ʻO ka angiography ventricular puʻuwai hema

ʻO ka angiography ventricular puʻuwai hema kahi hana e nānā ai i nā keʻena puʻuwai ʻaoʻao hema a me ka hana o nā kiwikā hema. Hoʻohui ʻia i kekahi manawa me ka angiography coronary.

Ma mua o ka hoʻāʻo ʻana, e hāʻawi ʻia ʻoe i ka lāʻau e kōkua ai iā ʻoe e hoʻomaha. E ala ana ʻoe a hiki ke hāhai i nā ʻōkuhi i ka wā o ka hoʻāʻo.

Hoʻokomo ʻia kahi laina intravenous i kou lima. Hoʻomaʻemaʻe a lawelawe ka mea mālama ola i kahi ma kou lima a i ʻole ke ʻūlū. ʻOkiʻoki kahi cardiologist i kahi ʻoki liʻiliʻi ma ia wahi, a hoʻokomo i kahi paipu maʻalahi lahilahi (catheter) i loko o ke aʻa. Ke hoʻohana nei i nā kukuna x i alakaʻi, e hoʻoneʻe pono ke kauka i ka paipu lahilahi (catheter) i loko o kou puʻuwai.

Ke kū nei ka paipu, ua injected ka wai kala ma ona. Holo ka kala i loko o nā kīʻaha koko, e maʻalahi ai ka ʻike ʻana. Lawe ʻia nā kukuna X ke neʻe ke kala ma o nā kīʻaha koko. Hoʻokumu kēia mau kiʻi x-ray i kahi "kiʻiʻoniʻoni" o ka ventricle hema ke ʻaelike me ka mele.

E mau paha ke kaʻina hana mai hoʻokahi a mau hola.

E haʻi ʻia ʻoe ʻaʻole e ʻai a inu paha no 6 a 8 mau hola ma mua o ka hoʻāʻo. Hana ʻia ke kaʻina hana i ka haukapila. Pono paha kekahi poʻe e noho i ka haukapila i ka pō ma mua o ka hoʻāʻo.

E wehewehe kahi mea hoʻolako i ke kaʻina hana a me kāna mau pilikia. Pono ʻoe e kau inoa i kahi palapala ʻae no ke kaʻina hana.

E huhū ʻoe a wela ke kuhi ʻia ka anesthetic kūloko. ʻIke paha ʻoe i ke kaomi ke hoʻokomo ʻia ka catheter. I kekahi manawa, kahi manaʻo flush a i ʻole kahi manaʻo e pono ai ʻoe e mimi ke hana ʻia ke kala.

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

Hōʻike kahi hopena maʻamau i ke kahe o ke koko maʻamau ma ka ʻaoʻao hema o ka puʻuwai. ʻO nā puke a me nā kaomi koko he maʻamau hoʻi.

Nā hopena kūpono ʻole ma muli o:

• He lua i ka puʻuwai (hemahema septtr ventricular)
• Nā mea maʻamau o nā kiʻikuhi puʻuwai hema
• An aneurysm o ka paia puʻuwai
• ʻAʻole hana maʻamau nā wahi o ka puʻuwai
• Nā pilikia kahe o ke koko ma ka ʻaoʻao hema o ka puʻuwai
• Nā poloka pili i ka naʻau
• Nāwaliwali o ka pauma ʻana o ka ventricle hema

Pono paha ka angiography coronary ke manaʻo ʻia ka blockage o nā aʻa coronary.

ʻO nā pilikia e pili ana i kēia kaʻina hana:

• Nā puʻuwai puʻuwai maʻamau (arrhythmia)
• ʻO ka hopena āpau i ka pena a i ʻole nā ​​lāʻau hoʻohiamoe
• ʻO ka ʻeha a me ke aa paha
• ʻO tamponade Cardiac
• Embolism mai ke kōkō koko ma ka piko o ka catheter
• Hewa ka puʻuwai ma muli o ka nui o ke kala
• Maʻi kīnā
• Hewa ka hakuʻala mai ke kala
• Kaomi haʻahaʻa
• Maʻi hohola
• Hemorrhage
• Hahau

Hoʻohui pū ʻia ka catheterization puʻuwai ʻākau me kēia kaʻina hana.

Loaʻa ka pilikia o ka angiography ventricular puʻuwai hema no ka mea he hana invasive ia. Hiki i nā ʻenehana kiʻi ʻē aʻe ke lawe i ka liʻiliʻi o ka makaʻu, e like me:

• Nānā CT
• ʻ .lelo Echocardiography
• ʻImehana resonance kiʻi (MRI) o ka puʻuwai
• ʻO Radionuclide ventriculography

Hoʻoholo paha kāu mea hāʻawi e hana i kekahi o kēia mau kaʻina hana ma kahi o ka angiography ventricular puʻuwai hema.

Angiography - puʻuwai hema; Waiho leo hema

ʻO Hermann 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.

ʻO Patel MR, Bailey SR, Bonow RO, et al. ʻO ACCF / SCAI / AATS / AHA / ASE / ASNC / HFSA / HRS / SCCM / SCCT / SCMR / STS 2012 hoʻohana kūpono kūpono no ka catheterization diagnostic: kahi hōʻike o ka American College of Cardiology Foundation kūpono e hoʻohana ai i nā pae hoʻohālikelike hana Force, Society for Cardiovascular Angiography a me nā hana, ʻAmelika Hui Pū ʻIa no ka ʻoki kino Thoracic, ʻAmelika Hui Pū ʻIa ʻAmelika, ʻAmelika Hui Pū ʻIa o Echocardiography, ʻAmelika Hui Pū ʻIa Nuclear Cardiology, ʻAhahui Hōʻino puʻuwai o ʻAmelika, Pūʻulu Rhythm Heart, ʻAhahui o Critical Care Medicine, Society of Cardiovascular Compute Tomography, Society for Cardiovascular Magnetic ʻO Resonance, a me ka Society of Thoracic Surgeons. ʻO J Am Coll Cardiol. 2012; 59 (22): 1995-2027. PMID: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925.

Webb GD, Smallhorn JF, Therrien J, Redington AN. ʻO ka maʻi puʻuwai Congenital i ke kanaka makua a me ka mea maʻi pediatric. I: Zipes DP, Libby P, Bonow RO, Mann DL, et al. nā ʻaoʻao ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 75.