Adenosine Stress Test a wɔde sua mogya a ɛkɔ koma no mu ho ade! Nsuro, momma yɛnkasa.

Ebia woresusuw nea Adenosine Adwennwen Sɔhwɛ no yɛ ho. Ebia oduruyɛfo bi mpo aka akyerɛ wo sɛ yɛ nhwehwɛmu yi. Wiɛ, mma ɛnhaw wo! Ɛyɛ mmerɛw yiye. Ɛnnɛ yɛbɛka sɔhwɛ yi ho asɛm, nea ɛyɛ, sɛnea wɔyɛ, ne biribiara a ɛsɛ sɛ wuhu. Sɛ yɛbɛka no tiawa a, ɛyɛ sɔhwɛ a ɛkyerɛ sɛnea wo koma renya mogya yiye.

Dɛn nti na wɔreyɛ adenosine adwennwen ho sɔhwɛ yi?

Fa no sɛ, sɛ woyɛ nnam, te sɛ bere a woreyɛ apɔw-mu-teɛteɛ no, wo koma hia mogya pii sen bere a woregye w’ahome no. Nnuruyɛfo nam adenosine adwennwen nhwehwɛmu yi so hwɛ sɛ ebia wo koma renya mogya a ɛdɔɔso wɔ bere a woreyɛ adwuma ne bere a woregye w’ahome nyinaa mu anaa. Eyi nti, wɔde aduru bi a wɔfrɛ no adenosine kakraa bi gu nipadua mu. Afei, mogya ntini (ntini) a ɛwɔ wo koma mu no yɛ n’ade sɛnea na ɛte bere a woreyɛ apɔw-mu-teɛteɛ no pɛpɛɛpɛ.

Saa nhwehwɛmu yi boa oduruyɛfo no ma ohu nea ɛfa:

• So wo koma ntini no sɛe daa ?
• So mogya ne mframa pa a ɛdɔɔso sen fa koma no mu?
• So wowɔ ahrawa mu yare (CAD) ? Eyi ne bere a mogya a ɛkɔ koma ntini no mu no so tew.

Hena na ɔtaa yɛ sɔhwɛ yi?

Ɛnyɛ obiara na obehia sɔhwɛ yi. Ebia oduruyɛfo bi bɛka akyerɛ wo sɛ wobɛyɛ adenosine adwennwen ho nhwehwɛmu esiane nneɛma a edidi so yi nti:

• Sɛ wuntumi nyɛ apɔw-mu-teɛteɛ a ɛho hia ma adwennwen sɔhwɛ a wɔyɛ no daa, te sɛ nantew a wode nantew wɔ afiri a wɔde tu mmirika so a.
• Sɛ wuntumi mma wo koma bɔ nkɔ soro sɛnea ɛsɛ ɛmfa ho sɛ woteɛteɛ w’apɔw mu no a.
• Sɛ worenom nnuru bi te sɛ beta-blockers a .
• Sɛ wode ventricular pacemaker ahyɛ wo mu a .
• Sɛ wowɔ tebea bi a wɔfrɛ no left bundle branch block a .

Ɔkwan bɛn so na adenosine adwennwen ho sɔhwɛ no yɛ adwuma?

Ɛyɛ mmerɛw yiye. Wɔ adenosine adwennwen sɔhwɛ mu no, oduruyɛfo bi ma wo aduru adenosine no kakraa bi. Eyi ma wo koma ntini a ɛyɛ mogya ntini atitiriw a ɛde mogya kɔ wo koma mu no bue (trɛw), sɛnea ɛte bere a woteɛteɛ w’apɔw mu no ara pɛ. Eyi ma mogya a ɛkɔ wo koma mu no yɛ kɛse. Eyi ne sɛnea apɔw-mu-teɛteɛ yɛ adwuma ma nnipa a wontumi ntu mmirika wɔ treadmill so.

Afei, bere a woregye w’ahome na bere a wama wo aduru adenosine no awie no, oduruyɛfo bi de aduru a ɛma wohu nneɛma a ɛne ne ho bɔ abira anaasɛ radioactive marker kakraa bi bɛhyɛ wo ntini biako mu. Aduru ko a wɔde bedi dwuma no begyina scan ko a wɔreyɛ no so. Wɔde mfoninitwa afiri titiriw bi di dwuma de twa ade no ho mfonini bere a ɛfa wo mogya ntini mu kɔ wo koma ntini mu no.

Ɛtɔ mmere bi a, saa scanner yi betumi ayɛ Magnetic Resonance Imaging (MRI) scanner, anaasɛ kɔmputa so tomography (CT) scanner titiriw bi. Eyi ma wonya koma no ho mfonini wɔ kɔmputa so, na afei oduruyɛfo no betumi de ayɛ nhwehwɛmu ahu.

Fa no sɛ, eyi te sɛ nea wode mfoninitwa afiri ahyɛ koma no mu na woahwɛ, nanso ɛnte saa ankasa, wɔde scanning mfiridwuma titiriw na ɛtwa saa mfonini ahorow yi.

Wɔ sɔhwɛ yi mu no, oduruyɛfo bi twa nea edidi so yi mfonini:

• Wo koma kɛse ne sɛnea ɛyɛ adwuma .
• Ɔkwan a mogya fa so fa wo koma mu bere a ɛregye n'ahome no .
• Ɔkwan a mogya fa so fa wo koma mu bere a ɛwɔ adwennwen mu no .

Ɔkwan bɛn so na ɛsɛ sɛ yesiesie yɛn ho ansa na sɔhwɛ no aba?

Eyi ho hia paa. Ɛho hia sɛ woka nnuru a wonom nyinaa (a nnuru a wɔtɔn, nhabannuru a wɔde ma, ne nnuru afoforo ka ho) ne ayaresa tebea biara a wowɔ ho asɛm kyerɛ wo duruyɛfo . Sɛ wowɔ tebea horow bi te sɛ ayamtu a emu yɛ den anaa koma a ɛnyɛ ne kwan so a wontumi nhwɛ so a, ɛnsɛ sɛ wɔma wo adenosine.

• Sɛ worenom theophylline ama ayamtu a, ɛsɛ sɛ wugyae nom nna abien ansa na wɔayɛ nhwehwɛmu no . Nanso, fa wo ayamtu a wɔhome no bra kɔ sɔhwɛ no mu.
• Kwati biribiara a caffeine wom nnɔnhwerew 24 ansa na woayɛ nhwehwɛmu. Nea ɛka eyi ho ne kɔfe, tii, anonne a ɛyɛ dɛ, ne chocolate. Ebia nneɛma a wɔakyerɛw so sɛ "decaffeinated" mpo da so ara wɔ caffeine kakraa bi, enti wɔnkamfo nkyerɛ.
• Afei nso, nnom nnuru a wɔtɔn a caffeine wom (e.g. Excedrin®, Anacin®, nnuru a wɔde tew wo mu duru so, NoDoz®) nnɔnhwerew 24 ansa na woayɛ nhyehyɛe .

Dɛn na ɛsɛ sɛ yɛyɛ da a yɛbɛyɛ sɔhwɛ no?

Ma eyinom ntra w’adwenem da a wobɛsɔ sɔhwɛ no:

• Mma nnidi anaa nnom biribi foforo biara gye nsu abien a wobɛnom de anom w’aduru no.
• Mma nnom sigaret .
• Fa nnuru a wonom daa nyinaa ho kyerɛwtohɔ bra . Ɛsɛ sɛ nnuru a wɔtɔn, vitamin, ne nhabannuru a wɔde ma ka eyi ho.
• Sɛ worenom nnuru a wɔde sa asikreyare a, fa saa aduru no bra.. Wubetumi afa bere a sɔhwɛ no aba awiei no. Mma nnyae aduan bere a worenom asikreyare aduru no. Saa a wobɛyɛ no betumi ama asikre dodow a ɛwɔ wo mogya mu no so atew dodo.
• Sɛ wode insulin di dwuma a , fa dodow a wo duruyɛfo ka kyerɛ wo sɛ fa no na ama asikre a ɛwɔ wo mogya mu no ayɛ kɛse. Ebia ɔbɛka akyerɛ wo sɛ fa dodow a wotaa de di dwuma no fã anɔpa na di aduan a emu nyɛ duru nnɔnhwerew anan ansa na wɔayɛ nhwehwɛmu no.
• Sɛ worenom aduru biara a wode bɛhwɛ asikre a ɛwɔ wo mogya mu so a, nnom kosi sɛ nhwehwɛmu no bɛba awiei .
• Sɛ wowɔ glucose monitor a, fa bra . Hwɛ asikre dodow a ɛwɔ wo mogya mu ansa na woayɛ nhwehwɛmu no ne bere a woawie no. Sɛ wususuw sɛ asikre a ɛwɔ wo mogya mu no sua a, ka kyerɛ nnuruyɛfo no ntɛm ara. Yɛ nhyehyɛe sɛ wubedidi na woanom asikre nnuru wɔ sɔhwɛ no akyi.
• Da a wɔbɛyɛ nhwehwɛmu no , nom koma mu aduru a wo duruyɛfo akyerɛw ama wo no nkutoo . Sɛ wowɔ nsɛmmisa bi fa nnuru a asiane biara nni ho sɛ wobɛnom da a wɔbɛyɛ nhwehwɛmu no ho a, bisa wo duruyɛfo ansa na woayɛ nhwehwɛmu no.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Sɛ wɔreyɛ adenosine adwennwen ho nhwehwɛmu a, nnuruyɛfo no bɛyɛ:

• Ansa na wobefi ase ayɛ scan no, wɔde IV nhama abien bɛhyɛ ntini bi mu wɔ wo basa mu (sɛ ɛho hia a, wɔbɛma wo nnuru ne nneɛma afoforo).
• Wɔde electrode (nneɛma nketenkete a ɛyɛ nnam) gu wo moma so . Wɔde eyinom di dwuma de hwɛ wo koma denam electrocardiogram (EKG) so.
• Wɔde mogya mmoroso afiri bɛhyɛ wo basa so. Eyi bɛma woasusuw wo mogya mmoroso.
• Wɔbɛhwɛ wo koma bɔ, EKG, ne wo mogya mmoroso wɔ nhwehwɛmu no nyinaa mu.
• Wɔbɛka akyerɛ wo sɛ tra scanner no mu dinn . Eyi betumi agye simma 45.
• Wɔbɛka akyerɛ wo sɛ kura wo home mu kakra bere a scanner no retwa wo koma mfonini no.
• Ansa na wobɛfa IV no so de aduru no ama wo no, wɔbɛkyerɛkyerɛ nea ebetumi afi aduru no mu aba no mu .

Bere tenten ahe na sɔhwɛ no gye?

Scan no nkutoo betumi agye bɛyɛ simma 45 , nanso bere a wɔahyɛ no nyinaa betumi agye bɛyɛ nnɔnhwerew abien.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Sɛ wɔyɛ adenosine adwennwen ho sɔhwɛ no wie a, nnuruyɛfo no bɛtwɛn kakra ahwɛ sɛ ebia wowɔ ɔhaw bi anaa. Sɛ wo ho ye a, wubetumi akɔ fie wɔ simma kakraa bi mu.

Dɛn ne sɔhwɛ yi mu nsunsuanso bɔne?

Adenosine tra wo nipadua mu bere tiaa bi pɛ, bɛyɛ simma anum. Sikɔne du akyi no, aduru no fã fi hɔ. Ɛno nti na nnipa pii nya ɔhaw ahorow, nanso ɛkɔ wɔ sikɔne kakraa bi mu bere a wɔagyae aduru no.

Nnipa a wɔyɛ adenosine adwennwen sɔhwɛ no mu bɛyɛ 80% nya nsunsuanso nketenkete.Nea ɛtaa ba ne:

• Sɛ wote nka sɛ wo ho yɛ hyew na wo ho ayɛ fĩ (wɔhohoro wo ho) .
• Koko mu yaw .
• Ahome a ɛyɛ tiaa .

Ɛtɔ da bi a, nsunsuanso bɔne te sɛ eyinom betumi aba:

• Koma a wɔde siw ano .
• Bronchospasm (ɔhome a ɛyɛ den).

Sɛ wowɔ adenosine adwennwen ho sɔhwɛ no mu nsunsuanso bɔne a, ebia wo duruyɛfo bɛma wo caffeine de asa. Ebia ɛho behia nso sɛ nnipa binom nom aduru bi a wɔfrɛ no aminophylline .

Nea afi mu aba no te dɛn? Dɛn na wɔka kyerɛ yɛn?

Oduruyɛfo a ɔhwɛ wo nhwehwɛmu no mu aba no de wo bɛto kuw a asiane nnim, asiane kɛse, anaa asiane kɛse wom mu . Wɔrehwɛ sɛnea ɛbɛyɛ yiye sɛ wubenya komayare esiane oxygen a wunni nti, anaasɛ sɛ ebia mogya a ɛnkɔ koma no mu yiye na ɛde wo sɛnkyerɛnne ahorow no ba anaa.

Ebia oduruyɛfo bi bɛka sɛ wo koma no mmeae bi nnya mogya a ɛdɔɔso . Ɛno kyerɛ sɛ saa mmeae no nnya mframa pa a ɛdɔɔso. Ebia ebehia sɛ wɔhwɛ saa mmeae no kɔ akyiri.

Sɛ wo mogya no ye na wowɔ kuw a asiane nnim mu a, ebia nnuru te sɛ beta-blockers anaa calcium channel blockers nkutoo na wubehia . Nnuru a ekum mogya a ɛtwetwe mogya ne statin a ɛtew mogya mu srade so nso boa ma koma ne ntini mu asiane ba.

Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?

Egye nna kakraa bi ansa na oduruyɛfo atumi ahwɛ nhwehwɛmu no mu aba awie. Sɛ wo duruyɛfo nya nea efi mu ba no a, ɔbɛfrɛ wo na waka ho asɛm akyerɛ wo.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na ɛsɛ sɛ woyɛ akyi?

Ebia wo duruyɛfo bɛpɛ sɛ ɔyɛ nhwehwɛmu pii de hwehwɛ mmeae a mogya nkɔ yiye. Nhwehwɛmu bi a wɔfrɛ no coronary angiography betumi aboa wɔn ma wɔahu nea ɛde ɔhaw no ba ankasa. Sɛ wo koma mu ntini biako asiw a, ebia ɛho behia sɛ wɔde stent si ntini no mu anaasɛ wɔyɛ wo oprehyɛn a wɔde siw wo koma ntini mu (CABG) .

Bere bɛn na ɛsɛ sɛ me ne me duruyɛfo di nkitaho?

Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn wɔ nsɛm yi mu:

• Sɛ wunnim nea wobɛyɛ akyi wɔ Adenosine Stress Test no akyi a.
• Sɛ woante sɔhwɛ no mu aba wɔ dapɛn biako mu a ...

Dɛn nti na wɔde adenosine di dwuma wɔ adwennwen ho sɔhwɛ ahorow mu?

Sɛ yɛbɛka no tiawa a, adenosine ma wo koma ntini no bue (trɛw) kɛse, te sɛ bere a woteɛteɛ w’apɔw mu no ara pɛ. Eyi ma mogya pii kɔ wo koma ntini mu. Saa aduru yi betumi ama mogya a ɛkɔ wo koma mu no ayɛ kɛse sen mogya a enya bere a woagye w’ahome no mmɔho abiɛsa kosi anum .

So Adenosine Adwennwen Sɔhwɛ no yɛ nea asiane biara nni ho?

Yiw, adenosine adwennwen sɔhwɛ no taa yɛ nea asiane biara nni ho . Ɛwɔ nsunsuanso nketenkete kakraa bi, na ɛkɔ ntɛmntɛm. Nhwehwɛmufo ada ahobammɔ a ɛwɔ adenosine a wɔde bedi dwuma de ayɛ adwennwen ho sɔhwɛ adi wɔ nhwehwɛmu ahorow a nnipa bɛyɛ 15,000 na wɔyɛe mu.

Ɔkwan bɛn so na adenosine ka wo koma bɔ?

Adenosine betumi ama wo koma bɔ brɛoo anaasɛ akɔ soro . Ebia wo mogya mmoroso nso bɛkɔ fam kakra.

Nsonsonoe bɛn na ɛwɔ Lexiscan® ne Adenosine Adwennwen Sɔhwɛ no ntam?

Lexiscan® (regadenoson) ne adenosine nyinaa yɛ nnuru a ebue (trɛw) wo mogya ntini mu. Regadenoson (sɛnea Lexiscan frɛ no) ne aduru a nnuruyɛfo taa de yɛ adwennwen ho nhwehwɛmu sen aduru foforo biara. Regadenoson gye sikani 10 pɛ na wɔde ahyɛ mu. Adenosine gye bɛyɛ simma anum.

Nhwehwɛmu ahorow ada no adi sɛ nkurɔfo tumi gyina regadenoson ano yiye sen adenosine na enni nsunsuanso bɔne kakraa bi. Nnipa a wɔnom regadenoson bɔ amanneɛ sɛ ɛde nsunsuanso bɔne kakraa bi na ɛba, te sɛ ho a ɛyɛ kurukuruwa ne koko mu yaw, nanso ɛda adi sɛ wɔn ti yɛ wɔn yaw na wɔn ho yɛ wɔn yaw.

Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa na woasi aduru a eye ma wo ho gyinae.

Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ yɛkae

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra wɔ sɔhwɛ bi a ɛhwɛ sɛnea wo koma reyɛ adwuma yiye no ho. Koma yɛ akwaa a ɛho hia paa wɔ yɛn nipadua mu. Nanso wubetumi de wo ho ato eyi so: Sɛ wo duruyɛfo hu ɔhaw bi wɔ wo koma mu a, ɔbɛyɛ nhyehyɛe a eye sen biara a ɛbɛboa wo. Nsuro sɛ wubebisa nsɛm afa biribiara a emu nna hɔ mma wo ho. Bisa wo duruyɛfo anaa nnuruyɛfo no. Afei wubetumi adi sɔhwɛ yi ho suro a wowɔ no so nkonim.

` Adenosine Adwennwen Sɔhwɛ, Koma mu Nhwehwɛmu, Coronary Artery Disease, Koma Akwahosan, Mogya a Ɛkyinkyin, Aduruyɛ mu Nhwehwɛmu, CAD