Catheterization yemoyo: chii icho, zvazvinoitwa uye nenjodzi dzinogona kuitika

Zvemukati

• Chii ichochi
• Iko moyo catheterization inoitwa
• Ingwariroi inodiwa
• Njodzi dzinogona kuitika dze catheterization

Catheterization yemoyo inzira inogona kushandiswa kuongorora kana kurapa chirwere chemwoyo, icho chinosanganisira kuiswa kwekateti, inova chubhu yakatetepa zvakanyanya, mutsinga yeruoko, kana gumbo, kusvika pamoyo. Catheterization yemoyo inogona zvakare kuzivikanwa seacoronary angiography.

Aya maitiro ehurongwa anogona kuratidzwa zvese kuongororwa kweimwe matambudziko emoyo, pamwe nekurapa infarction kana angina, sezvo ichiongorora mukati memidziyo yeropa nemoyo, ichikwanisa kuona nekubvisa kuwanda kwemafuta kana maronda. mumatunhu aya.

Iko moyo catheterization inoitwa

Chii ichochi

Catheterization yemoyo inoshanda kuongorora uye / kana kurapa akasiyana mamiriro emoyo, pakati pazvo zvinotevera zvinogona kusimbiswa.

• Wongorora kuti maronari artery, ayo anopa tsandanyama yemoyo, akavharana kana kwete;
• Bvisa arteri uye mavhavha nekuda kwekuunganidzwa kwemafuta emafuta;
• Tarisa kana paine maronda mumavharuvhu nemhasuru yemwoyo;
• Tarisa uone shanduko mumatomu emoyo isina kusimbiswa nedzimwe bvunzo;
• Ratidza zvakadzama, kana paine, kuberekwa kusarongeka mune vacheche uye vana.

Catheterization yemoyo inogona kuitwa pamwe chete nemamwe matekiniki akadai secoronary angioplasty, nzira inoshandiswa kuvhurira coronary mudziyo uye inogona kuitwa neyakaiswa stent (metallic prosthesis) kana chete nekushandisa chibharumu, icho chine kumanikidza kwakanyanya, chinosunda mahwendefa, achivhura vhasi. Dzidza zvakawanda nezvekuti angioplasty inoitwa sei.

Izvo zvinogona zvakare kuitwa pamwe chete ne percutaneous balloon valvuloplasty, inoshandiswa kurapa hosha dzakadai sevhavha yemoyo senge pulmonary stenosis, aortic stenosis uye mitral stenosis. Zvakare, dzidza zvimwe zvakawanda nezve zvinoratidza zvekuti valvuloplasty inoitwa sei.

Iko moyo catheterization inoitwa

Catheterization yemoyo inoitwa nekuisa iyo catheter kana kuongorora mukati memwoyo. Nhanho nhanho ndeiyi:

1. Local anesthesia;
2. Kuita kuvhurika kudiki kwekuti catheter ipinde muganda reguruva kana ruoko rwemberi paruoko kana kugokora;
3. Kuiswa kwecatheter mune arteri (kazhinji, radial, yechikadzi kana bracheal) iyo inotungamirwa nachiremba nyanzvi, kusvika pamoyo;
4. Nzvimbo yekupinda kurudyi uye kuruboshwe coronary arteri;
5. Kubayiwa kweiyo iodine-yakavakirwa chinhu (musiyano) iyo inobvumidza kutaridzika kweiyo arteri uye avo mapoinzi ekudzivirira neX-ray;
6. Enzanisa jekiseni mu ventricle yekuruboshwe, ichibvumira kuona kwepombi yekumhanyisa moyo.

Iyo bvunzo haina kukonzera kurwadziwa. Izvo zvakanyanya zvinogona kuitika ndezvekuti murwere anonzwa kusagadzikana mukurumwa kweanesthesia uye inopfuura wave kupisa mukati mechipfuva kana mutsauko waiswa.

Iyo nguva yekuongororwa inosiyana zvichienderana nekuti zviri nyore sei kudzikisira tarisiro, ichiwanzo kuve yakareba kune varwere vakatove nekuvhiyiwa myocardial revascularization kuvhiyiwa. Kazhinji, bvunzo hadzitore anopfuura maminetsi makumi matatu, zvichidikanwa kuti ugare uchizorora kwemaawa mashoma uye, kana pasina dambudziko, unogona kuenda kumba, kana uchingoita catheterization pasina imwe nzira yakabatana.

Ingwariroi inodiwa

Kazhinji, kune yakarongwa catheterization, zvinodikanwa kuti utsanye kwemaawa mana pamberi pebvunzo, uye edza kuzorora. Uye zvakare, mishonga chete yakatemwa nachiremba wemoyo inofanirwa kuchengetwa ichishandiswa, ichidzivirira mishonga isina kunyorerwa, kusanganisira mishonga yekumba nematei. Tarisa uone kuti ndezvipi zvakanyanya hanya zvinofanirwa kutorwa usati uye mushure mekuvhiyiwa.

Kazhinji, kupora kubva munzira kunoitwa nekukurumidza, uye kana pasina zvimwe zvinodzivirira, murwere anoburitswa muchipatara zuva rinotevera aine kurudziro yekudzivirira kurovedza muviri zvine simba kana kusimudza zvirema pamusoro pe10 kg mumavhiki maviri ekutanga mushure maitiro.

Njodzi dzinogona kuitika dze catheterization

Kunyangwe iri yakakosha uye kazhinji yakachengeteka, maitiro aya anogona kuunza dzimwe njodzi dzehutano, senge:

• Kubuda ropa uye hutachiona pane iyo catheter yekuisa saiti;
• Ropa remidziyo kukuvara;
• Allergic reaction kune iyo musiyano wakashandiswa;
• Kurova kwemoyo zvisina kujairika kana arrhythmia, iyo inogona kuenda yega, asi ingangoda kurapwa kana ichitsungirira;
• Kuvhara kweropa kunogona kukonzera sitiroko kana chirwere chemwoyo;
• Kudonha mukumanikidza kweropa;
• Kuunganidzwa kweropa musaga rakakomberedza moyo, izvo zvinogona kudzivirira moyo kurova zvakajairika.

Njodzi idzi ishoma kana bvunzo dzakarongwa, uyezve, zvinowanzoitwa muzvipatara zvine hunyanzvi hwezvirwere zvemoyo, zvine varapi venyanzvi uye vanovhiya moyo, naSus kana vega.

Njodzi idzi dzinogona kuitika, kunyanya, mune vane chirwere cheshuga, nezvirwere zveitsvo uye nevanhu vane makore anopfuura makumi manomwe nemashanu ekuberekwa, kana kune avo vakanyanya uye varwere vane myocardial infarction.