Transesophageal echocardiography: He aha ka mea?

Pathology o ka mea'ōnaehana mānowai koko oihana o kekahi o ka loa e like me ka kumu o ka make. Kēia pūʻulu o nā maʻi mea oi loa prevalent i waena o nā kūpuna. ʻike, o ka naau mai i loko o ke kakahiaka kahua o ka hoʻonaʻauao kōkua e emi i ka pilikia o complications a me ka make. Kekahi o na ki ina hana like o ka hoʻokolokolo 'ana i echocardiography. Kēia PalekanaEND_LINK hana ua pono e Loiloi i ka ha awina o ka naau. Pinepine, echocardiography ua hana ma ka mea o ka ultrasonic nä mīkiniʻimi, a ua kau ma luna o ka pahu pā pōhaku. Ma kekahi hihia, keia study ua hana iʻoki kino. A laila, alakaʻi transesophageal echocardiography. Kēia papa hana e leie aku oe e visualize i ka naau i ka nui au mamuli.

Transesophageal echocardiography - He aha ka mea?

Echocardiography - o kekahi o na aoao ka papa kuhikuhiE e diagnose maʻi o ka mea'ōnaehana mānowai koko nenoaiu. Ua hiki ke hana ma kekahi mau makahiki, no ka mea, ua i pu ia e kekahi kahahānai haawe ana ma luna o ke kino. Manawa a hiki i kēia vocal ana ke visualize i ka nui a me ka mānoanoa o ka naau keʻena, e Loiloi i ka moku'āina o ka nohona kiwikā. Transesophageal echocardiography (ChPEhoKG) wehewehe aku i loko o ia mea, ua lawe mai, mai ka loko, e makemake ana ia ma mua o waho (umauma pa). Me keia kiʻi e like ai ua hoʻokāʻoi '. Ke anamanaʻo Aʻole e koi 'ia a pau, akā, kūikawā nāʻikepili wale no. I hana echocardiography ma ka esophagus lua, e pono mua lawe mai kona transthoracic. Kēia PalekanaEND_LINK iaoia ua lawe mai ma ka pela aʻo hoʻomalu i loko o ka haukapila.

Ua nānā 'ana ma luna o ka hana o transesophageal echocardiography?

Transesophageal echocardiography o ka naau - kēia kiʻi 'ana i kūpono, a ua nānā' ana ma luna o ultrasound. Ultrasound ua hana ka hoʻohana 'ana i ka hana a me ka mīkiniʻimi tuko pīlali. Ka mea hana i ka kiʻekiʻe-alapine (frequency) nä hawewe kani. Fabrics "kuleana" no kēia mau lepa no i echolocation type. Ua haawiia i kēlā hui, kēia mea i kekahi pa apŘ a me ka 'ole, ka mea, e okoa hōʻike ma luna o ke kanaka hoʻoponopono pili ana i ka pa alima. Research ua mālama 'ia i loko o maoli manawa. Kēia 'o ia hoʻi i ka kauka o ooieoeiiaeuiiai lapaʻau' ke Loiloi i ka ano o ka naau keʻena, oiai ka mīkiniʻimiʻaoʻao ma ka ili o ke kino. Akä naÿe transthoracic echocardiography, transesophageal study, hoʻolako 'ia e nānā i ka palena haʻahaʻa ka hoʻohuikau' o ka 'ole. Ka mea o ia i ka ultrasound o ka pahu pā, mea i manawa e hiki ke hoʻokō kūpono cardiac kiʻi. O ke kumu ho i ka mea i ka mīkini "kaʻohiʻana i" me Keia o nā kino: na iwi, adipose'aʻaʻa, Muscle'aʻaʻa. I ka hoʻokō i ChPEhoKG 'ultrasound window' ua hoemiia nui, no laila, i kēia iaoia Ua oi informative.

Nāʻikepili no ka like

I ka papa kuhikuhiE nāʻikepili no ka hoʻopaʻa 'ana i loaa ka mea hiki ole ke hana i kaʻike, ma muli o kaʻikepili o transthoracic echocardiography. Nō kāu, keia PalekanaEND_LINK hana ua hana i loko o nā mea maʻi i i kēia mea cardiac abnormalities. ka mea, ua hoi pono ai i loko o ke ao o ke kino cavities. Ua haawiia i ke ultrasound ma ka ili o ka pahu pā i loko o kēia mau hihia, uninformative, hana transesophageal echocardiography. Nāʻikepili no ka hoʻopaʻa 'ana i:

1. Complications ma hope o ka naau kiwikā o hope. Ma kekahi mau hihia, o ka e kanu pūʻia loa ola mai, ma laila e kauoha ana li nui, abscesses.
2. Stratification o ka naau a me ka aneurysm o ka aorta.
3. Ilihune functioning o prosthetic kiwikā.
4. Nā mea palahēhē o ka naau Muscle - endo-, myo- pericarditis.
5. Abscess aorta.
6. Thrombosis ventricle.
7. Ka pono e hoʻopaʻa haʻawina ma ka manawa o keʻoki kino.

Ma waho aʻeo ia mau nāʻikepili, transesophageal echocardiography mea OAXA mua prosthetic kiwikā. Nō hoʻi, noiʻi ua lawe mai ma ka ke kiekie he lauwili anei akemāmā (emphysema), obesity.

Contraindications i transesophageal echocardiography

I loko nō o ka pono ChPEhoKG, keia anamanaʻo iaoiaeii ua,ʻaʻole i lohe nui ia. Keia mea aie a hiki i ka nui, e hoike ana ia mea invasive, a me ka ole a pau nā mea maʻi 'aelike i ka kaʻina hana. Eia hou, eia kekahi contraindications i transesophageal echocardiography. I waena o lākou:

1. Hoʻoʻino maʻi o ku una ha i ka lua a me ka pharynx.
2. Anomalies o? Acaeoey keʻena ma lalo nei (pōkole esophagus, diverticulum).
3. Scarring, stricture. Pinepine ana ma hope o kaʻapu kōheoheo me nāʻakika a me alkalis.
4. Erosive esophagitis.
5. Kahe ana ke koko mai ulcers cardia o ka'ōpū.
6. Esophageal dilatation o hepatic cirrhosis.
7. Ka maʻi 'aʻai o ku una ha i ka lua a me ka pharynx.
8. Cancer o ka esophagus a cardia o ka'ōpū.

I ka wa e kaawale aku o gastrointestinal maʻi i e hana ChPEhoKG hoʻomanawanui iki mai o kekahi makahiki. Nō hoʻi, noiʻi ua ole contraindicated no ka hapai keiki o na wahine a me kanaka e loaa ana mai somatic pathologies. Ua UaʻAʻole pu ma irradiation o ka meaola.

Makaukau no ka transesophageal echocardiography

Mua oe hāʻawi i ka transesophageal echocardiography, e e hoouna mai i ka hoʻomanawanui, e undergo i ka moʻo o ke keʻena hoʻokolohua ho'āʻo ma. Mau nā: koko kemika, ka KLA a me OAM, coagulation. Kēia kānāwai loli e like me ka mahuahua ana o ka leukocytes, platelets, hōʻeleu i ESR. Eia hou kekahi, mamua ae o ka anamanaʻo, ka mea, ua pinepine hana transthoracic ultrasoundʻike. Eia hou, i ka manawa o kēia naau maʻi mea pono e wehe i ka ECG.

Transesophageal echocardiography mea he pakele kaʻina hana, nolaila, 'aʻole i koi kuikawa aʻo. Inā ka hoʻomanawanui e lawe i kekahi ka lapaʻauʻia, a laila, ana ia ma mua o ka hoao ana mea i pono. A e pono ano no ke kaʻina hana o ka 'ole e lawe ai no ka 6 hola māhele ma mua o ChPEhoKG. Inā ka hoʻomanawanui i dentures, ka mea, i ia e wehe. I kekahi manawa, ma mua o ka hoao ana me ka mākaʻi premedication. I ka ho'ēmi i salivation, lāʻau "atropine" lawelawe intravenously. Inā i ka hoʻomanawanui i loko o ka pīhoihoi moku'āina, i hoakaka ia tranquilizers (lapaau "Diazepam").

'Ana i kūpono transesophageal echocardiography

E pale discomfort, waha a me ka puʻu, eha reliever. No keia hopena i hoʻomanaʻo "Lidocaine" a me "Dikain". Ke hoomanawanui Ua kau ma kaʻaoʻao hema. E pale poino i kaʻimi a me ka mea e kōkua ai kona pōkole i loko o ka puʻu, e hoʻohana i ka kūikawā waha'ōlelo. pono e hana ia ka hope o ka mea hana me ka kūikawā tuko pīlali, a ua hoʻohana 'ia i loko o ultrasound examinations. Mahope, i ka endoscopeʻimi ua hookomoia i loko o ka esophageal lumen. E kōkua i ke kaʻina, ke hoʻomanawanui e hana moni 'ia. Loko o 5-10 minuke o ka mea hana i ka gullet lua. Kukui o ka endoscope ua kuhikuhi ma ka naau. Ma ka paia o ka esophagus mea huai ae Keia. Ma maoli manawa ka mea, e hōʻike ana i ke kanaka hoʻoponopono a me ka palapala ma ka ho film.

I hiki ke hōʻike 'ia e transesophageal echocardiography

Mahalo i ka echocardiography, hana ma ka esophagus lua, e hiki Loiloi i ka ano o ka naau Muscle, endocarditis a me ka valvular i hoʻomākaukauʻia. Kēia noiʻi He pilikia no kaʻike,. Ua haawiia i ke 'ike maʻiʻo kiʻekiʻe o ke ano, he mea hiki, e huai ae a hiki hōʻemi iki poino i ka naʻau lua. ChPEhoKG hōʻike i ke alo o ke koko clots, hoʻoʻino loli, aortic dissection. Special informative okoa ekolu-dimensional mahele. Mahalo i ka 3D-ultrasound cardiography mea hiki ole wale i ka Loiloi i ka moku'āina o ka naau Muscle, akā, no hoi, e hoomakaukau i ke ahonui no ka hana ana i ka nohona kiwikā prosthesis. Kēia papa hana pili i ka kiʻekiʻe-ʻenehana noiʻi, a ua lawe mai i loko o nā keʻena lāʻau lapaʻau hana kūikawā.

Hiki complications o transesophageal echocardiography

Kekahi hana o kaʻike, ua manaoia transesophageal echocardiography o ka naau. Where hana i ke kaʻina hana? Ua like ka hana i loko o nā keʻena lāʻau lapaʻau me cardiology 'Oihana, e like me ka pono me ka uku nā keʻena lāʻau lapaʻau, i hoʻolako pono me kaʻiʻo nō o kēia' inikua lako a pan. He kumukuai hoomanao ana, ma naʻe o ka malu, me ka pohihihi keia hihia e hoʻomōhala complications. Mau nā cardiac arrhythmias, e like me allergic reactions i lapaʻauʻia (anesthetics, tranquilizers). E pale hopena mea, ia mea e pono ia i ka mākaukau 'ia paha o ka resuscitation.

Transesophageal echocardiography o ka naau: hōʻike manaʻo o nā mea maʻi, a lapaau

Kēia like ka palekana a me ka painless, no laila, e hoomanawanui i tolerate mea pono. E diagnose mea pathology ua hana transesophageal echocardiography. Kauka e pili ana i keia hana o ka maikaʻi ana manaʻo. Kauka i aku nei au i kona loa informative a me ka maluhia.