Transesophageal echocardiography: abin da yake da shi?

Pathology na zuciya da jijiyoyin jini tsarin ne daya daga cikin na kowa Sanadin mutuwa. Wannan rukuni na cututtuka ne musamman prevalent a tsakanin tsofaffi. Ganewar asali da cututtukan zuciya a farkon matakai taimaka wajen rage hadarin da rikitarwa da kuma mace-mace. Daya daga cikin hanyoyin da bincike ne echocardiography. Wannan bincike Hanyar ake bukata don tantance aiki da zuciya. Sau da yawa, echocardiography aka yi ta hanyar wani ultrasonic haska, wanda aka sanya a kan kirjin bango. A wasu lokuta, wannan binciken da aka yi a lokacin tiyata. Sa'an nan gudanar transesophageal echocardiography. Wannan hanya ba ka damar ganin da zuciya a cikin mafi daki-daki.

Transesophageal echocardiography - abin da yake da shi?

Echocardiography - shi ne daya daga cikin manyan hanyoyin da za a gane asali cututtuka na zuciya da jijiyoyin jini tsarin. Yana za a iya yi a kowane zamani, tun da shi ba tare da wani radial load a jiki. Saboda wannan instrumental bincike zai iya ganin girman da kuma kauri daga cikin zuciya da bẽnãye, don tantance jihar da bawuloli. Transesophageal echocardiography (ChPEhoKG) halin a cewa shi ne da za'ayi daga ciki, maimakon waje (kirji bango). Tare da wannan Dabarar ingancin da aka inganta. A binciken da ba rubũta duk, amma kawai domin na musamman alamomi. Wannan yi echocardiography ta cikin esophagus rami, dole ne ka farko gudanar da transthoracic. Wannan bincike Hanyar ne da za'ayi ta musamman horar da kwararrun a asibiti.

Yana dogara ne a kan abin da Hanyar transesophageal echocardiography?

Transesophageal echocardiography na zuciya - wannan Dabarar dabara, wanda dogara ne a kan duban dan tayi. Duban aka yi amfani da musamman haska kuma gel. The na'urar Halicci high-mita karar kadawar sauti. Yadudduka "alhakin" ga wadannan sakonni ga echolocation irin. Ganin cewa kowane sashen yana da wani yawa da kuma tsarin, suna daban nuna a kan duba da alaka da naúrar. Binciken da aka gudanar a real lokaci. Wannan yana nufin cewa likita na aikin bincikowa da zai iya tantance yanayin zuciyar bẽnãye, yayin da Na'urar haska nunin faifai tare da surface na jiki. A bambanci transthoracic echocardiography, transesophageal binciken samar da ko da ganin kadan rushewa daga cikin tsarin. Gaskiyar ita ce, a lokacin da duban dan tayi daga cikin kirji bango, ba ko da yaushe zai yiwu a cimma isasshen cardiac Dabarar. Wannan shi ne saboda cewa da na'ura "zaba" da amo mara sa a na da sauran gawawwakin: karankarman ƙirji, adipose nama, tsoka nama. Lokacin yin ChPEhoKG 'duban dan tayi taga' ne ƙwarai rage, saboda haka wannan hanya ne mafi m.

Alamomi ga nazari

Babban alamomi domin binciken iske shi yiwuwa a yi ganewar asali dangane da bayanan da transthoracic echocardiography. Yawanci, wannan bincike hanya ake yi a cikin marasa lafiya da suke yi zargin tsanani cardiac munanan. shi ne ma da ake bukata a cikin binciken na jiki cavities. Ganin cewa duban dan tayi ta tabbata daga cikin kirji bango a wadannan lokuta, uninformative, yi transesophageal echocardiography. Alamomi ga nazari:

1. Matsalolin bayan zuciya bawul sauyawa. A wasu lokuta, da implant dogon tsira, game da shi haddasa ciwon kumburi, abscesses.
2. Stratification na zuciya, ko wani aneurysm na lakã.
3. Poor aiki na} afar roba bawuloli.
4. Cututtuka na zuciya tsoka - endo-, myo- pericarditis.
5. Ƙurji lakã.
6. Thrombosis ventricle.
7. A bukatar karatu a lokacin da tiyata.

Bugu da kari a wadannan alamomi, transesophageal echocardiography ne m kafin} afar roba bawuloli. Har ila yau, bincike ne da za'ayi a wani dagagge lightness huhu (emphysema), kiba.

Contraindications zuwa transesophageal echocardiography

Duk da abũbuwan amfãni ChPEhoKG, wannan binciken Hanyar ba yadu amfani. Wannan shi ne saboda da cewa shi ne masu cin zali, kuma ba dukan marasa lafiya yarda da hanya. Bugu da kari, akwai wasu contraindications zuwa transesophageal echocardiography. Daga cikin su:

1. Kumburi cututtuka da na baka rami da kuma pharynx.
2. Anomalies na ci gaba hukumomin (short esophagus, diverticulum).
3. Scarring, stricture. Sau da yawa faruwa bayan guba da acid ko alkalis.
4. Erosive esophagitis.
5. Zub da jini daga ulcers cardia na ciki.
6. Esophageal dilatation na hanta cirrhosis.
7. Cancers da na baka rami da kuma pharynx.
8. Ciwon daji na esophagus ko cardia na ciki.

A cikin rashi na gastrointestinal cututtuka iya yi ChPEhoKG marasa lafiya na kowane zamani. Har ila yau, bincike da aka ba contraindicated ga mata masu ciki da mutanen da fama da somatic pathologies. An ba tare da sakawa a iska mai guba da kwayoyin.

Shiri for transesophageal echocardiography

Kafin ka sanya wani transesophageal echocardiography, da mãsu haƙuri ya kamata a aika zuwa sha jerin dakin gwaje-gwaje gwaje-gwaje. Wadannan sun hada da: jini sunadarai, da KLA da OAM, coagulation. Wannan na iya faruwa canje-canje, kamar karuwa da leukocytes, platelets, kara ESR. Bugu da kari, kafin binciken, shi ne sau da yawa yi transthoracic duban dan tayi ganewar asali. Bugu da kari, a lokuta da ake zargi da cututtukan zuciya da wajibi ne a cire ECG.

Transesophageal echocardiography ne mai hadari hanya, saboda haka, ba ya bukatar horo na musamman. Idan haƙuri yana shan wani magani, sa'an nan ya soke su a gaban gwajin ne ba dole ba. A zama dole yanayin ga hanya ne da gazawar da aka yi abinci domin 6 hours gabanin ChPEhoKG. Idan haƙuri yana da hakoran roba, da suka da za a cire. Wani lokaci, kafin gwajin da aka gudanar premedication. Don rage salivation, miyagun ƙwayoyi "atropine" gudanar intravenously. Idan da mãsu haƙuri ne a wani m jihar, rubũta tranquilizers (magunguna "Diazepam").

M transesophageal echocardiography

Don kauce wa rashin jin daɗi, bakin da makogwaro zafi reliever. Don wannan karshen amfani halitta "Lidocaine" ko "Dikain". A haƙuri aka sanya a gefen hagu. Don hana lalacewar da bincike da kuma sauƙaƙe da gabatarwar a cikin makogwaro, yi amfani da wani musamman Kakaki. A karshen da kayan aiki dole ne a bi da musamman gel, wanda aka yi amfani da duban dan tayi Nazarin. Bayan nan, da endoscope bincike da aka saka a cikin esophageal lumen. Don sauƙaƙe da tsari, da mãsu haƙuri ya kamata yi hadiya. A cikin 5-10 minti da kayan aiki ne a gullet kogo. Fitilar na endoscope ke fuskantar da zuciya. Ta hanyar bango na esophagus na'urar gano amo mara sa. A hakikanin lokacin da suke nuna a kan duba da kuma rubuce a kan film.

Wannan za a iya gano ta transesophageal echocardiography

Godiya ga echocardiography, ya yi ta cikin esophagus rami, za ka iya tantance yanayin zuciya tsoka, endocarditis da valvular na'ura. Wannan bincike ne m ga ganewar asali. Ganin high bayanai abun ciki na hanyar, shi ne mai yiwuwa a gane ko kadan lalacewar da zuciya kogo. ChPEhoKG bayyana gaban da jini clots, kumburi canje-canje, aortic dissection. Special m daban-daban uku-girma binciken. Godiya ga 3D-duban dan tayi cardiography ne zai yiwu ba kawai don tantance jihar da zuciya tsoka, amma kuma shirya haƙuri ga aiki na bawul prosthesis. Wannan hanya ta shafi high-tech bincike da kuma yana da za'ayi a cikin na musamman kananan dakunan shan magani.

Zai yiwu rikitarwa na transesophageal echocardiography

Daya Hanyar ganewar asali ne dauke transesophageal echocardiography na zuciya. Ina yi wa hanya? Wannan binciken da aka yi a cikin kananan dakunan shan magani da cardiology sashen, kazalika a zaman bitar, sanye take da zamani da kayan aikin likitanci. Yana da daraja ambaton cewa, duk da jami'an tsaro, a rare lokuta na iya ci gaba da rikitarwa. Wadannan sun hada da cardiac arrhythmias, kazalika da rashin lafiyan halayen ga magunguna (anesthetics, tranquilizers). Don kauce wa tsanani sakamakon, shi ne dole a yi wani shiri sa na farfado da.

Transesophageal echocardiography na zuciya: reviews da marasa lafiya da kuma likitoci

Wannan binciken da hadari da kuma m, don haka marasa lafiya jure shi da kyau. Don gane asali tsanani Pathology aka yi transesophageal echocardiography. Doctors game da wannan Hanyar tabbatacce binciken. Likitoci suka ce ya sosai m da aminci.