Iimpahla Uqhaqho intliziyo; indlela yokwenza, ixabiso, iingxaki. iimpahla Uqhaqho intliziyo: ncomo

Kukho ngoku uza ukwandisa uthungelwano kwamaziko cardiological. Injongo yale nkqubo kukuba, kangangoko kunokwenzeka, ukuba ukhathalelo routine nokungamandla kwizigulane. Oku imikhumbi bypass kunjalo ikakhulu kunye nemisebenzi stenting yonakele. Oku, kunciphisa kakhulu amathuba okuba nesifo sentliziyo kunye utshintsho vuhlayiseki.

Ukubaluleka yamanyathelo lokuxilonga

Ukuba nokwenzeka unyango ezimbi sentliziyo leyo namhlanje ilifa iingcali abafuna ukusebenza ngqo kunye nosetyenziso neenkonzo zenkxaso ezikhoyo. Phambi kokuba ungenelelo, ugqirha kufuneka ulwazi oluthile. Ngokukodwa, yingcali kufuneka ukwazi ubungakanani amanxeba atherosclerotic kunye licuthe imithambo yegazi, kwakunye noko ekhona ukuba ihlwili kuwo ubungakanani kunye nendawo, phambili kangakanani na ubonelelo igazi kwindlela yogcino. Iimpendulo kuyo yonke le mibuzo zingafunyanwa ngokuqhuba uphando olunzulu. Kwesi sifundo namhlanje iimpahla coronary kwentliziyo. Okulandelayo cinga kokuphi okwenza uphando. Kweli nqaku uza kufunda ngubani kuqala isincomo iimpahla coronagraph kwentliziyo. Njani na iindleko, iingxaki - konke oku kuya kuxoxwa ngezantsi.

Overview

Yintoni na iimpahla coronary intliziyo? Njani le saveyi? Le mibuzo kukuphatha izigulane ezininzi. iimpahla Uqhaqho bentliziyo yindlela yophando kwemithambo, osekelwe ukusetyenziswa kwe-X-reyi. Elinye igama ngenxa yale saveyi - angiography. Sebenzisa le ndlela ngenxa lokufunyaniswa ezimbi ezahlukeneyo kwenkqubo sentliziyo. Umgangatho wokupasa yayo kuchaphazela ngqo ngokuchaneka unyango olulandelayo. Ekubeni iimpahla coronary kwentliziyo lwenziwa kwiimeko ezingalaliswayo, kuyimfuneko pre-ubhalise. Ukwenza izixhobo eyodwa yokufunda ezisetyenziswayo. Oogqirha abenza uphando ukuba uqeqesho olufanelekileyo. iimpahla Uqhaqho intliziyo isetyenziswa njengenyathelo mandatory uxilongo kwamaziko zonyango emva kokutyelela wotyando intliziyo.

survey zafike

Heart ugqirha ukuba thethwano kufuneka sidlule iimvavanyo. Ngokukodwa, kufuneka:

• Kla kunye ifomula neeplatelets.
• Zengqo- Ipharamitha izihlunu zentliziyo.
• Blood ekunqandeni.
• Lipidogram. Kuyimfuneko ukuqinisekisa isidanga pre-emisiweyo inkqubo atherosclerotic. Kulo mzekelo, uphando lipoprotein kunye ezixineneyo, cholesterol iyonke.
• Iswekile Umchamo negazi.
• imali eseleyo Electrolyte.
• Kwezinye iilebhu, yokubala iqondo iingxaki yamafutha kunokwenzeka.
• Studies umsebenzi hepatic kunye sezintso.
• Ezinye iimvavanyo, ngaphandle izifo ezingapheliyo kunye nohlobo ezosulelayo ka-AIDS.

Ayimfuneko njengoko iziphumo zezi zifundo zekhompyutha:

• Fluoroscopy. Olu phando ukuhlola kuphela imeko inwebu lung, kodwa ukuchaza yakhiwe kunye nobukhulu kwentliziyo.
• ECG. iimviwo Electrocardiographic e Dynamics sinika ubungqina imfuneko thethwano, ukupheliswa ukucuthwa isingqisho, nako kwimicu kwezihlunu, kukho sindisa kumasebe ahlukeneyo, loloyiko emva wahlaselwa yintliziyo. Ukongeza, i-ECG utyhila ischemia gqolo kunye kuyakrokreleka abane abahluphekayo.
• Ultrasound kwentliziyo. Ultrasound libhekisela kumfanekiso abangaboniyo imisebenzi yamasebe ezahlukeneyo bentliziyo, ukuba asebenze vana va imithambo kunye ventricles, neempahla ezinkulu. Ukusebenzisa ultrasound kutyhilwa hypertrophy (ukuqina eludongeni) ye izihlunu zomzimba.

Zonke ezi zifundo zingentla kakhulu ukunciphisa ukulinda iziphumo ixesha emva kokubonisana kwiziko specialist zentliziyo.

iimpahla Coronagraph intliziyo: inkcazelo yenkqubo, kubonakala

Le ndlela yophando kuyafuneka kwimeko kwemvume isigulane ukhetha utyando, ejonge - ukuququzelela imeko yesigulane. Ukuhlolwa okunikezelwe kwabo uceba ukwenza stenting okanye uqhaqho badlule. iimpahla Uqhaqho kuvumela oogqirha ukuba ukujonga uhlobo kotyando iyafuneka into.

Yintoni ukuhlolwa?

iimpahla Uqhaqho wentliziyo, ixabiso apho yahluka eRashiya, kwenziwa kuphela kumaziko ezizodwa. Kwizixeko ezinkulu kuphando zingafumaneka kwiiklinikhi ezahlukeneyo. Njengomgaqo, uviwo ecwangcisiweyo. Okokuqala a okuhlatywa. Ngokuqhelekileyo, le ndawo a umthambo femoral kwi ubudoda. Ngawo, entliziyweni yokwazisa catheter zeplastiki. Ityhubhu ilawulwa a arhente umahluko. Ngenxa phambi yayo angiography lweengcali, wayithumela kwi-screen umfanekiso, bona into eyenzekayo njengesigulane izitya ivaleke. Kweso sifundo, ugqirha ivavanye imeko womnatha, limisela sites isithintelo. iimpahla Uqhaqho intliziyo likuvumela ukuba ukuhlola ngocoselelo zonke iindawo. Iziphumo zophando ixhomekeke amava kunye nokulungela ingcali. Ekugqibeleni, malunga nendlela ukufunda ngokwaneleyo baya kuqhutywa, kuxhomekeke nje kuphela ukusebenza konyango, kodwa idla ubomi yesigulane.

survey stroke

Ngexesha le nkqubo, kusetyenziswa Ukubulawa yasekuhlaleni. Femoral okanye ulnar Umthambo Ugqobhoze inaliti zamafu. Khetha i site specialist engcono. Njengoko umthetho, uphando lwenzeka ngaphandle kokusebenzisa Ukubulawa jikelele. iimpahla Uqhaqho intliziyo (reviews izigulane ezininzi ukuqinisekisa olu lwazi) - ngokubanzi indlela elula uphando. Ezinye izigulane ingxelo nobunzima kuphela kummandla ngokufakelwa kweli yenaliti. Esebenzisa le mithambo ukukhuthaza catheter elide elibhityileyo. Oku wondla kufutshane nje izitya intliziyo. Intshukumo catheter ebukele ingcali kwi esweni screen. Emva ityhubhu isekwe kwi indawo efunekayo, i-arhente nshita ilawulwa. Ngokuhambelana imiyalelo eyenziwe yi ingcali imifanekiso uqikelelo ezahlukeneyo. Emva ukususwa kwicandelo catheter unikezelo beentanda uvale okanye bandage okhethekileyo.

Isabelo emva kwesifundo

Le isigulane Kucetyiswa alale, kwakhona unika iingcebiso lokuthintela intshukumo lomzimba eye isetyenziswe njenge igalelo umthambo. Kwiintsuku ezimbalwa emva kokuba uphando wabelwa ukuba usele olwelo nedayethi eliqhelekileyo, yaye inceda ukuphelisa le arhente echaseneyo nezintso. Ngokutsho izimvo ezininzi, izigulane uqobo kwakhona ngokukhawuleza emva izitya coronary intliziyo lwenziwa. Kungaba nemiphumela ukuba ukopha kwindawo okuhlatywa akamthintelanga. Kule meko kukho uphuhliso ukudumba, bazigruzule akhiwe; izigulane ezikhala nesiyezi, buthathaka. Kule meko kufuneka kwangoko wazise ugqirha wakho.

Iziganeko kwi olwandulela isifundo

Ukulungiselela iimpahla coronary kwentliziyo lwenziwa ngokuhambelana nemithetho ethile. Ngenxa yokuba kwenziwa esibhedlele, isigulane kufuneka silandele zonke iingcebiso ingcali. Ugqirha isigqibo leyo kuqhubeka ukuthatha iziyobisi, kwaye ukurhoxisa. Phambi imikhumbi ivaleke kuya kwenziwa, kuyimfuneko:

• Sukuvuma ukuba adle ngokuhlwa, musani ukudla ngemini lovavanyo. Oku kuya kuthintela isicaphucaphu nokugabha kule nkqubo.
• Bayikhuphe impahla lwesinye ngokukhawuleza phambi kokuba inkqubo.
• Susa iiglasi, namaso, nemisesane yokutywina, namajikazi. Kwezinye iimeko oyingcaphephe usenokucelwa ukuba ukususa ilens ukusuka iliso.

Ugqirha kufuneka bazi onke amayeza athathiweyo, ubukho nokwaliwa nobandlululo kuyo nayiphi na into.

Ngubani ayikhuthazwa tu into yokuba bahlola?

Izigulane abakhe baphawula aleji chasanisa idayi, akukho babelwa izitya coronary kwentliziyo. Iingxaki kule kunokwenzeka kakhulu ngokwaneleyo ukuya umothuko anaphylactic. Ayikhuthazwa ukwenza isifundo kwiqondo lobushushu eliphezulu, uthethe anaemia (anemia), okanye ukungabikho igazi ekunqandeni. Izimo ukuqhuba coronary ziquka kuncitshiswa abasuka potassium, isifo seswekile, isifo isibindi, wemiphunga kidney disease, ukutyeba, ukwaluphala.

Ukuze ufumane inkcazelo engakumbi,

Phambi kokwenza iimviwo isigulane ilawulwa zomzimba kunye namanye amayeza. Le isigulane waphucula leenwele ngengalo okanye kummandla nasemiphakathweni (ngokuxhomekeke kwicandelo le-catheter delivery). Indawo Konyulwa liqatywe encinane. Kuya Ngoku kufakwa ityhubhu, apho, enyanisweni, uya kuqhebela phambili catheter. Yingcali kufuneka wenze yonke ngenyameko ukuze intshukumo eziqalelo abazange buhlungu. Phezu kwesifuba isigulana siya esisigxina electrode. Kuba iyimfuneko kolawulo umsebenzi intliziyo. Ngokutsho kwabo abemkileyo ncomo kule nkqubo, ngethuba lesifundo isigulane ke alihlali iphupha. Ugqirha ethetha kwisigulana, banomdla imeko yakhe. Kwinqanaba elithile, ugqirha angacela ukutshintsha indawo kwezandla zakho, thatha umoya nzulu kunye ukubamba umoya wakho. Ngethuba loviwo wenziwe uxinzelelo lwegazi kunye nezinga intliziyo. Ngokuqhelekileyo, le nkqubo ithatha malunga ilixa, kodwa kwezinye iimeko ukuze ihlale ixesha elide. Kwisithuba nje iiyure ezimbalwa emva kokuba isigulane akavumelekanga ukuba kuvuka. Oku kuyimfuneko ukunqanda ukopha. Kwangaloo mini, isigulana angaya ekhaya. Kwezinye iimeko, kucetyiswa ukuba bahlale eklinikhi. Njengoko ingcali yabantu uya kumisela xa ungakwazi ukubuyela ubomi aqhelekileyo: thatha ishawa kwakhona phambi kokuba uthathe amayeza njengoko emiselwe, yaye ke iintsuku ezimbalwa emva kokuba uvavanyo ayikhuthazwa umzimba ...

Yintoni kakhulu emva kokuba uvavanyo?

Ngokutsho kwakhona iingxaki zonyango emva angiography coronary awayezibona nama-2% kwizigulane. iziphumo ebezingalindelekanga Mild kungathathwa nje ukurhawuzelela, irhashalala, iindumbisa ubuso kunye nolwimi. Konke oku yi uxabane ukuba umbandela umahluko. kukho kunqabile kakhulu ngombane. iingxaki zendawo Kusenokwenzeka, wabonakaliswa ngokohlobo thrombosis, hematoma, ukwenzakala sitya. Konke oku ziphelisiwe esibhedlele. Phakathi nemiphumela emibi kubalulekile ukukhumbula istrowuku okanye intliziyo ukuhlasela. Noko ke, iingcali bakholisa ezinxulumene kunye nophuhliso lwesicwangciso imeko etsolo ngqo kwizifundo zomsebenzi phambi kwemithambo stenosis kunye nenkqubo atherosclerotic umlinganiswa va. Practice ibonisa ukuba isiganeko esibulalayo ibhalwe kwenye zamawaka.

Yimalini Kufuneka uhlawulele vo?

ERashiya, omnye izixhobo zixhaphakileyo diagnostic ezisetyenziswa practice zentliziyo, oko kuthathwa iimpahla coronary kwentliziyo. Iindleko yophando kuxhomekeke kwizinto ezininzi. Ngentlawulo iphenjelelwa kwinqanaba ekliniki, zemfundo ingcali conductive sifo, ubungakanani consumable izinto, uhlobo iintlungu, isidingo seenkonzo ezongezelelweyo, ubude kokuhlala esibhedlele njalo-njalo. Kuba abantu nkqubo MHI, uphando simahla. Kuba abanye abantu, intengo ku ezahlukene 8000-30 000.

Ekuphetheni

Ngokutsho kweengcali, ugqirha kufuneka baphathwe kwimiqondiso yokuqala ngezifo. Yaba utyelelo ngexesha ugqirha amaninzi ukuphepha kakhulu, kwaye kwezinye iimeko, imiphumo vuhlayiseki. Qaphela ukuba study engamelanga ithathwe njenge ezikhuselekileyo ngokupheleleyo. Ngoko ke, ukuba ukucutha izigulane umngcipheko uliphulaphule izindululo oogqirha.