Ake sibheke ngokujulile enhliziyweni! Funda nge-Swan-Ganz Catheterization!

Cishe uke wezwa ukuthi odokotela benza izivivinyo ezahlukene ukuze babheke izifo zenhliziyo. Ngezinye izikhathi badinga ukwazi kahle ukuthi kwenzekani ngaphakathi kwenhliziyo, ukuthi igazi lihamba kanjani, nokuthi ingcindezi iyini. Idivayisi ekhethekile kanye nenqubo esetshenziswa ngezikhathi ezinjengalezi ibizwa ngokuthi i-Swan-Garns catheterization. Ingabe singakhuluma ngalokhu ngamazwi alula?

Iyini i-Swan-Ganz Catheter?

Kalula nje, iyipayipi elincane kakhulu nelikhethekile. Kufana nenhloli encane efakwa odokotela emzimbeni wakho ukuze bathole ulwazi. Ibizwa nangokuthi i-catheter yemithambo yamaphaphu ngoba iphelela emthanjeni oyinhloko (umthambo) othwala igazi liye emaphashini akho.

Le catheter inamapayipi amane amancane, noma 'ama-port' , angena ngaphakathi kwepayipi eliyinhloko. Afana nemigwaqo emincane eseceleni exhuma emgwaqweni omkhulu owodwa. Ipayipi ngalinye linomsebenzi ohlukile.

• Thumela uketshezi noma imithi enhliziyweni. Cabanga ngakho, kunezikhathi lapho eminye imithi idinga ukunikezwa ngqo enhliziyweni, akunjalo? Lokhu kungasetshenziswa entweni efana naleyo.
• Kala umfutho wegazi ezingxenyeni ezahlukene zomzimba. Ngokukhethekile, hlola umfutho ngaphakathi kwenhliziyo kanye nasemithanjeni ethwala igazi liye emaphashini.
• Ukufaka umoya ebhaluni elincane. Le catheter isetshenziselwa ukusiza ukuqondisa i-catheter endaweni efanele emthanjeni wamaphaphu. Ibhaluni liphinde lisize ekuthatheni izilinganiso ezithile.
• Thatha isampula yegazi emthanjeni wamaphaphu. Lokhu kubalulekile ukuhlola okuqukethwe yigazi eliya emaphashini (isibonelo, inani lomoya-mpilo).

Yini esingayifunda kule Swan-Ganz?

Njengoba nje umakhenika ehlola yonke into enjinini yemoto ukuze abone ukuthi ikhona yini inkinga, odokotela basebenzisa le catheter ukuthola ulwazi oluningi mayelana nokuthi inhliziyo yakho isebenza kahle kangakanani.

Nazi izinto eziyinhloko ongazazi:

• Ukucindezela emakamelweni angakwesokudla kwenhliziyo yakho (i-"atrium yangakwesokudla" kanye ne-"ventricle yangakwesokudla") lapho egcwala igazi. Ukucindezela kula makamelweni kubaluleke kakhulu lapho igazi lingena enhliziyweni nalapho likhishwa enhliziyweni.
• Ungathola umbono oqondile wokucindezela emakamelweni ohlangothini lwesobunxele lwenhliziyo ("i-atrium yangakwesobunxele" kanye "ne-ventricle yangakwesobunxele"). Lokhu kulinganiswa ngejika.
• Ingcindezi emthanjeni lapho kufakwe khona i-catheter.
• Umfutho wegazi lakho lomoya ohamba emaphashini. Lokhu kulinganisa umfutho wegazi njengoba lihamba liye emaphashini akho.
• Ungakanani umphumela wokuphuma kwenhliziyo yakho? Okusho ukuthi, lingakanani igazi elimponthwa yinhliziyo yakho emzimbeni wakho ngomzuzu. Lokhu kuyisilinganiso esibaluleke kakhulu.
• Ukuthi ama-valve asenhliziyweni yakho asebenza kahle yini.

Ingabe i-Swan-Ganz Catheter isasetshenziswa?

Yebo, odokotela basasebenzisa le ndlela ngoba abantu abaningi bayibheka njengendlela engcono kakhulu yokuthola ulwazi olunembile mayelana nokuthi kwenzekani ngaphakathi kwenhliziyo kanye nomthambo wamaphaphu. Kufana ' nezinga legolide'.

Kodwa manje ayisasetshenziswa njalo egumbini lezimo eziphuthumayo zeziguli ezigula kakhulu. Kunalokho, ithuluzi elingahlaseli elibizwa ngokuthi i-echocardiography lisetshenziswa kaningi. Lokhu kungenxa yokuthi i-echocardiography ayinazo izingozi ezincane ezingaba khona lapho kufakwa i-catheter ye-Swan-Ganz.

Ubani odinga i-Swan-Ganz Catheter?

Udokotela ngokuvamile uzonquma ukusebenzisa le catheter uma esola ukuthi unayo, noma azi ukuthi usunayo, noma yiziphi izimpawu noma izimo ezilandelayo:

• Ukuphelelwa umoya (uma imbangela ingacacile)
• Ukwehluleka kwenhliziyo
• Izigqi zenhliziyo ezingavamile
• Ukushaqeka kwenhliziyo
• Ukushaqeka okubangelwa ukunwebeka kwemithambo yegazi (Ukushaqeka kokusabalalisa)
• I-Constrictive pericarditis ( ukuqina kolwelwesi oluzungeze inhliziyo )
• Isifo senhliziyo
• I-tamponade yenhliziyo (ukunqwabelana koketshezi oluzungeze inhliziyo )
• Umfutho wegazi ophezulu wamaphaphu (ukwanda kwengcindezi emithanjeni yamaphaphu)
• I-embolism yamaphaphu
• Isifo senhliziyo sokuzalwa komuntu omdala

Akukhona lokho kuphela, le catheter isetshenziselwa ukuqoqa ulwazi ngaphambi nangemva kokufakelwa inhliziyo, ngaphambi nangemva kokufakwa kwedivayisi yokusiza i-ventricular yesobunxele, nangaphambi nangemva kokuhlinzwa okunye.

Isebenza kanjani i-Swan-Ganz Catheter?

Kulula kakhulu. Njengoba ngishilo ngaphambili, odokotela basebenzisa 'ama-port' ahlukene noma amashubhu amancane kule catheter ukuqoqa ulwazi ngaphakathi emzimbeni wakho. Njengoba le catheter idlula emakamelweni angakwesokudla kwenhliziyo (i-atrium yangakwesokudla kanye ne-ventricle yangakwesokudla), balinganisa ingcindezi kulawo makamelo. Bese kuthi, uma ingena emthanjeni wamaphaphu, basebenzise ibhaluni elincane ekugcineni kwe-catheter ukukala ingcindezi engaphakathi kwalowo mthambo. Yile ndlela abathola ngayo ulwazi oluningi olubalulekile mayelana nokugeleza kwegazi enhliziyweni nasemaphashini.

Yini ongayilindela ngaphambi kokufakwa kwe-Swan-Ganz Catheterization?

Ngaphambi kwalokhu kuhlolwa, udokotela uzokuchazela okulandelayo:

• Bazokuchazela ukuthi balindele ukwenzani besebenzisa i-catheter ye-Swan-Ganz. Ungabuza noma yimiphi imibuzo onayo ngalesi sikhathi.
• Uma uthatha noma yimiphi imithi ngaphambi kokuhlolwa, uzobuzwa ukuthi udinga yini ukuyeka eminye yayo. Ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo.
• Uzocelwa ukuthi uyeke ukudla nokuphuza amahora ambalwa ngaphambi kokufakwa kwe-catheter.
• Imvume yakho iyacelwa ukuze kwenziwe lolu vivinyo.
• Uzocelwa ukuba ulale embhedeni okhethekile elabhorethri yokwelapha inhliziyo nge-catheter.
• Umuthi wokuphumuza uzonikezwa nge-cannula yemithambo yegazi (IV). Lokhu kuzokusiza uzizwe ungakhathazeki futhi ucindezelekile kancane.

Kwenzekani ngesikhathi se-Swan-Ganz Catheterization?

Okwamanje, ithimba lezokwelapha lisebenza kanje:

• Indawo lapho kuzofakwa khona i-catheter (ngokuvamile umthambo omkhulu emlenzeni, entanyeni, noma esifubeni) iqale ihlanzwe kahle bese indawo ivalwe (i-anesthesia) ukuze ungezwa ubuhlungu.
• Ngemuva kwalokho, i-catheter ye-Swan-Ganz ifakwa emthanjeni ngokusebenzisa indawo yokungazweli.
• I-catheter idluliselwa emakamelweni angakwesokudla kwenhliziyo. Njengoba ihamba , izithombe ze-X-ray zihlala ziqashwe kusikrini ukuze zibonise ukuthi i-catheter ikuphi. Kufana ne-GPS ekukhombisa indlela.
• Ekugcineni, i-catheter idluliselwa emthanjeni wamaphaphu.
• Ngemva kokuqoqa lonke ulwazi oludingekayo, i-catheter isuswa ngokucophelela.

Yini ongayilindela ngemva kokufakelwa kwe-Swan-Ganz Catheterization?

Ngemva kokuba udokotela ekhiphe i-catheter ye-Swan-Ganz, uzofaka ingcindezi endaweni lapho i-catheter ifakwe khona isikhashana. Ngemuva kwalokho, kuzofakwa ibhandishi endaweni.

Into ebaluleke kakhulu ukuthi uma i-catheter ifakiwe emlenzeni wakho, uzotshelwa ukuthi ulale unganyakazi amahora amabili kuya kwayisithupha ngaphandle kokunyakaza umlenze wakho. Lokhu kubaluleke kakhulu, ngaphandle kwalokho ungase wophe igazi.

Kujwayelekile ukuba nokulimala okuncane lapho kufakwe khona i-catheter. Kuzophola ngokwako phakathi nesonto, amasonto amabili, noma amathathu okungenani.

Yiziphi izingozi ze-Swan-Ganz Catheterization?

Manje, noma iyiphi inqubo yezokwelapha inengozi encane. Kodwa izinkinga ezivela ku-catheter ye-Swan-Garns azivamile kakhulu - zingaphansi kuka-0.5%. Lokho kusho ukuthi kubantu abayikhulu, cishe ngeke kwenzeke koyedwa.

Kodwa-ke, kunezingozi ezimbalwa ezincane ezingase zenzeke. Lezi yizi:

• Ukutheleleka. Uma amagciwane engena endaweni ye-catheter.
• Ibhamuza lomoya emthanjeni wakho wegazi.
• Iphaphu eliwile. Le ngozi ingenzeka ngezinye izikhathi uma kusetshenziswa umthambo we-subclavian entanyeni.
• Kungase kube nokushaya kwenhliziyo okungajwayelekile (i-arrhythmia). Lokhu kungenzeka ngezinye izikhathi uma i-catheter idlula enhliziyweni.
• Umonakalo omncane odongeni lwenhliziyo, ivalvu, noma umthambo wamaphaphu. Lokhu nakho akuvamile kakhulu.

Odokotela bayazazi kahle lezi zingozi futhi bathatha zonke izinyathelo ezingase zithathwe ukuze bazinciphise. Ngakho-ke , esikhathini esiningi, lokhu kuhlolwa kungenziwa ngempumelelo ngaphandle kwezinkinga.

Udokotela wenzani ngemiphumela ye-Swan-Ganz Catheterization?

Ulwazi olutholakale ekuhlolweni lufana nengcebo yolwazi. Udokotela wakho uzosebenzisa lolu lwazi ukunquma ukuthi yiluphi ukwelashwa okudingayo.

Imiphumela yokuhlolwa ingaqinisekisa ukuthi unesifo esithile. Ingasiza nethimba lezokwelapha ukuthi linqume ukuthi inkinga yakho ibucayi kangakanani.

Kuye ngesimo, ukwelashwa okulandelayo kungenziwa:

• Imithi. (Eminye imithi inganikezwa nge-'port' ku-catheter ye-Swan-Ganz, noma nge-'IV' emthanjeni osengalweni yakho.)
• Ezinye izinqubo zezokwelapha. `(Izinqubo)`
• Ukuhlinzwa. `(Ukuhlinzwa)`

Kufanele ngiphinde ngimbone nini udokotela?

Uma uhlangabezana nanoma yikuphi okulandelayo ngemva kokuhlolwa, qiniseka ukuthi wazisa udokotela wakho ngokushesha:

• Uma indawo yokufaka i-catheter ivuvukele, noma uma igazi noma olunye uketshezi luphuma kuyo.
• Uma umlenze lapho kufakwe khona i-catheter uzizwa ungazwakali noma uvuvukele.

Uma unezinye zalezi zimpawu, ungazinaki. Kungcono ukufuna iseluleko sezokwelapha ngokushesha.

Into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

I-catheter ye-Swan-Ganz iwukuhlolwa okunikeza odokotela ulwazi olubalulekile ukuze kubasize bathole inkinga yenhliziyo noma amaphaphu akho. Lolu lwazi lusiza odokotela ukuthi bakunikeze ukwelashwa okungcono kakhulu nokufanelekile .

Ithimba lezokwelapha lizoqinisekisa ukuthi ukhululekile futhi ukhululekile phakathi nalolu vivinyo. Futhi, amathuba okuba nezinkinga mancane kakhulu. Ngakho-ke, uma udokotela ephakamisa lolu hlobo lokuhlolwa, asikho isidingo sokwesaba. Xoxa nganoma yimiphi imibuzo noma ukungabaza onakho nodokotela bese ukuxazulula.

Inhliziyo , i-catheter ye-Swan-Ganz, umthambo wamaphaphu, umfutho wegazi, isifo senhliziyo, amaphaphu, ukuhlolwa kwezokwelapha