Catheterization yamtima: ndi chiyani, momwe zimachitikira komanso zoopsa zomwe zingachitike

Zamkati

• Ndi chiyani
• Momwe catheterization yamtima imachitikira
• Chisamaliro chiti chimafunika
• Zowopsa za catheterization

Catheterization yamtima ndi njira yomwe ingagwiritsidwe ntchito pozindikira kapena kuchiza matenda amtima, omwe amakhala ndi kukhazikitsidwa kwa catheter, yomwe ndi chubu chowonda kwambiri, mumitsempha ya mkono, kapena mwendo, mpaka pamtima. Catheterization yamtima amathanso kudziwika kuti coronary angiography.

Njira zamtunduwu zitha kuwonetsedwa popezeka matenda ena amtima, komanso kuchiza infarction kapena angina, popeza imasanthula mkatikati mwa mitsempha yamagazi ndi mtima, kutha kuzindikira ndikuchotsa zolembapo zamafuta kapena zotupa.m'madera amenewa.

Momwe catheterization yamtima imachitikira

Ndi chiyani

Catheterization yamtima imagwira ntchito yodziwitsa komanso / kapena kuchiza matenda osiyanasiyana amtima, pomwe izi zingatchulidwe:

• Unikani ngati mitsempha yamitsempha yamagazi, yomwe imapatsa minofu ya mtima, yadzaza kapena ayi;
• Chotsani mitsempha ndi ma valve chifukwa chodzaza mafuta;
• Onetsetsani ngati pali zotupa m'magetsi ndi minofu yamtima;
• Fufuzani zosintha zamatenda amtima zosatsimikiziridwa ndi mayeso ena;
• Onetsani mwatsatanetsatane, ngati mulipo, vuto lobadwa nalo kwa akhanda ndi ana.

Catheterization yamtima imatha kuchitidwa limodzi ndi njira zina monga coronary angioplasty, njira yomwe imagwiritsidwa ntchito kutsegulira chotengera cha coronary ndipo imatha kuchitidwa ndikukhazikika kwa stent (zachitsulo prosthesis) kapena kungogwiritsa ntchito buluni, yomwe ndimapanikizidwe akulu, imakankhira mbale, kutsegula beseni. Phunzirani zambiri za momwe angioplasty imagwirira ntchito.

Zitha kuchitikanso molumikizana ndi balloon valvuloplasty, yomwe imagwiritsidwa ntchito pochiza matenda monga mavavu amtima monga pulmonary stenosis, aortic stenosis ndi mitral stenosis. Komanso, phunzirani zambiri pazomwe zikuwonetsa momwe valvuloplasty imagwirira ntchito.

Momwe catheterization yamtima imachitikira

Catheterization yamtima imachitika poyika catheter kapena kafukufuku mumtima. Gawo ndi gawo ndi:

1. Mankhwala ochititsa dzanzi m'deralo;
2. Kutsegula kotseguka kuti catheter ilowe pakhungu la kubowola kapena mkono wamanja padzanja kapena m'zigongono;
3. Kuyika kwa catheter mumtsempha (nthawi zambiri, mwamphamvu, chachikazi kapena cham'mimba) chomwe chiziwongoleredwa ndi dokotala waluso, mpaka pamtima;
4. Malo olowera kumitsempha yamanja yamanzere ndi kumanja;
5. Jekeseni wa chinthu chokhazikika cha ayodini (chosiyanitsa) chomwe chimalola kuwonera kwamitsempha ndi malo awo otsekerezedwa ndi X-ray;
6. Siyanitsani jakisoni mu ventricle yakumanzere, kulola kuwonera kupopera kwamtima.

Kuyesaku sikuyambitsa kupweteka. Chomwe chingachitike ndichakuti wodwala samamva kuluma kwa mankhwala ochititsa dzanzi komanso kutentha kwakanthawi m'chifuwa pomwe jakisoni wabayidwa.

Kutalika kwa kafukufuku kumasiyana malinga ndi momwe kumakhalira kosavuta kutseketsa chandamale, pokhala otalikirapo kwa odwala omwe achita opaleshoni ya myocardial revascularization. Nthawi zambiri, mayeso satenga mphindi zopitilira 30, kukhala kofunikira kuti mupumule kwa maola ochepa ndipo, ngati palibe vuto, mutha kupita kwanu, ngati mwangochita catheterization popanda njira ina yofananira.

Chisamaliro chiti chimafunika

Nthawi zambiri, kuti catheterization ikonzedwe, pamafunika kusala kudya kwa maola 4 mayeso asanayesedwe, ndikuyesera kupumula. Kuphatikiza apo, mankhwala okhawo omwe adalamulidwa ndi katswiri wamatenda akuyenera kugwiritsidwa ntchito, popewa mankhwala omwe sanapatsidwe, kuphatikiza zithandizo zapakhomo ndi tiyi. Onani zomwe ndizofunikira kwambiri zofunika kuzichita musanachite opaleshoni kapena pambuyo pake.

Nthawi zambiri kuchira pamachitidwe kumachitika mwachangu, ndipo ngati palibe zovuta zina zomwe zimalepheretsa, wodwalayo amatulutsidwa mchipatala tsiku lotsatira ndi malingaliro oti apewe kuchita zolimbitsa thupi kapena kunyamula zolemera zoposa 10 kg m'masabata awiri oyamba ndondomeko.

Zowopsa za catheterization

Ngakhale ndizofunikira komanso zotetezeka, njirayi imatha kubweretsa zovuta zina monga:

• Kutuluka magazi ndi matenda pamalo opangira catheter;
• Kuwonongeka kwa chotengera chamagazi;
• Thupi lawo siligwirizana ndi kusiyana komwe kwagwiritsidwa ntchito;
• Kugunda kwamtima mosasinthasintha kapena arrhythmia, komwe kumatha kutuluka palokha, koma kungafune chithandizo pakalimbikira;
• Kuundana kwamagazi komwe kumatha kuyambitsa matenda opha ziwalo kapena mtima;
• Kutaya magazi;
• Kudzikundikira kwa magazi m'thumba lomwe lazungulira mtima, zomwe zingalepheretse mtima kugunda bwino.

Kuopsa kwake kumakhala kochepa mukamayesedwa mayeso, komanso, nthawi zambiri amachitika muzipatala zamatenda okonzekereratu, zomwe zimakhala ndi akatswiri azamtima komanso ochita opaleshoni yamtima, mwauseri kapena payekha.

Zowopsa izi zitha kuchitika, makamaka kwa odwala matenda ashuga, matenda a impso ndi anthu azaka zopitilira 75, kapena kwa odwala ovuta kwambiri omwe ali ndi infarction ya myocardial.