Mayeso apadera kuti mudziwe za thanzi la mtima wanu: Zonse zokhudza Mayeso a Kupsinjika kwa Mtima wa Nyukiliya!

Nthawi zina, tikakhala ndi mavuto ang'onoang'ono ndi mtima wathu, kapena tikamaganiza kuti tili ndi matenda a mtima, madokotala amatipempha kuti tichite mayeso osiyanasiyana. Eya, mayeso ofunikira awa omwe amayang'ana kwambiri thanzi la mtima, makamaka momwe magazi amaperekedwera kumtima, amatchedwa mayeso a mtima wa nyukiliya. Mwina munamvapo dzinali, kapena dokotala wanu mwina anakupemphani kuti muchite mayesowa. Ndiye, tiyeni tikambirane za izi momveka bwino lero, chabwino?

Kodi mayeso a Nuclear Cardiac Stress Test ndi chiyani?

Mwachidule, iyi ndi mayeso apadera omwe amathandiza kuzindikira matenda a mtima. Chomwe chimachitika apa ndi chakuti dokotala kapena katswiri wodziwa bwino ntchito amalowetsa zinthu zochepa zowononga (tracer kapena radiopharmaceutical) m'thupi lanu, kutanthauza, m'mitsempha yamagazi. Musadandaule, izi ndi zochepa kwambiri, ndipo ndizotetezeka. Zinthuzi zimayenda m'mitsempha yanu yamagazi ndipo zimalowa m'minofu yamtima ndi m'mitsempha yamagazi. Kenako, mukayang'ana ndi kamera yapadera, momwe magazi amayendera kupita kumtima, ndipo ziwalo zamtima zimaonekera bwino. Izi zili ngati kugwiritsa ntchito tochi kuti mupeze china chake mumdima.

Mayesowa amatchedwa ndi mayina ena, ndipo dokotala wanu mwina anati dzina limodzi mwa mayina awa:

• Kujambula kwa PET ya mtima (Positron Emission Tomography).
• Kujambula kwa Cardiac SPECT (Single-Photon Emission Computed Tomography).
• Chithunzi cha Kuyenda kwa Myocardial Perfusion (MPI).
• Kuyesa kupsinjika kwa nyukiliya.

Musachite mantha mukamva mayina awa, awa ndi mayina osiyanasiyana a mayeso omwewo.

Kodi pali mitundu iti ya mayeso a mtima wa nyukiliya?

Pali njira ziwiri zazikulu zochitira mayesowa, imodzi ndi kuyesa "kupsinjika", komwe kumaphatikizapo kugwiritsa ntchito mphamvu inayake pamtima.

1. Mayeso a kupsinjika maganizo: Mu mayesowa, mudzafunsidwa kuti muzichita masewera olimbitsa thupi pa njinga yothamanga kapena njinga yosasuntha. Pang'onopang'ono onjezerani liwiro mpaka kugunda kwa mtima wanu kufika pamlingo winawake. Izi zimawonjezera kuyenda kwa magazi kupita kumtima.

2. Kuyesa kupsinjika kwa mankhwala: Tangoganizirani kuti mukuvutika kuchita masewera olimbitsa thupi chifukwa cha vuto la mafupa kapena chifukwa china. Njirayi imagwiritsidwa ntchito kwa anthu otere. Chomwe chimachitika apa ndichakuti mankhwala amalowetsedwa mumtsempha womwe uli m'dzanja lanu. Mankhwalawa amawonjezera kuyenda kwa magazi kupita kumtima, monga momwe mumachitira mukamachita masewera olimbitsa thupi, ndiko kuti, amalimbitsa mtima.

Kuphatikiza apo, ukadaulo womwe umagwiritsidwa ntchito kujambula zithunzi umazindikiranso ngati ndi ``(PET)`` scan kapena ``(SPECT)`` scan. Imeneyo ndi nkhani yomwe madokotala amasankha.

Kodi ndi chiyani chomwe chingapezeke ndi mayeso a mtima a nyukiliya awa?

Mayeso amenewa nthawi zambiri amachitidwa kuti adziwe matenda a mitsempha ya mtima (CAD).Yang'anani ndipo yang'anirani. Kodi mukudziwa kuti `(CAD)` ndi chiyani? Zimatanthauza kuti mitsempha yomwe imapereka magazi kumtima (mitsempha ya coronary) imatsekedwa ndi mafuta ambiri. Zili ngati dothi lomwe limamatira mu chitoliro cha madzi ndikuchepetsa kuyenda kwa madzi.

Mayeso awa akhoza kuulula zinthu zambiri:

• Kodi minofu ya mtima wanu ikugwira ntchito bwino, kutanthauza kuti ikupopa bwino ?
• Kodi pali madera omwe magazi amalowa mumtima amachepa ?
• Pezani malo enieni a mitsempha yotsekeka .
• Kaya mtima wawonongeka ndi chinthu chonga matenda a mtima omwe adakumana nawo kale.

Komanso, mayesowa akhoza kuchitidwa ndi anthu omwe ali ndi matenda awa:

• Matenda a mtima oopsa.
• Kusintha kwa ntchito yamagetsi ya mtima yotchedwa bundle branch block.
• Kulephera kwa mtima (kulephera kwa mtima).
• Matenda ena a mtima omwe atsimikizika kapena omwe akukayikiridwa.
• Kuvuta kupuma.

Ndani akuchita mayeso awa?

Madokotala a mtima nthawi zambiri amalimbikitsa mayesowa. Nthawi zina amachita okha mayesowa, kapena amapatsidwa katswiri wa radiology kuti achite. Onsewa ali ndi maphunziro apadera pa izi.

Kodi kusiyana pakati pa mayeso oyesera kupsinjika kwabwinobwino ndi mayeso oyesera kupsinjika kwa nyukiliya ndi kotani?

Mwina mwamvapo za mayeso oyeserera kupsinjika maganizo nthawi zonse. Pali kufanana pakati pa zimenezo ndi mayeso oyeserera kupsinjika maganizo a nyukiliya. Onsewa amagwiritsa ntchito electrocardiogram (EKG) kuti aone momwe magetsi a mtima wanu amagwirira ntchito. Ndipo onsewa amayang'ana momwe mtima wanu umayankhira ukakhala ndi nkhawa.

Komabe, kuyesa kupsinjika kwa nyukiliya ndi njira yapamwamba kwambiri. Ikhoza kupereka zambiri zambiri.

Mu mayeso ochiritsira a maseŵera olimbitsa thupi, mtima wanu umayang'aniridwa ndi electrocardiogram (EKG) pokhapokha mukapuma komanso mukuchita masewera olimbitsa thupi.

Komabe, mu mayeso a kupsinjika kwa nyukiliya, chinthu chowopsa cha radioactive ``(tracer)`` chomwe ndatchula kale chimalowetsedwa m'thupi, ndipo kamera yapadera imajambula zithunzi za mtima musanayambe komanso mutachita masewera olimbitsa thupi. Izi zimatithandiza kuona bwino momwe magazi amayendera mumtima.

Kodi ndiyenera kukonzekera bwanji mayesowa?

Dokotala wanu adzakupatsani malangizo omveka bwino a momwe mungakonzekerere mayesowa. Ndikofunikira kwambiri kuwatsatira bwino kuti mupeze zotsatira zabwino. Nthawi zambiri amanena zinthu monga:

• Pewani zakudya ndi zakumwa zokhala ndi caffeine (monga khofi, tiyi, zakumwa zoziziritsa kukhosi, chokoleti) ndi mankhwala kwa maola 24 musanayesedwe.
• Ngati mukuvutika kupuma, bweretsani zinthu monga inhaler yanu.
• Musasute musanayesedwe.
• Kusala kudya kwa maola angapo musanayesedwe (mukhoza kumwa madzi okha).
• Uzani dokotala wanu za mankhwala onse omwe mumamwa (mankhwala olembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala osaloledwa, ndi zina zowonjezera zakudya).
• Valani zovala zomasuka komanso zomasuka komanso nsapato zamasewera.

Chofunika kwambiri ndichakuti dokotala wanu angakufunseni kuti musiye kumwa mankhwala enaake kapena kusintha mlingo musanayesedwe. Komabe, musasiye kapena kusintha mankhwala aliwonse omwe mukumwa popanda upangiri wa dokotala wanu.

Kodi chimachitika ndi chiyani panthawi ya mayeso? Kodi ndidzakhala ndi chidziwitso chotani?

Mayeso amenewa nthawi zambiri amachitikira kuchipatala kapena ku chipatala ndi katswiri kapena dokotala wophunzitsidwa bwino. Izi ndi zomwe zimachitika nthawi zambiri:

1. Choyamba, singano yaying'ono imalowetsedwa mu mtsempha womwe uli m'dzanja lanu ndipo mzere wa IV umalowetsedwa. Apa ndi pomwe chotsukira ma radioactive chimalowetsedwa m'thupi lanu. Mungamve kuzizira pang'ono chikalowa m'thupi lanu.

2. Kenako, muyenera kudikira kwa mphindi zochepa kuti chinthucho chiyende m'thupi lonse ndikulowa mumtima.

3. Kenako, adzaika tinthu tating'onoting'ono totchedwa ma electrode pachifuwa panu, m'manja, ndi m'miyendo. Nthawi zina, mungafunike kudula tsitsi lina m'dera limenelo kuti tithandize kuti tinthuto tizimatire bwino.

4. Ma electrode awa amalumikizidwa ku makina a ``(EKG)``, omwe nthawi zonse amayesa ntchito yamagetsi ya mtima wanu.

5. Kuthamanga kwa magazi anu kudzayesedwa nthawi zonse ndi chotsukira magazi.

6. Kenako, mudzapemphedwa kugona patebulo. Kamera yapadera idzajambula zithunzi za mtima wanu. Izi ndi zithunzi "zopumula".

7. Chotsatira ndi gawo la "kupsinjika". Mukupemphedwa kuti muchite masewera olimbitsa thupi pa treadmill kapena pa njinga. Yambani pang'onopang'ono poyamba ndipo pang'onopang'ono muwonjezere liwiro/mphamvu.

8. Mudzapemphedwa kuchita masewera olimbitsa thupi mpaka kugunda kwa mtima wanu kufika pamlingo womwe dokotala wanu amayembekezera, kapena mpaka mutakumana ndi zizindikiro zosasangalatsa (monga kupweteka pachifuwa, kutopa kwambiri). Komabe, mutha kuyimitsa mayeso nthawi iliyonse ngati simungathe kutero.

9. Kaya mukuchita masewera olimbitsa thupi kapena mukafika pachimake, mudzalandiranso jakisoni wochepa wa mankhwala owopsa a `(tracer)` kachiwiri.

10. Kenako, kachiwiri, ndimakhala pansi patebulo ndikujambula seti yachiwiri ya zithunzi (zithunzi zopsinjika).

Nanga bwanji ngati sindingathe kuchita masewera olimbitsa thupi?

Musadandaule. Ndanena kale kuti anthu ena amavutika kuchita masewera olimbitsa thupi. Kwa munthu wotere, dokotala amaika mankhwala m'mitsempha ya m'manja mwanu. Mankhwalawa amagwira ntchito polimbikitsa mtima ndikuwonjezera kuyenda kwa magazi, monga momwe mumachitira mukamachita masewera olimbitsa thupi. Chifukwa chake, mankhwalawa amatha kupanga vuto lofananalo mumtima popanda kuchita masewera olimbitsa thupi.

Kodi mayeso a nyukiliya amenewa amatenga nthawi yayitali bwanji?

Kawirikawiri, mayeso onse angatenge maola atatu kapena anayi , chifukwa zimatenga nthawi kuti zinthu zotulutsa ma radiation zilowe m'thupi, komanso nthawi yojambula zithunzi ndikuchita masewera olimbitsa thupi.

Kodi ndiyenera kuchita chiyani komanso kupewa chiyani nditamaliza mayeso?

Pambuyo poyesa, dokotala wanu adzakupatsani malangizo. Nthawi zambiri, mutha kupitiriza ndi zochita zanu zachizolowezi.

Komabe, amakuuzani kuti mumwe madzi ambiri kuti zinthu zowononga mphamvu ya dzuwa zomwe zinalowetsedwa m'thupi lanu zichoke m'thupi lanu mwachangu.

Anthu ena amatha kutopa pang'ono, chizungulire, kapena mutu utatha. Izi zimatha pakapita kanthawi, akapuma.

Kodi zoopsa za mayeso a nyukiliya awa ndi ziti?

Mayeso amenewa nthawi zambiri amakhala otetezeka kwambiri. Komabe, nthawi zina, munthu m'modzi pa anthu 5,000 akhoza kukhala ndi vuto laling'ono. Mwachitsanzo:

• Kugunda kwa mtima kosasinthasintha (Arrhythmia).
• Kupweteka pachifuwa.
• Matenda a mtima (myocardial infarction) (izi zimachitika kawirikawiri).
• Kuthamanga kwa magazi pang'ono (hypotension).

Chifukwa mayesowa amagwiritsa ntchito mankhwala owononga mphamvu ya dzuwa, mumakumana ndi kuwala kochepa kwambiri. Ngakhale tamva kuti kuwalako kungayambitse khansa, kumafuna kuwala kwakukulu kwambiri, nthawi zambiri kwa nthawi yayitali. Kuchuluka kwa kuwalako mu mayesowa ndi kochepa kwambiri.

Chofunika: Kuyesa kupsinjika kwa nyukiliya sikuvomerezeka kwa anthu omwe ali ndi matenda enaake oopsa kapena osalamulirika. Mwachitsanzo:

* Kupweteka kwambiri pachifuwa (Angina).

* Kuduladula kwa mtsempha wamagazi.

* Kuchepa kwa msempha wa aorta (Aortic stenosis).

* Matenda osalamulirika a mtima `(Arrhythmia)`.

* Kulephera kwakukulu kwa mtima.

* Matenda a mtima.

* Pulmonary embolism (magazi kuundana m'mapapo).

* Kuthamanga kwa magazi m'mapapo.

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Ngati muli ndi vutoli, muyenera kuuza dokotala wanu za vutoli pasadakhale.

Kodi ndidzadziwa liti zotsatira za mayeso anga?

Zingatenge masiku angapo kuti mupeze zotsatira za mayeso a nyukiliya, chifukwa katswiri wa mtima kapena radiologist amawunikanso zithunzizo ndi kuzisanthula asanapereke lipotilo.

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kotero, tsopano mwina mukumvetsa tanthauzo la Nuclear Cardiac Stress Test. Iyi ndi mayeso ofunikira kwambiri omwe amathandiza kuzindikira ndikuwunika matenda monga matenda a mitsempha ya mtima, makamaka matenda a mtima.

Ngati dokotala akukuuzani kuti muyesedwe, palibe chifukwa choopera kapena kuda nkhawa.Funsani dokotala wanu mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Mukakonzekera bwino musanayesedwe ndikutsatira malangizo, mudzatha kuona bwino momwe mtima wanu ulili ndikulandira chithandizo chofunikira. Kusamalira mtima wanu n'kopindulitsa!

Matenda a mtima , mayeso a kupsinjika kwa nyukiliya, mayeso a mtima, zinthu zowononga ma radiation, matenda a mitsempha ya mtima, mayeso ochita masewera olimbitsa thupi, thanzi la mtima