Ukuhlolwa kwe-catheter yenhliziyo kwesokudla kuyindlela yokuhlola ehlaselayo eyenziwa ukuhlola ukuthi inhliziyo ihambisa igazi kahle kangakanani. Ngokuvamile kwenziwa ukukala umfutho wegazi kanye nezinga lomoya-mpilo emaphashini kanye nohlangothi lwesokudla lwenhliziyo. Le nqubo yaziwa nangokuthi i-catheterization yemithambo yegazi yamaphaphu.

Ngesikhathi sokwelashwa nge-catheter yenhliziyo yangakwesokudla, udokotela wenhliziyo ufaka ipayipi elincane eliguquguqukayo emthanjeni, ngokuvamile entanyeni, embotsheni noma engalweni. Lokhu kuqondiswa ohlangothini lwesokudla lwenhliziyo. Le nqubo ivumela odokotela ukuthi balinganise umfutho wegazi, ukuphuma kwenhliziyo kanye nezinga lomoya-mpilo emzimbeni. Inhloso yokwenza le nqubo ukuthola izinkinga ezihlobene nenhliziyo nokuphatha ukwehluleka kwenhliziyo.

Kungani kwenziwa i-Right Heart Catheterization?

Udokotela wenhliziyo ngokuvamile wenza le nqubo ukukhomba izimo ezihlukahlukene zenhliziyo ezihlanganisa:

I-Cardiogenic Shock: Ngenxa yokushaqeka kwenhliziyo, ukugeleza kwegazi kanye nezinga lomoya-mpilo kuyehla. Izimbangela eziyinhloko zalokhu kushaqeka ukwehluleka kwenhliziyo okungazelelwe kanye nokutheleleka okukhulu ngamagciwane egazini.
I-Cardiomyopathy: Lesi simo esaziwa ngokuthi ukwanda kwenhliziyo futhi senzeka ngenxa yokuqina noma ubuthakathaka bemisipha yenhliziyo yakho.
Isifo Senhliziyo Esizalwa Naso: Kunezinkinga eziningi zokuzalwa ezenzeka enhliziyweni. Isibonelo, i-septal defect, lokhu kuyimbobo odongeni phakathi kwegumbi elingezansi lenhliziyo.
Ukwehluleka kwenhliziyo: Lesi yisimo lapho imisipha yenhliziyo yesiguli iba buthaka kangangokuthi ayikwazi ukupompa igazi kahle. Futhi kuholela ekuqongeleleni koketshezi emithanjeni yegazi nasemaphashini. Uketshezi luqongelelana nasemaqakaleni, ezinyaweni nakwezinye izingxenye zomzimba.
Isifo Senhliziyo: Lesi simo senzeka ngenxa yokungasebenzi kahle kwenye yama-valve enhliziyo futhi sibangela ukugeleza kwegazi okungavamile enhliziyweni.
I-Pulmonary Hypertension: Kulesi simo isiguli sibhekana nemithambo yegazi namaphaphu. Lokhu kubangela ubunzima bokuphefumula kanye nokwehluleka kwenhliziyo.

Izingozi Nezinkinga Zokuhlikihla Inhliziyo Efanele

Ukuhlinzwa kwenhliziyo kwesokudla ngokuvamile kuyindlela ephephile, ngoba kuhilela ukusikwa, kungaba yingozi nezinkinga ezithile, okuyilezi ezilandelayo:

arrhythmia
Ukujiya kwegazi
Ukulimala komthambo
ukopha
Imihuzuko engxenyeni yokufaka
Ukutheleleka
Ukugoqa kwamaphaphu
I-Cardiac Tamponade
Isifo senhliziyo

Ukwelashwa Kwe-Catheterization Yenhliziyo Engakwesokudla

Ngaphambi Kwenqubo:
- Ngosuku lwenqubo umhlengikazi uzocela isiguli ukuthi sishintshe futhi sikhiphe esinyeni ukuze kube lula kubo bobabili udokotela kanye nesiguli.
- Khona-ke uchwepheshe wezokwelapha uzoyala umuntu ukuba alale etafuleni lokuhlolwa.
- Uma isiguli sesikhululekile silele etafuleni umhlengikazi uzonamathisela amabala amancane aziwa ngokuthi ama-electrode ezingxenyeni ezahlukene esifubeni. Lokhu kwenzelwa ukurekhoda ukusebenza kwenhliziyo.
- Ezimweni eziningi i-catheterization yenhliziyo efanele kube inqubo esheshayo engafaki ukuthulisa. Nokho, isiguli singase sidinge ukufakwa kwe-IV emthanjeni engalweni noma esandleni ukuze sithole uketshezi oluthile nemithi edambisayo.
Ngesikhathi Senqubo:
- Ukufakwa kwe-catheter kwenhliziyo okufanele kuvame ukuthatha ihora elilodwa, noma kunjalo yonke inqubo, okuhlanganisa nokulungiswa kwangaphambi kokuhlinzwa kanye nokululama, ingathatha amahora amaningana.
- Phakathi nenqubo, isiguli sizobe sivukile futhi umhlinzeki wezempilo uzohlanza indawo esebenzisa ijeli ethile yezokwelapha yokufaka i-catheter emzimbeni, kodwa okokuqala kuzonikezwa i-anesthesia yendawo ukuze kuncishiswe indawo futhi kumenze umuntu aphumule kuyo yonke inqubo.
- Udokotela wenhliziyo usebenzisa inaliti ekhethekile noma ithuluzi lokusika ukuze abhoboze imithambo yegazi. Bese uthatha isilinganiso kanye nesampula yezicubu njengoba kudingeka.
- Phakathi nalesi sikhathi odokotela bangase bacele isiguli ukuba siphefumule ngezindlela ezithile.
- Udokotela angase futhi acele ukuzivocavoca noma ukusebenzisa i-foot pedal ngesikhathi sokuhlolwa ukuze ahlole ukucindezela kwenhliziyo nokuthi inhliziyo iphendula kanjani.
- Uma ukuhlolwa sekuqediwe, i-catheter iyasuswa kanye nemithi ye-IV futhi i-incision ivaliwe.

Ingabe Inqubo Idala Ukungakhululeki

Njengoba ihlasela ngakho-ke ingabangela ukungakhululeki okuhlukahlukene okuhlanganisa:

Isikhukhula
I-nausea
bekhanda
Lightheadedness
Inxusa ukukhwehlela
Ukungakhululeki ngenxa yemithi ye-IV

Nakekela Amathiphu Ngemva Kwe-Right Heart Catheterization

Ngemva kwenqubo udokotela uzophakamisa izinkombandlela ezithile okufanele zilandelwe izinsuku ezimbalwa lezi zihlanganisa:

Gwema ukugoba, ukuphakamisa ukusunduza nokudonsa ngokushesha ngemva kwenqubo futhi khumbula lokho izinsuku ezimbalwa.
Gwema ukuhileleka emisebenzini esindayo njengokushayela kanye nokuphakamisa izinsimbi lapho uthola okokudambisa.
Phuza uketshezi oluningi ukuze ululame ngokushesha.
Beka i-ice pack engxenyeni lapho uzwa ukuvuvukala nobuhlungu.
Gwema ukugeza ishawa amahora angu-24 kuya kwangu-48 ngemva kwenqubo futhi ungagezi kuze kube yilapho izimbobo seziphelile.