I-catheterization yenhliziyo

I-catheterization yenhliziyo ihilela ukudlulisa ithubhu elincane eliguquguqukayo (ipayipi) ngakwesokunene noma ngakwesobunxele senhliziyo. I-catheter ivame ukufakwa kusuka emgodini noma engalweni.

Uzothola umuthi ngaphambi kokuhlolwa ukukusiza uphumule.

Umhlinzeki wezokunakekelwa kwempilo uzohlanza indawo engalweni yakho, entanyeni, noma emgodini bese efaka ulayini kolunye lwemithambo yakho. Lokhu kubizwa ngokuthi ulayini we-intravenous (IV).

Ishubhu elikhudlwana elincane elincane elibizwa ngokuthi i-sheath lifakwa emthanjeni noma emthanjeni emlenzeni noma engalweni yakho. Ngemuva kwalokho amashubhu amapulasitiki amade abizwa ngokuthi ama-catheters ahanjiswa ngokucophelela enhliziyweni esebenzisa ama-x-ray aphilayo njengesiqondisi. Ngemuva kwalokho udokotela anga:

• Qoqa amasampula egazi kusuka enhliziyweni
• Linganisa ingcindezi nokugeleza kwegazi emakamelweni enhliziyo nasemithanjeni emikhulu ezungeze inhliziyo
• Linganisa umoya-mpilo ezingxenyeni ezihlukene zenhliziyo yakho
• Hlola imithambo yenhliziyo
• Yenza i-biopsy emisipheni yenhliziyo

Kwezinye izinqubo, ungajovwa ngombala osiza umhlinzeki wakho ukuthi abone ngeso lengqondo izakhiwo nemikhumbi ngaphakathi kwenhliziyo.

Uma unokuvinjelwa, ungahle ube ne-angioplasty kanye ne-stent ebekwe ngesikhathi senqubo.

Ukuhlolwa kungathatha imizuzu engama-30 kuye kwengama-60. Uma futhi udinga izinqubo ezikhethekile, isivivinyo singathatha isikhathi eside. Uma i-catheter ifakwa emgodini wakho, uvame ukucelwa ukuba ulale phansi emhlane wakho amahora ambalwa kuya emahoreni ambalwa ngemuva kokuhlolwa ukuze ugweme ukuphuma kwegazi.

Uzotshelwa ukuthi ungazinakekela kanjani lapho uya ekhaya ngemuva kokuba inqubo isenziwe.

Akufanele udle noma uphuze amahora ayisithupha kuya kwangu-8 ngaphambi kokuhlolwa. Ukuhlolwa kwenzeka esibhedlela futhi uzocelwa ukuba ugqoke ingubo yasesibhedlela. Kwesinye isikhathi, uzodinga ukuchitha ubusuku ngaphambi kovivinyo esibhedlela. Ngaphandle kwalokho, uzofika esibhedlela ekuseni kwenqubo.

Umhlinzeki wakho uzochaza inqubo kanye nezingozi zayo. Ifomu lokuvuma elisayiniwe, elisayiniwe lenqubo liyadingeka.

Tshela umhlinzeki wakho uma:

• Ingabe iguliswa ukudla kwasolwandle noma yimiphi imithi
• Ngike ngaba nempendulo embi ekuqhathaniseni udayi noma iodine esikhathini esedlule
• Thatha noma imiphi imithi, kufaka phakathi i-Viagra noma ezinye izidakamizwa zokungasebenzi kahle kwe-erectile
• Kungenzeka ukhulelwe

Ucwaningo lwenziwa ngongoti bezenhliziyo kanye nethimba lezempilo eliqeqeshiwe.

Uzobe uphapheme futhi ukwazi ukulandela imiyalelo ngesikhathi sokuhlolwa.

Ungazizwa ungakhululekile noma ucindezeleke lapho kubekwa khona ipayipi. Ungaba nokungakhululeki ngokulala unganyakazi ngesikhathi sokuhlolwa noma ngokulala ulele phansi ngomhlane ngemuva kwenqubo.

Le nqubo ivame ukwenziwa ukuthola imininingwane ngenhliziyo noma ngemithambo yayo yegazi. Kungenziwa futhi ukwelapha ezinye izinhlobo zezimo zenhliziyo, noma ukuthola ukuthi ngabe udinga ukuhlinzwa inhliziyo.

Udokotela wakho angenza i-catheterization yenhliziyo ukuxilonga noma ukuhlola:

• Izimbangela zokwehluleka kwenhliziyo okucinana noma i-cardiomyopathy
• Isifo semithambo yegazi
• Ukukhubazeka kwenhliziyo okukhona lapho kuzalwa (kokuzalwa)
• Umfutho wegazi ophezulu emaphashini (umfutho wegazi ophakeme wamaphaphu)
• Izinkinga ngama-valve enhliziyo

Izinqubo ezilandelayo zingenziwa futhi ngokusebenzisa i-catheterization yenhliziyo:

• Lungisa izinhlobo ezithile zokukhubazeka kwenhliziyo
• Vula i-valve yenhliziyo encishisiwe (stenotic)
• Vula imithambo evinjiwe noma ubuciko enhliziyweni (i-angioplasty nge noma ngaphandle kokunuka)

I-catheterization yenhliziyo inengozi encane kakhulu kunezinye izivivinyo zenhliziyo. Kodwa-ke, kuphephe kakhulu uma kwenziwa iqembu elinolwazi.

Izingozi zifaka:

• I-tamponade yenhliziyo
• Isifo senhliziyo
• Ukulimala emthanjeni we-coronary
• Ukushaya kwenhliziyo okungajwayelekile
• Umfutho wegazi ophansi
• Ukusabela kudayi wokuqhathanisa
• Unhlangothi

Izinkinga ezingenzeka zanoma yiluphi uhlobo lwe-catheterization zifaka okulandelayo:

• Ukopha, ukutheleleka, kanye nobuhlungu endaweni yokufaka i-IV noma ye-sheath
• Ukulimala emithanjeni yegazi
• Amahlule egazi
• Ukulimala kwezinso ngenxa kadayi ohlukile (okuvame kakhulu kubantu abanesifo sikashukela noma izinkinga zezinso)

Ukwehliswa kwethumba - inhliziyo; I-catheterization yenhliziyo; I-Angina - i-catheterization yenhliziyo; I-CAD - i-catheterization yenhliziyo; Isifo se-Coronary artery - i-catheterization yenhliziyo; I-valve yenhliziyo - i-catheterization yenhliziyo; Ukwehluleka kwenhliziyo - i-catheterization yenhliziyo

• I-catheterization yenhliziyo
• I-catheterization yenhliziyo

UBenjamin IJ. Ukuhlolwa nezinqubo zokuxilonga esigulini esinesifo senhliziyo. Ku: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, ama-eds. U-Andreoli no-Carpenter’s Cecil Essentials of Medicine. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 4.

UHerrmann J. Catheterization yenhliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 19.

UKern MJ, uKirtane AJ. Ukwehliswa kwe-catheterization ne-angiography. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 51.