Kodi nthawi zina mumamva kupweteka pachifuwa, kupuma movutikira, kapena kumva kulemera mukuyenda? Mukapita kukaonana ndi dokotala wanu, angakuuzeni kuti muyenera kuchita mayeso apadera kuti muwone ngati pali kutsekeka kulikonse m'mitsempha yomwe imapereka magazi kumtima wanu (komwe timatcha mitsempha ya mtima). Chimodzi mwa mayeso ofunikira kwambiri omwe amachitidwa nthawi ngati izi ndi 'coronary angiogram'. Anthu ena amaopa pang'ono komanso amanjenje akamva dzinali. "O, kodi iyi ndi opaleshoni yayikulu?", "Kodi idzapweteka kwambiri?" "Kodi pali zoopsa zilizonse?" Mafunso ambiri amabwera m'maganizo. Chifukwa chake, m'nkhaniyi, tikambirana bwino lomwe kuti mayeso a angiogram awa ndi otani, momwe amachitikira, momwe mungakonzekerere, ndi chilichonse chomwe muyenera kudziwa za izi.
Kodi coronary angiogram ndi chiyani kwenikweni?
Mwachidule, coronary angiogram ndi mayeso apadera a X-ray omwe amawunika momwe magazi akuyendera kudzera m'mitsempha ya mtima wanu, mitsempha ikuluikulu yamagazi yomwe imanyamula magazi kupita ku minofu ya mtima wanu. Monga momwe zimakhalira poyang'ana magalimoto mumsewu wa mzinda kuti muwone ngati pali zotsekeka, zotsekeka, kapena zotsekeka, imawunikanso zotsekeka kapena zotsekeka zilizonse m'mitsempha ya mtima wanu.
Pa nthawi yoyezetsa imeneyi, utoto wapadera, kapena pigment, umalowetsedwa m'mitsempha yamagazi ndipo zithunzi zingapo za X-ray zimatengedwa. Utoto uwu umalola mkati mwa mitsempha yamagazi kuwoneka bwino pa X-ray. Zili ngati kuyatsa tochi m'chipinda chamdima ndikuwona msewu. Izi zimathandiza dokotala kuwona ngati pali cholesterol yochuluka m'mitsempha yanu (yotchedwa atherosclerosis ) yomwe yachepetsa kapena kuletsa kuyenda kwa magazi. Mtundu uwu wa kutsekeka ndiye chifukwa chachikulu cha matenda a mtima pambuyo pake.
Kodi dokotala angakupempheni kuti muyesedwe motani?
Dokotala wanu angakulangizeni mayesowa ngati muli ndi chimodzi kapena zingapo mwa zifukwa zotsatirazi. Tiyeni tiwone zomwe zili.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Malipoti a mayeso olakwika | Ngati mwakhala ndi zotsatira zosazolowereka kuchokera ku mayeso a kupsinjika maganizo kapena ECG (Electrocardiogram). |
| Matenda a mtima omwe analipo kale | Ngati muli ndi matenda a mtima, matenda a mtima, kapena kulephera kwa mtima. |
| Musanachite opaleshoni | Ngati mukufuna kuchitidwa opaleshoni ina ya mtima, onetsetsani momwe mitsempha ya mtima ilili musanachite opaleshoniyo. |
| Kupweteka pachifuwa (Angina) | Ngati muli ndi ululu watsopano pachifuwa, kapena ngati mtundu wa ululu wasintha. |
| Zizindikiro zosamveka bwino | Ngati muli ndi vuto la chifuwa losazolowereka kapena kupuma movutikira zomwe mayeso ena sangapeze chifukwa chake. |
Dokotala adzakufotokozerani chifukwa chake mukupemphedwa kuti muyesedwe. Funsani mafunso kapena nkhawa zilizonse zomwe mungakhale nazo pankhaniyi nthawi yomweyo.
Kodi muyenera kukonzekera bwanji musanayese mayeso?
Ngakhale kuti opaleshoniyi si yaikulu ngati opaleshoni, imafuna kukonzekera pang'ono. Dokotala wanu adzakufotokozerani mwatsatanetsatane. Izi ndi zinthu zomwe nthawi zambiri mudzafunsidwa kuchita:
- Chakudya ndi Chakumwa: Mudzapemphedwa kuti musadye kapena kumwa chilichonse kupatula madzi kwa maola pafupifupi 8 musanayesedwe.
- Mankhwala: Ngati mukumwa mankhwala aliwonse monga mankhwala oletsa magazi kuundana, mankhwala a shuga, mankhwala ochepetsa magazi kutuluka m'thupi, kapena sildenafil, dokotala wanu adzakufunsani ngati muyenera kusiya kumwa mankhwalawo kapena kusintha mlingo wake masiku angapo musanayambe mayeso. Ndikofunikira kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa.
- Matenda a ziwengo: Ngati munayamba mwakhalapo ndi vuto la mtundu wina wa utoto wosiyana kapena mankhwala oletsa ululu, onetsetsani kuti mwauza dokotala wanu za vutoli.
- Mimba: Muyeneranso kuuza dokotala wanu ngati muli ndi pakati kapena mukukonzekera kutenga pakati.
- Mayendedwe: Simudzaloledwa kuyendetsa galimoto tsiku lomwelo pambuyo pa mayeso. Chifukwa chake, ngati mukupita kunyumba tsiku lomwelo, ndikofunikira kukonza kuti wina akuyendetseni.
Kodi chimachitika ndi chiyani pa angiogram?
Funso lalikulu lomwe aliyense ali nalo ndi ili. "Kodi chikuchitika ndi chiyani mkati?" Tangoganizirani, ichi ndi chinthu chomwe chakonzedwa bwino komanso chochitidwa mosamala. Tiyeni tiwone zomwe zimachitika pang'onopang'ono.
1. Kukonzekera: Choyamba, mudzapatsidwa diresi la kuchipatala ndipo mudzapemphedwa kuti mugone pabedi lapadera m'chipinda choyezetsera.
2. Kugonetsa: Kenako chubu cha IV (cannula) chimayikidwa mumtsempha womwe uli m'dzanja lanu, ndipo mankhwala ogonetsa amaperekedwa kudzera mumtsemphawo. Izi zidzakuthandizani kupumula ndikuchotsa mantha ndi nkhawa zanu. Koma simudzataya chikumbumtima, mudzakhala odziwa bwino kumvetsera zomwe madokotala akunena, kukokera pang'ono akakuuzani, ndikusunga mpweya wanu.
3. Kuwunika mtima: Ma stika a ECG amaikidwa pachifuwa chanu ndipo kugunda kwa mtima wanu kumawunikidwa panthawi yonse yoyezetsa.
4. Kusamva Chisoni: Kenako, dokotala adzasankha kuyika chubu chaching'ono mu mtsempha wamagazi womwe uli m'mimba mwanu kapena pachikhatho chanu. Malowo adzasamva chisoni ndi mankhwala oletsa ululu. Kotero simudzamva kupweteka kulikonse. Komabe, mungamve kupweteka pang'ono pamene dokotalayo akugwira ntchito.
5. Kuika catheter: Pambuyo pa mankhwala oletsa ululu, chubu chopyapyala kwambiri, chotchedwa catheter , chimayikidwa kudzera m'mitsempha yamagazi yosankhidwa.
6. Ulendo wopita kumtima: Dokotala wa mtima amayang'ana chithunzi cha X-ray ndipo mosamala kwambiri akutsogolera catheter iyi kudzera m'mitsempha yamagazi kupita ku mitsempha ya mtima yomwe ili mumtima mwanu.
Chofunika kwambiri n’chakuti simudzamva catheter iyi ikudutsa m’thupi lanu konse, chifukwa mulibe mitsempha mkati mwa mitsempha yamagazi yomwe ingamve kupweteka.
7. X-ray ndi utoto: Katemera akangoikidwa, utoto wapadera umalowetsedwa mumtsempha kudzera mu katheta. Utoto ukalowetsedwa, mungamve kutentha pang'ono kapena kutentha kwa masekondi angapo. Izi ndi zachilendo ndipo simuyenera kuda nkhawa. Utoto ukadutsa mumtsempha, makina a X-ray (otchedwa fluoroscopy ) adzazungulira mozungulira inu ndikujambula zithunzi.
8. Kuzindikira zotsekeka: Popeza utotowu umapangitsa kuti mkati mwa mitsempha yamagazi muwoneke bwino pa X-ray, dokotala amatha kuwona bwino ngati mitsempha yatsekeka, yachepa, kapena ikuletsa kuyenda kwa magazi chifukwa cha zinthu monga cholesterol ndi mafuta.
Kawirikawiri, njira yonseyi imatha kutenga pakati pa mphindi 30 ndi 50.
Kodi ndingapeze chithandizo panthawi yoyezetsa?
Inde. Nthawi zina, ngati dokotala awona kutsekeka, amatha kuchichiza nthawi yomweyo. Baluni imatumizidwa kutsekekako ndikufufumitsidwa kuti ikulitse mtsempha wamagazi ( angioplasty ). Kenako chipangizo chaching'ono chonga mesh ( stent ) chimayikidwa pamalopo kuti mtsempha wamagazi usatsekekenso. Koma izi sizimachitika nthawi zonse. Nthawi zina, dokotala angaganize kuti ndi bwino kuchita chithandizo china mtsogolo.
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Mayeso akatha, dokotalayo adzachotsa catheter. Kenako, kuti aletse kutuluka magazi, adzaika mphamvu ndi bandeji pamalo pomwe catheter idayikidwa. Anthu ambiri amatha kupita kunyumba mkati mwa maola ochepa kuchokera pamene adayesedwa, ngakhale tsiku lomwelo. Komabe, ngati mayesowo ndi ovuta kapena ngati achitika masana, mungafunike kukhala m'chipatala usiku womwewo.
Mungamve kutopa pang'ono mukapita kunyumba. Malo omwe catheter inayikidwapo akhoza kukhala opweteka pang'ono komanso ovulala kwa pafupifupi sabata imodzi. Dokotala wanu adzakulangizani kuti mupumule ndikupewa kuchita zinthu zolemetsa kwa masiku awiri kapena atatu.
Kodi pangakhale zoopsa zilizonse zomwe zingachitike pa izi?
Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali chiopsezo chochepa. Koma kumbukirani kuti mavuto aakulu ndi osowa. Makamaka ngati mayesowa amachitika kuchipatala chokhala ndi madokotala odziwa bwino ntchito omwe amachita mayesowa nthawi zonse.
| Zoopsa zomwe zingatheke (koma zosachitika kawirikawiri) | |
|---|---|
| Kutupa kwa utoto kapena mankhwala oletsa ululu | Kuwonongeka kwa mtsempha wamagazi |
| Kutuluka magazi, matenda ochokera pamalo olowetsera catheter | Kugunda kwa mtima kosakhazikika (arrhythmia) |
| Magazi amaundana | Matenda a mtima kapena sitiroko |
| Kuwonongeka kwa impso (makamaka kwa anthu omwe ali kale ndi matenda a impso) | Madzimadzi ozungulira mtima (mtima tamponade) |
Ndani angakhale pachiwopsezo chowonjezeka pang'ono?
- Kwa iwo omwe ali ndi zaka zoposa 65
- Kwa iwo omwe ali ndi matenda a shuga
- Kwa iwo omwe ali ndi matenda a impso
Ngati muli ndi mafunso okhudza zoopsa izi, lankhulani ndi dokotala wanu musanayesedwe ndipo mudziwe zambiri.
Kodi ndingadziwe bwanji zotsatira za mayeso?
Nthawi zambiri, dokotala wanu adzakuuzani zotsatira zake mayeso akangotha.
- Zotsatira Zabwinobwino: Izi zikutanthauza kuti palibe zotsekeka m'mitsempha yanu ya mtima ndipo magazi amayenda bwino. Ngati ndi choncho, chifukwa cha zizindikiro zanu chikhoza kukhala china chake.
- Zotsatira Zosazolowereka: Izi zikutanthauza kuti pali kutsekeka kapena kuchepa kwa mtsempha umodzi kapena ingapo. Dokotala adzakufotokozerani bwino lomwe mtsempha womwe watsekeka, komwe uli, komanso kuchuluka kwa kutsekekako. Kungatchulidwe ngati kuchuluka (mwachitsanzo, 70% kutsekeka).
Ngati zotsatira zake sizili bwino, kodi muchita chiyani kenako?
Ngati pali kutsekeka, dokotala wanu adzakufotokozerani njira yabwino kwambiri yochitira. Izi zingaphatikizepo:
- Angioplasty ndi stenting
- Kuyambitsa mankhwala
- Kusintha kwa moyo wanu, monga kusintha zakudya zanu ndi kuchita masewera olimbitsa thupi
- Opaleshoni ya Bypass (Coronary Artery Bypass Surgery - CABG)
Kodi mukufuna kukaonananso ndi dokotala nthawi yanji?
Mukapita kunyumba, samalani komwe katheta inayikidwa. Ngati muli ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo.
- Ngati pali kutuluka magazi ambiri m'dera limenelo
- Ngati kutupa kukuwonjezeka
- Ngati mukuona zizindikiro za matenda, monga kusintha kwa mtundu wa khungu kapena mafinya
- Ngati mukumva kuvutika kuyenda kwa magazi m'manja kapena m'miyendo yanu
Angiogram si njira yopweteka kwambiri. Mudzamva kupweteka pang'ono kokha mukaikamo IV ndikupereka mankhwala oletsa kumva kupweteka. Simudzamva catheter ikuyikidwa kapena ikusunthidwa m'thupi lanu. Ngati mukumva kupweteka kulikonse kosapiririka panthawi ya opaleshoni, uzani dokotala kapena namwino nthawi yomweyo.
Ndizachibadwa kuchita mantha mukauzidwa kuti mukufuna angiogram. Koma kumbukirani, zomwe zapezeka mu mayesowa zithandiza dokotala wanu kudziwa momwe mtima wanu ulili komanso kukonzekera chithandizo choyenera kwa inu. Choncho lankhulani ndi dokotala wanu za mafunso kapena nkhawa zomwe mungakhale nazo pankhaniyi. Alipo kuti akuthandizeni.
Uthenga Wopita Nawo Kunyumba
- Kuyeza kwa mtima (coronary angiogram) ndi njira yodziwika bwino komanso yotetezeka yomwe imayang'ana ngati mitsempha yamagazi ya mtima yatsekeka.
- Kutengera ndi zomwe zaperekedwa, dokotalayo akhoza kusankha chithandizo chabwino kwambiri kwa inu.
- Iyi si njira yopweteka kwambiri. Mudzamva kusasangalala pang'ono chifukwa cha kumva kuyabwa.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala (kusala kudya, mankhwala) musanayesedwe.
- Lankhulani ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo musanayesedwe kuti muthetse kukayikira kulikonse.
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