I-catheterization yentliziyo yasekhohlo

I-catheterization yentliziyo yasekhohlo yindlela yombhobho omncinci oguqukayo (catheter) kwicala lasekhohlo lentliziyo. Yenziwe ukufumanisa okanye ukunyanga iingxaki ezithile zentliziyo.

Unokunikwa iyeza elincinci (lokuthomalalisa) ngaphambi kokuba kuqalise inkqubo. Iyeza kukunceda uphumle. Umboneleli wezempilo uya kubeka i-IV engalweni yakho ukunika amayeza. Uya kulala etafileni enephedi. Ugqirha wakho uya kwenza ukubola okuncinci emzimbeni wakho. Umbhobho oguqukayo (i-catheter) ufakwa kwimithambo. Iya kubekwa esihlahleni sakho, engalweni okanye kumlenze wakho wangasentla (kwi-groin). Uya kuba uvukile ngexesha lenkqubo.

Imifanekiso ye-x-ray ebukhoma isetyenziselwa ukunceda ukukhokela i-catheters entliziyweni yakho nakwiimithambo. Idayi (ngamanye amaxesha ebizwa ngokuba "ngumahluko") iya kufakwa emzimbeni wakho. Le dayi iya kugxininisa ukuhamba kwegazi kwimithambo. Oku kunceda ukubonisa ukubhloka kwimithambo yegazi ekhokelela entliziyweni yakho.

I-catheter ihanjiswa kwi-aortic valve ukuya kwicala lasekhohlo lentliziyo yakho. Uxinzelelo lulinganiswa entliziyweni kule ndawo. Ezinye iinkqubo zinokwenziwa ngeli xesha, njenge:

• I-Ventriculography ukujonga umsebenzi wokupompa kwentliziyo.
• I-Coronary angiography ukujonga kwimithambo yegazi.
• I-Angioplasty, kunye okanye ngaphandle kokudumba, ukulungisa ukubhloka kwimithambo kuyenziwa emva koko.

Inkqubo inokuhlala isuka ngaphantsi kweyure ukuya kwiiyure ezininzi.

Kwiimeko ezininzi, akufuneki utye okanye usele iiyure eziyi-8 ngaphambi kovavanyo. (Umboneleli wakho unokukunika imikhombandlela eyahlukileyo.)

Inkqubo iya kwenzeka esibhedlele. Unokungeniswa kubusuku obungaphambi kovavanyo, kodwa kuqhelekile ukuza esibhedlele ngentsasa yenkqubo. Ngamanye amaxesha, le nkqubo yenziwa emva kokuba ungeniswe esibhedlele mhlawumbi ngexesha likaxakeka.

Umboneleli wakho uya kuchaza inkqubo kunye nomngcipheko wayo. Kufuneka usayine ifom yemvume.

Ukuthomalalisa kuya kukunceda uphumle ngaphambi kwenkqubo. Nangona kunjalo, uya kuba uvukile kwaye ukwazi ukulandela imiyalelo ngexesha lovavanyo.

Uya kunikwa iyeza lendawo elibulalayo (i-anesthesia) ngaphambi kokuba kufakwe i-catheter. Uyakuva uxinzelelo njengoko kufakwa i-catheter. Nangona kunjalo, awufanelanga uve ntlungu. Unokuba ungonwabi ngokulala ungathethi kangangexesha elide.

Inkqubo yenziwa ukukhangela:

• Isifo sevalvu sentliziyo
• Amathumba enhliziyo
• Iziphene zentliziyo (ezinjengeziphene ze-septal septal)
• Iingxaki ngokusebenza kwentliziyo

Inkqubo inokwenziwa kwakhona ukuvavanya kwaye mhlawumbi ukulungisa iintlobo ezithile zeziphene zentliziyo, okanye ukuvula ivalve yentliziyo emxinwa.

Xa le nkqubo yenziwe nge-coronary angiography ukujonga imithambo eyondla imisipha yentliziyo, inokuvula imithambo evaliweyo okanye idlule iigrafti. Oku kunokuba ngenxa yesifo sentliziyo okanye i-angina.

Inkqubo ingasetyenziselwa:

• Qokelela iisampulu zegazi entliziyweni
• Chonga uxinzelelo kunye nokuhamba kwegazi kumagumbi entliziyo
• Thatha imifanekiso ye-x-ray ye-ventricle yasekhohlo (eyona ndawo iphambili yokupompa) yentliziyo (i-ventriculography)

Iziphumo eziqhelekileyo zithetha ukuba intliziyo iqhelekile:

• Ubungakanani
• Isindululo
• Ukutyeba
• Uxinzelelo

Iziphumo eziqhelekileyo zikwathetha ukuba imithambo luqhelekile.

Iziphumo ezingaqhelekanga zingangumqondiso wesifo sentliziyo okanye iziphene zentliziyo, kubandakanya:

• Ukungabikho kwe-aortic
• I-aortic stenosis
• Imithambo yegazi
• Ukwandiswa kwentliziyo
• Ukuhlaziywa kweMitral
• IMitral stenosis
• Ii-aneurysms zomoya
• Isiphene se-Atrial septal
• Isiphene se-Ventricular septal
• Ukumelwa yintliziyo
• Cardiomyopathy

Iingxaki zinokubandakanya:

• Iimpawu zentliziyo
• I-tamponade yentliziyo
• I-Embolism evela kumahlwili egazi kwincam ye-catheter ukuya kwingqondo okanye kwamanye amalungu
• Ukuhlaselwa yintliziyo
• Ukonzakala kwimithambo
• Usulelo
• Ukonakala kwezintso ngokuchaseneyo (idayi)
• Uxinzelelo lwegazi oluphantsi
• Ukuphendula kwizinto ezichaseneyo
• Ukubetha

Catheterization - intliziyo yasekhohlo

• I-catheterization yentliziyo yasekhohlo

UGoff DC Jr, uLloyd-Jones DM, uBennett G, et al; Ikholeji yaseMelika yeCardiology / iAmerican Heart Association Task Force kwiZikhokelo zokuziqhelanisa. Isikhokelo se-ACC / AHA sika-2013 kuvavanyo lomngcipheko wentliziyo: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zomsebenzi. Ukujikeleza. 2014; 129 (iSuppl 2): ​​S49-S73. IINKCUKACHA: 24222018 pubmed.ncbi.nlm.nih.gov/24222018/.

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.

UMehran R, uDengas GD. I-Coronary angiography kunye nengcinga yangaphakathi. 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 20.