Transesophageal echocardiography: ndichiyani?

Kudwala a dongosolo mtima ndi chimodzi mwa zomwe zimakonda imfa. Gulu la matenda makamaka ofala okalamba. Matenda a matenda a mtima mu magawo oyambirira kumathandiza kuchepetsa chiopsezo cha matenda oyamba ndi imfa. Imodzi mwa njira kufufuza ndi echocardiography. njira yodziwira chofunika kuti aone ntchito za mtima. Nthawi zambiri, echocardiography imagwiridwa mwa pali kachipangizo akupanga, amene aikidwa pa khoma pachifuwa. Nthawi zina, phunziroli amachitidwa pa opaleshoni. Kuchititsa transesophageal echocardiography. Njira imeneyi zimathandiza inu udzakhalire mtima mwatsatanetsatane.

Transesophageal echocardiography - ndichiyani?

Echocardiography - ndi imodzi mwa njira zikuluzikulu matenda matenda a dongosolo mtima. Iwo angathe kuchitidwa pa msinkhu wina uliwonse, chifukwa si limodzi ndi katundu zozungulira pa thupi. Chifukwa kufufuza uku malangizo kuona m'maganizo mwanu kukula ndi makulidwe a zipinda za mtima, kuti aone boma kuli nthambi ya. Transesophageal echocardiography (ChPEhoKG) yodziwika chakuti ikuchitika kuchokera mkati, osati kunja (chifuwa khoma). Ndi khalidwe kulingalira kumatheka. The kafukufuku alibe mankhwala onse, koma kwa zizindikiro zapadera. Kuti achite echocardiography kudzera M'mimbamo kum'mero, muyenera kugwira transthoracic ake. Njira matenda ikuchitika ndi katswiri ophunzitsidwa mwapadera kuchipatala.

Ndi zochokera njira zimene a echocardiography transesophageal?

Transesophageal echocardiography wa mtima - ichi njira kulingalira, ozikidwa pa ultrasound. Ultrasound imagwiridwa ntchito kachipangizo wapadera ndi gel osakaniza. chipangizo amalenga mkulu-pafupipafupi phokoso mafunde. Nsalu "udindo" chifukwa zizindikiro mtundu echolocation. Popeza kuti chiwalo chilichonse ali osalimba ena ndi dongosolo, iwo mosiyana anasonyeza pa polojekiti olumikizidwa kwa wagawo ndi. Research amachitika pompopompo. Izi zikutanthauza kuti dokotala wa diagnostics zinchito akhoza kuwunika chikhalidwe cha zipinda mtima, pamene sensa zithunzi pamodzi pamwamba pa thupi. Mosiyana transthoracic echocardiography, kuphunzira transesophageal amapereka kuona kusokonezeka kochepa dongosolo la. mfundo ndi yakuti pa ultrasound pa khoma pachifuwa, sizingatheke kukwaniritsa chokwanira mtima kulingalira. Ichi ndi chifukwa chakuti makina "zokumbira" ndi kumatikumbutsabe za matupi ena: nthiti, minofu adipose, minofu minofu. Pamene akuchita ChPEhoKG 'ultrasound zenera' yafupika kwambiri, njira zambiri nkhani.

Zikuonetsa kuti aziphunzira

The zikuonetsa chachikulu kuphunzira aipeza n'zosatheka kuti matenda zochokera deta ya echocardiography transthoracic. Childs, njirayi matenda imagwiridwa odwala amene amaganiziridwa kwambiri kuvutika mtima. nawonso ankafuna kuphunzira cavities thupi. Popeza kuti ultrasound kudzera pamwamba pa chifuwa khoma milandu, uninformative, anachita transesophageal echocardiography. Zikuonetsa kuti phunziroli:

1. Zovuta pambuyo mtima vavu m'malo. Mu zina, analili nthawi imene anayimangako, potero kupangitsa kutupa, abscesses.
2. Stratification a mtima kapena aneurysm kwa msempha.
3. Osauka uziyenda kuli nthambi apulasitiki.
4. Matenda a minofu mtima - endo-, myo- pericarditis.
5. Abscess msempha.
6. Thrombosis ventricle.
7. Kufunika kuphunzira pa nthawi ya opaleshoni.

Kuwonjezera zizindikiro izi, transesophageal echocardiography ndi kuvomerezedwa pamaso mavavu apulasitiki. Komanso, kafukufuku ikuchitika pa okwera lightness m'mapapo (ndiko kumayambitsa), kunenepa.

Contraindications echocardiography transesophageal

Ngakhale ubwino ChPEhoKG, njira imeneyi kafukufuku si ankagwiritsa ntchito. Ichi ndi chifukwa chakuti ndi olanda, ndipo si odwala onse amavomereza kuti ndondomeko. Komanso pali ena contraindications kuti echocardiography transesophageal. Pakati pawo:

1. matenda yotupa wa M'mimbamo m'kamwa, pharynx.
2. Anomalies mabungwe chitukuko (lalifupi kum'mero, diverticulum).
3. Amamuyambitsa timabala, stricture. Amayambira pambuyo chiphe ndi zidulo kapena alkalis.
4. Erosive esophagitis.
5. Magazi zilonda cardia m'mimba.
6. Esophageal dilatation ndi matenda enaake kwa chiwindi.
7. Khansa ya M'mimbamo m'kamwa, pharynx.
8. Khansa ya kum'mero kapena cardia m'mimba.

Popeza matenda m'mimba akhoza anachita ChPEhoKG odwala a m'badwo uliwonse. Komanso, akatswiri si contraindicated kwa amayi oyembekezera ndi anthu akuvutika pathologies somatic. Si limodzi ndi walitsa wa chamoyo.

Kukonzekera echocardiography transesophageal

Musanayambe perekani ndi transesophageal echocardiography, wodwala ayenera anatumiza chokuchititsani mndandanda wa mayesero zasayansi. Njirazi ndi monga: magazi zimapangidwira, ndi KLA ndi OAM, coagulation. Izi zingachitike kusintha monga kuchuluka kwa leukocytes, maselo othandiza magazi kuundana, inapita ESR. Komanso, isanafike kafukufukuyu, nthawi zambiri anachita transthoracic ultrasound matenda. Komanso, mu milandu matenda amaganiziridwa mtima n'kofunika kuchotsa ECG.

Transesophageal echocardiography ndi ndondomeko otetezeka Choncho, sikutanthauza maphunziro apadera. Ngati wodwala kumwa mankhwala aliwonse, ndiye kuletsa pamaso pa mayeso Sikuti. A chikhalidwe zofunika ndondomeko ndi kulephera kutenga chakudya cha maola 6 yapitayi ChPEhoKG. Ngati wodwalayo kupeza mano otere, iwo ayenera kuchotsedwa. Nthawi zina, pamaso pa mayeso wochititsidwa premedication. Kuchepetsa salivation, mankhwala "atropine" kutumikiridwa m'nsinga. Ngati wodwala mu boma okondwa, mankhwala asamakhale ndi nkhawa (mankhwala "ntchito diazepam").

Njira transesophageal echocardiography

Kupewa kusapeza, mkamwa ndi ululu pakhosi asipirini. Kuti izi ntchito kumapeto chiphunzitso "lidocaine wa" kapena "Dikain". Wodwala aikidwa kumanzere. Pofuna kupewa kuwonongeka kwa kafukufuku ndi kuti magawowa M'mawu ake oyamba mu mmero, ntchito cholankhulira wapadera. Mapeto a chida ayenera kuchizidwa ndi gel osakaniza wapadera, amene ntchito mayeso ultrasound. Kenako, endoscope kafukufuku ali anaikapo mu lumen esophageal. Kuti atsogolere ndondomekoyi, wodwala ayenera kuchita kumeza. Pasanathe mphindi 5-10 chida ali gullet patsekeke. Nyali endoscope ndi yalunjika mtima. Khoma chipangizo kum'mero detects kumatikumbutsabe. Mu pompopompo iwo amalembedwa polojekiti ndi opezeka pa filimu.

Kuti tingaone ndi echocardiography transesophageal

Ndiyamika echocardiography, anachita kudzera mwa M'mimbamo kum'mero, mukhoza ganizilani mmene minofu mtima, endocarditis ndi valvular zida. kafukufuku ndi wofunika kwa matenda. Popeza mkulu zambiri zili njira, n'zotheka kudziwa kuwonongeka ngakhale pang'ono kuti patsekeke mtima. ChPEhoKG limasonyeza kukhalapo kwa magazi kuundana, kusintha yotupa, kung'ambika kung'ambika. Special nkhani zosiyanasiyana atatu azithunzi omwe tikunena kuphunzira. Chifukwa cha 3D-ultrasound cardiography n'zotheka osati kuti aone mkhalidwe wa minofu mtima, komanso kukonzekera wodwala ntchito ya valavu prosthesis. Njira imeneyi imagwira ntchito kafukufuku zina zamakono ndi ikuchitika zipatala apadera.

zosokonezeka mwina echocardiography transesophageal

Njira imodzi ndi matenda imatengedwa transesophageal echocardiography za mtima. Kodi ndondomeko? phunziro ili unkachitika mu zipatala ndi dipatimenti cardiology, komanso m'zipatala payekha, zida ndi zipangizo zamakono zachipatala. M'pofunikanso kukumbukira kuti, ngakhale chitetezo, mu nthawi zina angathe zosokonezeka. Zikuphatikizapo arrhythmias mtima, komanso thupi lawo siligwirizana ndi mankhwala (dzanzi, asamakhale ndi nkhawa). Kupewa mavuto aakulu, m'pofunika kukhala okonzeka ya kuwatsitsimula.

Transesophageal echocardiography za mtima: ndemanga odwala ndi madokotala

Phunziro ili ndi otetezeka ndipo sabweretsa chisoni, kotero odwala kulekerera bwino. Kwa matenda a pathologies lalikulu anachita transesophageal echocardiography. Madokotala za njira ya kafukufuku positive. Madokotala amanena wake kwambiri nkhani ndi chitetezo.