Kwafar ƙwaƙwalwar ƙwaƙwalwar jini (TEE) itace gwajin da aka yi amfani dasu don tantance tsarin da aikin zuciyarka. Kamar misali echocardiogram , TEE yana amfani da raƙuman sauti mai tsayi don samar da ainihin lokacin, hoto mai motsi na zuciya ta bugun zuciya. Duk da haka, yayin da ake yin rubutun echocardiography ta wurin sanya mai daukar motsi na motsa jiki a murfin ka, tare da TEE mai fassara ya shigo cikin esophagus.
TAS zai iya samar da hotuna masu mahimmanci na zuciya, kuma ta amfani da TEE maimakon na echocardiogram mai kyau zai iya zama da amfani sosai a ƙarƙashin yanayi mai kyau.
Ta yaya aka aikata TEE?
Idan kana da TEE za a ba ka wani abu mai mahimmanci na intravenous, kuma za a gurgunta karfinka na gaguwa ta hanyar kwantar da cututtuka na gida a bayan kagwagwaro. Za a yi amfani da transducer na sauti ta bakin bakinka da bakin ka, sannan ka sauko da ziyartar ka har sai an sanya shi tsaye a bayan zuciyarka .
Da zarar a matsayi, ana amfani da transducer don busa raƙuman sauti a zuciyarka, kamar yadda a cikin misali echocardiogram. Ana shigar da raƙuman sauti mai juyowa a cikin hoto mai motsi na zuciyarka kuma an tsara shi a kan allon kwamfutar don bincike.
Abũbuwan amfãni
Ainihin amfani da wani TEE shi ne cewa zai iya samar da cikakkun hotuna masu zane-zane fiye da yadda zakuyi echocardiogram. Wannan shi ne saboda hoton bidiyo ya fito daga kai tsaye a bayan zuciya - raƙuman motsi bazai buƙatar shiga cikin caji da ƙwayar jikin mutum ba kafin ya kai zuciya.
Yaushe YAKE YAKE KYAU?
Akwai lokutta uku da za'a iya bada shawarar akan wani TEE akan ƙwaƙwalwar echocardiogram.
Na farko, mai amfani ne mai amfani a duk lokacin da ba a iya samun cikakken hotunan hotunan ba ta hanyar fasaha mai ƙira. Wannan na iya faruwa a cikin mutanen da ganuwar kwakwalwa suna da haske sosai, ko kuma waɗanda suke da phhysema, ko kuma kwanan nan ƙwaƙwalwar kirji ko aikin tiyata.
A wasu lokatai yana da wuyar samun samfuri mai kyau tare da ƙirar misali don babu dalilin dalili. Tare da TEE, ana iya ganin hotuna masu kyau a kusan kowa.
Na biyu, za a iya yin TEE a cikin ɗakin aiki a yayin da aka bude aikin zuciya. Yin amfani da TEE yana da amfani musamman a lokacin motsa jiki, musamman a lokacin yin gyare-gyare da za a bi da maganin tsararraki . Kwararren za ta iya ba da labari ga likita a yayin gyara.
Na uku, TEE zai iya zama da amfani wajen tantance ko mai haƙuri ya zub da jini a hannun hagu. Alal misali, nunawa ta TEE cewa babu wani jini wanda yake samuwa yana iya sa zuciya da ƙari na fibrillation mafi mahimmanci.
Matsaloli
Matsalar da ta fi dacewa tare da TEE shine wasu nau'i na juyayi da kuma rashin jinƙai lokacin aikin. Duk da haka, yana da sauƙin sauƙin sarrafa wadannan bayyanar cututtuka tare da fitarwa da numbing na makogwaro. Kuna iya ciwo makogwaro don 'yan kwanaki bayan hanya. Ba da daɗewa ba, lalacewar esophagus zai iya faruwa, wanda shine muni na gaggawa, kuma ana iya ganin zub da jini a lokaci-lokaci daga esophagus. Duk da haka, wadannan abubuwan da suka faru mummunan abubuwa sune sababbin al'amuran, kuma ana daukar TEE lafiya sosai.
> Sources:
Quinones, MA, Douglas, PS, Foster, E, et al. ACC / AHA sanannen sanannen sanarwa game da rubutun ƙwaƙwalwa: rahoto na Kwalejin Kwalejin Nahiyar Amirka / Kasuwancin Amirka da Cibiyar Harkokin Kasuwancin Amirka ta Cibiyar Harkokin Kasuwancin Amirka. J Am Coll Cardiol 2003; 41: 687.
Kwalejin Kwalejin Kasuwancin Amirka na Amfani da Abubuwan Harkokin Kasuwanci, {ungiyar {asashen Amirka na Echocardiography, {ungiyar Amurkan Amirka, da al. ACCF / ASE / AHA / ASNC / HFSA / HRS / SCAI / SCCM / SCCT / SCMR 2011 Amfani da Mahimmancin Amfani da Kira na Kira. Rahoton Cibiyar Kasuwancin Kwalejin Kasuwancin {asar Amirka Amfani da Harkokin Kasuwancin Amirka, {ungiyar Harkokin Kasuwancin Amirka, {ungiyar Harkokin Kasuwancin {asar Amirka, Cibiyar Nazarin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Kwayoyin Harkokin Kwayoyin Kasa, {ungiyar Harkokin Kasuwanci ta {asar Amirka, Maganin Kulawa, Ƙungiyar Kwayoyin Tsarin Hoto da Tsarin Hoto, da Ƙungiyar Harkokin Tsarin Kwayoyin Tsarin Hoto da Tsarin Hoto da Cibiyar Nazarin Kwayoyin Kwalejin Kwalejin Kwanan Amirka. J Am Coll Cardiol 2011; 57: 1126.
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