I-angiography yenhliziyo engakwesokudla

I-angiography yenhliziyo engakwesokudla isifundo esikhombisa amakamelo afanele enhliziyo (i-atrium ne-ventricle) yenhliziyo.

Uzothola i-sedative emnene emaminithini angama-30 ngaphambi kwenqubo. Udokotela wenhliziyo uzohlanza isiza futhi anikeze indawo leyo ndawo ngomuthi wokubulala izinzwa wendawo. Ngemuva kwalokho i-catheter izofakwa emthanjeni entanyeni yakho, engalweni, noma emgodini.

I-catheter izohanjiswa ohlangothini lwesokudla senhliziyo. Njengoba i-catheter isithuthukile, udokotela angaqopha izingcindezi ezivela e-atrium yangakwesokudla naku-ventricle engakwesokudla.

Impahla yokugqama ("udayi") ifakwe ngaphakathi kohlangothi lwenhliziyo. Kuyasiza udokotela wenhliziyo ukuthi anqume usayizi nokuma kwamagumbi enhliziyo futhi ahlole umsebenzi wawo kanye nomsebenzi wama-valve e-tricuspid ne-pulmonary.

Inqubo izohlala kusuka ku-1 kuye emahoreni amaningana.

Ngeke uvunyelwe ukudla noma ukuphuza amahora ayisithupha kuya kwayisishiyagalombili ngaphambi kokuhlolwa. Inqubo yenzeka esibhedlela. Ngokuvamile, uzokwamukelwa ekuseni kwenqubo. Noma kunjalo, ungahle udinge ukwamukelwa izolo kusihlwa.

Umhlinzeki wezokunakekelwa kwempilo uzochaza inqubo kanye nobungozi bayo. Kufanele usayine ifomu lokuvuma.

Uzonikezwa i-anesthesia yendawo lapho kufakwa khona ipayipi. Ngemuva kwalokho, ukuphela kwento okufanele uzizwe ingcindezi esizeni. Ngeke uzizwe i-catheter njengoba ihanjiswa ngemithambo yakho iye engxenyeni engakwesokudla yenhliziyo. Ungase uzwe umuzwa oshayayo noma umuzwa wokuthi udinga ukuchama njengoba idayi ijojowe.

I-angiography yenhliziyo engakwesokudla yenziwa ukuhlola ukugeleza kwegazi ohlangothini lokunene lwenhliziyo.

Imiphumela ejwayelekile ifaka phakathi:

• 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:

• Ukuxhumeka okungavamile phakathi kohlangothi lwesokudla nolwesobunxele lwenhliziyo
• Ukungajwayelekile kwe-atrium elungile, njenge-atrial myxoma (kuyaqabukela)
• Ukungajwayelekile kwama-valve ohlangothini lwesokudla senhliziyo
• Izingcindezi ezingajwayelekile noma amavolumu, ikakhulukazi izinkinga zamaphaphu
• Umsebenzi wokupompa obuthakathaka we-ventricle efanele (lokhu kungabangelwa izimbangela eziningi)

Izingozi zale nqubo zifaka:

• Ama-arrhythmias enhliziyo
• I-tamponade yenhliziyo
• I-embolism kusuka kumahlule egazi ekugcineni kwepayipi
• Isifo senhliziyo
• Ukopha
• Ukutheleleka
• Ukulimala kwezinso
• Umfutho wegazi ophansi
• Ukusabela kokuqhathanisa udayi noma imithi yokuthambisa
• Unhlangothi
• Ukuhlukumezeka emthanjeni noma emthanjeni

Lokhu kuhlolwa kungahlanganiswa ne-coronary angiography kanye ne-catheterization yenhliziyo engakwesobunxele.

I-Angiography - inhliziyo efanele; I-ventriculography yenhliziyo engakwesokudla

• Inhliziyo - isigaba phakathi nendawo
• Inhliziyo - ukubuka kwangaphambili

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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.

UPatel MR, uBaley SR, uBonow RO, et al. I-ACCF / SCAI / AATS / AHA / ASE / ASNC / HFSA / HRS / SCCM / SCCT / SCMR / STS 2012 indlela efanele yokusetshenziswa kwe-catheterization yokuxilonga: umbiko we-American College of Cardiology Foundation Applied Use Criteria Task Force, Society for Cardiovascular Angiography kanye nokungenelela, iAmerican Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic I-Resonance, neNhlangano Yabahlinzayo BamaThoracic. UJ Am Coll Cardiol. 2012; 59 (22): 1995-2027. I-PMID: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925.

Udelson JE, Dilsizian V, Bonow RO. I-cardiology yenukliya. 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 16.