Transesophageal echocardiography: chii?

Zvokurwara pakati kumwoyo ndechimwe chezvinhu zvakafanana zvinokonzera rufu. Ichi boka zvirwere zviri kunyanya zvakapararira pakati vakwegura. Chirwere chemwoyo pakutanga mumatanho kunobatsira yekuzvidzivirira yematambudziko uye vanofa. Mumwe nzira kuferefeta ndiyo echocardiography. Nzira iyi chirwere unodiwa kuongorora basa mwoyo. Kazhinji, echocardiography rinoitwa pachishandiswa ane ultrasonic Switch, iyo anoiswa pamusoro pachipfuva pamadziro. Mune zvimwe zviitiko, kudzidza ichi rinoitwa pakuvhiya. Ipapo vakaperekedza transesophageal echocardiography. Nzira iyi inobvumira kuti kuona mwoyo zvizere.

Transesophageal echocardiography - chii?

Echocardiography - ndeimwe nzira huru rokuongorora zvirwere kumwoyo. It kunogona kuitwa chero zera, sezvo isina achiperekedzwa munhu TOUR mutoro pamusoro muviri. Nokuda ichi paku kuongorora anogona kuona kukura uye pakukora moyo pamakamuri, kuongorora mamiriro pakati mavharuvhu. Transesophageal echocardiography (ChPEhoKG) Paaiita pakuti voitakura kubva mukati, pane panze (chipfuva rusvingo). With unhu uhwu kuri kunosimudzirwa. The Ongororo hazvirevi taurira zvose, asi chete chinokosha zvairatidza. Kuti kuita echocardiography kuburikidza yegurokuro mhango, unofanira kutanga basa transthoracic yayo. Nzira iyi chirwere iri kuitwa zvikuru yakadzidziswa nyanzvi muchipatara.

It kwakavakirwa chii nzira transesophageal echocardiography?

Transesophageal echocardiography mwoyo - ichi kuri unyanzvi, iyo yakavakirwa Ultrasound. Ultrassom rinoitwa kushandisa chaiyo Switch uye gel. The mudziyo pave mukuru-Frequency ruzha. Nemicheka "mutoro" nokuti anonongedzera izvi nokuda echolocation mhando. Sezvo nhengo dzose ane zvimwe arambe achirema uye mamiriro, vari zvakasiyana kwakaratidzwa pamusoro tarisisa chokuita kuti chikwata. Research chiri kuitwa panguva chaiyo. Izvi zvinoreva kuti chiremba kuti dzichipfekeka Diagnostics vanogona kuongorora mwoyo makamuri apo Switch nemasiraidhi pamwe pose muviri. Kusiyana transthoracic echocardiography, transesophageal kudzidza anonyaradza kunyange kuona zvishoma nokuvhiringidzirwa chacho. Chokwadi ndechokuti panguva Ultrasound pechipfuva rusvingo, hazvibviri nguva dzose kuti vawane yakakwana cardiac kuri. Izvi imhaka ndechokuti muchina "mapiki" pamwe Zvisaririra nemamwe miviri: mbabvu, adipose zvinyama, tsandanyama tishu. Kana achiita ChPEhoKG 'Ultrasound hwindo' ipfupi kwazvo, saka nzira iyi zvavataura.

Zvairatidza yokudzidza

Huru zvairatidza chidzidzo akaona zvisingabviri kuti chirwere kwakavakirwa Data ose transthoracic echocardiography. Kazhinji, izvi yokuongororwa nzira rinoitwa Varwere vanenge vanofungidzirwa zvakakura cardiac abnormalities. kwakanyorwa kunodiwawo kudzidza in muviri. Yandakapiwa Ultrasound kuburikidza pemvura chipfuva Rusvingo muzviitiko izvi, uninformative, akaita transesophageal echocardiography. Zvairatidza chidzidzo:

1. Matambudziko pashure mwoyo vharafu kutsiviwa. Mune zvimwe zviitiko, kudyara refu unopona, nokudaro vachikonzera kuzvimba, abscesses.
2. Stratification mwoyo kana ane aneurysm yacho yeropa.
3. Murombo kushanda prosthetic mavharuvhu.
4. Zvirwere mwoyo tsandanyama - endo-, myo- pericarditis.
5. Pute yeropa.
6. Thrombosis ventricle.
7. Kudikanwa kudzidza panguva pakuvhiya.

Kuwedzera kune zviratidzo izvi, transesophageal echocardiography mutemo unoti pamberi prosthetic mavharuvhu. Uyewo, tsvakurudzo rinoitwa pa yakakwirira nenyama yemapapu (emphysema), kufutisa.

Contraindications kune transesophageal echocardiography

Pasinei zvazvakanakira ChPEhoKG, Ongororo nzira iyi haisi kushandiswa nevakawanda. Izvi imhaka yokuti zviri invasive, uye kwete varwere vose vanobvuma kuti muitiro. Uyezve, pane dzimwe contraindications kuti transesophageal echocardiography. Pakati pavo:

1. Anogumbura zvirwere nomumukanwa mhango uye pharynx.
2. Anomalies okukura masangano (pfupi yegurokuro, diverticulum).
3. Scarring, stricture. Zvinowanzoitika pashure muchetura pamwe acids kana alkalis.
4. Erosive esophagitis.
5. Ropa nemaronda Cardia mudumbu.
6. Esophageal dilatation pamusoro hepatic cirrhosis.
7. Nekenza yacho nomumukanwa mhango uye pharynx.
8. Kenza yegurokuro kana Cardia mudumbu.

Pasina gastrointestinal zvirwere zvinogona kuitwa ChPEhoKG varwere chero zera. Uyewo, kutsvakurudza haana contraindicated kuvakadzi vane mimba uye vanhu vachitambura kubva somatic pathologies. Hazvina aine irradiation yacho muviri.

Kugadzirira transesophageal echocardiography

Usati kurongera transesophageal echocardiography, murwere anofanira akatuma narwo akatevedzana mumarabhoritari nemiedzo. Idzi dzinosanganisira: kemisitiri ropa, iro KLA uye OAM, coagulation. Izvi zvinogona kuitika kuchinja akadai Zvakaunganidzwa leukocytes, maplatelet, wakakurumidza ESR. Kuwedzera, risati kuongorora, chinowanzoonekwa akaita transthoracic Ultrasound kuongorora chirwere. Uyezve, vanenge vanofungidzirwa mwoyo chirwere zvakafanira kubvisa ECG.

Transesophageal echocardiography ndiyo ngozi, saka, haatarisiri dzidzo chaiyo. Kana murwere mushonga upi zvino, kukanzura kwavari bvunzo asati haisi zvakakodzera. A zvakafanira mugariro kuti nzira iri kukundikana kutora zvokudya maawa 6 yapfuura ChPEhoKG. Kana murwere ane dentures, vanofanira kubviswa. Dzimwe nguva, pamberi bvunzo nevamwe premedication. Kuderedza salivation, zvinodhaka "atropine" raitongwa nomutsinga. Kana murwere ari yaifara ezvinhu, akarayira mapiritsi (mishonga "Diazepam").

Chidobi transesophageal echocardiography

Kuti tidzivise kusanzwa, muromo nepahuro kurwadza. Kuti izvi kushandiswa idzidziso "Lidocaine" kana "Dikain". Murwere anoiswa kurutivi rworuboshwe. Kuti adzivise kuvadza vachiongorora uye kuti zviite sumo mariri huro, shandisa chaiyo itaure. Mugumo chiridzwa inofanira kubatwa chaiyo gel, iyo inoshandiswa Ultrasound bvunzo. Zvadaro, mukuru endoscope vachiongorora akaiswa mugomba esophageal lumen. Kuti zviite acho, murwere vanofanira kuita kumedza. Mumaminitsi 5-10 huchashandiswa iri gullet mhango. Mwenje endoscope chinotungamirwa kurutivi mwoyo. Kuburikidza rusvingo yegurokuro mudziyo anoona Zvisaririra. Nokufamba kwenguva chaiyo vari kwakaratidzwa pamusoro tarisisa uye wakanyorwa pamusoro firimu.

Izvozvo zvinogona chinozivikanwa transesophageal echocardiography

Nemhaka echocardiography, akaita kuburikidza yegurokuro mhango, unogona kuongorora mwoyo tsandanyama, endocarditis uye valvular midziyo. tsvakurudzo Izvi dzinonetsa kuti chirwere. Kupiwa yakakwirira mashoko zviri nzira, zvinokwanisika kuona kunyange zvishomanana kuvadza mwoyo mhango. ChPEhoKG anoratidza kuvapo clots ropa, anogumbura kuchinja, kutsemuka kwetsinga. Special zvakwo zvakasiyana-dimensional matatu kudzidza. Nemhaka 3D-Ultrasound cardiography zvinogoneka kwete chete kuongorora mamiriro mwoyo tsandanyama, asiwo kugadzirira murwere kuti mudzimu vharuvhu prosthesis. Nzira iyi zvinoshandawo tsvakurudzo yepamusorosoro uye kuitwa unyanzvi yekuongororwa.

Possible matambudziko anoitika transesophageal echocardiography

Imwe nzira nechirwere anonzi transesophageal echocardiography mwoyo. Apo nzira kuitei? Kudzidza uku kwakaitwa muna makiriniki pamwe cardiology dhipatimendi, uyewo toga makiriniki, vakapakata ano dzokurapa michina. Zvinokosha kuyeuka kuti, pasinei kuchengeteka, mune zvisingawanzoitiki zviitiko zvingamuka matambudziko. Izvi zvinosanganisira cardiac arrhythmias, uyewo neutachiona kuti mishonga (dzokutindivadza, mapiritsi). Kudzivisa migumisiro, zvinokosha kuva akagadzirira iine nokumutswa.

Transesophageal echocardiography pamwoyo: wongororo wevarwere uye vanachiremba

kudzidza Izvi yakachengeteka uye nyarara, saka varwere kushivirira zvakanaka. Rokuongorora chakakomba zvokurwara rinoitwa transesophageal echocardiography. Doctors pamusoro nzira iyi zvinovaka ongororo. Doctors vanoti ake kwazvo dzawo uye kuchengeteka.