Echocardiography Transesophageal: waa maxay?

Pathology nidaamka wadnaha waa mid ka mid ah sababaha ugu badan ee dhimashada. Kooxdaan cudurada waa gaar ahaan dadka waayeelka ah ku baahday. Cilad cudurka wadnaha ku jira marxaladaha hore ka caawisaa si loo yareeyo khatarta ka mid ah dhibaatooyin iyo dhimashada. Mid ka mid ah hababka baaritaanka waa echocardiography. Habkani ogaanshaha waxa loo baahan yahay si loo qiimeeyo waxqabadka qalbiga ku jira. Inta badan, echocardiography waxaa la sameeyaa iyadoo adeegsanayo shidma Xiinka, oo waxaa la dhigayaa on derbiga xabadka. Xaaladaha qaarkood, daraasaddan waxa la sameeyaa inta lagu jiro qalliinka. Markaas sameeyay echocardiography transesophageal. Habkani wuxuu kuu ogolaanayaa inaad arki wadnaha ee faahfaahin dheeraad ah.

Transesophageal echocardiography - waa maxay?

Echocardiography - waa mid ka mid ah siyaabaha ugu weyn in la ogaado cudurada nidaamka wadnaha iyo. Waxaa la samayn karaa da 'kasta, tan iyo markii aan la Ulasocto load a radial on jidhka. Sababo la xiriira baaritaanka this xarkaha arki kartaa size oo dhumucdiisuna of qolalka wadnaha ah, si ay u qiimeeyaan xaaladda hawosaarihiisa. echocardiography Transesophageal (ChPEhoKG) lagu gartaa in in la fuliyay gudaha, halkii ay ka baxsan (derbiga xabadka) badan. Iyada oo tayo imaging tani waxaa la wanaajiyey. Baadhitaanka ayaa ma qori oo dhan, laakiin wuxuu uun u tilmaamo gaar ah. Taasi echocardiography qabtaan iyada oo saabka hunguriga, waa inaad marka hore u fuliyaan ay transthoracic. Habkani ogaanshaha waxaa lagu fuliyaa by takhasus gaar ah u tababaran ee isbitaalka.

Waxay ku salaysan tahay waxa habkan of echocardiography transesophageal?

echocardiography Transesophageal waxyaalaha qalbiga ku jira - farsamo imaging this, kaas oo ku salaysan ultrasound. Ultrasound waxaa loo sameeyaa iyadoo la isticmaalayo shidma gaar ah oo gel. Qalabka wuxuu u abuuraa ah mowjado dhawaaq ah ee hirka sare. Difaan "mas'uul ka ah" Waayo, kuwaas oo signalada nooca echolocation. Marka la eego in xubin kasta oo uu leeyahay cufnaanta gaar ah iyo qaab-dhismeedka, ay kala duwan soo bandhigay kormeeraha xiran unugga. Research ayaa la fuliyaa ee waqtiga dhabta ah. Taas macnaheedu waa in dhakhtarka ee Baadhista functional qiimeyn karaan xaaladda qolalka wadnaha ah, halka shidma durko oo ay la socdaan dusha sare ee jirka. Marka la barbardhigo echocardiography transthoracic, waxbarasho transesophageal bixisaa xitaa arki carqalad yar ee dhismaha. Xaqiiqdu waxay tahay in inta lagu guda jiro ultrasound derbiga xabadka, markasta suurtagal ma aha in la gaaro imaging wadnaha ku filan. Tan waxa u sabab xaqiiqada ah in "xulatay" mashiinka la eg yahay hay'adaha kale: feeraha ah, unugyada adipose, unugyada muruqa. Marka fulinta ChPEhoKG 'window ultrasound' waxa aad u yaraynaya, sidaas habkan waa ka war haya.

Tilmaamayaasha waxbarasho

Ififaalaha weyn ee daraasadda ka Helayn wax aan macquul aheyn in la sameeyo cudurka ku salaysan xogta of echocardiography transthoracic. Caadi ahaan, habka baadhitaan lagu sameeyaa in bukaanka kuwaas oo looga shakisan yahay aan caadi ahayn halis ah wadnaha. waxaa sidoo kale loo baahan yahay in daraasadda of godadka jidhka. Marka la eego in ultrasound ku dhex dusha sare ee derbiga xabadka mararka kuwaasaa, uninformative, oofiyey echocardiography transesophageal. Tilmaamayaasha waxbarasho ah:

1. Dhibaatooyinka ka dib markii bedel wadnaha biiyaha. Xaaladaha qaarkood, galaha dheer soo waaqsado, oon ku keenaya barar, soo bax.
2. Stratification ee wadnaha ama aneurysm ah ee quseyo.
3. shaqaynaya Poor ee filtarka bedalay.
4. Infections muruqyada wadnaha - endo-, pericarditis myo-.
5. quseyo malax.
6. ventricle thrombosis.
7. Baahida loo qabo in wax ka baran waqtiga qalliinka.

Waxa intaa dheer in muujinaya kuwan, echocardiography transesophageal waa waajib hor filtarka bedalay. Sidoo kale, cilmi-baarista waxaa lagu fuliyaa at ah sambabada kacsantahay fudaydkii (emphysema), cayilka.

Sababo in echocardiography transesophageal

In kasta oo faa'iidooyin ah ChPEhoKG, habka baadhitaan this waxaa si balaadhan looma isticmaalo. Tan waxa u sabab xaqiiqda ah in ay tahay invasive, oo aan bukaan oo dhan ku heshiiyaan in ay nidaamka. Intaa waxaa dheer, waxaa jira qaar ka mid ah sababo in echocardiography transesophageal. Ka mid ah iyaga,

1. cudurada bararka ee saabka afka iyo dalqada.
2. Cillado hay'adaha horumarinta (hunguriga gaaban, diverticulum).
3. Nabaro xagtin, stricture. Inta badan dhacaan ka dib markii khubad la acids ama alkalis.
4. esophagitis Erosive.
5. Dhiiga ka boogaha cardia ee caloosha.
6. Dilatation Esophageal of cirrhosis cagaarshowga.
7. Kansarka ee saabka afka iyo dalqada.
8. Kansarka hunguriga ama caba ee caloosha.

Maqnaanshaha cudurada caloosha iyo mindhicirka waxaa la sameyn karaa bukaan ChPEhoKG da 'kasta. Sidoo kale, cilmi-baaris aan ahaan uu u haweenka uurka leh iyo dadka qaba heley degaaankaaga. Waxaa la ma ku weheliyay cindiga ee u shaqeeyo.

Diyaarinta echocardiography transesophageal

Ka hor inta aadan u yeelaan echocardiography transesophageal ah, bukaan-socodka waxaa loo soo diray in ay mari taxane ah oo baaritaan sheybaar. Kuwaas waxaa ka mid ah: chemistry dhiig, KLA iyo OAM, xinjirowga. Tani waxay dhici kara isbedel sida siyaadiyaa leukocytes, platelets, degdegsiimada ESR. Intaa waxaa dheer, ka hor sahanka, waxaa inta badan lagu sameeyaa ogaanshaha ultrasound transthoracic. Intaa waxaa dheer, in kiisaska cudurka wadnaha lagu tuhunsan yahay waxaa lagama maarmaan ah in meesha laga saaro ECG.

echocardiography Transesophageal waa hab ammaan ah, sidaas darteed, uma baahna tababar gaar ah. Haddii bukaan-socodka waxaa loo qaadan wax daawo ah, ka dibna u burin ka hor baaritaanka ma loo baahan yahay. Xaalad lagama maarmaan u ah habka ay tahay guul si ay cunto u qaataan ilaa 6 saacadood ka hor ChPEhoKG. Haddii bukaanku leeyahay wax la gashado, waxay leeyihiin in laga saaro. Mararka qaar, ka hor baaritaanka waxaa lagu sameeyaa premedication. Si loo yareeyo dhareerka, daroogada "atropine" intravenously maamulo. Haddii bukaanku yahay in dawlad faraxsanahay, qori dajiye (daawo "Diazepam").

Farsamada echocardiography transesophageal

Si looga fogaado raaxo, afka iyo cunaha xanuun. Si taas loo dhamaadka isticmaalka samaynta "Lidocaine" ama "Dikain". Bukaanka ayaa la dhigayaa dhanka bidix. Si looga hortago waxyeelo ay baaritaan iyo si ay u fududeeyaan in ay sal-gelin dhuunta, isticmaalaan afka gaar ah. Dhammaadka qalabka waa in lagu daaweeyo gel gaar ah, taas oo loo isticmaalayo in baaritaan ultrasound. Intaas ka dib, baaritaan endoscope la geliyo Lumen esophageal ah. Si loo fududeeyo habka, bukaanka waa in oofin liqidda. 5-10 daqiiqo gudahood qalab waa in saabka dalqada. Siraaj ee endoscope la faray xagga wadnaha ah. Iyada oo derbiga ka mid ah qalabka hunguriga ogaadaa u eg yahay. In waqtiga dhabta ah ay soo bandhigi on monitor iyo diiwaan on filimka.

In loo aqoonsado by echocardiography transesophageal

Thanks to echocardiography, sameeyaa iyada oo saabka hunguriga, aad u qiimeeyaan xaaladda qalab muruqa wadnaha, endocarditis iyo valvular ah. cilmi Tani waa muhiim u ah cudurka. Marka la eego ka kooban macluumaad sare ee habka, waxaa suurtagal ah in la ogaado dhaawac xitaa xoogaa in saabka qalbiga ku jira. ChPEhoKG ayaa muujinaya joogitaanka xinjiro dhiig, isbedel bararka, dissection aortic. kala duwan oo waxbarasho saddex dhinac-cabbir wargelin Gaarka ah. Thanks to cardiography 3D-ultrasound waa suurto gal ma aha oo kaliya si ay u qiimeeyaan xaaladda muruqa wadnaha, laakiin sidoo kale si ay u diyaariyaan bukaanka hawlgalka ee sanaaci waalka. Habka Tani waxay khusaysaa cilmi-farsamada casriga ah iyo waxaa lagu fuliyaa ee rugaha caafimaadka gaarka ah.

Dhibaatooyinka suurtogalka ah ee echocardiography transesophageal

Mid ka mid ah habka of diagnosis waxaa loo arkaa echocardiography transesophageal waxyaalaha qalbiga ku jira. Halkee nidaamka samayn? daraasaddan ayaa lagu sameeyaa rugaha la waaxda wadnaha, iyo sidoo kale in xarumaha khaaska ah, qalabaysan qalab caafimaad oo casri ah. Waxaa haboon in la xasuusnaado in, in kasta oo ammaanka, xaalado dhif ah waxaa laga yaabaa in dhibaatooyin. Waxaa ka mid ah garaaca wadnaha, iyo sidoo kale in ay dareen diidmo oo xasaasiyadeed daawooyinka (suuxinta, dajiye). Si looga fogaado cawaaqib xun, waxaa lagama maarmaan ah in ay leeyihiin go'an diyaar u ah dib u soo kicinta.

echocardiography Transesophageal waxyaalaha qalbiga ku jira: dib u eegista ah ee bukaanka iyo dhakhtarrada

Daraasad Tani waa ammaan ah oo aan xanuun lahayn, sidaa darteed bukaanka waxa ay si fiican u dulqaadan. Si loo ogaado cudurada halis ah waxaa la sameeyaa echocardiography transesophageal. Dhakhaatiirta oo ku saabsan habkan of sahan wanaagsan. Dhakhaatiirta ayaa sheegay in uu sare wargelin iyo ammaanka.