Tiyeni tiphunzire zonse zokhudza CT scan ya mtima m'njira yosavuta.

Kodi munapitapo kukaonana ndi dokotala chifukwa choti munali ndi ululu pachifuwa kapena kupuma movutikira ndipo anakuuzani kuti mukachite CT scan ya mtima wanu? Mwina munachita mantha pang'ono komanso kufuna kudziwa kuti ndi chiyani, momwe imachitikira, komanso ngati idzapweteka. Musadandaule, lero tikambirana za CT scan ya mtima wanu, kapena Cardiac CT scan, m'njira yosavuta. Iyi ndi mayeso omwe amapatsa dokotala wanu zambiri zamtengo wapatali zokhudza thanzi la mtima wanu, ndipo si chinthu choti muope.

Kodi CT scan ya mtima ndi chiyani?

Mwachidule, iyi ndi njira yapadera yoyesera X-ray yomwe imajambula mtima wanu m'njira zitatu (3D). Zili ngati kujambula zithunzi zambiri zomveka bwino za mtima wanu, mitsempha ikuluikulu yamagazi yomwe imalumikizana nawo, ndi zinthu zonse zozungulira mtima nthawi imodzi.

Izi zimaphatikizapo kutumiza kuwala kwa X-ray m'thupi lanu kuchokera mbali zosiyanasiyana ndikuphatikiza deta ndi kompyuta kuti mupange chithunzi chomveka bwino komanso chatsatanetsatane cha 3D. Nthawi zina, kuti zithunzizi ziwonekere bwino, madzi apadera otchedwa utoto wosiyana amalowetsedwa mumtsempha womwe uli m'dzanja lanu. Madzi awa amapangitsa mitsempha yanu yamagazi ndi ziwalo zina za mtima wanu kuonekera bwino pa scan. Njirayi imatha kupanga zithunzi zomveka bwino komanso zapamwamba, ngakhale za mtima wanu womwe ukugunda.

Kodi scan iyi ingazindikire chiyani kwenikweni?

Zithunzi zomwe zapezeka mutajambula izi zithandiza dokotala wanu kuona zinthu zambiri zokhudza mtima wanu. Zinthu zazikulu ndi izi:

• Mitsempha ya mtima, yomwe imapereka magazi kumtima: Mitsempha iyi ya magazi imatha kufufuzidwa ngati ili ndi plaque, kutsekeka, kapena kuchepa.
• Zipinda za mtima, minofu ndi ma valavu: Kukula kwa zipinda za mtima, ntchito ya minofu, komanso ngati ma valavu akugwira ntchito bwino kungawonekere.
• Mitsempha ya m'mapapo: Mutha kuona mitsempha yomwe imanyamula magazi kuchokera m'mapapo kupita kumtima.
• Mtsempha wa m'mimba: Uwu ndi mtsempha waukulu wamagazi womwe umayambira pamtima ndipo ungagwiritsidwe ntchito pofufuza mavuto, monga aneurysms kapena kung'ambika kwa khoma lake (kung'ambika).
• Pericardium: Nembanemba yopyapyala yozungulira mtima imatha kufufuzidwa kuti ione ngati pali madzi ochulukirapo kapena ngati yakhuthala (calcification).

Kodi dokotala angakuuzeni kuti muyesedwe ndi dokotala pazochitika ziti?

Dokotala angakulangizeni kuti ayesedwe ngati akufuna kudziwa zambiri zokhudza mtima zomwe mayeso ena sangazipeze. Mwachitsanzo:

• Pezani chifukwa chenicheni cha kupweteka pachifuwa kapena kulephera kupuma bwino .
• Yang'anani ngati mitsempha ya magazi ya mtima wanu ili ndi calcium kapena mafuta osungidwa (plaque) , yachepa, kapena yatsekeka.
• YanuUnikani momwe ma valve a mtima amagwirira ntchito.
• Yang'anani ngati pali vuto lililonse ndi aorta , monga aneurysms kapena kusweka kwa mitsempha .
• Konzani pasadakhale opaleshoni ya mtima kapena opaleshoni ya robotic.
• Pangani njira zamakono zochizira matenda, monga njira zochizira ma valve a transcatheter .
• Konzekerani pasadakhale chithandizo cha kugunda kwa mtima kosakhazikika (arrhythmia ablation) .
• Yang'anani ngati pali zovuta zilizonse zomwe zachitika pambuyo pa opaleshoni kapena chithandizo chomwe chatchulidwa pamwambapa.
• Dziwani ngati muli ndi vuto la mtima lobadwa nalo .
• Yang'anani chotupa kapena chotupa chomwe chili mkati kapena mozungulira mtima ndipo dziwani mtundu wake.
• Yang'anani ngati madzi asungunuka kapena calcium yasungidwa mu pericardium , thumba lozungulira mtima.

Kodi kusiyana pakati pa Cardiac CT ndi Cardiac MRI ndi kotani?

Anthu ambiri amasokoneza mayeso awiriwa. Ngakhale kuti onsewa amatenga zithunzi zomveka bwino za mtima, pali kusiyana pakati pa awiriwa. Tiyeni tiwone zomwe zili.

Kodi muyenera kukonzekera bwanji musanajambule?

Kuti mupeze zotsatira zabwino kwambiri kuchokera ku scan iyi, muyenera kukonzekera pang'ono tsiku lisanafike. Chipatala chidzakupatsani malangizo pa izi, koma tiyeni tikambirane zinthu zina zomwe muyenera kudziwa.

Zinthu zofunika kusamala nazo mukamadya ndi kumwa

• Pa tsiku lojambula, musadye chilichonse kwa maola anayi mpaka asanu ndi limodzi musanajambule. Komabe, mutha kumwa madzi.
• Musamwe chilichonse chokhala ndi caffeine tsiku lisanafike komanso tsiku loti muyesedwe. Izi zikutanthauza kuti musamwe khofi, tiyi, zakumwa zopatsa mphamvu, ndi zakumwa zoziziritsa kukhosi zokhala ndi caffeine kwathunthu. Caffeine ikhoza kuwonjezera kugunda kwa mtima wanu, zomwe zimapangitsa kuti zikhale zovuta kupeza chithunzi chomveka bwino.
• Komanso , ngati mukugwiritsa ntchito mankhwala opatsa mphamvu (mankhwala ochepetsa thupi kapena mapiritsi ochepetsa thupi) , musawamwe tsiku lisanafike kapena tsiku loti mujambule.

Zinthu zoti muzikumbukira zokhudza mankhwala

• Ngati muli ndi vuto la claustrophobia, musachite mantha. Uzani dokotala wanu pasadakhale. Angakupatseni mankhwala ochepetsa ululu kuti akuthandizeni kupumula .
• Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo omwe mukumwa popanda mankhwala a dokotala).
• Ngati mukumwa mankhwala monga sildenafil (Viagra® kapena Revatio®) , musawamwe tsiku lisanafike kapena tsiku lochita scan. Izi zili choncho chifukwa amatha kusokonezana ndi mankhwala ena omwe aperekedwa panthawi yojambula. Ngati simukudziwa, funsani dokotala wanu.
• Ngati muli ndi matenda a shuga , funsani dokotala wanu momwe mungamwere mankhwala anu patsiku loti mufufuze. Ngati mukuona kuti shuga m'magazi mwanu ndi wotsika, dziwitsani ogwira ntchito nthawi yomweyo.

Kodi mungayembekezere chiyani pa tsiku la scan?

Antchito adzakufunsani mafunso angapo musanachite scan. Ndikofunikira kuti muwayankhe molondola.

• Kodi muli ndi pakati ?
• Muli ndi vuto la ayodini kapena nsomba.Kodi pali chilichonse?
• Kodi mukuchita chithandizo cha radiation ?
• Ngati muli ndi zaka zoposa 60 kapena muli ndi vuto la impso , mungafunike kuyesedwa magazi kuti muwone momwe impso zanu zimagwirira ntchito musanapereke utoto wosiyanitsa.

Momwe mungakonzekerere kujambula

1. Choyamba, muyenera kuchotsa zodzikongoletsera zanu zonse ndikuvala diresi yapadera yoperekedwa ndi chipatala.

2. Ngati mukufuna kuchepetsa kugunda kwa mtima wanu pang'ono kuti mumvetse bwino, mutha kumupatsa mankhwala.

3. Ngati mukufuna kupatsidwa utoto wosiyanitsa, namwino adzaika chubu chaching'ono (IV line) mu mtsempha womwe uli m'dzanja lanu.

4. Kenako mudzagonekedwa pabedi lapadera pakati pa makina a CT.

5. Malo atatu pachifuwa panu adzatsukidwa ndipo zomata zitatu zazing'ono (ma electrode) zidzapakidwa. Muthanso kuchotsa tsitsi lina. Ma electrode awa adzalumikizidwa ku makina a EKG omwe amalemba momwe mtima wanu umagwirira ntchito.

6. Muyenera kusunga manja anu pamwamba pa mutu wanu nthawi yonse yomwe scan ikuchitidwa. Mutu ndi miyendo yanu zidzakhala kunja kwa makina.

Kodi chimachitika ndi chiyani panthawi yojambula?

Njira yonseyi, kuphatikizapo nthawi yokonzekera, ingatenge pafupifupi mphindi 30-60, koma kujambula kwenikweni kumatenga mphindi zosakwana 10.

• Mudzamva bedi lomwe mwagonapo likulowa pang'onopang'ono mu makina ooneka ngati donati.
• Utoto wosiyanitsa ukaperekedwa kudzera mu IV, ndikwachibadwa kumva kutentha pang'ono ndi kukoma kwachitsulo mkamwa mwanu pamene ukudutsa m'thupi lanu. Izi zidzatha pakangopita masekondi ochepa.
• Kuti mupeze zithunzi zomveka bwino, ndikofunikira kwambiri kuti mukhale chete . Ngati ogwira ntchito akukuuzani kuti mupumule kwakanthawi , chitani zimenezo.

Mukamaliza kujambulidwa, mutha kupita kunyumba, kudya, ndikuchita zinthu zanu zachizolowezi. Komabe, ngati mwapatsidwa mankhwala ochepetsa ululu, mudzafunika munthu woti akutengereni kunyumba. Dokotala wanu adzakufotokozerani zotsatira za kujambulidwako tsiku lomwelo kapena m'masiku ochepa.

Kodi pali zoopsa zilizonse ndi scan iyi?

Kujambula kwa CT ndi mayeso osavuta kwambiri, koma anthu ena akhoza kuchitapo kanthu pang'ono akamaona utoto wosiyana kapena zinthu zina zomwe zimagwiritsidwa ntchito.

• Zotsatira zomwe zingatheke chifukwa cha utoto wosiyana:Anthu ena akhoza kukhala ndi vuto la ziwengo chifukwa cha izi. Izi zingaphatikizepo kuyabwa, nseru, kuyetsemula, ndi ziphuphu. Izi nthawi zambiri zimatha popanda chithandizo. Nthawi zambiri, vuto lalikulu la ziwengo (anaphylactic reaction) lomwe limayambitsa kupuma movutikira limatha kuchitika. Izi zitha kukhala zoopsa ndipo zimafuna chithandizo chanthawi yomweyo. Ngati muli ndi matenda a shuga kapena impso, mungapemphedwe kumwa madzi ochulukirapo mutatha kuyesedwa kuti muthandize kuchotsa ayodini m'thupi lanu. Ngati ndinu mayi woyamwitsa, ndibwino kutulutsa mkaka wa m'mawere musanayese kuyesedwa ndikuyamwitsa mwana wanu kwa tsiku limodzi kapena awiri mutatha kuyesedwa, chifukwa utoto womwe umagwiritsidwa ntchito poyesedwa ukhoza kulowa mu mkaka wa m'mawere.
• Kuwunikira: Kuwunikira kwa CT kumagwiritsa ntchito X-ray. Kuwona kuwala kumeneku kwa nthawi yayitali kungakulitse chiopsezo chanu cha khansa. Komabe, kuti mukhale otetezeka, kuchuluka kwa kuwala komwe kumatuluka panthawi yowunikirayi kumachepetsedwa. Popeza X-ray ikhoza kukhala yovulaza mwana wosabadwayo m'mimba, mayesowa sakuvomerezeka kwa amayi apakati.

Kodi zotsatira zake ndi ziti ndipo zikutanthauza chiyani?

Dokotala wanu adzakufotokozerani zomwe zili mu lipoti lomwe mwalandira mutatha kusanthula. Kawirikawiri, pali mitundu iwiri ya zotsatira.

Pomaliza, musaope kujambulidwa ndi Cardiac CT scan, kapena makina enieniwo. Iyi ndi mayeso omwe amapereka chidziwitso chofunikira chokhudza momwe mtima wanu ulili popanda kudula ziwalo m'thupi lanu. Kuti mupeze zotsatira zabwino, tsatirani malangizo omwe dokotala wanu ndi ogwira ntchito kuchipatala akupatsani.