Kodi dokotala wanu wakuuzani kuti muyesedwe TEE? Mungachite mantha pang'ono mukamva dzinalo. Mungakhale mukuganiza kuti, 'Kodi kumeza chubu chonsechi n'chiyani?' Koma musadandaule. Sikoopsa monga momwe mungaganizire. Ndi mayeso apamwamba kwambiri omwe amapatsa dokotala wanu zambiri zofunika zokhudza thanzi la mtima wanu. Lero, tikambirana za mayeso a TEE m'njira yosavuta yomwe mungamvetse.
Mwachidule, kodi TEE ndi chiyani?
Tanthauzo lonse la TEE ndi Transesophageal Echocardiogram . Chabwino, chabwino... dzinali ndi losokoneza pang'ono. Tiyeni tisunge izi mosavuta.
Tangoganizani kuti mukufunika kujambula chithunzi cha mtima wanu. Mu mayeso a echo, otchedwa Transthoracic Echo (TTE) , dokotala amaika chipangizo chaching'ono pachifuwa panu ndikujambula chithunzi cha mtima wanu. Zili ngati kujambula chithunzi kuchokera patali.
Koma mayeso a TEE ndi osiyana pang'ono. Apa, chubu chopyapyala kwambiri, chosinthasintha (chotchedwa endoscope) chimayikidwa kudzera pakamwa panu ndikudutsa mummero wanu. Kumapeto kwa chubu ichi pali chipangizo chaching'ono chonga kamera (transducer). Izi zimatumiza mafunde a phokoso, ndipo mafunde amatuluka pamtima ndikupanga zithunzi zomveka bwino za mtima.
M'mero mwanu muli kumbuyo kwa mtima wanu, pafupi kwambiri ndi mtima wanu. Ichi ndichifukwa chake njira iyi imatha kujambula zithunzi zomveka bwino komanso zatsatanetsatane za mtima wanu.
Nchifukwa chiyani tiyenera kuchita mayeso a TEE?
Si aliyense amene adzafunika kuyesedwa TEE. Dokotala akulangiza izi pazifukwa zingapo. Tiyeni tiwone zomwe zili.
| Mkhalidwe | Momwe TEE Imathandizira |
|---|---|
| Pamene mayeso ena sapereka chidziwitso chomveka bwino | Simungathe kupeza vuto linalake la mtima mutachita TTE nthawi zonse. TEE imapereka chithunzi chomveka bwino komanso chakuya cha mtima. |
| Mukakhala pamavuto/vuto lalikulu | Ngati kuthamanga kwa magazi anu kuli kotsika kwambiri, mpweya wanu uli wochepa, kapena thupi lanu lili ndi mantha, TEE ingathandize kupeza chomwe chikuyambitsa vutoli mwachangu. |
| Musanayambe kuchiza matenda a mtima | Kuyezetsa kumeneku n'kofunika kwambiri kuti muwone ngati magazi amaundana mumtima musanayambe kulandira chithandizo cha matenda a arrhythmia, monga catheter ablation kapena electrical cardioversion . |
| Mu opaleshoni ya mtima | TEE imagwiritsidwa ntchito poona bwino kapangidwe ka mtima musanachite opaleshoni, kutsimikizira kupambana kwa opaleshoni pambuyo pa opaleshoni, komanso nthawi zina kutsogolera dokotala panthawi ya opaleshoni. |
Bwanji kusankha TEE m'malo mwa Echo wamba?
Madokotala nthawi zambiri amachita kaye TTE scan pachifuwa, koma nthawi zina amasankha kuisiya ndikupita mwachindunji ku TEE.
- Chifukwa cha kapangidwe ka chifuwa: Anthu ena amavutika kupeza zithunzi zomveka bwino kuchokera ku TTE chifukwa cha mawonekedwe a chifuwa chawo, mafuta ochulukirapo, kapena malo a mapapo awo.
- Matenda a m'mapapo: Ngati pali matenda m'mapapo, amatha kusokoneza masomphenya a mtima.
- Pakagwa ngozi yoopsa: Zithunzi zomveka bwino zomwe zapezeka kuchokera ku TEE ndizofunika kwambiri pakagwa ngozi pomwe pakufunika kupeza matenda mwachangu komanso molondola.
Kodi ndingakonzekere bwanji mayeso a TEE?
Mudzafunika kukonzekera musanayese mayesowa. Dokotala wanu adzakupatsani malangizo omveka bwino okhudza izi.
- Chakudya ndi zakumwa: Nthawi zambiri mumapemphedwa kuti musadye kapena kumwa chilichonse kwa maola osachepera 6 musanayesedwe .
- Mankhwala: Lankhulani ndi dokotala wanu za nthawi yomwe muyenera kumwa mankhwala anu achizolowezi.
- Mowa: Pewani kumwa mowa masiku angapo mayeso asanachitike.
- Dalaivala: Musaiwale kubweretsa munthu woti akutengereni kunyumba , chifukwa simudzatha kuyendetsa galimoto mukamaliza mayeso.
Chofunika kwambiri: Ndikofunikira kuuza dokotala wanu za mbiri yanu ya thanzi, makamaka ngati muli ndi vuto lililonse mwa izi:
- Khansa ya m'mero
- Matenda a m'mimba
- Kutentha pamtima pafupipafupi (GERD)
- Kuvuta kumeza
- Kupuma movutikira
- Khansa ya m'mimba
- Ngati mukumwa mankhwala ochepetsa tulo, nkhawa, kapena ululu.
Mukangouzidwa izi, dokotalayo angachitepo kanthu kuti mayesowa akhale otetezeka kwa inu.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Njira yonse yochitira mayesowa ingatenge mphindi pafupifupi 90. Komabe, kujambula zithunzi kumatenga mphindi pafupifupi 15 zokha. Nthawi yotsalayo imathera kukukonzekeretsani ndikukuyang'anirani mukamaliza mayeso.
1. Choyamba, mudzapatsidwa diresi la kuchipatala kuti muvale.
2. Ma stika ang'onoang'ono (ma electrode) adzaikidwa pachifuwa panu. Izi zidzayang'anira momwe magetsi a mtima wanu amagwirira ntchito panthawi yonse yoyeserera.
3. Chotsukira kuthamanga kwa magazi chimamangiriridwa ku dzanja ndipo choyezera kuthamanga kwa magazi chimamangiriridwa ku chala.
4. Musadandaule! Mankhwala oletsa kumva kupweteka adzathiridwa pakhosi panu kuti mupewe kupweteka kapena kutsokomola mukaika chubu.
5. Kenako, mankhwala adzaikidwa mumtsempha womwe uli m'dzanja lanu ('IV line') kuti mumve bwino komanso kugona . Izi sizidzakubweretserani mavuto ambiri.
6. Mudzatembenuzidwira kumanzere ndipo mudzagonekedwa pansi.
7. Kenako dokotalayo adzaika chubu cha TEE chopaka mafuta mosamala kwambiri kudzera pakamwa panu ndikutsika m'mero. Nthawi zina mudzapemphedwa kuti mumeze.
8. Chitoliro chikayikidwa, zithunzi za mtima ziyamba kujambulidwa. Simudzamva kupweteka kulikonse , koma mungamve kupanikizika pang'ono pachifuwa panu.
9. Zithunzi zikatha, amonke amachotsa chubucho.
10. Kuthamanga kwa magazi anu, kugunda kwa mtima, ndi kuchuluka kwa mpweya m'thupi lanu kudzayang'aniridwa kwa kanthawi pambuyo pake, ndipo mudzadziwitsidwa nthawi yomwe mungapite kunyumba.
Kodi pali zoopsa zilizonse zomwe zingachitike?
Monga momwe zimakhalira ndi mayeso ena aliwonse azachipatala, TEE ikhoza kukhala ndi chiopsezo chochepa, koma izi ndizosowa kwambiri.
- Matenda a ziwengo ku mankhwala omwe amagwiritsidwa ntchito.
- Chakudya kapena madzi olowa m'mapapo (`Chibayo cha mpweya`).
- Kusintha kwa kuthamanga kwa magazi kapena kugunda kwa mtima.
- Kutuluka magazi pang'ono chifukwa cha kukanda pang'ono kwambiri mu anus.
Ngati muli ndi mantha kapena kukayikira kulikonse pankhaniyi, lankhulani ndi dokotala wanu za izi poyera musanayesedwe.
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Mudzafunika kupuma kwakanthawi mutatha mayeso.
- Kupweteka pakhosi: Pakhosi panu padzakhala kupweteka kwa ola limodzi. Musadye kapena kumwa chilichonse mpaka kupwetekako kutatha. Apo ayi, mungatsamwitsidwe.
- Chikhure:Mungakhale ndi ululu pang'ono pakhosi kwa maola angapo kapena tsiku limodzi kapena awiri ululuwo utatha. Izi ndi zachilendo. Komabe, ngati ululuwo ndi waukulu kapena sutha patatha masiku angapo, lankhulani ndi dokotala wanu.
- Kubwerera kunyumba: Chifukwa cha mankhwala ogona omwe munapatsidwa, simudzatha kuyendetsa galimoto kapena kugwira ntchito zoopsa kwa maola 24. Ndicho chifukwa chake mudzafunika wina woti akutengereni kunyumba.
Kodi ndi chiyani chomwe chingapezeke mu mayeso a TEE?
Kuyezetsa kumeneku kungapereke chidziwitso chamtengo wapatali chokhudza kapangidwe ndi ntchito ya mtima, zomwe zimapangitsa kuti dokotala athe kuzindikira matenda osiyanasiyana mosavuta.
| Matenda omwe angadziwike | Kufotokozera kosavuta |
|---|---|
| Aneurysm ya mtsempha wamagazi | Khoma la mtsempha waukulu wamagazi womwe umanyamula magazi kuchokera mumtima limakhala lofooka komanso lotupa. |
| Magazi amaundana | Kufufuza ngati magazi amaundana mkati mwa zipinda za mtima. |
| Matenda a mtima obadwa nawo | Kuzindikira zolakwika zosiyanasiyana za mtima zomwe zimachitika munthu akangobadwa. |
| Zotupa za mtima | Kuzindikira zotupa za khansa kapena zosakhala khansa zomwe zingachitike mumtima. |
| Matenda a mtima | Kufufuza ngati ma valve a mtima achepa kapena ngati magazi atuluka. |
| Matenda a mtima opatsirana | Matenda oopsa a mkati mwa mtima kapena ma valve. |
Uthenga Wopita Nawo Kunyumba
- TEE ndi scan yapadera yomwe imachitidwa kudzera mu mmero mwanu yomwe imapereka zithunzi zomveka bwino za mtima wanu.
- Izi nthawi zambiri zimachitika pamene ultrasound yokhazikika ya pachifuwa sikupereka chidziwitso chokwanira.
- Pa nthawi yoyezetsa, mudzapatsidwa mankhwala okuthandizani kuti mukhale omasuka, omasuka, komanso kuti musamve kupweteka pakhosi. Iyi si mayeso opweteka.
- Ndikofunikira kusala kudya kwa maola angapo musanayese mayeso ndikukhala ndi munthu woti akutengereni kunyumba mukamaliza mayeso.
- Lankhulani ndi dokotala wanu musanayesedwe za matenda aliwonse omwe muli nawo, mankhwala aliwonse omwe mumamwa, komanso nkhawa zilizonse zomwe muli nazo. Ndikofunikira kwambiri pa chitetezo chanu.
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