Chii chinonzi Cardiac Catheterization? Chinangwa, Maitiro & Mhedzisiro

Cardiac catheterization inzira yekurapa apo chiremba wako anopinza chubhu yakatetepa, inochinjika inonzi catheter mumoyo mako kuburikidza nemidzi yeropa. Iyi nzira isingapindi zvakanyanya inobvumira vanachiremba kuti vaone kuti moyo wako uri kushanda sei uye vatarise matambudziko ese nemidzi yeropa kana mavharuvhu emoyo.

Funga nezvazvo sekupa chiremba wako mepu yakadzama yemamiriro emoyo wako. Iyi nzira inobatsira kuongorora matambudziko emoyo uye inogona kunyangwe kurapa mamwe mamiriro ipapo ipapo, zvichiita kuti ive chishandiso chekuongorora uye sarudzo yekurapa.

Chii chinonzi cardiac catheterization?

Cardiac catheterization inzira inobvumira vanachiremba kuti vaongorore moyo wako nemidzi yeropa kubva mukati. Munguva yekuedzwa, cardiologist anopinza catheter yakatetepa kuburikidza nemidzi yeropa muruoko rwako, chanza, kana groin uye anoitungamira kumoyo wako.

Iyo catheter inoita semakamera madiki uye toolkit yakabatanidzwa. Kana yasvika pamoyo wako, chiremba wako anogona kuisa ruvara rwekupesana kuti midzi yeropa yako ionekwe pamifananidzo yeX-ray. Izvi zvinogadzira mifananidzo yakadzama inoratidza chaizvo kuti ropa rinoyerera sei mumoyo mako.

Kune mhando mbiri huru dze cardiac catheterization. Yekutanga ndiyo diagnostic catheterization, iyo inotarisa pakuunganidza ruzivo nezve mamiriro emoyo wako. Yechipiri ndiyo interventional catheterization, uko vanachiremba vanogona kugadzirisa matambudziko avanoona panguva yacho.

Nei cardiac catheterization ichiitwa?

Chiremba wako angakurudzira cardiac catheterization kuti awane mufananidzo wakajeka wezviri kuitika mukati memoyo wako. Iyi nzira inogona kuongorora mamiriro ayo mamwe maedzo angapotsa kana kupa ruzivo rusina kukwana nezvazvo.

Chikonzero chakajairika ndechokuongorora chirwere chemitsipa yeropa, chinoitika apo tsinga dzinopa ropa kumoyo wako dzinoderedzwa kana kuvharika. Chiremba wako anogona kuona chaizvo kwakavharika uye kuti kwakakomba sei.

Heano zvimwe zvikonzero zvakakosha nei nzira iyi ingakurudzirwa:

• Kuti uongorore kurwadziwa muchipfuva kusina kutsanangurwa nemamwe bvunzo
• Kuti uongorore kuti moyo wako unopomba sei ropa mumuviri wako wese
• Kuti uongorore matambudziko emavharuvhu emoyo uye uone kana achida kugadziriswa
• Kuti uongorore marhythm emoyo asina kujairika kana matambudziko emagetsi
• Kuti uongorore kukuvadzwa mushure mekurwisa kwemoyo
• Kuti uongorore zvikanganiso zvemoyo zvaakazvarwa nazvo
• Kuyera kumanikidzwa mukati memakamuri emoyo wako

Dzimwe nguva chiremba wako anogona kushandisawo nzira iyi kurapa matambudziko ipapo ipapo. Izvi zvinogona kusanganisira kuvhura tsinga dzakavharika nebhaluni kana kuisa chubhu diki remesh rinonzi stent kuti tsinga dzirambe dzakavhurika.

Ndeipi nzira yekatheterization yemoyo?

Nzira yekatheterization yemoyo inowanzo tora pakati pemaminitsi makumi matatu kusvika kumaawa akati wandei, zvichienderana nezvinoda chiremba wako kuita. Ucharamba wakamuka panguva yacho, asi uchagamuchira mushonga wekukubatsira kuzorora uye kunzwa wakasununguka.

Chiremba wako achatanga nekunyaradza nzvimbo iyo catheter ichaiswa, kazhinji mumakumbo ako, wrist, kana ruoko. Unogona kunzwa kubaya kudiki apo mushonga wekunyaradza unojekeswa, asi haufaniri kunzwa kurwadziwa panguva yekuiswa kwecatheter chaiyo.

Hezvino zvinoitika nhanho nhanho panguva yacho:

1. Muchazorara patafura yeX-ray uye muchabatidzwa kune ma monitor ayo anoteedzera rhythm yemoyo wenyu uye blood pressure
2. Chiremba wenyu achachenesa uye kunyaradza nzvimbo yekuisa
3. Kucheka kudiki kunoitwa, uye chubhu diki inonzi sheath inoiswa muropa renyu
4. Catheter inoiswa kuburikidza ne sheath uye inotungamirirwa kumoyo wenyu vachishandisa X-ray guidance
5. Contrast dye inojekeswa kuburikidza ne catheter kuti iite kuti tsinga dzeropa dzenyu dzionekwe
6. X-ray images inotorwa kubva kumakona akasiyana kuti igadzire mufananidzo wakakwana
7. Kana kurapwa kuchidiwa, kunogona kuitwa kuburikidza ne catheter imwechete
8. Catheter uye sheath zvinobviswa, uye pressure inoiswa kuti imise kubuda kweropa

Munguva yese yekuita, timu yenyu yezvokurapa ichakutarisa zvakanyanya uye ichakuchengeta uchiziva nezve zviri kuitika. Munganzwa imwe pressure kana catheter yaiswa, asi vanhu vazhinji vanowana maitiro acho achinyanya kunakidza kupfuura zvavaitarisira.

Maitiro ekugadzirira cardiac catheterization yenyu?

Kugadzirira cardiac catheterization kunosanganisira matanho akati wandei akakosha anobatsira kuona kuchengeteka kwenyu uye kubudirira kwemaitiro acho. Chiremba wenyu achakupa mirairo chaiyo zvichienderana nemamiriro enyu ega ega, asi kune mamwe matanho akajairika anoshanda kune vanhu vazhinji.

Nhanho yakakosha yekugadzirira ndeyekutsanya pamberi pemaitiro acho. Munowanzo kuda kudzivisa kudya kana kunwa chero chinhu kwemaawa 6 kusvika ku12 pamberi, kunyangwe chiremba wenyu achakupa nguva chaiyo zvichienderana nekuti maitiro enyu akarongwa riini.

Heano matanho makuru ekugadzirira aunozofanirwa kutevera:

• Regai kudya nekunwa panguva yakatarwa musati maitwa maitiro ako
• Tora mishonga yako yenguva dzose kunze kwekunge chiremba wako akuudza zvimwe
• Ronga kuti mumwe munhu akuendesere kumba mushure mekuvhiyiwa
• Pfeka mbatya dzakanaka, dzakasununguka
• Bvisa zvishongo, malenzi ekuona, uye mazino ekugadzira usati waitwa maitiro
• Udza chiremba wako nezve allergy chero ipi zvayo, kunyanya kune ruvara rwekupesana kana iodine
• Zivisa timu yako yezvokurapa nezve mishonga yese uye zvinowedzera zvaunotora
• Zivisa chiremba wako kana ungave wakamirira

Chiremba wako anogonawo kukukumbira kuti urege kutora mishonga yakati wandei usati waitwa maitiro, kunyanya zvinoderedza ropa. Zvisinei, usambofa wakarega kutora mishonga yakarairwa usati wataurirana nazvo nemupi wako wehutano.

Zvakare zvinobatsira kugadzirira mupfungwa maitiro acho. Bvunza chiremba wako chero mibvunzo yaunayo pamberi, uye yeuka kuti uyu maitiro akajairika, akachengeteka anobatsira vanachiremba kutarisira zviri nani moyo wako.

Maitiro ekuverenga mhedzisiro yako yekatheterization yemoyo?

Kunzwisisa mhedzisiro yako yekatheterization yemoyo kunokubatsira kuita zvisarudzo zvine ruzivo nezve hutano hwemoyo wako. Chiremba wako achatsanangura zvakawanikwa zvakadzama, asi kuziva zvekutarisira kunogona kukubatsira kunzwisisa zviri nani hurukuro.

Chinhu chikuru chinotarisa chiremba wako ndechokuti ropa rinoyerera sei nemitsipa yako yemoyo. Mitsipa yakajairika inofanira kuva yakatsetseka uye yakavhurika zvakanyanya, ichibvumira ropa kuyerera zvakasununguka kuti ripe simba remhasuru dzemoyo wako.

Mhedzisiro yako inowanzo sanganisira ruzivo nezve nzvimbo dzakawanda dzakakosha:

• Kuvharika kwemitsipa yemoyo uye kuoma kwavo (kuyerwa semapresenti)
• Kuti mhasuru dzemoyo wako dzinoshanda sei uye dzichipomba ropa
• Kuyera kumanikidzwa mukati memakamuri emoyo wako
• Mamiriro emavharuvhu emoyo wako
• Kushanda kwemoyo kwese uye maitiro ekuyerera kweropa

Kana zvipingamupinyi zvawanikwa, zvinowanzo tsanangurwa semapresenti. Chipingamupinyi chiri pasi pe50% chinowanzoonekwa sechinyoro, nepo zvipingamupinyi zve70% kana kupfuura zvinoonekwa sezvakakosha uye zvinogona kuda kurapwa.

Chiremba wako achatarisawo ejection fraction yako, iyo inoyera kuti moyo wako unoburitsa ropa rakawanda sei nekurova kwega kwega. Ejection fraction yakajairika inowanzoita pakati pe55% ne70%, kunyangwe izvi zvichigona kusiyana zvichienderana nemamiriro ako.

Ndezvipi zvinhu zvine njodzi zvekuda cardiac catheterization?

Zvimwe zvinhu zvinogona kuwedzera mukana wako wekuda cardiac catheterization, kunyangwe kuve nezvinhu zvine njodzi hazvireve kuti iwe uchanyatso kuda maitiro acho. Kunzwisisa izvi zvinhu zvinogona kukubatsira kutora matanho ekudzivirira hutano hwemoyo wako.

Zvinhu zvine njodzi zvakanyanya zvine chekuita necoronary artery disease, iyo ndiyo chikonzero chakajairika che cardiac catheterization. Izvi zvinosanganisira zvese zvinhu zvaunogona kudzora uye izvo zvausingakwanise.

Heano zvinhu zvine njodzi zvikuru zvinogona kukonzera kudiwa kweiyi nzira:

• High blood pressure isina kunyatso kudzora
• High cholesterol levels, kunyanya LDL (yakaipa) cholesterol
• Diabetes kana prediabetes
• Kusvuta kana kushandisa zvigadzirwa zvefodya
• Nhoroondo yemhuri yechirwere chemoyo
• Kuva uremu hwakanyanya kana kuva mafuta
• Kutungamira mararamiro ekugara
• Chronic stress kana depression
• Age (njodzi inowedzera nezera, kunyanya mushure memakore makumi mana nemashanu evarume uye makumi mashanu nemashanu evakadzi)

Zvimwe zvinhu zvine njodzi zvisingawanzoitika zvinosanganisira kuve ne rheumatic fever, mamwe marudzi e autoimmune diseases, kana yapfuura radiation therapy kuchipfuva. Vanhu vane congenital heart defects vanogonawo kuda cardiac catheterization panguva dzakasiyana muhupenyu hwavo.

Mashoko akanaka ndewekuti akawanda ezvinhu izvi zvine njodzi anogona kuchinjwa kuburikidza nekuchinja mararamiro uye kurapwa kwekurapa. Kushanda pamwe chete nemupi wako wehutano kuti utarise izvi zvinhu zvinogona kubatsira kudzivirira hutano hwemoyo wako.

Ndezvipi zvingaitika kana ukaongororwa nemuchina wemoyo?

Nepo kuongororwa nemuchina wemoyo kuchiwanzova kwakachengeteka, semamwe maitiro ekurapa, kune njodzi. Vanhu vazhinji havana matambudziko, asi zvakakosha kunzwisisa zvingaitika.

Matambudziko mazhinji madiki uye enguva pfupi. Nyaya dzakajairika dzine chekuita nenzvimbo yekuiswa kwakaiswa catheter, senge kuputika kana kubuda ropa zvishoma.

Heano matambudziko anogona kuitika, kutanga neakajairika:

• Kuputika kana hematoma diki panzvimbo yekuiswa
• Kubuda ropa kudiki kunomira nekumanikidza
• Kurova kwemoyo kusingaite kwenguva pfupi panguva yekuvhiwa
• Kuita allergic kumavara ekusiyanisa (kazhinji zvishoma)
• Matambudziko eitsvo enguva pfupi kubva kumavara ekusiyanisa
• Kutapukirwa panzvimbo yekuiswa
• Kukuvadzwa kwemuviri weropa wakashandiswa kuisa catheter
• Maviri eropa achiumbika pa catheter

Matambudziko akakomba haawanzoitiki asi anogona kusanganisira kurwisa kwemoyo, sitiroko, kana kubuda ropa kwakanyanya. Izvi zvinoitika mune isingasviki 1% yemaitiro uye anowanzoitika muvanhu vakatove vane chirwere chemoyo chakakomba.

Chikwata chako chekurapa chinotora matanho mazhinji ekuderedza njodzi idzi, kusanganisira kutarisa zvakanyanya panguva yese yekuvhiwa uye kusarudza nzira yakachengeteka yemamiriro ako ega. Vachakurukurawo njodzi dzako dzakakosha pamberi.

Ndingafonera rinhi chiremba mushure mekuongororwa nemuchina wemoyo?

Mushure mekuongororwa kwemoyo, uchagamuchira mirairo chaiyo yekuti ungabatana rinhi nachiremba wako. Vanhu vazhinji vanopora nekukurumidza, asi zvakakosha kuziva zviratidzo zvingaratidza dambudziko.

Unofanira kubata chiremba wako nekukasira kana ukaona chero zviratidzo zvematambudziko panzvimbo yekuiswa kana kumwe kumuviri wako. Nepo zviratidzo zvakawanda mushure mekuvhiwa zvakajairika, zvimwe zvinoda kutariswa kwekurapa nekukurumidza.

Fonera chiremba wako nekukasira kana ukaona chero zviratidzo izvi:

• Kubuda ropa kwakanyanya kubva panzvimbo yekuisa iyo isingamire nekumanikidza
• Zviratidzo zveutachiona zvakaita sefivha, kutsvuka, kana kupisa panzvimbo yekuisa
• Kurwadziwa kwakanyanya kana kuzvimba panzvimbo yekuisa
• Kurwadziwa muchipfuva kana kufema kusina simba kutsva kana kuipa
• Kusanzwa kana kunzwa tsinga mumaoko kana gumbo uko catheter yakaiswa
• Kuchinja kwemuvara kana tembiricha yegumbo rinoshandiswa kuisa catheter
• Dizziness kana kufenda
• Nausea kana kurutsa zvinoramba zvichiitika

Unofanirwawo kuronga musangano wekutevera nachiremba wako wemoyo kuti ukurukure mhedzisiro yako uye chero kurudziro yekurapa. Izvi zvinowanzoitika mukati memazuva mashoma kusvika vhiki mushure mekuvhiyiwa.

Rangarira kuti kusagadzikana kudiki, kupwanya, kana kuneta zvakajairika mushure mekuvhiyiwa. Zvisinei, kana usina chokwadi, zvinogara zviri nani kutaurirana nemupi wako wehutano nechero zvinokunetsa.

Mibvunzo inowanzo bvunzwa nezve cardiac catheterization

Ko cardiac catheterization yakanaka here pakuongorora matambudziko emoyo?

Hongu, cardiac catheterization inoonekwa seyero yegoridhe pakuongorora chirwere checoronary artery uye mamwe mamiriro emoyo. Inopa mifananidzo yakadzama uye yakarurama yemitsipa yako ye coronary uye basa remoyo.

Iyi nzira inogona kuona kuvharika, kuyera kudzvinyirira, uye kuongorora basa remoyo nenzira dzisina mamwe bvunzo. Nepo bvunzo dzisiri dzekupinda dzakaita sebvunzo dzekushushikana kana CT scans dzinogona kuratidza matambudziko, cardiac catheterization inopa vanachiremba ruzivo rwechokwadi rwavanoda kuti vaite sarudzo dzekurapa.

Ko cardiac catheterization inorwadza panguva yekuita?

Vanhu vazhinji vanoshamiswa nekuti nzira yacho inonyaradza sei. Iwe uchagamuchira anesthesia yemuno kuti inyaradze nzvimbo yekuisa, saka haufanire kunzwa kurwadziwa kana catheter yaiswa.

Unganzwa kumanikidzwa kana kunzwa kupisa apo ruvara rwekusiyanisa runobaiwa, asi izvi zvakajairika uye zvenguva pfupi. Vanhu vazhinji vanoshuma kuti maitiro acho aive asina kunetsa zvakanyanya kupfuura zvavaive vatarisira.

Kupora kunotora nguva yakareba sei mushure mekuisa catheter yemoyo?

Nguva yekupora inoenderana nekuti nzvimbo yekupinza yakashandiswa uye kana chero kurapwa kwakaitwa. Kana catheter yakaiswa kuburikidza neruoko rwako, unogona kazhinji kutangazve mabasa ako akajairika mukati mezuva rimwe kana maviri.

Kana groin yakashandiswa, ungangoda kuzorora kwemazuva mashoma uye kudzivisa kusimudza zvinhu zvinorema. Vanhu vazhinji vanogona kudzokera kubasa mukati me2-3 mazuva, kunyangwe chiremba wako achakupa gwara rakatarwa zvichienderana nemamiriro ako ezvinhu.

Kuisa catheter yemoyo kunogona kudzivirira kurwisa kwemoyo here?

Nepo kuisa catheter yemoyo pachayo hakudziviriri kurwisa kwemoyo, kunogona kuziva matambudziko ayo, kana akarapwa, anoderera zvakanyanya njodzi yako. Kana zvipingamupinyi zvakakosha zvawanikwa, zvinogona kazhinji kurapwa nekukurumidza neangioplasty uye kuisa stent.

Maitiro acho anobatsirawo vanachiremba kugadzira chirongwa chakanakisa chekurapa mamiriro ako chaiwo, ayo anogona kusanganisira mishonga, shanduko yehupenyu, kana kupindira kwekuvhiya kunogona kudzivirira matambudziko emoyo emunguva yemberi.

Kuisa catheter yemoyo kwakachengeteka here kuvanhu vakuru?

Hongu, kuisa catheter yemoyo kunowanzo chengeteka kuvanhu vakuru, kunyangwe njodzi dzingave dzakakwira zvishoma pane dzevanhu vadiki. Zera rega harisi chikonzero chekudzivisa maitiro kana zvichidikanwa nemishonga.

Chiremba wako achanyatsoongorora hutano hwako hwese uye achakurukura mabhenefiti nenjodzi newe. Vanhu vakuru vazhinji vanopinda muchiitiko ichi zvakachengeteka uye vanobatsirwa zvakanyanya neruzivo rwaanopa nezvehutano hwemoyo wavo.