Echocardiography Transesophageal: he aha te mea te reira?

Māuiuitanga o te pūnaha Cardiovascular ko tetahi o nga take tino noa o te mate. Ko rawa lahi roto te ruhiruhia tenei rōpū o mate. Tātaritanga o te mate ngakau i roto i te tīmatanga o te wāhanga āwhina ki te whakaiti i te mōrea o pōauautanga me te tahuti nei. Ko tētahi o nga tikanga o te tūhuratanga, ko te echocardiography. hiahiatia ana tēnei tikanga tātaritanga te ki te aromatawai i te mahi o te ngakau. E mea pinepine, whakamana echocardiography e te tikanga o te pūoko ultrasonic, whakanohoia nei ki runga i te taiepa pouaka. I roto i ētahi wā, whakamana tenei ako e i roto i te pokanga. Na ka whakahaere echocardiography transesophageal. Mā tēnei aratuka ki a koutou sioloto te ngakau i roto i te taipitopito atu.

echocardiography Transesophageal - he aha te mea te reira?

Echocardiography - Ko tetahi o nga ara matua ki te tātari mate o te pūnaha Cardiovascular. Ka taea te whakamana te reira i tetahi tau, mai i kore te mea tahi e te kawenga toropā i runga i te tinana. Nā ki tenei tūhuratanga mauhaa taea sioloto te rahi me te matotoru o nga ruma ngakau, ki te aromatawai i te āhua o te mapuni. echocardiography Transesophageal (ChPEhoKG) te āhuatanga i roto i taua te kawea te reira i roto i te roto, nui atu i waho (taiepa pouaka). Ki te whakarei tenei kounga atahanga te. E kore e te rangahau whakahau katoa, engari anake mo tohu motuhake. mahi e echocardiography roto i te kōhao pū kai, me te tuatahi kawe koe i tona transthoracic. kawea ana tēnei tikanga tātaritanga te i na roto i te mātanga rawa whakangungua i roto i te fare ma'i.

hāngai te reira i runga i te mea tikanga o echocardiography transesophageal?

echocardiography Transesophageal o te ngakau - tenei atahanga tikanga, e hāngai ana nei i runga i ultrasound. whakamana Ultrasound Kei te whakamahi i te pūoko motuhake, me te rā. hanga te pūrere he ngaru tangi nui-auau. Papanga "haepapa" mo enei tohu mō te momo pāoroorotanga. Hoatu e nga okana he tetahi mātotoru me te hanganga, e rerekē whakaaturia e ratou i runga i te aroturuki hono ki te kōwae. whakahaere rangahau i roto i te wā tūturu. tikanga o tēnei e te tākuta o tātaritanga mahi taea aromatawai i te huru o te ruma ngakau, i kiriata te pūoko haere te mata o te tinana. Roto i te rerekē transthoracic echocardiography, whakarato ako transesophageal noa kite tauwhatinga iti o te hanganga. Ko te meka Ko e i roto i te ultrasound o te taiepa pouaka e kore te mea tonu e taea, ki te whakatutuki i atahanga cardiac tika. Ko tenei e tika ana ki te meka i te mīhini "rakaraka" ki tavevo o ētahi atu tinana: te rara, kiko adipose, uaua kiko. A, no te raveraa i 'matapihi ultrasound' ChPEhoKG te nui iti, kia ko atu kōrero tenei tikanga.

Tuhinga mō te ako

Ko te tohu matua mō te ako e kitea e te reira taea ki te hanga i te tātaritanga i runga i nga raraunga o echocardiography transthoracic. Tikanga, i mahi i tenei hātepe tātaritanga te i roto i tūroro e kua whakapae abnormalities cardiac nui. Kei te hiahiatia hoki reira i roto i te ako o kōwhao tinana. Hoatu e te ultrasound roto i te mata o te taiepa pouaka i roto i enei take, uninformative, i mahi transesophageal echocardiography. Tuhinga mo te ako:

1. Fifi i muri i piha ngakau whakakapinga. I roto i ētahi wā, te roa o te ora te ētehi, reira meinga mumura, abscesses.
2. Te raupapatanga o te ngakau he aneurysm o te haoraora ranei.
3. mahi Poor o vaolo prosthetic.
4. Mate o te uaua ngakau - endo-, pericarditis myo-.
5. haoraora whēwhē.
6. ana roro Thrombosis.
7. Ko te hiahia ki te ako i te wa o te pokanga.

I tua atu ki enei tohu, he whakahauanga te aroaro o vaolo prosthetic echocardiography transesophageal. Ano, kawea rangahau i roto i te pūkahukahu teitei otinga (emphysema), te mōmonatanga.

Contraindications ki echocardiography transesophageal

Ahakoa te painga ChPEhoKG, e kore e whakamahia whānuitia tenei tikanga rangahau. Ko e tika ana ki te meka i ko reira urutomo, a kahore whakaae tūroro katoa ki te tukanga tenei. I tua atu, i reira e te tahi mau contraindications ki echocardiography transesophageal. I roto ia ratou:

1. mate inflammatory o te kōhao-waha, me te pharynx.
2. Kōhikohiko o ngā pokapū whanaketanga (pū kai poto, diverticulum).
3. Scarring, stricture. E mea pinepine puta i muri i pau ki te waikawa kawakore ranei.
4. esophagitis Erosive.
5. Toto i tuwhenua cardia o te puku.
6. pītore Esophageal o cirrhosis ate.
7. Pukupuku o te kōhao-waha, me te pharynx.
8. Cancer o te pū kai cardia ranei o te puku.

I roto i te ngaro o mate gastrointestinal kia whakamana ChPEhoKG tūroro o tetahi tau. Ano, e kore te rangahau contraindicated hoki hapu wahine me te iwi e mate ana i pathologies somatic. E kore te mea tahi e irradiation o te rauropi.

Te faaineineraa no te echocardiography transesophageal

I mua i te tautapa koe he echocardiography transesophageal, kia tonoa e te manawanui ki te waha i te raupapa o ngā whakamātautau taiwhanga. Ko ētahi o ēnei: toto matū, te KLA me OAM, coagulation. kia puta tenei huringa pērā i hua o leukocytes, platelets, whakatere ESR. I tua atu, i mua ki te rangahau, kei te maha whakamana reira tātaritanga ultrasound transthoracic. I tua atu, i roto i te wā o te mate ngakau whakapae he tika ki te tango i te ECG.

echocardiography Transesophageal Ko te tukanga haumaru, reira, e kore e rapua e whakangungu motuhake. Ki te te tango i te manawanui tetahi rongoā, ka whakakore ratou i te aroaro o te whakamātautau e kore te mea e tika ana. He huru tika mo te tukanga ko te kore ki te tango i kai mō te 6 haora mua ChPEhoKG. Ki te he niho more te manawanui, i ratou ki te kia nekehia atu. I te tahi taime, i mua i whakahaere te whakamātautau te premedication. Ki te whakaiti i salivation, tarukino "atropine" whakahaerea e pâmuhia. Ki te ko te manawanui i roto i te āhua fiefia, whakahau tranquilizers (rongoā "Diazepam").

Technique echocardiography transesophageal

Ki te karo hūhi, mangai me te mamae korokoro kairīwhi. Ki tenei mutunga whakamahi waihanga "Lidocaine" ranei "Dikain". whakanohoia ana te manawanui kei i runga i te taha ki maui. Kia kore ai kino ki te uiuia, me te ki te whakahaere i tona whakataki ki korokoro te, te whakamahi i te mängai motuhake. Me tukinotia te mutunga o te mea ki te rā motuhake, whakamahia nei i roto i ngā whakamātautau ultrasound. I muri iho, kua whakaurua te uiuia endoscope ki te lumen esophageal. Ki te whakahaere i te tukanga, kia mahi i te manawanui horomia. I roto i 5-10 meneti ko te mea i roto i te pukai kōhao. whakahaua rama o te endoscope te ki te ngakau. Na roto i te taiepa o te pūrere pū kai kitea tavevo. I roto i te wā tūturu e whakaaturia e ratou i runga i te aroturuki me te tuhia i runga i te kiriata.

E taea te tāutuhia e echocardiography transesophageal

Ngā mihi ki te echocardiography, whakamana i roto i te kōhao pū kai, ka taea e koe te aromatawai i te huru o te uaua ngakau, endocarditis me valvular taputapu. he nui hoki te tātaritanga tenei rangahau. Homai te ihirangi mōhiohio tiketike o te tikanga, he mea ka taea ki te kitea kino noa iti ki te kōhao ngakau. heheu ChPEhoKG te aroaro o clots toto, huringa inflammatory, tuaki te pūtahi o. Special kōrero rerekē ako e toru-ahu. Ngā mihi ki te cardiography 3D-ultrasound he taea e kore anake ki te aromatawai i te āhua o te uaua ngakau, engari ano hoki ki te faaineine i te manawanui mo te mahi o te prosthesis takirere. E pā ana tēnei tikanga ki te rangahau nui-tech me te kawea i roto i roto i haumanu motuhake.

pōauautanga taea o te echocardiography transesophageal

whakaaro Kotahi tikanga o te tātaritanga te echocardiography transesophageal o te ngakau. Hea te mahi i te tukanga? whakamana tenei ako i roto i haumanu ki mafatu tari, me te rite i roto i haumanu tūmataiti, rite rawa ki te taputapu hou hauora. Ko reira utu te haamana'oraa e, i roto i te noa'tu o te haumarutanga, i roto i wā onge kia whakawhanake pōauautanga. Ēnei ngā arrhythmias cardiac, me te tauhohe mate pāwera ki rongoā (anesthetics, tranquilizers). Ki te karo i mau hopearaa tino, he mea e tika ana ki te whai i te huinga rite o te whakaora.

echocardiography Transesophageal o te ngakau: arotake o tūroro me rata

He haumaru, me te mamae tenei ako, na i matakitaki pai tūroro reira. Hei tātari māuiuitanga nui whakamana te echocardiography transesophageal. Doctors e pā ana ki tenei tikanga o te rangahau pai. mea Doctors tona nui ngā mōhiohio ki, me te haumaru.