Xa ugqirha ekuxelela ukuba kufuneka wenze uvavanyo olubizwa ngokuba yi-"Right Heart Catheterization," ngaba wawunexhala kancinci? Kuqhelekile ukuba nabani na azive esoyika kwaye enomdla xa esithi into efana ne-"catheter" ifakwa entliziyweni. Kodwa ungoyiki. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela ephendula yonke imibuzo onayo engqondweni yakho. Emva koko uya kuqonda ukuba le ayisiyonto yokoyika emva kwayo yonke loo nto.
Ngamafutshane, yintoni i-Right Heart Catheterization?
Olu luvavanyo olukhethekileyo kakhulu. Kalula nje, lulinganisa indlela intliziyo yakho esebenza ngayo, oko kukuthi, indlela ehambisa ngayo igazi. Olu vavanyo lunceda ekufumaneni umbono ochanekileyo woxinzelelo lwegazi kunye nenqanaba leoksijini, ingakumbi kwicala lasekunene lentliziyo yakho nakwimiphunga.
Oogqirha bakwabiza oku ngokuthi "yi-pulmonary artery catheterization." Ngamanye amaxesha uya kuyiva ibizwa ngokuba yi-"Swan-Ganz catheter." La magama onke asetyenziselwa uvavanyo olufanayo.
Ukuze enze olu vavanyo, ugqirha wakho uza kusebenzisa ityhubhu encinci neguquguqukayo ebizwa ngokuba yi-catheter . Le tyhubhu ifakwa ngomthambo omkhulu entanyeni yakho, emqolo, okanye engalweni kwaye ifakelwe ngononophelo kwicala lasekunene lentliziyo yakho. Ukusuka apho, iya kukhokelwa kwi-artery ephambili ethwala igazi ukuya emiphungeni yakho, i-pulmonary artery . Le yindlela ulwazi olulinganiswa ngayo ngaphakathi kwentliziyo yakho.
Kutheni kuyimfuneko ukwenza uvavanyo olunjalo?
Ulwazi olufunyenwe kolu vavanyo luxabiseke kakhulu. Lunceda oogqirha ukuba bachonge ngokuchanekileyo iimeko ezahlukeneyo zonyango baze babone ukuba baphumelele kangakanani ekunyangeni.
Khawuthelekelele, njengokuba umkhandi esebenzisa izixhobo ezikhethekileyo ukujonga ukuba kukho ingxaki kwinjini yemoto, ugqirha usebenzisa le catheter ukulinganisa uxinzelelo kunye namanqanaba eoksijini entliziyweni.
Le theyibhile ingezantsi ikubonisa iimeko eziphambili zempilo ezifuna olu vavanyo.
| Imeko | Ingcaciso elula |
|---|---|
| Ukothuka kwentliziyo | Intliziyo ngequbuliso ayikwazi ukupompa igazi elaneleyo emzimbeni. |
| I-Cardiomyopathy | Ubunzima bokumpompa igazi ngenxa yokuba buthathaka okanye ukwanda kwemisipha yentliziyo. |
| Isifo sentliziyo esizalwa naso | Iziphene ezahlukeneyo zentliziyo zokuzalwa. |
| Ukumelwa yintliziyo | Intliziyo ayikwazi ukupompa igazi ukuze ihlangabezane neemfuno zomzimba. |
| Isifo sevalvu yentliziyo | Iivalvu ezisentliziyweni azivuli okanye zivaleke kakuhle. |
| Uxinzelelo lwegazi oluphezulu lwemiphunga | Uxinzelelo olugqithisileyo kwimithambo yegazi ethwala igazi ukuya emiphungeni. |
Ukongeza, olu vavanyo lunokufuneka ngaphambi okanye emva kotyando lokufakelwa amalungu, nangaphambi kokufakwa kwesixhobo esikhethekileyo esinceda intliziyo (`(isixhobo sokuncedisa i-ventricular yasekhohlo)`).
Yintoni umahluko phakathi kwezi mvavanyo zimbini ezenziwe kwicala lasekunene nelasekhohlo lentliziyo?
Ewe, lo ngumbuzo obalulekileyo. Kukho uvavanyo olwenziwa kwicala lasekunene lentliziyo (`ukuxilonga intliziyo ngasekunene`) kunye novavanyo olwenziwa kwicala lasekhohlo lentliziyo (`ukuxilonga intliziyo ngasekhohlo`). Kukho umahluko ocacileyo phakathi kwezi zimbini.
| Uphawu | Ukufakwa kweCatheter kwiNtliziyo yasekunene (kwicala lasekunene) | Ukufakwa kweCatheterization yentliziyo yasekhohlo (kwicala lasekhohlo) |
|---|---|---|
| Ityhubhu yokufaka i-catheter | Ngokusebenzisa umthambo (entanyeni, emqolo, okanye engalweni) | Ngokusebenzisa umthambo (rhoqo kwimiqolo okanye engalweni) |
| Inxalenye yentliziyo ehlolwayo | I-atrium yasekunene, i-ventricle yasekunene, kunye nomthambo we-pulmonary wentliziyo. | I-ventricle yasekhohlo yentliziyo, i-aorta, kunye nemithambo yentliziyo ehambisa igazi entliziyweni. |
| Injongo ephambili | Ukulinganisa uxinzelelo kwicala lasekunene lentliziyo nemiphunga. | Ukujonga ukuba akukho zithintelo kwimithambo yentliziyo. |
| Amanye amagama | Ukufakwa kwe-catheter kwimithambo yemiphunga | Ukufakwa kwe-catheter kwintliziyo, i-Coronary angiography |
Ufanele ulungiselele njani olu vavanyo?
Kulungile, makhe sibone indlela omawulungiselele ngayo ngosuku olungaphambi kosuku. Ugqirha wakho uza kukunika imiyalelo ethile ngale nto, kodwa ezi zizinto eziqhelekileyo ekufuneka uzenze.
- Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo: Kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza kagqirha, iivithamini, izongezo, okanye amayeza owasebenzisa ngaphandle kwemvume kagqirha. Amanye amayeza, ingakumbi amayeza okunciphisa igazi , anokufuneka amiswe kwiintsuku ezimbalwa ngaphambi kovavanyo.
- Zisa umntu ekhaya: Usenokungakwazi ukuqhuba imoto yakho emva kovavanyo, ngoko ke kubalulekile ukuba uze nomntu ekhaya.
- Susa ubucwebe kunye ne-nail polish: Ngaphambi kovavanyo, susa zonke izinto zobucwebe ezifana neentsimbi zomqala, izacholo, kunye nemisesane. Susa nayiphi na i-nail polish, ukuba ikhona.
- Ukuzila Ukutya: Uza kuxelelwa ukuba ungatyi okanye ungaseli nto iiyure ezi-6 ukuya kwezili-12 ngaphambi kovavanyo. Kubaluleke kakhulu ukulandela eli cebiso ngokuchanekileyo.
Kwenzeka ntoni ngomhla wovavanyo?
Lonke olu tyando lungathatha iiyure ezininzi, kodwa ixesha elichithwe yi-catheter lidla ngokuba malunga neyure.
Ngaphambi kovavanyo...
Emva kokuba usiwe kwicandelo elikhethekileyo lesibhedlele ("ilabhoratri yonyango"), umongikazi uza kungena aze akuxelele ukuba unxibe ilokhwe yesibhedlele. Baza kukuxelela ukuba uye kwigumbi lokuhlambela uze ukhuphe isinyi sakho. Baza kukwenza ulale etafileni yovavanyo baze bancamathisele amabala amancinci esifubeni sakho. Ezi zibizwa ngokuba zii-electrodes . Ezi zisetyenziselwa ukujonga umsebenzi wentliziyo yakho (njenge-ECG) kulo lonke uvavanyo.
Ixesha elininzi, awuyi kulaliswa kolu vavanyo. Nangona kunjalo, ngamanye amaxesha unokunikwa isithomalalisi okanye iyeza lokukunceda ulale okanye uphumle nge-cannula (IV) efakwe emthanjeni engalweni yakho.
Ngexesha lovavanyo...
Uvukile ngeli xesha. Ugqirha kunye neqela bayakuchazela yonke into.
1. Okokuqala, indawo apho i-catheter iza kufakwa khona (intamo, i-groin, okanye ingalo) iyacocwa kwaye naluphi na unwele luyasuswa ukuba kuyimfuneko.
2. Emva koko , kufakwa i-anesthetic yendawo ukuze indawo ingabi nantlungu. Ngoko awuyi kuva iintlungu ezininzi.
3. Ngoku, kusetyenziswa inaliti ekhethekileyo, kufakwa umthambo wegazi kwaye kufakwa i-catheter ngawo.
4. Emva koko, kancinci kancinci nangononophelo, ngelixa ujonge isikrini esikhethekileyo esifana ne-x-ray, i-catheter ikhokelwa kwicala lasekunene lentliziyo nakwi-pulmonary artery.
5. Nje ukuba i-catheter ikwindawo eyiyo, uxinzelelo kwindawo nganye luyalinganiswa kwaye kuthathwa iisampulu zegazi ukuba kuyimfuneko.
6. Ngeli xesha, ungacelwa ukuba uhlale ungashukumi, uphefumle okanye ume kancinci, okanye utshintshe indawo yomzimba wakho.
7. Ngamanye amaxesha, ungabona nendlela isantya sentliziyo yakho esitshintsha ngayo xa uzilolonga (umzekelo, usebenzisa umatshini wepedali xa ulele ebhedini).
8. Ekugqibeleni, i-catheter isuswa ngononophelo, kwaye i-plaster okanye i-bandage ifakwa kwindawo yokufaka.
Ngaba oku kuyabuhlungu?
Usenokuva iintlungu ezincinci xa kujovwa iyeza lokubulala iintlungu. Usenokuva noxinzelelo oluncinci xa kufakwa i-catheter. Ngaphandle koko, akukho ntlungu xa i-catheter ingena. Nangona kunjalo, ungaziva izinto ezinje:
- Intlungu esifubeni okanye ukuziva ngathi akukho ntliziyo ibethayo njengoko i-catheter ibetha eludongeni lwentliziyo.
- Intloko ebuhlungu, ukuziva unesizungu.
- Ukuziva unesicaphucaphu.
- Ndiziva ngathi ndikhohlela.
- Uvakalelo olufudumeleyo xa kunikwa iyeza.
Ukuba uziva naziphi na kwezi zinto, xelela ugqirha okanye umongikazi ngoko nangoko. Kubaluleke kakhulu.
Ngaba kukho naziphi na iingozi kolu vavanyo?
Ukufakwa kwe-catheter kwintliziyo yasekunene ngokuqhelekileyo yindlela ekhuselekileyo kakhulu. Nangona kunjalo, njengayo nayiphi na inkqubo yezonyango, inokuba neengozi ezincinci kakhulu. Ugqirha wakho uza kuyicebisa kuphela ukuba ugqiba kwelokuba iingenelo zenkqubo zingaphezulu kweengozi.
Ezinye iingozi ezinokubakho zezi:
- Iimpendulo ze-allergy kumayeza okanye kwizinto ezisetyenzisiweyo.
- Ukubetha kwentliziyo okungaqhelekanga (i-Arrhythmia).
- Ukopha okanye ukukrweleka apho kufakwa khona i-catheter.
- Amahlwili egazi.
- Usulelo.
- Kunqabile kakhulu, umonakalo entliziyweni okanye kwimithambo yegazi, ukuhlaselwa yintliziyo okanye isifo sohlangothi.
Khumbula ukuba ezi ngozi azixhaphakanga. Iqela lezonyango likulungele ngokupheleleyo ukuthintela into efana nale.
Ufuna ukwenza ntoni xa ufika ekhaya?
Uza kuhlolwa iiyure ezimbalwa emva kovavanyo kwaye uthunyelwe ekhaya. Lumka kwezi zinto emva kokuba ugodukile.
- Phumla: Phumla lonke usuku. Kuphephe ukugoba, ukuphakamisa, okanye ukutyhala ubuncinane iiyure ezingama-24.
- Kuphephe ukuqhuba: Ukuba unikwe amayeza okulala kancinci, musa ukuqhuba okanye ukusebenzisa oomatshini abanzima iiyure ezingama-24.
- Sela amanzi amaninzi: Ukusela amanzi amaninzi kulungele umzimba.
- Lumkela ibhandeji: Gcina ibhandeji apho i-catheter ifakwe khona ixesha elide njengoko ugqirha wakho ekuxelela (ngesiqhelo usuku okanye ezimbini).
- Ukuhlamba: Musa ukuhlamba iiyure ezingama-24-48. Kwakhona, musa ukungena ebhafini de inxeba liphole ngokupheleleyo. Xa uhlamba, musa ukuhlikihla inxeba kakhulu, kodwa ligcine limanzi.
Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza!
Ukuba ufumana naziphi na iimpawu ezingezantsi, fowunela ugqirha wakho ngaphandle kokulibazisa . Okanye yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
| Isilumkiso | Yintoni ekufuneka iqwalaselwe ngokukodwa |
|---|---|
| Ukopha okanye ukudumba kwindawo yokufaka i-catheter | Ukuba ukopha akuyeki okanye ukuba kuvela iqhuma elikhulu nelibuhlungu apho. |
| Iimpawu zosulelo | Ububomvu, ukudumba, ubushushu, ubomvu, okanye umkhuhlane ojikeleze inxeba. |
| Ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga | Ukuba uziva isifuba sakho sibetha ngamandla okanye ukubetha kwentliziyo yakho kuvakala kungaqhelekanga. |
| Utshintsho engalweni okanye emlenzeni | Ukuba ingalo okanye umlenze apho kufakwe khona i-catheter uyabuhlungu, ujika ube luhlaza okwesibhakabhaka, ubanda, okanye uyarhawuzelela. |
| Iimpawu zokuhlaselwa yintliziyo | Intlungu okanye ukuqina kwesifuba, ukubila kakhulu, ubunzima bokuphefumla. |
| Ukulahlekelwa yingqondo | Ukuba ngequbuliso ulahlekelwa zingqondo. |
Umyalezo Wokuya Ekhaya
- Uvavanyo lwe-Right Heart Catheterization luvavanyo olubalulekileyo nolukhuselekileyo ngokubanzi olujonga ukusebenza kwecala lasekunene lentliziyo yakho.
- Landela imiyalelo kagqirha (ukuzila ukutya, imiyalelo yamayeza) ngononophelo ngaphambi kolu vavanyo.
- Musa ukoyika ukuxelela iqela lezonyango malunga nokungonwabi okuvayo ngexesha lovavanyo.
- Kubaluleke kakhulu ukuphumla nokunyamekela inxeba emva kokuba ubuyele ekhaya.
- Qaphela iimpawu ezilumkisayo. Ukuba kukho naziphi na kwezi mpawu, funa ingcebiso kagqirha ngokukhawuleza.
- Ukuba usenemibuzo malunga noku, ungathandabuzi ukuyixoxa nogqirha wakho.
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