Kodi nthawi zambiri mumakhala ndi chizungulire? Tiyeni tikambirane za mayeso a Hemodynamic!

Kodi nthawi zina mumamva chizungulire mwadzidzidzi, maso anu amasanduka abuluu, ndipo zinthu zomwe zikuzungulirani zimamveka ngati zikuzungulira? Kapena mumamva kusasangalala kwambiri, ngati chifuwa chanu chikugunda ndipo mukuvutika kupuma? Ngati zinthuzi zimachitika kawirikawiri, ndikofunikira kwambiri kudziwa chomwe chikuyambitsa. Pazochitika zotere, mayeso apadera omwe dokotala wanu angakupatseni amatchedwa ``Hemodynamic Test''. Lero, tikambirana izi mwatsatanetsatane, mwachidule.

Kodi 'Mayeso a Hemodynamic' awa ndi chiyani?

Mwachidule, `(Hemodynamic Test)` iyi ndi njira yowunikira kayendedwe ka magazi m'thupi lanu, kutanthauza momwe magazi amayendera, komanso momwe mtima wanu ukugwira ntchito bwino. Nthawi zina imatchedwanso `(hemodynamic tilt test)` kapena `(technetium hemodynamic test)`. Izi zili choncho chifukwa mayesowa amagwiritsa ntchito isotope ya radioactive yotchedwa `(technetium)` (tidzakambirana za izi mtsogolo). Iyi ndi mayeso ogwiritsa ntchito ukadaulo wotchedwa `(nuclear imaging)`. Musachite mantha, ngakhale dzina la izi ndi lasayansi pang'ono, mukangophunzira za mayesowa, mudzazindikira kuti izi sizowopsa kwenikweni.

Chifukwa chiyani mayesowa akuchitika? Akufuna chiyani?

Tangoganizirani, mwadzidzidzi mukukomoka ndi kugwa (komwe kumatchedwanso "syncope") ngakhale mutangokhala chete. Kapena dokotala akukayikira kuti pali vuto ndi momwe magazi anu amayendera, ndiko kuti, ndi kuyenda kwa magazi anu. Pamenepo ndiye mayesowa amachitika.

Chidziwitso kuchokera mu mayesowa chingathandize dokotala wanu kudziwa chifukwa chake mukukomoka, kapena vuto la kayendedwe ka magazi m'thupi lanu. Pokhapokha ndi pomwe angadziwe chithandizo chabwino kwambiri kwa inu.

Pali zifukwa zingapo zomwe munthu angagwere:

• Kuchuluka kwa magazi omwe amapita ku ubongo wanu kumachepa mwadzidzidzi.
• Kutsika mwadzidzidzi kwa kuthamanga kwa magazi kapena kugunda kwa mtima.
• Kusintha kwa kuchuluka kwa magazi m'thupi (`kuchuluka kwa magazi`) kapena momwe magazi amagawidwira.

Kawirikawiri, anthu omwe amakomoka chonchi amakhala ndi matenda enaake mumtima mwawo, m'mitsempha, kapena m'thupi lomwe limanyamula magazi kupita ku ubongo. Choncho ``(Hemodynamic Test)`` iyi imathandiza kupeza zinthu zotere.

Kodi muyenera kukonzekera bwanji musanayese mayeso?

Pali zinthu zingapo zomwe muyenera kudziwa ndikutsatira musanachite mayesowa. Mukawatsatira bwino, mudzatha kupambana mayesowo.

• Mimba ndi kuyamwitsa: Kuyezetsa kumeneku sikungachitike ngati muli ndi pakati kapena mukuyamwitsa. Chifukwa chake, mungafunike kuyesa mimba kuti mukhale otetezeka.
• Chakudya ndi Chakumwa: Simungadye kapena kumwa chilichonse kwa maola anayi musanayesedwe. Simungathe kutafuna chingamu kapena tofe. Komabe, ngati muli ndi mankhwala aliwonse, mutha kumwa ndi madzi pang'ono. Funsani dokotala wanu za izi ndipo onetsetsani kuti mwatsimikiza.
• Kafeini: Musamwe chilichonse chokhala ndi kafeini patsiku loyesa. Sikuti tiyi ndi khofi zokha, komanso zakumwa zina zoziziritsa kukhosi ndi chokoleti zimakhala ndi kafeini. Ngakhale zinthu zolembedwa kuti "zopanda kafeini" kapena "zopanda kafeini" nthawi zina zimakhala ndi kafeini pang'ono, choncho pewani nazonso.
• Kwa omwe ali ndi matenda a shuga: Ngati muli ndi matenda a shuga, pemphani kuti mukonze nthawi yoyezetsa magazi pafupifupi 12:30 p.m. Mwanjira imeneyi, mutha kudya chakudya cham'mawa chopepuka isanafike 8:30 a.m. Ndi bwino kulankhula ndi dokotala wanu za izi.
• Mankhwala ena: Musamwe mankhwala otsegula m'mimba (mapiritsi a madzi) kapena mankhwala otsegula m'mimba ( mankhwala otsegula m'mimba ) musanayesedwe. Ndi bwino kusadzuka panthawi yoyezetsa.
• Mankhwala ena: Mutha kumwa mankhwala ena aliwonse omwe mumamwa nthawi zonse. Komabe, funsani dokotala wanu kapena wamankhwala ngati mankhwala aliwonse omwe mukumwa ali ndi caffeine komanso ngati ndi otetezeka kumwa patsiku loyesa. Musayambe kapena kusiya mankhwala aliwonse popanda upangiri wa dokotala wanu.

Kodi mungayembekezere chiyani pa tsiku la mayeso?

Muyeneranso kusamalira zinthu izi patsiku la mayeso.

• Zovala: Valani zovala zomasuka komanso zopepuka komanso nsapato. Pa nthawi yoyezetsa, mudzafunika kuvala diresi la kuchipatala lomwe silinavulidwe kuyambira m'chiuno kupita mmwamba.
• Zodzikongoletsera ndi zinthu zamtengo wapatali: Pewani kuvala zodzikongoletsera monga ndolo, mikanda, mphete (kuphatikizapo mphete zaukwati). Musanyamule zinthu zamtengo wapatali.
• Zinthu zoti mubweretse: Onetsetsani kuti mwabweretsa izi:
• Mbiri yanu yaposachedwa ya zamankhwala ndi lipoti lanu la mayeso a thupi.
• Zolemba zina zachipatala zokhudzana ndi mavuto anu azaumoyo.
• Mndandanda wa mankhwala onse ndi zowonjezera zomwe mumamwa (kuphatikizapo kuchuluka kwa mankhwala omwe mumamwa).
• Mndandanda wa ziwengo zanu zonse.

Kodi mayesowa amatenga nthawi yayitali bwanji? Kodi muli ndi chikumbumtima?

Mayesowa amatenga pafupifupi maola atatu kuti amalize, choncho yembekezerani kukhala maola atatu kuchipatala.

Inde, mudzakhala maso nthawi yonse yoyezetsa. Ogwira ntchito zachipatala adzakupangitsani kukhala omasuka momwe mungathere. Koma ndikofunikira kwambiri kuti mukhale chete komanso chete momwe mungathere. Umu ndi momwe angapangire zithunzi zabwino komanso zomveka bwino.

Kodi chimagwiritsidwa ntchito ndi chiyani pa mayesowa?

Madokotala amagwiritsa ntchito zida ndi njira zosiyanasiyana pochita mayesowa. Tiyeni tiwone zomwe zili.

• Kuwunika kwa EKG (ECG):Ma electrode angapo ang'onoang'ono, omata amaikidwa pachifuwa panu. Chidziwitso chochokera pamenepo chimatumizidwa ku makina otchedwa electrocardiograph (EKG/ECG). Makinawa amalemba momwe mtima wanu umagwirira ntchito ngati graph papepala loyenda. Amatha kuyang'anira kugunda kwa mtima wanu ndi kamvekedwe kake panthawi yoyezetsa.
• Kuwunika Kuthamanga kwa Magazi: Chotsukira cha kuthamanga kwa magazi chimayikidwa pa mkono wanu ndipo kuthamanga kwa magazi kumayesedwa nthawi zosiyanasiyana panthawi yoyezetsa.
• Hemodynamic Echo: Musanayambe mayeso (mutapuma kwa mphindi pafupifupi 20), mudzayesedwa ndi echocardiogram. Mayesowa amatenga mphindi pafupifupi 20. Amajambula zithunzi za mtima wanu mwatsatanetsatane. Amayesanso kuchuluka kwa magazi omwe mtima wanu umapopa nthawi imodzi (kutuluka kwa mtima). Kenako, panthawi yoyesedwa, kutuluka kwa mtima wanu kumayesedwanso ndikuyerekezeredwa ndi kuwerenga koyambirira.
• Kujambula Mankhwala a Nyukiliya: Dokotala amagwiritsa ntchito kamera yapadera yotchedwa kamera ya gamma kujambula zithunzi panthawi yoyezetsa. Kamera iyi imazindikira kuwala kwa gamma komwe kumachokera ku isotope ya radioactive (kapena tracer). Zithunzi zomwe kamera iyi imajambula zimapatsa dokotalayo chidziwitso chofunikira kwambiri chokhudza momwe mtima wanu ukugwira ntchito komanso momwe magazi anu akuyendera. Ikhozanso kukuuzani kuchuluka kwa magazi omwe mtima wanu ukuyenda komanso kuthamanga kwa magazi anu.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Chabwino, tsopano tiyeni tiwone zomwe zimachitika nthawi ya mayeso.

• Mudzagonekedwa patebulo loyesera.
• Wopereka chithandizo chamankhwala, kaya ndi dokotala kapena namwino, adzakufotokozerani bwino za mayesowo. Musaope kufunsa mafunso aliwonse omwe muli nawo panthawiyo.
• Mudzapatsidwa IV (cannula yofanana ndi madzi amchere). Apa ndi pomwe isotope (kapena tracer) yochokera ku radioactive yomwe yatchulidwa kale imaperekedwa m'thupi lanu. Tracer iyi imabayidwa kudzera mu IV yanu musanayambe kujambula zithunzi zilizonse. Nthawi zina mankhwala ena amathanso kuperekedwa kudzera mu IV iyi panthawi yoyezetsa.
• Dokotala adzaika kamera ya gamma pachifuwa panu. Ndikofunikira kuti mukhale chete pamene kamera ikujambula zithunzi. Kamerayo ikhozanso kuzungulirani.

Kodi mumamva bwanji kulemba mayeso?

Mwina simungamve zizindikiro zapadera panthawi yoyezetsa. Komabe, ndi zachilendo kumva mutu wopepuka, nseru, kapena kugunda kwa mtima. Musadandaule ndi zimenezo.

Mankhwala oyambitsa ma radiation akayikidwa mu IV yanu, mungamve kuzizira kukuyenda m'manja mwanu. Mungamvenso kukoma kwachitsulo mkamwa mwanu ndi fungo lachilendo m'mphuno mwanu. Koma malingaliro amenewa sakhalitsa ndipo amatha pakapita kanthawi.

Ndikofunikira kwambiri kuti muuze dokotala kapena namwino chilichonse chomwe mukumva panthawi yoyezetsa, ngakhale zitakhala zazing'ono bwanji. Angasinthe zinthu kuti zikhale zosavuta kuti mukhale pakati pa zithunzi ziwirizi. Dokotalayo adzagwiritsa ntchito zizindikiro zanu ndi zomwe zachokera muyeso kuti adziwe chomwe chikuyambitsa vuto lanu.

Kodi ichi chimagwira ntchito bwanji?

Kuwala komwe kumachokera ku chowunikira chomwe chimaperekedwa kudzera mu IV yanu kumazindikirika ndi kamera ya gamma. Kenako kompyuta imagwiritsa ntchito izi kupanga zithunzi zingapo. Mungapatsidwe zithunzi zitatu (ziwiri muli chigonere ndi chimodzi mutakhala pansi).

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Pali zinthu zingapo zomwe muyenera kukumbukira ngakhale mayeso atatha.

• Ngati mukupeza zizindikiro zilizonse panthawi yoyezetsa, muyenera kukhala m'chipatala mpaka zizindikirozo zitatha kwathunthu.
• Zina mwa `(tracer)` zomwe zagwiritsidwa ntchito poyesa zidzatulutsidwa m'thupi lanu mu mkodzo wanu. Zotsalazo zidzasweka mwachibadwa m'thupi lanu. Ngati mungathe, imwani madzi ochulukirapo. Zimenezi zithandiza kutulutsa `(tracer)` m'thupi lanu mwachangu.
• Pambuyo pa mayeso, mudzapatsidwa khadi loti munyamule mukayenda kwa sabata imodzi. (Ku US, iyi ndi khadi ya ``US Department of Homeland Security``.) Chifukwa chakuti isotope yomwe imagwiritsidwa ntchito mu mayeso ndi ``(isotope)``, mutha kuyambitsa ``(alamu)`` mukamayang'ana ``(chitetezo)`` m'malo ngati ma eyapoti.
• Anthu ambiri amatha kupita kunyumba nthawi yomweyo akangoyezetsa. Komabe, ngati muli ndi zizindikiro zoopsa, ndi bwino kukhala ndi munthu woti akutengereni kunyumba. Choncho ndi bwino kukhala ndi munthu wina mukapita.

Kodi zoopsa ndi zotsatira zake ndi ziti?

Monga mayeso aliwonse azachipatala, pakhoza kukhalanso mavuto ang'onoang'ono ndi awa.

• Mungakhale ndi mabala, kufiira, kapena kutupa komwe kunayikidwa IV. Izi ndi zachilendo ndipo zimatha pakatha masiku angapo. Mungakhalenso ndi ululu kapena kusasangalala mukayika IV.
• Isotope ya radioactive si utoto, kotero siimayambitsa zotsatira zoyipa za ziwengo.
• Kuchuluka kwa kuwala komwe kunagwiritsidwa ntchito poyesa kumeneku ndi kochepa kwambiri. Ndi pafupifupi kuchuluka komwe thupi lanu limalandira mukalandira X-ray pachifuwa. Choncho palibe chodetsa nkhawa.

Kodi zotsatira zake zimakhala bwanji? Kodi zikutiuza chiyani?

Lipoti limene dokotala wanu adzalandira lidzanena ngati zotsatira zanu ndi ``zabwinobwino`` kapena ``zachilendo``.

Komanso, mayesowa akhoza kuwonetsa zinthu monga:

• Kodi muli ndi vuto la mtima lomwe silikuyenda bwino?
• Kodi pali kusintha kulikonse kwa kuthamanga kwa magazi?
• Kodi pali vuto ndi mtima, monga matenda a mitsempha ya mtima, komwe uli, kuchuluka kwake, komanso mitsempha yamagazi yomwe yakhudzidwa?
• Kodi pali kuchepa kwa magazi (ischemia)?
• Kaya pali kufa kwa minofu (infarction) chifukwa cha kusowa kwa magazi ndi mpweya.

Zambiri zofunika ngati izi zingapezeke mu mayeso awa.

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Kawirikawiri zimatenga masiku 10 mpaka 14 (ndiye kuti pafupifupi milungu iwiri) kuti dokotala alandire zotsatira za mayesowa.

Dokotalayo adzagwiritsa ntchito zotsatira zake kupanga dongosolo la chisamaliro choyenera kwa inu. Mungafunike kuyambitsa mankhwala atsopano kapena kusintha mankhwala omwe mukumwa panopa. Muthanso kutumizidwa kwa akatswiri ena.

Kutengera ndi zotsatira za ``Hemodynamic Test'' iyi, dokotala angasankhe kuti pakufunika mayeso ena.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kotero, mutha kuwona kuti "Mayeso a Hemodynamic" awa ndi mayeso ofunikira kwambiri omwe angakuthandizeni kupeza chomwe chimayambitsa zinthu monga kukomoka pafupipafupi komanso kuvutika kupuma.

Kumbukirani, ululu wokhawo womwe mungamve panthawi yoyezetsa iyi ndi wopweteka pang'ono mukalowetsa IV. Zina zonse ndi zosavuta kwa inu.

Zotsatira za mayesowa zithandiza dokotala wanu kusankha chithandizo chomwe chili chabwino kwa inu. Ngati muli ndi mafunso ena okhudza mayesowa, musazengereze kufunsa dokotala wanu. Khalani ndi thanzi labwino!

'Mayeso a hemodynamic, kuyenda kwa magazi, ntchito ya mtima, kukomoka, syncope, mankhwala a nyukiliya, matenda a mtima, EKG, echocardiogram