Chiremba wako akakuudza kuti uite bvunzo yeTEE here? Ungatya zvishoma paunonzwa zita racho. Ungave uchifunga kuti, 'Chii chiri kumedza chubhu iyi?' Asi usazvidya moyo. Hazvityise sezvaungafunga. Ibvunzo yepamusoro-soro inopa chiremba wako ruzivo rwakakosha nezvehutano hwemoyo wako. Nhasi, tichataura nezvebvunzo yeTEE nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi TEE?
Zvinorehwa zvizere neTEE ndiTransesophageal Echocardiogram . Zvakanaka, zvakanaka... zita racho rinovhiringidza zvishoma. Ngatirambei tichizvinzwisisa.
Fungidzira uchida kutora mufananidzo wemoyo wako. Muongororo yakajairika ye echo, inonzi Transthoracic Echo (TTE) , chiremba anoisa mudziyo mudiki pachipfuva chako otora mifananidzo yemoyo wako. Zvakafanana nekutora mufananidzo uri kure.
Asi bvunzo yeTEE yakasiyana zvishoma. Pano, chubhu yakatetepa, inochinjika (inonzi endoscope) inopinzwa nemuromo wako yopfuudzwa nepahuro. Kumagumo kwechubhu iyi kune mudziyo mudiki wakaita sekamera (transducer). Izvi zvinotumira mafungu eruzha, uye mafungu anosvetuka kubva pamoyo ogadzira mifananidzo yakajeka, yepedyo yemoyo.
Gurokuro rako riri kuseri kwemoyo wako, pedyo zvikuru naro. Ndosaka nzira iyi ichigona kutora mifananidzo yakajeka uye yakadzama yemoyo wako.
Sei tichifanira kuita bvunzo yeTEE?
Havasi vese vanozofanira kuongororwa TEE. Chiremba anokurudzira izvi nekuda kwezvikonzero zvishoma. Ngationei kuti ndezvipi.
| Mamiriro ezvinhu | Mabatsiriro anoita TEE |
|---|---|
| Kana mimwe miedzo isingape ruzivo rwakajeka | Ungasakwanisa kuwana dambudziko remwoyo mushure mekuvhiyiwa nguva dzose. Kuvhiyiwa kunopa maonero akajeka uye akadzama emwoyo. |
| Kana uri mumamiriro ezvinhu akaoma/akaoma | Kana BP yako yakaderera zvakanyanya, oxygen yako yakaderera, kana kuti muviri wako uri mukuvhunduka, TEE inogona kukubatsira kuwana chikonzero nekukurumidza. |
| Usati warapa zvirwere zvemoyo | Kuongororwa uku kwakakosha kuti utarise kana ropa rakagwamba mumoyo usati watanga kurapwa kwe arrhythmia, senge catheter ablation kana electrical cardioversion . |
| Mukuvhiyiwa kwemoyo | TEE inoshandiswa kuona nemazvo chimiro chemwoyo usati wavhiyiwa, kusimbisa kubudirira kwekuvhiyiwa mushure mekuvhiyiwa, uye dzimwe nguva kutungamira chiremba panguva yekuvhiyiwa. |
Sei uchifanira kusarudza TEE pane Echo yenguva dzose?
Vanachiremba vanowanzoita TTE scan pachipfuva kutanga, asi mune dzimwe nguva vanosarudza kuisiya voenda zvakananga ku TEE.
- Nekuda kwemaumbirwo echipfuva: Vamwe vanhu vanoomerwa nekuwana mifananidzo yakajeka kubva kuTTE nekuda kwechimiro chechipfuva chavo, mafuta akawandisa, kana kuti nzvimbo yemapapu avo.
- Zvirwere zvemapapu: Kana paine chirwere mumapapu, chinogona kukanganisa kuona kwemoyo.
- Munjodzi inouraya: Mifananidzo yakajeka yakawanikwa kubva kuTEE inokosha zvikuru mumamiriro ezvinhu enjodzi apo kuongororwa kwechirwere nekukurumidza uye kwakarurama kunodiwa.
Ndingagadzirira sei bvunzo yeTEE?
Uchada kugadzirira usati waongororwa. Chiremba wako achakupa mirairo yakajeka nezveizvi.
- Chikafu nechinwiwa: Unowanzo bvunzwa kuti usadye kana kunwa chero chinhu kwemaawa matanhatu usati waongororwa.
- Mishonga: Taura nachiremba wako nezvekuti unofanira kunwa rini mishonga yako yaunowanzo nwa.
- Doro: Dzivisa kunwa doro mazuva mashoma bvunzo isati yaitwa.
- Mutyairi: Usakanganwa kuuya nemumwe munhu kuti akutore uende naye kumba , sezvo usingazokwanisi kutyaira mushure mebvunzo.
Chinonyanya kukosha: Zvakakosha kuudza chiremba wako nezvenhoroondo yehutano hwako, kunyanya kana uine chimwe chezvirwere zvinotevera:
- Kenza yemudumbu
- Gastritis
- Chirungurira chinowanzoitika (GERD)
- Kuoma kumedza
- Kumborara usina kufema
- Kenza yemudumbu
- Kana uri kutora mushonga wehope, kuzvidya mwoyo, kana kurwadziwa.
Kana wangoudzwa zvinhu izvi, chiremba anogona kutora matanho anodiwa kuti bvunzo iyi ive yakachengeteka kwauri.
Chii chinoitika panguva yebvunzo?
Maitiro ese ekuita bvunzo iyi anogona kutora maminetsi angangoita makumi mapfumbamwe. Zvisinei, kutora mifananidzo chaiyo kunotora maminetsi angangoita gumi nemashanu chete. Nguva yasara inopedzerwa kukugadzirira uye kukutarisa mushure mebvunzo.
1. Kutanga, uchapihwa gown rekuchipatara rekupfeka.
2. Zvidhindo zvidiki (maelectrode) zvichaiswa pachipfuva chako. Izvi zvichaongorora mashandiro emagetsi emwoyo wako panguva yese yekuedzwa.
3. Chinovhara BP chakasungirirwa paruoko uye chinoyera pulse oximeter chakasungirirwa pamunwe.
4. Usazvidya moyo! Mushonga unopedza simba uchapfapfaidzwa muhuro mako kudzivirira kurwadziwa kana kukosora panguva yekuisa chubhu.
5. Zvadaro, mushonga uchapinzwa mutsinga iri muruoko rwako (mutsara we "IV") kuti unzwe wakasununguka uye une hope . Izvi hazvizokukonzere kusagadzikana kwakanyanya.
6. Uchatendeudzirwa kuruboshwe wobva warara pasi.
7. Chiremba achanyatsoisa chubhu yeTEE yakanyoroveswa nemuromo wako uye pasi pegurokuro rako. Dzimwe nguva uchakumbirwa kumedza.
8. Kana chubhu yangoiswa, mifananidzo yemoyo inotanga kutorwa. Hauzonzwi kurwadziwa , asi unganzwa kumanikidzwa kudiki muchipfuva chako.
9. Kana mifananidzo yapera, mamongi anobvisa chubhu.
10. Kumanikidzwa kweropa rako, kurova kwemoyo, uye mwero weokisijeni zvichatariswa kwenguva yakati mushure meizvozvo, uye uchaziviswa kuti wava kukwanisa kuenda kumba riini.
Pane njodzi dziripo here?
Sekune chero bvunzo dzekurapa, TEE inogona kuva nenjodzi diki, asi izvi hazviwanzoitiki.
- Kusawirirana nemishonga inoshandiswa.
- Chikafu kana mvura inopinda mumapapu (`Aspiration pneumonia`).
- Kuchinja kweBP kana kurova kwemoyo.
- Kubuda ropa kushoma nekuda kwekukwenya kudiki mu anus.
Kana uine zvaunotya kana kusava nechokwadi nazvo, taura nachiremba wako nezvazvo pachena usati waongororwa.
Chii chinoitika mushure mekuyedzwa?
Uchafanira kuzorora kwenguva yakati mushure mekuongororwa.
- Huro inorwadza: Huro yako icharwadza kweinenge awa. Usadye kana kunwa chero chinhu kusvika kurwadziwa kwapera zvachose. Zvikasadaro, unogona kudzipwa.
- Huro inorwadza:Ungave nekurwadziwa zvishoma pahuro kwemaawa mashoma kana zuva rimwe kana maviri mushure mekunge kurwadziwa kwapera. Izvi zvakajairika. Zvisinei, kana kurwadziwa kwacho kwakanyanya kana kusapera mushure memazuva mashoma, taura nachiremba wako.
- Kudzokera kumba: Nekuda kwemushonga wehope wawakapihwa, hauzokwanisi kutyaira kana kuita basa rine njodzi kwemaawa makumi maviri nemana. Ndosaka uchizoda mumwe munhu kuti akutore uende naye kumba.
Chii chinowanikwa mubvunzo yeTEE?
Kuongororwa uku kunogona kupa ruzivo rwakawanda runokosha nezvemaumbirwo uye mashandiro emwoyo, zvichiita kuti zvive nyore kuna chiremba kuongorora zvirwere zvakasiyana-siyana.
| Dambudziko rehutano rinoongororwa | Tsananguro iri nyore |
|---|---|
| Aneurysm yeropa guru | Madziro etsinga huru yeropa inotakura ropa kubva pamoyo anoshaya simba uye anozvimba. |
| Kugwamba kweropa | Kuongorora kana ropa rakagwamba mukati memakamuri emwoyo. |
| Chirwere chemwoyo chekuzvarwa nacho | Kuziva zvikanganiso zvakasiyana-siyana zvemwoyo zvinoitika pakuzvarwa. |
| Mabundu emwoyo | Kuziva mabundu ane kenza kana asiri ekenza anogona kuitika mumoyo. |
| Chirwere chevharuvhu yemwoyo | Kuongorora kana mavharuvhu emwoyo akadzikira kana kuti ropa rabuda. |
| Kutapukira kwemwoyo | Utachiona hune njodzi hwemukati memwoyo kana mavharuvhu. |
Mharidzo Yekuenda Nayo Kumba
- TEE iongororo yakakosha inoitiswa kuburikidza negurokuro yako inopa mifananidzo yakajeka yemoyo wako.
- Izvi zvinowanzoitwa kana kuongororwa kwechipfuva nguva dzose pasina ruzivo rwakakwana.
- Munguva yekuongororwa, uchapihwa mushonga unokubatsira kuti unzwe wakasununguka, wakasununguka, uye usarwadziwe pahuro. Iyi haisi bvunzo inorwadza.
- Zvakakosha kutsanya kwemaawa mashoma bvunzo isati yaitwa uye kuva nemumwe munhu anokuendesa kumba nemotokari mushure mekuongororwa.
- Taura nachiremba wako usati waongororwa nezvezvirwere zvako, mishonga yaunotora, uye chero kutya kana kunetseka kwauinako. Zvakakosha zvikuru kuti uchengetedzeke.
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