I-Swan-Ganz - i-catheterization yenhliziyo engakwesokudla

I-Swan-Ganz catheterization (ebizwa nangokuthi i-catheterization yenhliziyo efanele noma i-pulmonary artery catheterization) ukudlulisa ithubhu elincane (ipayipi) ohlangothini lwesokunene senhliziyo nemithambo eholela emaphashini. Kwenziwa ukuqapha ukusebenza kwenhliziyo nokuhamba kwegazi nezingcindezi ngaphakathi naseduze kwenhliziyo.

Ukuhlolwa kungenziwa ngenkathi ulele embhedeni egumbini labagula kakhulu (i-ICU) esibhedlela. Kungenziwa futhi ezindaweni ezikhethekile zezinqubo ezifana nelabhorethriji yenhliziyo.

Ngaphambi kokuqala kokuhlolwa, unganikezwa umuthi (wokuthambisa) ukukusiza uphumule.

Uzolala etafuleni eligwedwe. Udokotela wakho uzokwenza ukubhoboza emthanjeni oseduze nomgogodla noma engalweni, noma entanyeni. Ishubhu eliguquguqukayo (ipayipi noma umgodla) libekwa ngesibhobo. Kwesinye isikhathi, izobekwa emlenzeni wakho noma engalweni. Uzobe uphapheme ngesikhathi senqubo.

Kufakwa i-catheter ende. Ibe isihanjiswa ngokucophelela iye ekamelweni eliphezulu ohlangothini lwesokunene lwenhliziyo. Izithombe ze-X-ray zingasetshenziswa ukusiza umhlinzeki wezokunakekelwa kwempilo ukuthi abone lapho kufanele kubekwe khona ipayipi.

Igazi lingasuswa ku-catheter. Leli gazi lihlolwe ukukala inani le-oxygen egazini.

Ngesikhathi senqubo, isigqi senhliziyo yakho sizobhekwa njalo kusetshenziswa i-electrocardiogram (ECG).

Akufanele udle noma uphuze noma yini amahora ayisishiyagalombili ngaphambi kokuqala kokuhlolwa. Ungadinga ukuhlala esibhedlela ngobusuku obandulela ukuhlolwa. Ngaphandle kwalokho, uzohlola esibhedlela ekuseni sokuhlolwa.

Uzogqoka ingubo yasesibhedlela. Kufanele usayine ifomu lokuvuma ngaphambi kokuhlolwa.Umhlinzeki wakho uzochaza inqubo kanye nezingozi zayo.

Unganikezwa umuthi ozokusiza uphumule ngaphambi kwenqubo. Uzobe uphapheme futhi ukwazi ukulandela imiyalelo ngesikhathi sokuhlolwa.

Ungazizwa ungakhululekile lapho i-IV ibekwa engalweni yakho. Ungase uzwe nengcindezi ethile kusayithi lapho kufakwa i-catheter. Kubantu abagula kakhulu, i-catheter ingahlala endaweni izinsuku ezimbalwa.

Ungazizwa ungakhululeki lapho indawo ye-vein inezinzwa zokubulala izinzwa.

Inqubo yenziwa ukuhlola ukuthi igazi lihamba kanjani (lijikeleza) kubantu abane:

• Izingcindezi ezingajwayelekile emithanjeni yenhliziyo
• Kushe
• Isifo senhliziyo esizalwa naso
• Ukwehluleka kwenhliziyo
• Isifo sezinso
• Amaphayiphu enhliziyo avuzayo
• Izinkinga zamaphaphu
• Ukushaqeka (umfutho wegazi ophansi kakhulu)

Kungenziwa futhi ukuqapha izinkinga zesifo senhliziyo. Kubonisa nokuthi imithi ethile yenhliziyo isebenza kahle kangakanani.

I-Swan-Ganz catheterization nayo ingasetshenziselwa ukuthola ukugeleza kwegazi okungavamile phakathi kwezindawo ezimbili zenhliziyo ezingajwayelekile ukuxhunywa.

Izimo ezingatholwa noma zihlolwe nge-Swan-Ganz catheterization zifaka:

• I-tamponade yenhliziyo
• Isifo senhliziyo esizalwa naso
• Umfutho wegazi ophezulu wamaphaphu
• I-cardiomyopathy evinjelwe noma evulekile

Imiphumela ejwayelekile yalolu vivinyo yilena:

• Inkomba ye-Cardiac ingu-2.8 kuya ku-4.2 amalitha ngomzuzu ngemitha skwele ngalinye (lendawo yomzimba)
• Umfutho we-pulmonary artery systolic ingamamilimitha ayi-17 kuye kwangama-32 we-mercury (mm Hg)
• Umthambo wamapulmonary usho ingcindezi ingu-9 kuye ku-19 mm Hg
• Ukucindezela kwe-diastolic yamaphaphu kungu-4 kuye ku-13 mm Hg
• Ukucindezela kwe-pulillary capillary wedge kungu-4 kuye ku-12 mm Hg
• Ukucindezela kwe-atrial kwesokudla kungu-0 kuye ku-7 mm Hg

Imiphumela engajwayelekile ingabangelwa:

• Izinkinga zokugeleza kwegazi, njengokuhluleka kwenhliziyo noma ukushaqeka
• Isifo se-valve senhliziyo
• Isifo samaphaphu
• Izinkinga zokwakhiwa kwenhliziyo, njenge-shunt evela kusici se-septal se-atrial noma se-ventricular

Izingozi zenqubo zifaka:

• Ukulimaza endaweni lapho kufakwa khona ipayipi
• Ukulimala emthanjeni
• Ukubhoboza amaphaphu uma kusetshenziswa imithambo yentamo noma yesifuba, okudala ukuwa kwamaphaphu (pneumothorax)

Izinkinga ezingavamile kakhulu zifaka:

• Ama-arrhythmias enhliziyo adinga ukwelashwa
• I-tamponade yenhliziyo
• I-embolism ebangelwa amahlule egazi ekugcineni kwepayipi
• Ukutheleleka
• Umfutho wegazi ophansi

I-catheterization yenhliziyo engakwesokudla; Ukwehlukaniswa namaphaphu - inhliziyo efanele

• I-Swan Ganz catheterization

UHermann J. Ukuphefumula kwenhliziyo. 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.

UKapur NK, uSorajja P.I-hemodynamics ehlaselayo. Ku: Sorajja P, Lim MJ, Kern MJ, ama-eds. Incwadi kaKern's Cardathe ye-Catheterization. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2020: isahluko 4.

UShreenivas SS, uLilly SM, uHerrmann HC. Ukungenelela kokushaqeka kwe-cardiogenic. Ku: Topol EJ, Teirstein PS, eds. Incwadi Yemibhalo Yezinhliziyo Eziphakathi. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2020: isahluko 22.