Mtima wathu ndi chiwalo chodabwitsa kwambiri, sichoncho? Umapopa magazi m'thupi lathu lonse tsiku lonse popanda kupuma. Koma nthawi zina, tikatopa pang'ono, tikakwera masitepe, kapena tikanyamula chinthu cholemera, tingamve kupsinjika pang'ono kapena kupweteka pachifuwa. Anthu ena amavutika kupuma. Chifukwa chake, nthawi zina ngati izi, mwina mudaganizapo kuti, "Kodi pali vuto ndi mtima wanga?" Nthawi zina ngati izi, tikulankhula za mayeso apadera omwe amachitidwa kuti awone momwe mtima wanu ulili, makamaka momwe umagwirira ntchito thupi likachita masewera olimbitsa thupi. Izi zimatchedwa Exercise Stress Echocardiogram .
Mwachidule, kodi Echocardiogram iyi ya Exercise Stress ndi chiyani?
Dzina ili ndi lalitali pang'ono, choncho tiyeni tiligaŵanitse m'magawo awiri.
1. Echocardiogram (Echo): Ili ndi liwu lomwe mwina mwamvapo. Mwachidule, ndi scan ya mtima wanu. Mofanana ndi ultrasound scan, imagwiritsa ntchito mafunde amawu kupanga zithunzi zingapo zoyenda, monga kanema, wa mtima wanu. Zithunzizi zimathandiza dokotala wanu kuona mawonekedwe ndi kukula kwa mtima wanu, ma valve, ndi momwe minofu ya mtima wanu ikugwirira ntchito.
2. Kupsinjika Maganizo: 'Kupsinjika maganizo' pano sikukutanthauza kupsinjika maganizo, koma kupsinjika maganizo. Izi zikutanthauza kuti, Echo iyi imachitika pamene muli ndi nkhawa pang'ono ndipo mtima wanu ukugunda mofulumira.
Chifukwa chake, pophatikiza zonsezi, Echocardiogram ya Kupsinjika Maganizo ndi pamene mukuyenda pa treadmill kapena kukwera njinga, kenako mtima umachita masewera olimbitsa thupi kenako mtima umayesedwa ndi makina a Echo.
Kodi pali mitundu ina ya mayeso opsinjika maganizo ngati awa?
Inde, pali njira zina zingapo zoyezera momwe mtima umagwirira ntchito pogwiritsa ntchito masewera olimbitsa thupi. Tiyeni tiwone mitundu ikuluikulu.
| Dzina la mayeso | Kodi n’chiyani chikuchitika? |
|---|---|
| Kupsinjika Maganizo Olimbitsa Thupi EKG | Mukamachita masewera olimbitsa thupi, mayeso a EKG amayesa momwe mtima umagwirira ntchito. |
| Mayeso Okhudza Kupsinjika Maganizo a Nyukiliya | Mu izi, mankhwala ochepa kwambiri a radioactive amalowetsedwa bwino mumtsempha. Kenako, kamera yapadera imagwiritsidwa ntchito kufufuza momwe magazi amayendera mumtima musanayambe komanso mutatha kuchita masewera olimbitsa thupi. |
| Mayeso a Kupsinjika kwa Mankhwala | Anthu ena amavutika kuchita masewera olimbitsa thupi. Kwa anthu otere, mayesowa amachitidwa powapatsa mankhwala monga Dobutamine ndikuwonjezera kugunda kwa mtima wawo ngati kuti akuchita masewera olimbitsa thupi. |
| Mayeso a Kupsinjika kwa Pacing | Kwa iwo omwe ali ndi pacemaker yokhazikika yokhazikitsidwa kuti ilamulire kugunda kwa mtima wawo, mayesowa atha kuchitika mwa kufulumizitsa kugunda kwa mtima kudzera mu chipangizocho. |
Kodi mayesowa amachitidwa pazochitika ziti?
Madokotala amagwiritsa ntchito kwambiri mayesowa kuti adziwe matenda otchedwa matenda a mitsempha ya mtima . Mwachidule, amachitika kuti aone ngati mitsempha yamagazi yomwe imapereka magazi ku minofu ya mtima (yomwe timaitcha kuti 'mitsempha ya mtima') yatsekedwa kapena kuchepetsedwa ndi mafuta ambiri.
Monga momwe dothi likamamatirira mu chitoliro cha madzi, liwiro la madzi limachepa, pamene mitsempha ya mtima imatsekeka, mtima sulandira magazi okwanira. Ngakhale kuti nthawi zambiri sitimazindikira, tikakhala otopa, mtima umafuna magazi ambiri. Pamenepo ndi pamene zizindikiro monga kupweteka pachifuwa zimawonekera.
Kuwonjezera pa chifukwa chachikulu ichi, mayesowa amathandizanso kuzindikira kapena kuyang'anira momwe matenda ena alili.
- Kufooka kapena kukhuthala kwa minofu ya mtima (Cardiomyopathy)
- Matenda a Mtima Obadwa Nawo
- Kulephera kwa Mtima
- Matenda a Mtima
- Kuthamanga kwa magazi m'mapapo
Ndani akulangizidwa kuti achite mayeso awa?
Ngati muli ndi zizindikiro zomwe zingagwirizane ndi matenda a mtima, makamaka ngati zizindikirozo zikuipiraipira mukamachita masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi, dokotala wanu angakupempheni kuti muyesedwe.
| Zizindikiro | Milandu ina |
|---|---|
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Kodi pali anthu omwe sali oyenerera kuchita mayeso awa?
Inde, sikotetezeka kukakamiza mtima motere kwa anthu omwe ali ndi matenda ena a mtima. Kuyesa kumeneku sikuchitidwa pazochitika zotere. Mwachitsanzo:
- Kugawanika kwa Mtsempha wa Aorta
- Matenda/kutupa kwa mtima kapena minofu yozungulira (Endocarditis, Myocarditis, Pericarditis)
- Anthu omwe posachedwapa adadwala matenda a mtima
- Matenda oopsa osalamulirika a mtima
- Stenosis yayikulu ya msempha wa aorta (stenosis ya valve ya aorta)
Koma musadandaule ndi izi. Musanachite mayesowa, dokotala adzafufuza thanzi lanu lonse ndikusankha ngati izi zikukuyenererani kapena ayi.
Kodi muyenera kukonzekera bwanji musanayese mayeso?
Kuti mupeze zotsatira zolondola za mayeso, muyenera kukonzekera bwino. Dokotala adzakupatsani malangizo pa izi. Izi ndi zinthu zofunika kutsatira.
| Zoyenera kuchita/Zosafunika kuchita | Kufotokozera |
|---|---|
| Kafeini | Pewani zakumwa zokhala ndi caffeine monga khofi, tiyi, chokoleti, ndi cola kwa maola 24 musanayesedwe. Izi zingakhudze kugunda kwa mtima wanu. |
| Mankhwala | Uzani dokotala wanu za mankhwala aliwonse omwe mukumwa. Mankhwala ena (monga beta-blockers) angafune kuti musiye kumwa mankhwalawa tsiku loyesa. Musasiye kumwa mankhwala aliwonse musanafunse dokotala wanu kaye. |
| Chakudya ndi zakumwa | Musadye kapena kumwa chilichonse kwa maola angapo musanayesedwe. |
| Kusuta | Pewani kusuta fodya kapena kugwiritsa ntchito zinthu zina za fodya patsiku loyesa. |
| Zovala | Yendani kokayenda, chita masewera olimbitsa thupi, ndipo valani zovala zabwino komanso zomasuka komanso nsapato. |
Kodi chimachitika ndi chiyani panthawi ya mayeso? Tiyeni tiwone pang'onopang'ono.
Njira yonseyi nthawi zambiri imatenga pafupifupi ola limodzi.
1. Kukonzekera: Choyamba, katswiri adzaika zomata zazing'ono, zosalala (ma electrode) pachifuwa panu. Izi zidzalumikizidwa ku makina a EKG kuti aziyang'anira kugunda kwa mtima wanu. Chotsukira cha kuthamanga kwa magazi chidzayikidwanso pa mkono wanu.
2. Chiganizo choyamba: Kenako, mudzagona cha kumanzere kwanu. Katswiri wodziwa bwino ntchito (Cardiac Sonographer) adzapaka jeli pachifuwa panu ndikuyika chipangizo chaching'ono (transducer) pamakina a ultrasound kuti ajambule zithunzi za mtima wanu. Ichi ndi chithunzi choyamba chomwe chimajambulidwa pamene mukupumula.
3. Kuchita Masewera Olimbitsa Thupi: Apa ndi pomwe ntchito imayambira. Mudzayikidwa pa njinga yopumira kapena yoyimirira. Yambani pang'onopang'ono ndipo pang'onopang'ono muwonjezere liwiro ndi kutsika. Mudzachita masewera olimbitsa thupi mpaka mutafika pa ``kugunda kwa mtima komwe mukufuna``, kutengera zaka zanu komanso mulingo wanu wathanzi, kapena mpaka mutayamba kukumana ndi zizindikiro. Izi zitenga mphindi 10-15.
4. Kufotokoza Zizindikiro (Zofunika Kwambiri!): Ngati mukukumana ndi chinthu chachilendo panthawi yochita masewera olimbitsa thupi, monga kupweteka pachifuwa, kupanikizika, kulimba, kupweteka kwa mkono kapena nsagwada, kupuma movutikira, chizungulire, kapena kukomoka , muyenera kuuza dokotala kapena ogwira ntchito nthawi yomweyo.
5. Chiganizo chachiwiri:Mukangofika pamlingo womwe mukufuna, muyenera kutsika mwachangu pa treadmill ndikubwerera kukagona. Kuyesanso kwachiwiri kwa echo kudzachitika nthawi yomweyo. Ichi ndi chithunzi chomwe chimatengedwa mtima ukapanikizika.
6. Dziziritsani: Pambuyo pa Echo yachiwiri, mudzapemphedwa kuyenda pa treadmill kapena kukwera njinga kachiwiri kuti thupi lanu ndi kugunda kwa mtima wanu zibwerere mwakale.
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Mukhoza kupita kunyumba mtima wanu ukangoyamba kugunda bwino komanso kuthamanga kwa magazi. Mungamve kutopa pang'ono chifukwa cha masewera olimbitsa thupi. Izi ndi zachilendo.
Kodi pali zoopsa zilizonse ndi mayesowa?
Kupsinjika Maganizo pa Kuchita Maseŵera Olimbitsa Thupi (Echocardiography) ndi mayeso otetezeka kwambiri. Zotsatirapo zake sizimachitika kawirikawiri. Ngati pali chiopsezo chilichonse, sizichitika chifukwa cha mayesowo okha, koma chifukwa cha vuto la mtima wanu. Izi zikutanthauza kuti, munthu akapanikizika pamtima, mtima wake ukhoza kugunda molakwika (arrhythmia) kapena kupweteka pachifuwa (angina).
Koma palibe chifukwa chodera nkhawa. Pa nthawi yonse yoyezetsa, dokotala ndi ogwira ntchito zachipatala ophunzitsidwa bwino adzayang'anira EKG yanu, kuthamanga kwa magazi, ndi vuto lanu. Ngati pali zoopsa zilizonse, adzayimitsa mayeso nthawi yomweyo ndikupereka chithandizo chofunikira.
Kodi zotsatira zake zikuti chiyani?
Dokotalayo amafika pa mfundo yake poyerekezera zithunzi za echo zomwe zinajambulidwa pamene anali kupuma ndi zithunzi za echo zomwe zinajambulidwa pambuyo pa masewera olimbitsa thupi.
- Zotsatira Zabwinobwino: Ngati ziwalo zonse za minofu ya mtima zikugwira ntchito bwino panthawi yopuma komanso pambuyo pochita masewera olimbitsa thupi, zikutanthauza kuti mtima ukupeza magazi okwanira.
- Zotsatira Zosazolowereka: Ngati ziwalo zina za minofu ya mtima zikuoneka kuti zalephera kugwira ntchito bwino pambuyo pochita masewera olimbitsa thupi, zikutanthauza kuti mitsempha yopereka magazi ku ziwalo zimenezo ikhoza kutsekedwa.
Akamaliza kulandira zotsatira zake, dokotala wanu adzakufotokozerani mwachidule tanthauzo lake. Adzakambirananso nanu zomwe mungachite kenako, mwina ngati pakufunika mayeso ena kapena ngati chithandizo chiyenera kuyamba.
Uthenga Wopita Nawo Kunyumba
- Kujambula kwa Echocardiogram yokhudza kupsinjika maganizo ndi njira yotetezeka komanso yofunika kwambiri yowunikira momwe mtima wanu umagwirira ntchito panthawi yochita masewera olimbitsa thupi.
- Izi zimagwiritsidwa ntchito makamaka pozindikira ngati mitsempha yomwe imapereka magazi kumtima yatsekedwa.
- Tsatirani malangizo a dokotala mosamala musanayese mayeso (makamaka kupewa caffeine ndi chakudya).
- Ngati mukumva kusasangalala kulikonse panthawi yoyezetsa, monga kupweteka pachifuwa kapena chizungulire, musachite mantha ndipo dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
- Musadandaule ndi zotsatira za mayeso. Dokotala wanu adzakufotokozerani zonse ndikukutsogolerani pa njira zotsatirazi zomwe muyenera kuchita.
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