Ukucinywa kwentliziyo

I-catheterization yentliziyo ibandakanya ukuhambisa ityhubhu ecekeceke (catheter) kwicala lasekunene okanye lasekhohlo lentliziyo. I-catheter ihlala ifakwa ukusuka kwi-groin okanye engalweni.

Uya kufumana amayeza phambi kovavanyo lokukunceda uphumle.

Umboneleli wezempilo uyakucoca indawo engalweni yakho, entanyeni, okanye kwi-groin kwaye afake umgca komnye wemithambo yakho. Oku kubizwa ngokuba ngumgca we-intravenous (IV).

Umbhobho omkhulu weplastikhi omncinci obizwa ngokuba yisingxobo ubekwa emthanjeni okanye kwimithambo emlenzeni okanye engalweni. Emva koko iityhubhu ezinde zeplastiki ezibizwa ngokuba zii-catheters zihanjiswa ngononophelo ziye entliziyweni zisebenzisa i-ray-ray ephilayo njengesikhokelo. Emva koko ugqirha unako:

• Qokelela iisampulu zegazi entliziyweni
• Linganisa uxinzelelo kunye nokuhamba kwegazi kumagumbi entliziyo nakwiimithambo ezinkulu ezijikeleze intliziyo
• Linganisa ioksijini kwiindawo ezahlukeneyo zentliziyo yakho
• Vavanya imithambo yentliziyo
• Yenza i-biopsy kwimisipha yentliziyo

Kwezinye iinkqubo, unokujojelwa ngedayi enceda umboneleli wakho ukuba abone ngamehlo izakhiwo kunye nemithambo ngaphakathi kwentliziyo.

Ukuba uvalekile, unokuba ne-angioplasty kunye ne-stent ebekwe ngexesha lenkqubo.

Uvavanyo lunokuhlala kwimizuzu engama-30 ukuya kuma-60. Ukuba ufuna iinkqubo ezizodwa, uvavanyo lunokuthatha ixesha elide. Ukuba i-catheter ifakwe kwi-groin yakho, uya kucelwa ukuba ulale phantsi emqolo kwiiyure ezimbalwa ukuya kwiiyure ezimbalwa emva kovavanyo ukunqanda ukopha.

Uya kuxelelwa ukuba uzikhathalele njani xa ugoduka emva kokuba kwenziwe inkqubo.

Akufuneki utye okanye usele iiyure ezi-6 ukuya kwezi-8 phambi kovavanyo. Uvavanyo lwenzeka esibhedlele kwaye uyakucelwa ukuba unxibe igawuni yesibhedlele. Ngamanye amaxesha, kuyakufuneka uchithe ubusuku phambi kovavanyo esibhedlele. Ngaphandle koko, uya kuza esibhedlele ngentsasa yenkqubo.

Umboneleli wakho uya kuchaza inkqubo kunye nomngcipheko wayo. Ifomu yemvume esayiniweyo, esayiniweyo yenkqubo iyafuneka.

Xelela umboneleli wakho ukuba:

• Ngaba uxabisa ukutya kwaselwandle okanye nawaphi na amayeza
• Ngaba uye wasabela kakubi xa uthelekisa idayi okanye iodine ngaphambili
• Thatha nawaphi na amayeza, kubandakanya iViagra okanye ezinye iziyobisi ze-erectile dysfunction
• Unokukhulelwa

Uphononongo lwenziwa zii-cardiologists kunye neqela lokhathalelo lwempilo eliqeqeshiweyo.

Uya kuba uvukile kwaye ukwazi ukulandela imiyalelo ngexesha lovavanyo.

Unokuziva ungonwabanga okanye uxinzelelo apho kubekwa khona i-catheter. Unokuba ungonwabi ngokulala ungathathi cala ngexesha lovavanyo okanye ngokulala ungqengqe ngomqolo emva kwenkqubo.

Le nkqubo ihlala isenziwa ukufumana ulwazi malunga nentliziyo okanye imithambo yegazi. Kungenziwa kwakhona ukunyanga ezinye iintlobo zeemeko zentliziyo, okanye ukufumanisa ukuba ufuna utyando lwentliziyo.

Ugqirha wakho unokwenza i-catheterization yentliziyo ukuxilonga okanye ukuvavanya:

• Iimbangela zokungaphumeleli kwentliziyo okanye i-cardiomyopathy
• Imithambo yegazi
• Iziphene zentliziyo ezikhoyo ngexesha lokuzalwa (ngokuzalwa)
• Uxinzelelo lwegazi oluphezulu emiphungeni (uxinzelelo lwegazi)
• Iingxaki ngezivalo zentliziyo

Ezi nkqubo zilandelayo zinokwenziwa ukwenziwa kwe-catheterization yentliziyo:

• Lungisa iintlobo ezithile zeziphene zentliziyo
• Vula ivalve yentliziyo encinci (yestenotic)
• Imithambo evaliweyo evaliweyo okanye ukufakelwa kwentliziyo entliziyweni (i-angioplasty kunye okanye ngaphandle kokunuka)

I-catheterization ye-Cardiac inomngcipheko ophakamileyo kancinci kunezinye iimvavanyo zentliziyo. Nangona kunjalo, kukhuselekile kakhulu xa kusenziwa liqela elinamava.

Umngcipheko ubandakanya:

• I-tamponade yentliziyo
• Ukuhlaselwa yintliziyo
• Ukwenzakala kwimithambo yegazi
• Ukubetha kwentliziyo ngokungaqhelekanga
• Uxinzelelo lwegazi oluphantsi
• Ukuphendula kwidayi eyahlukileyo
• Ukubetha

Iingxaki ezinokubakho zalo naluphi na uhlobo lokuthanjiswa komzimba zibandakanya oku kulandelayo:

• Ukopha, usulelo, kunye nentlungu kwi-IV okanye kwindawo yokufaka i-sheath
• Ukonakala kwimithambo yegazi
• Amahlwili egazi
• Umonakalo wezintso ngenxa yedayi eyahlukileyo (exhaphakileyo kubantu abanesifo seswekile okanye iingxaki zezintso)

Catheterization - intliziyo; Catheterization yentliziyo; Angina - catheterization yentliziyo; I-CAD - i-catheterization yentliziyo; Imithambo yegazi yeCoronary - i-catheterization yentliziyo; I-valve yentliziyo - i-catheterization yentliziyo; Ukungaphumeleli kwentliziyo-i-catheterization yentliziyo

• Ukucinywa kwentliziyo
• Ukucinywa kwentliziyo

UBenjamin IJ. Uvavanyo lokuchonga kunye neenkqubo kwizigulana ezinesifo sentliziyo. Ku: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, ii-eds. U-Andreoli kunye no-Cecil we-Carpenter we-Essentials of Medicine. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 4.

IHerrmann J.Icatheterization yentliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 19.

UKern MJ, uKirtane AJ. Catheterization kunye ne-angiography. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl 51.