Catheterization ea pelo e letšehali

Catheterization ea pelo e ka ho le letšehali ke tsela ea "catheter" e tšesaane e fetohang ka lehlakoreng le letšehali la pelo. E etsoa ho fumana kapa ho phekola mathata a itseng a pelo.

U ka fuoa moriana o bobebe pele u qala. Meriana ke ho u thusa ho phutholoha. Mofani oa tlhokomelo ea bophelo o tla kenya IV letsohong la hau ho fana ka meriana. U tla robala tafoleng e khabisitsoeng. Ngaka ea hau e tla phunya mmele oa hau hanyane. Phala e tenyetsehang (catheter) e kenngoa ka har'a mothapo. E tla kenngoa letsohong la hao, letsohong kapa leotong la hao le kaholimo. Mohlomong o tla tsoha nakong ea ts'ebetso.

Litšoantšo tse phelang tsa x-ray li sebelisoa ho thusa ho tataisa li-catheters ho ea fihla pelong le methapong ea hau. Dae (eo ka linako tse ling e bitsoang "phapang") e tla enteloa 'meleng oa hau. Dae ena e tla totobatsa phallo ea mali ka methapo. Sena se thusa ho bontša li-blockages methapong ea mali e lebisang pelong ea hau.

Catheter e ntan'o fetisoa ka valve ea aortic ka lehlakoreng le letšehali la pelo ea hau. Khatello e lekanyetsoa pelong ka boemo bona. Mekhoa e meng e ka etsoa ka nako ena, joalo ka:

• Ventriculography ho lekola tšebetso ea ho pompa pelo.
• Angiography ea Coronary ho sheba methapo ea mali.
• Angioplasty, e nang le kapa e sa khathollang, ho lokisa li-blockages methapong e ea etsoa.

Tsamaiso e ka nka nako e ka tlase ho hora e le 'ngoe ho isa ho lihora tse' maloa.

Maemong a mangata, ha ua lokela ho ja kapa ho noa lihora tse 8 pele ho tlhahlobo. (Mofani oa hau a ka u fa litaelo tse fapaneng.)

Tsamaiso e tla etsahala sepetlele. U ka amoheloa bosiung ba pele ho tlhahlobo, empa ho tloaelehile ho tla sepetlele hoseng ha ts'ebetso. Maemong a mang, ts'ebetso ena e etsoa kamora hore o se o amohetsoe sepetlele mohlomong ka nako ea tšohanyetso.

Mofani oa hau o tla hlalosa ts'ebetso le likotsi tsa eona. O tlameha ho saena foromo ea tumello.

Sedative e tla u thusa ho phutholoha pele ho ts'ebetso. Leha ho le joalo, u tla tsoha 'me u khone ho latela litaelo nakong ea tlhahlobo.

U tla fuoa moriana oa ho thethefatsa sebakeng seo (anesthesia) pele catheter e kenngoa. U tla utloa khatello e itseng ha catheter e kenngoa. Leha ho le joalo, ha ua lokela ho utloa bohloko. U kanna oa ba le bothata ba ho bua leshano ka nako e telele.

Tsamaiso e etsoa ho batla:

• Lefu la valve ea pelo
• Lihlahala tsa pelo
• Mathata a pelo (joalo ka liphoso tsa septricular septal)
• Mathata ka ts'ebetso ea pelo

Tsamaiso e kanna ea etsoa ho lekola le ho lokisa mefuta e itseng ea bofokoli ba pelo, kapa ho bula sephahla sa pelo se patisaneng.

Ha ts'ebetso ena e etsoa ka coriary angiography ho lekola methapo e fepang mesifa ea pelo, e ka bula methapo e koetsoeng kapa ea fapanya li-graft. Sena se ka bakoa ke lefu la pelo kapa angina.

Tsamaiso e ka sebelisoa ho:

• Bokella mehlala ea mali ho tsoa pelong
• Fumana khatello le phallo ea mali likamoreng tsa pelo
• Nka litšoantšo tsa x-ray tsa ventricle ea leqele (kamore e kholo ea ho pompa) ea pelo (ventriculography)

Sephetho se tloaelehileng se bolela hore pelo e tloaelehile ho:

• Boholo
• Tshisinyo
• Botenya
• Khatello

Sephetho se tloaelehileng se boetse se bolela hore methapo ea methapo e tloaelehile.

Liphetho tse sa tloaelehang e kanna ea ba sesupo sa lefu la pelo kapa bofokoli ba pelo, ho kenyelletsa:

• Ho se lekane ha aortic
• Aortic stenosis
• Boloetse ba methapo ea mali
• Ho eketsa pelo
• Ho khutlisoa ha Mitral
• Mitral stenosis
• Li-aneurysms tsa moea
• Phoso ea septal ea atrial
• Phoso ea septal ea Ventricular
• Ho hloleha ha pelo
• Cardiomyopathy

Mathata a ka kenyelletsa:

• Li-arrhythmias tsa pelo
• Tamponade ea pelo
• Ho khomarela mali ho tsoa ntlheng ea catheter ho ea bokong kapa litho tse ling
• Lefu la pelo
• Ho lematsa mothapo
• Tšoaetso
• Tšenyo ea liphio ho fapana (dae)
• Khatello ea mali e tlase
• Itšoara joang ka thepa e fapaneng
• Leqeba

Catheterization - pelo e letšehali

• Catheterization ea pelo e letšehali

Goff DC Jr, Lloyd-Jones DM, Bennett G, le al; > American College of Cardiology / American Heart Association Mosebetsi oa Mekhoa ea Boitliso. Tataiso ea 2013 ACC / AHA mabapi le tlhahlobo ea kotsi ea pelo: tlaleho ea American College of Cardiology / American Heart Association Task Force mabapi le litataiso tsa boits'oaro. Tsamaiso. 2014; 129 (Tlatsetso ea 2): S49-S73. PMID: 24222018 phatlalalitsoe.ncbi.nlm.nih.gov/24222018/.

Catheterization ea Herrmann J. Cardiac. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 19.

Mehran R, Dengas GD. Angiography ea Coronary le ho nahana ka intravascular. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 20.