Transesophageal echocardiography: ihe ọ bụ?

Pathology nke obi usoro bụ otu n'ime ihe ndị kasị akpata ọnwụ. Otu a nke ọrịa bụ karịsịa n'etiti ndị agadi. Diagnosis nke ọrịa obi na ọrịa ná mmalite nkebi na-enyere aka belata ihe ize ndụ nke nsogbu na enwe. Otu n'ime ụzọ ndị nchoputa bụ echocardiography. Nke a na-achọpụta ọrịa usoro dị mkpa na-amata ọrụ nke obi. Ọtụtụ mgbe, echocardiography a rụrụ site n'aka ihe ultrasonic mmetụta, nke na-etinye na obi mgbidi. Mgbe ụfọdụ, a na-amụ a rụrụ n'oge ịwa ahụ. Mgbe ahụ mụụrụ transesophageal echocardiography. Nke a na usoro-enye gị ohere iji anya nke uche na obi zuru ezu karị.

Transesophageal echocardiography - ihe ọ bụ?

Echocardiography - bụ otu n'ime ndị isi ụzọ nchọpụta ọrịa na nke obi usoro. Ọ nwere ike na-rụrụ mgbe ọ bụla afọ, ebe ọ bụ na ọ na-adịghị esonyere site na a radial ibu na ahu. N'ihi na nke a instrumental nchoputa nwere ike iji anya nke uche na-size na ọkpụrụkpụ nke obi ulo nile, na-amata na steeti nke valves. Transesophageal echocardiography (ChPEhoKG) ji na ọ na a rụrụ site n'ime, kama n'èzí (obi mgbidi). Na nke a na Onyonyo àgwà a enwekwukwa. Ndị nnyocha e mere na-adịghị nye iwu niile, ma naanị pụrụ iche na-egosi. Na-arụ ọrụ echocardiography site na nkọlọ uji eze, ị ga-akpa-esi mee ya transthoracic. Nke a na-achọpụta ọrịa usoro a rụrụ site akpan zụrụ ọkachamara na ndị ụlọ ọgwụ.

Ọ dabeere na ihe usoro nke transesophageal echocardiography?

Transesophageal echocardiography nke obi - a Onyonyo Usoro, nke dabeere ultrasound. Ultrasound a rụrụ iji a pụrụ iche mmetụta na jel. The ngwaọrụ emepụta a elu ugboro ụda ebili mmiri. Akwa "ọrụ" n'ihi na ndị a n'ókè maka echolocation ụdị. Nyere na ọ bụla ngwa nwere ụfọdụ njupụta na Ọdịdị, ha na-dị iche iche egosipụta na monitor jikọọ na unit. Research na-ekenịmde ke ozugbo. Nke a pụtara na dọkịta nke ọtọ nchọpụta nsogbu nwere ike amata ọnọdụ nke obi ulo nile, mgbe ihe mmetụta slides tinyere n'elu nke ahu. N'ụzọ dị iche na transthoracic echocardiography, transesophageal ọmụmụ-enye ọbụna ịhụ ntakiri-emeghasịkwa nke Ọdịdị. Nke bụ eziokwu bụ na n'oge ultrasound nke obi mgbidi, ọ bụghị mgbe niile kwere omume iji nweta ezigbo gbasara obi Onyonyo. Nke a bụ n'ihi na eziokwu na igwe "họpụta mmadụ" na echiche nke ndị ọzọ na ozu: na ọgịrịga, adipose anụ ahụ, muscle anụ ahụ. Mgbe n'ịrụ ChPEhoKG 'ultrasound window' na-ukwuu belata, ka usoro a bụ ihe ọmụma.

Egosi maka ọmụmụ

Isi na-egosi maka ọmụmụ chọtara ya agaghị ekwe omume iji mee ka a nchoputa dabeere na data nke transthoracic echocardiography. Na-emekarị nke a na-achọpụta ọrịa usoro rụrụ ke ọrịa ndị enyo enyo oké njọ gbasara obi abnormalities. ọ na-mkpa na-amụ ahụ cavities. Nyere na ultrasound site elu nke obi mgbidi ndị a, uninformative, rụrụ transesophageal echocardiography. Egosi maka ọmụmụ:

1. Nsogbu mgbe obi valvụ ndochi. Mgbe ụfọdụ, ịkụbanye ogologo na-adị ndụ, si otú eme mbufụt, ahụ etuto.
2. Stratification nke obi ma ọ bụ ihe aneurysm nke aorta.
3. Ogbenye ịrụ ọrụ nke prosthetic valves.
4. Na-efe efe nke obi muscle - endo-, myo- pericarditis.
5. Etuto aorta.
6. Thrombosis ventricle.
7. The mkpa na-amụ na oge nke ịwa ahụ.

Tụkwasị na nke a na-egosi, transesophageal echocardiography bụ amanyere bụ iwu tupu prosthetic valves. Ọzọkwa, nnyocha na-rụrụ na dị elu lightness akpa ume (emphysema), ibu oké ibu.

Contraindications transesophageal echocardiography

N'agbanyeghị uru ChPEhoKG, a nnyocha e mere na usoro a na-n'ọtụtụ ebe. Nke a bụ n'ihi na eziokwu na ọ bụ invasive, na ọ bụghị ihe niile ndị ọrịa na-ekweta na usoro. Ke adianade do, e nwere ụfọdụ contraindications na transesophageal echocardiography. N'etiti ha:

1. Mkpali oria na-edeghị ede oghere na pharynx.
2. Anomalies mmepe ụlọ ọrụ (obere na nkọlọ, diverticulum).
3. N'ichihịa, stricture. Ọtụtụ mgbe ime mgbe nsí na asịd ma ọ bụ alkalis.
4. Erosive esophagitis.
5. Agba ọbara si onya cardia nke afo.
6. Esophageal dilatation nke hepatic imeju.
7. Ọrịa cancer nke ọnụ na uji eze na pharynx.
8. Cancer nke na nkọlọ ma ọ bụ cardia nke afo.

Na enweghị eriri afọ ọrịa nwere ike rụrụ ChPEhoKG ọrịa nke ọ bụla afọ. Ọzọkwa, nnyocha na-adịghị contraindicated ka nwanyị dị ime na ndị na-ata ahụhụ site somatic pathologies. Ọ na-adịghị esonyere irradiation nke organism.

Nkwadebe maka transesophageal echocardiography

Tupu ị na-ekenye a transesophageal echocardiography, onye ọrịa a ga-eziga na-ata a usoro nke laabu ule. Ndị a gụnyere: ọbara onwu, ihe KLA na OAM, coagulation. Nke a nwere ike ime mgbanwe ndị dị otú ahụ dị ka na-abawanye nke leukocytes, platelet, accelerated ESR. Ke adianade do, tupu ka nnyocha e mere, a na-rụrụ transthoracic ultrasound nchoputa. Ke adianade do, na ikpe nke-enyo enyo na ọrịa obi na ọrịa bụ mkpa iji wepụ ECG.

Transesophageal echocardiography bụ a mma usoro, ya mere, ọ dịghị achọ ọzụzụ pụrụ iche. Ọ bụrụ na onye ọrịa na-ewere ọgwụ ọ bụla, mgbe ahụ, kagbuo ha n'ihu ule adịghị mkpa. A mkpa ọnọdụ maka usoro bụ mîkayarakede iri nri maka 6 awa bu ụzọ ChPEhoKG. Ọ bụrụ na onye ọrịa nwere eze, ha nwere na-ewepụ. Mgbe ụfọdụ, tupu ule na-ekenịmde premedication. Iji belata salivation, ọgwụ ọjọọ, "atropine" ndinọ intravenously. Ọ bụrụ na onye ọrịa bụ na-enwe obi ụtọ ala, nye iwu ka ọgwụ na-akụjụ (ọgwụ "Diazepam").

Usoro transesophageal echocardiography

Iji zere erughị ala, ọnụ na akpịrị mgbu aspirin. Iji mezuo nke a were Nwa "Lidocaine" ma ọ bụ "Dikain". Onye ọrịa na-etinye na n'aka ekpe. Iji gbochie mmebi nke nyocha na ikwado ya iwebata n'ime akpịrị, iji a pụrụ iche ekwuchite. Ọgwụgwụ nke ngwá ga-emeso ya na a pụrụ iche jel, nke na-eji na ultrasound ule. Mgbe nke ahụ gasịrị, ndị endoscope nyocha a na-etinyere n'ime esophageal lumen. Iji ikwado usoro, onye ọrịa kwesịrị ịrụ-elo ihe. N'ime 5-10 nkeji ngwá bụ na gullet oghere. Oriọna nke endoscope na-eduzi n'ebe obi. Site na mgbidi nke na nkọlọ ngwaọrụ achọpụta echiche. Na ozugbo ha na-egosipụta na ileba anya na dere na film.

Nke nwere ike mata site transesophageal echocardiography

Ekele echocardiography, rụrụ site na nkọlọ uji eze, i nwere ike amata ọnọdụ nke obi muscle, endocarditis na valvular ngwa. Nke a nnyocha dị oké mkpa maka nchoputa. Nyere elu ọmụma ọdịnaya nke usoro, ọ bụ ike ịchọpụta ọbụna ntakịrị mmebi nke obi oghere. ChPEhoKG ekpughe ọnụnọ egbochi mkpụkọ nke ọbara, mgbu mgbanwe, aortic dissection. Special ọmụma dị iche iche atọ akụkụ ọmụmụ. N'ihi 3D-ultrasound cardiography bụ omume ọ bụghị naanị na-amata na steeti nke obi muscle, kamakwa iji dozie ndidi maka ọrụ nke valvụ prosthesis. Nke a na usoro na-emetụta elu-tech nnyocha na a rụrụ pụrụ iche clinics.

Ekwe Omume nsogbu nke transesophageal echocardiography

Otu usoro nke nchoputa a na-ewere transesophageal echocardiography nke obi. Ebe eme usoro? Nke a ọmụmụ rụrụ na clinics na Cardiology ngalaba, nakwa dị ka onwe clinics, onwem na oge a ụlọọgwụ. Ọ bụ uru na-echeta na, n'agbanyeghị nke nche, na obere okwu nwere ike ịzụlite nsogbu. Ndị a gụnyere ndị gbasara obi arrhythmias, nakwa dị ka nfụkasị Jeremaya mere ka ọgwụ (ọgwụ na-akụnwụ, ọgwụ na-akụjụ). Iji zere akwa ya pụta, ọ dị mkpa ka nwere a njikere set of iji tụtee mmadụ.

Transesophageal echocardiography nke obi: reviews nke ọrịa na ndị dibịa

Nke a na-amụ bụ nchebe na enweghi mgbu, otú ọrịa anabata ya nke ọma. Iji ịchọpụta oké njọ daa ọrịa na rụrụ transesophageal echocardiography. Dọkịta banyere usoro a nke oma nnyocha e mere. Dọkịta na-ekwu ya ukwuu ọmụma na nchekwa.