Angiography yamtima wamanja wamanja

Angiography yamtima wamanja ndi kafukufuku yemwe amajambula zipinda zoyenera (atrium ndi ventricle) zamtima.

Mupeza mpumulo pang'ono mphindi 30 musanachitike. Katswiri wa zamankhwala adzatsuka malowa ndikuzunguza dzikolo ndi mankhwala oletsa ululu. Kenako catheter idzaikidwa mu mtsempha m'khosi mwako, mkono, kapena kubuula.

Catheter idzasunthidwira kumanja kwamtima. Catheter ikapita patsogolo, adotolo amatha kujambula zovuta kuchokera pa atrium yoyenera ndi ventricle yakumanja.

Zinthu zosiyanitsa ("utoto") zimayikidwa kudzanja lamanja la mtima. Zimathandiza katswiri wamtima kudziwa kukula ndi mawonekedwe azipinda zamtima ndikuwunika momwe amagwirira ntchito komanso magalasi a tricuspid ndi pulmonary.

Njirayi imatenga 1 mpaka maola angapo.

Simudzaloledwa kudya kapena kumwa kwa maola 6 mpaka 8 mayeso asanayesedwe. Njirayi imachitika mchipatala. Nthawi zambiri, mudzavomerezedwa m'mawa wamachitidwe. Komabe, mungafunikire kuvomerezedwa usiku watha.

Wothandizira zaumoyo adzafotokozera njirayi komanso kuopsa kwake. Muyenera kusaina fomu yovomerezeka.

Mudzapatsidwa mankhwala oletsa ululu komwe catheter imayikidwa. Pambuyo pake, chinthu chokha chomwe muyenera kumva ndikumangika pamalopo. Simungamve catheter ikamayenda m'mitsempha yanu mbali yakumanja ya mtima. Mutha kumva kutentha kapena kumva kuti mukuyenera kukodza pamene utoto umabayidwa.

Angiography yamtima wamanja imachitidwa kuti iwunike magazi akuyenda mbali yakumanja kwa mtima.

Zotsatira zodziwika ndi monga:

• Chizindikiro cha mtima ndi malita 2.8 mpaka 4.2 pamphindi pa mita mita imodzi (ya padziko lapansi)
• Kupsyinjika kwamitsempha yama pulmonary systolic kuthamanga ndi 17 mpaka 32 millimeter a mercury (mm Hg)
• Mitsempha yama pulmonary imatanthauza kupanikizika ndi 9 mpaka 19 mm Hg
• Kupsyinjika kwa diastolic m'mapapo ndi 4 mpaka 13 mm Hg
• Kupsyinjika kwa capillary wedge kuthamanga ndi 4 mpaka 12 mm Hg
• Kupanikizika kwamatenda oyenera ndi 0 mpaka 7 mm Hg

Zotsatira zachilendo zitha kukhala chifukwa cha:

• Kulumikizana kwachilendo pakati pa dzanja lamanja ndi lamanzere la mtima
• Zovuta za atrium yoyenera, monga atrial myxoma (kawirikawiri)
• Zovuta zamavavu kumanja kwamtima
• Zovuta kapena zovuta zambiri, makamaka mavuto am'mapapu
• Ntchito yopopera yofooka ya ventricle yoyenera (izi zitha kukhala chifukwa cha zifukwa zambiri)

Zowopsa za njirayi ndi monga:

• Makhalidwe amtima
• Tamponade yamtima
• Embolism kuchokera kumatumba amwazi kumapeto kwa catheter
• Matenda amtima
• Kutaya magazi
• Matenda
• Kuwonongeka kwa impso
• Kuthamanga kwa magazi
• Zomwe zimasiyanitsidwa ndi utoto wosiyanitsa kapena mankhwala osokoneza bongo
• Sitiroko
• Kusokonezeka kwa mitsempha kapena mitsempha

Mayesowa atha kuphatikizidwa ndi coronary angiography ndikumapeto kwa mtima catheterization.

Angiography - mtima wamanja; Ventriculography yamanja yakumanja

• Mtima - gawo kupyola pakati
• Mtima - kuwonera kutsogolo

Arshi A, Sanchez C, Yakubov S.Valvular matenda amtima. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019: 156-161.

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.

Patel MR, Bailey SR, Bonow RO, ndi al. ACCF / SCAI / AATS / AHA / ASE / ASNC / HFSA / HRS / SCCM / SCCT / SCMR / STS 2012 njira zoyenera kugwiritsa ntchito catheterization yodziwitsa: lipoti la American College of Cardiology Foundation Yoyenera Ntchito Criteria Task Force, Society for Cardiovascular Angiography ndi Ntchito, American Association for Thoracic Surgery, 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 Maginito Magnetic Magnetic Resonance, ndi Society of Opaleshoni Yamatsenga. J Ndine Coll Cardiol. 2012; 59 (22): 1995-2027. (Adasankhidwa) PMID: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925. (Adasankhidwa)

Udelson JE, Dilsizian V, Bonow RO. Matenda a nyukiliya. 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 16.