Angiography ventricular naʻau ʻākau

ʻO kahi angiography ventricular puʻuwai ʻākau kahi aʻo e kiʻi i nā keʻena kūpono (atrium a me ka ventricle) o ka puʻuwai.

E loaʻa iā ʻoe kahi lāʻau hoʻoluʻu mālie 30 mau minuke ma mua o ke kaʻina hana. E hoʻomaʻemaʻe kahi mea maʻi maʻi maʻi i ka pūnaewele a hōʻino i ka wahi me kahi anesthetic kūloko. A laila e hoʻokomo ʻia kahi catheter i loko o kahi aa i kou ʻāʻī, lima, a i ʻole ʻūlū.

E hoʻoneʻe ʻia ka catheter i ka ʻaoʻao ʻākau o ka puʻuwai. Ke holomua nei ka catheter, hiki i ke kauka ke hoʻopaʻa i nā kaomi mai ka atrium akau a me ka ventricle ʻākau.

Hoʻokomo ʻia nā mea hoʻohālikelike ("kala") i ka ʻaoʻao ʻākau o ka puʻuwai. Kōkua ia i ka cardiologist hoʻoholo i ka nui a me ke ʻano o nā keʻena o ka puʻuwai a loiloi i kā lākou hana a me ka hana o nā tricuspid a me nā valves pulmonary.

E mau ana ke kaʻina hana mai 1 a i mau hola.

ʻAʻole ʻoe e ʻae ʻia e ʻai a inu paha no 6 a 8 mau hola ma mua o ka hoʻāʻo. Hana ʻia ke kaʻina hana i ka haukapila. ʻO ka maʻamau, e ʻae ʻia ʻoe i ke kakahiaka o ke kaʻina hana. Eia nō naʻe, pono ʻoe e ʻae ʻia i ka pō ma mua.

E ho'ākāka kahi kahu mālama ola i ke kaʻina hana a me kona mau pilikia. Pono ʻoe e kau inoa i kahi palapala ʻae.

Hāʻawi ʻia iā ʻoe kahi anesthesia kūloko kahi i hoʻokomo ʻia ai ka catheter. Ma hope, ʻo ka mea wale nō āu e manaʻo ai ʻo ka kaomi ma ka pūnaewele. ʻAʻole ʻoe e ʻike i ka catheter ke hoʻoneʻe ʻia i loko o kāu mau uaua i ka ʻaoʻao ʻākau o ka puʻuwai. Hiki paha iā ʻoe ke noʻonoʻo i ka pīhoihoi a i ʻole ka manaʻo e pono ai ʻoe e mimi e like me ka injye i injected.

Hana ʻia ka angiography puʻuwai e nānā i ke kahe o ke koko ma ka ʻaoʻao ʻākau o ka puʻuwai.

Loaʻa nā hopena maʻamau:

• ʻO ka helu kope Cardiac ka 2.8 a i ka 4.2 liters i kēlā me kēia minuke i kēlā me kēia mika mika (o ka ʻili o ke kino)
• ʻO ke kaomi systolic pulmonary artery 17 a 32 mau mile o ka mercury (mm Hg)
• ʻO ke kumu o ka pulmonary artery ka 9 a 19 mm Hg
• ʻO ke kaomi diastolic pulmonary ʻo 4 a 13 mm Hg
• ʻO ka pihi capillary capillary wedge ka 4 a 12 mm Hg
• 0 a 7 mm Hg kaomi o ke kaomi akau

Nā hopena kūpono ʻole ma muli o:

• Nā pilina maʻamau ma waena o ka ʻaoʻao ʻākau a me ka hema o ka puʻuwai
• Nā pono ʻole o ke atrium kūpono, e like me atrial myxoma (kākaʻikahi)
• Nā mea maʻamau o nā kiwikā ma ka ʻaoʻao ʻākau o ka puʻuwai
• Nā kaomi maʻamau a i ʻole nā ​​puke, e like me nā pilikia o ka māmā
• Nāwaliwali o ka pauma ʻana o ka ventricle ʻākau (hiki kēia ma muli o nā kumu he nui)

Nā pilikia o kēia kaʻina hana:

• Nā arrhythmias Cardiac
• ʻO tamponade Cardiac
• Embolism mai ke kōkō koko ma ka piko o ka catheter
• Maʻi hohola
• Hemorrhage
• Maʻi kīnā
• Poino hakuʻala
• Kaomi haʻahaʻa
• Hoʻohālikelike e hoʻohālikelike i ka kala a sedating nā lāʻau
• Hahau
• Ka ulia i ke aa a i ʻole ke aʻa

Hiki ke hoʻohui ʻia kēia hōʻike me ka angiography coronary a me ka catheterization puʻuwai hema.

Angiography - puʻuwai ʻākau; ʻO ventriculography puʻuwai ʻākau

• Puʻuwai - ʻāpana ma waena o ka waena
• Puʻuwai - ʻike mua

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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.

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Udelson JE, Dilsizian V, Bonow RO. Cardiology nuklear. 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 16.