Muaj dab tsi tshwm sim hauv koj lub siab? Cia peb nrhiav seb puas muaj dab tsi tshwm sim los ntawm kev siv Cardiac Imaging.

Koj puas tau xav paub tias muaj dab tsi tshwm sim hauv peb lub siab? Qee zaum cov kws kho mob yuav tsum pom qhov xwm txheej ntawm koj lub siab kom meej meej. Hnub no peb yuav tham txog qee txoj kev tshwj xeeb uas siv rau hauv cov xwm txheej zoo li no. Qhov no yog qhov peb hu ua '(Cardiac Imaging)' lossis kev thaij duab plawv. Tsis txhob txhawj, qhov no tsis yog teeb meem loj, cia peb piav qhia ib qho zuj zus.

Kev thaij duab plawv yog dab tsi?

Hais yooj yim xwb, kev thaij duab plawv yog ib qho txheej txheem uas thaij duab ntawm koj lub plawv thiab tej yam nyob ib puag ncig nws. Nws zoo li kev thaij duab, tab sis nws txawv me ntsis. Nws pab cov kws kho mob pom tias koj lub plawv puas noj qab nyob zoo lossis puas muaj teeb meem. Ib txhia neeg kuj hu nws ua kev thaij duab plawv, tab sis lub ntsiab lus zoo ib yam.

Cov txheej txheem tseem ceeb ntawm kev thaij duab plawv yog dab tsi?

Muaj ntau txoj kev siv los kuaj lub plawv. Nyob ntawm tus neeg mob, tus kws kho mob yuav txiav txim siab seb yuav siv txoj kev twg. Cia peb saib cov txoj kev tseem ceeb:

• Echocardiogram - peb hu nws luv luv tias "Echo": Muaj ntau tus neeg tau hnov ​​​​txog qhov no.
• Kev ntsuas lub plawv (CT) scan: Qhov no kuj yog ib hom kev ntsuas.
• Kev ntsuam xyuas kev ntxhov siab ntawm lub plawv nuclear: Qhov no siv me ntsis cov khoom siv radioactive.
• Kev thaij duab xoo hluav taws xob ib zaug xwb (SPECT): Qhov no kuj yog ib hom kev sim nuclear uas tau hais los saum toj no.
• Kev kuaj mob plawv positron emission tomography (PET): Qhov no kuj yog lwm qhov kev sim nuclear.
• Kev kuaj mob plawv (coronary angiogram) los yog kev kuaj lub plawv sab laug ("heart catheterization"): Qhov no saib cov hlab ntsha uas mus rau lub plawv.
• MRI ntawm lub plawv: Qhov no yog kev luam theej MRI, tab sis ib qho uas tshwj xeeb rau lub plawv.
• Kev luam theej duab ntau qhov (MUGA): Qhov no kuj kuaj xyuas kev ua haujlwm ntawm lub plawv.

Qee zaum, cov kws kho mob yuav ua ob lossis peb qho kev kuaj no ua ke. Piv txwv li, kev kuaj CT thiab kev kuaj mob plawv, lossis kev kuaj PET thiab CT scan, yuav ua ua ke kom nkag siab zoo dua txog qhov mob ntawm koj lub plawv.

Thaum twg tus kws kho mob thiaj li pom zoo kom kuaj lub plawv?

Cov kws kho mob siv cov kev kuaj no rau ob peb qho laj thawj. Cia peb saib seb lawv yog dab tsi:

• Kuaj xyuas seb puas muaj mob plawv ua ntej muaj mob plawv tshwm sim.
• Tshawb nrhiav seb koj muaj mob plawv dab tsi lawm.
• Yog tias ib tug neeg muaj mob plawv nres, saib seb lub plawv puas raug mob npaum li cas.
• Muaj ib txhia neeg muaj cov tsos mob xws li mob hauv siab thiab ua pa nyuaj. Nrhiav seb yog vim li cas ho mob .
• Thaum kho mob plawv, cov no kuj siv los saib xyuas seb qhov kev kho mob puas pab tau rau lub plawv lossis tsis.

Xav txog koj tsuas yog mob hauv siab me ntsis xwb. Yog tias tus kws kho mob xav tias nws yog ib yam dab tsi cuam tshuam nrog lub plawv, nws tuaj yeem ua qhov kev kuaj mob zoo li no.

Cov kev kuaj no yuav paub tau cov kab mob plawv twg?

Cov txheej txheem thaij duab plawv no tuaj yeem pab kuaj mob thiab tswj hwm ntau yam mob plawv, suav nrog:

• Arrhythmia: Qhov no txhais tau tias lub plawv dhia tsis xwm yeem.
• Kab mob plawv (Coronary artery): Kev thaiv cov hlab ntsha uas muab ntshav mus rau lub plawv.
• Kab mob plawv nres: Qhov no yog kab mob plawv hu ua.
• Lub plawv tsis ua haujlwm: Lub plawv tsis muaj zog thiab tsis muaj peev xwm tso ntshav txaus rau lub cev.
• Cov mob plawv rau menyuam yaus thiab cov mob plawv uas yug los: Piv txwv li, qee qhov kev hloov pauv hauv cov qauv ntawm lub plawv.
• Kab mob ntawm lub plawv: Kab mob ntawm cov hlab ntsha hauv lub plawv.
• Kab mob Pericardial: Cov kab mob ntawm daim nyias nyias uas nyob ib puag ncig lub plawv.

Tam sim no cia peb tham txog qee qhov kev xeem tseem ceeb no kom ntxaws me ntsis.

Echocardiogram (Echo) yog dab tsi?

Ib qho echocardiogram siv cov suab nrov siab (suab uas peb tsis hnov) hu ua ultrasound los thaij duab lub plawv. Qhov no tuaj yeem tsim cov duab zoo li video ntawm lub plawv chav, cov qhov valve, phab ntsa, thiab cov hlab ntsha. Ib hom echo tshwj xeeb hu ua Doppler echocardiogram kuj tseem tuaj yeem ntsuas qhov ntws ntawm cov ntshav los ntawm txhua chav ntawm lub plawv.

Daim echocardiogram tuaj yeem pab ntsuas seb lub plawv nqus ntshav tau zoo npaum li cas thiab qhov hnyav ntawm kev ua tsis tau haujlwm ntawm lub plawv, yog tias muaj. Nws kuj tseem tuaj yeem nrhiav tau teeb meem nrog cov qhov plawv, kev kis kab mob, cov ntshav txhaws, lossis qhov hauv lub plawv. Cov kws kho mob plawv feem ntau siv qhov kev kuaj no vim tias nws tuaj yeem muab ntau cov ntaub ntawv yam tsis tas siv hluav taws xob.

Kev kuaj mob plawv (Cardiac Computed Tomography - Cardiac CT) yog dab tsi?

Kev siv lub computer los thaij duab lub plawv los ntawm kev thaij duab X-ray ntau zaus. Qhov no ua rau peb thaij tau cov duab ntawm ntau theem thiab ntau qhov chaw sib txawv. Cov duab no tuaj yeem pom ncaj qha lossis tsim tau ua cov duab peb-seem, ua rau peb pom lub plawv thiab thaj chaw ib puag ncig los ntawm ntau lub kaum sab xis sib txawv.

Koj tus kws kho mob yuav hais kom koj ua CT scan los nrhiav seb puas muaj cov hlab ntsha txhaws lossis muaj teeb meem hauv lub plawv. Qee zaum qhov no yuav ua tau yog tias lwm yam kev kuaj tsis muab cov ntaub ntawv txaus. Cov kws phais plawv thiab cov kws kho mob plawv (uas ua kev phais plawv siv cov raj me me) siv qhov no los tsim daim ntawv qhia ntawm koj lub plawv los pab koj txiav txim siab seb koj puas yog tus neeg zoo rau kev phais lossis lwm yam kev kho mob.

Kev ntsuam xyuas kev ntxhov siab ntawm lub plawv los ntawm nuclear yog dab tsi?

Qhov no siv cov tshuaj radioactive hu ua "tracer" los saib cov ntshav ntws hauv thiab ib puag ncig koj lub plawv. Koj tus kws kho mob txhaj cov "tracer" no rau hauv cov hlab ntsha hauv koj lub cev, thiab tom qab ntawd siv lub koob yees duab tshwj xeeb los thaij duab ntawm koj lub plawv. Qhov kev kuaj no ua ib zaug thaum koj so thiab ua dua tom qab koj ua si (piv txwv li, los ntawm kev khiav ntawm lub treadmill).

Qhov kev kuaj no kuj hu ua "Myocardial perfusion imaging (MPI)".

Kuj tseem muaj hom kev ntsuam xyuas kev ntxhov siab ntawm lub plawv nuclear:

• Kev ntsuas PET (positron emission tomography) ntawm lub plawv
• Kev Tshawb Fawb Txog Lub Plawv - kev siv tshuab xoo hluav taws xob ib zaug xwb

Kev kuaj mob plawv PET yog dab tsi?

Kev ntsuas PET kuj yog kev kuaj duab nuclear, raws li tau hais los saum toj no. Nws kuj siv cov tshuaj radioactive tracer. Cov tshuaj tracer no raug nqus mus rau hauv cov cheeb tsam mob ntawm lub plawv. Lub koob yees duab PET tuaj yeem txheeb xyuas cov cheeb tsam uas cov tshuaj tracer tau raug nqus mus.

Kev ntsuas PET ntawm lub plawv feem ntau saib xyuas kev ua haujlwm ntawm cov nqaij ntawm lub plawv. Nws tuaj yeem ntes tau kev puas tsuaj rau lub plawv, xws li cov nqaij caws pliav, tom qab muaj mob plawv nres. Nws kuj tseem siv rau kev kuaj mob plawv. Kev ntsuas PET feem ntau ua ke nrog kev ntsuas CT.

Kev kuaj lub plawv '(SPECT)' yog dab tsi?

Kev ntsuas SPECT kuj yog ib qho kev kuaj duab nuclear. Nws siv cov tshuaj radioactive tracer los saib cov ntshav ntws thiab kev ua haujlwm hauv cov nqaij ntawm lub plawv. Tus kws kho mob txhaj cov tshuaj tracer rau hauv cov leeg ntshav, thiab tom qab ntawd nws mus rau lub plawv. Lub koob yees duab SPECT tuaj yeem txheeb xyuas cov cheeb tsam uas cov tshuaj tracer tau raug nqus.

Kev kuaj mob plawv (coronary angiogram) yog dab tsi?

Kev kuaj mob plawv coronary angiogram yog kev kuaj mob X-ray tshwj xeeb uas ua thaum lub sijhawm catheterization plawv. Hauv qhov kev kuaj no, koj tus kws kho mob ntxig ib lub raj ntev, nyias (hu ua catheter) rau hauv cov hlab ntsha loj hauv koj lub qhov ncauj lossis dab teg thiab xaws nws hla koj lub plawv. Tom qab ntawd, ib qho xim tshwj xeeb raug txhaj rau hauv koj cov ntshav los ntawm lub raj. Lub tshuab X-ray thaij duab ntawm cov xim thaum nws mus ncig los ntawm cov hlab ntsha ncig koj lub plawv.Qhov kev kuaj no feem ntau yog xyuas seb cov hlab ntsha puas raug txhaws lossis raug thaiv. Xav txog nws zoo li xyuas seb puas muaj av nplaum nyob hauv cov kav dej.

MRI ntawm lub plawv yog dab tsi?

Kev kuaj MRI ntawm lub plawv siv cov nthwv dej xov tooj cua thiab cov hlau nplaum es tsis txhob siv hluav taws xob los luam theej lub plawv. Kev kuaj MRI tuaj yeem thaij duab kom ntxaws heev . Nws qhia tau meej txog cov feem ntawm lub plawv thiab qhia tau tias lawv ua haujlwm zoo npaum li cas. Nws tuaj yeem pab kuaj mob ntau yam mob los ntawm kev nrhiav kev puas tsuaj rau lub plawv, xws li cov nqaij caws pliav lossis o.

Kev luam theej MUGA yog dab tsi?

Ib daim duab MUGA saib seb lub plawv ua haujlwm li cas hauv qab (hu ua cov ventricles). Daim duab no kuj hu ua radionuclide ventriculography.

Hauv qhov kev kuaj no, tus kws kho mob txhaj tshuaj radioactive tracer rau hauv cov leeg ntshav. Lub koob yees duab tshwj xeeb ntes tau cov hluav taws xob no thiab siv nws los tsim cov duab txav ntawm lub plawv dhia. Kev ntsuas MUGA thaij duab ntawm lub plawv thaum lub sijhawm tshwj xeeb, txhua zaus nws dhia.

Qhov kev kuaj no ntsuas qhov feem pua ​​ntawm cov ntshav uas lub plawv tso tawm txhua zaus nws dhia. Cov kws kho mob tsis siv qhov kev kuaj no ntau zaus lawm, tab sis nws yog ib txoj hauv kev los ntsuas lub peev xwm ntawm lub plawv. Nws feem ntau siv los ntsuas qhov feem pua ​​ntawm cov ntshav uas tso tawm tas li thaum lub sijhawm kho mob ntev nrog cov tshuaj uas tuaj yeem ua rau muaj kev phiv rau lub plawv, xws li kev kho mob qog noj ntshav rau mob qog noj ntshav.

Peb yuav tsum npaj li cas rau qhov kev xeem zoo li no?

Koj tus kws kho mob yuav piav qhia koj yuav ua li cas npaj rau qhov kev kuaj mob tshwj xeeb uas koj tab tom ua. Cov lus qhia no yuav suav nrog cov yam xws li:

• Tsis txhob noj cov khoom noj, dej haus, thiab tshuaj uas muaj caffeine (xws li kas fes thiab tshuaj yej) thaum lub sijhawm kuaj kev ntxhov siab thiab kuaj cov hlab ntsha hauv lub plawv.
• Thaum mus kuaj lub plawv (CT) thiab lub plawv (MRI), tso koj cov hniav nyiaj hniav kub tseg hauv tsev.
• Thaum mus ua MRI lub plawv, tshem tawm cov khoom hlau xws li cov khoom pab hnov ​​​​lus (yog tias siv tau), tsom iav, thiab cov koob txuas plaub hau.
• Hnav khaub ncaws xis nyob uas tsis muaj cov khoom hlau.

Thiab, koj yuav tsum qhia rau koj cov kws kho mob txog tej yam no:

• Txog txhua yam kab mob uas koj muaj.
• Txog txhua yam tshuaj uas koj noj (txawm yog kws kho mob sau ntawv kom koj noj los xij, yuav los ntawm lub tsev muag tshuaj, cov tshuaj noj qab haus huv, lossis txawm tias cov tshuaj yog tias koj siv lawv).
• Yog tias koj muaj cov khoom siv kho mob cog rau hauv koj lub cev, xws li lub tshuab pacemakers, cov twj siv kho mob, cov koob, lossis cov pas nrig.
• Yog tias koj muaj tej daim hlau hauv koj lub cev, qhov ntawd yog nws.
• Yog li ntawd, yog tias koj cev xeeb tub.

Cov ntaub ntawv no tseem ceeb heev rau tus kws kho mob kom ua qhov kev kuaj mob kom muaj kev nyab xeeb.

Puas muaj kev pheej hmoo hauv cov kev xeem no?

Feem ntau, cov kev kuaj mob plawv no muaj kev nyab xeeb . Lawv tsis yog kev phais lossis kev phais me me xwb. Txawm li cas los xij, tsis tshua muaj neeg ua xua rau cov xim uas siv rau hauv qee qhov kev kuaj. Txawm li cas los xij, qhov no tsis tshua muaj neeg ua xua.

Nco ntsoov, tag nrho cov kev kuaj no thaij duab ntawm koj lub plawv, cov hlab ntsha, thiab cov khoom nyob ib puag ncig nws, saib seb cov ntshav ntws li cas hauv koj lub plawv, thiab tau txais daim duab meej txog kev noj qab haus huv ntawm koj lub plawv.

Thaum kawg, qhov tseem ceeb tshaj plaws

Kev ntsuas lub plawv yog ib qho cuab yeej muaj txiaj ntsig uas pab cov kws kho mob nkag siab txog qhov xwm txheej ntawm koj lub plawv thiab pab koj tswj koj tus mob. Yog tias koj tus kws kho mob pom zoo kom kuaj, tsis txhob ntshai nug lawv tias vim li cas thiab yuav xav li cas. Kev saib xyuas koj lub plawv yog qhov tseem ceeb tshaj plaws.

Kev Thaij Duab Plawv, Echocardiography, CT Scan, MRI, Angiogram, Kab Mob Plawv, Kev Kuaj Plawv