Kodi mumamva kupweteka pachifuwa kapena kupweteka mukamachita khama, kukwera masitepe, kapena kuyenda mofulumira pang'ono? Kapena mumavutika kupuma? Mutauza dokotala wanu za izi, kodi anakuuzani kuti muchite "Mayeso Olimbitsa Thupi"? Mwina munachita mantha pang'ono komanso mantha mukamva dzina limenelo. Tikamva mawu oti "kupsinjika maganizo," timaganiza za chinthu chovuta. Koma ichi si chinthu choopera kwenikweni. Iyi ndi mayeso ofala omwe amatipatsa chidziwitso chamtengo wapatali chokhudza thanzi la mtima wanu, ndipo amachitika kawirikawiri. Choncho tiyeni tikambirane za izi momveka bwino komanso mosavuta lero.
Mwachidule, kodi mayeso a kupsinjika maganizo ochita masewera olimbitsa thupi ndi chiyani?
Ganizirani za injini ya galimoto yanu. Ikangoyima, ingaoneke ngati ikugwira ntchito bwino. Koma mukakwera phiri kapena kuthamanga kwambiri ndiye kuti mumadziwa bwino ngati pali vuto ndi injiniyo. Umu ndi momwe zilili ndi mitima yathu.
Tikakhala pansi ndikupumula, mtima sukhala ndi katundu wambiri. Koma tikamachita masewera olimbitsa thupi, kuthamanga, kapena kulumpha, ziwalo zina za thupi lathu zimafuna mpweya ndi magazi ambiri. Kenako mtima umayenera kugwira ntchito mwachangu komanso molimbika kuposa masiku onse.
Kuyesa kupsinjika maganizo kumaphatikizapo kupatsa mtima wanu "masewera olimbitsa thupi" kapena "kupsinjika" pang'ono pamalo otetezeka komanso olamulidwa bwino, kenako nkuyang'ana momwe umayankhira. Izi zingathandize dokotala wanu kuphunzira zinthu zofunika kwambiri.
- Kodi mtima wanu umapopa magazi bwino bwanji? - Mutha kuona ngati mphamvu ya mtima wanu yopopa magazi imachepa kapena imawonjezeka mukamachita masewera olimbitsa thupi.
- Kodi minofu ya mtima ikupeza magazi okwanira? - Ngati mitsempha yomwe imapereka magazi kumtima (mitsempha ya coronary) yachepa kapena yatsekeka, mtima sungalandire magazi okwanira panthawi yochita masewera olimbitsa thupi. Kuyesaku kungazindikire izi.
- Kodi zizindikiro zanu zimagwirizana ndi mtima? - Mutha kuwona ngati kupweteka pachifuwa, kupuma movutikira, kapena chizungulire kumachitika panthawi yochita masewera olimbitsa thupi. Ngati ndi choncho, ikhoza kukhala vuto la mtima.
- Kodi ntchito yamagetsi ya mtima ikuyenda bwanji? - Mutha kuwona ngati kugunda kwa mtima kumakhala kosasinthasintha kapena ayi mukamachita masewera olimbitsa thupi.
Mwachidule, izi zili ngati "kuyesa kulimbitsa thupi" kwa mtima wanu.
Ndani akufuna kulemba mayeso awa?
Pali zifukwa zingapo zomwe dokotala angakulangizeni mayesowa. Tiyeni tiwone zomwe zili.
| Chifukwa | Kufotokozera |
|---|---|
| Kukhala ndi zizindikiro za mtima | Ngati mukumva kupweteka pachifuwa kapena kukanika (komwe kumatchedwanso angina ) mukamachita masewera olimbitsa thupi, kupuma movutikira, kugunda kwa mtima mofulumira kapena kosasinthasintha ( arrhythmia ), kapena chizungulire, mayesowa angathandize kupeza chomwe chimayambitsa zizindikiro zimenezo. |
| Kukhala pachiwopsezo cha matenda a mtima | Ngati muli ndi matenda a shuga, kuthamanga kwa magazi, cholesterol yambiri, mumasuta fodya, kapena ngati wina m'banja mwanu wakhala ndi matenda a mtima ali wamng'ono, mulinso pachiwopsezo chotenga matenda a mtima. Izi zingathandize kuzindikira vuto zizindikiro zisanawonekere. |
| Kuyesa kupambana kwa chithandizo | Ngati mukulandira kale chithandizo cha matenda a mtima (monga mankhwala, kuika stent, opaleshoni ya bypass), mayesowa amachitika kuti awone momwe chithandizocho chilili chothandiza komanso ngati ntchito ya mtima wanu yasintha. |
| Musanayambe pulogalamu yochita masewera olimbitsa thupi | Makamaka ngati munthu amene ali ndi matenda a mtima akuyamba kuchita masewera olimbitsa thupi koyamba, mfundo zomwe zapezeka kuchokera mu mayesowa ndizofunikira podziwa mtundu wa masewera olimbitsa thupi oyenera kwa iye komanso nthawi yomwe angachite. |
| Kuyang'ana ngati mtima uli bwino musanachite opaleshoni | Mayesowa amagwiritsidwanso ntchito poyesa ngati mtima wanu uli ndi mphamvu zokwanira kupirira kupsinjika kwa opaleshoni yopanda matenda a mtima musanachite opaleshoni yayikulu. |
Pali mitundu ingapo ya mayeso a kupsinjika maganizo.
Si aliyense amene amayesedwa mofanana. Mtundu wa mayeso omwe mumalandira ungasiyane malinga ndi matenda anu, zizindikiro zanu, ndi zomwe dokotala wanu akufunika kudziwa.
1. Mayeso Olimbitsa Thupi
Uwu ndi mtundu wofala kwambiri komanso wosavuta kugwiritsa ntchito. Chomwe chimachitika apa ndichakuti zomata zazing'ono (ma electrode) zimalumikizidwa pachifuwa ndi m'manja mwanu, ndipo zimalumikizidwa ku makina a `EKG` (Electrocardiogram). Kenako mumapemphedwa kuti muyende pa makina opukutira kapena kukwera njinga yosasuntha. Liwiro ndi kutsika kwa makina opukutira (monga kukwera phiri) zimawonjezeka pang'onopang'ono. Panthawiyi, makina a `EKG` amapitiliza kujambula momwe magetsi a mtima wanu amagwirira ntchito. Amayesanso kuthamanga kwa magazi nthawi ndi nthawi.
2. Kupsinjika Maganizo pa Masewera Olimbitsa Thupi (Echocardiogram)
Iyi ndi mayeso ofotokoza bwino pang'ono kuposa oyamba aja. Amaphatikizapo kuchita `Echocardiogram` (ultrasound scan of the heart) ya mtima wanu musanayambe komanso mutatha kuchita masewera olimbitsa thupi mokwanira.
Mwachidule, 'echo' imatha kuona m'maganizo momwe minofu ya mtima imagwirira ntchito, momwe ma valve amagwirira ntchito, ndi momwe magazi amayendera. Ngati gawo lina la mtima lasowa magazi panthawi yochita masewera olimbitsa thupi, kupindika kwa minofu m'gawo limenelo kumakhala kofooka. Izi zitha kuzindikirika bwino ndi scan iyi.
Mayesowa ndi othandiza kwambiri ngati zotsatira za EKG yokhazikika sizikudziwika bwino.
3. Mayeso a Kupsinjika kwa Nyukiliya
Dzinalo lingamveke ngati loopsa pang'ono, koma limagwiritsa ntchito mankhwala otetezeka kwambiri komanso otsika kwambiri a radioactive. Mankhwalawa amalowetsedwa mumtsempha wanu. Kenako, kamera yapadera (SPECT kapena PET scan) imatenga zithunzi za magazi akuyenda mumtima mwanu pamene mukupuma.
Kenako, mumachita masewera olimbitsa thupi pa treadmill. Mukamaliza kuchita masewera olimbitsa thupi, kamera imatenganso zithunzi. Tsopano dokotala akhoza kufananiza zithunzi zomwe zajambulidwa panthawi yopuma ndi zithunzi zomwe zajambulidwa pambuyo pa masewera olimbitsa thupi. Ngati mtsempha wamagazi watsekedwa, panthawi yochita masewera olimbitsa thupi, magazi omwe amapita ku gawo la minofu ya mtima yomwe imaperekedwa ndi mtsemphawo amachepa. Izi zitha kuwoneka bwino pazithunzi. Izi zitha kupereka kuwunika kolondola kwambiri kwa kutsekeka kwa mitsempha yamtima.
Kodi muyenera kukonzekera bwanji musanayese mayeso?
Kuti mupeze zotsatira zolondola, ndikofunikira kwambiri kukonzekera bwino musanayese mayeso.
- Chakudya ndi Chakumwa: Musadye kapena kumwa chilichonse kwa maola angapo mayeso asanayambe. Palibe vuto kumwa madzi pang'ono. Makamaka ngati mukuyesedwa kuti muli ndi vuto la `Nuclear Stress Test`, mungapemphedwe kuti musale kudya mpaka mayesowo atatha.
- Pewani kumwa caffeine:Musamwe chilichonse chokhala ndi caffeine, monga khofi, tiyi, chokoleti, kapena zakumwa zina zopatsa mphamvu, kwa maola 24 musanayesedwe. Caffeine ikhoza kusintha kugunda kwa mtima wanu ndipo ingakhudze zotsatira zake.
- Pewani kusuta: Musasute pa tsiku loyesa.
- Funsani dokotala wanu za mankhwala: Dokotala wanu angakupempheni kuti musiye kumwa mankhwala enaake omwe mumamwa nthawi zambiri (monga mankhwala a mtima monga beta-blockers, ena opumira mphumu) patsiku loyesa. Musasiye kumwa mankhwala nokha. Nthawi zonse lankhulani ndi dokotala wanu ndipo tsatirani malangizo ake molondola.
- Kwa anthu omwe ali ndi matenda a shuga: Ngati mukumwa mankhwala a matenda a shuga, kusala kudya kungakhale vuto. Chifukwa chake, lankhulani ndi dokotala wanu wa matenda a shuga musanayesedwe kuti akupatseni upangiri wa momwe mungamwere mankhwala anu ndi chakudya tsiku limenelo. Ngati muli ndi chowunikira shuga, bwerani nacho.
- Zovala: Valani zovala zopepuka komanso zomasuka komanso nsapato zoyenda nazo bwino (monga nsapato za kanivasi kapena nsapato zamasewera).
- Khalani chete: Ndizachibadwa kumva mantha pang'ono mukatsala pang'ono kutenga mayeso. Koma ngati muli ndi mantha kwambiri, zinthu monga kugunda kwa mtima wanu ndi kuthamanga kwa magazi zimatha kusintha ndikukhudza zotsatira zake. Choncho yesetsani kukhala chete momwe mungathere.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Mukapita ku labu, namwino kapena katswiri adzayesa kaye ndikulemba kuthamanga kwa magazi ndi kugunda kwa mtima wanu. Kenako adzalumikiza ma electrode pachifuwa ndi m'manja mwanu omwe adzalumikiza ku EKG.
Kenako, mudzafunsidwa kuti mukwere pa treadmill. Imayamba pang'onopang'ono, ngati kuyenda pansi panthaka. Mphindi zochepa zilizonse, apolisi omwe akutsogolera adzawonjezera pang'onopang'ono liwiro ndi kutsika kwa treadmill. Nthawi iliyonse, adzakufunsani kuti, "Mukumva bwanji?" "Mukuvutika?" Ngati mukumva kusasangalala, kupweteka pachifuwa, kapena chizungulire, muyenera kuwauza nthawi yomweyo.
Mukafika pamlingo womwe mtima wanu ukugunda womwe umatsimikiziridwa kutengera zaka zanu komanso mulingo wanu wa thanzi, mudzakhalabe mulingo umenewo kwa mphindi zingapo kenako n’kusiya mayesowo. Gawo la masewera olimbitsa thupi nthawi zambiri limatenga pafupifupi mphindi 10-15. Komabe, ngati mutakhala ndi zizindikiro zoopsa nthawi imeneyo isanafike kapena ngati mwanena kuti simungathe kuchitanso, mayesowo adzayimitsidwa msanga.
Kodi mumayesa bwanji munthu amene sangathe kuchita masewera olimbitsa thupi?
Tangoganizani kuti wina sangathe kuyenda pa treadmill chifukwa cha kuvulala kwa mafupa kapena chifukwa china. Ngakhale anthu otere amatha kuchita mayesowa. Panthawiyo, mumagonekedwa pabedi ndipo mankhwala amalowetsedwa mumtsempha. Mankhwalawa amapangitsa mtima wanu kugunda mofulumira, monga momwe mumachitira masewera olimbitsa thupi. Kudzera mu izi, mtima umapatsidwa "mphamvu" (kupsinjika) komwe umafunikira.
Mayeso akatha, adzakuyang'anirani kwa mphindi pafupifupi 15 mpaka kugunda kwa mtima wanu ndi kuthamanga kwa magazi kwanu kubwerere mwakale. Zonse zikayenda bwino, mutha kupita kunyumba.
Kodi zotsatira za mayeso zikuti chiyani?
Mukalandira lipoti la mayeso, dokotala wanu adzalisanthula ndikukufotokozerani. Zotsatira zake zitha kugawidwa m'magawo awiri akuluakulu.
Ngati zotsatira zake zili bwino...
Izi zikutanthauza kuti mtima wanu ukuyankha bwino masewera olimbitsa thupi, kuti mtima wanu ukulandira magazi omwe ukufunikira, ndipo zizindikiro zanu sizimayambitsidwa ndi vuto lalikulu la mtima.
- Ngati mayeso achitika kuti apeze chomwe chikuyambitsa zizindikiro zanu: Kupweteka pachifuwa chanu kungayambitsidwe ndi china chake, monga kupsinjika maganizo kapena gastritis. Dokotala wanu adzalamula mayeso ena kuti adziwe.
- Ngati mwachita musanachite masewera olimbitsa thupi kapena opaleshoni: Izi zikutanthauza kuti mtima wanu uli ndi mphamvu zokwanira zoyambira pulogalamu yochita masewera olimbitsa thupi kapena kuchitidwa opaleshoni.
Ngati zotsatira zake sizili zachilendo...
Zotsatira zosazolowereka zimatanthauza kuti mtima wanu wayamba vuto panthawi yochita masewera olimbitsa thupi, zomwe zingakhale chizindikiro cha matenda a mtima.
- Kusintha kwa EKG: Ngati magazi sakuyenda bwino kupita kumtima (ischemia), EKG imasonyeza kusintha kwina.
- Kupweteka pachifuwa: Ngati mukumva kupweteka pachifuwa mukuchita masewera olimbitsa thupi, kungakhale chizindikiro cha kutsekeka kwa mitsempha ya mtima.
- Kusakhazikika kwa kuthamanga kwa magazi: Kuthamanga kwa magazi komwe sikukwera kapena kutsika bwino panthawi yochita masewera olimbitsa thupi kungakhalenso vuto.
Chofunika kwambiri ndichakuti, musachite mantha ndi zotsatira zachilendo. Sizikutanthauza kuti mudzakhala ndi vuto la mtima. Zimangotanthauza kuti pali vuto ndi mtima wanu lomwe tiyenera kulisamalira ndikuchitapo kanthu kofunikira.
Ngati zotsatira zachilendo zapezeka, dokotala adzasankha choti achite kenako.
- Kusintha pang'ono kumaphatikizapo: kusintha kwa moyo (kusiya kusuta fodya, kuwongolera zakudya, kuchita masewera olimbitsa thupi) ndi mankhwala oletsa cholesterol ndi kuthamanga kwa magazi.
- Kusintha kwakukulu ndi:Mayeso ena angapangidwe kuti atsimikizire vutoli ndikuwona komwe kutsekeka kuli. Mwachitsanzo, mungatumizidwe ku chinthu monga `CT Coronary Angiography` (CT scan) kapena `Cardiac Catheterization` (mayeso a angiogram).
Uthenga Wopita Nawo Kunyumba
- Kuyesa kupsinjika maganizo sikoyenera kuopa. Ndi mayeso otetezeka komanso ofala kwambiri kuti muwone thanzi la mtima wanu.
- Izi zimathandiza kwambiri kudziwa ngati matenda a mtima ndi omwe amachititsa kupweteka pachifuwa ndi kupuma movutikira komwe kumachitika mukamachita masewera olimbitsa thupi.
- Ndikofunikira kutsatira malangizo a dokotala (kusala kudya, kusiya kumwa mankhwala ena) musanayesedwe kuti mupeze zotsatira zolondola.
- Ngati mukumva kusasangalala kulikonse panthawi yoyeserera, dziwitsani akuluakulu omwe akuyang'anira nthawi yomweyo.
- Kaya zotsatira zake ndi zabwinobwino kapena zoipa, musachite mantha, lankhulani ndi dokotala wanu ndipo mumvetse bwino njira zotsatirazi.
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