Kuyesa kwa adenosine stress kuti mudziwe za kayendedwe ka magazi mumtima! Musachite mantha, tiyeni tikambirane.

Mwina mukudabwa kuti Adenosine Stress Test ndi chiyani. Mwina dokotala wakupemphani kuti muchite mayesowa. Chabwino, musadandaule! Ndi zophweka kwambiri. Lero tikambirana za mayesowa, zomwe amachita, momwe amachitikira, ndi zonse zomwe muyenera kudziwa. Mwachidule, ndi mayeso omwe amayesa momwe mtima wanu ukulandira magazi.

N’chifukwa chiyani mayeso a adenosine stress akuchitika?

Tangoganizirani, mukakhala ndi zochita masewera olimbitsa thupi, monga mukakhala ndi masewera olimbitsa thupi, mtima wanu umafunika magazi ambiri kuposa momwe umachitira mukakhala mukupuma. Ndi mayeso a adenosine stress awa, madokotala amafufuza ngati mtima wanu ukulandira magazi okwanira panthawi yonse yogwira ntchito komanso yopumula. Pachifukwa ichi, mankhwala ochepa otchedwa adenosine amabayidwa. Kenako, mitsempha yamagazi (mitsempha) ya mtima wanu imachita chimodzimodzi monga momwe imachitira mukakhala ndi masewera olimbitsa thupi.

Kuyezetsa uku kumathandiza dokotala kudziwa za:

• Kodi pali kuwonongeka kosatha kwa minofu ya mtima wanu?
• Kodi magazi ndi mpweya wokwanira zikuyenda mumtima?
• Kodi muli ndi matenda a mitsempha ya mtima (CAD) ? Apa ndi pamene magazi opita ku minofu ya mtima amachepa.

Ndani nthawi zambiri amachita mayeso awa?

Si aliyense amene angafunike mayesowa. Dokotala angakufunseni kuti muyesedwe adenosine stress pazifukwa izi:

• Ngati simungathe kuchita masewera olimbitsa thupi ofunikira kuti muyesedwe bwino, monga kuyenda pa treadmill.
• Ngati simungathe kukweza kugunda kwa mtima wanu mokwanira ngakhale mukuchita masewera olimbitsa thupi.
• Ngati mukumwa mankhwala enaake, monga beta-blockers .
• Ngati mwaikidwa pacemaker ya ventricular .
• Ngati muli ndi vuto lotchedwa left bundle branch block .

Kodi mayeso a adenosine stress test amagwira ntchito bwanji?

Ndi zophweka kwambiri. Pa mayeso a adenosine stress, dokotala amakupatsirani mankhwala ochepa a adenosine. Izi zimapangitsa kuti mitsempha yanu ya mtima, mitsempha yayikulu yamagazi yomwe imapereka magazi kumtima, itseguke (ikutseguka), monga momwe imachitira mukamachita masewera olimbitsa thupi. Izi zimawonjezera kuyenda kwa magazi kumtima. Umu ndi momwe masewera olimbitsa thupi amagwirira ntchito kwa anthu omwe sangathe kuthamanga pa treadmill.

Kenako, pamene mukupuma ndipo mutakupatsani mankhwala a adenosine, dokotala adzaika pang'ono mankhwala osiyanitsa kapena chizindikiro cha radioactive mu mitsempha yanu imodzi. Mtundu wa chinthu chomwe chikugwiritsidwa ntchito udzadalira mtundu wa scan yomwe ikuchitidwa. Pogwiritsa ntchito scanner yapadera, zithunzi za chinthucho zimatengedwa pamene chikuyenda m'mitsempha yanu yamagazi kupita ku minofu ya mtima wanu.

Nthawi zina scanner iyi ingakhale scanner ya Magnetic Resonance Imaging (MRI), kapena scanner yapadera ya computerized tomography (CT). Izi zimapanga zithunzi za pakompyuta za mtima, zomwe dokotala angagwiritse ntchito kuti adziwe matenda.

Tangoganizirani, izi zili ngati kuyika kamera mumtima ndikuyang'ana, koma sizili choncho kwenikweni, zithunzi izi zimajambulidwa pogwiritsa ntchito ukadaulo wapadera wojambulira.

Mu mayeso awa, dokotala amajambula zithunzi za zotsatirazi:

• Kukula ndi ntchito ya mtima wanu .
• Mmene magazi amayendera mumtima mwanu mukakhala kuti mwapumula .
• Mmene magazi amayendera mumtima mwanu mukakhala ndi nkhawa .

Kodi tiyenera kukonzekera bwanji mayeso asanayambe?

Izi ndizofunikira kwambiri. Ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala, mankhwala owonjezera azitsamba, ndi mankhwala ena) komanso za matenda aliwonse omwe muli nawo. Ngati muli ndi matenda enaake, monga mphumu yayikulu kapena kugunda kwa mtima kosazolowereka, simuyenera kupatsidwa adenosine.

• Ngati mukumwa theophylline chifukwa cha mphumu, muyenera kusiya kumwa masiku awiri musanayambe kuyeza . Komabe, bweretsani ndi mankhwala anu opumira mphumu ku mayeso.
• Pewani chilichonse chokhala ndi caffeine kwa maola 24 musanayese mayeso. Izi zikuphatikizapo khofi, tiyi, zakumwa zoziziritsa kukhosi, ndi chokoleti. Ngakhale zinthu zolembedwa kuti "decaffeinated" zingakhalebe ndi caffeine pang'ono, kotero sizikulimbikitsidwa.
• Komanso, musamwe mankhwala ogulitsidwa kunja kwa chipatala okhala ndi caffeine (monga Excedrin®, Anacin®, mapiritsi ochepetsa thupi, NoDoz®) kwa maola 24 musanayambe nthawi yanu yokumana ndi dokotala .

Kodi tiyenera kuchita chiyani pa tsiku la mayeso?

Kumbukirani zinthu izi tsiku la mayeso:

• Musadye kapena kumwa china chilichonse kupatula madzi ochepa kuti mumwe mankhwala anu.
• Osasuta fodya .
• Bweretsani mndandanda wa mankhwala onse omwe mumamwa nthawi zonse. Izi ziyenera kuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, ndi zowonjezera zitsamba.
• Ngati mukumwa mankhwala a matenda a shuga, bwerani ndi mankhwalawo.Mungathe kumwa mankhwalawa mayeso atatha. Musamadumphe chakudya mukumwa mankhwala anu a shuga. Kuchita zimenezi kungapangitse kuti shuga m'magazi mwanu muchepe kwambiri.
• Ngati mukugwiritsa ntchito insulin , tengani kuchuluka kwa shuga m'magazi mwanu komwe dokotala wanu wakuuzani kuti mutenge kuti muchepetse shuga m'magazi mwanu. Iye angakuuzeni kuti mutenge theka la mlingo wanu wamba m'mawa ndikudya chakudya chopepuka maola anayi musanayesedwe.
• Ngati mukumwa mapiritsi amtundu uliwonse kuti muchepetse shuga m'magazi mwanu, musamwe mpaka mayeso atatha .
• Ngati muli ndi chowunikira shuga m'magazi, bwerani nacho . Yang'anani kuchuluka kwa shuga m'magazi anu musanayambe komanso mutamaliza kuyeza. Ngati mukuganiza kuti shuga m'magazi mwanu ndi wotsika, uzani ogwira ntchito zachipatala nthawi yomweyo. Konzani kudya ndi kumwa mapiritsi a shuga mutatha kuyeza.
• Pa tsiku loyesa , imwani mankhwala a mtima okha omwe dokotala wanu wakupatsani . Ngati muli ndi mafunso okhudza mankhwala omwe ndi otetezeka kumwa patsiku loyesa, funsani dokotala wanu musanayese mayeso.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Pochita mayeso a adenosine stress, ogwira ntchito zachipatala adzachita izi:

• Musanayambe kujambula, mizere iwiri ya IV idzaikidwa mumtsempha womwe uli m'dzanja lanu (kuti ikupatseni mankhwala ndi zinthu zina ngati pakufunika).
• Ma electrode (tinthu tating'onoting'ono tomata) amaikidwa pachifuwa panu. Izi zimagwiritsidwa ntchito poyang'anira mtima wanu pogwiritsa ntchito electrocardiogram (EKG).
• Chotsukira magazi chidzaikidwa pa mkono wanu. Izi zidzayeza kuthamanga kwa magazi anu.
• Kugunda kwa mtima wanu, EKG, ndi kuthamanga kwa magazi zidzayang'aniridwa panthawi yonse yoyeserera.
• Mudzafunsidwa kuti mukhale chete mkati mwa sikirini. Izi zitha kutenga mphindi 45.
• Mudzapemphedwa kuti mugwire mpweya wanu kwa kanthawi pamene chojambulira chikujambula zithunzi za mtima wanu.
• Musanapereke mankhwala kudzera mu IV, mudzafotokozedwa za zotsatirapo zake zomwe zingachitike chifukwa cha mankhwalawa .

Kodi mayesowa amatenga nthawi yayitali bwanji?

Kujambula kokha kungatenge mphindi 45 , koma nthawi yonse yokumana ndi dokotala ikhoza kutenga pafupifupi maola awiri.

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Pambuyo pa mayeso a adenosine stress, ogwira ntchito zachipatala adzadikira kwakanthawi kuti aone ngati muli ndi zotsatirapo zina. Ngati mukumva bwino, mutha kupita kunyumba pakatha mphindi zochepa.

Kodi zotsatirapo zake ndi ziti?

Adenosine imangokhala m'thupi mwanu kwa kanthawi kochepa kwambiri, pafupifupi mphindi zisanu. Pambuyo pa masekondi khumi, theka la mankhwalawo limatha. Ndicho chifukwa chake anthu ambiri amakumana ndi zotsatirapo zoyipa, koma zimatha patangopita masekondi ochepa kuchokera pamene mankhwalawo asiya kugwiritsidwa ntchito.

Pafupifupi 80% ya anthu omwe amayesedwa a adenosine stress test amakumana ndi zotsatirapo zazing'ono.Zofala kwambiri ndi izi:

• Kumva kutentha komanso kusamba (kusamba) .
• Kupweteka pachifuwa .
• Kupuma movutikira .

Nthawi zina, zotsatira zoyipa ngati izi zimatha kuchitika:

• Kutsekeka kwa mtima .
• Kuvuta kupuma ( bronchospasm ).

Ngati muli ndi zotsatirapo zoyipa chifukwa cha mayeso a adenosine stress, dokotala wanu angakupatseni caffeine kuti muwachiritse. Anthu ena angafunikenso kumwa mankhwala otchedwa aminophylline .

Kodi zotsatira zake zimakhala bwanji? Kodi zikutiuza chiyani?

Dokotala amene amaunikanso zotsatira za mayeso anu adzakuikani m'gulu la anthu omwe ali ndi chiopsezo chochepa, omwe ali ndi chiopsezo chapakati, kapena omwe ali ndi chiopsezo chachikulu . Akuyang'ana momwe mungakhalire ndi matenda a mtima chifukwa cha kusowa kwa mpweya, kapena ngati zizindikiro zanu zimayambitsidwa ndi kuyenda bwino kwa magazi kupita kumtima.

Dokotala anganene kuti madera ena a mtima wanu salandira magazi okwanira . Izi zikutanthauza kuti madera amenewo salandira mpweya wokwanira. Angafunike kuyang'ana madera amenewo mozama.

Ngati magazi anu akuyenda bwino ndipo muli m'gulu la anthu omwe ali pachiwopsezo chochepa, mungafunike mankhwala monga beta-blockers kapena calcium channel blockers . Mankhwala oletsa magazi kuundana ndi ma statins, omwe amachepetsa cholesterol, amathandizanso pa chiopsezo cha matenda a mtima.

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Zimatenga masiku ochepa kuti dokotala amalize kuwunikanso zotsatira za mayeso. Dokotala wanu akalandira zotsatira, adzakuyimbirani foni ndikukuuzani za zotsatirazo.

Chotsatira ndi chiyani ngati zotsatira zake sizili bwino?

Dokotala wanu angafune kuchita mayeso ena kuti aone malo omwe magazi sakuyenda bwino. Mayeso otchedwa coronary angiography angawathandize kupeza chomwe chayambitsa vutoli. Ngati muli ndi vuto la mitsempha yanu ya mtima, mungafunike kuikidwa stent mu mitsempha kapena kuchitidwa opaleshoni ya coronary artery bypass graft (CABG) .

Ndiyenera kulankhula ndi dokotala wanga liti?

Onetsetsani kuti mufunsane ndi dokotala wanu pazochitika izi:

• Ngati simukudziwa choti muchite pambuyo pa Adenosine Stress Test.
• Ngati simunamve zotsatira za mayeso kwa sabata imodzi ...

Nchifukwa chiyani adenosine imagwiritsidwa ntchito poyesa kupsinjika?

Mwachidule, adenosine imapangitsa kuti mitsempha ya mtima wanu itsegule (kukulitsa) kwambiri, monga momwe mumachitira masewera olimbitsa thupi. Izi zimatumiza magazi ambiri ku minofu ya mtima wanu. Mankhwalawa amatha kuwonjezera kuyenda kwa magazi kupita kumtima mwanu ndi katatu kapena kasanu kuposa kuchuluka kwa magazi komwe amapeza mukapuma.

Kodi mayeso a Adenosine Stress Test ndi otetezeka?

Inde, mayeso a adenosine stress nthawi zambiri amakhala otetezeka . Ali ndi zotsatirapo zochepa zazing'ono, zomwe zimatha msanga. Ofufuza atsimikizira chitetezo chogwiritsa ntchito adenosine poyesa kupsinjika mu kafukufuku wokhudza anthu pafupifupi 15,000.

Kodi adenosine imakhudza bwanji kugunda kwa mtima wanu?

Adenosine ingayambitse kugunda kwa mtima wanu kutsika kapena kukwera . Kuthamanga kwa magazi anu kungachepenso pang'ono.

Kodi pali kusiyana kotani pakati pa Lexiscan® ndi Adenosine Stress Test?

Lexiscan® (regadenoson) ndi adenosine ndi mankhwala onse omwe amatsegula (kukulitsa) mitsempha yanu yamagazi. Regadenoson (monga momwe Lexiscan imanenera) ndi mankhwala omwe madokotala amagwiritsa ntchito nthawi zambiri poyesa kupsinjika kuposa ena onse. Regadenoson imatenga masekondi 10 okha kubaya. Adenosine imatenga pafupifupi mphindi zisanu.

Kafukufuku wasonyeza kuti anthu amalekerera bwino regadenoson kuposa adenosine ndipo amakhala ndi zotsatirapo zochepa. Anthu omwe amatenga regadenoson amanena kuti zotsatirapo zochepa, monga kusamba ndi kupweteka pachifuwa, koma nthawi zambiri amakhala ndi mutu komanso khunyu.

Ndi bwino kulankhula ndi dokotala wanu kuti musankhe mankhwala omwe ali abwino kwa inu.

Pomaliza, zinthu zofunika kwambiri kukumbukira

Ndizachibadwa kumva mantha pang'ono ndi mayeso omwe amafufuza momwe mtima wanu ukugwira ntchito. Mtima ndi chiwalo chofunikira kwambiri m'thupi lathu. Koma mutha kukhulupirira izi: Ngati dokotala wanu apeza vuto ndi mtima wanu, adzakupatsani njira yabwino kwambiri yokuthandizani. Musaope kufunsa mafunso pa chilichonse chomwe simukuchimvetsa. Funsani dokotala wanu kapena ogwira ntchito zachipatala. Mukatero mudzatha kuthetsa mantha anu ndi mayesowa.

Mayeso a Adenosine Stress, Mayeso a Mtima, Matenda a Mitsempha ya Mtima, Thanzi la Mtima, Kuyenda kwa Magazi, Mayeso a Zachipatala, CAD