Masijonge nzulu entliziyweni! Funda ngeSwan-Ganz Catheterization!

Mhlawumbi ukhe weva ukuba oogqirha benza iimvavanyo ezahlukeneyo ukuze bajonge isifo sentliziyo. Ngamanye amaxesha kufuneka bazi kakuhle ukuba kwenzeka ntoni ngaphakathi entliziyweni, indlela igazi elihamba ngayo, kunye noxinzelelo. Isixhobo esikhethekileyo kunye nenkqubo esetyenziswa ngamaxesha anje ibizwa ngokuba yi-Swan-Garns catheterization. Ngaba singathetha ngale nto ngokulula?

Yintoni i-Swan-Ganz Catheter?

Ngamafutshane, yityhubhu encinci kakhulu, ekhethekileyo. Ifana nentlola encinci efakwa ngoogqirha emzimbeni wakho ukuze bafumane ulwazi. Ikwabizwa ngokuba yi-pulmonary artery catheter kuba iphelela kumthambo oyintloko (umthambo) othwala igazi ukuya emiphungeni yakho.

Le catheter ineetyhubhu ezine ezincinci, okanye 'iiports' , ezingena ngaphakathi kwityhubhu ephambili. Zifana neendlela ezincinci ezisecaleni ezidibana nendlela enye enkulu. Ngayinye kwezi zibuko inomsebenzi owahlukileyo.

• Thumela ulwelo okanye amayeza entliziyweni. Cinga ngako, kukho amaxesha apho amanye amayeza kufuneka anikwe ngqo entliziyweni, akunjalo? Oku kungasetyenziselwa into efana naleyo.
• Linganisa uxinzelelo lwegazi kwiindawo ezahlukeneyo zomzimba. Ngokukodwa, jonga uxinzelelo olungaphakathi entliziyweni nakwimithambo ethwala igazi ukuya emiphungeni.
• Ukufutha ibhaluni encinci. Le catheter isetyenziselwa ukunceda ukukhokela i-catheter kwindawo echanekileyo kwi-pulmonary artery. Ibhaluni ikwanceda ekuthatheni imilinganiselo ethile.
• Thatha isampuli yegazi kwimithambo yegazi yemiphunga. Oku kubalulekile ukujonga umxholo wegazi oya emiphungeni (umzekelo, ubungakanani beoksijini).

Yintoni esinokuyifunda kule Swan-Ganz?

Njengokuba umkhandi ejonga yonke into enjinini yemoto ukuze abone ukuba kukho ingxaki na, oogqirha basebenzisa le catheter ukuze bafumane ulwazi oluninzi malunga nokusebenza kakuhle kwentliziyo yakho.

Nazi izinto eziphambili onokuzazi:

• Uxinzelelo olukwiigumbi ezikwicala lasekunene lentliziyo yakho (i-"right atrium" kunye ne-"right ventricle") xa zizele ligazi. Uxinzelelo olukwiigumbi lubaluleke kakhulu xa igazi lingena entliziyweni naxa likhutshwa entliziyweni.
• Ungafumana umbono ongeyonyani woxinzelelo olukwiigumbi ezikwicala lasekhohlo lentliziyo (i-"left atrium" kunye ne-"left ventricle"). Oku kulinganiswa ngegophe.
• Uxinzelelo kumthambo apho kufakwe khona i-catheter.
• Uxinzelelo lwemithambo yakho yemiphunga. Oku kulinganisa uxinzelelo lwegazi njengoko lisiya emiphungeni yakho.
• Ingakanani imveliso yentliziyo yakho? Oko kukuthi, lingakanani igazi elimpompa intliziyo yakho emzimbeni wakho ngomzuzu. Olu luvavanyo olubaluleke kakhulu.
• Ingaba iivalvu ezisentliziyweni yakho zisebenza kakuhle na.

Ingaba i-Swan-Ganz Catheter isasetyenziswa?

Ewe, oogqirha basayisebenzisa le ndlela kuba abantu abaninzi bayijonga njengeyona ndlela ilungileyo yokufumana ulwazi oluchanekileyo malunga nokuba kwenzeka ntoni ngaphakathi kwentliziyo kunye nomthambo wamaphaphu. Ifana ' nomgangatho wegolide'.

Kodwa ngoku ayisetyenziswa rhoqo kwigumbi longxamiseko kwizigulane ezigula kakhulu. Endaweni yoko, isixhobo esingangenisi ntsholongwane esibizwa ngokuba yi-echocardiography sisetyenziswa rhoqo. Oku kungenxa yokuba i-echocardiography ayinazo iingozi ezincinci ezinokubakho xa kufakwa i-catheter ye-Swan-Ganz.

Ngubani ofuna i-Swan-Ganz Catheter?

Ugqirha uya kugqiba ekubeni asebenzise le catheter ukuba ukrokrela ukuba unayo, okanye uyazi ukuba sele unayo, nayiphi na kwezi mpawu okanye iimeko zilandelayo:

• Ukuphefumla nzima (ukuba imbangela ayicacanga)
• Ukumelwa yintliziyo
• Izingqisho zentliziyo ezingaqhelekanga
• Ukothuka kwentliziyo
• Ukothuka okubangelwa kukwanda kwemithambo yegazi (ukwahlulwahlulwa kwemithambo yegazi)
• I-Constrictive pericarditis ( ukuqina kwe-membrane ejikeleze intliziyo )
• Ukuhlaselwa yintliziyo
• I-cardiac tamponade (ulwelo oluqokelelana entliziyweni )
• Uxinzelelo oluphezulu lwegazi oluvela kwimiphunga (uxinzelelo oluphezulu kwimithambo yemiphunga)
• Ukuxhuzula kwemithambo yegazi (pulmonary embolism)
• Isifo sentliziyo sokuzalwa kwabantu abadala

Ayipheleli apho, le catheter ikwasetyenziselwa ukuqokelela ulwazi ngaphambi nasemva kokufakelwa intliziyo, ngaphambi nasemva kokufakwa kwesixhobo sokuncedisa i-ventricular yasekhohlo, nangaphambi nasemva kotyando oluthile.

Isebenza njani iSwan-Ganz Catheter?

Kulula kakhulu. Njengoko benditshilo ngaphambili, oogqirha basebenzisa 'iiports' ezahlukeneyo okanye iityhubhu ezincinci kule catheter ukuqokelela ulwazi oluvela ngaphakathi emzimbeni wakho. Njengoko le catheter idlula kwiigumbi ezikwicala lasekunene lentliziyo (i-atrium yasekunene kunye ne-ventricle yasekunene), balinganisa uxinzelelo kwezo gumbi. Emva koko, xa ingena kwi-pulmonary artery, basebenzisa ibhaluni encinci ekupheleni kwe-catheter ukulinganisa uxinzelelo olungaphakathi kuloo artery. Le yindlela abafumana ngayo ulwazi oluninzi olubalulekileyo malunga nokuhamba kwegazi entliziyweni nasemiphungeni.

Yintoni onokuyilindela ngaphambi kokuba iSwan-Ganz Catheterization iqale?

Ngaphambi kolu vavanyo, ugqirha uza kukuchazela oku kulandelayo:

• Baza kukuchazela into abalindele ukuyenza besebenzisa i-catheter ye-Swan-Ganz. Ungabuza nayiphi na imibuzo onayo ngeli xesha.
• Ukuba usela amayeza ngaphambi kovavanyo, uza kubuzwa ukuba kufuneka uyeke amanye awo na. Ngoko ke qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza owaselayo.
• Uza kucelwa ukuba uyeke ukutya nokusela iiyure ezimbalwa ngaphambi kokuba ufake i-catheter.
• Imvume yakho iyacelwa ukuze kwenziwe olu vavanyo.
• Uza kucelwa ukuba ulale ebhedini ekhethekileyo kwilebhu yonyango lwentliziyo.
• Iyeza lokuthomalalisa uza kulinikwa nge-intravenous (IV) cannula. Oku kuya kukunceda ungabi naxhala kwaye ungaxinezeleki kangako.

Kwenzeka ntoni ngexesha le-Swan-Ganz Catheterization?

Okwangoku, iqela lezonyango lisebenza ngolu hlobo lulandelayo:

• Indawo apho i-catheter iza kufakwa khona (ngokuqhelekileyo umthambo omkhulu emlenzeni, entanyeni, okanye esifubeni) iqale icocwe kakuhle kwaye indawo leyo ivalwe (i-anesthesia) ukuze ungabi nantlungu.
• Emva koko, i-catheter ye-Swan-Ganz ifakwa emthanjeni ngendawo engenanto.
• I-catheter idluliselwa phambili kwiigumbi ezikwicala lasekunene lentliziyo. Njengoko ihamba , imifanekiso ye-X-reyi ijongwa rhoqo kwisikrini ukubonisa apho ikhoyo i-catheter. Ifana neGPS ekubonisa indlela.
• Ekugqibeleni, i-catheter idluliselwa kwi-pulmonary artery.
• Emva kokuqokelela lonke ulwazi olufunekayo, i-catheter isuswa ngononophelo.

Yintoni onokuyilindela emva kweSwan-Ganz Catheterization?

Emva kokuba ugqirha ekhuphe i-catheter yeSwan-Ganz, uza kubeka uxinzelelo kwindawo apho i-catheter yayifakwe khona okwethutyana. Emva koko, kuya kufakwa ibhandishi kwindawo leyo.

Eyona nto ibalulekileyo kukuba ukuba i-catheter ifakwe emlenzeni wakho, uya kuxelelwa ukuba ulale ungashukumi iiyure ezimbini ukuya kwezintandathu ungashukumi umlenze wakho. Oku kubaluleke kakhulu, kungenjalo ungopha.

Kuqhelekile ukuba nenxeba elincinci apho kufakwe khona i-catheter. Liya kuphola lodwa kwiveki, ezimbini, okanye ezintathu ubuncinane.

Zithini iingozi zeSwan-Ganz Catheterization?

Ngoku, naluphi na unyango lunomngcipheko omncinci. Kodwa iingxaki ezivela kwi-catheter ye-Swan-Garns zinqabile kakhulu – zingaphantsi kwe-0.5%. Oko kuthetha ukuba kubantu abalikhulu, kusenokwenzeka ukuba akunakwenzeka komnye.

Nangona kunjalo, kukho iingozi ezimbalwa ezincinci ezinokwenzeka. Nazi:

• Usulelo. Ukuba iintsholongwane zingena kwindawo ye-catheter.
• Iqamza lomoya kwimithambo yegazi yakho.
• Umphunga owileyo. Le ngozi inokwenzeka ngamanye amaxesha ukuba kusetyenziswa umthambo we-subclavian entanyeni.
• Intliziyo isenokungasebenzi kakuhle (arrhythmia). Oku ngamanye amaxesha kunokwenzeka xa i-catheter idlula entliziyweni.
• Umonakalo omncinci eludongeni lwentliziyo, kwivalvu, okanye kumthambo wemiphunga. Nazo ezi aziqhelekanga kakhulu.

Oogqirha bayazazi ezi ngozi kwaye bathatha onke amanyathelo anokwenzeka ukuze bazinciphise. Ke ngoko , uninzi lwexesha, olu vavanyo lunokwenziwa ngempumelelo ngaphandle kweengxaki.

Yintoni eyenziwa ngugqirha ngeziphumo zeSwan-Ganz Catheterization?

Ulwazi olufunyenwe kuvavanyo lufana nengqokelela yolwazi. Ugqirha wakho uza kusebenzisa olu lwazi ukugqiba ukuba loluphi unyango olufunekayo.

Iziphumo zovavanyo zingaqinisekisa ukuba unesifo esithile na. Zinokunceda iqela lezonyango ukuba libone ukuba ingxaki yakho inzulu kangakanani na.

Ngokuxhomekeke kwimeko, olu hlobo lonyango lunokwenziwa:

• Amayeza. (Amanye amayeza anokunikwa nge-'port' kwi-catheter ye-Swan-Ganz, okanye nge-'IV' emthanjeni osengalweni yakho.)
• Ezinye iinkqubo zonyango. `(Iinkqubo)`
• Utyando. `(Utyando)`

Ndifanele ndiphinde ndimbone ugqirha kwakhona?

Ukuba ufumana nayiphi na kwezi zilandelayo emva kovavanyo, qiniseka ukuba wazisa ugqirha wakho ngoko nangoko:

• Ukuba indawo yokufaka i-catheter idumbile, okanye ukuba igazi okanye olunye ulwelo luphuma kuyo.
• Ukuba umlenze apho kufakwe khona i-catheter uvakala ngathi awunamandla okanye uvuvukile.

Ukuba unayo nayiphi na kwezi mpawu, musa ukuzityeshela. Kungcono ukufuna ingcebiso kagqirha ngokukhawuleza.

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

I-catheter ye-Swan-Ganz luvavanyo olubonelela ngolwazi oluxabisekileyo koogqirha ukuze lubancede bafumanise ingxaki yentliziyo okanye imiphunga yakho. Olu lwazi lunceda oogqirha ukuba bakunike unyango olungcono nolufanelekileyo .

Iqela lezonyango liza kuqinisekisa ukuba ukhululekile kwaye ukhululekile ngeli xesha lovavanyo. Kwakhona, amathuba okuba neengxaki aphantsi kakhulu. Ke ngoko, ukuba ugqirha ucebisa olu hlobo lovavanyo, akukho mfuneko yokoyika. Xoxa ngayo nayiphi na imibuzo okanye amathandabuzo onawo nogqirha uze uyisombulule.

Intliziyo , i-catheter yeSwan-Ganz, umthambo wemiphunga, uxinzelelo lwegazi, isifo sentliziyo, imiphunga, iimvavanyo zonyango