Imikhumbi-coronary wenhliziyo: indlela yokwenza, izindleko, ukuxakeka. Imikhumbi-coronary wenhliziyo: Izibuyekezo

Kukhona manje uya ukwandisa inethiwekhi izikhungo noma zenhliziyo. Injongo yale nqubo wukuthi, ngezinga okungenzeka ngalo, ukuletha ukunakekelwa isimiso esiphuthumayo iziguli. Lena izitsha dlula kuyiqiniso kakhulu futhi stenting imisebenzi lilimele. Lokhu, kwehlisa amathuba wahlaselwa isifo senhliziyo futhi izinguquko ezalandela engelapheki.

Ukubaluleka izinyathelo zokuxilonga

The kungenzeka ekwelapheni pathologies senhliziyo okuyinto namuhla ifa Ochwepheshe abadinga ukusebenza eqondile kanye nokusebenzisa izinhlelo ezikhona zokweseka. Ngaphambi kokungenela, udokotela kufanele abe nolwazi oluthile. Ikakhulukazi, onguchwepheshe kumele ukwazi kube sezingeni izilonda atherosclerotic kanye ukuvaleka imithambo yegazi, kanye yini abakhona noma ngabe clot ngakho usayizi nokuthi ikuphi, eziphambili kangakanani uhlelo yokusekelayo liningi igazi. Izimpendulo yonke le mibuzo ingatholakala liqhuba inhlolovo ebanzi. Kulesi sifundo namuhla izitsha yenhliziyo zenhliziyo. Okulandelayo cabanga kuyini inhlolovo. Kulesi sihloko uzofunda mayelana owaqala Kunconywa izitsha coronagraph zenhliziyo. kanjani izindleko, ukuxakeka - konke lokhu ngeke futhi sichaziwe ngezansi.

Uhlolojikelele

Kuyini izitsha yenhliziyo senhliziyo? kanjani inhlolovo? Lemibuto uhlupho iziguli eziningi. Imikhumbi-coronary wenhliziyo indlela uphenyo kwemithambo yegazi, ogxile ukusetshenziswa kuma-X ray. Enye igama lolucwaningo - Angiography. Sebenzisa le ndlela ngoba sitholakele pathologies ezihlukahlukene uhlelo senhliziyo nemithambo yegazi. Ikhwalithi kokusebenza kwalo oluthinta ngqo ukunemba ukwelashwa okwalandela. Kusukela izitsha yenhliziyo wenhliziyo wenziwa ezimweni sinenkonzo yokunakekela iziguli emakhaya, kubalulekile ukuba pre-ukubhalisa. Ukuze afeze cwaningo kusetshenziswe imishini ekhethekile. Odokotela enifeza ucwaningo ukuze ibe uqeqeshwe kahle. Imikhumbi-coronary wenhliziyo isetshenziswa njengoba isinyathelo angangabazeki sitholakele nezikhungo zezokwelapha ngemuva kokuvakashela udokotela ohlinza inhliziyo.

inhlolovo ngokuhlola

Ohlinza inhliziyo ukuze kuboniswane okudingeka badlule ngakhona ezinye izivivinyo. Ikakhulukazi, udinga:

• Kla ngefomula nama-platelet.
• nemingcele kwamakhemikhali imisipha yenhliziyo.
• Igazi ekunqandeni.
• Lipidogram. Kuyadingeka ukuqinisekisa degree pre-ezimisiwe inqubo atherosclerotic. Kulokhu, ukutadisha Esilula futhi high density, cholesterol Imininingwane.
• Ushukela umchamo futhi igazi.
• Electrolyte ibhalansi.
• Kwezinye laboratories, ukubala degree of yezinkinga okungenzeka isifo sokuqina kwemithambo yegazi.
• Ucwaningo umsebenzi hepatic futhi kwezinso.
• Okunye ukuhlola, ngaphandle izifo kanye nemvelo esithathelanayo AIDS.

Kudingekile njengoba imiphumela yalolu cwaningo hardware:

• Fluoroscopy. Lolu cwaningo hhayi kuphela ukuhlola isimo ijwabu wamaphaphu, kodwa futhi ukuchaza wabuka kanye nosayizi inhliziyo.
• ECG. luhlolo Electrocardiographic e Dynamics ezenzayo ziwubufakazi nesidingo sokubonisana, esiphelweni sesimiso ukusikeka isigqi, ukwazi imisipha endwangwini, kukhona sindisa eminyangweni ehlukahlukene, nezibazi ngemva kokushaywa yinhliziyo. Ngaphezu kwalokho, ECG lembula ischemia obungapheli esolwa Izibikezelo abampofu.
• Ultrasound zenhliziyo. Ultrasound libhekisela isithombe futhi zibukeke imisebenzi yeminyango ezihlukahlukene inhliziyo, ukusebenza umphini phakathi Atria futhi ventricles, izitsha ezinkulu. Ukusebenzisa ultrasound wembula hypertrophy (ukuqina ogangeni) of the imisipha yomzimba.

Zonke izifundo ngenhla kungaba kakhulu ukunciphisa elinde isikhathi Imiphumela ngemuva kokuxoxisana onguchwepheshe nezenhliziyo isikhungo.

izitsha Coronagraph wenhliziyo: incazelo inqubo, izinkomba

Le ndlela yocwaningo kuyadingeka uma kwemvume nesineke ekhetha ukuhlinzwa, okuhlose - lula isimo lesiguli. Ukuhlolwa ezinconyiwe kulabo uhlela ukwenzani stenting noma ukuhlinzwa dlula. Imikhumbi-coronary ivumela odokotela ukunquma onjani ukuhlinzwa kuyadingeka.

Kuyini ukuhlolwa?

Imikhumbi-coronary kwenhliziyo, intengo zazo kuyahlukahluka eRussia, kwenziwe, hhayi nje kuphela izikhungo ezikhethekile. Ngo emadolobheni amakhulu inhlolovo lungatholakala emitholampilo multidisciplinary. Njengomthetho, luhlolo sihlelelwe. Kwaqale kwadlula wokubhoboza. Ngokuvamile, indawo kuyinto Umthambo femoral e imbilapho. Ngalo mhlatshelo, enhliziyweni ethula plastic ipayipi. I tube iqondiswa-ejenti ukuze kuvele umehluko. Ngenxa khona yayo kule angiography onguchwepheshe, okuxhunyanwa ekuskrini isithombe, bheka ukuthi kwenzekani e isiguli izitsha yenhliziyo. Ocwaningweni, udokotela ihlola isimo senethiwekhi, inquma amasayithi izivimbelo. Imikhumbi-coronary wenhliziyo ikuvumela ukuba kahle ukuhlola zonke izindawo. Okutholwe ucwaningo incike isipiliyoni kanye neziqu ze-uchwepheshe. Ekugcineni, mayelana nendlela yokutadisha ngokwanele izobanjelwa, ke akuxhomekile nje kuphela esimweni ukuphumelela ukwelashwa, kodwa ngokuvamile ukuphila kwesiguli.

Stroke inhlolovo

Ngesikhathi inqubo, izinzwa wendawo isetshenziswa. Femoral noma ulnar Umthambo ibhoboze inaliti obukhulu. Khetha best indawo onguchwepheshe. Njengomthetho, isifundo senzeka ngaphandle ukubulawa kwezinzwa okuvamile. Imikhumbi-coronary wenhliziyo (izibuyekezo Iziguli eziningi uqinisekise lolu lwazi) - ngokuvamile indlela kobuhlungu zocwaningo. Ezinye iziguli kubika ukungakhululeki kuphela endaweni Ukufakwa yenaliti. Ngokusebenzisa mafutha anciphisa isikhala esingaphakathi ukukhuthaza ipayipi eside futhi mncane. It is fed eduze izitsha inhliziyo. Ukuze ipayipi ukunyakaza amawashi Uchwepheshe esikrinini qapha. Ngemva tube Kumiswa isikhundla oyifunayo, i-ejenti Ngokuphambene iqondiswa. Ngokuvumelana neziqondiso esenziwe uchwepheshe izithombe ezenziwa ezahlukene. Ngemva ukususwa esigabeni ukulethwa ipayipi ezivuzayo oseduze noma ngebhandeshi elikhethekile.

Isabelo ngemva kwesifundo

Isiguli Kunconywa embhedeni ukuphumula, futhi unikeza izeluleko ukuncisha ukunyakaza somzimba eliye lasetshenziswa njengenhlangano baveze imibono Umthambo. Izinsuku ezimbalwa emva uphenyo sabelwe phuza uketshezi nokudla eliphuphile, futhi usiza ukuqeda ejenti uqhathanisa nezinso. Ngokusho Izibuyekezo eziningi, iziguli ngokuvamile alulame ngokushesha ngemva izitsha yenhliziyo wenhliziyo wawenziwa. Kungaba nemiphumela uma ukopha kusayithi wokubhoboza akayekile. Kulokhu kukhona ukuthuthukiswa ukuvuvukala kwakhiwa, nokulimala is; iziguli esekhala isiyezi, buthakathaka. Kuleli isimo kufanele ngokushesha yazisa udokotela.

Imicimbi ngosuku olwandulela lolu cwaningo

Ilungiselela izitsha yenhliziyo wenhliziyo Kwenziwa ngokuhambisana nemithetho ethile kuphela. Ngenxa yokuthi wenziwa esibhedlela, isiguli kumele alandele zonke izincomo uchwepheshe. Udokotela unquma ukuthi imaphi ungaqhubeka ukuthatha izidakamizwa, futhi lapho ukukhansela. Ngaphambi izitsha yenhliziyo kuzokwenziwa, kubalulekile:

• Ukwenqaba yokudla kusihlwa, ungadli usuku isivivinyo. Lokhu kuzovimbela isicanucanu nokuhlanza enqubeni.
• Thulula leso esinyeni ngokushesha ngaphambi inqubo.
• Susa izibuko, imigexo, amasongo, namacici. Kwezinye izimo kungase onguchwepheshe ucelwe ukususa lens kusukela iso.

Udokotela kufanele ukwazi yonke imithi kuthathwe, khona njengemithi yokungezwani komzimba nokuthile, noma ukungabekezelelani ukuze zonke izinto.

Ubani is hhayi Kunconywa ukuba ahlolisise?

Iziguli abake waphawula yokungezwani komzimba ukuhlukanisa udayi, akuyona eyabelwe izitsha yenhliziyo zenhliziyo. Izinkinga kulokhu kungase kube okubi kakhulu kuze kube ukushaqeka anaphylactic. It is hhayi Kunconywa ukuba enze ucwaningo ngezinye okushisa aphakeme, wamemezela anemiya (anaemia), noma ukungabi igazi ekunqandeni. Izimo ukuqhuba yenhliziyo zihlanganisa lokuhlushwa encishisiwe potassium, isifo sikashukela, isifo sesibindi, wamaphaphu sezinso, ukukhuluphala, ukuguga.

Ukuze uthole ukwaziswa okwengeziwe,

Ngaphambi kokwenza luhlolo nesineke iqondiswa izinzwa kanye neminye imithi. Isiguli is agunde izinwele engalweni noma endaweni imbilapho (kuye ngokuthi isigaba ipayipi ukulethwa). Indawo ekhethiwe kuyinto imbobo encane. Kuyoba manje usufakwa tube, ngokusebenzisa okuyilokho, eqinisweni, ngeke kuthuthukiswe ipayipi. Lo chwepheshe kumelwe senze konke ngokucophelela ukuze ukujikeleza izakhi engabuzwa ubuhlungu. Phezu kwesifuba isiguli kuzolungiswa electrode. Ziyakwazi adingekayo ukuze ukulawula umsebenzi inhliziyo. Ngokusho labo abaye bashiya Izibuyekezo kule nqubo, ngokuhamba isifundo isiguli asihlali iphupho. Udokotela ukhuluma nesineke, nentshisekelo isimo sakhe. Esikhathini esithile, udokotela angase acele ukushintsha isikhundla yezandla zakho, sengidonsa umoya futhi ukubamba umoya wakho. Phakathi luhlolo eyenziwa ngegazi wegazi nokushaya kwenhliziyo kuyehla. Ngokuvamile, le nqubo ihlala cishe ihora, kodwa kwezinye izimo kungase isikhathi eside. Ngamahora ambalwa ngemva kokuba isiguli akuvunyelwe ukuba avuke. Lokhu kuyadingeka ukuze avimbele ukopha. Ngalo lolo suku, isiguli usungaya ekhaya. Kwezinye izimo, kutuswa ukuba bahlale emtholampilo. Njengoba isazi womuntu izocacisa uma ungakwazi ukubuyela ekuphileni ajwayelekile: ushawa futhi ngaphambi kokuthatha imithi njengoba uyalelwe, nokunye izinsuku ezimbalwa ngemva kovivinyo akuyona umsebenzi Kunconywa ...

Yini kungaba ngaphezulu ngemva kokubhala isivivinyo?

Ngokusho ngabuka yezinkinga zokwelashwa ngemva angiography yenhliziyo ebonwe cishe 2% eziguli. Ezintsha side effects kubhekwe njengento ukulunywa, ukuqubuka kwesikhumba, ukuvuvukala kobuso kanye nolimi. Konke lokhu kuyinto ukusabela iguliswa okokusebenza umehluko. kukhona kakhulu kuyaqabukela uyozisola. yezinkinga wendawo Cishe, ebonakaliswa ngesimo thrombosis, hematoma, ukulimala kwabantu bomkhumbi. Konke lokhu siqedwa esibhedlela. Phakathi imiphumela emibi kuyafaneleka unhlangothi noma isifo senhliziyo. Nokho, izazi ongavamile ukuhlotshaniswa ukuthuthukisa isimo sibi ngqo ukusebenza izifundo ebukhoneni Umthambo stenosis nokucubungula atherosclerotic umlingisi wazwakalisa. Prakthiza ebonisa ukuthi umcimbi ebulalayo kulotshwe ungomunye wezinkulungwane.

Kungakanani okufanele akhokhele ucwaningo?

ERussia, lamathuluzi ezivamile zokuxilonga elisetshenziswa nezenhliziyo umkhuba, kubhekwa izitsha yenhliziyo zenhliziyo. Izindleko zocwaningo kuxhomeke ezicini eziningi. On ukukhokhelwa kuthonywa ezingeni umtholampilo, ziqu uchwepheshe conductive uphethwe, inani izinto consumable, uhlobo izinzwa, isidingo amasevisi angeziwe, ubude ukuhlala esibhedlela nokunye. Ukuze abantu nenqubomgomo MHI, ucwaningo mahhala. Ukuze abanye abantu, intengo ku ezahlukene 8000-30 000.

Ekuphetheni

Ngokusho ochwepheshe, udokotela kufanele aphathwe ngaso izimpawu zokuqala zokugula. Kwakuyisikhathi ukuvakashelwa esifike ngesikhathi udokotela kungaba ngokuvamile ukugwema isono esingathí sina, futhi kwezinye izimo, imiphumela engelapheki. Phawula ukuthi lolu cwaningo ayikwazi lubhekwe ngokuphelele. Ngakho-ke, ukunciphisa iziguli engozini kufanele ulalele izincomo odokotela.