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Intliziyo yasekunene ye-angiography - Iyeza
Intliziyo yasekunene ye-angiography - Iyeza

I-angiography yentliziyo elungileyo yasekunene luphononongo olubonisa amagumbi alungileyo (iatrium kunye ne-ventricle) yentliziyo.

Uya kufumana ukuthambisa okuthobekileyo kwimizuzu engama-30 ngaphambi kwenkqubo. Ugqirha wezifo zentliziyo uza kuyicoca indawo leyo kwaye ayenze ibe bhetyebhetye indawo leyo ngokusebenzisa iyeza lommandla. Emva koko i-catheter iya kufakwa emthanjeni entanyeni yakho, engalweni, okanye kwi-groin.

I-catheter iya kusiwa kwicala lasekunene lentliziyo. Njengoko i-catheter iqhubekile, ugqirha unokurekhoda uxinzelelo kwi-atrium yasekunene nakwi-ventricle yasekunene.

Izinto zokwahlulahlula ("idayi") zitofelwe kwicala lasekunene lentliziyo. Inceda ugqirha wezentliziyo ukumisela ubungakanani kunye nokumila kwamagumbi entliziyo kwaye avavanye ukusebenza kwawo kunye nomsebenzi weetricuspid kunye ne-valmon pulmonary valves.

Inkqubo iya kuhlala ukusuka kwi-1 ukuya kwiiyure ezininzi.

Awuyi kuvunyelwa ukuba utye okanye usele iiyure ezi-6 ukuya kwezi-8 phambi kovavanyo. Inkqubo yenzeka esibhedlele. Ngokubanzi, uya kwamkelwa ngentsasa yenkqubo. Nangona kunjalo, unokufuna ukwamkelwa kubusuku obungaphambili.


Umboneleli wezempilo uya kuchaza inkqubo kunye nobungozi bayo. Kufuneka usayine ifom yemvume.

Uya kunikwa i-anesthesia yendawo apho kufakwa khona i-catheter. Emva koko, ekuphela kwento onokuthi uziva kukuziva uxinzelelo kuyo. Awuyi kuva i-catheter njengoko ihanjiswa ngemithambo yakho iye kwicala lasekunene lentliziyo. Unokuziva unomsindo okanye uziva ukuba ufuna ukuchama njengoko idayi ijojowe.

I-angiography yentliziyo elungileyo yenziwa ukuvavanya ukuhamba kwegazi kwicala lasekunene lentliziyo.

Iziphumo eziqhelekileyo zibandakanya:

  • Isalathiso senhliziyo yi-2.8 ukuya kwi-4.2 yeelitha ngomzuzu ngemitha nganye nganye (yommandla womzimba)
  • Uxinzelelo lwe-pulmonary artery systolic uxinzelelo yi-17 ukuya kwi-32 yeemilimitha zemekyuri (mm Hg)
  • Umthambo wePulmonary uthetha uxinzelelo yi-9 ukuya kwi-19 mm Hg
  • Uxinzelelo lwe-diastolic ye-pulmonary yi-4 ukuya kwi-13 mm Hg
  • Uxinzelelo lwe-capillary wedge pulmonary yi-4 ukuya kwi-12 mm Hg
  • Uxinzelelo lwe-atrial olufanelekileyo ngu-0 ukuya ku-7 mm Hg

Iziphumo ezingaqhelekanga zinokubangelwa:


  • Unxibelelwano olungaqhelekanga phakathi kwecala lasekunene nelasekhohlo entliziyweni
  • Ukungaqhelekanga kwe-atrium efanelekileyo, njenge-atrial myxoma (inqabile)
  • Ukungaqheleki kwezivalo kwicala lasekunene lentliziyo
  • Uxinzelelo olungaqhelekanga okanye imiqulu, ngakumbi iingxaki zemiphunga
  • Umsebenzi wokupompa obuthathaka we-ventricle elungileyo (oku kunokuba ngenxa yezizathu ezininzi)

Iingozi zale nkqubo zibandakanya:

  • Iimpawu zentliziyo
  • I-tamponade yentliziyo
  • I-Embolism evela kumahlwili egazi kwincam yecatheter
  • Ukuhlaselwa yintliziyo
  • Ukopha
  • Usulelo
  • Umonakalo wezintso
  • Uxinzelelo lwegazi oluphantsi
  • Ukuphendula ngokuchaseneyo nedayi okanye amayeza okuthambisa
  • Ukubetha
  • Ukuxhwaleka kumthambo okanye umthambo

Olu vavanyo lunokudityaniswa ne-coronary angiography kunye ne-catheterization yentliziyo yasekhohlo.

I-Angiography - intliziyo elungileyo; Intliziyo ye-ventriculography elungileyo

  • Icandelo lentliziyo phakathi embindini
  • Intliziyo - umbono wangaphambili

UArshi A, uSanchez C, uYakubov S. Isifo sentliziyo seValvular. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 156-161.


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.

UPatel MR, uBaley SR, uBonow RO, et al. I-ACCF / i-SCAI / i-AATS / i-AHA / i-ASE / i-ASNC / i-HFSA / i-HRS / i-SCCM / i-SCCT / i-SCMR / i-STS i-2012 yokusetyenziswa ngokufanelekileyo kwe-catheterization yokuqonda: ingxelo ye-American College of Cardiology Foundation efanelekileyo yokuSebenzisa iCriteria Task Force, uMbutho we-Cardiovascular Angiography kunye nongenelelo, Umbutho waseMelika woNyango lweThoracic, 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, kunye noMbutho woNyango lwe-Thoracic. J NdinguColl Cardiol. Ngo-2012; 59 (22): 1995-2027. IINKCUKACHA: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925.

Udelson JE, Dilsizian V, Bonow RO. Intliziyo yenyukliya. 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 16.

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