Kuruboshwe moyo catheterization

Kuruboshwe moyo catheterization ndiko kupfuura kwetete yakatetepa inochinja catheter (kuruboshwe) kuruboshwe kwemoyo. Izvo zvinoitirwa kuongorora kana kurapa mamwe matambudziko emoyo.

Unogona kupihwa mushonga munyoro (kunyaradza) maitiro asati atanga. Mushonga ndewekubatsira iwe kuzorora. Anopa rubatsiro anozoisa IV mumaoko ako kuti ape mishonga. Iwe ucharara pamusoro petafura ine padhedhi. Chiremba wako anozoita punchi diki pamuviri wako. Iyo inochinjika chubhu (catheter) inoiswa kuburikidza netsinga. Ichaiswa muchanza chako, ruoko kana gumbo rako repamusoro (kugomera). Iwe ungangove wakamuka panguva yekuita.

Rarama mifananidzo ye-x-ray inoshandiswa kubatsira kutungamira iwo machathetere kumusoro mumoyo mako uye tsinga. Dhayi (dzimwe nguva inonzi "musiyano") inozojowa mumuviri wako. Iri dhayi rinoratidzira kuyerera kweropa kuburikidza nemitsinga. Izvi zvinobatsira kuratidza kuvharika mumidziyo yeropa inotungamira kumoyo wako.

Iyo catheter inozotamiswa kuburikidza neyeaortic vheji kuenda kuruboshwe rwemoyo wako. Iko kumanikidzwa kunoyerwa mumoyo mune chinzvimbo ichi. Dzimwe nzira dzinogona kuitwawo panguva ino, se:

• Ventriculography kutarisa kupomba kwemoyo basa.
• Coronary angiography kutarisa kune coronary arteri.
• Angioplasty, iine kana isina kunhuwa, kugadzirisa mabhureki mune tsinga zvinozoitwa.

Maitiro acho anogona kutora kubva pasi pe1 awa kusvika kumaawa akati wandei.

Muzviitiko zvakawanda, haufanire kudya kana kunwa kwemaawa masere usati waedzwa. (Wako anokupa anogona kukupa akasiyana madhiri.)

Maitiro acho achaitika muchipatara. Unogona kubvumidzwa husiku hwakatangira kuyedzwa, asi zvakajairika kuti uuye kuchipatara mangwanani emuitiro. Mune zvimwe zviitiko, maitiro aya anoitwa mushure mekunge watotambirwa kuchipatara pamwe panguva yechimbichimbi.

Wako mupi achatsanangura maitiro uye njodzi dzayo. Iwe unofanirwa kusaina fomu yekubvuma.

Iyo sedative ichakubatsira iwe kuzorora usati waitwa. Nekudaro, iwe unenge wakasvinura uye unokwanisa kutevedzera mirau panguva yekuyedzwa.

Iwe unozopihwa yemuno chiveve mushonga (anesthesia) pamberi pekateti inoiswa. Iwe unonzwa kumwe kumanikidzwa sezvo catheter ichiiswa. Nekudaro, iwe haufanire kunzwa chero kurwadziwa. Unogona kunge uine kusagadzikana kubva mukunyepa wakadzikama kwenguva yakareba.

Maitiro acho anoitwa kutsvaga:

• Cardiac vharafu chirwere
• Bundu remwoyo
• Kukanganisa kwemoyo (senge ventricular septal kukanganisa)
• Matambudziko nekushanda kwemoyo

Maitiro acho anogona zvakare kuitwa kuti uongorore uye pamwe kugadzirisa mamwe marudzi ehurema hwemwoyo, kana kuvhura yakadzikira vharuvhu yemoyo.

Kana maitiro aya akaitwa necoronary angiography kuti uongorore tsinga dzinopa moyo mhasuru, dzinogona kuvhura dzakavharika tsinga kana kupfuudza grafiti. Izvi zvinogona kuve nekuda kwekurwadziwa kwemoyo kana angina.

Maitiro acho anogona zvakare kushandiswa ku:

• Unganidza masampula eropa kubva pamoyo
• Sarudza kumanikidza uye kuyerera kweropa mumakamuri emoyo
• Tora x-ray mifananidzo yeiyo kuruboshwe ventricle (main pumping chamber) yemoyo (ventriculography)

Mhedzisiro mhedzisiro zvinoreva kuti moyo wakajairika mu:

• Saizi
• Motion
• Ukobvu
• Dzvinyiriro

Mhedzisiro mhedzisiro zvakare zvinoreva kuti arteri akajairwa.

Mhedzisiro isina kujairika inogona kunge iri chiratidzo chehosha yemoyo kana hurema hwemwoyo, kusanganisira:

• Aortic kusakwana
• Aortic stenosis
• Coronary tsinga chirwere
• Kuwedzera kwemoyo
• Mitral kudzokorora
• Mitral stenosis
• Ventricular aneurysms
• Atrial septal kuremara
• Ventricular septal kuremara
• Kutadza kwemoyo
• Cardiomyopathy

Zvinetso zvinogona kusanganisira:

• Cardiac arrhythmias
• Cardiac tamponade
• Embolism kubva kuhuropa reropa kumucheto wecatheter kuenda kuuropi kana dzimwe nhengo
• Kumira kurova kwemoyo
• Kukuvadza kune tsinga
• Utachiona
• Itsvo kukuvara kubva musiyano (dhayi)
• Kuderera kweropa
• Reaction kune yakasiyanisa zvinhu
• Kurohwa

Catheterization - moyo wekuruboshwe

• Kuruboshwe moyo catheterization

Goff DC Jr, Lloyd-Jones DM, Bennett G, et al; American College yeCardiology / American Heart Association Task Force paMitemo Yekudzidzira. 2013 ACC / AHA nhungamiro pakuongororwa kwenjodzi yemwoyo: mushumo weAmerican College yeCardiology / American Heart Association Task Force pane maitiro enzira. Kutenderera. 2014; 129 (Chirongwa 2): S49-S73. PMID: 24222018 pubmed.ncbi.nlm.nih.gov/24222018/.

Herrmann 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.

Mehran R, Dengas GD. Coronary angiography uye intravascular imaging. 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 20.