Nthawi zina dokotala wanu amakuuzani kuti muyesere kupsinjika maganizo kuti muwone momwe mtima wanu umagwirira ntchito, sichoncho? Nthawi zambiri, izi zimachitika pokuthamangitsani pa treadmill. Koma tangoganizani kuti mukuvutika kuthamanga pa treadmill chifukwa cha mavuto a bondo, kupuma movutikira, kapena chifukwa china cha thanzi. Chifukwa chake, m'malo mochita masewera olimbitsa thupi kwa anthu otere, tikambirana za njira lero yomwe imagwiritsa ntchito mankhwala apadera a mtima ndikuyesa powapatsa 'kupsinjika'.
Mwachidule, kodi Dobutamine Stress Echocardiogram ndi chiyani?
Ngakhale dzinali ndi lalitali pang'ono, n'losavuta kulimvetsa. Tiyeni tigawane dzinali m'zigawo zake.
- Echocardiogram: Mwina munamvapo izi ngati mayeso a 'Echo'. Mwachidule, ndi ultrasound scan ya mtima. Mofanana ndi scan ya mwana wa mayi wapakati, imagwiritsa ntchito mafunde a phokoso kuwonetsa kugunda kwa mtima wanu, momwe zipinda za mtima wanu ndi ma valve anu akugwirira ntchito, komanso kuyenda kwa minofu ya mtima wanu pazenera.
- Kupsinjika Maganizo: 'Kupsinjika maganizo' pano sikutanthauza kupsinjika maganizo. Kumatanthauza kupsinjika mtima pamene tili ndi mphamvu zakuthupi, kutanthauza kuti, pamene tikuchita masewera olimbitsa thupi. Tikamathamanga kapena kukwera masitepe, mtima wathu umagunda mofulumira, eti? Ndicho chimene 'kupsinjika maganizo' kumeneku kumatanthauza.
- Dobutamine: Iyi ndi gawo lofunika kwambiri m'nkhani yathu. Popeza simungathe kuthamanga pa treadmill, iyi ndi mankhwala omwe amagwiritsidwa ntchito 'kupsinjika' mtima wanu ngati kuti mukuchita masewera olimbitsa thupi. Mankhwalawa akaperekedwa kudzera m'mitsempha (IV), amalimbitsa mtima, zomwe zimapangitsa kuti ugwire mofulumira, ngati kuti ukuthamanga kwambiri.
Choncho pamene zonse zitatuzi zaphatikizidwa, Dobutamine Stress Echocardiogram ndi pamene munthu amene sangathe kuchita masewera olimbitsa thupi amapatsidwa mankhwala otchedwa Dobutamine kuti mtima wake ugwire mofulumira, ndipo panthawiyo, Echo scan imagwiritsidwa ntchito kuwona momwe mtima ukugwira ntchito.
N’chifukwa chiyani dokotala angalimbikitse mayeso amenewa?
Pali zifukwa zingapo zomwe dokotala angakulimbikitseni kuyesedwa kumeneku. Kungapereke chidziwitso chofunikira kwambiri chokhudza mtima.
- Yang'anani kupirira kwa mtima wanu: Mutha kuona bwino kuchuluka kwa zochita zolimbitsa thupi zomwe mtima wanu ungathe kuchita.
- Kuzindikira Matenda a Mitsempha ya Mtima: Apa ndi pamene mitsempha yomwe imapereka magazi kumtima (mitsempha ya m'mimba ya mtima) imachepa kapena kutsekedwa ndi mafuta ambiri. Kuyesa kumeneku kumasonyeza bwino ngati magazi opita kumadera ena a mtima amachepa chifukwa cha kupsinjika.
- Dziwani kuopsa kwa matenda a valavu ya mtima: Ngati mavalavu a mtima sakugwira ntchito bwino, izi zimathandiza kudziwa momwe vutoli lilili lovuta.
- Kuyeza mtima musanachite opaleshoni: Kuyeza mtima kusanachitike opaleshoni yaikulu, kumachitika kuti muyeze ntchito yonse ya mtima ndi mphamvu zake.
- Yesani kupambana kwa chithandizo: Ngati mukulandira kale chithandizo cha matenda a mtima, izi zingakuthandizeninso kudziwa momwe chithandizocho chikupindulira mtima wanu.
Kodi n’chiyani kwenikweni chimachitika patsiku la mayeso?
Palibe chifukwa chodera nkhawa kapena kuopa mayesowa. Iyi ndi mayeso otetezeka kwambiri omwe amachitidwa ndi ogwira ntchito ophunzitsidwa bwino moyang'aniridwa ndi dokotala. Tiyeni tiwone pang'onopang'ono zomwe zimachitika masana.
1. Kukonzekera: Choyamba, mudzapatsidwa diresi la kuchipatala kuti muvale. Kenako, mudzapemphedwa kuti mugone patebulo loyezetsera.
2. Ma electrode: Katswiri (wojambula zithunzi za mtima) adzayika zomata zazing'ono khumi, zathyathyathya pachifuwa panu. Izi zimatchedwa ma electrode. Izi zimalumikizidwa ku makina a EKG okhala ndi mawaya. Izi zimayang'anira momwe mtima wanu umagwirira ntchito nthawi yonse yoyeserera.
3. Kuyesa kupuma: Musanapatsidwe mankhwala aliwonse, choyamba mudzapatsidwa EKG ndi Echo scan muli pamalo abwinobwino. Izi zimatchedwa 'Resting EKG' ndi 'Resting Echo'. Izi zimachitika kuti mulembe momwe mtima wanu umagwirira ntchito bwino. Panthawiyi, mudzatembenuzidwira kumanzere kwanu kuti mujambule.
4. Kuyika mzere wa IV: Kenako, kannula kakang'ono kadzayikidwa mu mtsempha womwe uli m'dzanja lanu. Uwu ndi chubu chaching'ono, chofanana ndi chomwe mumagwiritsa ntchito popereka saline, ndipo palibe chodetsa nkhawa nacho. Uwu umatchedwa mzere wa IV. Mankhwala a Dobutamine amaperekedwa m'thupi lanu kudzera mu izi.
5. Jakisoni wa Dobutamine: Apa ndi pomwe gawo lofunika kwambiri la mayeso limayambira. Motsatira malangizo a dokotala, namwino adzalowetsa Dobutamine pang'onopang'ono m'thupi lanu kudzera mu mzere wa IV. Jakisoni akalowa m'thupi lanu, mtima wanu uyamba kugunda mofulumira, ngati kuti mukuthamanga. Panthawiyi, mungamve mtima wanu ukugunda mofulumira, kumva kutentha pang'ono, komanso mwina mutu pang'ono. Izi ndi zachilendo, choncho musadandaule. Katswiriyo apitiliza kuchita echo scan ndikujambula kanema wa kusintha kwa mtima wanu.
6. Kukuyang'anirani: Pa nthawi yoyezetsa, ogwira ntchito nthawi zambiri amakufunsani kuti, "Muli bwanji?" Ngati mukumva chilichonse panthawiyo, mwachitsanzo , kupweteka pachifuwa, kupweteka kwa mkono kapena nsagwada, chizungulire, kapena kupuma movutikira , muyenera kuwauza nthawi yomweyo . Adzakhala akuyang'ananso makina a EKG, kotero ngati awona china chake chachilendo, adzayimitsa mayeso nthawi yomweyo.
7. Mayeso atha:Mukangoyamba kugunda kwa mtima wanu, mankhwalawo adzasiya kugwira ntchito. Kugunda kwa mtima wanu kudzabwerera m'malo mwake mkati mwa mphindi 5 mpaka 10. Kenako mzere wa IV udzachotsedwa pamanja.
Chofunika kwambiri ndichakuti mumayang'aniridwa ndi madokotala ndi ogwira ntchito ophunzitsidwa bwino nthawi yonse yoyezetsa, kotero palibe chifukwa choopera.
Kodi muyenera kukonzekera bwanji musanayese mayeso?
Kuti mupeze zotsatira zolondola za mayeso, ndikofunikira kwambiri kukonzekera bwino tsiku lisanafike. Tsatirani malangizo awa molondola.
| Gawo lokonzekera | Malangizo oti mutsatire |
|---|---|
| Chakudya ndi zakumwa |
|
| Mankhwala odziwika bwino | |
| Mankhwala a matenda a shuga |
Tiyeni tiphunzirenso za zovala ndi zinthu zina.
Mukhoza kuvala chilichonse chomwe mukufuna. Komabe, mudzapatsidwa diresi la kuchipatala kuti muvale musanayese mayeso. Ndi bwino kusiya zinthu zamtengo wapatali monga zodzikongoletsera kunyumba.
Kodi pali zoopsa kapena zotsatirapo zilizonse pa mayesowa?
Monga momwe zimakhalira ndi mayeso ena aliwonse azachipatala, pali chiopsezo chochepa, koma mayesowa ndi otetezeka kwambiri.
- Anthu ena amatha kupweteka mutu pang'ono akapatsidwa Dobutamine.
- Nthawi zina kuthamanga kwa magazi kungachepe pang'ono .
- Kawirikawiri, kugunda kwa mtima kosasinthasintha, monga atrial fibrillation kapena ventricular tachycardia, kungachitike. Komabe, popeza mudzayang'aniridwa ndi makina a EKG panthawi yonse yoyeserera, gulu lachipatala lidzakhala lokonzeka kukuthandizani nthawi yomweyo ngati izi zitachitika.
- Pali chiopsezo chochepa kwambiri cha matenda a mtima kwa munthu amene ali kale ndi vuto la mtima monga angina. Komabe, malo onse ofunikira ochizira mwadzidzidzi (ETU) kuti athane ndi vuto lotere amapezeka pamalo oyezetsera.
Ngati mwaikidwa pacemaker kapena defibrillator, ndikofunikira kuti mudziwitse dokotala za izi musanayesedwe.
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Kuyezetsaku kumatenga mphindi pafupifupi 15 kuti mupereke mankhwala, koma mayeso onse angatenge pafupifupi ola limodzi. Mukamaliza kuyezetsaku, muyenera kukhala m'chipinda chochiritsira kwa mphindi pafupifupi 30 mpaka kugunda kwa mtima wanu kubwerere mwakale. Popeza dobutamine ingayambitse kuchepa pang'ono kwa kuthamanga kwa magazi, ndibwino kuti wina akutengereni kunyumba mukamaliza kuyezetsaku.
Kodi zotsatira za mayeso zikuti chiyani?
Zotsatira za mayesowa zitha kugawidwa m'magulu atatu akuluakulu.
| Mtundu wa zotsatira | Tanthauzo lake losavuta |
|---|---|
| Zabwino kapena Zachilendo | Izi zikutanthauza kuti mtima wanu sukuyenda bwino. Izi zitha kukhala chifukwa cha matenda a mitsempha ya mtima, kuwonongeka kwa minofu ya mtima, kapena kusachita bwino kwa thupi. Ngati zili choncho, dokotala wanu adzakambirana nanu zomwe mungachite kenako. |
| Zoyipa kapena Zachizolowezi | Iyi ndi nkhani yabwino. Zikutanthauza kuti mtima wanu ukuyankha kupsinjika maganizo mwanjira yabwinobwino komanso yabwino. |
| Zosamveka | N'kovuta kupeza matenda enieni kuchokera ku zotsatira izi, kotero mungafunike kuyesedwa kangapo. |
Dokotala wa matenda a mtima adzafufuza zotsatira za mayesowa. Dokotala wanu adzakufotokozerani zotsatira zake. Ngati simukumva kuchokera kwa dokotala wanu pasanathe sabata imodzi, imbani dokotala wanu ndikufunsani za vutoli.
Uthenga Wopita Nawo Kunyumba
- Dobutamine Stress Echocardiogram ndi njira yofunikira kwambiri komanso yolondola yoyezera momwe mtima umagwirira ntchito mwa anthu omwe ali ndi vuto lochita masewera olimbitsa thupi.
- Izi zikuphatikizapo kupereka mankhwala otchedwa Dobutamine, kulimbitsa mtima ngati kuti ukulimbitsa thupi, ndikuyang'anira mtima ndi echo scan.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala mosamala musanayesedwe, makamaka pankhani ya chakudya, zakumwa, ndi mankhwala.
- Kuyezetsa uku ndi kotetezeka kwambiri ndipo kumachitika motsogozedwa ndi gulu lachipatala lophunzitsidwa bwino.
- Ngati muli ndi mantha kapena mafunso okhudza mayesowa, musazengereze kulankhula momasuka ndi dokotala wanu za vutoli.
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