Mgbidi catheterization aka ekpe

Nchịkọta nke mkpụrụ obi aka ekpe bụ ụzọ nke eriri na-agbanwe agbanwe (catheter) n'akụkụ aka ekpe nke obi. A na-eme ya iji chọpụta ma ọ bụ gwọọ ụfọdụ nsogbu obi.

Enwere ike inye gị ọgwụ dị nro (izu ike) tupu usoro amalite. Ọgwụ bụ iji nyere gị aka izuike. Onye nlekọta ahụike ga - etinye IV n’ime ogwe aka gị iji nye ọgwụ. Ga-edina ala n’elu tebụl e kwere ekwe. Dọkịta gị ga-eme obere mgbapu n'ahụ gị. A na-etinye ọkpọkọ na-agbanwe agbanwe (catheter) site na akwara. A ga-etinye ya na nkwonkwo aka gị, ogwe aka ma ọ bụ ụkwụ elu gị (ukwu). O yikarịrị ka ị ga-eteta n'oge usoro ahụ.

A na-eji ihe osise x-ray dị ndụ enyere aka na-eduzi ndị na-ekpo ọkụ n'ime obi gị na akwara. A ga-agbanye ya (gị mgbe ụfọdụ a na-akpọ ya “iche”) n’ime ahụ gị. Nke a ga-egosi nrugharị ọbara site na akwara. Nke a na - enyere aka igosi ngọngọ na arịa ọbara nke na - eduga n'obi gị.

Mgbe ahụ, a gafere catheter ahụ site na valvụ aortic gaa n'aka ekpe nke obi gị. A na-atụle nrụgide ahụ n'ime obi n'ọnọdụ a. A nwekwara ike ịme usoro ndị ọzọ n'oge a, dị ka:

• Ventriculography iji chọpụta ọrụ mgbapụta obi.
• Coronary angiography iji lee akwara obi.
• Angioplasty, ma ọ bụ na-enweghị nkwụsị, iji mezie mkpọchi na akwara ahụ ka emeziri.

Usoro ahụ nwere ike ịdịru site na ihe na-erughị 1 awa ruo ọtụtụ awa.

N’ọtụtụ ọnọdụ, ị gaghị eri ma ọ bụ drinkụọ maka awa 8 tupu ule ahụ. (Onye na-enye gị nwere ike inye gị ụzọ dị iche iche.)

Usoro a ga-eme n'ụlọ ọgwụ. Enwere ike ịnabata gị n'abalị ahụ tupu ule ahụ, mana ọ na-abịakarị ụlọ ọgwụ n'ụtụtụ usoro ahụ. N'ọnọdụ ụfọdụ, a na-eme usoro a mgbe ekwesịrị ịbatala n'ụlọ ọgwụ nwere ike ịme ihe mberede.

Onye na-enye gị ọrụ ga-akọwa etu usoro a dị na ihe egwu ya. Ga-abịanye aka na akwụkwọ ikike.

Sedgba aghara ga-enyere gị aka izu ike tupu usoro ahụ. Agbanyeghị, ị ga-eteta ma nwee ike ịgbaso ntuziaka n'oge ule ahụ.

A ga-enye gị ọgwụ na-agwụ ike (anesthesia) tupu etinyere catheter a. Ga-enwe nrụgide ka etinyere catheter. Agbanyeghị, ị gaghị enwe mmetụta mgbu ọ bụla. May nwere ike ịnwe ahụ erughị ala ụfọdụ site n'ịgha ụgha ruo ogologo oge.

A na-eme usoro ahụ iji chọọ:

• Ọrịa cardiac
• Ọrịa cardiac
• Obi ntụpọ (dịka ntụpọ ventricular)
• Nsogbu na arụ ọrụ obi

A pụkwara ime usoro ahụ iji nyochaa na ikekwe mezie ụfọdụ ụdị ntụpọ obi, ma ọ bụ imepe oghere obi dị warara.

Mgbe a na-eme usoro a site na iji angiography iji nyochaa akwara nke na-azụ akwara obi, ọ nwere ike mepee akwara akpọchiri ma ọ bụ gafee grafts. Nke a nwere ike ịbụ n'ihi nkụchi obi ma ọ bụ angina.

A nwekwara ike iji usoro a:

• Anakọta ọbara site na obi
• Kpebisie ike nrụgide na ọbara na-abanye n'ime ụlọ obi
• Were foto x-ray nke aka ekpe (oghere mgbapụta isi) nke obi (ventriculography)

Nsonaazụ dị mma pụtara na obi dị mma na:

• Nha
• Motion
• Ọkpụrụkpụ
• Nrụgide

Nsonaazụ nkịtị pụtara na akwara ndị ọzọ adịghị mma.

Nsonaazụ na-adịghị mma nwere ike ịbụ ihe ịrịba ama nke ọrịa obi ma ọ bụ nkwarụ obi, gụnyere:

• Aortic erughị eru
• Ọnwụ ụta
• Ọrịa akwara ọbara
• Enbawanye obi
• Usoro nchịkwa
• Ntughari mitral
• Ventricular ihe omumu
• Atrial septal nkwarụ
• Ventricular septal ntụpọ
• Obi mgbawa
• Cardiomyopathy

Nsogbu nwere ike ịgụnye:

• Cardiac arrhythmias
• Gbasara obi
• Embolism site na mkpụkọ ọbara na nsọtụ nke catheter na ụbụrụ ma ọ bụ akụkụ ndị ọzọ
• Obi nkolopu
• Mmebi nke akwara
• Ofufe Ọrịa
• Akụrụ mebiri si iche (dai)
• Ọbara mgbali elu
• Mmeghachi omume na ihe dị iche
• Ọkụ

Catheterization - aka ekpe

• Mgbidi catheterization aka ekpe

Goff DC Jr, Lloyd-Jones DM, Bennett G, et al; American College of Cardiology / American Heart Association Task Force na Practice Guidelines. Ntuziaka 2013 ACC / AHA na nyocha nke ihe gbasara ọrịa obi: mkpesa nke American College of Cardiology / American Heart Association Task Force na ụkpụrụ nduzi. Mgbaghari. 2014; 129 (Ntinye 2): S49-S73. PMID: 24222018 pubmed.ncbi.nlm.nih.gov/24222018/.

Herrmann 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.

Mehran R, Dengas GD. Coronary angiography na intravascular onyonyo. 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 20.