Ndizachibadwa kumva mantha pang'ono komanso mantha dokotala wanu akakuuzani kuti muyenera kuyezetsa mtima. Tikamva mawu oti "kuyezetsa kupsinjika," ambiri aife timaganiza za mayeso omwe amaphatikizapo kuthamanga pa treadmill. Koma si aliyense amene angachite masewera olimbitsa thupi otere. Pazochitika zotere, mayeso apadera otchedwa adenosine stress test amachitidwa kuti awone momwe mtima wanu ukulandira magazi. Chifukwa chake, tiyeni tikambirane mwachidule, popanda mantha kapena kukayikira kulikonse.
Kodi mayeso a adenosine stress test amenewa ndi otani kwenikweni?
Mwachidule, iyi ndi mayeso omwe amafufuza momwe mtima wanu ukugwira ntchito. Tikamachita masewera olimbitsa thupi, kuthamanga, kapena kulumpha, mtima wathu umagunda mofulumira. Izi zimapangitsa kuti minofu ya mtima ifunike magazi ambiri. Mayesowa amaphatikizapo kukupatsani mankhwala ochepa otchedwa adenosine, omwe amatsegula mitsempha yamagazi mumtima mwanu ngati kuti mukuchita masewera olimbitsa thupi.
Tangoganizirani, mankhwalawa amapangitsa kuti munthu azithamanga pa treadmill. Kenako, madokotala amatha kuona ngati pali kusiyana pakati pa momwe mtima wanu umapopera magazi mukapuma ndi momwe umapopera magazi mukapanikizika ndi mtundu uwu wa "stress".
Pali zinthu zingapo zazikulu zomwe mayesowa amayang'ana:
- Yang'anani ngati pali kuwonongeka kulikonse kwa minofu ya mtima wanu.
- Onetsetsani kuti mtima ukupeza magazi ndi mpweya wokwanira .
- Matenda a Mitsempha ya Mtima (CAD) , omwe ndi kuchepa kapena kutsekeka kwa mitsempha yomwe imanyamula magazi kupita kumtima.
Kodi mayesowa ayenera kuchitika liti?
Mayeso awa si a aliyense. Dokotala angalimbikitse munthu amene akuvutika kuchita mayeso ochepetsa nkhawa nthawi zonse. Nazi zitsanzo zina:
- Ngati simungathe kuchita masewera olimbitsa thupi pa treadmill, monga kuyenda kapena kuthamanga (monga munthu amene ali ndi vuto la mafupa kapena kupuma movutikira).
- Ngati simungathe kukweza kugunda kwa mtima wanu kufika pamlingo womwe mukufuna ngakhale mukuchita masewera olimbitsa thupi.
- Ngati mukumwa mankhwala enaake, monga beta-blockers .
- Ngati muli ndi pacemaker yomwe yaikidwa mumtima mwanu.
- Ngati muli ndi vuto ndi momwe zizindikiro zamagetsi zimayendera mumtima zimatchedwa left bundle branch block .
Kodi mayesowa amagwira ntchito bwanji?
Ngakhale izi zingawoneke zovuta pang'ono, kwenikweni ndi njira yokhazikika kwambiri.
Choyamba, zinthu zochepa zowononga mpweya (chizindikiro cha radioactive) kapena madzi apadera (contrast) amalowetsedwa mumtsempha mukakhala mukupuma. Kenako, kamera yapadera (scanner) imajambula zithunzi za mtima wanu. Izi zitha kuwonetsa momwe magazi amayendera mumtima mwanu nthawi yopuma.
Kenako, mankhwala otchedwa "Adenosine" amaperekedwa m'mitsempha yanu kwa mphindi zochepa. Mankhwalawa akalowetsedwa m'thupi lanu, mitsempha yamagazi yomwe ili mumtima mwanu (mitsempha ya coronary) imakula, ngati kuti mukuchita masewera olimbitsa thupi. Izi zimawonjezera liwiro lomwe magazi amayendera kumtima mwanu.
Panthawiyo, zinthu zotulutsa ma radiation zimalowetsedwanso m'thupi, ndipo chojambulira chimajambula zithunzi za mtima. Tsopano madokotala amatha kufananiza zithunzi zoyamba ndi zithunzi zachiwirizi.
Mwachidule, ngati magazi akuyenda bwino m'mbali zonse za mtima pamene uli pampando, ndipo "ukakhala ndi nkhawa" magazi akuyenda bwino m'madera ena, zikutanthauza kuti pakhoza kukhala kutsekeka kwa mtsempha wamagazi m'dera limenelo.
Sikana yomwe imagwiritsidwa ntchito kujambula zithunzi izi nthawi zina ingakhale sikana ya MRI (Magnetic Resonance Imaging) , kapena sikana yapadera ya CT (Computed Tomography) .
Kodi ndiyenera kukonzekera bwanji mayeso asanayambe?
Iyi ndi gawo lofunika kwambiri. Muyenera kutsatira malangizo awa molondola kuti zotsatira za mayeso zikhale zolondola.
| Zoyenera kuchita | Kufotokozera ndi kufunika kwake |
|---|---|
| Uzani dokotala zonse. | Onetsetsani kuti mwauza dokotala wanu za matenda aliwonse omwe muli nawo (makamaka mphumu) ndi mankhwala aliwonse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba). Matenda ena amachititsa kuti mayesowa asagwiritsidwe ntchito. |
| Ngati muli ndi mphumu | Mungafunike kusiya kumwa mankhwala a mphumu monga theophylline masiku awiri mayeso asanachitike. Lankhulani ndi dokotala wanu za izi. Komanso, onetsetsani kuti mwabweretsa mankhwala anu opumira mphumu popita koyezetsa. |
| Kafeini ndi yoletsedwa! | Ichi ndiye chinthu chofunika kwambiri. Musadye kapena kumwa chilichonse chokhala ndi caffeine kwa maola 24 musanayesedwe . Izi zili choncho chifukwa caffeine imasokoneza ntchito ya mankhwala a adenosine. Zinthu zoti musiye:
|
Kodi ndiyenera kutsatira chiyani tsiku la mayeso?
Kukonzekera kwanu n'kofunika kwambiri pa tsiku la mayeso.
| Malangizo | Kufotokozera |
|---|---|
| Chakudya ndi zakumwa | Mudzapemphedwa kusala kudya kwa maola angapo musanayesedwe. Palibe vuto kumwa madzi kuti mumwe mankhwala anu. Chipatala chidzakupatsani malangizo enieni okhudza izi. |
| Kusuta | Pewani kusuta fodya kotheratu patsiku loyesa. |
| Mndandanda wa mankhwala | Bweretsani mndandanda wa mankhwala onse (kuphatikizapo mavitamini) omwe mumamwa nthawi zambiri. |
| Malangizo apadera kwa anthu omwe ali ndi matenda ashuga | |
| Ngati mutenga insulin | Dokotala wanu angafunike kusintha mlingo wa insulin yanu. Mungauzidwe kuti mumwe theka la mlingo wanu wa insulin m'mawa ndikudya chakudya chopepuka maola 4 musanayesedwe. Musasinthe mlingo wanu musanafunse dokotala wanu kaye. |
| Ngati mumwa mapiritsi | Mungapemphedwe kuti musiye kumwa mapiritsi anu a shuga mpaka mayeso atatha. |
| Chiyeso cha shuga | Bweretsani chowunikira chanu cha shuga. Mutha kuwona kuchuluka kwa shuga m'magazi mwanu musanayesedwe komanso mutamaliza kuyezetsa. Ngati mukumva kuti mulibe mphamvu, uzani ogwira ntchito nthawi yomweyo. |
Kodi chimachitika ndi chiyani panthawi ya mayeso? Kodi ndiyenera kuchita mantha?
Palibe chifukwa choopera. Ogwira ntchito zachipatala adzakusamalirani bwino. Nazi zina zomwe zidzachitike:
- Adzaika mizere iwiri ya IV mumtsempha m'dzanja lanu. Imodzi kuti ikupatseni mankhwala, ndi inayo kuti ikupatseni zinthu zotulutsa ma radiation.
- Ma electrode , omwe ndi timitengo tating'onoting'ono, amaikidwa pachifuwa panu. Izi zimagwiritsidwa ntchito poyang'anira ntchito ya mtima wanu nthawi zonse pogwiritsa ntchito makina a EKG (Electrocardiogram) .
- Chotsukira cha kuthamanga kwa magazi chimayikidwa pa mkono wanu ndipo kuthamanga kwa magazi kumayesedwa nthawi zonse.
- Mudzatengedwera mu skana ndipo mudzapemphedwa kuti mugone chete kwa mphindi pafupifupi 45 .
- Amakuuzani kuti mupume pang'ono pamene mukujambula zithunzi.
- Musanapatsidwe adenosine, mudzadziwitsidwa za zotsatira zake zoyipa.
Ntchito yonseyi ingatenge pafupifupi maola awiri, koma kujambula kokha kumatenga pafupifupi mphindi 45.
Kodi pali zotsatirapo zilizonse pa izi?
Mankhwala a adenosine amakhala m'thupi kwa nthawi yochepa kwambiri. Choncho ngakhale zotsatirapo zake zitakhalapo, nthawi zambiri zimatha pakangopita masekondi ochepa mankhwalawa atasiya kugwiritsidwa ntchito. Pafupifupi 80% ya anthu omwe amatenga mayesowa amakumana ndi zotsatirapo zochepa.
Zotsatira zoyipa zofala:
- Kufiira kwa nkhope, kufinya
- Kupweteka pachifuwa kapena kulimba
- Kupuma movutikira
Zotsatira zoyipa:
- Kutseka mtima
- Kupuma movutikira (Bronchospasm) - makamaka kwa odwala mphumu
Musadandaule ngati zotsatirazi zingachitike. Gulu lachipatala lili okonzeka. Ngati pakufunika kutero, mudzapatsidwa mankhwala monga caffeine kapena aminophylline kuti muchepetse vutoli.
Kodi zotsatira za mayeso zikuti chiyani?
Dokotala, amene amasanthula zithunzi zomwe mwapeza kuchokera mu mayeso anu, adzakugawani m'magulu atatu kutengera chiopsezo cha mtima wanu: chiopsezo chochepa, chiopsezo chapakati, kapena chiopsezo chachikulu .
Zotsatira zake zimakuuzani makamaka za chiopsezo chomwe muli nacho chodwala matenda a mtima, komanso ngati zizindikiro zomwe muli nazo pano (monga kupweteka pachifuwa) zimachitika chifukwa cha kuchepa kwa magazi kupita kumtima.
- Ngati zotsatira zake zili bwino: Izi zikutanthauza kuti ziwalo zonse za mtima wanu zikuyenda bwino, mukakhala mukupuma komanso mukuvutika maganizo. Popeza muli m'gulu la anthu omwe ali pachiwopsezo chochepa, mungalangizidwe kugwiritsa ntchito mankhwala ena (monga beta-blockers) ndikusintha moyo wanu.
- Ngati zotsatira zake sizili bwino: Izi zikutanthauza kuti ziwalo zina za mtima sizilandira magazi okwanira, makamaka pamene munthu akuvutika maganizo. Izi zikutanthauza kuti mitsempha ya magazi m'dera limenelo ikhoza kutsekeka.
Zotsatira nthawi zambiri zimapezeka mkati mwa masiku ochepa. Dokotala wanu adzakuyimbirani foni kuti akambirane za zotsatira zake ndi zomwe mungachite kenako.
Ngati zotsatira zake sizili bwino, kodi muchita chiyani kenako?
Musadandaule. Kuyezetsa kumeneku kukuthandizani kuzindikira vutolo ndikulichiza. Dokotala wanu angakulangizeni chinthu chonga ichi:
- Kuyeza magazi m'mitsempha ya mtima (coronary angiography): Izi zimaphatikizapo kuyika kamera m'mitsempha ya mtima kuti muwone komwe kutsekeka kwa magazi kuli komanso momwe kulili koopsa.
- Kuika stent: Kuyika chipangizo chaching'ono chonga mesh mkati mwa mtsempha wamagazi wotsekedwa kuti chitsegulidwenso.
- Coronary Artery Bypass Graft (CABG): Ngati kutsekeka kwa mitsempha yamagazi kuli kwakukulu, mtsempha watsopano wamagazi umayikidwa kuti udutse.
Kodi pali kusiyana kotani pakati pa mayeso a kupsinjika kwa Lexiscan® ndi Adenosine?
Lexiscan® (regadenoson) ndi mankhwala omwe, monga adenosine, amagwiranso ntchito potsegula mitsempha yamagazi. Ndipotu, mankhwalawa tsopano ndi omwe amagwiritsidwa ntchito kwambiri poyesa kumeneku. Ngakhale kuti adenosine imatenga mphindi 5 kuti ibayidwe, Lexiscan® ikhoza kuperekedwa mu masekondi 10. Komanso, kafukufuku wina wapeza kuti Lexiscan® ili ndi zotsatirapo zochepa kuposa adenosine. Komabe, dokotala wanu adzasankha mankhwala omwe ali abwino kwa inu.
Uthenga Wopita Nawo Kunyumba
- Kuyesa kwa adenosine stress ndi mayeso otetezeka komanso ofunikira kwambiri kwa anthu omwe sangathe kuchita masewera olimbitsa thupi kuti aone ngati mtima ukulandira magazi.
- Kukonzekera kwanu n'kofunika kwambiri kuti mupambane pa mayeso awa. Makamaka, pewani kumwa chilichonse chokhala ndi caffeine kwa maola 24 mayeso asanachitike.
- Onetsetsani kuti mwauza dokotala wanu pasadakhale za matenda aliwonse omwe muli nawo (makamaka mphumu) ndi mankhwala aliwonse omwe mukumwa.
- Zotsatirapo zomwe zimachitika panthawi yoyezetsa nthawi zambiri zimakhala zazing'ono ndipo zimatha msanga. Gulu lachipatala lakonzekera izi.
- Kutengera ndi zotsatira za mayesowa, dokotala wanu adzatha kupanga njira yabwino kwambiri yothandizira kuti mtima wanu ukhale wathanzi. Choncho musaope kufunsa dokotala wanu mafunso aliwonse omwe muli nawo.
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