Kodi inunso nthawi zambiri mumagwa? Tiyeni tikambirane za izi (Tilt Table Test)!

Kodi munayamba mwakhalapo ndi diso labuluu mwadzidzidzi, munamva ngati zinthu zikukuzungulirani, kapena munamva ngati mukutaya chikumbumtima? Ngati izi zikukuchitikirani nthawi zambiri, lero tikambirana za mayeso omwe angakuthandizeni kupeza chomwe chikuyambitsa. Izi zimatchedwa `(Tilt Table Test)`. Musachite mantha, n'zosavuta. Tiyeni tiwone chomwe chili, momwe chimachitikira, komanso zomwe muyenera kudziwa.

Kodi ichi ndi chiyani (Tilt Table Test)?

Mwachidule, "Tilt Table Test" ndi mayeso omwe amathandiza kupeza chomwe chimayambitsa kukomoka kapena kutayika kwa chidziwitso (chomwe chimadziwikanso kuti "Syncope" m'mawu azachipatala). Zimaphatikizapo kukugonetsani pabedi lapadera (tebulo) ndikuyang'anira kuthamanga kwa magazi anu, kugunda kwa mtima , ndi kugunda kwa mtima wanu nthawi zonse pamene bedi likupendekeka mbali zosiyanasiyana. Bedi nthawi zonse limakhala pamalo abwino kuti mutu wanu ukhale pamwamba pa mutu wanu.

Kodi ndi chiyani chomwe chingapezeke ndi Tilt Table Test?

"Mayeso a Tebulo Lopendekeka" awa amatithandiza kuona momwe kugunda kwa mtima wanu, kamvekedwe ka thupi lanu, ndi kuthamanga kwa magazi kwanu kumasinthira mukasintha malo (monga, mukangoyimirira mwadzidzidzi kuchokera pamalo ogona). Pogwiritsa ntchito izi, dokotala wanu akhoza kupeza chomwe chikukuchititsani chizungulire ndi mutu wopepuka . Izi zingakuthandizeni kupanga dongosolo labwino kwambiri la chithandizo kwa inu.

Tsopano, taonani, kukomoka, kapena kukomoka, ndi kutaya chidziwitso kwakanthawi komanso kulephera kulamulira thupi chifukwa cha kuchepa kwakanthawi kwa kuchuluka kwa magazi omwe amapita ku ubongo. Ndicho chifukwa chake nthawi zina anthu amagwa. Kutayika kwa magazi kumeneku kungayambitsidwe ndi kutsika kwadzidzidzi kwa kuthamanga kwa magazi, kuchepa kwa kugunda kwa mtima, kapena kusintha kwa kuchuluka kwa magazi m'thupi kapena kuyenda kwa magazi. Ngakhale mutachira, mungamve chizungulire pang'ono.

Kaya titayimirira, titakhala, kapena titagona, matupi athu ayenera kulamulira kuthamanga kwa mtima wathu ndi kuthamanga kwa magazi. Komabe, matenda ena amatha kusokoneza izi. Izi zikachitika, kuthamanga kwa magazi anu kumatha kutsika mwadzidzidzi mukamayimirira.

Kusanza nthawi zambiri kumachitika chifukwa cha matenda ena omwe amakhudza mtima wanu, dongosolo lanu la mitsempha, kapena kuyenda kwa magazi kupita ku ubongo. Chifukwa chake, dokotala wanu angakupatseni mayeso ena pamodzi ndi Tilt Table Test kuti mumvetse bwino vuto lanu.

Kodi mumachita bwanji izi (Tilt Table Test)?

Tangoganizirani zomwe zimachitika mkati mwa thupi lanu mukangoyimirira mwadzidzidzi kuchokera pamalo ogona. Ndicho chimene ``Tilt Table Test Test'' iyi imachita mwachinyengo. Koma ndi yotetezeka kwambiri . Chifukwa chakuti mwamangiriridwa pabedi ndi zingwe, simudzagwa ngakhale mutazunguzika mutu mukasuntha bedilo pamalo oimirira.

Kodi mayeso a Tilt Table amachitidwa liti? Kodi amachitika kuti? Amatenga nthawi yayitali bwanji?

Dokotala angachite "Tilt Table Test" iyi ngati mukumva chizungulire pafupipafupi kapena kutaya chidziwitso popanda chifukwa chomveka.

Mayesowa amachitidwa mu ``Tilt Lab'' yapadera kapena ``Electrophysiology Lab'' yomwe ili kuchipatala kapena ku chipatala.

Kuyesaku kungatenge mphindi pafupifupi 90 kuti kumalizidwe, kutengera zizindikiro zanu komanso momwe kuthamanga kwa magazi ndi kugunda kwa mtima wanu zimasinthira panthawi yoyesa. Anthu ena angasonyeze zizindikiro kuyambira gawo loyamba la mayeso, kotero safunika kuchita mayeso ena. Dokotala adzakhala ndi chidziwitso chonse chomwe akufuna panthawiyo.

Kodi mungakonzekere bwanji mayeso a Tilt Table?

Tsatirani malangizo a dokotala wanu mosamala ndipo mudziwe zoyenera kuchita patsiku la mayeso. Ndi bwino kupempha mnzanu kapena wachibale kuti akutengereni kunyumba mutamaliza mayeso.

Zokhudza chakudya ndi zakumwa:

• Idyani bwino usiku usanachitike mayeso.
• Musadye kapena kumwa china chilichonse kupatula madzi ochepa kwa maola anayi musanayesedwe.
• Musamwe chilichonse chokhala ndi caffeine (monga khofi kapena tiyi) patsiku loyesa.

Zokhudza mankhwala:

• Imwani mankhwala anu achizolowezi pa nthawi yake ndi madzi pang'ono.
• Ngati mukumwa mankhwala ochepetsa mphamvu ya madzi (mapiritsi a madzi), funsani dokotala wanu ngati mungathe kumwa mankhwalawa mutatha kuyeza.
• Musamwe mankhwala otsekula m'mimba.
• Ngati muli ndi matenda a shuga kapena mukumwa insulin, funsani dokotala wanu momwe mungamwere mankhwala anu patsiku loyezetsa. Bweretsani glucometer yanu ngati mukuona kuti shuga m'magazi mwanu ndi wochepa paulendo wopita kuchipatala.
• Musasiye kumwa mankhwala popanda kulankhula ndi dokotala.

Kodi muyenera kuvala chiyani?

• Valani zovala zabwino komanso nsapato. Mutha kuvala T-sheti ya manja afupi kapena yopanda manja m'malo mwa diresi la kuchipatala. Ngati mukuvala diresi la manja aatali kapena lothina, mungapemphedwe kuti muvale diresi la kuchipatala. Ndibwino kubweretsa zovala zina kuti muvale ngati mutasanza kapena kukodza panthawi yoyezetsa.

Kodi muyenera kutenga chiyani?

• Musatenge chilichonse chamtengo wapatali.
• Tengani zinthu izi:
• Mndandanda wolembedwa wa mankhwala omwe mukumwa panopa ndi mlingo wake.
• Zolemba zakale zachipatala, ngati zilipo.
• Mndandanda wolembedwa wa ziwengo zanu zonse (za mankhwala, zakudya, zinthu zachilengedwe).
• Khadi lanu la inshuwaransi.

Kodi chimachitika ndi chiyani mayeso asanachitike?

Dokotala kapena namwino adzakufotokozerani za mayesowo, kuyankha mafunso anu, ndikukupemphani kuti musayine fomu yovomereza. Muthanso kupeza fomuyi mukakumana ndi dokotala tsiku lisanafike mayesowo. Winawake adzakuthandizani kukonzekera mayesowo ndikuyankha mafunso aliwonse omwe mungakhale nawo.

Musanayesedwe, ngati mukufuna kupempha dokotala wanu kuti asagwiritse ntchito dzanja lanu limodzi poika IV (madzi amchere m'mitsempha) kapena kuyesa kuthamanga kwa magazi anu, muuzeni.

Asanayesedwe, ogwira ntchito zachipatala adzachita izi:

• Mudzagonekedwa pa "Tilt Table". Iyi ndi bedi lokhala ndi injini yokhala ndi mbale yachitsulo yoti muyikepo mapazi anu.
• Zingwe zofewa za nsalu zidzalumikizidwa thupi lonse, koma muyenera kunyamula kulemera kwanu panthawi yoyeserera.
• Katemera wa IV adzaikidwa mu mtsempha womwe uli m'dzanja lanu kapena m'dzanja lanu. Izi zingatenge magazi ndikukupatsani mankhwala panthawi yoyezetsa, ngati pakufunika.
• Ma cuff a kuthamanga kwa magazi adzalumikizidwa ku dzanja lanu limodzi ndi chala chanu. Izi zimalumikizidwa ku ma monitor omwe amatumiza chidziwitso nthawi yonse yoyeserera. Cuff pa chala imakhala yogwira nthawi zonse panthawi yonse yoyeserera. Cuff pa mkono imayang'ana kuthamanga kwa magazi anu mphindi 4-10 zilizonse.
• Ma electrode ang'onoang'ono, omata omwe amatchedwa ma electrode amaikidwa pachifuwa panu. Izi zimalumikizidwa ndi chowunikira cha electrocardiogram (EKG). Izi zikuwonetsa momwe mtima wanu umagwirira ntchito ngati chithunzi chosuntha cha mizere pa pepala losuntha. Izi zitha kuyang'anira kugunda kwa mtima wanu ndi kamvekedwe kake panthawi yoyeserera.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Ogwira ntchito zachipatala adzakhala nanu nthawi yonse yoyezetsa. Adzayesetsa kuti mukhale omasuka momwe angathere. Makina azidzayang'anira kuthamanga kwa magazi anu, kugunda kwa mtima wanu, ndi kugunda kwa mtima wanu. Chidziwitso chomwe chasonkhanitsidwa chidzajambulidwa pa kompyuta.

Gawo Loyamba:

Pa nthawi ya ``Tilt Table Test'', mudzagona pansi kwa mphindi pafupifupi 15.

Kenako, pamene muli chete, dokotala adzakuyezani kuthamanga kwa magazi ndi EKG.

Munthu amene akuyang'anira tebulo loyendetsedwa ndi injini amapotoza tebulo motere:

• Kwa mphindi 2-3 pa kutentha kwa madigiri 30.
• Kwa mphindi 2-3 pa kutentha kwa madigiri 45.
• Kuphika mpaka mphindi 45 pa madigiri 70.

Chofunika kwambiri ndichakuti nthawi zonse muziyang'ana mmwamba pa nthawi ya mayeso.

Kuti mupeze zotsatira zolondola za mayeso, tsatirani malangizo awa:

• Khalani chete komanso chete momwe mungathere panthawi ya mayeso.
• Musasunthe miyendo yanu mukakhala chilili.
• Yesetsani kusalankhula pokhapokha ngati kuli kofunikira kwambiri.
• Uzani dokotala wanu za zizindikiro zilizonse zomwe mumakumana nazo pa Tilt Table Test (monga chizungulire, mutu wopepuka, kapena kusokonezeka m'mimba).

Gawo Lachiwiri (ngati kuli kofunikira):

Ngati kuthamanga kwa magazi anu sikutsika panthawi yoyamba ya mayeso, dokotala angakupatseni mankhwala kuti awone momwe thupi lanu limayankhira. Mankhwalawa amapangitsa mtima wanu kugunda mofulumira. Mankhwalawa angaperekedwe kudzera mu "IV" yanu, ngati piritsi, kapena ngati kupopera mkamwa mwanu.

Atatha kukupatsani mankhwalawo, dokotalayo adzatembenuza tebulolo kufika madigiri 60 kwa mphindi 15. Ngati kuthamanga kwa magazi anu kutsika panthawiyi, mayesowo atha. Komabe, gawo lachiwiri la mayesowo lidzamalizidwa mu mphindi 15.

Kodi mudzamva bwanji panthawi ya mayeso?

Mu nthawi yonse ya mayeso, dokotala adzakufunsani momwe mukumvera. Mwina mulibe zizindikiro zilizonse, kapena mutha kukhala ndi zizindikiro za "pre-syncope". Izi ndi zomwe zimachitika kawirikawiri:

• Kudziona ngati wopanda pake - Kudzimva ngati kuti ukuyandama.
• Chizungulire.
• Kumva kupweteka m'mimba, ngati kuti ukusanza.
• Kugunda kwa mtima ndi kumva mtima ukugunda komanso chifuwa chikugunda.

Mungakhale ndi vuto la kuona bwino kapena mutu.

Cholinga cha mayesowa si kukupangitsani mantha. Komabe, kutengera momwe mwayankhira mayesowo, zingakupangitseni mantha.

Chofunika kwambiri: Uzani dokotala wanu zomwe mukumva panthawi yonse yoyezetsa. Angakufunseni kuti muyese zizindikiro zanu pa sikelo ya 1 mpaka 10 (10 kukhala yoyipa kwambiri). Zizindikiro zanu, pamodzi ndi chidziwitso chomwe chasonkhanitsidwa kuchokera ku mayeso, zithandiza dokotala wanu kudziwa chomwe chikuyambitsa zizindikiro zanu.

Ngati mukuona kuti simungathe kupitiriza ndi mayeso chifukwa cha zizindikiro zanu, uzani dokotala wanu . Angasiye mayesowo ngati akufuna. Komabe, ngati akuganiza kuti ndi bwino kuti mupitirize ndi mayesowo, adzakulimbikitsani kuti mudikire mpaka mayesowo atatha, chifukwa pamenepo ndi pomwe mudzalandira zotsatira zonse.

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Pambuyo pa mayeso a Tilt Table, dokotala adzatsitsa tebulolo kuti likhale lathyathyathya. Mudzagona patebulo kwa mphindi 5-10. Panthawiyi, dokotala adzayang'ana ngati muli bwino ndipo adzayesanso kuthamanga kwa magazi anu, kugunda kwa mtima wanu, ndi kugunda kwa mtima wanu.

Ndi zachilendo kwambiri kuti zizindikiro zazikulu zipitirire pambuyo pa mayeso, koma ngati zitachitika, mungafunike kupita ku Dipatimenti Yodzidzimutsa kuti mukayezedwe.

Ngati iyi ndi mayeso anu omaliza a tsikulo, dokotala adzachotsa `(IV)` yanu. Ngati muli ndi mayeso ena omwe amafunikira `(IV)` tsiku limenelo, adzasiya `(IV)` momwe ilili. Munthu amene akuchita mayeso enawo adzachotsa `(IV)` mukamaliza mayeso anu omaliza.

Anthu ambiri amatha kupita kunyumba akamaliza mayeso. Koma muyenera kukhala ndi munthu wamkulu wodalirika amene angakutengereni kunyumba. Simungathe kuyendetsa galimoto tsiku limenelo.

Ngati mulibe mayeso ena omwe amafuna kuti musala kudya, mutha kudya bwino mukamaliza mayeso.

Ngati zizindikiro zatsopano zayamba pambuyo poyezetsa, kapena ngati zizindikiro zomwe zilipo zikupitirira, uzani dokotala wanu .

Kodi pali zoopsa zilizonse ndi izi (Tilt Table Test)? Kodi ndizotetezeka?

Kawirikawiri, anthu amagonetsedwa panthawi ya mayeso a "Tilt Table Test". Komabe, chifukwa madokotala ali nanu, amatsitsa tebulo mwachangu ndikukubwezerani pamalo anu abwinobwino. Mungamve kutopa ndi/kapena kupweteka m'mimba. Anthu ena amalephera kulamulira mkodzo wawo panthawi ya mayeso.

Kuyezetsa kumeneku nthawi zambiri kumakhala kotetezeka . Komabe, monga momwe zimakhalira ndi mayeso ena onse, pamakhala zoopsa zina. Nthawi zambiri, anthu omwe ali ndi mitsempha ya mtima yopapatiza kapena mitsempha ya carotid amatha kukhala ndi matenda a mtima kapena sitiroko.

Dokotala wanu adzakambirana nanu za zoopsa ndi ubwino wa mayeso a tebulo lopendekera asanavomereze mayesowo. Ngati pakufunika kutero, dokotala wanu angasinthe zina pa mayesowo kuti achepetse chiopsezo chanu.

Kodi zikutanthauza chiyani ngati mayesowo ali (Abwino) / (Oipa)?

• Kuyezetsa tebulo loyang'ana bwino kumatanthauza kuti mungakhale ndi vuto lachipatala lomwe limayambitsa kusintha kosazolowereka kwa kuthamanga kwa magazi, kugunda kwa mtima, kapena kayimbidwe ka mtima.
• Kuyezetsa tebulo loti muli ndi vuto la kutsika kwa magazi kumatanthauza kuti simunawonetse zizindikiro zilizonse za matenda omwe amayambitsa kusintha kosazolowereka kwa kuthamanga kwa magazi, kugunda kwa mtima, kapena kugunda kwa mtima.

Ndi matenda ati omwe angayambitse mayeso (okhala ndi kachilombo)?

Zina mwa zinthu zomwe zingayambitse `(Positive) (Tilt Table Test)` ndi izi:

• Kugunda mtima pang'onopang'ono (Bradycardia).
• Kugunda kwa mtima mofulumira kwambiri (Tachycardia).
• Kuchepa kwa shuga m'magazi (Hypoglycemia).
• Kuthamanga kwa magazi pang'ono (Hypotension).
• Matenda a Postural Orthostatic Tachycardia (POTS).

Kodi ndidzadziwa liti zotsatira za mayeso?

Dokotala angayang'anenso zotsatira zake ndikukambirana nanu pazochitika zotsatirazi:

• Ngati muli ndi kusintha kwakukulu kwa kuthamanga kwa magazi, kagwiridwe ka mtima, kapena kugunda kwa mtima.
• Ngati mukukumana ndi mavuto.
• Ngati zizindikiro zanu zikupitirira pambuyo pa mayeso.

Ngati dokotala wa ku labu sanalankhule nanu za zotsatira pambuyo pa mayeso, imbani dokotala amene anakutumizani kuti mukayesedwe ndipo mufunse za zotsatira zake. Nthawi zambiri, zotsatira zake zidzapezeka mkati mwa masiku ochepa, ngati sizichitika nthawi yomweyo.

Ngati zotsatira zake sizili bwino, kodi muchita chiyani kenako?

Kutengera zotsatira za Tilt Table Test, mungafunike mayeso ena kuti mudziwe chomwe chimayambitsa syncope yanu. Mayeso awa angaphatikizepo:

• Kuyezetsa magazi m'thupi, komwe kumachitika pogwiritsa ntchito echocardiogram, kuti muwone momwe magazi amagawidwira m'thupi lonse, kuthamanga kwa magazi m'mitsempha yanu, komanso momwe mtima wanu ukupopera magazi m'thupi lonse.
• Mayeso a autonomic reflex amayesa dongosolo lanu la mitsempha lodziyimira palokha - dongosolo lomwe limalamulira zochita zomwe sitilamulira, monga kupuma, kugunda kwa mtima, ndi kugaya chakudya.
• `(Mayeso a ntchito ya Vestibular)` (mayeso okhudzana ndi kulinganiza).
• Kuwunika kugunda kwa mtima.
• Echocardiogram (kufufuza mtima ndi ultrasound).

Kodi ndi liti pamene muyenera kulankhula ndi dokotala?

Dokotala amene anakutumizani kuti mukayesedwe adzakufotokozerani zotsatira za mayesowo ndikukambirana nanu za dongosolo lanu la chithandizo.

Ndikofunikira kwambiri kufunsa dokotala wanu za mankhwala anu. Mungafunike kusintha mitundu kapena milingo ya mankhwala omwe mukumwa. Tsatirani ndondomeko yatsopano ya chithandizo yomwe dokotala wanu wakupatsani ndendende.

Kugwidwa ndi mantha kungakupangitseni kuopa kukhala nokha kapena kutuluka. Madokotala akhala akugwiritsa ntchito "Tilt Table Test Test" iyi kwa zaka zambiri kuti athandize anthu kudziwa chomwe chikuyambitsa kugwidwa ndi mantha. Akadziwa chomwe chikuyambitsa, amatha kupanga dongosolo la chithandizo kuti akuthandizeni.

Chinthu chofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Zingakhale zosokoneza komanso zoopsa kwambiri kukhala ndi nthawi yopuma pafupipafupi. Koma kumbukirani, chomwe chimayambitsa izi chingapezeke ndikuchiritsidwa. ``Tilt Table Test Test`` ndi gawo lofunika kwambiri pothandiza pa izi.

Ngati muli ndi zizindikiro izi, musazinyalanyaze. Pitani kwa dokotala ndi kukambirana za izo. Kenako mutha kupeza thandizo lomwe mukufuna. Ngati muli ndi mafunso ena okhudza mayesowa, musaope kufunsa dokotala wanu. Kusamalira thanzi lanu ndiye chinthu chofunikira kwambiri!

Kukomoka , kutaya chidziwitso, kuyezetsa tebulo lopendekeka, kugunda kwa mtima, kuthamanga kwa magazi, kuzindikira matenda, kulumala kwa tulo