Vuto la mtima? Tiyeni tiphunzire zonse zokhudza Echocardiogram!

Kodi munayamba mwadzifunsapo zomwe zimachitika mumtima mwanu ndi momwe zimagwirira ntchito? Nthawi zina dokotala angakuuzeni kuti 'muchite echo'. Chifukwa chake, lero tikambirana mwachidule za echocardiogram ndi chiyani komanso zomwe ingathe kuzindikira. Mwachidule, echocardiogram ndi mayeso omwe amasonyeza chithunzi cha mayendedwe a mtima wanu. Mu mayesowa, dokotala kapena katswiri wodziwa bwino ntchito amaika chipangizo chaching'ono chonyamula m'manja pachifuwa chanu ndikugwiritsa ntchito mafunde amphamvu otchedwa ultrasound kujambula zithunzi za ma valve ndi zipinda za mtima wanu. Izi zingakuthandizeni kuwona momwe mtima wanu ukupopera magazi .

Madokotala nthawi zambiri amagwiritsa ntchito mayesowa pamodzi ndi Doppler ultrasound ndi color Doppler kuti aone momwe magazi amayendera kudzera mu valve ya mtima. Chabwino kwambiri ndichakuti mayesowa sagwiritsa ntchito radiation iliyonse. Izi ndi zosiyana ndi mayeso ena omwe amagwiritsa ntchito radiation , monga X-ray kapena CT scans .

Ndani amachita echocardiogram iyi?

Kodi mukudziwa amene amachita echocardiogram iyi? Pali munthu amene waphunzitsidwa mwapadera pa izi, timamutcha katswiri wofufuza za mtima . Ndi omwe amagwiritsa ntchito ukadaulo waposachedwa uwu ndipo amachita mayesowa m'chipinda chachipatala, kapena nthawi zina m'chipatala chapadera chothandizira matenda a mtima ( catheterization lab ).

Kodi pali mitundu yosiyanasiyana ya echocardiograms?

Inde, pali mitundu ingapo ya mayeso a echo. Mtundu uliwonse uli ndi ubwino wake pakupeza ndi kuchiza matenda a mtima wanu. Mitundu yayikulu ndi iyi:

• Transthoracic echocardiogram: Iyi ndi njira yodziwika bwino kwambiri yochitira opaleshoni ndipo anthu ambiri amaidziwa bwino.
• Kuyeza mtima kwa transesophageal echocardiogram: Iyi ndi njira yapadera pang'ono yomwe imalola kuwona bwino mtima.
• Echocardiogram yowunikira kupsinjika maganizo : Izi zimayesa mtima wanu pamene mukuchita masewera olimbitsa thupi.

Kodi njira zomwe zimagwiritsidwa ntchito poyesa ma echo ndi ziti?

Njira zosiyanasiyana zimagwiritsidwa ntchito pojambula mtima wanu. Njira yabwino kwambiri imadalira matenda anu komanso zomwe dokotala akufuna kuwona.

• Ultrasound ya magawo awiri (2D): Iyi ndi mtundu womwe umagwiritsidwa ntchito kwambiri. Mtima umaoneka pa kompyuta ngati "zidutswa".
• Ultrasound ya magawo atatu (3D): Njira iyi ya magawo atatu yapita patsogolo kwambiri ndi ukadaulo watsopano. Imatha kutenga chithunzi chonse cha magawo atatu cha mtima. Imasonyeza momwe magazi amapopedwera bwino kwambiri, ndipo mutha kuwonanso mtima kuchokera mbali zosiyanasiyana.
• Doppler ultrasound: Izi zimayang'ana momwe magazi anu akuthamangira komanso komwe akupita.
• Kujambula kwa Doppler Ultrasound: Izi zimasonyezanso kuyenda kwa magazi, koma mu mtundu. N'zosavuta kumvetsa chifukwa magazi amayenda mbali zosiyanasiyana, kusonyeza mitundu yosiyanasiyana.
• Kujambula zithunzi za kupsinjika: Izi zikusonyeza kusintha pang'ono kwa momwe minofu ya mtima imayendera. Izi zingathandize kwambiri kuzindikira zizindikiro zoyambirira za matenda ena a mtima.
• Kujambula zinthu zosiyana: Mu izi, madzi apadera ( chosakaniza chosiyana ) amalowetsedwa mumtsempha wanu. Madzi awa amaonekera bwino pazithunzi, kotero kuti tsatanetsatane wa mtima ukhoza kuoneka bwino. Anthu ena akhoza kukhala ndi vuto la ziwengo pang'ono, koma nthawi zambiri si nkhani yaikulu ndipo amatha msanga.

Kodi mayeso a echo amatenga nthawi yayitali bwanji?

Kujambula kwa mtima (echocardiogram) nthawi zambiri kumatenga mphindi 40 mpaka 60. Komabe, kujambula kwa mtima (transesophageal echo) komwe kumachitika ndi chubu choyikidwa pakhosi, kungatenge mphindi 90.

Kodi Echo ndi EKG ndi chinthu chimodzi? Kapena ndi ziwiri?

Chinthu chimodzi chomwe chimasokoneza anthu ambiri ndi chakuti kaya Echo ndi ECG (EKG kapena ECG) ndi chinthu chimodzi kapena ayi. Onse awiri amayang'ana mtima wanu, koma zinthu zomwe amayang'ana ndi momwe amaonekera zimasiyana.

Chiganizochi chimayang'ana mawonekedwe onse, kapangidwe kake, ndi ntchito ya mtima. Chimapanga zithunzi zosuntha za mtima.

ECG (EKG) imayesa ntchito yamagetsi ya mtima. Siipanga zithunzi za mtima, koma graph. Mizere yomwe ili pa graph iyi ikuwonetsa kugunda kwa mtima ndi kayimbidwe kake.

Kodi ndi liti pamene ndikufunika echocardiogram?

Tsopano tiyeni tiwone nthawi yomwe dokotala angakuuzeni kuti mupimidwe ndi echocardiogram.

• Ngati muli ndi zizindikiro zilizonse (monga kupweteka pachifuwa, kupuma movutikira), pezani chomwe chikuyambitsa (kaya mupeze matenda kapena tsimikizirani kuti palibe matenda otere).
• Ngati dokotala akuganiza kuti muli ndi matenda a mtima,Zimenezo zilipo. Kenako timachitapo kanthu kuti tidziwe bwino lomwe kuti tidziwe zambiri za izo.
• Ngati mwapezeka kale ndi vuto la mtima, onani momwe lilili. Mwachitsanzo, anthu ena omwe ali ndi matenda a mtima amafunika kuyesedwa pafupipafupi ndi echocardiograms.
• Ngati mukukonzekera opaleshoni kapena njira ina yachipatala.
• Onani momwe zotsatira zake zilili mutachita opaleshoni kapena opaleshoni yachipatala.

Kodi echocardiogram imasonyeza chiyani?

Echocardiogram imatha kuzindikira mitundu yosiyanasiyana ya matenda a mtima. Nazi zitsanzo zingapo:

• Matenda a mtima obadwa nawo: Izi zikutanthauza matenda a mtima omwe amapezeka pobadwa.
• Matenda a mtima: Uwu ndi matenda omwe amakhudza minofu ya mtima.
• Matenda a mtima: Ichi ndi matenda a m'zipinda za mtima kapena ma valve.
• Matenda a mtima: Uwu ndi matenda omwe amakhudza thumba lochepa ( pericardium ) lomwe limazungulira mtima.
• Matenda a ma valvu: Uwu ndi matenda omwe amakhudza ma valvu, omwe ali ngati "zitseko" pakati pa zipinda za mtima.

Komanso, mawu obwerezabwereza angasonyeze kusintha kumeneku mumtima:

• Aneurysm ya mtsempha wamagazi
• Magazi amaundana
• Chotupa cha mtima

Kodi Transthoracic Echo imachitika bwanji?

Iyi ndi njira yomwe anthu ambiri amaganiza akamva mawu oti 'mtima ukumveka'. Iyi ndi njira yodziwika bwino komanso yodziwika bwino. Imachitika kunja kwa thupi lanu. Katswiri wodziwa bwino ntchito yojambula zithunzi amaika chipangizo chaching'ono chogwiritsidwa ntchito m'manja (chotchedwa transducer ) pachifuwa panu ndipo amatumiza mafunde a mawu mumtima mwanu. Mafunde a mawu awa amatuluka m'mbali mwa mtima wanu ndi 'kubwerezabwereza', kapena kuwonetsanso. 'Mawu' awa ndi omwe amawoneka ngati zithunzi pa kompyuta ya katswiri wa zithunzi. Zithunzizi zimatha kuwonedwa ndi dokotala wanu wa mtima ndi madokotala ena.

Kodi ndingakonzekere bwanji mawu oti transthoracic echo?

• Palibe chifukwa chokonzekera zambiri pa izi. Nthawi zambiri, simuyenera kulamulira kudya ndi kumwa kwanu.
• Ngati muli ndi mankhwala aliwonse, amwe monga mwachizolowezi.
• Mukhoza kubwera mutavala zovala zilizonse. Muyenera kusintha zovala musanayese mayeso.
• Ndi bwino kusiya zinthu zamtengo wapatali kunyumba. Amapereka loko yosungiramo katundu wanu.

Kodi chimachitika ndi chiyani pa nthawi ya Transthoracic Echo?

• Choyamba, mudzauzidwa kuti muvule zovala zanu kuyambira m'chiuno kupita mmwamba ndikuvala diresi la kuchipatala.
• Katswiriyo adzayika zomatira zazing'ono, zathyathyathya, zomatira ( ma electrode ) pachifuwa panu. Izi zimalumikizidwa ku chowunikira cha EKG.Yalumikizidwa. Izi zimalemba momwe mtima wanu umagwirira ntchito nthawi yonse yoyeserera.
• Uyenera kugona patebulo loyezera. Udzapemphedwa kugona cha kumanzere ngati n'kotheka.
• Katswiri amaika chipangizo chotchedwa transducer (tidzachitcha 'ndodo') pachifuwa panu pamalo osiyanasiyana. Nsonga yake ili ndi gel yochepa yopaka, yomwe siivulaza khungu. Gel iyi imathandiza kujambula zithunzi zomveka bwino.
• Mungamve phokoso la 'swish swish' panthawi yoyezetsa. Izi ndi zachilendo, musadandaule. Izi zili choncho chifukwa ndodoyo imagwira phokoso la magazi omwe akuyenda mumtima.
• Pa nthawi ya mayeso, katswiri adzakufunsani kuti mugwire mpweya wanu kwa masekondi angapo ndipo angakufunseninso kuti musunthire pamalo ena.

Simudzamva kupweteka kulikonse panthawi yoyezetsa iyi. Gel yomwe ili pa ndodo idzapangitsa khungu lanu kumva kuzizira pang'ono. Mungamvenso kupanikizika pang'ono ndodo ikakanikizidwa pachifuwa panu.

Kodi Transesophageal Echo (TEE) imachitidwa bwanji?

Izi zimatenga zithunzi kuchokera mkati mwa chifuwa, osati kunja. Zitha kuwona mtima ndi ma valve mwatsatanetsatane kuposa mawu ozungulira chifuwa . Izi zili choncho chifukwa mafupa ndi minofu yanu sizimafika pakati pa transducer ndi mtima wanu. Pa mayeso awa, katswiri amaika transducer yaying'ono kudzera mu chubu chachitali, chosinthasintha ( endoscope ) pansi pa mmero panu ndi m'mero ​​mwanu. Iyi ndi njira yosalowerera kwambiri, kotero mungamve kusasangalala kwakanthawi. Koma palibe zoopsa zazikulu.

Mtundu uwu wa echo ungagwiritsidwe ntchito pazochitika zotsatirazi:

• Ngati dokotala akufuna kuona bwino mtsempha wanu wamagazi kapena kumbuyo kwa mtima wanu (makamaka atrium yakumanzere kapena ventricle yakumanzere).
• Yang'anani ngati magazi aundana .
• Yang'anani valve yanu ya mitral kapena valve ya aortic .
• Ngati muli ndi matenda a kunenepa kwambiri kapena m'mapapo.
• Ngati kubwerezabwereza kwa transthoracic sikungatheke pazifukwa zina zosiyanasiyana.

Kodi ndingakonzekere bwanji opaleshoni ya transesophageal echo (TEE)?

Pokonzekera izi, muyenera kuuza dokotala wanu ngati muli ndi chimodzi mwa izi:

• Mavuto a m'mero , monga hernia ya hiatal .
• Kuvuta kumeza.
• Kulephera kupuma mokwanira .
• Ngati mankhwala alowetsedwa m'mitsempha ( kugwiritsa ntchito mankhwala m'mitsempha ).

Komanso, ndikofunikira kutchula ngati mukumwa mankhwala a chilichonse mwa izi:

• Mavuto a kusowa tulo.
• Nkhawa .
• Ululu .

Zinthu zokonzekera pa tsiku la mayeso:

• Onetsetsani kuti mwabweretsa munthu woti akutengereni kunyumba. Mudzapatsidwa mankhwala oletsa ululu pa mayeso awa, kotero simudzatha kuyendetsa galimoto kwa maola 24.
• Musadye kapena kumwa chilichonse kwa maola osachepera asanu ndi limodzi musanayesedwe. Dokotala wanu adzakupatsani malangizo enieni okhudza zomwe muyenera kudya ndi kumwa. Ndikofunikira kuwatsatira bwino.
• Funsani dokotala wanu nthawi yomwe muyenera kumwa mankhwala anu anthawi zonse. Mutha kumwa nthawi imeneyo ndi madzi pang'ono.
• Ngati mukumwa mankhwala a matenda a shuga , funsani dokotala wanu za nthawi komanso momwe mungamwere mankhwalawo.
• Chonde siyani zinthu zanu zamtengo wapatali kunyumba. Malo osungiramo zinthu adzaperekedwa kuti musunge zinthu zanu.
• Valani zovala zabwino kwambiri zomwe mungathe. Muyenera kusintha zovala za kuchipatala musanayambe opaleshoni.

Kodi chimachitika ndi chiyani pa nthawi ya transesophageal echo (TEE)?

• Muyenera kuvula zovala zanu pamwamba pa chiuno ndikuvala diresi la kuchipatala.
• Dokotala adzaika ma electrode (tikalata tating'ono) pachifuwa panu. Izi zitha kuyang'anira momwe magetsi a mtima wanu akuyendera panthawi yoyezetsa.
• Dokotala adzakulumikizani chotsukira magazi pa mkono wanu ndi choyezera kuthamanga kwa magazi pa chala chanu.
• Mudzatsukidwa pakhosi ndi madzi ochepetsa ululu. Dokotala adzakupoperaninso mankhwala ochepetsa ululu pakhosi panu.
• Kuti mukhale omasuka, mudzapatsidwa IV ndi mankhwala oletsa ululu. Patapita kanthawi, mudzayamba kumva tulo.
• Mungakhale ndi chubu chaching'ono chomwe chimayikidwa m'mphuno mwanu kuti chikupatseni mpweya.
• Muyenera kutembenukira kumanzere ndikugona patebulo loyesera.
• Dokotala adzaika endoscope ( chubu chachitali, chopyapyala, chosinthasintha chokhala ndi transducer kumapeto) kudzera pakamwa panu. Chubuchi chidzadutsa pakhosi panu ndi kulowa m'mero . Chidzapakidwa mafuta kuti chizithandiza kuti chizigwa mosavuta. Ngakhale kuti izi zingamveke zosasangalatsa pang'ono, sizingakupwetekeni.
• Mungapemphedwe kuti mumeze kuti transducer ikhale pamalo oyenera kumbuyo kwa mtima wanu.
• Kenako dokotalayo akujambula zithunzi. Simudzamva chilichonse panthawiyi.
• Dokotala akadzajambula zithunzi zomwe akufuna, adzachotsa chubucho pakhosi panu. M'kamphindi kochepa, mudzakhala okonzeka kusintha zovala ndikupita.

Kodi mungatani kuti mugwiritse ntchito Echo ya Kupsinjika Maganizo?

Mayeso obwerezabwereza a kupsinjika maganizo , omwe nthawi zina amatchedwa mawonedwe obwerezabwereza a kupsinjika maganizo , amasonyeza momwe mtima wanu umagwirira ntchito pamene ukugwira ntchito molimbika, kutanthauza kuti, pamene 'upsinjika maganizo'. Mayeso awa ndi achikhalidweNdi zofanana ndi mayeso olimbitsa thupi. Katswiri adzayang'anira kugunda kwa mtima wanu, kamvekedwe ka thupi lanu, ndi kuthamanga kwa magazi (zomwezo zomwe mungachite poyesa kupsinjika nthawi zonse). Komabe, mayesowa akuphatikizaponso kujambula kwa echo (komwe sikumachitika poyesa kupsinjika nthawi zonse). Mayesowa akuwonetsa momwe mtima wanu ungapiririre ntchitoyo. Katswiriyo adzakujambulani zithunzi musanayambe kuchita masewera olimbitsa thupi komanso mukamaliza.

Nthawi zina, simuyenera kuchita masewera olimbitsa thupi. M'malo mwake, dokotala wanu adzakupatsani mankhwala oti mtima wanu ugwire ntchito molimbika, ngati kuti mukuchita masewera olimbitsa thupi. Cholinga chake ndikupangitsa mtima wanu kufunikira mpweya wambiri. Mtima wanu ukakhala ndi nkhawa, katswiri amatha kuwona zinthu zomwe simungazione mukangogona patebulo loyezera. Mwachitsanzo, mavuto a mitsempha yanu ya mtima kapena mkati mwa mtima wanu.

Kodi mungakonzekere bwanji Echo ya Kupsinjika Maganizo?

Dokotala wanu adzakupatsani malangizo atsatanetsatane a momwe mungakonzekerere mayesowa. Muyenera kukonzekera pang'ono pa izi kuposa mitundu ina.

• Musadye kapena kumwa china chilichonse kupatula madzi kwa maola osachepera anayi musanayesedwe.
• Musasute fodya tsiku la mayeso.
• Musamwe chilichonse chokhala ndi caffeine kwa maola 24 musanayesedwe. Izi zikuphatikizapo khofi, tiyi, zakumwa zopanda ufa (zomwe zilinso ndi caffeine pang'ono), ndi mankhwala ena ochepetsa ululu omwe amagulitsidwa popanda chilolezo cha dokotala .

Funsani dokotala wanu za nthawi ndi momwe mungamwere mankhwala anu anthawi zonse. Mungafunike kusiya kumwa mankhwala ena a mtima patsiku loyesa. Mlingo wanu wa mankhwala a shuga ungafunikenso kusinthidwa. Tsatirani malangizo a dokotala wanu molondola.

Ngakhale kuti simudzakhala ndi nthawi yopumula chifukwa cha izi, ndi bwino kukhala ndi munthu woti akuperekezeni popita ndi kubwera ku opaleshoniyi, chifukwa mungamve kutopa mukamaliza opaleshoniyi.

Valani zovala ndi nsapato zabwino. Mudzakhala mukuyenda pa treadmill kapena kukwera njinga yosasuntha panthawi ya mayeso, choncho valani zomwe zimakusangalatsani kwambiri.

Kodi chimachitika ndi chiyani mukachita Exercise Stress Echo?

• Katswiri adzaika ma electrode (timitengo tating'ono) pachifuwa panu. Izi zimalumikizidwa ndi chowunikira cha EKG kuti chiziwunika kugunda kwa mtima wanu ndi kamvekedwe kake panthawi yonse yoyeserera.
• Musanayambe kusuntha, dokotala adzayesa kugunda kwa mtima wanu, kayimbidwe ka mtima wanu, ndi kuthamanga kwa magazi.
• Mukagona patebulo loyezera, katswiriyo akujambula zithunzi za mtima wanu. Iye amaika ndodo yogwira ndi dzanja yomwe imagwiritsidwa ntchito poyesa ma echo pachifuwa panu nthawi zosiyanasiyana.
• Kenako mumayamba kuyenda. Mutha kuyenda pa treadmill kapena kukwera njinga yosasuntha . Pang'onopang'ono onjezerani liwiro/mphamvu.
• Muyenera kupitiriza kuchita zimenezi mpaka mutatopa. Izi nthawi zambiri zimatenga mphindi zisanu ndi ziwiri mpaka khumi ndi ziwiri.
• Mukamachita masewera olimbitsa thupi, katswiri adzakufunsani momwe mukumvera. Auzeni zizindikiro zilizonse zomwe mukukumana nazo. Adzayang'aniranso mtima wanu pogwiritsa ntchito chipangizo cha EKG .
• Mukasiya kusuntha, mayeso a echo adzachitikanso.
• Kenako mudzaziziritsa mwa kuyenda pansi kapena kukwera njinga kwa kanthawi. Dokotala adzayang'anira zizindikiro zanu zofunika mpaka zitabwerera mwakale.

Ngati mwapatsidwa mankhwala oti 'mumapanikizika' mtima wanu, njira yake idzakhala yosiyana pang'ono. Simudzakhala pa treadmill kapena pa njinga. Lankhulani ndi dokotala wanu za zomwe mungayembekezere komanso momwe mungamvere panthawi yoyesedwa kotere.

Kodi ndingapeze bwanji zotsatira za mayeso anga?

Dokotala wanu wa mtima akawunikanso mayesowo, adzalemba zotsatira zake mu mbiri yanu ya zamankhwala yamagetsi. Wopereka chithandizo chanu chachikulu akhoza kuwonanso zotsatira zake. Mudzakambirana zotsatira izi ndi dokotala m'modzi kapena onse awiriwa.

Funsani mafunso aliwonse omwe muli nawo okhudza zithunzizo ndi tanthauzo lake. Dokotala adzakufotokozerani zomwe zithunzizo zikuwonetsa komanso ngati mukufuna mayeso ena kapena chithandizo.

Kodi simuyenera kuchita chiyani musanachite echocardiogram?

Zimatengera mtundu wa ultrasound yomwe mukuchita. Funsani dokotala wanu zomwe muyenera kuchita ndi zomwe simuyenera kuchita. Nazi zina zomwe simungafune kuchita musanachite ultrasound:

• Kudya ndi kumwa (makamaka pa transesophageal echoes ndi stress echoes ).
• Kusuta kapena kugwiritsa ntchito zinthu zina za nikotini .
• Khofi kapena chilichonse chomwe chili ndi caffeine . Izi zikuphatikizapo zakumwa zopanda ufa , zomwe zilinso ndi caffeine pang'ono. Izi zikuphatikizaponso mankhwala ena omwe amagulitsidwa mumsika wogulitsa omwe ali ndi caffeine.

Mungafunikenso kusintha nthawi yanu ya mankhwala musanayesedwe. Musasiye kapena kusintha mankhwala aliwonse popanda kulankhula ndi dokotala wanu.

Uthenga wochokera m'nkhaniyi wokhudza kupita kunyumba

Echocardiogram ndi mayeso ofunikira omwe angakuuzeni zambiri zokhudza kapangidwe ndi ntchito ya mtima wanu. Ngati dokotala wanu akukuuzani kuti muyese echo, funsani za mtundu wa mayeso omwe mukuyenera kuchita komanso zomwe mungayembekezere. Mungafunike kuyesedwa kangapo, kapena mayeso angapo pogwiritsa ntchito njira zosiyanasiyana, kuti mupeze tsatanetsatane wonse womwe dokotala wanu akufuna pankhani ya mtima wanu.

Funsani dokotala wanu kuti akufotokozereni zithunzizo ndi kukuthandizani kumvetsetsa tanthauzo lake. Kuchita nawo mbali pa matenda anu ndi chithandizo chanu kungakuthandizeni kukhala omasuka pa gawo lililonse la ndondomekoyi.

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