Kodi mukufuna kudziwa zambiri zokhudza Dobutamine Stress Echocardiogram? Tiyeni tikambirane!

Mwina inunso munapemphedwa ndi dokotala kuti muchite mayeso otchedwa `(Dobutamine Stress Echocardiogram)`. Kapena mwina munamvapo za izi kwinakwake. Mwina muli ndi mafunso ambiri okhudza kuti mayesowa ndi otani, chifukwa chake amachitidwa, komanso momwe amagwirira ntchito. Musadandaule, tiyeni tikambirane mwachidule. Iyi ndi mayeso omwe amakuthandizani kupeza chidziwitso chofunikira chokhudza thanzi la mtima wanu.

Kodi mayeso a dobutamine stress echo ndi otani?

Mwachidule, iyi ndi mayeso omwe amayang'ana momwe mtima wanu umagwirira ntchito mukapanikizika . Taganizirani izi, tikamachita masewera olimbitsa thupi, mtima wathu umagunda mofulumira, ndipo ndicho chimene tikuyesera kuchita pano, kupanga mwanjira yongopeka mkhalidwe wamtunduwu.

Izi zimagwiritsa ntchito chinthu chotchedwa ``Echocardiogram''. Ndiko kuti, kuyesa kwa ``Ultrasound'' kwa mtima. Kuli ngati kujambula mwana m'mimba, ndipo kumatha kuwona mayendedwe ndi mawonekedwe a mtima.

Kawirikawiri, mukachita mayeso a kupsinjika maganizo, mumapemphedwa kuti muyende pa treadmill kapena kukwera njinga kuti mtima wanu ukhale wolimba. Koma mu `Dobutamine Stress Echocardiogram` iyi, simupemphedwa kuchita zimenezo. M'malo mwake , mumapatsidwa mankhwala otchedwa ``Dobutamine``. Mankhwalawa amatsitsimula mtima wanu ngati kuti mukuchita masewera olimbitsa thupi. Kenako, madokotala amatha kuona momwe mtima wanu umayankhira ku kupsinjika kwamtunduwu.

Zimene tingapeze kuchokera mu mayeso awa ndi izi:

• Kodi pali vuto ndi minofu ya mtima wanu kapena ma valve ?
• Kaya magazi opita ku minofu ya mtima ndi okwanira kapena ayi .
• Kodi mtima wanu uli bwino pamagetsi mukapuma komanso mukanyamula katundu?

Kodi mayeso awa adzachitika liti?

Si aliyense amene angathamange pa treadmill kapena kukwera njinga. Anthu ena akhoza kukhala ndi mavuto monga kupweteka kwa mafupa kapena kupuma movutikira. Ichi ndichifukwa chake madokotala amagwiritsa ntchito mankhwala a `(Dobutamine)` awa poyesa kupsinjika maganizo.

Pali zifukwa zingapo zochitira mayeso awa:

• Onani kuchuluka kwa zochita zomwe mtima wanu ungathe kuchita .
• Unikani chiopsezo chanu chotenga matenda a mitsempha ya mtima .
• Dziwani momwe matenda a mtima amakhudzira .
• Yang'anani momwe mtima wanu umagwirira ntchito musanachite opaleshoni ya mtima .
• Onani ngati mankhwala anu a mtima omwe alipo pano ndi othandiza .

Ndani akuchita mayeso awa?

Mayeso awa amachitidwa motsogozedwa ndi dokotala. Dobutamine Stress Echocardiogram yanu imachitidwa ndi katswiri wa Cardiac Sonographer, katswiri yemwe ali ndi maphunziro apadera okhudza matenda a mtima . Iye adzakufotokozerani tsatanetsatane ndikuchita mayesowo moyenera.

Kodi mayeso a dobutamine stress echo amachitidwa bwanji?

Chabwino, tsopano tiyeni tiwone zomwe zingachitike mukachita mayeso awa. Palibe choopa, chilichonse chidzafotokozedwa kwa inu.

• Kuika ma electrode: Choyamba, namwino kapena katswiri adzaika ma electrode ang'onoang'ono, osalala pa chifuwa chanu malo pafupifupi 10. Izi zimalumikizidwa ndi chowunikira cha electrocardiogram (EKG). Izi zimayesa momwe magetsi a mtima wanu amagwirira ntchito panthawi yonse yoyeserera.
• Kupumula kwa ECG ndi Echocardiogram: Musanapatsidwe mankhwala a Dobutamine, mudzatembenuzidwira kumanzere pabedi. Kenako, katswiri adzayika chipangizo chaching'ono (chotchedwa transducer) pachifuwa panu ndikuyang'ana kugunda kwa mtima wanu. Izi zimatchedwa resting cardiogram. Zithunzi za mtima wanu zimatengedwa nthawi yonse yoyezetsa.
• Kuyika mzere wa saline m'dzanja lanu (mzere wa IV): Kenako, chubu chaching'ono (mzere wa m'mitsempha / IV) chidzaikidwa mumtsempha womwe uli m'dzanja lanu. Apa ndi pomwe mankhwala (Dobutamine) adzalowetsedwa m'thupi lanu. Mungamve kumva kunjenjemera pang'ono panthawiyi.
• Jakisoni wa Dobutamine: Apa ndi pamene dobutamine idzaperekedwa pang'onopang'ono kudzera mu IV. Katswiri adzapitiriza kuyika transducer pachifuwa chanu ndikujambula zithunzi. Pamene mankhwala akulowetsedwa, mtima wanu udzayamba kumva ngati ukuchita masewera olimbitsa thupi. Mtima wanu udzagunda kwambiri. Zingamveke ngati mtima wanu ukugunda mofulumira kuposa masiku onse. Mungamve kutentha pang'ono, nkhope yanu ikhoza kufiira, ndipo mutu wanu ukhoza kupweteka pang'ono . Izi ndi zachilendo.
• Zizindikiro zowunikira: Pa nthawi yoyezetsa, ogwira ntchito adzakufunsani momwe mukumvera. Ngati mukumva kupweteka kulikonse kapena kusasangalala pachifuwa panu, m'manja, kapena m'nsagwada , chizungulire, kupuma movutikira, mutu wopepuka, kapena china chilichonse chachilendo, muyenera kuwauza. Adzakhala akuyang'ananso chowunikira cha EKG. Ngati awona kusintha kulikonse, adzayimitsa mayesowo.
• Kutha kwa mayeso: Mayeso akatha, mzere wa IV udzachotsedwa m'dzanja lanu. Kugunda kwa mtima wanu kuyenera kubwerera mwakale mkati mwa mphindi 5 mpaka 10.

Chofunika kwambiri ndi kuuza ogwira ntchito nthawi yomweyo ngati mukumva kusasangalala. Izi ziwathandiza kuti akutetezeni.

Kodi ndingathe kudya ndi kumwa musanayese mayeso?

Inde, zakudya ndi zakumwa zambiri zimatha kudyedwa mpaka maola anayi mayeso asanachitike . Madzi amatha kudyedwa mpaka pafupi ndi mayeso.

Komabe, musasute fodya tsiku lomwe mwayesa. Nikotini ingakhudze zotsatira za ultrasound yanu.

Komanso, musamwe chilichonse chokhala ndi caffeine, monga khofi, tiyi, chokoleti, zakumwa za cola, ndi zakumwa zopatsa mphamvu, kwa maola 24 musanayesedwe.Kafeini ingakhudzenso zotsatira zake. Zinthu zolembedwa kuti "decaffeinated" (`decaffeinated` / `caffeine-free`) zingakhalenso ndi kafeini pang'ono, kotero sizili bwino.

Kodi ndiyenera kumwa mankhwala anga ndisanayesedwe?

Ichi ndi chinthu chomwe muyenera kufunsa dokotala wanu kuti mutsimikizire. Dokotala wanu angakupempheni kuti musiye kumwa mankhwala enaake a mtima tsiku loyesa kapena maola 24 musanafike.

Nthawi zina, ngati mukumwa mankhwala ochizira kupweteka pachifuwa, mungapemphedwe kuti mupitirize kumwa. Bweretsani mankhwala anu onse kuti mukayezedwe. Chofunika kwambiri ndichakuti musasiye kumwa mankhwala anu popanda kulankhula ndi dokotala wanu.

Mankhwala omwe nthawi zambiri amafunsidwa kuti asiye ndi awa:

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

Komanso, musamwe mankhwala aliwonse omwe amagulitsidwa kunja kwa chipatala omwe ali ndi caffeine (monga mapiritsi ochepetsa thupi, `(NoDoz®)`, `(Excedrin®)`, `(Anacin®)`) kwa maola 24 musanayesedwe. Ngati simukudziwa bwino mankhwala omwe ali ndi caffeine, funsani dokotala wanu kapena wamankhwala.

Ngati muli ndi mafunso okhudza mankhwala anu, onetsetsani kuti mwalankhula ndi dokotala wanu.

Kodi ndiyenera kumwa mankhwala ngati ndili ndi matenda a shuga?

Ngati muli ndi matenda a shuga, muyeneranso kuuza dokotala wanu za matendawa. Iye adzakuuzani ngati muyenera kuchepetsa kuchuluka kwa mankhwala omwe mumamwa musanayesedwe kapena mutayesa. Mwachitsanzo:

• Ngati mumwa mankhwala a insulin kuti muchepetse shuga m'magazi mwanu: Dokotala wanu angakuuzeni kuti mumwe theka la mlingo wanu wam'mawa ndikudya chakudya chopepuka maola anayi musanayesedwe. Musamadumphe chakudya mukumwa mankhwala anu a shuga.
• Ngati mumwa mapiritsi ochepetsa shuga m'magazi mwanu: Dokotala adzakuuzani kuti mumwe mankhwalawo mukamaliza kuyezetsa.
• Ngati muli ndi chowunikira shuga m'magazi: Chitengeni mukapita kukayezetsa. Muyenera kuyang'ana kuchuluka kwa shuga m'magazi mwanu musanayambe komanso mutatha kuyezetsa. Ngati mukuona kuti shuga m'magazi mwanu ndi wotsika, uzani munthu wina ku labu nthawi yomweyo. Mukamaliza kuyezetsa, muyenera kudya ndi kumwa mankhwala anu a shuga.

Ndi zovala zamtundu wanji zomwe ndiyenera kuvala?

Mungathe kuvala chilichonse chomwe mukufuna. Musanayambe mayeso, muyenera kuvala diresi la kuchipatala. Musabweretse zinthu zamtengo wapatali monga zodzikongoletsera patsiku la mayeso. Adzakupatsani loko yosungiramo katundu wanu.

Kodi pali zotsatirapo zilizonse zoyipa zomwe zimachokera ku dobutamine? Kodi zoopsa zake ndi ziti?

Mungakhale ndi mutu pang'ono mukamwa Dobutamine. Chotsatira china chofala kwambiri ndi kuchepa pang'ono kwa kuthamanga kwa magazi. Anthu ena amathanso kukhala ndi kugunda kwa mtima kosasinthasintha kapena kugunda kwa mtima mofulumira kwambiri (Atrial Fibrillation kapena Ventricular Tachycardia). Ndikofunikira kulankhula ndi dokotala wanu ngati muli pachiwopsezo cha zotsatirazi.

Nthawi zina ``Contrast Dye`` (madzi omwe amathandiza kupanga zithunzi zomveka bwino) amagwiritsidwa ntchito panthawi yoyezetsa iyi. Ngati izi zitachitika, pamakhala chiopsezo chochepa cha kukhala ndi vuto la ziwengo. Ngati mudayamba mwakhalapo ndi vuto la ``Contrast Dye``, uzani gulu lanu lachipatala.

Kwa anthu omwe ali ndi angina (kupweteka pachifuwa), pali chiopsezo chochepa kwambiri chokhala ndi matenda a mtima panthawi yoyezetsa magazi. Ngati izi zitachitika, gulu lachipatala lidzapereka chithandizo chofunikira chadzidzidzi.

Nanga bwanji ngati ndili ndi pacemaker kapena defibrillator?

Ngati muli ndi pacemaker kapena defibrillator, dokotala wanu ayenera kuiyang'ana musanayese mayesowa. Chifukwa chake, imbani dokotala wanu ndikuwadziwitsa.

Kodi mayesowa amatenga nthawi yayitali bwanji?

Nthawi yonse yokumana imatenga pafupifupi ola limodzi . Kalavani ya IV ndi ya mphindi 15 zokha.

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Mukamaliza mayeso, muyenera kukhala m'chipinda chochiritsira kwa mphindi zosachepera 30 , kapena mpaka zizindikiro zilizonse zomwe mwakumana nazo (monga kugunda kwa mtima) zitabwerera mwakale.

Kodi ndingathe kuyendetsa galimotoyo pambuyo pa mayeso?

Dobutamine ingayambitse kutsika pang'ono kwa kuthamanga kwa magazi. Chifukwa chake, ndi bwino kuti wina akutengereni kunyumba mutakumana ndi dokotala. Si bwino kuyendetsa nokha.

Kodi zotsatira za mayesowa zikuti chiyani?

Pali mitundu itatu ya zotsatira zomwe zingachitike chifukwa cha mayeso a dobutamine stress echo:

• Zabwino kapena zosazolowereka: Zotsatirazi zikutanthauza kuti mtima wanu sukupeza magazi okwanira. Izi zitha kukhala chizindikiro cha matenda a mitsempha ya mtima. Zingakhalenso chizindikiro chakuti minofu yanu ya mtima yawonongeka, simuli olimba thupi, kapena chithandizo chanu sichikugwira ntchito. Ngati mutapeza zotsatira ngati izi, mungafunike kuyesedwa kwambiri. Dokotala wanu adzakulankhulani za zomwe mungachite kenako.
• ``Zoyipa kapena zachilendo``: Izi zikutanthauza kuti mtima wanu ukuyankha bwino pamene uli ndi nkhawa. Zimatanthauza kuti palibe vuto.
• Zosamveka / Zosamveka:Dokotala sangathe kupeza matenda enieni kuchokera ku zotsatira izi. Mayeso ena angafunike.

Kodi mayeso a kupsinjika kwa dobutamine ndi olondola bwanji?

Kuyeza kwa mtima (stress echocardiography) kungakhale kolondola kwambiri. Mu kafukufuku wina wa anthu 5,131, kunali kolondola kwambiri kuposa 95% poneneratu matenda a mtima. Komabe, nthawi zina kumatha kubweretsa zotsatira zabodza kapena zoyipa zabodza. Ndikofunikira kulankhula ndi dokotala wa mtima kuti asankhe mayeso omwe ali abwino kwa inu kutengera zizindikiro zanu.

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Dokotala wa mtima akawunikanso zotsatira za mayeso anu, adzazilemba mu Electronic Medical Record (EMR) yanu. Dokotala wanu adzawunikanso zotsatirazo ndikukambirana nanu. Ngati simunamvepo kuchokera kwa aliyense mkati mwa sabata imodzi kuchokera pamene mwayesedwa, imbani dokotala wanu kuti akufunseni zambiri.

Pomaliza, zinthu zoti muzikumbukira

Dobutamine stress echocardiogram ndi njira yolondola kwambiri yoti madokotala aone momwe mtima wanu umayankhira kupsinjika. Kuyesa kumeneku kungathandize kuyankha mafunso okhudza zizindikiro za mtima wanu kapena kuwona ngati dongosolo lanu la chithandizo likugwira ntchito bwino. Iyi ndi sitepe yofunika kwambiri pothandiza gulu lanu lachipatala kusamalira thanzi la mtima wanu.

Ngakhale kuti mungamve kupweteka pang'ono mukalowetsa IV, mayesowo sapweteka. Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mayeso a dobutamine stress echo, lankhulani ndi dokotala wanu. Adzakuthandizani.

` Dobutamine Stress Echo, Mayeso a Mtima, Echocardiogram, Matenda a Mtima, Ntchito ya Mtima, Dobutamine, Thanzi la Mtima