Catheterization yamtima wakumanzere

Catheterization yamanzere ndikutuluka kwa chubu yocheperako (catheter) kumanzere kwa mtima. Zimachitidwa kuti muzindikire kapena muchiritse mavuto ena amtima.

Mutha kupatsidwa mankhwala ochepetsa (osakhazikika) njira isanayambe. Mankhwalawa ndikuthandizani kuti mupumule. Wothandizira zaumoyo adzaika IV m'manja mwanu kuti mupatse mankhwala. Mudzagona pa tebulo lokutidwa. Dokotala wanu adzakupangitsani thupi lanu pang'ono. Chubu chosinthika (catheter) chimalowetsedwa kudzera mumtsempha. Idzayikidwa m'manja mwanu, mkono kapena mwendo wanu wakumtunda (kubuula). Mudzakhala ogalamuka panthawiyi.

Zithunzi zamoyo za x-ray zimagwiritsidwa ntchito kuthandizira kuwongolera ma catheters mumtima mwanu ndi mitsempha. Utoto (womwe nthawi zina umatchedwa "kusiyanitsa") udzalowetsedwa mthupi lanu. Utoto uwu udzawonetsa kuthamanga kwa magazi kudzera m'mitsempha. Izi zimathandiza kuwonetsa zotchinga m'mitsempha yamagazi yomwe imafikitsa pamtima panu.

Catheter imasunthidwa kudzera pa valavu ya aortic kupita kumanzere kwa mtima wanu. Kupanikizika kumayesedwa mumtima panthawiyi. Njira zina zitha kuchitidwanso panthawiyi, monga:

• Ventriculography kuti muwone momwe kupopa kwamtima kumagwirira ntchito.
• Coronary angiography kuti muyang'ane pamitsempha yama coronary.
• Angioplasty, yokhala ndi kapena yopanda kununkha, kuti ikonze zotchinga m'mitsempha imachitidwa.

Njirayi imatha kupitilira ola limodzi mpaka maola angapo.

Nthawi zambiri, simuyenera kudya kapena kumwa kwa maola 8 musanayezedwe. (Wopereka wanu akhoza kukupatsani mayendedwe osiyanasiyana.)

Njirayi idzachitika mchipatala. Mutha kuloledwa usiku woti ayesedwe, koma ndizofala kubwera kuchipatala m'mawa wa ndondomekoyi. Nthawi zina, njirayi imachitika mutalandiridwa kale kuchipatala mwina mwadzidzidzi.

Wothandizira anu adzafotokozera njirayi ndi kuopsa kwake. Muyenera kusaina fomu yovomerezeka.

Mankhwalawa amathandiza kuti musangalale musanachitike. Komabe, mudzakhala ogalamuka ndipo mudzatha kutsatira malangizo mukamayesedwa.

Mupatsidwa mankhwala am'ndanda (aesthesia) am'deralo musanalowetse catheter. Mukumva kukakamizidwa pamene catheter imayikidwa. Komabe, simuyenera kumva kupweteka. Mutha kukhala osasangalala pakunama kwa nthawi yayitali.

Njirayi yachitika kufunafuna:

• Matenda a valavu ya mtima
• Zotupa za mtima
• Zolakwika pamtima (monga zotupa zamitsempha yamagetsi)
• Mavuto ndi ntchito yamtima

Njirayi itha kuchitidwanso kuti muwunikenso mwina kukonza mitundu ina yazolephera pamtima, kapena kutsegula valavu yocheperako yamtima.

Njirayi ikachitika ndi coronary angiography kuti muwone mitsempha yomwe imadyetsa minofu ya mtima, imatha kutsegula mitsempha yotsekedwa kapena kulambalala. Izi zikhoza kukhala chifukwa cha matenda a mtima kapena angina.

Njirayi itha kugwiritsidwanso ntchito:

• Sonkhanitsani zitsanzo zamagazi kuchokera pansi pamtima
• Sankhani kuthamanga ndi kuthamanga kwa magazi muzipinda zamtima
• Tengani zithunzi za x-ray za ventricle yakumanzere (chipinda chachikulu chopopera) cha mtima (ventriculography)

Zotsatira zabwinobwino zikutanthauza kuti mtima wabwinobwino mu:

• Kukula
• Zoyenda
• Makulidwe
• Anzanu

Zotsatira zabwinobwino zimatanthauzanso kuti mitsempha ya mitsempha ndiyabwino.

Zotsatira zosazolowereka zitha kukhala chizindikiro cha matenda amtima kapena zopindika pamtima, kuphatikiza:

• Kulephera kwa aortic
• Aortic stenosis
• Mitsempha ya Coronary
• Kukulitsa mtima
• Mitral kubwezeretsanso
• Mitral stenosis
• Zoyipa zamagetsi zamagetsi
• Matenda osokoneza bongo
• Ventricular septal chilema
• Mtima kulephera
• Matenda a mtima

Zovuta zingaphatikizepo:

• Makhalidwe amtima
• Tamponade yamtima
• Kuphatikizika kuchokera kumagazi am'magazi kumapeto kwa catheter kupita kuubongo kapena ziwalo zina
• Matenda amtima
• Kuvulaza mtsempha wamagazi
• Matenda
• Kuwonongeka kwa impso mosiyana (utoto)
• Kuthamanga kwa magazi
• Zoyankha pazosiyanazi
• Sitiroko

Catheterization - mtima wamanzere

• Catheterization yamtima wakumanzere

Goff DC Jr, Lloyd-Jones DM, Bennett G, ndi al; American College of Cardiology / American Heart Association Gulu Loyeserera pa Malangizo Othandizira. Chitsogozo cha 2013 ACC / AHA pakuwunika kwa chiwopsezo cha mtima: lipoti la American College of Cardiology / American Heart Association Task Force pamayendedwe othandizira Kuzungulira. 2014; 129 (Suppl 2): ​​S49-S73. PMID: 24222018 pubed.ncbi.nlm.nih.gov/24222018/.

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.

Mehran R, Dengas GD. Coronary angiography ndi kulingalira kwamkati. 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: chap 20.