Swan-Ganz - maganin zuciya na dama

Swan-Ganz catheterization (wanda ake kira catheterization na dama ko kuma jijiyar jijiya ta huhu) shine wucewar wani siraran bakin ciki (catheter) zuwa gefen dama na zuciya da jijiyoyin da ke kaiwa zuwa huhu. An yi shi ne don lura da aikin zuciya da gudan jini da matsin lamba a ciki da kewayen zuciya.

Ana iya yin gwajin yayin da kuke kwance a cikin sashin kulawa mai mahimmanci (ICU) na asibiti. Hakanan za'a iya yin shi a cikin yankuna na musamman kamar su dakin gwaje-gwaje na ƙwaƙwalwar ajiyar zuciya.

Kafin gwajin ya fara, za a iya ba ka magani (mai kwantar da hankali) don taimaka maka ka shakata.

Za ku kwanta akan tebur da aka shaƙa. Likitan ku zai yi huda a jijiya kusa da makwancin gwaiwa ko a hannu, ko wuya. An sanya bututu mai sassauƙa (catheter ko kwasfa) ta hujin. Wani lokaci, za a sanya shi a ƙafarka ko hannunka. Za ku kasance a farke yayin aikin.

An saka wani catheter mai tsayi. Daga nan sai a hankali a hankali zuwa cikin ɗakin sama na gefen dama na zuciya. Ana iya amfani da hotunan X-ray don taimakawa mai ba da kiwon lafiya ganin inda ya kamata a saka catheter.

Ana iya cire jini daga catheter. Ana gwada wannan jinin ne don auna adadin iskar oxygen a cikin jini.

Yayin aikin, za a rinka kallon motsin zuciyar ka akoda yaushe ta hanyar amfani da lantarki (ECG).

Bai kamata ku ci ko sha wani abu ba har tsawon awanni 8 kafin fara gwajin. Kila iya buƙatar kasancewa a cikin asibitin dare kafin gwajin. In ba haka ba, za ku iya shiga asibiti da safe gwajin.

Za ku sa rigar asibiti. Dole ne ku sanya hannu a takardar izinin kafin gwajin. Mai ba ku sabis zai yi bayanin aikin da haɗarin sa.

Za a iya ba ku magani don taimaka muku shakatawa kafin aikin. Za ku kasance a farke kuma za ku iya bin umarni yayin gwajin.

Kuna iya jin wani rashin jin daɗi lokacin da aka saka huɗu a cikin hannunku. Hakanan zaka iya jin ɗan matsi a wurin lokacin da aka saka catheter. A cikin mutanen da ke cikin matsanancin rashin lafiya, catheter na iya zama a wurin tsawon kwanaki.

Kuna iya jin rashin jin daɗi lokacin da aka lasafta yankin jijiya tare da maganin sa maye.

Ana yin aikin don kimanta yadda jini ke gudana (kewaya) a cikin mutanen da ke da:

• Matsi mara kyau a cikin jijiyoyin zuciya
• Sonewa
• Cutar cututtukan zuciya
• Ajiyar zuciya
• Ciwon koda
• Leaky zuciya bawuloli
• Matsalar huhu
• Shock (ƙananan jini)

Hakanan za'a iya yin sa ido don rikitarwa na bugun zuciya. Hakanan yana nuna yadda wasu magungunan zuciya ke aiki.

Hakanan za'a iya amfani da ƙwayar Swan-Ganz don gano yanayin jini mara kyau tsakanin wurare biyu na zuciya waɗanda ba a haɗa su da juna ba.

Yanayin da za'a iya bincika ko kimantawa tare da Swan-Ganz catheterization sun haɗa da:

• Diacarfafa zuciya
• Cutar cututtukan zuciya
• Ciwan jini na huhu
• Ricuntataccen jini ko bugun jini

Sakamakon al'ada na wannan gwajin sune:

• Alamar bugun zuciya ta kasance 2.8 zuwa 4.2 lita a minti daya a kowace murabba'in mita (na yankin jiki)
• Jijiyoyin bugun jini na matsa lamba shine milimita 17 zuwa 32 na mercury (mm Hg)
• Maganin jijiyoyin jiki yana nufin matsin lamba shine 9 zuwa 19 mm Hg
• Matsalar diastolic na huhu shine 4 zuwa 13 mm Hg
• Maganin bugun jini na huhu 4 zuwa 12 mm Hg
• Matsalar madaidaiciyar dama ta 0 zuwa 7 mm Hg

Sakamakon sakamako mara kyau na iya zama saboda:

• Matsalar magudanar jini, kamar ciwon zuciya ko gigicewa
• Ciwon bugun zuciya
• Cutar huhu
• Matsalolin tsari tare da zuciya, kamar ɓoyewa daga nakasar atrial ko ventricular septal

Hadarin hanyar sun hada da:

• Yin rauni a kusa da yankin da aka saka catheter
• Rauni ga jijiya
• Yin huda huhu idan an yi amfani da jijiyoyin wuya ko jijiyoyin jini, wanda ke haifar da ruɓar huhu (pneumothorax)

Matsalolin da ba safai ake samunsu ba sun hada da:

• Magungunan Cardiac da ke buƙatar magani
• Diacarfafa zuciya
• Embolism wanda ya haifar da toshewar jini a saman catheter
• Kamuwa da cuta
• Pressureananan hawan jini

Dama zuciya tiyatar ciki; Catheterization - zuciya madaidaiciya

• Swan Ganz catheterization

Hermann J. Cardiac catheterization. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: sura 19.

Kapur NK, Sorajja P. Harshen hemodynamics mai haɗari. A cikin: Sorajja P, Lim MJ, Kern MJ, eds. Littafin Kern's Cardiac Catheterization Handbook. 7th ed. Philadelphia, PA: Elsevier; 2020: babi na 4.

Shreenivas SS, Lilly SM, Herrmann HC. Shisshigi cikin bugun zuciya. A cikin: Topol EJ, Teirstein PS, eds. Littafin rubutu game da cututtukan zuciya. 8th ed. Philadelphia, PA: Elsevier; 2020: babi na 22.