So wobɛpɛ sɛ wuhu pii fa Dobutamine Stress Echocardiogram no ho? Momma yɛnkasa!

Ebia oduruyɛfo bi aka akyerɛ wo nso sɛ yɛ nhwehwɛmu yi a wɔfrɛ no `(Dobutamine Stress Echocardiogram)`. Anaasɛ ebia woate ho asɛm wɔ baabi. Ebia wowɔ nsɛmmisa pii fa nea sɔhwɛ yi yɛ, nea enti a wɔyɛ, ne sɛnea ɛyɛ adwuma no ho. Mma ɛnhaw wo, momma yɛnka ho asɛm tiawa koraa. Eyi yɛ sɔhwɛ a ɛboa wo ma wunya nsɛm a ɛsom bo a ɛfa wo koma akwahosan ho.

Dɛn ne dobutamine adwennwen echo sɔhwɛ yi?

Sɛ yɛbɛka no tiawa a, eyi yɛ sɔhwɛ a ɛhwɛ sɛnea wo koma yɛ adwuma wɔ adwennwen mu . Susuw ho hwɛ, sɛ yɛteɛteɛ yɛn apɔw mu a, yɛn koma bɔ ntɛmntɛm, na ɛno ne nea yɛrebɔ mmɔden sɛ yɛbɛyɛ wɔ ha, na yɛde afiri ayɛ saa tebea no.

Eyi de biribi a wɔfrɛ no ``Echocardiogram'' di dwuma. Ɛne sɛ, ``Ultrasound'' sɔhwɛ a ɛfa koma no ho. Ɛte sɛ akokoaa a ɔwɔ awotwaa mu ho mfonini, na etumi hwɛ sɛnea koma no keka ne sɛnea ɛte.

Mpɛn pii no, sɛ woreyɛ adwennwen ho nhwehwɛmu a, wɔka kyerɛ wo sɛ fa mmirikatu a wɔde tu mmirika anaasɛ fa sakre so na ama wo koma abɔ kɛse. Nanso wɔ saa ``Dobutamine Stress Echocardiogram`` yi mu no, wɔmmisa wo sɛ yɛ saa. Mmom , wɔma wo aduru bi a wɔfrɛ no ``Dobutamine.`` Saa aduru yi kanyan wo koma te sɛ nea woreyɛ apɔw-mu-teɛteɛ. Afei, nnuruyɛfo no betumi ahu sɛnea wo koma yɛ n’ade wɔ adwennwen a ɛte sɛɛ ho.

Nea yebetumi ahu afi sɔhwɛ yi mu ne sɛ:

• So ɔhaw bi wɔ wo koma ntini anaa wo ntini mu ?
• Sɛ́ ebia mogya a ɛkɔ koma ntini no mu no dɔɔso anaasɛ ɛnnɔɔso .
• So wo koma tumi gyina hɔ ma anyinam ahoɔden bere a woregye w’ahome ne bere a wode adesoa ahyɛ wo so nyinaa?

Bere bɛn na wɔbɛyɛ sɔhwɛ yi?

Ɛnyɛ obiara na obetumi atu mmirika wɔ treadmill so anaasɛ ɔbɛtra sakre so. Ebia nnipa binom benya ɔhaw ahorow te sɛ nkwaa mu yaw anaasɛ ɛyɛ den sɛ wɔbɛhome. Ɛno nti na nnuruyɛfo de saa `(Dobutamine)` aduru yi yɛ adwennwen sɔhwɛ no.

Nneɛma pii nti na ɛsɛ sɛ woyɛ sɔhwɛ yi:

• Hwɛ dwumadi dodow a wo koma betumi adi ho dwuma .
• Hwɛ asiane a ɛwɔ hɔ sɛ wubenya ahrawa mu ntini mu yare .
• Hwehwɛ sɛnea koma mu ntini mu yare mu yɛ den .
• Hwɛ sɛnea wo koma yɛ adwuma ansa na wɔayɛ wo koma oprehyɛn .
• Hwɛ sɛ ebia wo komayare a woreyɛ mprempren no tu mpɔn anaa .

Hena na ɔreyɛ sɔhwɛ yi?

Wɔyɛ sɔhwɛ yi wɔ oduruyɛfo bi hwɛ ase. Wo Dobutamine Stress Echocardiogram no yɛ nea Cardiac Sonographer, mfiridwumayɛfo bi a wanya ntetee titiriw wɔ komayare ho . Ɔbɛkyerɛkyerɛ mu akɔ akyiri akyerɛ wo na wayɛ sɔhwɛ no yiye.

Ɔkwan bɛn so na wɔyɛ dobutamine adwennwen echo sɔhwɛ yi?

Okay, afei ma yɛnhwɛ nea ɛba bere a woyɛ sɔhwɛ yi. Biribiara nni hɔ a ɛsɛ sɛ wosuro, wɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo.

• Electrode a wɔde besisi hɔ: Nea edi kan no, ɔyarehwɛfo anaa mfiridwumayɛfo bi de sticker nketewa a ɛyɛ tratraa a wɔfrɛ no electrodes bɛhyɛ mmeae bɛyɛ 10 wɔ wo moma so. Wɔde eyinom bata electrocardiogram (EKG) monitor ho. Eyi susuw anyinam ahoɔden a ɛwɔ wo koma mu wɔ sɔhwɛ no nyinaa mu.
• Ahomegye ECG ne Echocardiogram: Ansa na wɔbɛma wo aduru Dobutamine no, wɔbɛdan wo benkum so wɔ mpa so. Afei, mfiridwumayɛfo no de afiri ketewaa bi (a wɔfrɛ no transducer) bɛto wo moma so na wahwɛ sɛnea wo koma bɔ. Wɔfrɛ eyi sɛ ahomegye mu echocardiogram. Wɔtwa wo koma mfonini wɔ sɔhwɛ no nyinaa mu.
• Nkyene nhama a wode bɛhyɛ wo nsa mu (IV line): Afei, wɔde afiri ketewaa bi (a wɔde fa ntini mu / IV line) bɛhyɛ ntini bi mu wɔ wo basa mu. Ɛha na wɔde aduru (Dobutamine) no bɛhyɛ wo nipadua mu. Ebia wobɛte nka sɛ wo ho ayɛ wo hyew ketewaa bi wɔ saa bere yi mu.
• Dobutamine a wɔde twitwiw nipadua no mu: Eyi ne bere a wɔde dobutamine no bɛma nkakrankakra denam IV no so. Mfiridwumayɛfo no bɛkɔ so de transducer no ahyɛ wo moma so na watwa mfonini. Bere a wɔde aduru no regu mu no, wo koma befi ase ayɛ te sɛ nea ɛreteɛteɛ w’apɔw mu. Wo koma bɔ bɛkɔ soro. Ebia ɛbɛyɛ te sɛ nea wo koma rebɔ ntɛmntɛm sen sɛnea wotaa yɛ no. Ebia wobɛte nka sɛ wo ho ayɛ wo hyew kakra, w’anim betumi ayɛ kɔkɔɔ, na wo ti ayɛ wo yaw kakra . Eyi yɛ ade a ɛfata.
• Nsɛnkyerɛnne a wobɛhwɛ so: Wɔ sɔhwɛ no mu no, adwumayɛfo no bebisa wo sɛnea wote nka. Sɛ wote ɛyaw anaa wo ho nyɛ wo dɛ biara wɔ wo moma so, wo nsa, anaa wo hwene mu , wo ti ayɛ wo yaw, wo home yɛ wo yaw, wo ti a ɛyɛ hare, anaa biribi foforo biara a ɛyɛ soronko a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wɔn. Wɔbɛhwɛ EKG monitor no nso. Sɛ wohu nsakrae bi a, wobegyae sɔhwɛ no.
• Sɔhwɛ no awiei: Sɛ sɔhwɛ no ba awiei a, wobeyi IV nhama no afi wo nsa so. Ɛsɛ sɛ wo koma bɔ san ba sɛnea na ɛte kan no wɔ simma 5 kosi 10 ntam.

Ade a ɛho hia sen biara ne sɛ sɛ wote nka sɛ wo ho nyɛ wo dɛ a, wobɛka akyerɛ adwumayɛfo no ntɛm ara. Eyi bɛboa wɔn ma wɔakɔ so atra hɔ dwoodwoo.

So metumi adi na anom ansa na wɔayɛ sɔhwɛ no?

Yiw, wubetumi adi nnuan ne anonne dodow no ara kosi nnɔnhwerew anan ansa na wɔayɛ sɔhwɛ no. Wobetumi anom nsu akosi sɛ wɔbɛsɔ ahwɛ.

Nanso, nnom sigaret da a wɔbɛyɛ sɔhwɛ no. Nicotine betumi aka nea efi wo ultrasound mu ba no.

Afei nso, nnom biribiara a caffeine wom, te sɛ kɔfe, tii, chocolate, cola anonne, ne ahoɔdennuru, nnɔnhwerew 24 ansa na woayɛ nhwehwɛmu.Caffeine nso betumi aka nea efi mu ba no. Nneɛma a wɔakyerɛw so sɛ "decaffeinated" (`decaffeinated` / `caffeine-free`) nso betumi ayɛ caffeine kakraa bi, enti ɛnyɛ papa nso.

So ɛsɛ sɛ menom me nnuru ansa na wɔayɛ nhwehwɛmu no?

Eyi yɛ biribi a ɛsɛ sɛ wo ne wo duruyɛfo hwehwɛ mu na ama woahu sɛ ɛyɛ nokware. Ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae koma mu nnuru bi a wobɛnom da a wɔbɛyɛ nhwehwɛmu no anaa nnɔnhwerew 24 ansa na wɔayɛ saa.

Ɛtɔ da bi a, sɛ worenom nnuru a wɔde sa wo koko mu yaw a, ebia wɔbɛka akyerɛ wo sɛ kɔ so nom. Fa wo nnuru nyinaa bra sɔhwɛ no ase. Nea ɛho hia sen biara ne sɛ worennyae w’aduru nom da a wo ne wo duruyɛfo nkasa.

Nnuru a wɔtaa ka sɛ wonnyae ne:

• Beta-blockers: Nhwɛso ahorow bi ne (Atenolol / Tenormin®), (Carvedilol / Coreg®), (Metoprolol / Lopressor®, Toprol®), ne (Propranolol / Inderal®).
• Isosorbide dinitrate: Nhwɛso ahorow: Dilatrate®, Isordil®, Sorbitrate®.
• Isosorbide mononitrate: Nhwɛso ahorow: Ismo®, Imdur®, Monoket®.
• Nitroglycerin: Nhwɛso ahorow bi ne Minitran®, Nitropatches®, ne Nitrostat®.

Afei nso, nnom nnuru biara a wɔtɔn a caffeine wom (sɛ nhwɛso no, nnuru a wɔde tew wo mu duru so, `(NoDoz®)`, `(Excedrin®)`, `(Anacin®)`) nnɔnhwerew 24 ansa na woayɛ nhwehwɛmu. Sɛ wunnim nnuru a caffeine wom a, bisa wo duruyɛfo anaa nnuruyɛfo.

Sɛ wowɔ nsɛmmisa bi fa w’aduru ho a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa.

Sɛ mewɔ asikreyare a, ɛsɛ sɛ menom nnuru?

Sɛ wowɔ asikreyare a, ɛsɛ sɛ woka ho asɛm nso kyerɛ wo duruyɛfo. Ɔbɛka akyerɛ wo sɛ ebia ɛsɛ sɛ wotew nnuru dodow a wonom ansa na woayɛ nhwehwɛmu no so anaasɛ wobɛnom wɔ sɔhwɛ no akyi. Nhwɛsoɔ:

• Sɛ wofa insulin de hwɛ wo mogya mu asikre so a: Ebia wo duruyɛfo bɛka akyerɛ wo sɛ fa wo anɔpa dodow no fã na di aduan a emu nyɛ duru nnɔnhwerew anan ansa na wɔayɛ nhwehwɛmu no. Mma nnhuw aduan bi so da bere a worenom asikreyare aduru no.
• Sɛ wonom nnuru a wɔde hyɛ wo mogya mu asikre so a: Oduruyɛfo no bɛka akyerɛ wo sɛ nom aduru no bere a wɔayɛ nhwehwɛmu no awie no.
• Sɛ wowɔ glucose monitor a: Fa kɔ sɔhwɛ no mu. Ɛho behia sɛ wohwɛ asikre dodow a ɛwɔ wo mogya mu ansa na woayɛ nhwehwɛmu no ne bere a woawie no. Sɛ wote nka sɛ asikre a ɛwɔ wo mogya mu no so atew a, ka kyerɛ obi a ɔwɔ aduruyɛdan mu ntɛm ara. Sɛ woyɛ nhwehwɛmu wie a, ɛsɛ sɛ wudi na wonom wo asikreyare aduru no.

Ntade bɛn na ɛsɛ sɛ mehyɛ?

Wubetumi ahyɛ nea wopɛ biara. Ansa na wobɛyɛ sɔhwɛ no, ɛho behia sɛ wohyɛ ayaresabea atade. Mfa nneɛma a ɛsom bo te sɛ agude mmra da a wɔbɛyɛ sɔhwɛ no. Wɔbɛma wo locker a wode wo nneɛma besie.

So nneɛma bɔne bi wɔ dobutamine mu? Asiane bɛn na ɛwɔ mu?

Ebia wo ti bɛyɛ wo yaw kakra bere a wonom Dobutamine no. Ade foforo a ɛtaa ba ne mogya mmoroso a ɛso tew kakra. Nnipa binom nso betumi anya koma a ɛnyɛ pɛpɛɛpɛ anaasɛ koma bɔ ntɛmntɛm wɔ ɔkwan a ɛnteɛ so (Atrial Fibrillation anaa Ventricular Tachycardia). Ɛho hia sɛ wo ne wo duruyɛfo kasa kyerɛ sɛ ebia wowɔ asiane mu sɛ wubenya saa nsunsuanso bɔne yi anaa.

Ɛtɔ da bi a wɔde ``Contrast Dye`` (nsuo a ɛboa ma mfonini a emu da hɔ) di dwuma wɔ sɔhwɛ yi mu. Sɛ eyi ba a, asiane ketewaa bi wɔ hɔ sɛ obi ho bɛtɔ no wɔ ho. Sɛ woanya allergic reaction wɔ ``Contrast Dye`` ho pɛn a, ka kyerɛ w'aduruyɛ kuw no.

Wɔ nnipa a wɔwɔ angina (koko mu yaw) fam no, asiane kakraa bi pɛ na ɛwɔ hɔ sɛ wobenya komayare wɔ nhwehwɛmu yi mu. Sɛ eyi ba a, nnuruyɛfo kuw no de ayaresa a ɛho hia a egye ntɛmpɛ bɛma.

Na sɛ mewɔ afiri a ɛma me koma bɔ kɛse anaasɛ mede fibrillator nso ɛ?

Sɛ wowɔ pacemaker anaa defibrillator a, ɛho behia sɛ wo duruyɛfo no hwɛ mu ansa na wɔayɛ nhwehwɛmu yi. Enti, frɛ wo duruyɛfo na ma wɔnhu.

Bere tenten ahe na sɔhwɛ yi gye?

Nhyiam no nyinaa gye bɛyɛ dɔnhwerew biako . IV no tenten bɛyɛ simma 15 pɛ.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Sɛ wowie sɔhwɛ no a, anyɛ yiye koraa no, ɛho behia sɛ wotra dan a wɔma wo ho tɔ wo no mu simma 30 , anaasɛ kosi sɛ sɛnkyerɛnne biara a ebia woanya (te sɛ koma a ɛbɔ kɛse) bɛsan ayɛ sɛnea na ɛte kan no.

So metumi aka kar no wɔ sɔhwɛ no akyi?

Dobutamine betumi ama mogya mmoroso akɔ fam kakra. Enti, ɛbɛyɛ papa sɛ wobɛma obi de wo kar akɔ fie bere a woahyɛ wo bere awie no. Ɛnyɛ adwene pa sɛ wo nkutoo wobɛka kar.

Dɛn na nea efii sɔhwɛ yi mu bae no ka?

Nneɛma ahorow abiɛsa na ebetumi afi dobutamine stress echo sɔhwɛ mu aba:

• Nea eye anaa nea ɛnteɛ: Nea afi mu aba yi kyerɛ sɛ wo koma nnya mogya a ɛdɔɔso. Eyi betumi ayɛ ahrawa mu ntini mu yare ho sɛnkyerɛnne. Ebetumi nso ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ wo koma ntini asɛe, wo ho nyɛ den, anaasɛ wo mprempren ayaresa no ntumi nyɛ adwuma. Sɛ wunya nea efi mu ba te sɛ eyi a, ebia wubehia sɔhwɛ pii. Wo duruyɛfo no ne wo bɛkasa afa nea ɛsɛ sɛ woyɛ akyi.
• ``Negative or normal``: Wei kyerɛ sɛ wo koma reyɛ ho biribi sɛnea ɛsɛ bere a ɛwɔ adwennwen mu no. Ɛkyerɛ sɛ ɔhaw biara nni hɔ.
• Nea enni awiei / Nea ɛyɛ adwenem naayɛ:Oduruyɛfo no ntumi mfi nea afi mu ba yi mu nhu yare no yiye. Ebia ɛho behia sɛ wɔyɛ sɔhwɛ afoforo.

Dobutamine adwennwen ho sɔhwɛ no yɛ pɛpɛɛpɛ dɛn?

Stress echocardiography betumi ayɛ sɔhwɛ a edi mu yiye. Wɔ nhwehwɛmu bi a wɔyɛe wɔ nnipa 5,131 mu no, na ɛboro 95% pɛpɛɛpɛ wɔ komayare a wɔhyɛɛ ho nkɔm no mu. Nanso, ɛtɔ mmere bi a ebetumi ama wɔanya atoro a ɛyɛ papa anaa atoro a ɛnyɛ papa. Ɛho hia sɛ wo ne komayare ho oduruyɛfo kasa na ogyina wo sɛnkyerɛnne ahorow so si nhwehwɛmu a eye ma wo ho gyinae.

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

Sɛ komayare ho oduruyɛfo hwɛ wo nhwehwɛmu no mu aba wie a, ɔde bɛhyɛ wo Electronic Medical Record (EMR) mu. Afei wo duruyɛfo no bɛhwɛ nea afi mu aba no mu na ɔne wo akasa. Sɛ woante obiara nka wɔ dapɛn biako mu wɔ wo nhwehwɛmu no akyi a, frɛ wo duruyɛfo na bisa ho nsɛm.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Dobutamine stress echocardiogram yɛ ɔkwan a ɛyɛ pɛpɛɛpɛ yiye a nnuruyɛfo fa so hu sɛnea wo koma yɛ n’ade wɔ adwennwen ho. Saa sɔhwɛ yi betumi aboa ma woabua nsɛmmisa a ɛfa wo koma mu sɛnkyerɛnne ahorow ho anaasɛ wobɛhwɛ sɛ w’ayaresa nhyehyɛe no reyɛ adwuma yiye anaa. Eyi yɛ anammɔn a ɛho hia a wode bɛboa w’aduruyɛfo kuw no ma wɔahwɛ wo koma akwahosan so.

Ɛwom sɛ ebia wobɛte nka sɛ wo ho ayɛ wo hyew kakra bere a wode IV no ahyɛ mu de, nanso sɛ ɛnte saa a, sɔhwɛ no nyɛ yaw. Sɛ wowɔ nsɛmmisa anaa dadwen bi wɔ dobutamine stress echo test no ho a, wo ne wo duruyɛfo nkasa. Wɔbɛtumi aboa wo.

` Dobutamine Adwennwen Echo, Koma mu Nhwehwɛmu, Echocardiogram, Koma Yare, Koma Dwumadi, Dobutamine, Koma Akwahosan