Uma udokotela wakho esola ukuthi unenkinga yokuphefumula noma ukuthi unenkinga yenhliziyo, bafuna ukwazi kahle ukuthi kwenzekani enhliziyweni yakho, akunjalo? Ngezikhathi ezinjengalezi, namuhla sizokhuluma ngedivayisi ekhethekile esetshenziselwa ukuthola ulwazi olunembile mayelana nendlela inhliziyo yakho esebenza ngayo. Ibizwa ngokuthi i-Swan-Ganz Catheter. Kungenzeka ukuthi awukaze uzwe ngaleli gama, kodwa luwuvivinyo olubaluleke kakhulu.
Kalula nje, iyini le pipe yeSwan-Ganz?
I-catheter ye-Swan-Ganz iyipayipi elincane kakhulu neliguquguqukayo (i-catheter). Ibizwa nangokuthi 'i-catheter yemithambo yegazi yamaphaphu'. Cabanga ngayo njengepayipi elincane elinamapayipi amane amancane ngaphakathi kwayo. Ipayipi ngalinye linomsebenzi ohlukile.
Isetshenziswa kakhulu ukukala ulwazi mayelana nokusebenza kohlelo lwakho lokujikeleza kwegazi, okungukuthi, ukuthi igazi lihamba kahle kangakanani (i-hemodynamics).
Lezi yizinto ezenziwa yizingxenye ezahlukene (amachweba) alo mbhobho:
- Uketshezi noma imithi edingekayo ingafakwa ngqo enhliziyweni.
- Umfutho wegazi ngaphakathi kwamakamelo ahlukahlukene enhliziyo nangaphakathi kwemithambo yegazi ungalinganiswa ngokunembile.
- Uma leli payipi lifakwa emthanjeni oyinhloko othwala igazi liye emaphashini (umthambo wamaphaphu), lisetshenziselwa ukufutha ibhaluni elincane elisiza ukuliqondisa endaweni efanele.
- Isampula yegazi ingathathwa futhi emthanjeni othwala igazi liye emaphashini.
Yini odokotela abayaziyo ngaleli payipi?
Lokhu kuhlolwa kunganikeza udokotela wakho isithombe esicacile sokuthi inhliziyo yakho iphilile kangakanani. Kufana nokubheka ngaphakathi kwenhliziyo yakho.
| Ulwazi olutholiwe | Kusho ukuthini lokho? |
|---|---|
| Ukucindezela emakamelweni ohlangothini lwesokudla lwenhliziyo | Ungathola ukuthi ziyini izingcindezi zokugcwalisa lapho inhliziyo igcwele igazi. |
| Ingcindezi e-ventricle yesobunxele yenhliziyo (isilinganiso) | Ungathola umbono ocacile wokusebenza ngakwesobunxele. |
| Umfutho wegazi ophakeme | Kusiza ekuboneni izimo ezifana nomfutho wegazi ophezulu emaphashini (umfutho wegazi ophezulu emithanjeni yegazi exhunywe emaphashini). |
| Umphumela Wenhliziyo | Ungalinganisa kahle ukuthi inhliziyo yakho iphampa igazi elingakanani emzimbeni wakho ngomzuzu owodwa. |
| Umsebenzi wama-valve enhliziyo | Ungathola umbono wezinto ezinjengokuthi ama-valve enhliziyo asebenza kahle yini nokuthi igazi liyaphuma yini kuwo. |
Ingabe le ndlela isasetshenziswa?
Yebo, impela. Le ndlela isabhekwa njenge "ndinganiso yegolide" yokuthola ulwazi olunembile kakhulu mayelana nokucindezeleka ngaphakathi kwemithambo yenhliziyo namaphaphu.
Kodwa-ke, ukusetshenziswa kwale ndlela kuye kwehla muva nje, ikakhulukazi ezigulini ezigula kakhulu ezigumbini zokunakekelwa okujulile. Lokhu kungenxa yokuthuthukiswa kwezindlela ezingenangozi kangako, ezingahlaseli njenge-"Echocardiography" (ukuskena kwenhliziyo) ezingathola ulwazi ngaphandle kokungena emzimbeni.
Ubani okudingeka abhale lolu vivinyo?
Udokotela wakho angase akuncome lokhu kuhlolwa uma esola noma azi ukuthi unesinye sezimo zezokwelapha ezilandelayo:
- Ubunzima bokuphefumula
- Isifo senhliziyo
- Ukwehluleka kwenhliziyo
- Ukushaqeka kwenhliziyo
- Umfutho wegazi ophezulu wamaphaphu
- Izigqi zenhliziyo ezingavamile
- I-embolism yamaphaphu
- I-tamponade yenhliziyo
- Izimo zenhliziyo ezizalwa nazo
Le ndlela isetshenziselwa futhi ukuthola ulwazi mayelana nokusebenza kwenhliziyo ngaphambi nangemva kokuhlinzwa okukhulu, njengokufakelwa inhliziyo noma ukufakwa kwedivayisi yokusiza i-ventricular yesobunxele.
Ake sifunde kancane ngendlela lokhu kuhlolwa okwenziwa ngayo.
Lokhu kuhlolwa kuvame ukwenziwa elabhorethri ye-cardiac catheterization yasesibhedlela. Asikho isidingo sokukhathazeka ngalokhu. Odokotela bazozama ukukugcina ukhululekile ngangokunokwenzeka.
Kwenzekani ngaphambi kokuhlolwa?
1. Udokotela uzokuchazela ngokucacile ukuthi kungani futhi kwenziwa kanjani lokhu kuhlolwa.
2. Uma uphuza noma yimiphi imithi, uzobuzwa ukuthi udinga yini ukuyiyeka ngaphambi kokuhlolwa.
3. Uzokwaziswa ukuthi ugweme ukudla noma ukuphuza amahora ambalwa ngaphambi kokuhlolwa.
4. Imvume yakho ebhaliwe (imvume) yokwenza lolu vivinyo izotholakala.
5. Uzolaliswa embhedeni okhethekile.
6. Uzonikezwa imithi ngemithambo (`IV`) ukuze ikuphumuze futhi ikuqede amandla.
Ngesikhathi sokuhlolwa
Okokuqala, udokotela uzohlanza kahle indawo lapho kuzofakwa khona ipayipi (ngokuvamile intamo, isifuba, noma umlenze) bese evala indawo ukuze ungezwa ubuhlungu. Ngemuva kwalokho, ipayipi le-Swan-Ganz lifakwa ngokucophelela emthanjeni omkhulu bese lifakwa nge-ventricle yesokudla yenhliziyo liye emthanjeni oyinhloko oholela emaphashini (umthambo wamaphaphu).
Uma enza lokhu, udokotela ubukela ividiyo ye-X-ray kusikrini ukuqinisekisa ukuthi ithubhu likhona kanye lapho kufanele liye khona. Ngakho-ke kuphephile kakhulu.
Uma lonke ulwazi oludingekayo selulinganisiwe, ithubhu liyasuswa ngokucophelela.
Ngemva kokuhlolwa
Ngemva kokususwa kwepayipi, kuzofakwa ibhandishi noma iplasta endaweni ukuze kumiswe noma yikuphi ukuphuma kwegazi. Uma ipayipi lifakwe emlenzeni wakho, uzocelwa ukuba ulale embhedeni amahora amabili kuya kwayisithupha. Kuvamile ukubona inxeba elincane lapho ipayipi lifakwe khona. Lokhu kuzophela cishe ngesonto elilodwa noma amabili.
Ingabe kukhona ingozi kulokhu?
Lena yinto ebaluleke kakhulu. Ingozi yezinkinga zokufaka ishubhu le-Swan-Ganz iphansi kakhulu . Okusho ukuthi, ngaphansi kuka-0.5%. Lokho kusho ukuthi uma lokhu kwenziwa kubantu abangu-200, umuntu oyedwa kuphela ozoba nenkinga. Kodwa, njenganoma iyiphi inqubo yezokwelapha, kunengozi encane kakhulu.
- Ukutheleleka endaweni lapho ipayipi lifakwe khona.
- Ibhamuza lomoya lingena emthanjeni wegazi.
- Uma kusetshenziswa umthambo wesifuba (umthambo we-subclavian), kunethuba elincane kakhulu lokulimala kwamaphaphu.
- Ukushaya kwenhliziyo okungavamile.
- Ukulimala odongeni lwenhliziyo, ivalvu, noma umthambo wegazi (lokhu akuvamile kakhulu).
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha.
Uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo lapho ubuyela ekhaya ngemva kokuhlolwa, yazisa udokotela wakho ngokushesha.
- Uma inxeba lapho ipayipi lifakwe khona livuvukala noma uma igazi noma olunye uketshezi luvuza kulo .
- Uma kukhona ukungazweli noma ukuvuvukala emlenzeni lapho ipayipi lifakwe khona.
Umlayezo Wokuya Nawe Ekhaya
- Ishubhu i-Swan-Ganz iyisivivinyo esikhethekile esihlinzeka ngolwazi olunembile kakhulu mayelana nokusebenza kwenhliziyo kanye nomfutho wegazi.
- Ulwazi olutholakala kulokhu luzosiza kakhulu udokotela wakho ukuthi ahlole ngokunembile isimo sakho sezokwelapha futhi akhethe ukwelashwa okufanele kakhulu nokungcono kakhulu kwaso.
- Izingozi zalokhu kuhlolwa ziphansi kakhulu. Odokotela bakwenza lokhu ngokucophelela, bekuqapha njalo.
- Uma ubona noma yini engavamile (njengokuvuvukala noma ukuphuma kwegazi) ngemva kokuhlolwa, kubalulekile ukungesabi futhi wazise udokotela ngokushesha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho