Kodi chikuchitika ndi chiyani mumtima mwanu? Tiyeni tidziwe pogwiritsa ntchito Cardiac Imaging.

Kodi munayamba mwadzifunsapo zomwe zimachitika mkati mwa mtima wathu? Nthawi zina madokotala amafunika kuona bwino momwe mtima wanu ulili. Lero tikambirana za njira zapadera zomwe zimagwiritsidwa ntchito pazochitika zotere. Izi ndi zomwe timangotcha `(Cardiac Imaging)` kapena kujambula mtima. Musadandaule, izi si nkhani yaikulu, tiyeni tifotokoze imodzi ndi imodzi.

Kodi kujambula zithunzi za mtima n'chiyani?

Mwachidule, kujambula mtima ndi njira yomwe imajambula mtima wanu ndi zinthu zomwe zili mkati mwake. Zili ngati kujambula chithunzi, koma ndizosiyana pang'ono. Zimathandiza madokotala kuona ngati mtima wanu uli wathanzi kapena ngati pali vuto. Anthu ena amatchanso kujambula mtima, koma tanthauzo lake ndi lomwelo.

Kodi njira zazikulu zojambulira zithunzi za mtima ndi ziti?

Pali njira zingapo zomwe zimagwiritsidwa ntchito poyesa mtima. Kutengera ndi momwe munthu alili, dokotala ndiye amene adzasankhe njira yoyenera kugwiritsa ntchito. Tiyeni tiwone njira zazikulu:

• Echocardiogram - mwachidule timaitcha "Echo": Anthu ambiri amvapo za izi.
• Kujambula kwa mtima kopangidwa ndi computed tomography (CT): Uku ndi mtundu winanso wa kujambulidwa.
• Kuyesa kupsinjika kwa mtima kwa nyukiliya: Izi zimagwiritsa ntchito zinthu zochepa zowononga mphamvu ya nyukiliya.
• Single-photon emission computed tomography (SPECT): Iyi ndi mtundu wa mayeso a nyukiliya omwe atchulidwa pamwambapa.
• Cardiac positron emission tomography (PET): Iyi ndi njira inanso yoyesera nyukiliya.
• Kuyeza magazi m'mitsempha ya mtima kapena kutseka mtima kumanzere ("kutsegula mtima"): Izi zimayang'ana mitsempha yopita kumtima.
• MRI ya Mtima: Iyi ndi MRI scan, koma yomwe ndi yeniyeni pamtima.
• Kujambula kwa Multigated Acquisition (MUGA): Izi zimayang'ananso momwe mtima umagwirira ntchito.

Nthawi zina, madokotala amatha kuchita mayeso awiri kapena atatu pamodzi. Mwachitsanzo, CT scan ndi coronary angiogram, kapena PET ndi CT scan, zitha kuchitidwa pamodzi kuti mumvetse bwino momwe mtima wanu ulili.

Kodi dokotala amalangiza kuti munthu ayesedwe kujambula zithunzi za mtima nthawi yanji?

Madokotala amagwiritsa ntchito mayesowa pazifukwa zingapo. Tiyeni tiwone zomwe zili:

• Yesani kuona ngati pali matenda a mtima musanayambe matenda aliwonse a mtima.
• Dziwani matenda a mtima kuti mudziwe matenda enieni a mtima omwe muli nawo kale.
• Ngati wina ali ndi vuto la mtima, onani kuchuluka kwa kuwonongeka kwa mtima.
• Anthu ena amakumana ndi zizindikiro monga kupweteka pachifuwa komanso kuvutika kupuma. Dziwani chomwe chikuyambitsa vutoli.
• Pochiza matenda a mtima, izi zimagwiritsidwanso ntchito poyang'anira ngati chithandizocho chili chothandiza pamtima kapena ayi.

Tangoganizirani kuti mukungomva kupweteka pang'ono pachifuwa. Ngati dokotala akukayikira kuti ndi vuto lokhudzana ndi mtima, akhoza kuchita mayeso ngati awa.

Ndi matenda ati a mtima omwe angadziwike ndi mayesowa?

Njira zojambulira za mtima izi zingathandize kuzindikira ndikuwongolera matenda ambiri a mtima, kuphatikizapo:

• Arrhythmia: Izi zikutanthauza kuti kugunda kwa mtima kumakhala kosasinthasintha.
• Matenda a mitsempha ya mtima: Kutsekeka kwa mitsempha yomwe imapereka magazi kumtima.
• Matenda a mtima: Ichi ndi chomwe matenda a mtima amatchedwa.
• Kulephera kwa mtima: Mtima ndi wofooka ndipo sungathe kupompa magazi okwanira kupita m'thupi.
• Matenda a mtima a ana ndi obadwa nawo: Mwachitsanzo, kusintha kwina kwa kapangidwe ka mtima.
• Matenda a valavu ya mtima: Matenda a valavu mumtima.
• Matenda a mtima: Matenda a nembanemba yopyapyala yozungulira mtima.

Tsopano tiyeni tikambirane za mayeso ena ofunikirawa mwatsatanetsatane.

Kodi Echocardiogram (Echo) ndi chiyani?

Echocardiogram imagwiritsa ntchito mafunde amphamvu kwambiri (mawu omwe sitingawamve) otchedwa ultrasound kuti ajambule zithunzi za mtima. Izi zitha kupanga zithunzi zofanana ndi makanema a zipinda za mtima, ma valve, makoma, ndi mitsempha yamagazi. Mtundu wapadera wa echo wotchedwa Doppler echocardiogram ungayesenso kuyenda kwa magazi m'chipinda chilichonse cha mtima.

Echocardiogram ingathandize kudziwa momwe mtima ukupopera magazi komanso kuopsa kwa kulephera kwa mtima, ngati kulipo. Ingathenso kuzindikira mavuto a ma valve a mtima, matenda, magazi kuundana, kapena mabowo mumtima. Mayesowa nthawi zambiri amagwiritsidwa ntchito ndi madokotala a mtima chifukwa amatha kupereka zambiri popanda kugwiritsa ntchito radiation.

Kodi kujambula kwa Cardiac Computed Tomography (Cardiac CT) n'chiyani?

Kujambula kwa mtima pogwiritsa ntchito kompyuta kuti apange zithunzi zatsatanetsatane za mtima potenga ma X-ray angapo. Izi zimathandiza kuti zithunzi zijambulidwe pamlingo wosiyanasiyana komanso m'malo osiyanasiyana. Zithunzizi zitha kuwonedwa mwachindunji kapena zitha kupangidwa ngati zithunzi zamitundu itatu, zomwe zimathandiza kuti mtima ndi madera ozungulira ziwonekere kuchokera mbali zosiyanasiyana.

Dokotala wanu angakupatseni CT scan kuti aone ngati pali kutsekeka kwa mitsempha yamagazi kapena mavuto a kapangidwe ka mtima. Nthawi zina izi zitha kuchitika ngati mayeso ena sakupereka chidziwitso chokwanira. Madokotala a opaleshoni ya mtima ndi akatswiri a mtima (omwe amachita opaleshoni ya mtima pogwiritsa ntchito machubu ang'onoang'ono) amagwiritsa ntchito izi kupanga mapu a mtima wanu kuti akuthandizeni kusankha ngati ndinu woyenera opaleshoni kapena chithandizo china.

Kodi mayeso a mtima wa nyukiliya ndi chiyani?

Izi zimagwiritsa ntchito mankhwala owopsa otchedwa ``tracer'' kuti aone momwe magazi amayendera mkati ndi mozungulira mtima wanu. Dokotala wanu amabaya ``tracer'' iyi mumtsempha m'thupi lanu, kenako amagwiritsa ntchito kamera yapadera kujambula zithunzi za mtima wanu. Kuyesaku kumachitika kamodzi mukapuma komanso mukachita masewera olimbitsa thupi (monga kuthamanga pa treadmill).

Mayeso amenewa amatchedwanso ``Myocardial perfusion imaging (MPI)''.

Palinso mitundu ya mayeso a mtima wa nyukiliya:

• Kujambula kwa PET ya mtima (positron emission tomography)
• Cardiac SPECT - single-photon emission computed tomography

Kodi PET scan ya mtima ndi chiyani?

Kujambula kwa PET ndi njira yoyesera kujambula kwa nyukiliya, monga tafotokozera pamwambapa. Imagwiritsanso ntchito chowunikira cha radioactive. Chowunikira ichi chimalowa m'malo odwala a mtima. Kenako kamera ya PET imatha kuzindikira madera omwe chowunikiracho chalowa.

Kujambula kwa PET ya mtima makamaka kumayang'ana momwe minofu ya mtima imagwirira ntchito. Kumatha kuzindikira kuwonongeka kwa mtima, monga minofu ya zipsera, pambuyo pa matenda a mtima. Kumagwiritsidwanso ntchito poyesa kupsinjika kwa mtima. Kujambula kwa PET nthawi zambiri kumachitika limodzi ndi CT scan.

Kodi kusanthula kwa mtima (SPECT)` n'chiyani?

Kujambula kwa SPECT ndi njira yoyesera kujambula kwa nyukiliya. Imagwiritsa ntchito chowunikira cha radioactive kuti ione kayendedwe ka magazi ndi kagayidwe kake m'thupi la mtima. Dokotala amaika chowunikiracho mumtsempha, kenako chimapita kumtima. Kamera ya SPECT imatha kuzindikira madera omwe chowunikiracho chalowa.

Kodi angiogram ya mtima ndi chiyani?

Kuyeza kwa mtima (coronary angiogram) ndi mayeso apadera a X-ray omwe amachitidwa panthawi yoyezetsa magazi m'mitsempha ya mtima. Mu mayesowa, dokotala wanu amaika chubu chachitali, choonda (chotchedwa catheter) mu mtsempha waukulu m'mimba mwanu kapena pachikhatho chanu ndikuchilowetsa mumtima mwanu. Kenako, utoto wapadera umalowetsedwa m'magazi mwanu kudzera mu chubucho. Makina a X-ray amajambula zithunzi za utotowo pamene ukuyenda m'mitsempha yamagazi yozungulira mtima wanu.Kuyezetsa kumeneku kumafufuza makamaka ngati mitsempha yatsekeka kapena yatsekeka. Taganizirani izi ngati kufufuza ngati pali dothi lomwe latsekeka mu chitoliro cha madzi.

Kodi MRI ya Mtima ndi Chiyani?

MRI ya mtima imagwiritsa ntchito mafunde a wailesi ndi maginito m'malo mwa kuwala kwa dzuwa kuti ione mtima. MRI imatha kujambula zithunzi zambiri . Imawonetsa ziwalo za mtima momveka bwino komanso momwe zikugwira ntchito bwino. Ingathandize kuzindikira matenda ambiri pofufuza kuwonongeka kwa mtima, monga minofu ya zipsera kapena kutupa.

Kodi MUGA scan ndi chiyani?

Kujambula kwa MUGA kumayang'ana momwe zipinda zapansi za mtima zimagwirira ntchito (zotchedwa ventricles). Kujambula kumeneku kumatchedwanso radionuclide ventriculography.

Mu mayeso awa, dokotala amabaya chotsukira mpweya mumtsempha. Kamera yapadera imazindikira kuwala kumeneku ndikuigwiritsa ntchito kupanga zithunzi zoyenda za kugunda kwa mtima. MUGA scan imatenga zithunzi za mtima nthawi zina, nthawi iliyonse ikagunda.

Kuyeza kumeneku kumayesa gawo lotulutsa magazi. Uwu ndi kuchuluka kwa magazi omwe mtima umapopa nthawi iliyonse ukagunda. Madokotala sagwiritsanso ntchito mayesowa kawirikawiri, koma ndi njira imodzi yoyezera mphamvu ya mtima yopopa magazi. Nthawi zambiri amagwiritsidwa ntchito poyesa gawo lotulutsa magazi nthawi ndi nthawi panthawi ya chithandizo cha nthawi yayitali ndi mankhwala omwe angayambitse zotsatira zoyipa za mtima, monga chemotherapy ya khansa.

Kodi tiyenera kukonzekera bwanji mayeso ngati awa?

Dokotala wanu adzakufotokozerani momwe mungakonzekere mayeso omwe mukuchita. Malangizo awa angaphatikizepo zinthu monga:

• Pewani zakudya, zakumwa, ndi mankhwala okhala ndi caffeine (monga khofi ndi tiyi) pamene mukuyesedwa kupsinjika maganizo ndi angiograms ya mtima.
• Mukapita kukayezetsa mtima (CT)` ndi cardiac` (MRI), siyani zodzikongoletsera zanu kunyumba.
• Mukapita ku MRI ya mtima, chotsani zinthu zilizonse zachitsulo monga zothandizira kumva (ngati zilipo), magalasi, ndi mapini a tsitsi.
• Valani zovala zabwino zopanda zitsulo.

Komanso, muyenera kuuza dokotala wanu zinthu izi:

• Ponena za matenda ena onse omwe muli nawo.
• Pafupifupi mankhwala aliwonse omwe mumamwa (kaya mwapatsidwa ndi dokotala, mwagula ku pharmacy, zakudya zowonjezera, kapena ngakhale mankhwala ngati muwagwiritsa ntchito).
• Ngati muli ndi zipangizo zachipatala zomwe zaikidwa m'thupi lanu, monga pacemaker, ma valve amakina, ma pin, kapena ndodo.
• Ngati muli ndi zidutswa zachitsulo m'thupi lanu, ndizo zonse.
• Ndiko kuti, ngati muli ndi pakati.

Chidziwitsochi n'chofunika kwambiri kuti dokotala achite mayesowa mosamala.

Kodi pali zoopsa zilizonse m'mayeso awa?

Nthawi zambiri, mayeso ojambulira mtima awa ndi otetezeka . Savulaza kapena savulaza kwambiri. Komabe, nthawi zambiri, anthu ena amatha kukhala ndi vuto la ziwengo chifukwa cha utoto womwe umagwiritsidwa ntchito mu mayeso ena. Komabe, izi sizichitika kawirikawiri.

Kumbukirani, mayeso onsewa amatenga zithunzi za mtima wanu, mitsempha yamagazi, ndi zinthu zozungulira, yang'anani momwe magazi amayendera mumtima mwanu, ndikupeza chithunzi chomveka bwino cha thanzi la mtima wanu.

Pomaliza, chinthu chofunika kwambiri

Kujambula mtima ndi chida chamtengo wapatali chomwe chimathandiza madokotala kumvetsetsa momwe mtima wanu ulili komanso kukuthandizani kusamalira vuto lanu. Ngati dokotala wanu akulangizani kuti muyesedwe, musaope kuwafunsa chifukwa chake komanso zomwe mungayembekezere. Kusamalira mtima wanu ndiye chinthu chofunikira kwambiri.

Kujambula Mtima , Echocardiogram, CT Scan, MRI, Angiogram, Matenda a Mtima, Mayeso a Mtima