Catheterization puʻuwai hema

ʻO ka catheterization puʻuwai hema ka hele o kahi paipu maʻalahi (catheter) i ka ʻaoʻao hema o ka puʻuwai. Hana ʻia e diagnose a mālama paha i kekahi mau pilikia puʻuwai.

Hāʻawi ʻia ʻoe i kahi lāʻau hoʻomālie (sedative) ma mua o ka hoʻomaka ʻana o ka hana. ʻO ka lāʻau e kōkua iā ʻoe e hoʻomaha. E kau ka mea mālama ola i IV i kou lima e hāʻawi i nā lāʻau. E moe ʻoe ma luna o kahi pākaukau padded. E hana kahi kauka i kahi puncture liʻiliʻi ma kou kino. Hoʻokomo ʻia kahi paipu maʻalahi (catheter) ma o ke aʻa. E hoʻokomo ʻia i kou lima, ka lima a i ʻole kou wāwae kiʻekiʻe (ʻūhā). E ala paha ʻoe i ke kaʻina hana.

Hoʻohana ʻia nā kiʻi x-ray e kōkua i ke alakaʻi ʻana i nā catheters i loko o kou puʻuwai a me nā aʻa. ʻO ke kala (i kapa ʻia i kekahi manawa he "ʻokoʻa") e hoʻokomo ʻia i loko o kou kino. E hōʻike kēia kala i ke kahe o ke koko ma o nā aʻa. Kōkua kēia i nā poloka i nā kīʻaha koko e alakaʻi i kou puʻuwai.

Hoʻoneʻe ʻia ka catheter ma o ka valve aortic i ka ʻaoʻao hema o kou puʻuwai. Ana ʻia ke kaomi i ka puʻuwai i kēia kūlana. Hiki nō ke hana i nā kaʻina hana ʻē aʻe i kēia manawa, e like me:

• Ventriculography e nānā i ka hana pumping o ka puʻuwai.
• ʻO ka angiography coronary e nānā i nā aʻa coronary.
• Hana ʻia ʻo Angioplasty, me ka stenting ʻole a i ʻole, e hoʻoponopono i nā ālai i nā aʻa a laila.

Hiki ke hana i ke kaʻina hana ma lalo o 1 hola a i mau hola.

I ka hapanui o nā hihia, ʻaʻole pono ʻoe e ʻai a inu paha no 8 mau hola ma mua o ka hoʻāʻo. (Hāʻawi paha kāu mea hāʻawi iā ʻoe i nā ʻaoʻao ʻokoʻa.)

E mālama ʻia ke kaʻina hana i ka haukapila. ʻAe ʻia ʻoe i ka pō ma mua o ka hoʻāʻo, akā maʻamau ka hele ʻana i ka haukapila i ke kakahiaka o ke kaʻina hana. I kekahi mau hihia, hana ʻia kēia kaʻina hana ma hope o kou ʻae ʻia ʻana i ka haukapila ma ke kumu pilikia.

E wehewehe kāu mea lawelawe i ke kaʻina hana a me kāna mau pilikia. Pono ʻoe e kau inoa i kahi palapala ʻae.

E kōkua ka mea hōʻoluʻolu iā ʻoe e hoʻomaha ma mua o ke kaʻina hana. Eia naʻe, e ala ana ʻoe a hiki ke hāhai i nā ʻōkuhi i ka wā o ka hoʻāʻo.

Hāʻawi ʻia ʻoe i ka lāʻau numbing kūloko (anesthesia) ma mua o ka hoʻokomo ʻia ʻana o ka catheter. E ʻike ʻoe i kekahi kaomi ke hoʻokomo ʻia ka catheter. Eia naʻe, ʻaʻole pono ʻoe e ʻeha i ka ʻeha. Hiki paha iā ʻoe ke hōʻoluʻolu mai ka moe ʻana no kekahi manawa lōʻihi.

Hana ʻia nā kaʻina hana e nānā no:

• ʻO ka maʻi maʻi kīʻaha
• Nā Tumiko Cardiac
• Nā kīnā o ka puʻuwai (e like me nā kīnā septal ventricular)
• Nā pilikia me ka hana puʻuwai

E hana ʻia paha ke kaʻina hana e loiloi ai a hoʻoponopono paha i kekahi ʻano o nā kīnā o ka puʻuwai, a i ʻole e wehe i kahi kiwikā o ka puʻuwai.

Ke hana ʻia kēia kaʻina hana me ka angiography coronary e nānā i nā aʻa e hānai i ka puʻuwai puʻuwai, hiki iā ia ke wehe i nā aʻa i ālai ʻia a i ʻole nā ​​bypass bypass. Hiki kēia ma muli o ka puʻuwai puʻuwai a angina paha.

Hiki ke hoʻohana i ke kaʻina hana i:

• E hōʻiliʻili i nā hōʻailona koko mai ka puʻuwai
• E hoʻoholo i ke kaomi a me ke kahe o ke koko i nā keʻena o ka puʻuwai
• E kiʻi i nā kiʻi x-ray o ka ventricle hema (keʻena pumping nui) o ka puʻuwai (ventriculography)

ʻO kahi hopena maʻamau ʻo ka maʻamau o ka puʻuwai i:

• Nui
• Neʻe
• Mānoanoa
• Kaomi

ʻO ka hopena maʻamau hoʻi ma ke ʻano he maʻamau nā aʻa.

ʻO nā hopena kūpono ʻole he hōʻailona ia o ka maʻi puʻuwai a i ʻole nā ​​kīnā o ka puʻuwai, e like me:

• Ka lawa ʻole o ʻAortic
• Stenosis ʻaʻano
• Maʻi maʻi ʻaʻai Coronary
• Hoʻonui hoʻonui puʻuwai
• Hoʻopau hou ʻo Mitral
• Mitral stenosis
• Nā aneurysms pāholo
• Hewa septal Atrial
• Hewa septal ʻo Ventricular
• Hewa puʻuwai
• Cardiomyopathy

Komo pū nā pilikia:

• Nā arrhythmias Cardiac
• ʻO tamponade Cardiac
• ʻO ka Embolism mai nā kīʻaha koko i ka piko o ka catheter i ka lolo a i ʻole nā ​​mea ʻē aʻe
• Maʻi hohola
• Ka hōʻeha i ke aʻa
• Maʻi kīnā
• Nā hōʻino kīwaha mai ka hoʻohālikelike (kala)
• Kaomi haʻahaʻa
• Ka hopena i nā mea ʻokoʻa
• Hahau

Catheterization - puʻuwai hema

• Catheterization puʻuwai hema

Goff DC Jr, Lloyd-Jones DM, Bennett G, et al; Ke Kulanui o Cardiology / ʻAmelika Hui Pū ʻIa ʻAmelika Hui Pū ʻIa Hana ma nā Kūlana Kūpono. 2013 ACC / AHA alakaʻi ma ka loiloi i ka pilikia o ka maʻi puʻuwai: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kulekele hana. Kaapuni. 2014; 129 (Nānā 2): S49-S73. PMID: 24222018 pubmed.ncbi.nlm.nih.gov/24222018/.

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.

Mehran R, Dengas GD. ʻO ka angiography coronary a me ke kiʻi intravaskular. 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 20.