Swan-Ganz - nri obi ziri ezi

Swan-Ganz catheterization (nke a na-akpọkwa catheterization obi ziri ezi ma ọ bụ akpa ume akpa ume) bụ ịgafe tube dị warara (catheter) n'akụkụ aka nri nke obi na akwara akwara na-eduga na ngụgụ. Emere ya iji nyochaa ọrụ obi na nrugharị ọbara na nrụgide n'ime na gburugburu obi.

Enwere ike ime ule ahụ mgbe ị dina n'ihe ndina na ngalaba nlekọta kpụ ọkụ n'ọnụ (ICU) nke ụlọ ọgwụ. A pụkwara ime ya na usoro usoro pụrụ iche dịka ụlọ nyocha ụlọ ọrụ cardiac catheterization.

Tupu ule a amalite, enwere ike ịnye gị ọgwụ (ọgwụ ụra) iji nyere gị aka izu ike.

Ga-edina ala n’elu tebụl e kwere ekwe. Dọkịta gị ga-eme mgbapu n’akwara n’akụkụ ukwu ya ma ọ bụ n’aka gị, ma ọ bụ n’olu gị. A na-etinye ọkpọkọ na-agbanwe agbanwe (catheter ma ọ bụ sheath) site na ọkpọ. Mgbe ụfọdụ, a ga-etinye ya n'ụkwụ gị ma ọ bụ ogwe aka gị. Ga-eteta n'oge usoro ahụ.

Etinyekwu catheter. Mgbe ahụ, a ga-akpachapụ anya banye n'ime ụlọ elu nke akụkụ aka nri nke obi. Enwere ike iji onyonyo X-ray nyere onye na-ahụ maka ahụike aka hụ ebe a ga-etinye catheter ahụ.

Enwere ike wepu obara na catheter. A na-anwale ọbara a ka ọ mata etu oxygen si dị n’ọbara.

N'oge usoro ahụ, a ga-elele ụda obi gị mgbe niile site na iji electrocardiogram (ECG).

Ekwesighi iri nri ma obu inu ihe obula rue elekere asatọ tupu ule ahu amalite. Ikwesiri ịnọ n'ụlọ ọgwụ n'abalị ahụ tupu ule ahụ. Ma ọ bụghị ya, ị ga-enyocha ụlọ ọgwụ n'ụtụtụ ule ahụ.

Ga-eyi akwa ụlọ ọgwụ. Ga-ebinye aha nnabata tupu ule ahụ.Onye na-enye gị ọrụ ga-akọwa etu usoro a dị na ihe egwu ya.

Enwere ike inye gị ọgwụ iji nyere gị aka izu ike tupu usoro ahụ. Will ga-eteta ma nwee ike ịgbaso ntuziaka n'oge ule ahụ.

May nwere ike ịnwe ahụ erughị ala mgbe etinyechara IV na ogwe aka gị. I nwekwara ike inwe nrụgide na saịtị ahụ mgbe etinyere catheter ahụ. N’ebe ndị nọ na-arịa ọrịa dị egwu, catheter nwere ike ịnọ ebe ahụ ụbọchị ole ma ole.

I nwere ike inwe ahụ erughị ala mgbe ejiri ọgwụ na-akụnwụ emejupụta akwara ahụ.

A na-eme usoro ahụ ka ịlele etu ọbara si agagharị (na-ekesa) ndị nwere:

• Nrụgide na-adịghị mma na akwara obi
• Ọkụ
• Ọrịa afọ ime
• Obi mgbawa
• Ọrịa akụrụ
• Leaky obi valves
• Nsogbu ume
• Ujo (ọbara mgbali elu dị ala)

Enwere ike ime ya iji nyochaa maka nsogbu nke nkụchi obi. Ọ na-egosikwa otú ụfọdụ ọgwụ obi si arụ ọrụ nke ọma.

Enwere ike iji swan-Ganz catheterization chọpụta ọbara na-adịghị mma n'etiti akụkụ abụọ nke obi na-anaghị ejikọkarị.

Ọnọdụ ndị nwekwara ike ịchọpụta ma ọ bụ nyochaa na Swan-Ganz catheterization gụnyere:

• Gbasara obi
• Ọrịa afọ ime
• Ọbara mgbali elu
• Mmachibido ma ọ bụ gbasaa cardiomyopathy

Nsonaazụ nkịtị maka ule a bụ:

• Ihe omuma nke obi bu 2.8 rue 4.2 lita kwa nkeji kwa mita mita (nke aru)
• Pulmonary artery systolic pressure bụ 17 ruo 32 milimita nke Mercury (mm Hg)
• Ọbara akpa ume pụtara nrụgide bụ 9 ka 19 mm Hg
• Pulmonary diastolic pressure bụ 4 ka 13 mm Hg
• Pulmonary capillary wedge mgbali bụ 4 ka 12 mm Hg
• Ikike nke atrial ziri ezi bụ 0 ka 7 mm Hg

Nsonaazụ na-adịghị mma nwere ike ịbụ n'ihi:

• Nsogbu ọbara, dị ka nkụda obi ma ọ bụ ihe ijuanya
• Ọrịa obi
• Ọrịa akpa ume
• Nsogbu nhazi na obi, dị ka nkwụsị site na nkwarụ atrial ma ọ bụ ventricular

Ihe ize ndụ nke usoro ahụ gụnyere:

• Bruising gburugburu ebe etinyere catheter
• Mmebi ahụ
• Ọkpụkpọ na akpa ume ma ọ bụrụ na ejiri olu ma ọ bụ akwara obi mee ihe, na-akpata ngụgụ ngụgụ (pneumothorax)

Nsogbu dị obere gụnyere:

• Cardiac arrhythmias chọrọ ọgwụgwọ
• Gbasara obi
• Embolism nke mkpịsị ọbara na-eme na ngwụsị nke catheter
• Ofufe Ọrịa
• Ọbara mgbali elu

Mkpụrụ obi ziri ezi; Catheterization - obi ziri ezi

• Swan Ganz na-ekpuchi catheterization

Hermann J. Cardiac na-ekpo ume. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 19.

Kapur NK, Sorajja P. Na-emetụta hemodynamics. Na: Sorajja P, Lim MJ, Kern MJ, eds. Akwụkwọ Kern’s Catheterization Handbook nke Kern. Nke 7. Philadelphia, PA: Elsevier; 2020: isi 4.

Shreenivas SS, Lilly SM, Herrmann HC. Ntughari na ujo cardiogenic. Na: Topol EJ, Teirstein PS, eds. Akwụkwọ ọgụgụ nke Interventional Cardiology. 8th ed. Philadelphia, PA: Elsevier; 2020: isi 22.