Lapho udokotela ekutshela ukuthi udinga ukuhlolwa okubizwa ngokuthi "i-Right Heart Catheterization," ingabe wesaba kancane? Kuvamile ukuthi noma ubani azizwe esaba futhi enelukuluku lapho ethi into efana ne-"catheter" ifakwa enhliziyweni. Kodwa ungesabi. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ephendula yonke imibuzo onayo engqondweni yakho. Khona-ke uzobona ukuthi lokhu akuyona into okufanele uyesabe phela.
Kalula nje, kuyini i-Right Heart Catheterization?
Lokhu ukuhlolwa okukhethekile kakhulu. Kalula nje, kulinganisa ukuthi inhliziyo yakho isebenza kahle kangakanani, okungukuthi, ukuthi ihambisa igazi kahle kangakanani. Lokhu kuhlolwa kusiza ekutholeni umbono onembile wengcindezi yegazi kanye nezinga lomoya-mpilo, ikakhulukazi ohlangothini lwesokudla lwenhliziyo yakho nasemaphashini.
Odokotela bakubiza nangokuthi "i-catheterization yemithambo yegazi yamaphaphu." Ngezinye izikhathi uzokuzwa futhi kubizwa ngokuthi "i-catheter ye-Swan-Ganz." Wonke lawa amagama okuhlolwa okufanayo.
Ukuze enze lokhu kuhlolwa, udokotela wakho uzosebenzisa ipayipi elincane neliguquguqukayo elibizwa ngokuthi i-catheter . Leli payipi lifakwa ngomthambo omkhulu entanyeni yakho, esinqeni, noma engalweni bese lifakwa ngokucophelela ohlangothini lwesokudla lwenhliziyo yakho. Ukusuka lapho, lizoqondiswa emthanjeni oyinhloko othwala igazi emaphashini akho, umthambo wamaphaphu . Lena yindlela ulwazi olulinganiswa ngayo ngaphakathi kwenhliziyo yakho.
Kungani kudingeka ukwenza isivivinyo esinjalo?
Ulwazi olutholakale kulolu vivinyo lubaluleke kakhulu. Lusiza odokotela ukuthi bahlole ngokunembile izimo zezokwelapha ezahlukahlukene futhi babone ukuthi baphumelela kangakanani ekwelapheni.
Cabanga nje, njengoba nje umakhenikha esebenzisa imishini ekhethekile ukuhlola ukuthi kunenkinga yini ngenjini yemoto, udokotela usebenzisa le catheter ukukala ukucindezela kanye namazinga omoya-mpilo ngaphakathi kwenhliziyo.
Ithebula elingezansi likukhombisa izimo zezokwelapha eziyinhloko ezidinga lolu vivinyo.
| Isimo | Incazelo elula |
|---|---|
| Ukushaqeka kwenhliziyo | Inhliziyo ivele ingakwazi ukupompa igazi elanele emzimbeni. |
| I-cardiomyopathy | Ubunzima bokupompa igazi ngenxa yobuthakathaka noma ukwandiswa kwemisipha yenhliziyo. |
| Isifo senhliziyo esizalwa naso | Izinkinga zenhliziyo ezahlukahlukene zokuzalwa nazo. |
| Ukwehluleka kwenhliziyo | Inhliziyo ayikwazi ukupompa igazi ukuze ihlangabezane nezidingo zomzimba. |
| Isifo se-valve yenhliziyo | Ama-valve asenhliziyweni awavuli noma avaleke kahle. |
| Umfutho wegazi ophezulu wamaphaphu | Ukucindezela okukhulu emithanjeni yegazi ethwala igazi liye emaphashini. |
Ngaphezu kwalokho, lokhu kuhlolwa kungadingeka ngaphambi noma ngemva kokuhlinzwa kokufakelwa isitho esithile, nangaphambi kokufakwa kwedivayisi ekhethekile esiza inhliziyo (`(idivayisi yokusiza i-ventricular yesobunxele)`).
Uyini umehluko phakathi kwalezi zivivinyo ezimbili ezenziwa ohlangothini lwesokudla nolwesobunxele lwenhliziyo?
Yebo, lo ngumbuzo obalulekile. Kukhona ukuhlolwa okwenziwa ngakwesokudla kwenhliziyo (`Ukufakwa kwe-catheter kwenhliziyo kwesokudla`) kanye nokuhlolwa okwenziwa ngakwesokunxele kwenhliziyo (`Ukufakwa kwe-catheter kwenhliziyo ngakwesokunxele`). Kunomehluko ocacile phakathi kwalokhu okubili.
| Isici | Ukufakwa kwe-Catheterization Yenhliziyo Yangakwesokudla (uhlangothi lwesokudla) | Ukufakwa kwe-Catheterization Yenhliziyo Yesobunxele (ohlangothini lwesobunxele) |
|---|---|---|
| Ishubhu yokufaka i-catheter | Ngomthambo (entanyeni, embotsheni, noma engalweni) | Ngokusebenzisa umthambo (ngokuvamile embotsheni noma engalweni) |
| Ingxenye yenhliziyo ehlolwayo | I-atrium yangakwesokudla, i-ventricle yangakwesokudla, kanye nomthambo wamaphaphu wenhliziyo. | I-ventricle yesobunxele yenhliziyo, i-aorta, kanye nemithambo yenhliziyo ehambisa igazi enhliziyweni. |
| Inhloso eyinhloko | Ukulinganisa ingcindezi ohlangothini lwesokudla lwenhliziyo namaphaphu. | Ukuhlola ukuvaleka kwemithambo yenhliziyo. |
| Amanye amagama | Ukufakwa kwe-catheter emthanjeni wamaphaphu | Ukufakwa kwe-catheter kwenhliziyo, i-Coronary angiography |
Kufanele uzilungiselele kanjani lolu vivinyo?
Kulungile, manje ake sibone ukuthi kufanele uzilungiselele kanjani ngosuku olwandulelayo. Udokotela wakho uzokunikeza imiyalelo eqondile ngalokhu, kodwa lezi yizinto ezijwayelekile okufanele uzenze.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo: Kubalulekile ukutshela udokotela wakho nganoma yimiphi imithi kadokotela, amavithamini, izithasiselo, noma imithi ongayithatha ngaphandle kwemithi kadokotela oyithathayo. Eminye imithi, ikakhulukazi imithi elwa nokuvuvukala kwegazi , kungadingeka iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlolwa.
- Letha othile ekhaya: Ungase ungakwazi ukushayela imoto yakho ngemva kokuhlolwa, ngakho-ke kubalulekile ukuletha othile ekhaya.
- Susa ubucwebe kanye ne-nail polish: Ngaphambi kokuhlolwa, susa zonke izinto zobucwebe ezifana nemigexo, amasongo, namasongo. Susa noma iyiphi i-nail polish, uma ikhona.
- Ukuzila Ukudla: Uzotshelwa ukuthi ungadli noma uphuze lutho amahora ayi-6 kuya kwayi-12 ngaphambi kokuhlolwa. Kubaluleke kakhulu ukulandela lesi seluleko ngqo.
Kwenzekani ngosuku lokuhlolwa?
Yonke inqubo ingathatha amahora amaningana, kodwa isikhathi lapho i-catheter ikhona khona ngokuvamile singaba yihora.
Ngaphambi kokuhlolwa...
Ngemva kokuthi uyiswe eyunithi ekhethekile yesibhedlela ("i-cath lab"), umhlengikazi uzofika akutshele ukuthi ugqoke ingubo yesibhedlela. Bazokutshela ukuthi uye endlini yokugezela ukhiphe i-bladder yakho. Bazokulalisa etafuleni lokuhlolwa bese benamathisela amabala amancane esifubeni sakho. Lawa abizwa ngokuthi ama-electrode . Lawa asetshenziselwa ukuqapha umsebenzi wenhliziyo yakho (njenge-ECG) kulo lonke ukuhlolwa.
Esikhathini esiningi, ngeke ulaliswe kulolu vivinyo. Kodwa-ke, ngezinye izikhathi unganikwa umuthi wokudambisa noma umuthi wokukusiza ulale noma uphumule nge-cannula (IV) efakwe emthanjeni engalweni yakho.
Ngesikhathi sokuhlolwa...
Uvukile ngalesi sikhathi. Udokotela kanye nethimba bakuchazela konke.
1. Okokuqala, indawo lapho kuzofakwa khona i-catheter (intamo, i-groin, noma ingalo) iyahlanzwa futhi noma yiziphi izinwele ziyasuswa uma kudingeka.
2. Ngemuva kwalokho , kufakwa umuthi wokubulala izinzwa wendawo ukuze uqede indawo. Ngakho ngeke uzwe ubuhlungu obukhulu.
3. Manje, kusetshenziswa inaliti ekhethekile, kufakwa umthambo wegazi bese kufakwa i-catheter ngawo.
4. Bese, kancane kancane nangokucophelela, ngenkathi ubheka isikrini esikhethekile njenge-x-ray, i-catheter iqondiswa ohlangothini lwesokudla lwenhliziyo kanye nasemithanjeni yamaphaphu.
5. Uma i-catheter isisendaweni efanele, ingcindezi endaweni ngayinye iyalinganiswa bese kuthathwa amasampula egazi uma kudingeka.
6. Phakathi nalesi sikhathi, ungase ucelwe ukuthi uhlale uthule, uphefumule noma ume isikhashana, noma ushintshe ukuma komzimba wakho.
7. Ngezinye izikhathi, ungabona nokuthi izinga lokushaya kwenhliziyo yakho lishintsha kanjani uma uzivocavoca (isibonelo, ukusebenzisa umshini wokunyathela ngenkathi ulele embhedeni).
8. Ekugcineni, i-catheter isuswa ngokucophelela, bese kufakwa i-plaster noma i-bandage endaweni yokufaka.
Ingabe lokhu kuyalimaza?
Ungase uzwe ubuhlungu obuncane lapho umuthi wokubulala izinzwa ujovwa. Ungase uzwe nokucindezeleka okuncane lapho kufakwa i-catheter. Ngaphandle kwalokho, abukho ubuhlungu lapho i-catheter ingena. Kodwa-ke, ungase uzizwe izinto ezinjengalezi:
- Ubuhlungu besifuba noma umuzwa wokulahlekelwa ukushaya kwenhliziyo njengoba i-catheter ishaya izindonga zenhliziyo.
- Ikhanda elibuhlungu, ukuzizwa unesiyezi.
- Ukuzizwa unesicanucanu.
- Ukuzizwa sengathi ukhwehlela.
- Umuzwa ofudumele lapho kunikezwa umuthi.
Uma uzwa noma yikuphi kwalokhu, tshela udokotela noma umhlengikazi ngokushesha. Kubaluleke kakhulu.
Ingabe zikhona izingozi zalolu vivinyo?
Ukufaka i-catheter yenhliziyo kwesokudla ngokuvamile kuyindlela ephephile kakhulu. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, ingaba nezingozi ezincane kakhulu. Udokotela wakho uzoyincoma kuphela uma unquma ukuthi izinzuzo zenqubo zidlula izingozi.
Ezinye izingozi ezingaba khona yilezi:
- Ukusabela kokungezwani komzimba nemithi noma izinto ezisetshenziswayo.
- Ukushaya kwenhliziyo okungajwayelekile (i-Arrhythmia).
- Ukopha noma ukuphuka lapho kufakwa khona i-catheter.
- Amahlule egazi.
- Ukutheleleka.
- Akuvamile kakhulu, ukulimala kwenhliziyo noma imithambo yegazi, ukuhlaselwa yinhliziyo noma isifo sohlangothi.
Khumbula ukuthi lezi zingozi azivamile. Ithimba lezokwelapha likulungele ngokuphelele ukuvimbela into efana nale.
Ufuna ukwenzani uma ufika ekhaya?
Uzoqashwa amahora ambalwa ngemva kokuhlolwa bese uthunyelwa ekhaya. Qaphela lezi zinto uma usubuyele ekhaya.
- Phumula: Phumula usuku lonke. Gwema ukugoba, ukuphakamisa, noma ukusunduza okungenani amahora angama-24.
- Gwema ukushayela: Uma unikezwe umuthi wokulala omncane, ungashayeli noma usebenzise imishini esindayo amahora angama-24.
- Phuza amanzi amaningi: Ukuphuza uketshezi oluningi kuhle emzimbeni.
- Nakekela ibhandishi: Gcina ibhandishi endaweni yokufaka i-catheter isikhathi eside njengoba udokotela wakho ekutshela (ngokuvamile usuku noma ezimbili).
- Ukugeza: Ungagezi amahora angama-24-48. Futhi, ungangeni ebhavini kuze kube yilapho inxeba selipholile ngokuphelele. Uma ugeza, ungalihlikihli kakhulu inxeba, kodwa ligcine limanzi.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha!
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, shayela udokotela wakho ngokushesha . Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Isibonakaliso Sesexwayiso | Okufanele ukunake ngokukhethekile |
|---|---|
| Ukopha noma ukuvuvukala endaweni yokufaka i-catheter | Uma ukopha kungayeki noma uma kuvela iqhubu elikhulu nelibuhlungu lapho. |
| Izimpawu zokutheleleka | Ukubomvu, ukuvuvukala, ukufudumala, ubomvu, noma umkhuhlane ozungeze inxeba. |
| Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile | Uma uzizwa sengathi isifuba sakho siyashaya noma ukushaya kwenhliziyo yakho kuzwakala kungavamile. |
| Ushintsho engalweni noma emlenzeni | Uma ingalo noma umlenze lapho kufakwe khona i-catheter ubuhlungu, uphenduka ube luhlaza okwesibhakabhaka, ubanda, noma uqhuma. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu noma ukuqina kwesifuba, ukujuluka ngokweqile, ubunzima bokuphefumula. |
| Ukulahlekelwa ingqondo | Uma ulahlekelwa ingqondo ngokuzumayo. |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-Catheterization Yenhliziyo Efanele kuyindlela ebalulekile futhi ephephile ngokuvamile ehlola ukusebenza kohlangothi lwesokudla lwenhliziyo yakho.
- Landela imiyalelo kadokotela (ukuzila ukudla, imiyalelo yemithi) ngokucophelela ngaphambi kwalolu vivinyo.
- Ungesabi ukutshela ithimba lezokwelapha nganoma yikuphi ukungakhululeki okuzwayo ngesikhathi sokuhlolwa.
- Kubaluleke kakhulu ukuphumula nokunakekela inxeba ngemva kokubuyela ekhaya.
- Qaphela izimpawu eziyisixwayiso. Uma kuvela noma yiziphi zalezi zimpawu, funa iseluleko sezokwelapha ngokushesha.
- Uma usenemibuzo ngalokhu, ungangabazi ukuxoxa ngayo nodokotela wakho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment