Catheterization yamtima

Catheterization yamtima imaphatikizapo kupatsira chubu chofewa (catheter) kumanja kapena kumanzere kwa mtima. Catheter nthawi zambiri amalowetsedwa kuchokera kubowola kapena mkono.

Mudzalandira mankhwala musanayezedwe kuti zikuthandizeni kupumula.

Wothandizira zaumoyo amatsuka malo pa mkono wanu, khosi, kapena kubuula ndikuyika mzere mu umodzi mwamitsempha yanu. Izi zimatchedwa mzere wamitsempha (IV).

Thubhu yayikulu yopyapyala yotchedwa sheath imayikidwa mumitsempha kapena mtsempha wamiyendo mwendo kapena mkono. Kenako machubu apulasitiki otalika otchedwa catheters amasunthidwa mosamala kupita mumtima pogwiritsa ntchito ma x-ray ngati chitsogozo. Ndiye dokotala akhoza:

• Sonkhanitsani zitsanzo zamagazi kuchokera pansi pamtima
• Yesani kuthamanga ndi kuthamanga kwa magazi muzipinda zamtima komanso mumitsempha yayikulu kuzungulira mtima
• Yesani mpweya m'magawo osiyanasiyana amtima wanu
• Pendani mitsempha ya mtima
• Chitani chithunzi chokhudzidwa ndi minofu yamtima

Pazinthu zina, mutha kubayidwa ndi utoto womwe umathandizira wothandizirayo kuwona m'maganizo mwanu zomwe zili mumtima mwanu.

Ngati muli ndi chotchinga, mutha kukhala ndi angioplasty ndikukhazikika komwe kumayikidwa panthawiyi.

Mayesowa atha mphindi 30 mpaka 60. Ngati mungafunenso njira zapadera, mayeso akhoza kutenga nthawi yayitali. Catheter ikayikidwa m'khosi mwanu, nthawi zambiri mumafunsidwa kuti mugone pansi kumbuyo kwanu kwa maola angapo kapena angapo mutayesedwa kuti musatuluke magazi.

Mudzauzidwa momwe mungadzisamalire mukamapita kwanu mukamaliza.

Simuyenera kudya kapena kumwa kwa maola 6 mpaka 8 musanayezedwe. Kuyesaku kumachitika mchipatala ndipo mudzafunsidwa kuvala zovala zachipatala. Nthawi zina, mumayenera kugona usiku wonse musanayese kuchipatala. Kupanda kutero, mudzafika kuchipatala m'mawa wa ndondomekoyi.

Wothandizira anu adzafotokozera njirayi ndi kuopsa kwake. Fomu yovomerezedwa, yosainidwa yovomerezekayi ikufunika.

Uzani wothandizira wanu ngati:

• Matupi awo sagwirizana ndi nsomba kapena mankhwala aliwonse
• Sanalabadirepo utoto wosiyanasiyana kapena ayodini m'mbuyomu
• Tengani mankhwala aliwonse, kuphatikiza Viagra kapena mankhwala ena osokoneza bongo
• Atha kukhala ndi pakati

Kafukufukuyu amachitika ndi akatswiri azamtima komanso gulu lophunzitsidwa bwino.

Mudzakhala ogalamuka ndipo mutha kutsatira malangizo mukamayesedwa.

Mutha kukhala osasangalala kapena kukakamizidwa komwe catheter imayikidwa. Mutha kukhala osasangalala pakumangokhala chete mukamayesedwa kapena kugona chafufumimba pambuyo pa njirayi.

Njirayi imachitika nthawi zambiri kuti mudziwe za mtima kapena mitsempha yake. Zitha kuchitidwanso kuti muthane ndi mitundu ingapo yamatenda amtima, kapena kuti mupeze ngati mukufuna opaleshoni ya mtima.

Dokotala wanu amatha kupanga catheterization yamtima kuti mupeze kapena kuwunika:

• Zomwe zimayambitsa kusokonezeka kwa mtima kapena mtima wamtima
• Mitsempha ya Coronary
• Zofooka zamtima zomwe zimakhalapo pobadwa (zobadwa)
• Kuthamanga kwa magazi m'mapapu (kuthamanga kwa magazi)
• Mavuto ndi ma valve amtima

Njira zotsatirazi zitha kuchitidwanso pogwiritsa ntchito catheterization yamtima:

• Konzani mitundu ina yazolephera pamtima
• Tsegulani valavu yamtima yocheperako (stenotic)
• Tsegulani mitsempha yotseka kapena yolumikizira mumtima (angioplasty kapena wopanda kununkhira)

Catheterization yamtima imakhala pachiwopsezo chochepa kwambiri kuposa mayeso ena amtima. Komabe, zimakhala zotetezeka kwambiri zikachitika ndi gulu lodziwa zambiri.

Zowopsa zake ndi izi:

• Tamponade yamtima
• Matenda amtima
• Kuvulaza mtsempha wamagazi
• Kugunda kwamtima kosasintha
• Kuthamanga kwa magazi
• Kusintha kwa utoto wosiyanitsa
• Sitiroko

Zovuta zomwe zingachitike pamtundu uliwonse wa catheterization ndi izi:

• Kutulutsa magazi, matenda, ndi kupweteka kwa IV kapena malo olowetsera
• Kuwonongeka kwa mitsempha yamagazi
• Kuundana kwamagazi
• Kuwonongeka kwa impso chifukwa cha utoto wosiyanasiyana (wofala kwambiri kwa anthu omwe ali ndi matenda ashuga kapena mavuto a impso)

Catheterization - mtima; Catheterization yamtima; Angina - mtima catheterization; CAD - catheterization yamtima; Mitima matenda - mtima catheterization; Mtima valavu - mtima catheterization; Kulephera kwa mtima - catheterization yamtima

• Catheterization yamtima
• Catheterization yamtima

Benjamin IJ. Mayeso ozindikira ndi njira zomwe wodwala ali ndi matenda amtima. Mu: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, olemba. Andreec ndi Carpenter a Cecil zofunika za mankhwala. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 4.

Herrmann J. Catheterization yamtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 19.

Kern MJ, Kirtane AJ. (Adasankhidwa) Catheterization ndi angiography. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 51.