ʻO ka catheterization Cardiac

Hoʻopili ka catheterization Cardiac i ka hele ʻana i kahi paipu wīwī lahilahi (catheter) i ka ʻaoʻao ʻākau a hema paha o ka puʻuwai. Hoʻokomo pinepine ʻia ka catheter mai ke aʻa a i ʻole ka lima.

E loaʻa iā ʻoe ka lāʻau i mua o ka hoʻāʻo e kōkua ai iā ʻoe e hoʻomaha.

E hoʻomaʻemaʻe ka mea mālama olakino i kahi pūnaewele ma kou lima, ʻāʻī, a i ʻole ka ʻūlū a hoʻokomo i kahi laina i hoʻokahi o kou mau uaua. Kāhea ʻia kēia i ka laina intravenous (IV).

Hoʻokomo ʻia kahi ʻōmole ea lahilahi nui aʻe i kapa ʻia i loko o kahi aa a i ʻole ke aʻa i kou wāwae a i ʻole ka lima. A laila hoʻoneʻe maikaʻi ʻia nā paipu plastic ʻoi aku i kapa ʻia nā catheters i loko o ka puʻuwai e hoʻohana ana i nā x-live i alakaʻi. A laila hiki i ke kauka:

• E hōʻiliʻili i nā hōʻailona koko mai ka puʻuwai
• E ana i ke kaomi a me ke kahe o ke koko i loko o nā keʻena o ka puʻuwai a i nā aʻa nui a puni ka puʻuwai
• E ana i ka oxygen ma nā wahi like ʻole o kou puʻuwai
• Nānā i nā aʻa o ka puʻuwai
• Hana i kahi biopsy ma ka puʻuwai puʻuwai

No kekahi mau kaʻina hana, e injected ʻia ʻoe me kahi kala e kōkua ai i kāu mea hāʻawi e ʻike i nā hale a me nā moku i loko o ka puʻuwai.

Inā loaʻa iā ʻoe kahi palaka, loaʻa paha iā ʻoe kahi angioplasty a me kahi stent i kau ʻia i ke kaʻina hana.

He 30 a 60 paha mau minuke ka lōʻihi o ka hoʻāʻo. Inā makemake ʻoe i nā kaʻina hana kūikawā, e lōʻihi paha ka lōʻihi o ka hoʻāʻo. Inā kau ʻia ka catheter i loko o kou ʻūlū, e noi pinepine ʻia ʻoe e moe palahalaha ma kou kua no kekahi mau hola a ma hope o ka hoʻāʻo e pale i ke kahe ʻana o ke kahe.

E haʻi ʻia iā ʻoe pehea e mālama ai iā ʻoe iho ke hoʻi ʻoe i ka home ma hope o ke kaʻina hana.

ʻAʻole ʻoe e ʻai a inu paha no 6 a 8 mau hola ma mua o ka hoʻāʻo. Hana ʻia ka hoʻokolohua ma kahi haukapila a noi ʻia ʻoe e ʻaʻahu i ke kapa komo no ka haukapila. I kekahi manawa, pono ʻoe e noho i ka pō ma mua o ka hōʻoia ma ka haukapila. Inā ʻole, e hele ʻoe i ka haukapila i ke kakahiaka o ke kaʻina hana.

E wehewehe kāu mea lawelawe i ke kaʻina hana a me kāna mau pilikia. Koi ʻia kahi palapala ʻae i kākau ʻia no ke kaʻina hana.

E haʻi i kāu mea hāʻawi inā ʻoe:

• Pākuʻi i ka iʻa iʻa a i ʻole nā ​​lāʻau
• Ua loaʻa ka hopena maikaʻi ʻole e hoʻohālikelike i ka kala a iodine paha i ka wā i hala
• E lawe i nā lāʻau, e laʻa me Viagra a i ʻole nā ​​lāʻau ʻē aʻe no ka hana erectile
• E hāpai paha

Hana ʻia ke aʻo ʻana e nā poʻe cardiologist a me kahi kime mālama olakino hoʻomaʻamaʻa.

E ala ana ʻoe a hiki ke hāhai i nā ʻōkuhi i ka wā o ka hoʻāʻo.

Hiki paha iā ʻoe ke ʻike i kahi hōʻoluʻolu a i ʻole kaomi ma kahi e waiho ai ka catheter. Hiki paha iā ʻoe ke hōʻoluʻolu mai ka moe ʻana i ka wā o ka hoʻokolohua a i ʻole ke moe pālahalaha ʻana ma kou kua ma hope o ke kaʻina hana.

Hana pinepine ʻia kēia kaʻina hana e kiʻi i ka ʻike e pili ana i ka puʻuwai a i ʻole kāna mau kīʻaha koko. Hana ʻia paha ia e mālama i kekahi ʻano o nā ʻano puʻuwai, a i ʻole e ʻike inā pono ʻoe i kahi ʻoki puʻuwai.

Hana paha kāu kauka i ka catheterization o ka naʻau e hōʻoia a loiloi paha:

• Kumu o ka puʻuwai puʻuwai congestive a i ʻole cardiomyopathy
• Maʻi maʻi ʻaʻai Coronary
• Nā kīnā o ka naʻau i loaʻa i ka wā hānau (congenital)
• ʻO ke koko kiʻekiʻe i loko o nā māmā (hypertension pulmonary)
• Nā pilikia me nā valves puʻuwai

E hana ʻia paha nā kaʻina hana e ka hoʻohana ʻana i ka catheterization o ka naʻau:

• Hoʻoponopono i kekahi ʻano kīnā o ka naʻau
• E wehe i kahi āpau puʻuwai (stenotic) puʻuwai
• Wehe i nā aʻa i hoʻopaʻa ʻia a i ʻole nā ​​grafts i ka puʻuwai (angioplasty me a i ʻole stenting)

Hāpai ka catheterization Cardiac i kahi makaʻu kiʻekiʻe aʻe ma mua o nā hoʻokolohua puʻuwai. Eia nō naʻe, palekana loa ke hana ʻia e kahi kime ʻike.

Loaʻa nā pilikia i:

• ʻO tamponade Cardiac
• Maʻi hohola
• Hoʻopilikia i ke aʻa korona
• Paʻi kuʻi ʻole
• Kaomi haʻahaʻa
• Ka pane ʻana i ka pena kala
• Hahau

Hiki i nā pilikia o kekahi ʻano catheterization ke hoʻopili i kēia mau mea:

• Kahe, ka maʻi, a me ka ʻeha ma ka IV a i ʻole kahi pūnaewele hoʻokomo sheath
• Poino i nā kīʻaha koko
• Huʻi koko
• Nā hōʻino kīwaha ma muli o ke kala ʻokoʻa (ʻoi aku ka nui o nā poʻe me ka maʻi diabetes a me nā pilikia puʻuwai)

Catheterization - puʻuwai; Puʻuwai puʻuwai; Angina - catheterization naʻau; CAD - catheterization puʻuwai; Maʻi Coronary artery - catheterization naʻau; Puʻuwai puʻuwai - catheterization puʻuwai; Hema ka puʻuwai - catheterization cardiac

• ʻO ka catheterization Cardiac
• ʻO ka catheterization Cardiac

Beniamina IJ. Nā hōʻike diagnostics a me nā kaʻina hana i ka mea maʻi me ka maʻi o ka maʻi puʻuwai. I: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, eds. ʻO Andreoli lāua ʻo Carpenter's Cecil Essentials of Medicine. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 4.

ʻO Herrmann J. Cardiac catheterization. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 19.

Kern MJ, Kirtane AJ. Catheterization a me ka angiography. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 51.