A Na - eji Ọkụ Obi Na - eche Nsogbu Obi Dịgasị iche
Igwe ndị Katọlik na ihe ndị na-ahụ anya bụ nyocha nke ịchọpụta ihe nke na-eme ka catheters (ogologo oge dị nfe, obere tubes) gafere n'ime ọbara na n'ime obi, iji nyochaa ahụmị na ọrụ nke obi na arịa ọbara.
N'ihi na enwere ike inweta ọtụtụ ihe bara uru site na ule ndị a, ha na-arụ ọrụ na ihe fọrọ nke nta ka ọ bụrụ ndị ọrịa nile a na-atụle maka ịwa ahụ nke obi ụdị ọ bụla, gụnyere ịwa ahụ , ma ọ bụ ọrịa angioplasty na mkpasu iwe .
Kedu Ka E Si Eme Igwe Ọkụ?
Onye nwere ule ndị a bụ ụlọ nchọpụta pụrụ iche, na-etinye ya na tebụl nlele anya. Mgbe e nyere ọgwụgwọ mpaghara , a na-etinye nkedo n'ime arịa ọbara n'ọgba, ogwe aka, nkwekọrịta ma ọ bụ n'olu. A na-etinyere catheter ma ọ bụ site na obere mbepụ, ma ọ bụ site na a bela-mkpisi. Mgbe ụfọdụ, a na-etinye ihe nchịkọta site na saịtị karịrị otu. Ozugbo n'ime arịa ọbara, ndị na-ekiri anụ ahụ na-ebute n'obi site n'iji nduzi x-ray.
N'oge usoro a, a na-emegharị ihe ndị dị n'akụkụ dị iche iche n'ime obi, a na-atụgharịkwa nrụgide n'ime ime ụlọ dị iche iche. Ime ihe nrụgide intracardiac a nwere ike inye aka n'inyocha ụdị ọrịa ụfọdụ. Dịka ọmụmaatụ, a pụrụ ịhụ ọrịa obi valvụ site na nrịta dị iche iche dị n'etiti ụlọ obi. Dịka ọmụmaatụ, na mịpụ stentos , aka ekpe nke nrụgide dị elu karịa nrụgide ventricular aka ekpe mgbe valve valve ahụ meghere, na-egosi na valvụ ahụ adịghị emeghe kpamkpam, nakwa na mmechi ọhụụ nke ọbara ga-adị mgbe ọ na-ekwesịghị ịdị.
A pụrụ iji ụdị ọbara dị iche iche na-ekpuchi ọbara site na ọnọdụ dị iche iche n'ime obi, iji tụọ ọnụ ọgụgụ oxygen n'ime ọbara. Mkpụrụ ogbugwoju na akụkụ aka nri nke obi kwesịrị imebi, ebe ọ bụ na ikuku oxygen na akụkụ aka ekpe nke obi (mgbe ọbara gasịworo na ngụgụ) ka e mejupụtara.
Ya mere ọdịiche dị iche iche nke ikuku oxygen n'ime ụlọ dị iche iche dị n'ime obi nwere ike ịkọwa "shunt," ma ọ bụ ọbara ọgbụgba na-adịghị mma n'ime obi, nke na-emekarị ka obi mgbapụta obi dị ka nkwarụ zuru oke .
N'ikpeazụ, site na ịgbanye nko site na nkedo mgbe a na-edekọ ihe oyiyi x-ray ngwa ngwa, "ihe nkiri" nwere ike ịme nke ọbara na- agafe n'ime ụlọ obi, ma ọ bụ site na akwara ọbara - usoro a maara dị ka angiography (nke a na-akpọkwa arteriography).
Ozugbo e mechara usoro ahụ, a ga-ewepu catheter (s). A na-achịkwa mmiri ozuzo site na itinye nrụgide na ntinye ntinye nke catheter maka minit 30 - 60.
Kedu ihe bụ Catheterization Cardiac eji mee?
Igwe ihe gbasara cardiac na angiography nwere ike ikpughe ozi dị mkpa gbasara ọrụ obi obi zuru ezu, banyere ọrụ nke ụlọ onye ọ bụla nwere obi obi, gbasara valves obi (ma hà dị oke oke - stenosis - ma ọ bụ oke mgbachi - regurgitation), banyere obi mgbarụ obi, na banyere ọnọdụ na oke nke nchịkọta na akwara ọbara .
Mgbe ụfọdụ, a pụrụ iji catheterization obi na-agwọ ọgwụgwọ dịgasị iche. Usoro ọgwụgwọ na-agụnye usoro iji mesoo mgbochi ụbụrụ ma ọ bụ stenosis aortic , usoro iji mechie usoro ogwu patent , na, n'ụzọ doro anya, usoro iji gbochie nchịkọta na akwara ọbara (ọnyá angioplasty na stent).
Kedu ihe bụ ihe ize ndụ nke Katheterization cardiac na Angiography?
Ọkpụkpụ cardiac na angiography dị mma, mana n'ihi na ha bụ usoro na-emerụ ahụ metụtara obi, ọtụtụ nsogbu nwere ike ime. N'ihi nke a, ọ dịghị onye kwesịrị inwe nchịkwa obi obi ọ gwụla ma enwere ike ịnweta ihe ọmụma sitere na usoro a ga-aba uru dị ukwuu.
Nsogbu obere nke nchịkọta obi na-agụnye obere ọgbụgba ọbara na ntinye nke ntinye nsị, nchekasị obi na- adịru nwa oge nke catheter kpatara na-eme ka ike obi ghara ịdị, na mgbanwe oge na ọbara mgbali.
Nsogbu kachasị njọ gụnyere nkwụsị nke mgbidi obi (na-eme ka ọnọdụ ndụ egwu nke a na-akpọ mgbochi obi ), mgbochi mberede nke akwara akwara (nke na-eduga na nkụchi obi ), ọbara ọgbụgba dị ukwuu, ọrịa strok , ma ọ bụ ihe nfụkasị nke ejiji na-eji na angiography .
Tụkwasị na nke ahụ, ikuku na mkpụrụ obi na-achọ ka a na-ekpughe ihe ụfọdụ na radiation. Dịka ọ na-eji nyocha nke ahụike na-eme ihe, nchịkọta nke obi obi nwere ike imepụta obere mmụba n'ihe ize ndụ ndụ nke ịmalite ịrịa cancer.
Okwu Site
Ọkpụkpụ cardiac catheterization na angiography bụ mkpali obi mgbawa nke pụrụ inye aka dị ukwuu n'ịchọpụta ọrịa dị iche iche, nakwa na ịhazi na ọbụna inye ọgwụgwọ.
> Isi mmalite:
> Moscucci M. Grossman na Baim's Cardiac Catheterization, Angiography, and Intervention, 8th ed, Wolters Kluwer / Lippincott Williams & Wilkins, Philadelphia 2013. p.223.