Echocardiography Transesophageal: ntoni na?

Pathology yenkqubo sentliziyo yenye yezinto ezingunobangela eqhelekileyo ukufa. Eli qela kwezifo kuxhaphake ingakumbi phakathi abadala. Uxilongo izifo zentliziyo usaqala kunceda ekunciphiseni ubungozi iingxaki kunye nokufa. Enye yeendlela uphenyo echocardiography. Le ndlela diagnostic iyafuneka ukuvavanya umsebenzi kwentliziyo. Amaxesha amaninzi, echocardiography lwenziwa yi esebenzisa i woluvo cuke, nto leyo ibekwa phezu kodonga esifubeni. Kwezinye iimeko, le phando lwenziwa ngexesha utyando. Ke olwenziwe echocardiography transesophageal. Le ndlela ivumela ukuba nomfanekiso intliziyo zolwimi ngokunzulu.

Transesophageal echocardiography - ntoni na?

Echocardiography - yenye yeendlela eziphambili ngoxilongo kwezifo kwenkqubo sentliziyo. It zingenziwa na ubudala, kuba akukho sikhatshwa umthwalo iphiramidi ebonisa emzimbeni. Ngenxa kule phando instrumental nga nombono ubungakanani kunye ububanzi nesamagumbi intliziyo, ukuhlola imeko kwemithambo. echocardiography Transesophageal (ChPEhoKG) ungachazwa ukuba yenziwa ngaphakathi, kunokuba ngaphandle (eludongeni esifubeni). Xa olu phawu umfanekiso kunyuswa. Le saveyi alikwazi ukugunyazisa zonke; kodwa kuphela ezibonisa ezizodwa. Oko ukwenza echocardiography ngokusebenzisa kwisisu umphimbo, kufuneka kuqala ukwenza transthoracic yayo. Le ndlela diagnostic ikhutshwa phandle oyingcali abaqeqeshwe ngokukodwa esibhedlele.

Oku kusekelwe yintoni indlela echocardiography transesophageal?

echocardiography Transesophageal intliziyo - eli imaging ndlela, olusekelwe phezu ultrasound. Ultrasound lwenziwa kusetyenziswa zincwadi Womenzi ekhethekileyo kunye gel. Le fowuni uyila oluvela rhoqo amaza omsindo. Amalaphu "ityala" ezi izilumkiso uhlobo amaza. Sisazi ukuba yonke ingxenye onokuxinana ethile kunye nesakhiwo, kodwa ngokwahlukileyo ziboniswe kwi esweni iqhagamshele yunithi. Uphando lwenziwa ngexesha lenene. Oku kuthetha ukuba ugqirha of kuxilongo ezisebenzayo nga ukuhlola imeko kwamagumbi intliziyo, ngoxa woluvo zemiboniso njengoko ecaleni kumphezulu umzimba. Ngokwahlukileyo transthoracic echocardiography, ukufunda transesophageal inika nokuba ubone uphazamiseko encinci eso sakhiwo. Inyaniso kukuba ngexesha ultrasound udonga esifubeni, akusoloko kusenzeka ukuba ukufikelela umfanekiso eyaneleyo inhliziyo. Oku kubangelwa yinto yokuba matshini "iqhubeka" kunye ntlokoma namanye amaqumrhu: iimbambo, izihlunu adipose, izicwili kwezihlunu. Xa yehliswe kakhulu enza ChPEhoKG 'window ultrasound', ngoko ke le ndlela ulwazi ngakumbi.

Ezibonisa zokufunda

Yayibubungqina ezingundoqo isifundo ifumana akakwazi ukwenza isifo ngokususela kwidatha ye echocardiography transthoracic. Ngokuqhelekileyo, le nkqubo diagnostic lwenziwa izigulane abaye ekurhaneleka ukungaqheleki ezinzulu inhliziyo. ukuba kuza kudingeka ekufundeni ukuqanda zomzimba. Sisazi ukuba ultrasound ngokusebenzisa eludongeni esifubeni kwezi meko, uninformative, wenza transesophageal echocardiography. Izinto ezibonisa ukuba isifundo:

1. Iingxaki emva yentliziyo nokufakelwa replacement. Kwezinye iimeko, koko iye elide ayitshanga, ngaloo ndlela ebangela nangokurhala, amathumba.
2. Ezithile ngokwezinga wentliziyo okanye kwemithambo le aorta.
3. ukusebenza Poor semigudu angoozenzele.
4. Usulelo lwe imisipha yenhliziyo - endo-, pericarditis myo-.
5. aorta ububovu.
6. Thrombosis ventricle.
7. Imfuneko bafunde ngexesha zotyando.

Ukongeza kwezi okukhomba, echocardiography transesophageal inyanzelekile phambi kwezivalo zakhe. Kwakhona, uphando lwenziwa sakhe i yesandi lung ephakamileyo (emphysema), ukutyeba.

Izimo ukuba echocardiography transesophageal

Nakuba kwakukho iingenelo ChPEhoKG, le ndlela uphando ayisetyenziswa ngokubanzi. Oku kungenxa yokuba ukuba ezihlaselayo, kwaye zonke izigulane uyavumelana le nkqubo. Ukongeza, kukho ezinye Izimo ukuba echocardiography transesophageal. Phakathi kwabo:

1. izifo yokukrala kwisisu ngomlomo pharynx.
2. Mgaqweni-arhente zophuhliso (kuvuleke iminxunya elifutshane, diverticulum).
3. Loloyiko, stricture. Akholisa ukubakho emva yingozi nee-asidi okanye alkalis.
4. esophagitis ilunga.
5. Ukopha nezilonda cardia esiswini.
6. dilatation Esophageal kwesibindi hepatic.
7. Zomhlaza ye kwisisu ngomlomo pharynx.
8. Umhlaza kuvuleke iminxunya okanye cardia esiswini.

Xa kungekho kwezifo emathunjini ingaqhutywa ChPEhoKG kwizigulana na ubudala. Kwakhona, uphando ayikho contraindicated abafazi abakhulelweyo kunye nabantu abanengxaki ezimbi somatic. It is ezingahambi zokukhanya yento ephilayo.

Ukulungiselela echocardiography transesophageal

Phambi kokunika echocardiography transesophageal, isigulane kufuneka zithunyelwe ukuba bangenele uthotho nemvavanyo zaselaborathri. Ezi ziquka: chemistry igazi, i-pat kunye OAM, coagulation. Oku kwenzeka utshintsho ezifana nokwanda leukocytes, iiplatelets, ekhawulezayo ESR. Ukongeza, phambi kophando, oko kudla eyenziwa transthoracic ultrasound kokuxilongwa. Ukongeza, kwiimeko nesifo sentliziyo eko kuyimfuneko ukususa ECG.

echocardiography Transesophageal ngumgaqo ekhuselekileyo, ngoko, akunyanzelekanga ukuba uqeqesho olulodwa. Ukuba isigulane kuthatha nawaphi na amayeza, ngoko ungazikhupha phambi kokuba uvavanyo ayikho imfuneko. Yimeko eyimfuneko inkqubo na ukusilela ukuthatha ukutya iiyure 6 andulela ChPEhoKG. Ukuba ogulayo amazinyo emboleko, kufuneka isuswe. Ngamanye amaxesha, phambi kokuba kwenziwe uvavanyo lwenziwa premedication. Ukunciphisa ukuvuza izinkcwe, iziyobisi "atropine" ezilawulwa yegazi. Ukuba isigulana kwimeko yimincili, amisele uxinezeleko (amayeza "Diazepam").

Technique transesophageal echocardiography

Ukuze uphephe ubuhlungu, umlomo kunye zokuphelisa iintlungu emqaleni. Kule ekuqulunqeni nokusebenzisa "Lidocaine" okanye "Dikain". Le isigulane kubekwa kwicala lasekhohlo. Ukuthintela umonakalo uphenyo kunye nokuququzelela yaqala emqaleni, sebenzisa ingundaba okhethekileyo. Isiphelo sesixhobo kufuneka ziphathwe nge gel olulodwa, nto leyo lisetyenziswa kwiimviwo ultrasound. Emva koko, lo uphenyo mbhobho lifakwa sayo esophageal. Ukuququzelela inkqubo, isigulane kufuneka enze ligwinya. Phakathi imizuzu 5-10 esi sixhobo nommizo kwisisu. Isibane mbhobho kukhohliswa intliziyo. Udonga isixhobo kuvuleke iminxunya ibhaqa zisaqhubeka. Ekuhambeni kwexesha real zibekwa kwi esweni yaye zarekhodwa kwi ifilimu.

Oko bungabonakala echocardiography transesophageal

Ngenxa echocardiography, azenza kwisisu umphimbo, ungenza ukuhlola imeko imisipha intliziyo, endocarditis kunye valvular nezixhobo. Olu phando libalulekile moshilongo. Ngenxa isiqulatho ulwazi eliphezulu ndlela, kuyenzeka ukubona umonakalo nokuba incinane ukuya lweHo- intliziyo. ChPEhoKG ityhila ubukho amahlwili egazi, utshintsho ukudumba, asike aortic. Eyodwa yokufunda ulwazi-ntathu ezahlukeneyo. Ngenxa cardiography 3D-ultrasound kunokwenzeka ukuba ukuhlola kuphela imeko imisipha kwentliziyo, kodwa ukuze alungiselele sesigulane ukusebenza ngengqondo vana. Le ndlela isebenza kuphando ophezulu zobugcisa kwaye yenziwa kwiiklinikhi ezikhethekileyo.

iingxaki ezinokwenzeka of echocardiography transesophageal

Enye indlela loxilongo luthathwa echocardiography transesophageal kwentliziyo. Phi le nkqubo? Olu phando lwenziwa lweeklinikhi neSebe zentliziyo, kwakunye kwiiklinikhi zabucala, yafakelwa izixhobo zonyango mihla. Kubalulekile ukukhumbula ukuba, nangona isibambiso, kwiimeko ezinqabileyo basenokuba iingxaki. Ezi ziquka arrhythmias kwentliziyo, kwakunye kukwalisa amayeza (iintlungu, okudambisa). Ukuze intlungu kakhulu, kuyimfuneko ukuba iseti lula yokurhaxwa.

echocardiography Transesophageal intliziyo: ncomo ezigulane kunye amagqirha

Olu phando ekhuselekileyo yalula, ngoko izigulane kukunyamezela kakuhle. Ukuxilonga zoxilongo kakhulu luyenziwa echocardiography transesophageal. Oogqirha ngale ndlela survey ezintle. Oogqirha bathi kakhulu ulwazi kunye nokhuseleko.