Lub plawv dhia catheterization

Lub plawv laug txuas yog lub hauv paus ntawm cov raj xa dej ib leeg (catheter) mus rau sab laug ntawm lub plawv. Nws ua tiav rau kev kuaj mob lossis kho qee yam teeb meem hauv lub plawv.

Koj yuav muab cov tshuaj me me (sedative) ua ntej pib txoj kev. Cov tshuaj yog los pab koj so kom txaus. Tus kws kho mob yuav tso txoj IV rau hauv koj txhais caj npab muab tshuaj. Koj yuav tau pw ntawm lub rooj padded. Koj tus kws kho mob yuav ua mob me rau koj lub cev. Ib txoj hlua khov (catheter) yog ntxig los ntawm leeg. Nws yuav tso rau hauv koj lub dab teg, caj npab los yog koj sab ceg (puab tais). Koj yuav feem ntau yuav tsaug zog thaum tus txheej txheem.

Cov duab xoo hluav taws xob nyob yog siv los pab taw kev tawm tsam rau koj lub plawv thiab cov hlab ntsha. Zas (qee zaus hu ua "zoo sib xws") yuav txhaj rau hauv koj lub cev. Qhov zas xim no yuav qhia txog ntshav khiav los ntawm cov hlab ntsha. Qhov no pab qhia cov txhaws hauv cov hlab ntshav uas ua rau koj lub plawv.

Lub raj xa hluav taws xob yog tom qab tsiv los ntawm aortic valve mus rau sab laug ntawm koj lub plawv. Lub siab ntsuas yog ntsuas hauv lub plawv hauv txoj haujlwm no. Lwm cov txheej txheem kuj tseem tuaj yeem ua tau rau lub sijhawm no, xws li:

• Ventriculography tshawb xyuas lub plawv tso ntshav muaj nuj nqi.
• Coronary angiography los saib ntawm lub plawv cov hlab ntshav.
• Angioplasty, nrog lossis tsis stenting, txhawm rau txhim kho txhaws ntawm cov hlab ntsha yog tom qab ua.

Cov txheej txheem yuav kav ntev dua 1 teev mus rau ntau teev.

Feem ntau, koj yuav tsum tsis txhob noj lossis haus rau 8 teev ua ntej ntsuas. (Koj tus kws khomob yuav muab cov lus qhia sib txawv rau koj.)

Cov txheej txheem yuav tshwm sim hauv tsev kho mob. Tej zaum koj tuaj yeem lees paub hmo ua ntej kev sim, tab sis nws nquag tuaj rau hauv tsev kho mob thaum sawv ntxov ntawm cov txheej txheem. Muaj qee kis, qhov txheej txheem no tau ua tom qab koj twb tau mus pw hauv tsev kho mob sai sai.

Koj tus kws khomob yuav piav qhia rau tus txheej txheem thiab nws cov kev pheej hmoo. Koj yuav tsum kos npe rau tsab ntawv tso cai.

Tus sedative yuav pab koj so ua ntej kev ua. Txawm li cas los xij, koj yuav tsaug zog thiab tuaj yeem ua raws cov lus qhia thaum lub sijhawm kuaj.

Koj yuav muab cov tshuaj loog hauv zos (cov tshuaj loog) ua ntej yuav muab lub raj yas rau. Koj yuav hnov ​​qee qhov siab vim tias txoj raj yas rau. Txawm li cas los xij, koj yuav tsum tsis txhob hnov ​​ib qho mob. Koj yuav muaj qee qhov tsis xis nyob los ntawm kev dag tseem nyob rau lub sijhawm ntev.

Cov txheej txheem ua tiav los nrhiav rau:

• Kab mob valve mob
• Mob hlav
• Lub plawv tsis xws luag (xws li ventricular septal defects)
• Cov teeb meem nrog lub siab ua haujlwm

Cov txheej txheem kuj tseem yuav ua tau los ntsuas thiab tej zaum yuav kho qee yam kev mob plawv, lossis qhib lub siab ntsws nqaim.

Thaum cov txheej txheem no tau ua nrog cov mob txhim kho lub hlwb txhawm rau txhawm rau kuaj cov hlab ntsha uas pub lub plawv mob, nws tuaj yeem qhib cov hlab ntsha lossis hla ntawm cov pob txha. Qhov no tuaj yeem yog vim mob plawv lossis mob caj dab.

Cov txheej txheem kuj tseem siv tau:

• Sau cov ntshav kuaj hauv lub plawv
• Txheeb xyuas qhov siab thiab ntshav ntws hauv lub plawv cov ntshav
• Nqa duab xoo hluav taws xob ntawm sab laug ventricle (lub twj tso kua mis loj) ntawm lub plawv (ventriculography)

Qhov tshwm sim zoo txhais tau tias lub siab nyob rau hauv:

• Qhov Coob
• Tawm suab
• Thickness
• Siab

Qhov ib txwm tshwm sim kuj txhais tau hais tias cov hlab ntsha yog li qub.

Cov txiaj ntsig tsis meej yuav yog cov cim ntawm tus kab mob plawv lossis lub plawv tsis zoo, suav nrog:

• Aortic tsis txaus
• Aortic stenosis
• Kab mob rau cov hlab ntshav
• Kev kho lub plawv
• Mitral regurgitation
• Mitral stenosis
• Ventricular aneurysms
• Atrial septal kho mob
• Ventricular septal teem meem
• Lub plawv tsis ua hauj lwm
• Cardiomyopathy

Teeb meem yuav suav nrog:

• Mob arrhythmias
• Mob Lub Hlwb
• Embolism los ntawm cov ntshav txhaws ntawm ntsis txuas mus rau lub hlwb lossis lwm yam kabmob
• Plawv nres
• Kev raug mob rau cov leeg ntshav
• Kab mob
• Raum puas tsuaj los ntawm kev sib piv (zas xim)
• Cov ntshav siab qis
• Cov tshuaj tiv thaiv rau cov khoom sib piv
• Mob stroke

Catheterization - sab laug lub plawv

• Lub plawv dhia catheterization

Goff DC Jr, Lloyd-Jones DM, Bennett G, li al; American College of Cardiology / American Heart Association Task Force ntawm Kev Coj Qhia. Xyoo 2013 ACC / AHA cov lus qhia txog kev soj ntsuam kev pheej hmoo ntawm cov hlab plawv: ib daim ntawv tshaj tawm ntawm American College of Cardiology / American Heart Association Task Force ntawm cov lus qhia xyaum. Kev ncigCov. Xyoo 2014; 129 (Khoom Muag 2): S49-S73. PMID: 24222018 pubmed.ncbi.nlm.nih.gov/24222018/.

Herrmann J. Cardiac catheterization. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 19.

Mehran R, Dengas GD. Coronary angiography thiab duab kos rau lub plawv. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 20.