Swan-Ganz - kurudyi moyo catheterization

Swan-Ganz catheterization (inonziwo catheterization yemoyo chaiyo kana pulmonary arteri catheterization) kupfuudza kwetepu yakatetepa (catheter) kurudyi kwemoyo uye tsinga dzinoendesa kumapapu. Izvo zvinoitirwa kuongorora mashandiro emoyo uye kuyerera kweropa uye kumanikidza mukati nekukomberedza moyo.

Muedzo unogona kuitwa iwe paunenge uri pamubhedha mune yevanotarisirwa unit (ICU) yechipatara. Izvo zvinogona zvakare kuitwa munzvimbo dzakasarudzika maitiro senge yemoyo catheterization laboratory.

Muedzo usati watanga, unogona kupihwa mushonga (sedative) kuti ikubatsire kuzorora.

Iwe ucharara pamusoro petafura ine padhedhi. Chiremba wako anozoita kubaya mutsinga padyo neguyo kana ruoko rwako, kana mutsipa. Iyo inochinjika chubhu (catheter kana sheath) inoiswa kuburikidza nekubaya. Dzimwe nguva, ichaiswa mugumbo rako kana ruoko rwako. Iwe unenge wakamuka panguva yekuita.

Catheter yakareba inoiswa. Izvo zvinobva zvanyatso kufambiswa mukamuri yepamusoro yepamusoro kurudyi kwemoyo. Mifananidzo yeX-ray inogona kushandiswa kubatsira mubatsiri wezvehutano kuti aone panofanira kuiswa catheter.

Ropa rinogona kubviswa mu catheter. Ropa iri rinoyerwa kuyera huwandu hwe oxygen muropa.

Munguva yekuita, moyo wako mutinhimira unogara uchitariswa uchishandisa electrocardiogram (ECG).

Iwe haufanire kudya kana kunwa chero chinhu kwemaawa masere bvunzo isati yatanga. Ungangoda kugara muchipatara husiku husati hwaitwa bvunzo. Zvikasadaro, iwe unozotarisa kuchipatara mangwanani emuedzo.

Uchapfeka hanzu yechipatara. Iwe unofanirwa kusaina fomu yemvumo usati wayedzwa.Wako mupi achatsanangura maitiro uye njodzi dzayo.

Unogona kupihwa mushonga wekukubatsira kuzorora usati waitwa. Iwe unenge wakamuka uye unokwanisa kutevedzera mirau panguva yekuyedzwa.

Unogona kunzwa kusagadzikana kana IV ikaiswa muruoko rwako. Iwe unogona zvakare kunzwa kumwe kumanikidzwa panzvimbo iyi kana iyo catheter ichiiswa. Mune vanhu vanorwara zvakanyanya, iyo catheter inogona kugara munzvimbo kwemazuva akati wandei.

Iwe unogona kunzwa kusagadzikana kana iyo nzvimbo yetsinga yakavezwa neinesthetic.

Maitiro acho anoitwa kuongorora kuti ropa rinofamba sei (rinotenderera) mune vanhu vane:

• Kumanikidzika kusingaite mumoyo arteri
• Kunopisa
• Congenital chirwere chemoyo
• Kutadza kwemoyo
• Chirwere cheitsvo
• Leaky moyo mavharuvhu
• Matambudziko emapapu
• Shock (yakanyanya kuderera BP)

Izvo zvinogona zvakare kuitwa kuti zviongorore zvematambudziko ekurwadziwa kwemoyo. Inotaridzawo mashandisiro anoita mimwe mishonga yemoyo.

Swan-Ganz catheterization inogona zvakare kushandiswa kuona isina kujairika kuyerera kweropa pakati penzvimbo mbiri dzemoyo dzisina kujairika kubatana.

Mamiriro ezvinhu anogona zvakare kuongororwa kana kuongororwa neSwan-Ganz catheterization anosanganisira:

• Cardiac tamponade
• Congenital chirwere chemoyo
• Pulmonary hypertension
• Inodzivirira kana yakawedzeredzwa cardiomyopathy

Zvakajairwa mhedzisiro yeiyi bvunzo ndeiyi:

• Indexi yemoyo iri 2.8 kusvika ku4.2 litita paminiti pamamita mita imwe (yemuviri nzvimbo)
• Pulmonary arteri systolic kumanikidza ndeye 17 kusvika 32 mamirimita e mercury (mm Hg)
• Pulmonary arteri zvinoreva kumanikidzwa kuita 9 kusvika 19 mm Hg
• Pulmonary diastolic kumanikidza ndeye 4 kusvika 13 mm Hg
• Pulmonary capillary wedge kumanikidza ndeye 4 kusvika 12 mm Hg
• Kumanikidza atrial kumanikidza kuri 0 kusvika 7 mm Hg

Mhedzisiro isina kujairika inogona kunge iri nekuda kwe:

• Dambudziko rekuyerera kweropa, senge kutadza kwemoyo kana kuvhunduka
• Chirwere chevharuvhu yemoyo
• Chirwere chemapapu
• Matambudziko ehurongwa nemoyo, senge shunt kubva kune yeatrial kana ventricular septal kuremara

Ngozi dzeiyi nzira dzinosanganisira:

• Kupopota kwakatenderedza nzvimbo yakaiswa catheter
• Kukuvadza kune tsinga
• Kubaya kumapapu kana mutsipa kana chipfuva mutsinga zvashandiswa, zvichikonzera kupunzika kwemapapu (pneumothorax)

Matambudziko asingawanzo anosanganisira:

• Cardiac arrhythmias inoda kurapwa
• Cardiac tamponade
• Embolism inokonzerwa neropa rakagwamba pamucheto wecatheter
• Utachiona
• Kuderera kweropa

Right moyo catheterization; Catheterization - chaipo moyo

• Swan Ganz catheterization

Hermann J. Cardiac catheterization. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 19.

Kapur NK, Sorajja P. Inopararira hemodynamics. Mune: Sorajja P, Lim MJ, Kern MJ, eds. Kern's Cardiac Catheterization Handbook. 7th ed. Philadelphia, PA: Elsevier; 2020: chits. 4.

Shreenivas SS, Lilly SM, Herrmann HC. Kupindira mukushamisika kwemoyo. Mune: Topol EJ, Teirstein PS, eds. Chinyorwa cheInopindirana Cardiology. 8th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 22.