Kāleka Cardiac: he aha ia, pehea e hana ai a me nā makaʻi kūpono

Anter

• No ke aha ia
• Pehea e hana ai i ka catheterization cardiac
• He aha ka mālama e pono ai
• Nā pilikia paha o ka catheterization

ʻO ka catheterization Cardiac kahi hana e hiki ai ke hoʻohana a kuhikuhi ʻia i nā maʻi puʻuwai, ʻo ia ka hoʻokomo ʻia ʻana o kahi catheter, kahi paipu wīwī lahilahi loa, i ke aʻa o ka lima, a i ʻole ka wāwae, a i ka puʻuwai. ʻIke ʻia paha ka catheterization Cardiac ma ke ʻano he angiography coronary.

Kēia ʻano o ke kaʻina hana hiki ke hōʻike ʻia no ka ʻike ʻana i kekahi mau pilikia puʻuwai, a me ka mālama ʻana i ka infarction a i ʻole angina, ke nānā nei ia i ka loko o nā kīʻaha koko a me ka puʻuwai, hiki ke ʻike a hemo i nā hōʻiliʻili o nā momona momona. aiʻole nā ​​liona. i kēia mau ʻāina.

Pehea e hana ai i ka catheterization cardiac

No ke aha ia

Lawelawe ka catheterization Cardiac i ka diagnose a me / a i ʻole mālama i nā ʻano ʻano puʻuwai like ʻole, a i waena o kēia mau mea e hiki ke kahiʻā ʻia.

• Loiloi inā ua hoʻopili ʻia nā aʻa koronaʻi, nāna e hāʻawi i nā mākala o ka puʻuwai, ʻaʻole paha;
• E hoʻomaʻemaʻe i nā aʻa a me nā kiwikā ma muli o ka hōʻiliʻili ʻia o nā pāka momona;
• E nānā inā loaʻa nā leona i nā kiwikā a me nā puʻuwai puʻuwai;
• E hōʻoia no nā loli i ka anatomy o ka puʻuwai i hōʻoia ʻole ʻia e nā hoʻokolohua ʻē aʻe;
• Hōʻike i ke kikoʻī, inā he, i kahi malformation congenital i nā keiki hānau hou a me nā keiki.

Hiki ke hana ʻia ka catheterization Cardiac i hui pū ʻia me nā ʻenehana ʻē aʻe e like me ka angioplasty coronary, kahi hana i hoʻohana ʻia e wehe i ka moku coronary a hiki ke hana ʻia me kahi implant stent (metricic prostesis) a i ʻole me ka hoʻohana ʻana i kahi balloon, kahi me nā kaomi kiʻekiʻe, kaomi. nā pā, e wehe ana i ka ipu. E aʻo hou e pili ana i ka hana ʻana o angioplasty.

Hiki iā ia ke hana pū ʻia me ka valutanul balloon percutaneus, hoʻohana ʻia e mālama i nā maʻi e like me nā valves puʻuwai e like me stenosis pulmonary, stenosis aortic a me mitral stenosis. Eia kekahi, e aʻo hou i nā kikoʻī e pili ana i nā hōʻike o ka hana valvuloplasty.

Pehea e hana ai i ka catheterization cardiac

Hana ʻia ka catheterization Cardiac ma ka hoʻokomo ʻana i kahi catheter a i ʻole probe i loko o ka puʻuwai. ʻO ka anu u i kēlā me kēia:

1. Anesthesia kūloko;
2. Ke hana nei i kahi wehe liʻiliʻi no ka catheter e komo i ka ʻili o ke aʻa a i ʻole ka forearm ma ka pulima a kuʻekuʻe paha;
3. Hoʻokomo o ka catheter i ke aʻa (maʻamau, radial, femoral a bracheal) e alakaʻi ʻia e ke kauka loea, a hiki i ka puʻuwai;
4. Kahi e komo ai nā aʻa ākea a me ka hema;
5. Ka pahu kui o kahi iodine-based waiwai (ʻokoʻa) e ʻae ai i ka ʻike ʻana o nā aʻa a me kā lākou mau kiko o ka ālai e nā X-ray;
6. Hoʻohui ʻokoʻa i ka ventricle hema, e ʻae ai i ka ʻike ʻana i ka paumaʻi naʻau.

ʻAʻole hōʻeha ka hōʻike. ʻO ka mea hiki ke hiki ke ʻike ka mea hoʻomanawanui i kekahi ʻano ʻino ma ka nahu ʻana o ka anesthesia a me ka nalu wela e hala ana i ka umauma ke injected ka ʻokoʻa.

Hoʻololi ka lōʻihi o ka hoʻokolokolo ʻana e like me ka maʻalahi o ka catheterize ʻana i ka pahuhopu, ʻoi aku ka lōʻihi o nā mea maʻi i ʻike i ka ʻoki ʻana o ka myocardial revascularization. ʻO ka maʻamau, ʻaʻole lawe ka hōʻike ma mua o 30 mau minuke, pono e noho hoʻomaha no kekahi mau hola a, inā ʻaʻohe pilikia, hiki iā ʻoe ke hoʻi i ka home, inā ua hana wale ʻoe i ka catheterization me ka ʻole o kekahi hana e pili pū ana.

He aha ka mālama e pono ai

ʻO ka maʻamau, no kahi catheterization i hoʻonohonoho ʻia, pono ia e hoʻokē ʻai no 4 mau hola ma mua o ka hōʻike, a hoʻāʻo e hoʻomaha. Eia kekahi, ʻo nā lāʻau wale nō i kau ʻia e ka cardiologist e mālama ʻia i ka hoʻohana ʻana, e hōʻalo ana i nā lāʻau i hōʻike ʻole ʻia, e like me nā lāʻau home a me nā tī. E nānā he aha nā mea nui e mālama ai ma mua a ma hope o ke kaha ʻana.

ʻO ka maʻamau, wikiwiki ka hoʻōla ʻana mai ke kaʻina hana, a inā ʻaʻohe pilikia ʻē aʻe e pale aku iā ia, hoʻokuʻu ʻia ka mea maʻi mai ka haukapila i ka lā aʻe me kahi ʻōlelo e pale i ka hoʻoikaika ikaika a i ʻole e hāpai i nā kaupaona ma mua o 10 kg i nā pule he 2 i hala. ke kaʻina hana.

Nā pilikia paha o ka catheterization

ʻOiai he mea nui a palekana hoʻi, hiki i kēia kaʻina hana ke lawe i kekahi mau pilikia olakino, e like me:

• Kahe a me ka maʻi ma ka pūnaewele hoʻokomo catheter;
• Poino ke kīʻaha koko;
• ʻO ka hopena āpau i ka hoʻohālikelike i hoʻohana ʻia;
• ʻO ka puʻuwai puʻuwai ʻole a arrhythmia paha, e hele aku paha iā ia iho, akā pono paha i ka lapaʻau inā kūpaʻa;
• Hoʻopili ke koko i hiki ke hoʻāla i kahi hahau a hōʻeha puʻuwai paha;
• Kulu i ke koko;
• ʻO ka hōʻiliʻili ʻana o ke koko i loko o ka ʻeke e hoʻopuni i ka puʻuwai, kahi e pale ai i ka puʻuwai mai ke kuʻi maʻamau.

Heʻuʻuku ka makaʻu ke hoʻonohonoho ʻia ka hoʻokolokolo, ʻoi aku, hana mau ʻia ia i nā haukapila kuhikuhi kardology i hoʻolako pono ʻia, i loaʻa nā mea maʻi puʻuwai a me nā kauka puʻuwai, na sus a pilikino paha.

Hiki i kēia mau pōpilikia ke hana, keu hoʻi, i nā diabetics, me nā maʻi puʻupaʻa a me nā kānaka ma luna o 75 mau makahiki, a i kēlā mau mea maʻi ʻoi loa a koʻikoʻi hoʻi me ka infoccial myocardial.