Kodi munayamba mwakumanapo ndi vuto la mwadzidzidzi, la maso abuluu, kapena chizungulire? Mwina munakumanapo ndi vuto ili mutayimirira, mutayimirira mwadzidzidzi, kapena mutakhala pamalo odzaza anthu. Inu ndi banja lanu muyenera kuti munachita mantha kwambiri chifukwa simunathe kudziwa chomwe chimayambitsa kukomoka kotereku? Lero, tikambirana za mayeso apadera omwe madokotala amagwiritsa ntchito kuti adziwe chomwe chimayambitsa vutoli. Izi zimatchedwa Hemodynamic Test.
Kodi mayeso a Hemodynamic ndi chiyani?
Mwachidule, mayeso a hemodynamic ndi mayeso omwe amaona momwe magazi anu akuyendera m'thupi lanu, momwe mtima wanu ukugwira ntchito, komanso momwe mtima wanu ukugwira ntchito. Izi nthawi zina zimatchedwa 'hemodynamic tilt test'. Izi zimagwiritsa ntchito kamera yapadera komanso zinthu zochepa kwambiri zotulutsa ma radioactive kuti zimvetse bwino momwe mtima wanu ndi mitsempha yamagazi zimagwirira ntchito. Timatcha njira iyi `(nuclear imaging)`.
N’chifukwa chiyani mayesowa akuchitidwa?
Ngati nthawi zambiri mumakomoka, madokotala amagwiritsa ntchito zomwe zapezeka mu mayesowa kuti apeze chomwe chikuyambitsa vutoli. Malinga ndi madokotala, kukomoka kumatchedwa "syncope." Zotsatira za mayesowa ndi zomwe zidzakupatseni chithandizo chabwino kwambiri.
Pali zifukwa zingapo zomwe munthu angagwere:
- Kuchepa kwakanthawi kwa magazi kupita ku ubongo.
- Kutsika mwadzidzidzi kwa kuthamanga kwa magazi kapena kugunda kwa mtima.
- Kusintha kwa kuchuluka kwa magazi m'thupi kapena momwe magazi amagawidwira.
Kawirikawiri, anthu omwe amakomoka amakhala ndi vuto la mtima, mitsempha yamagazi, kapena mitsempha yamagazi muubongo wawo. Choncho mayesowa angathandize kudziwa bwino lomwe vutolo.
Kodi mumakonzekera bwanji mayeso asanayambe?
Kuti muchite bwino pa mayeso awa, muyenera kukonzekera pang'ono. Samalani pang'ono ndi zinthu izi.
| Malangizo | Kufotokozera |
|---|---|
| Mimba | Kuyesaku sikungachitike ngati muli ndi pakati kapena mukuyamwitsa, kotero mungapemphedwe kuti muyesedwe ngati muli ndi pakati kuti mukhale otetezeka. |
| Chakudya ndi zakumwa | Musadye kapena kumwa chilichonse kwa maola anayi musanayesedwe . Musadye chilichonse, monga kutafuna chingamu kapena toffee. Ngati muyenera kumwa mankhwala, imwani ndi madzi ochepa okha. |
| Kafeini | Musamwe chilichonse chokhala ndi caffeine (tiyi, khofi, cola) patsiku loyesa. Pewani mankhwala olembedwa kuti “opanda caffeine” kapena “opanda caffeine” chifukwa angakhalebe ndi caffeine pang'ono. |
| Ngati muli ndi matenda a shuga | Ngati muli ndi matenda a shuga, pemphani nthawi yokumana nanu pafupifupi 12:30 p.m. Mwanjira imeneyi mutha kudya chakudya cham'mawa chopepuka isanafike 8:30 a.m. Lankhulani ndi dokotala wanu za izi. |
| Mankhwala ena | Musamwe mankhwala ochepetsa ululu kapena otsegula m'mimba musanayesedwe. Imwani mankhwala ena onse mwachizolowezi. Funsani dokotala wanu ngati pali mankhwala aliwonse omwe mukumwa omwe ali ndi caffeine komanso ngati ayenera kumwedwa tsiku loyesa. Musasiye kumwa mankhwala aliwonse popanda upangiri wa dokotala wanu. |
Kodi mungayembekezere chiyani pa tsiku la mayeso?
- Zovala: Valani zovala ndi nsapato zabwino. Mudzafunika kuvala diresi la kuchipatala lomwe limaphimba chiuno kuyambira m'chiuno kupita mmwamba panthawi yoyezetsa. Chifukwa chake, musamavale zodzikongoletsera (kuphatikizapo mphete zaukwati). Musabweretse zinthu zamtengo wapatali.
- Zinthu zoti mubweretse: Bweretsani malipoti anu aposachedwa a mayeso azachipatala, zolemba zina zachipatala zokhudzana ndi vuto lanu, mndandanda wa mankhwala onse ndi zowonjezera zomwe mukumwa (ndi kuchuluka kwake), ndi mndandanda wa ziwengo zilizonse zomwe muli nazo.
Kodi mayesowa amatenga nthawi yayitali bwanji?
Mayeso onse amatenga pafupifupi maola atatu. Choncho yembekezerani kukhala m'chipatala kwa maola atatu. Muyenera kukhala maso panthawi yoyesedwa. Ogwira ntchito adzakupangitsani kukhala omasuka momwe mungathere. Zithunzi zomveka bwino zidzapezeka ngati mutakhala chete komanso osasuntha momwe mungathere.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Mayeso awa ndi ophatikizana a magawo angapo, omwe gawo lililonse limasonkhanitsa mfundo zofunika zokhudza mtima wanu ndi kayendedwe ka magazi.
| Njira yoyesera | Chikuchitika ndi chiyani? |
|---|---|
| Kuwunika kwa ECG | Ma stika angapo ang'onoang'ono otchedwa ``electrodes'' amaikidwa pachifuwa panu. Izi zimatumiza mphamvu zamagetsi za mtima wanu ku makina a ``EKG/ECG''. Izi zimatha kuyang'anira kugunda kwa mtima wanu ndi momwe umagwirira ntchito panthawi yonse yoyeserera. |
| Kuyeza kuthamanga kwa magazi | Kuthamanga kwa magazi anu kumayesedwa nthawi zosiyanasiyana panthawi yoyezetsa pogwiritsa ntchito chotsukira magazi chomwe chimamangiriridwa ku mkono wanu. |
| Kujambula kwa Echocardiogram (Echo) | Musanayambe mayeso, mukapuma kwa mphindi 20, mudzayesedwa echocardiogram (kujambula mtima). Izi zimatenga zithunzi za mtima wanu mwatsatanetsatane ndikuyesa kuchuluka kwa magazi omwe mtima wanu umapopa nthawi imodzi (kutulutsa mtima). Muyeso uwu umatengedwanso panthawi yoyesedwayo ndikuyerekeza ndi muyeso woyamba. |
| Kujambula Mankhwala a Nyukiliya | Iyi ndi gawo lofunika kwambiri. Chinthu chochepa kwambiri chotchedwa "radioactive isotope" kapena "tracer" chimabayidwa kudzera mu cannula (IV) yomwe imayikidwa mumtsempha wanu. Kenako, kamera yapadera yotchedwa "gamma camera" imajambula zithunzi za pachifuwa chanu. Kamera iyi imatha kuzindikira kuwala komwe kumachokera mu tracer. Zithunzi izi zingakuuzeni zambiri za momwe mtima wanu ukugwira ntchito, momwe magazi anu akuthamanga mofulumira, komanso kuchuluka kwa magazi omwe mtima wanu ukupopa. |
Kodi mudzamva bwanji panthawi ya mayeso?
Nthawi zambiri, sizimamva kupweteka kwambiri. Komabe, anthu ena amatha kukhala ndi chizungulire , nseru, kapena kugunda kwa mtima mofulumira . Izi ndi zachilendo.
Chofunika kwambiri ndi kuuza ogwira ntchito nthawi yomweyo za chilichonse chomwe mukumva panthawi yoyezetsa, ngakhale zitakhala zovuta pang'ono. Dokotala adzagwiritsa ntchito zizindikiro zanu komanso zomwe mwapeza kuchokera muyeso kuti apeze yankho la vuto lanu.
Pamene zinthu zotulutsa ma radiation zikudutsa mu cannula, mungamve kuzizira kukuyenda m'manja mwanu. Mungamvenso kukoma kwachitsulo mkamwa mwanu kapena fungo lachilendo m'mphuno mwanu. Zizindikirozi zimatha pakapita nthawi.
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Pambuyo pomaliza mayeso,
- Muyenera kukhala m'chipatala mpaka vuto lomwe munali nalo panthawi yoyezetsa litatheratu.
- Zina mwa zinthu zoyezera zomwe zagwiritsidwa ntchito poyesa zidzatuluka mu mkodzo wanu. Zotsalazo zidzasungunuka mwachibadwa m'thupi lanu. Ngati mukufuna, mutha kufulumizitsa njirayi mwa kumwa madzi owonjezera pang'ono.
- Anthu ambiri amapita kunyumba nthawi yomweyo akamaliza mayeso, koma ngati mukumva zizindikiro zoopsa (monga kukomoka) panthawi yoyesedwa, ndi bwino kukhala ndi munthu wina woti akuperekezeni.
Kodi pali zoopsa zilizonse ndi mayesowa?
Iyi ndi mayeso otetezeka kwambiri. Zoopsa zazing'ono zomwe zingatheke ndi izi:
- Mungakhale ndi mabala, kufiira, kapena kutupa komwe kannula inayikidwa. Izi ndi zachilendo.
- Zinthu zotulutsa ma radiation zomwe zimagwiritsidwa ntchito si utoto, kotero sizimayambitsa ziwengo.
Kuchuluka kwa kuwala komwe kwagwiritsidwa ntchito poyesa uku ndi kochepa kwambiri. Ndipotu, ndi kuchuluka komweko kwa kuwala komwe mungakumane nako mukayang'aniridwa ndi X-ray pachifuwa. Choncho palibe chifukwa chodera nkhawa ndi izi.
Kodi lipoti la mayeso likuti chiyani?
Lipoti limene dokotala wanu adzalandira lidzakuuzani ngati zotsatira zanu ndi zabwinobwino kapena zoipa. Ngati sizili bwino, lidzafotokozanso chifukwa chake. Mwachitsanzo:
- Kodi pali kayimbidwe ka mtima kosayenera?
- Kodi pali kusintha kulikonse kwa kuthamanga kwa magazi?
- Mukhoza kudziwa ngati muli ndi vuto monga matenda a mitsempha ya mtima, komwe lili, komanso momwe lilili lalikulu.
- Kodi magazi amachepa kupita kumtima (ischemia)?
- Kodi minofu ya mtima yawonongeka chifukwa cha kutayika kwa magazi ndi mpweya?
Nthawi zambiri zimatenga masiku 10 mpaka 14 kuti munthu alandire lipotili. Kutengera ndi zotsatira izi, dokotala wanu adzakukonzerani dongosolo la chithandizo. Mungafunike kuyamba mankhwala atsopano kapena kutumizidwa kwa akatswiri ena.
Uthenga Wopita Nawo Kunyumba
- Ngati mukumva chizungulire pafupipafupi, iyi ndi njira yofunika kwambiri yodziwira chomwe chimayambitsa vutoli. Choncho musachite mantha ndi izi.
- Tsatirani malangizo a dokotala mosamala musanayesedwe, makamaka okhudza chakudya, zakumwa, ndi mankhwala.
- Uzani ogwira ntchito nthawi yomweyo ngati mukumva kusasangalala kulikonse (monga chizungulire kapena nseru) panthawi yoyezetsa. Izi ndizofunikiranso pozindikira matenda.
- Kuchuluka kwa kuwala kwa dzuwa mu izi ndi kochepa kwambiri, choncho musachite mantha ndi izi mopanda chifukwa.
- Lipotilo likafika, lankhulani ndi dokotala wanu za izi ndi chithandizo chamtsogolo, ndipo funsani mafunso aliwonse omwe mungakhale nawo.
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