Te Aratohu Tino Pai ki ngā Pūeru Whakataki

I roto i te ao rongoā hou, inā koa i roto ite tirotiro manawa wawao, te tirotiro hihi-X, mepokanga toto, he iti noa ngā taputapu he mea nui pērā i tepūtu whakauruHei tūāpapataputapu hauora, mā te takotoranga whakauru ka taea te urunga haumaru me te whai hua ki ngā oko toto, ka taea ai e ngā tākuta te mahi i ngā tikanga tātaritanga me te rongoā me te tika me te whakahaere tika.

Mā tēnei aratohu whānui e whakamārama he aha te whāriki whakauru, me pēheahangarau pūtu urungiwhakarei ake i ngā putanga tukanga, me te rerekētanga o ngā whāriki whakauru mai i ētahi atu mea ritengā hua hauorapērā i ngā catheter ārahi. Ka tūhuratia hoki e mātou ngā take nui e whakamahia whānuitia ai ngā uhi whakauru i roto ingā tukanga angiographic.

He aha te Pūranga Whakataki?

An pūtu whakauruhe mea motuhaketaputapu hauorai hangaia hei whakahaere i te urunga atu ki ngā uaua toto i ngā wā o ngā tikanga iti rawa te whakaekenga. I te nuinga o te wā ka whakaurua ki roto i te uaua taha, i te uaua rānei—ko te uaua femoral, radial rānei—hei hanga i tētahi awa hei whakauru i ngā catheter, ngā waea, ngā poihau, me ētahi atu taputapu e whakamahia ana i roto i ngā tikanga tātaritanga me ngā tikanga wawaotanga.

Ko te uhi whakauru he ngongo ngāwari, he tuwhera, he takirere hemostatic me te whakawhanui. Ka āwhina te whakawhanui ki te whakauru i te uhi ki roto i te oko toto, ā, ka pupuri te takirerete whakaheke toto, e ārai ana i te ngaronga o te toto ina whakauruhia, ina tangohia rānei ngā taputapu.

Ngā Mahi Matua o te Puranga Whakataki:

• Ka whakarato i tētahi pūwāhi urunga pumau ki te pūnaha toto.
• Ka tiaki i te oko toto mai i ngā whara i puta mai i te whakaurunga pinepine o ngā taputapu.
• Ka pupuri i tētahi pūnaha kati hei whakaiti i te mōrearea o te toto me te mate urutā.
• Ka taea te whakawhiti taputapu tere me te whai hua.

Kei te wātea ngā pukupuku whakauru i roto i ngā rahi, ngā roa, me ngā rauemi rerekē hei whakauru i ngā tikanga rerekē me ngā hanganga tinana o te tūroro.

Hangarau Puranga Ārai

I roto i ngā wawaotanga uaua mō te ngākau me te roro, ka taea e ngā whāriki tika tuku iho te whakawhāiti i te urunga atu ki ngā hanganga uaua. Nā tēnei whakawhāititanga kua hua ake te whanaketanga ongā pūtu whakauru ka taea te ārahi—he auahatanga e tino whakarei ake ana i te ngāwari me te tika o ngā tukanga.

A pūtu urungihe pito whakapiko, he pito whakawhitiwhiti rānei, ka taea te whakatere i ngā taha maha mā te whakamahi i tētahi kakau, i tētahi porowhita rānei kei te pito tata. Mā tēnei whakawhitiwhiti ka taea te whakanoho tika i ngā taputapu ki roto i ngā wāhi uaua, uaua rānei ki te tae atu ki roto i te pūnaha toto.

Ngā Painga o ngā Pūwero Whakataki Ā-Whiriwhiri:

• Whakaterenga whakapai akemā roto i ngā ara uaua o te toto.
• Mana whakahaere tukanga whakarei ake, inā koa i roto i ngā wāhi whāiti o te tinana.
• Te whakaiti i te wharaki ngā pakitara o te oko toto mā te whakaiti i te nui rawa o te mahi whakangawari.
• Tautoko tino paimō ngā pūnaha tuku taputapu.

He tino whai hua ngā hipoki urungi mō ngā tikanga hanganga o te ngākau (hei tauira, te aukati i te pito o te atrium maui, te whakatika i te takirere mitral), ngā rangahau hiko-tinana, me ngā wawaotanga neurovascular pēnei i te takai aneurysm, te thrombectomy rānei.

Te Kātene Ārahi me te Kākahu Whakataki: He aha te Rerekētanga?

Ahakoangā catheter ārahimengā pūtu whakauruHe taputapu ēnei e rua hei uru atu ki ngā oko toto me te tuku taputapu wawao; he rerekē te mahi a ēnei taputapu e rua, ā, he rerekē hoki te hanga.

UHe mea nui te mārama ki te rerekētanga i te wā e whiriwhiri ana i te mea tikangā hua hauoramō tētahi tukanga kua whakaritea.

He aha i whakamahia ai ngā hipoki whakauru i roto i ngā tikanga angiographic?

He mea noa te whakamahi i ngā pūtu whakauru i roto ingā tukanga angiographicnā te mea ka whakangawari ake i te tukanga werohanga tae rerekē, te tiki whakaahua, me te whakamahi i ngā taputapu wawaotanga—me te pupuri tonu i te pumau o ngā oko toto.

Ngā Painga Matua o ngā Pūkahu Whakataki i roto i te Angiography:

1. Tiakina te urunga atu ki te waka
   Kia whakaurua, ka noho pūmau, ka tuwhera hoki te pūwāhi urunga o te hipoki. Mā tēnei ka ārai i ngā pokanga maha, ka whakaiti hoki i te tūponotanga o ngā raruraru.
2. Whakahohehia ngā Whakawhiti Pūrere Maha
   He maha ngā momo katitere me ngā waea e hiahiatia ana mō ngā tikanga angiographic uaua. Mā te uhi whakauru ka taea te whakawhiti tere me te haumaru i ēnei taputapu mā te pūwāhi urunga kotahi.
3. Kia mau tonu te hemostasis
   Nā te takirere kua hangaia ki roto, ka ārai te hipoki i te toto kei puta ahakoa ka tukuna ngā taputapu mā roto. Mā tēnei ka whakaitihia te ngaronga o te toto, ā, ka mau tonu te pumau o te tūroro.
4. Whakaitihia te Mōrearea o ngā Whakararuraru
   Mā te whakaiti i te whara o ngā oko toto me te pupuri i te ara parakore mō ngā taputapu, ka whakaitihia e ngā uhi whakauru te mōrearea o te motuhanga o ngā oko toto, te thrombosis, te mate rānei.
5. Whakapai ake i te Wā me te Whai Hua o te Tukanga
   Mā te ngāwari o te uru atu me te tere o te whakawhiti taputapu, ka āwhina ngā takotoranga whakauru ki te whakaiti i te wā pokanga—he mea nui mō ngā wawaotanga whiriwhiri me ngā wawaotanga ohorere.

Mā ēnei painga ka whakamāramahia he aha ngā pukupuku whakauru he taputapu paerewa mō ngā tikanga pēnei i te angiography coronary, te angioplasty peripheral, me te cerebral embolization.

Whakamutunga

Tepūtu whakauruhe tūāpapataputapu hauorai roto i te ao wawaotanga o ēnei rā. Kāore e taea te whakanui rawa i tana mahi ki te whakahaere i te urunga haumaru, auau hoki ki ngā oko toto. I te mea ka uaua haere ngā tikanga hauora, ka puta ngā mahi auaha pēnei i tepūtu whakauru ka taea te ārahikei te whakarerekē i te huarahi e whakatata atu ai ngā tākuta ki ngā hanganga tinana uaua, me te whakahaere i ngā rerenga mahi.

Te mārama ki te mahi me ngā painga o ngā whāriki whakauru—me te whakataurite ki ētahi atungā hua hauorapērā i te ārahi i ngā katitere—e whakamana ana i ngā tohunga hauora ki te whakatau whai whakaaro hei whakapai ake i ngā putanga mō ngā tūroro me te angitu o ngā tikanga.

Ahakoa he rata koe, he kaiwhakahaere hauora, he kaituku hua rānei, e mau tonu ana ki ngā mea hou opūtu urungiHe mea nui te hangarau me ngā taputapu urunga toto hei pupuri i te hiranga o te tiaki tūroro.