I-echocardiogram ye-transesophageal (TEE) iyilingo elisetshenziselwa ukuhlola isakhiwo nomsebenzi wenhliziyo yakho. Njenge- echocardiogram ejwayelekile , i-TEE isebenzisa amagagasi omsindo ophezulu wokukhiqiza isithombe sangempela-isikhathi, eshukumisayo senhliziyo yokushaya. Kodwa-ke, kuyilapho i-echocardiography ejwayelekile isebenza ngokubeka umshini wokuguqula umsindo emgqeni wakho wesifuba, nge-TEE i-transducer idluliselwa ku-hoop (tube yakho yokugwinya).
I-TEE ingaveza izithombe ezicacile zenhliziyo, futhi ukusebenzisa i-TEE esikhundleni se-echocardiogram ejwayelekile ingaba usizo kakhulu ngaphansi kwezimo ezifanele.
I-TEE Yenziwe kanjani?
Uma unayo i-TEE uzonikezwa kuqala ukudambisa okuncane okunamandla, futhi i-gag reflex yakho izosuswa ngokuphalaza ukuhlinzekwa komzimba endaweni yangemuva emqaleni wakho. I-transducer ye-echo izobe idluliselwa emlonyeni wakho nasemphinjeni, futhi phansi phansi isisindo sakho kuze kube yilapho ibeke ngqo ngemuva kwenhliziyo yakho.
Uma usesikhundleni, i-transducer isetshenziselwa ukunciphisa amagagasi omsindo enhliziyweni yakho, njengalokhu ku-echocardiogram ejwayelekile. Amagagasi omsindo abuyelayo ahanjiswa esithombeni esithinta inhliziyo yakho futhi efakwe kwikhompyutha kwesikrini.
Izinzuzo
Inzuzo yangempela ye-TEE yukuthi ngokuvamile ingaba nemifanekiso enemininingwane enhle kakhulu kune-echocardiogram ejwayelekile. Lokhu kungenxa yokuthi isithombe se-echo senziwa ngokuqondile ngemuva kwenhliziyo - amagagasi omsindo akudingeki angene emgodini wezintambo namathishu emaphaphu ngaphambi kokufinyelela enhliziyweni.
Ngabe i-TEE iwusizo?
Ngokuvamile kunezimo ezintathu lapho i-TEE inganconywa phezu kwe-echocardiogram ejwayelekile.
Okokuqala, i-TEE iwusizo noma nini lapho izithombe ezanele ezitholakala khona zingatholakali ngamasu e-standard echo. Lokhu kungase kwenzeke kubantu abangezindonga zabo zesifuba ezincane kakhulu, noma abane-emphysema, noma isifo se-chest esifubeni noma ukuhlinzwa kwesifuba.
Ngezinye izikhathi kunzima ukuthola isithombe esicacile nge-echo ejwayelekile ngenxa yesizathu esicacile. Nge-TEE, izithombe ezinhle ze-echo zitholakala cishe kunoma ubani.
Okwesibili, i-TEE ingenziwa ekamelweni lokusebenza ngesikhathi sokuhlinzwa kwenhliziyo evulekile. I-Intraoperative TEE iwusizo ikakhulukazi ngesikhathi sokuhlinzwa kwe-valve yenhliziyo, ikakhulukazi uma wenza ukukhishwa kwe-valve ukuphatha ukubuyiswa kwe-mitral . I-TEE inganika impendulo esheshayo kudokotela ohlinzayo njengoba kulungiswa.
Okwesithathu, i-TEE ingaba usizo kakhulu ekuhloleni ukuthi ngabe isiguli sakha ama-clots egazi ku-atrium kwesokunxele. Ngokwesibonelo, ukubonisa nge-TEE ukuthi akukho maqabunga egazi akhona angenza i- cardioversion ye-fibrillation ye-atrial ivikeleke kakhulu.
Izinkinga
Inkinga ejwayelekile kunazo zonke nge-TEE yinani elithile lokungahambi kahle nokuphunga komphimbo ngesikhathi senqubo. Kodwa-ke, ngokuvamile kulula ukulawula lezi zimpawu nge-sedation nokugaya umphimbo. Ungaba nomphimbo wesifo izinsuku ezimbalwa ngemuva kwenqubo. Ngokuvamile, i-perforation ye-eophagus ingenzeka, okuyinto esiphuthumayo yokuhlinzwa, futhi ngezinye izikhathi ukuphuma kwegazi kuvela. Noma kunjalo, lezi zenzakalo ezimbi kakhulu zivame kakhulu, futhi i-TEE ibhekwa njengokuphephile.
> Imithombo:
Quinones, MA, Douglas, PS, Foster, E, et al. I-ACC / AHA isitatimende sekhono lomtholampilo ku-echocardiography: umbiko we-American College of Cardiology / American Heart Association / American College of Physicians-American Society of Internal Medicine Task Force on Competence Clinic. J Am Coll Cardiol 2003; 41: 687.
I-American College of Cardiology Foundation Imigomo Yokusetshenziswa Efanelekayo Umsebenzi Wezemisebenzi, i-American Society of Echocardiography, i-American Heart Association, et al. I-ACCF / ASE / AHA / ASNC / HFSA / HRS / SCAI / SCCM / SCCT / SCMR 2011 Imigomo Yokusetshenziswa Efanelekayo ye-Echocardiography. Umbiko we-American College of Cardiology Foundation I-Criteria Yokusetshenziswa Okufanelekayo Umsebenzi we-American Society of Echocardiography, i-American Heart Association, i-American Society of Nuclear Cardiology, i-American Failure Society of America, i-Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Critical Imithi Yokwelapha, Society of Cartoon Tests Computed Tomography, kanye neNhlangano Yezinhliziyo Zomzimba Zemisipha Yomzimba Okuvunyelwe yi-American College of Chest Physicians. J Am Coll Cardiol 2011; 57: 1126.
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