I-catheterization yenhliziyo engakwesobunxele

I-catheterization yenhliziyo engakwesobunxele ukudlula kweshubhu elincane eliguquguqukayo (ipayipi) ohlangothini lwesobunxele lwenhliziyo. Kwenziwa ukuxilonga noma ukwelapha izinkinga ezithile zenhliziyo.

Unganikezwa umuthi omncane (wokuthambisa) ngaphambi kokuba kuqale inqubo. Umuthi ukukusiza uphumule. Umhlinzeki wezempilo uzofaka i-IV engalweni yakho ukunikeza imithi. Uzolala etafuleni eligwedwe. Udokotela wakho uzokwenza ukubhoboza okuncane emzimbeni wakho. Ishubhu eliguquguqukayo (ipayipi) lifakwa emthanjeni. Izobekwa esihlakaleni sakho, engalweni noma emlenzeni wakho ongaphezulu (imbilapho). Kungenzeka uvuke ngesikhathi senqubo.

Izithombe ezibukhoma ze-x-ray zisetshenziselwa ukusiza ukuqondisa ama-catheters enhliziyweni yakho nasemithanjeni yegazi. Idayi (kwesinye isikhathi ebizwa ngokuthi "umehluko") izofakwa emzimbeni wakho. Lo dayi uzoqhakambisa ukugeleza kwegazi ngemithambo. Lokhu kusiza ukukhombisa ukuvinjelwa emithanjeni yegazi okuholela enhliziyweni yakho.

I-catheter bese ihanjiswa nge-aortic valve iye ohlangothini lwesobunxele lwenhliziyo yakho. Ingcindezi ilinganiswa enhliziyweni kulesi sikhundla. Ezinye izinqubo zingenziwa ngalesi sikhathi, njenge:

• I-Ventriculography ukuhlola ukupompa kwenhliziyo.
• I-Coronary angiography ukubheka imithambo yegazi.
• I-Angioplasty, noma ngaphandle kokunuka, ukulungisa ukuvimba emithanjeni kuyenziwa.

Inqubo ingahlala ngaphansi kwehora elilodwa kuya emahoreni amaningana.

Ezimweni eziningi, akufanele udle noma uphuze amahora angu-8 ngaphambi kokuhlolwa. (Umhlinzeki wakho angakunika izinkomba ezihlukile.)

Inqubo izokwenzeka esibhedlela. Ungamukelwa ngobusuku obandulela ukuhlolwa, kodwa kujwayelekile ukufika esibhedlela ekuseni kwenqubo. Kwezinye izimo, le nqubo yenziwa ngemuva kokuthi ungeniswe esibhedlela mhlawumbe ngesimo esiphuthumayo.

Umhlinzeki wakho uzochaza inqubo kanye nezingozi zayo. Kufanele usayine ifomu lokuvuma.

Ukuthambisa kuzokusiza uphumule ngaphambi kwenqubo. Kodwa-ke, uzobe uphapheme futhi ukwazi ukulandela imiyalelo ngesikhathi sokuhlolwa.

Uzonikezwa umuthi endikindiki wendawo (i-anesthesia) ngaphambi kokuba kufakwe i-catheter. Uzozwa ingcindezi ethile njengoba kufakwa i-catheter. Noma kunjalo, akufanele uzwe ubuhlungu. Ungase ube nokungakhululeki ngokulala unganyakazi isikhathi eside.

Inqubo yenziwa ukubheka:

• Isifo se-valve senhliziyo
• Izimila zenhliziyo
• Ukukhubazeka kwenhliziyo (njengokukhubazeka kwe-ventricular septal)
• Izinkinga ngokusebenza kwenhliziyo

Inqubo ingenziwa futhi ukuhlola futhi mhlawumbe ukulungisa izinhlobo ezithile zokukhubazeka kwenhliziyo, noma ukuvula i-valve yenhliziyo encane.

Lapho le nqubo yenziwa nge-coronary angiography ukuhlola imithambo yegazi eyondla imisipha yenhliziyo, ingavula imithambo evinjiwe noma idlule izigxivizo. Lokhu kungaba ngenxa yesifo senhliziyo noma i-angina.

Inqubo ingasetshenziswa futhi uku:

• Qoqa amasampula egazi kusuka enhliziyweni
• Thola ingcindezi nokugeleza kwegazi emakamelweni enhliziyo
• Thatha izithombe ze-x-ray ze-ventricle yangakwesobunxele (ikamelo elikhulu lokupompa) lenhliziyo (i-ventriculography)

Umphumela ojwayelekile usho ukuthi inhliziyo ijwayelekile ku:

• Usayizi
• Ukunyakaza
• Ubukhulu
• Ingcindezi

Umphumela ojwayelekile usho nokuthi imithambo yegazi ijwayelekile.

Imiphumela engajwayelekile ingaba uphawu lwesifo senhliziyo noma ukukhubazeka kwenhliziyo, kufaka phakathi:

• Ukunganeli kwe-aortic
• I-aortic stenosis
• Isifo semithambo yegazi
• Ukwandiswa kwenhliziyo
• Ukuvuselelwa kweMitral
• I-Mitral stenosis
• Ama-aneurysms e-Ventricular
• Isici se-atrial septal
• Isici se-septal se-Ventricular
• Ukwehluleka kwenhliziyo
• I-Cardiomyopathy

Izinkinga zingafaka:

• Ama-arrhythmias enhliziyo
• I-tamponade yenhliziyo
• I-embolism kusuka kumahlule egazi ekugcineni kwepayipi kuya ebuchosheni noma kwezinye izitho
• Isifo senhliziyo
• Ukulimala emthanjeni
• Ukutheleleka
• Ukulimala kwezinso ngokungafani (idayi)
• Umfutho wegazi ophansi
• Ukusabela kokuqhathaniswayo
• Unhlangothi

Ukwehlukaniswa namaphaphu - inhliziyo engakwesobunxele

• I-catheterization yenhliziyo engakwesobunxele

UGoff DC Jr, uLloyd-Jones DM, uBennett G, et al; I-American College of Cardiology / American Heart Association Task Force Kuzinkombandlela Zokuzilolonga. Umhlahlandlela we-ACC / AHA ka-2013 wokuhlolwa kobungozi benhliziyo: umbiko we-American College of Cardiology / American Heart Association Task Force ngemihlahlandlela yokusebenza. Ukujikeleza. 2014; 129 (Suppl 2): ​​S49-S73. I-PMID: 24222018 pubmed.ncbi.nlm.nih.gov/24222018/.

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.

UMehran R, uDengas GD. I-Coronary angiography kanye ne-intravascular imaging. 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 20.