Ingabe udokotela wakho ukutshelile ukuthi wenze ukuhlolwa kwe-TEE? Ungase wesabe kancane uma uzwa igama. Ungase ucabange, 'Kuyini lokhu kugwinya ithubhu?' Kodwa ungakhathazeki. Akwesabisi njengoba ungase ucabange. Kuyisivivinyo esithuthuke kakhulu esinikeza udokotela wakho ulwazi oluningi olubalulekile mayelana nempilo yenhliziyo yakho. Namuhla, sizoxoxa ngesivivinyo se-TEE ngendlela elula kakhulu ongayiqonda.
Kalula nje, iyini i-TEE?
Incazelo ephelele ye-TEE ithi i-Transesophageal Echocardiogram . Kulungile, kulungile... leli gama liyadida kancane. Ake sigcine lokhu kulula.
Cabanga ukuthi udinga ukuthatha isithombe senhliziyo yakho. Esivivinyweni esivamile se-echo, esibizwa ngokuthi i-Transthoracic Echo (TTE) , udokotela ubeka ithuluzi elincane esifubeni sakho bese ethatha izithombe zenhliziyo yakho. Kufana nokuthatha isithombe ukude.
Kodwa ukuhlolwa kwe-TEE kuhlukile kancane. Lapha, kufakwa ithubhu elincane kakhulu, eliguquguqukayo (elibizwa ngokuthi i-endoscope) ngomlomo wakho bese lidluliselwa emphinjeni wakho. Ekupheleni kwaleli thubhu kukhona idivayisi encane efana nekhamera (i-transducer). Lokhu kuthumela amaza omsindo, bese amaza egxuma enhliziyweni futhi adale izithombe ezicacile neziseduze zenhliziyo.
Umphimbo wakho utholakala ngemuva kwenhliziyo yakho, eduze kakhulu nayo. Yingakho le ndlela ingathatha izithombe ezicacile nezinemininingwane zenhliziyo yakho.
Kungani sidinga ukwenza ukuhlolwa kwe-TEE?
Akuwona wonke umuntu okuzodingeka enze lokhu kuhlolwa kwe-TEE. Udokotela uyakutusa ngezizathu ezimbalwa ezithile. Ake sibone ukuthi ziyini.
| Isimo | Indlela i-TEE esisiza ngayo |
|---|---|
| Uma ezinye izivivinyo zinganikezi ulwazi olucacile | Ungase ungakwazi ukuthola inkinga ethile yenhliziyo ngemva kokuhlolwa njalo kwe-TTE. I-TEE inikeza umbono ocacile nojulile wenhliziyo. |
| Uma usesimweni esiphuthumayo/esibucayi | Uma umfutho wegazi lakho uphansi kakhulu, amazinga akho omoya-mpilo ephansi, noma umzimba wakho ushaqekile, i-TEE ingakusiza ukuthola imbangela ngokushesha. |
| Ngaphambi kokwelapha izinkinga zesigqi senhliziyo | Lokhu kuhlolwa kubalulekile ukuhlola amahlule egazi enhliziyweni ngaphambi kokwelashwa kwe-arrhythmia, njengokususwa kwe-catheter noma i-electrical cardioversion . |
| Ekuhlinzweni kwenhliziyo | I-TEE isetshenziselwa ukubuka ngokunembile isakhiwo senhliziyo ngaphambi kokuhlinzwa, ukuqinisekisa impumelelo yokuhlinzwa ngemva kokuhlinzwa, futhi ngezinye izikhathi ukuqondisa udokotela ohlinzayo ngesikhathi sokuhlinzwa. |
Kungani ukhethe i-TEE esikhundleni se-Echo evamile?
Odokotela bavame ukwenza i-TTE scan esifubeni kuqala, kodwa kwezinye izimo banquma ukungayisebenzisi bese beya ngqo ku-TEE.
- Ngenxa yesakhiwo sesifuba: Abanye abantu banenkinga yokuthola izithombe ezicacile ezivela ku-TTE ngenxa yokuma kwesifuba sabo, amafutha amaningi, noma ukuma kwamaphaphu abo.
- Izifo zamaphaphu: Uma kukhona isifo emaphashini, singaphazamisa umbono wenhliziyo.
- Esimweni esiphuthumayo esisongela ukuphila: Izithombe ezicacile ezitholwe ku-TEE zibaluleke kakhulu esimweni esiphuthumayo lapho kudingeka khona ukuxilongwa okusheshayo nokunembile.
Ngilungiselela kanjani ukuhlolwa kwe-TEE?
Uzodinga ukulungiselela okuthile ngaphambi kwalolu vivinyo. Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu.
- Ukudla Nokuphuza: Ngokuvamile ucelwa ukuthi ungadli noma uphuze lutho okungenani amahora ayisithupha ngaphambi kokuhlolwa.
- Imithi: Khuluma nodokotela wakho mayelana nokuthi kufanele uthathe nini imithi yakho evamile.
- Utshwala: Gwema ukuphuza utshwala ezinsukwini ezingaphambi kokuhlolwa.
- Umshayeli: Ungakhohlwa ukuletha umuntu ozokuthatha akuyise ekhaya , ngoba ngeke ukwazi ukushayela ngemva kokuhlolwa.
Okubaluleke kakhulu: Kubalulekile ukutshela udokotela wakho ngomlando wakho wezempilo, ikakhulukazi uma unezinye zezimo ezilandelayo:
- Umdlavuza we-Esophageal
- I-Gastritis
- Ukushisa kwenhliziyo okuvamile (GERD)
- Ubunzima bokugwinya
- Ukuphefumula komoya ngesikhathi sokulala
- Umdlavuza wesisu
- Uma uphuza imithi yokulala, ukukhathazeka, noma ubuhlungu.
Uma usutshelwe lezi zinto, udokotela angathatha izinyathelo ezidingekayo ukuze lokhu kuhlolwa kuphephe kuwe.
Kwenzekani ngesikhathi sokuhlolwa?
Yonke inqubo yokwenza lokhu kuhlolwa ingathatha cishe imizuzu engama-90. Kodwa-ke, ukuthatha izithombe ngokoqobo kuthatha cishe imizuzu eyi-15 kuphela. Isikhathi esisele sichithwa sikulungiselela futhi sikubuka ngemva kokuhlolwa.
1. Okokuqala, uzonikezwa ingubo yasesibhedlela ozoyigqoka.
2. Izitikha ezincane (ama-electrode) zizobekwa esifubeni sakho. Lezi zizoqapha ukusebenza kukagesi kwenhliziyo yakho kulo lonke ukuhlolwa.
3. I-blood pressure cuff inamathele engalweni bese kuthi i-pulse oximeter inamathele emunweni.
4. Ungakhathazeki! Umuthi wokubulala izinzwa uzofuthwa emphinjeni wakho ukuvimbela noma yikuphi ubuhlungu noma ukukhwehlela ngesikhathi sokufakwa kwepayipi.
5. Ngemuva kwalokho, kuzofakwa umuthi emthanjeni ongalweni yakho (umugqa we-IV) ukuze uzizwe ukhululekile futhi ulele . Lokhu ngeke kukubangele ukungakhululeki okukhulu.
6. Uzophendukela kwesobunxele bese ulaliswa phansi.
7. Udokotela uzofaka ngokucophelela nangokucophelela ithubhu le-TEE eligcotshwe ngomlomo wakho bese wehla ngomhubhe wakho. Ngezinye izikhathi uzocelwa ukuba ugwinye.
8. Uma ipayipi selikhona, izithombe zenhliziyo zizoqala ukuthathwa. Ngeke uzwe ubuhlungu , kodwa ungase uzwe ukucindezeleka okuncane esifubeni sakho.
9. Uma izithombe seziqediwe, izindela zisusa ipayipi.
10. Umfutho wegazi lakho, ukushaya kwenhliziyo, kanye namazinga omoya-mpilo kuzoqashwa isikhashana ngemva kwalokho, futhi uzokwaziswa ukuthi ungaya nini ekhaya.
Ingabe zikhona izingozi ezihilelekile?
Njenganoma yikuphi ukuhlolwa kwezokwelapha, i-TEE ingaba nengozi encane, kodwa lokhu akuvamile kakhulu.
- Ukusabela kokungezwani komzimba nemithi esetshenziswayo.
- Ukudla noma uketshezi olungena emaphashini (`i-Aspiration pneumonia`).
- Izinguquko ekucindezelweni kwegazi noma izinga lokushaya kwenhliziyo.
- Ukopha okuncane okubangelwa ukuklwebheka okuncane kakhulu endunu.
Uma unokwesaba noma ukungabaza ngalokhu, khuluma nodokotela wakho ngakho obala ngaphambi kokuhlolwa.
Kwenzekani ngemva kokuhlolwa?
Kuzodingeka uphumule isikhashana ngemva kokuhlolwa.
- Umphimbo obuhlungu: Umphimbo wakho uzozwa ubuhlungu cishe ihora. Ungadli noma uphuze lutho kuze kube yilapho ubuhlungu buphela ngokuphelele. Ngaphandle kwalokho, ungase uklinywe.
- Umphimbo obuhlungu:Ungase ube nomphimbo obuhlungu kancane amahora ambalwa noma usuku noma amabili ngemva kokuba umphimbo obuhlungu usuphelile. Lokhu kuvamile. Kodwa-ke, uma ubuhlungu bukhulu noma bungapheli ngemva kwezinsuku ezimbalwa, khuluma nodokotela wakho.
- Ukubuyela ekhaya: Ngenxa yemithi yokozela oyinikiwe, ngeke ukwazi ukushayela noma ukwenza umsebenzi oyingozi amahora angama-24. Yingakho uzodinga umuntu ozokuthatha akuyise ekhaya.
Yini engatholakala ekuhlolweni kwe-TEE?
Lokhu kuhlolwa kunganikeza ulwazi oluningi olubalulekile mayelana nesakhiwo kanye nokusebenza kwenhliziyo, okwenza kube lula ngodokotela ukuthola izimo zezokwelapha ezahlukahlukene.
| Isimo sezokwelapha esingaxilongwa | Incazelo elula |
|---|---|
| I-Aortic aneurysm | Udonga lomthambo wegazi oyinhloko othwala igazi enhliziyweni luba buthakathaka futhi luvuvuke. |
| Amahlule egazi | Ukuhlola ukuthi amahlule egazi akhiwa ngaphakathi kwamagumbi enhliziyo. |
| Isifo senhliziyo esizalwa naso | Ukuhlonza izinkinga ezahlukene zenhliziyo ezenzeka ekuzalweni. |
| Izimila zenhliziyo | Ukuthola izimila ezinomdlavuza noma ezingezona umdlavuza ezingase zivele enhliziyweni. |
| Isifo se-valve yenhliziyo | Ukuhlola ukuthi ama-valve enhliziyo ayancipha noma ukuthi igazi liyavuza yini. |
| I-endocarditis ethelelanayo | Ukutheleleka okuyingozi kolwelwesi lwangaphakathi noma ama-valve enhliziyo. |
Umlayezo Wokuya Nawe Ekhaya
- I-TEE iyi-scan ekhethekile eyenziwa nge-esophagus yakho enikeza izithombe ezicacile zenhliziyo yakho.
- Lokhu kuvame ukwenziwa uma ukuhlolwa kwesifuba okuvamile kwe-ultrasound kunganikezi ulwazi olwanele.
- Ngesikhathi sokuhlolwa, uzonikezwa imithi yokukusiza uzizwe ukhululekile, ukhululekile, futhi ungabi nomphimbo obuhlungu. Lokhu akulona ukuhlolwa okubuhlungu.
- Kubalulekile ukuzila ukudla amahora ambalwa ngaphambi kokuhlolwa futhi ube nomuntu ozokushayela akuyise ekhaya ngemva kokuhlolwa.
- Khuluma nodokotela wakho ngaphambi kokuhlolwa nganoma yiziphi izimo zezokwelapha onazo, noma yimiphi imithi oyiphuzayo, nanoma yikuphi ukwesaba noma ukukhathazeka onakho. Kubaluleke kakhulu ekuphepheni kwakho.
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