba sechubhu, tinochidaidza kuti ``Endoscope,'' chinoiswa nokungwarira muhuro mako mupaipi yako yechikafu (esophagus). Kumagumo kwechubhu iyi kune ``Transducer'' diki. ``Transducer'' iyi inoburitsa mafungu eruzha. Mafungu aya anorova zvikamu zvakasiyana zvemoyo uye anodzokera kumashure, semaungira. ``Transducer'' inotora mafungu iwayo anodzoka oatumira kukombiyuta. Kombiyuta inoshandura data iroro kuita mifananidzo. Mifananidzo iyi inoratidza chimiro nebasa remoyo zvakadzama.

Dzimwe nguva vanachiremba vanoshandisa nzira dzakakosha dzinonzi Doppler ultrasound uye Color Doppler pamwe chete nebvunzo iyi yeTEE. Izvi zvinogona kuyera nekukurumidza uye gwara rekuyerera kweropa mumoyo.

Vanachiremba vanowana chii nebvunzo iyi (TEE)?

Kuongororwa uku kwe `(TEE)` kunogona kupa mufananidzo wakajeka wechimiro chemoyo, ndiko kuti, marongerwo akaita zvikamu zvawo, uye mashandiro anoita moyo. Izvi zvinogona kubatsira kuongorora zvirwere zvakasiyana-siyana uye kuzvidzora panguva yekurapwa. Heano mimwe mienzaniso mishoma:

• Aortic aneurysm: Apa ndipo apo madziro etsinga huru yeropa mumuviri wedu (aorta) anoshaya simba uye anoputika sebharumu.
• Kugwamba kweropa mumoyo: Vanhu vane atrial fibrillation, kunyanya, vane mukana wekuita magwamba eropa mumakamuri epamusoro emoyo (atria).
• Matumbu emwoyo: Aya anogona kunge ari ekenza kana kuti asiri ekenza.
• Chirwere chemwoyo chekuzvarwa nacho: Izvi zvinoreva zvirwere zvakasiyana-siyana zvemwoyo zviripo pakuzvarwa.
• Chirwere chevharuvhu yemwoyo: Semuenzaniso, chirwere chevharuvhu yemitral. Vharuvhu iyi inogona kutetepa (stenosis) kana kudonhedza ropa kumashure (regurgitation). Zvakare, vanhu vane mavharuvhu ekugadzira vanogona kuongororwa matambudziko nemavharuvhu avo, akadai sehutachiona kana kuvharika kweropa.
• Utachiona hwenyama yemwoyo kana mavharuvhu: Semuenzaniso, zvirwere zvakaita se `(Infective endocarditis)`.
• Chirwere chemwoyo: Izvi zvinoreva zvirwere zvinoitika mugoko rakatetepa (pericardium) rakakomberedza moyo.

Sei bvunzo iyi (TEE) ichiitwa? Muzviitiko zvipi?

Pane zvikonzero zvakawanda zvingaita kuti bvunzo yeTEE iitwe. Ngatitarisei kuti ndezvipi:

1. Kana echocardiogram yenguva dzose (TTE) isingakwani: Mushure mekuongororwa kwemoyo nguva dzose (TTE) pachipfuva chako, chiremba wako angada kuona mwoyo wako zvakajeka uye zvakadzama. Muzviitiko zvakadaro, bvunzo yeTEE inogona kuitwa pamusoro peTTE kubatsira kuona dambudziko remwoyo kana kuronga kurapwa.

Fungidzira uchifamba mumugwagwa woona mamwe mapureti akanaka muchitoro kuburikidza negirazi. Unogona kuona kuti mapureti acho ane mapatani emaruva, asi hazvizivikanwe kuti maruva acho ndeapi chaizvo, kuti ndeapi, nekuti kune vanhu varipo uye kune girazi. Saka unopinda mukati mechitoro wonyatsotarisa mapureti acho. Ndipo paunoona kuti maruva acho maruva.

Ndizvo zvinoita echocardiogram (TTE) yakajairika pachipfuva yakaita sekutarisa negirazi muchitoro. Inogona kukuudza zvinhu zvakawanda. Asi TEE iyi yakafanana nekupinda muchitoro wotora ndiro. Dzimwe nzvimbo dzemwoyo, kunyanya dziri kumusana, dzakajeka paTEE iyi. Nekuti gumbo rako riri kuseri kwemoyo wako, inzvimbo yakanaka yekuti transducer itumire uye igamuchire mafungu eruzha.

Zvakakosha kutarisa zvikamu izvi kunyanya:

* Atrium yekuruboshwe: Kamuri repamusoro rekuruboshwe remoyo.

* Chikamu chidiki cheatrial chekuruboshwe (LAA): Kabhegi kadiki, kakaita senzeve kari muatrium yekuruboshwe. Apa ndipo panoumbwa maronda eropa dzimwe nguva.

* Interatrial septum: Rusvingo runoparadzanisa atria yekuruboshwe nerudyi.

* Chipfuva chemoyo: Chikamu chemoyo chinopfuura nemuchipfuva.

Dzimwe nguva vanachiremba vanoita TEE pachinzvimbo cheTTE. Izvi zvinokonzerwa nezvikonzero zvinotevera:

• Kana chimiro chechipfuva chiri panzvimbo yacho zvinoita kuti zviome kuita TTE.
• Kana uine zvirwere zvemapapu (sezvo zvichigona kuvharidzira maonero emwoyo).

2. Mumamiriro ezvinhu anotyisidzira hupenyu: Mumamwe mamiriro ezvinhu anotyisidzira, vanachiremba vanofanira kuona mamiriro emwoyo nekukurumidza. Saka `(TEE)` inobatsira zvikuru. Semuenzaniso:

• Kusagadzikana kweropa (hemodynamic) (BP nematambudziko eropa)
• Kuderera kweropa (Hypotension)
• Kuderera kwemazinga eokisijeni (Hypoxia)
• Mamiriro ezvinhu epanjodzi anoda kuongororwa nekukasika, akadai sekubviswa kweropa mutsinga.
• Kana paine chinofungidzirwa kuti pane chirwere chemwoyo.
• Matambudziko nemavharuvhu ekugadzira (akadai sekugwamba kweropa, hutachiona).
• Kukuvara pachipfuva.

3. Tarisa kana ropa rakagwamba usati waita chero nzira yekurapa: Pakurapa mamwe matambudziko emwoyo (arrhythmias), akadai se catheter ablation kana electrical cardioversion, TEE inoitirwa kutarisa kana ropa rakagwamba mumoyo usati waita oparesheni. Izvi zvinodaro nekuti kana ropa rakagwamba, rinogona kupwanyika panguva yeoparesheni uye kuvharira tsinga yeropa (thromboembolism).

4. Kubatsira pakuvhiyiwa nedzimwe nzira dzekurapa: TEE chishandiso chakakosha zvikuru panguva yekuvhiyiwa nedzimwe nzira dzekurapa. Inoshandiswa kuona chimiro chemoyo usati wavhiyiwa uye kusimbisa kubudirira kwekuvhiyiwa mushure mekunge kwaitwa. Mienzaniso:

• Kuvhiyiwa kwechirwere chemwoyo chekuzvarwa nacho.
• Kugadziriswa kwevharuvhu.
• Kutsiva vharuvhu.

Uyewo, mune mamwe marapirwo akavakirwa pa catheter, ndiko kuti, marapirwo apo chubhu yakatetepa inopfuudzwa nemutsinga yeropa ichienda kumoyo, TEE inoshandiswa kutarisa mukati memuviri uye kupa mifananidzo chaiyo yekutungamira maitiro acho. Mienzaniso:

• `(Kutsiva vharuvhu yeaortic yeTranscatheter - TAVR)`
• `(Kugadziriswa kwevharuvhu yeTranscatheter mitral)`
• `(Kugadziriswa kwevharuvhu yetricuspid yeTranscatheter)`
• `(Kuvharwa kwechisungo chemukati cheTranscatheter chekuruboshwe)`

Kuongororwa kweTEE kunoitirwa mumuviri here? Ko mushonga weanesthesia unoshandiswa here?

Ehe, TEE inoonekwa seyedzo inorwisa utachiona nekuti inosanganisira kuisa mudziyo mumuviri. Unganzwa kusagadzikana, asi njodzi yematambudziko akakomba yakaderera.

Kazhinji, bvunzo yeTEE inongoda mushonga wekuti munhu asanyanya kunzwa kurwara uye kurara zvine mwero . Izvi zvinoreva kuti chiremba achapfapfaidza mushonga unoremadza pahuro pako. Achakupawo mushonga wemutsinga (IV) kuti ukwanise kuzorora.

Vanhu vazhinji havadi mushonga weanesthesia, asi zvakanaka kutaura nachiremba wako kuti chii chakakunakira.

Saka, tiri kurara here panguva ino? Tiri kuziva here?

Kurapwa zvine mwero kuchaita kuti unzwe hope uye kuchaita kuti ukwanise kuongororwa pasina kurwara zvakanyanya. Vashandi vezvehutano vacharamba vachikutarisa kuti vaone kana paine kusanzwa zvakanaka. Vanogona kukupa imwe mishonga yekurapwa kana zvichidikanwa.

Kunyangwe dai waizopihwa `(General anesthesia)`, unenge wakarara zvachose uye hauzoyeuki chero chinhu nezvebvunzo. Zvisinei, kana ukapihwa `(General anesthesia)`, unofanira kubatanidzwa nemuchina wekufema. Zvakare, nekuti unorara hope dzakadzika, zvinotora nguva yakati rebei kuti upore pane kurara zvine mwero.

Bvunzo iyi inotora nguva yakareba sei?

Bvunzo yeTEE inogona kutora kusvika maminetsi makumi mapfumbamwe kuti ipedzwe. Zvisinei,Kutorwa kwemifananidzo kunowanzo tora maminetsi angangoita gumi nemashanu.

Tinofanira kugadzirira sei bvunzo ye (TEE) isati yaitwa?

Iva nechokwadi chekukurukura nhoroondo yako yezvekurapa nachiremba wako. Mamwe matambudziko ehutano anogona kuita kuti bvunzo yeTEE ive nengozi. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:

• Kenza yemudumbu
• Gastritis
• GERD (chirwere chisingaperi cheacid reflux)
• Hernia yeHiatal
• Nhoroondo yekushandisa mishonga inopinzwa mutsinga (kushandisa mishonga inopinzwa mutsinga)
• Matambudziko ekumedza
• Kumborara usina kufema
• Kenza yemudumbu

Tiudzeiwo kana muri kutora mushonga wezvinhu izvi:

• Matambudziko ekurara
• Kunetseka
• Marwadzo

Chiremba wako achakupa mirairo yakadzama yekuti ungagadzirira sei bvunzo yeTEE. Iva nechokwadi chekutevedzera mirairo iyoyo nemazvo. Usatya kubvunza kana paine chausinganzwisisi. Mirairo yacho inosanganisira zvinotevera:

• Nguva yekurega kudya nekunwa (kazhinji maawa matanhatu bvunzo isati yaitwa).
• Unofanira kunwa mishonga yako yaunowanzo nwa rini?
• Usanwa doro kwenguva yakati (zvichida mazuva mashoma bvunzo isati yaitwa).
• Zvimwe zvinhu zvaunofanira kuita kana zvausingafaniri kuita usati watanga `(TEE)`.

Chii chinoitika panguva yebvunzo (TEE)?

Aya ndiwo matanho anowanzoitika panguva yebvunzo ye `(TEE)`:

1. Uchapihwa gown rekuchipatara rekupfeka.

2. Chiremba achaisa zvikwangwani zvidiki zvinonzi ``Electrodes'' pachipfuva chako. Izvi zvinogona kushandiswa kuongorora mashandiro emagetsi emwoyo wako panguva ye``TEE''.

3. Chivharo cheBP chichaiswa paruoko rwako, uye pulse oximeter ichasungirirwa pamunwe wako kuti iongorore huwandu hweoxygen mumuviri wako.

4. Uchapihwa mushonga wekukwenya pahuro kuti unzwe kugomara. Chiremba achapfapfaidza mushonga muhuro mako. Uyu mushonga wemunzvimbo. Ndokusaka usingazonzwi kurwadziwa panguva yekurovedza muviri.

5. Uchapihwa mushonga wekudzikisa tsinga (IV) kuti ukwanise kuzorora.

6. Ungangoda chubhu diki (nasal cannula) yakaiswa mumhino yako kuti ikupe oxygen.

7. Uchatendeudzirwa kuruboshwe rwetafura yekuongorora wobva warara pasi.

8. Chiremba achaisa ``Endoscope`` zvishoma nezvishoma (chubhu yakatetepa, refu, inochinjika) mumuromo mako. Pamucheto wechubhu pane ``Transducer``. Chubhu iyi inopinda muhuro mako yopinda mupombi yako yechikafu. Yakazorwa mafuta kuti zvive nyore kudonha. Dzimwe nguva uchakumbirwa kumedza kuti ubatsire ``Transducer`` kusvika panzvimbo chaiyo. Izvi zvingaita sezvisina kugadzikana, asi chiremba achaita izvi nokungwarira. Vachakupa mushonga wekuti pahuro pako pave nechiveve, kuti usazonzwa kurwadziwa kwakanyanya.

9. Chiremba ari kutora mifananidzo. Unganzwa kurwadziwa. Asi `(Transducer)` yakasiyana.Unganzwa kumanikidzwa kudiki muchipfuva chako paunochifambisa. Chikamu ichi chinotora maminetsi angangoita gumi kusvika gumi nemashanu.

10. Chiremba achabvisa chubhu pahuro pako uye acharamba achitarisa BP yako, kurova kwemoyo, uye mwero weokisijeni mumuviri wako.

11. Mira kusvika chiremba ati unogona kuenda kumba.

Chii chandingatarisira mushure mekuongororwa (TEE)?

Uchada mumwe munhu anokuendesa kumba mushure mekuongororwa kweTEE. Hauzokwanisi kutyaira kwemaawa makumi maviri nemana nekuda kwemigumisiro yemishonga yekunyaradza. Unogona kutarisira zvinotevera:

• Huro yako ichange isina chinhu kwenguva ingangoita awa. Ichadzikira mushure mechinguva. Usadye kana kunwa chero chinhu kusvika chiveve chapera. Kana ukadya kana kunwa nekukurumidza, unogona kudzipwa.
• Ungave uchirwadziwa pahuro kwemazuva maviri. Izvi zvakajairika uye zvichapera mumazuva mashoma. Zvisinei, kana kurwadziwa kukaramba kuripo kana kuti kukawedzera, taura nachiremba wako.

Pane njodzi dziripo here pamaitiro e (TEE)?

Vamwe vanhu vanorwadziwa pahuro mushure mekuvhiyiwa TEE. Zvinogona kugara kwemaawa mashoma kana kusvika mazuva matatu kusvika mashanu.

Mamwe matambudziko haawanzoitiki, asi anogoneka:

• Kusawirirana nemishonga.
• Chibayo chekufema chinokonzerwa nechikafu kana mvura inopinda muhuro.
• Matambudziko eBP kana kurova kwemoyo.
• Kubuda ropa kudiki kubva mudumbu.

Usati waita bvunzo iyi, zvakakosha kuti utaure nachiremba wako nezvenjodzi dzeTEE.

Ndingawana sei mhedzisiro yebvunzo (TEE)?

Chiremba wako achataura newe nezvemhedzisiro yako yekuyedzwa. Unogonawo kuiwana sechikamu chezvinyorwa zvako zvekurapa zvemagetsi (system yepamhepo kwaunogona kuona ruzivo rwako rwekurapa). Taura nachiremba wako nezvekuti uchawana riini mhinduro uye kuti ungadzitarisira sei.

Zvakajairika kuti vamwe vanhu vanzwe kutya kana kutya kana zvasvika pakuongororwa kwechiremba. Zvisinei, bvunzo dzakadai seTransesophageal Echocardiogram (TEE) dzinogona kuita basa guru mukuchengetedza hutano hwako kana kurapa matambudziko anomuka. TEE bvunzo yakajairika ine njodzi shoma yematambudziko. Kana uri kuita TEE, taura nachiremba wako nezvekuti ungagadzirira sei uye zvaunotarisira.

Pakupedzisira, yeuka izvi.

Kuongororwa kweTEE inzira yakakosha inokubatsira kuona zviri mukati memoyo wako zvakajeka. Kunyangwe zvingaita sezvisina kugadzikana, zvinobatsira zvikuru pakuongorora zvirwere zvemwoyo uye kuzvirapa nemazvo. Chinhu chakakosha ndechekuti kana uine mibvunzo kana kusava nechokwadi, taura nachiremba wako nezvazvo. Ipapo unogona kutarisana nekuedzwa uku usingatyi uye uine chivimbo.

` Transesophageal echocardiogram, TEE, bvunzo yemoyo, moyo, endoscope, bvunzo ye echo, esophagus