Chiremba paakakuudza kuti unofanira kuongororwa kunonzi "Right Heart Catheterization," waitya here? Zvakajairika kuti munhu wese anzwe kutya uye kuda kuziva paanoti chimwe chinhu chakaita se "catheter" chiri kuiswa mumoyo. Asi usatya. Nhasi, tichataura nezvazvo zviri nyore, nenzira inopindura mibvunzo yese yauinayo mupfungwa dzako. Ipapo uchaona kuti ichi hachisi chinhu chekutya zvachose.
Zvichitaurwa zviri nyore, chii chinonzi Right Heart Catheterization?
Iyi bvunzo yakakosha zvikuru. Muchidimbu, inoyera kuti mwoyo wako uri kushanda zvakanaka sei, ndiko kuti, kuti uri kupomba ropa zvakanaka sei. Iyi bvunzo inobatsira kuwana pfungwa chaiyo yeBP neoxygen, kunyanya kurudyi kwemoyo wako nemumapapu.
Vanachiremba vanotiwo izvi zvinonzi "pulmonary artery catheterization." Dzimwe nguva unozonzwa zvichinzi "Swan-Ganz catheter." Aya ese mazita ebvunzo imwe chete.
Kuti aite bvunzo iyi, chiremba wako achashandisa chubhu yakatetepa, inochinjika inonzi catheter . Chubhu iyi inopinzwa nepatsinga huru iri mumutsipa wako, pahudyu, kana paruoko uye inopinzwa zvakanaka kurudyi rwemoyo wako. Kubva ipapo, ichatungamirirwa mutsinga huru inotakura ropa kuenda kumapapu ako, tsinga yemapapu . Aya ndiwo mayererwo anoita ruzivo mukati memoyo wako.
Sei zvichikosha kuita bvunzo yakadaro?
Ruzivo rwakawanikwa kubva muongororo iyi runokosha zvikuru. Runobatsira vanachiremba kunyatsoongorora zvirwere zvakasiyana-siyana uye kuona kuti vari kubudirira sei pakurapa zvirwere izvi.
Fungidzira, sezvinoita makanika anoshandisa michina yakakosha kuti aone kana paine dambudziko neinjini yemotokari, chiremba anoshandisa katheta iyi kuyera kumanikidzwa uye mwero weokisijeni mukati memoyo.
Tafura iri pazasi inokuratidza zvirwere zvikuru zvinoda bvunzo iyi.
| Mamiriro | Tsananguro iri nyore |
|---|---|
| Kuvhunduka kwemwoyo | Moyo unoerekana wava kutadza kupomba ropa rakakwana mumuviri. |
| Cardiomyopathy | Kuomerwa nekupomba ropa nekuda kwekushaya simba kana kukura kwetsandanyama yemwoyo. |
| Chirwere chemwoyo chekuzvarwa nacho | Zvikanganiso zvakasiyana-siyana zvemwoyo zvekuzvarwa nazvo. |
| Kukundikana kwemoyo | Mwoyo haugone kupomba ropa kuti rigutse zvinodiwa nemuviri. |
| Chirwere chevharuvhu yemwoyo | Mavharuvhu ari mumoyo haavhurike kana kuvhara zvakanaka. |
| Kukwira kweropa zvakanyanya mumapapu | Kumanikidzwa kwakanyanya mutsinga dzeropa dzinotakura ropa kuenda kumapapu. |
Pamusoro pezvo, bvunzo iyi inogona kudiwa usati wavhiyiwa kana kuti mushure mekuisirwa nhengo, uye usati waisa mudziyo wakakosha unobatsira moyo (`(mudziyo wekubatsira ventricular yeruboshwe)`).
Ndeupi musiyano uripo pakati pemiedzo miviri iyi yakaitwa kurudyi nekuruboshwe rwemoyo?
Ehe, uyu mubvunzo unokosha. Pane bvunzo inoitirwa kurudyi kwemoyo (`Kuisa catheter yemoyo kurudyi`) uye bvunzo inoitirwa kuruboshwe rwemoyo (`Kuisa catheter yemoyo kuruboshwe`). Pane musiyano wakajeka pakati pezviviri izvi.
| Chinhu | Kubatsira Mwoyo Kubata Catheter (kurutivi rwerudyi) | Kucheneswa kwemoyo wekuruboshwe (kuruboshwe) |
|---|---|---|
| Chubhu yekuisa catheter | Kuburikidza netsinga (mumutsipa, muhudyu, kana kuti paruoko) | Kuburikidza netsinga (kazhinji muhudyu kana ruoko) |
| Chikamu chemwoyo chiri kuongororwa | Atriamu yekurudyi, ventricle yekurudyi, uye tsinga dzemapapu dzemwoyo. | Ventricle yekuruboshwe yemoyo, aorta, uye tsinga dzemoyo dzinopa ropa kumoyo. |
| Chinangwa chikuru | Kuyera kumanikidzwa kuri kurudyi kwemoyo nemapapu. | Kutarisa kana paine kuvharika kwetsinga dzemwoyo. |
| Mamwe mazita | Kuisa catheter mutsinga dzemapapu | Kucheneswa kwemwoyo, Coronary angiography |
Unofanira kugadzirira sei bvunzo iyi?
Zvakanaka, ngationei kuti munofanira kugadzirira sei zuva risati rasvika. Chiremba wenyu achakupai mirairo chaiyo panyaya iyi, asi izvi ndizvo zvinhu zvakajairika zvekuita.
- Udza chiremba wako nezvemishonga yese yauri kutora: Zvakakosha kuudza chiremba wako nezvemishonga yawakanyorerwa nachiremba, mavhitamini, mishonga yekuwedzera, kana mishonga yauri kutora isina kunyorerwa nachiremba. Mimwe mishonga, kunyanya mishonga inorwisa ropa , ingangoda kumira mazuva mashoma bvunzo isati yaitwa.
- Uya nemumwe munhu kumba: Ungasakwanisa kutyaira mota wega mushure mekuongororwa, saka zvakakosha kuti uuye nemumwe munhu kumba.
- Bvisa zvishongo nepurasitiki yenzara: Usati waedza, bvisa zvishongo zvese zvakaita semakenduru, zvishongo zvemaoko, nemhete. Bvisa chero purasitiki yenzara, kana iripo.
- Kutsanya: Uchaudzwa kuti usadye kana kunwa chero chinhu kwemaawa matanhatu kusvika gumi nemaviri bvunzo isati yaitwa. Zvakakosha kutevedzera zano iri nemazvo.
Chii chinoitika pazuva rebvunzo?
Maitiro ese anogona kutora maawa akati wandei, asi nguva iyo catheter inenge iripo inowanzova awa imwe chete.
Bvunzo isati yaitwa...
Mushure mekunge maendeswa kuchipatara ("cath lab"), mukoti achauya okuudzai kuti mupfeke gown rechipatara. Vanokuudzai kuti muende kuchimbuzi mobvisa tsvina mudundira renyu. Vanozobva vakumanikidzai kuti murare patafura yekuongororwa uye voisa zvidimbu zvidiki pachipfuva chenyu. Izvi zvinonzi maelectrodes . Izvi zvinoshandiswa kuongorora mashandiro emwoyo wenyu (seECG) mukati mebvunzo yese.
Kazhinji, hauzorare panguva yekuongororwa uku. Zvisinei, dzimwe nguva unogona kupihwa mushonga unonyaradza kana mushonga unokubatsira kurara kana kuzorora uchishandisa cannula (IV) yakaiswa mutsinga iri muruoko rwako.
Munguva yebvunzo...
Wamuka panguva ino. Chiremba nechikwata vari kukutsanangurira zvese.
1. Kutanga, nzvimbo ichaiswa catheter (mutsipa, dumbu, kana ruoko) inocheneswa uye chero bvudzi rinobviswa kana zvichidikanwa.
2. Zvadaro , mushonga unonyaradza marwadzo unobayiwa kuti nzvimbo yacho isave nechinhu chinorwadza. Saka hauzonzwi kurwadziwa kwakanyanya.
3. Zvino, uchishandisa tsono yakakosha, tsinga yeropa inopinzwa uye catheter inopinzwa nepairi.
4. Zvadaro, zvishoma nezvishoma uye nokungwarira, uchitarisa skrini yakakosha se x-ray, catheter inotungamirwa kurudyi rwemoyo uye mutsinga dzemapapu.
5. Kana catheter yasvika panzvimbo chaiyo, kumanikidzwa kweropa panzvimbo imwe neimwe kunoyerwa uye ropa rinotorwa kana zvichidikanwa.
6. Munguva iyi, unogona kukumbirwa kuti urambe wakadzikama, ufeme kana kumbomira, kana kuchinja chimiro chemuviri wako.
7. Dzimwe nguva, unogona kuonawo kuti kurova kwemoyo wako kunochinja sei paunorovedza muviri (semuenzaniso, uchishandisa muchina wepedal wakarara pamubhedha).
8. Pakupedzisira, catheter inobviswa nokungwarira, uye plaster kana bhandeji zvinoiswa panzvimbo inopinzwa.
Izvi zvinorwadza here?
Unganzwa kurwadziwa zvishoma kana mushonga wekuti usave nechiveve wakabayiwa. Unganzwawo kumanikidzwa kudiki kana catheter yaiswa. Kunze kweizvozvo, hapana kurwadziwa kana catheter yapinda. Zvisinei, unganzwa zvinhu zvakaita seizvi:
- Kurwadziwa pachipfuva kana kunzwa sekunge kurova kwemoyo kwapera sezvo catheter ichirova madziro emoyo.
- Musoro, kunzwa dzungu.
- Kunzwa kuda kurutsa.
- Kunzwa kuda kukosora.
- Kunzwa kudziya kana mushonga wacho wapihwa.
Kana ukanzwa chimwe chezvinhu izvi, taurira chiremba kana nesi nekukasika. Zvakakosha zvikuru.
Pane njodzi dziripo pabvunzo iyi here?
Kuisa catheter mumoyo wekurudyi kazhinji inzira yakachengeteka zvikuru. Zvisinei, semamwe maitiro ekurapa, inogona kuva nenjodzi diki. Chiremba wako anokukurudzira chete kana ukasarudza kuti mabhenefiti enzira iyi anopfuura njodzi.
Dzimwe njodzi dzinogona kuitika ndeidzi:
- Kurwara nemishonga kana zvimwe zvinhu zvinoshandiswa.
- Kurova kwemoyo kusina kurongeka (Arrhythmia).
- Kubuda ropa kana mavanga panowanikwa catheter.
- Kugwamba kweropa.
- Utachiona.
- Kashoma, kukuvara kwemoyo kana tsinga dzeropa, kurwara nemoyo kana sitiroko.
Yeuka kuti njodzi idzi hadziwanzoitika. Chikwata chevanachiremba chakagadzirira zvizere kudzivirira chinhu chakadai.
Unoda kuitei kana wasvika kumba?
Uchatariswa kwemaawa mashoma mushure mekuongororwa uye uchadzoserwa kumba. Chenjerera zvinhu izvi kana waenda kumba.
- Zorora: Zorora zuva rose. Dzivisa kukotama, kusimudza, kana kusunda kwemaawa makumi maviri nemana.
- Dzivisa kutyaira: Kana wakapihwa mushonga wekurarisa usina kurema, usatyaira kana kushandisa michina inorema kwemaawa makumi maviri nemana.
- Inwa mvura yakawanda: Kunwa mvura yakawanda kwakanaka kumuviri.
- Chengetedza bhandeji: Chengeta bhandeji pawakaisa catheter kwenguva yakareba sezvawakaudzwa nachiremba wako (kazhinji zuva rimwe kana maviri).
- Kugeza: Usageze kwemaawa makumi maviri nemana kusvika makumi mana nemasere. Uyewo, usapinda mubhavhu kusvika ronda rapora zvachose. Pakugeza, usakwize ronda zvakanyanya, asi rirambe rakanyorova.
Kana uine zviratidzo izvi, fonera chiremba wako nekukasika!
Kana ukaona chimwe chezviratidzo zviri pazasi, fonera chiremba wako nekukurumidza . Kana kuti enda kuEmergency Department (ETU) yechipatara chiri pedyo.
| Chiratidzo Chenyevero | Zvekunyanya kukoshesa |
|---|---|
| Kubuda ropa kana kuzvimba panzvimbo inopinzwa catheter | Kana kubuda ropa kukaramba kuchipera kana kuti bundu guru rinorwadza rikabuda ipapo. |
| Zviratidzo zvehutachiona | Kutsvuka, kuzvimba, kudziya, urwa, kana fivha yakakomberedza ronda. |
| Kurova kwemoyo nekukurumidza kana kusina kurongeka | Kana uchinzwa chipfuva chako chichirova kana kuti kurova kwemoyo wako kusinganzwisisike. |
| Kuchinja kweruoko kana gumbo | Kana ruoko kana gumbo pakaiswa catheter richirwadza, rikashanduka kuita bhuruu, rikatonhora, kana kuti rikatanga kurwadza. |
| Zviratidzo zvechirwere chemwoyo | Kurwadziwa kana kusimba kwechipfuva, kudikitira zvakanyanya, kuoma kufema. |
| Kurasikirwa nepfungwa | Kana ukangoerekana warasikirwa nepfungwa. |
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kwemoyo werudyi (Right Heart Catheterization) inzira inokosha uye yakachengeteka yekuongorora mashandiro erutivi rwerudyi rwemoyo wako.
- Tevedzera mirairo yachiremba (kutsanya, mirairo yemishonga) nokungwarira usati waongororwa.
- Usatya kuudza timu yezvekurapa nezvekusagadzikana kwaunonzwa panguva yekuongororwa.
- Zvakakosha kuzorora uye kutarisira ronda racho mushure mekunge waenda kumba.
- Ziva zviratidzo zvinonyevera. Kana chimwe chezviratidzo izvi chikaonekwa, tsvaga rubatsiro rwechiremba nekukasika.
- Kana muchine mibvunzo nezvenyaya iyi, musazeza kuikurukura nachiremba wenyu.
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