Kodi dokotala wanu wakuuzani kuti muchite 'Nuclear Stress Test'? Mukamva zimenezo, mungaganize kuti ichi ndi chinthu chachikulu komanso choopsa chifukwa cha mawu oti 'Nuclear'. Koma palibe chifukwa choopera. Iyi ndi mayeso ofunikira kwambiri omwe angawulule zambiri zokhudza thanzi la mtima wanu. Anthu ambiri ali ndi malingaliro olakwika pa mayesowa. Chifukwa chake lero, tiyeni tikambirane za izi momveka bwino, momveka bwino, komanso m'Chisinhala chosavuta chomwe mungamvetse.
Mwachidule, kodi mayeso a nyukiliya ndi chiyani?
Ganizirani mtima wanu ngati dongosolo lomwe limapereka madzi m'nyumba. Minofu ya mtima imalandira magazi (madzi) omwe amafunikira kudzera m'mapaipi (monga mitsempha yamagazi) m'dongosololi. Nthawi zina, mapaipi awa amatha kutsekedwa ndi dothi ndi dzimbiri. Kenako madziwo amavutika kuyenda. Umu ndi momwe mitsempha yamagazi mumtima imatsekekera.
Kuyesa kwa kupsinjika kwa nyukiliya ndi mayeso apadera owunikira ngati minofu ya mtima wanu ikupeza magazi okwanira komanso ngati pali chotseka mtsempha wamagazi kwinakwake.
Izi zimaphatikizapo kubaya jekeseni kakang'ono kwambiri komanso kotetezeka ka radioactive tracer m'thupi lanu. Musadandaule, sikupweteka. Izi zili ngati utoto womwe umayikidwa m'magazi anu. Umayenda ndi magazi anu ndipo umalowa mu minofu ya mtima. Kenako kamera yapadera imajambula zithunzi za mtima wanu.
- Zithunzi izi zikuwonetsa bwino madera a minofu ya mtima omwe amalandira magazi abwino .
- Koma ngati mtsempha wamagazi watsekedwa ndipo pali madera omwe magazi sakuyenda bwino , chinthu chochepa ichi chimafika m'madera amenewo. Chifukwa chake madera amenewo amawoneka mosiyana pazithunzi, mwina akuda kwambiri.
Umu ndi momwe madokotala angadziwire ngati muli ndi vuto la mtima. Madokotala a mtima amagwiritsa ntchito mayesowa kuti adziwe matenda monga matenda a mitsempha ya mtima (CAD) ndikuwunika kuopsa kwake. Angawonenso ngati munadwalapo matenda a mtima kale ndipo mtima wanu unawonongeka.
Mayesowa amatchedwanso ndi mayina ena angapo:
- PET ya Mtima (Positron Emission Tomography)
- Cardiac SPECT (Single-Photon Emission Computed Tomography)
- MPI (Chithunzi cha Kuthamanga kwa Mtima)
- Mayeso a Kupsinjika kwa Mtima wa Nyukiliya
Kodi pali mitundu ya mayeso awa?
Inde, pali mitundu iwiri ikuluikulu. Kusiyana pakati pa ziwirizi ndi momwe mtima wanu 'umavutikira'.
1. Mayeso Olimbitsa Thupi: Iyi ndi mayeso ofala kwambiri. Apa, mumakakamizidwa kuyenda pa treadmill kapena kukwera njinga yosasuntha. Mukamachita masewera olimbitsa thupi, kugunda kwa mtima wanu kumawonjezeka ndipo magazi amawonjezeka. Apa ndi pamene kutsekeka kwa mtima kumaonekera bwino.
2.Mayeso a Kupsinjika Maganizo a Mankhwala: Anthu ena amavutika kuyenda pa treadmill chifukwa cha ukalamba, mavuto a mafupa, kapena matenda ena. Pazochitika zotere, m'malo mochita masewera olimbitsa thupi, amabayidwa mankhwala. Mankhwalawa amawonjezera ntchito ya mtima, monga momwe mumachitira masewera olimbitsa thupi. Chifukwa chake, palibe kusiyana pa zotsatira zake.
Ndi nthawi ziti pamene dokotala angalimbikitse mayeso awa?
Pakhoza kukhala zifukwa zingapo zomwe dokotala wanu angakulimbikitseni mayesowa.
- Ngati mukumva kupweteka pachifuwa kapena angina pafupipafupi.
- Yang'anani thanzi la mtima wanu musanachite opaleshoni yaikulu.
- Yang'anani minofu ya mtima wanu kuti muwone ngati magazi anu akuyenda bwino (ischemia) kapena ngati pali zipsera zomwe mudakumana nazo kale chifukwa cha matenda a mtima.
- Unikani momwe mankhwala a matenda a mtima omwe alipo alipo akuthandizira.
Kodi muyenera kukonzekera bwanji musanayese mayeso?
Muyenera kukonzekera musanayese mayesowa. Dokotala wanu adzakupatsani malangizo omveka bwino okhudza izi. Kutsatira malangizo amenewo ndikofunikira kwambiri kuti zotsatira zake zikhale zolondola.
Kumbukirani, izi ndi malangizo wamba. Muyenera kutsatira malangizo enieni omwe dokotala wanu wakupatsani.
| Momwe mungakonzekerere | Mfundo zofunika |
|---|---|
| Zinthu zomwe zili ndi caffeine | Pewani zakumwa monga khofi, tiyi, chokoleti, kola, ndi mankhwala okhala ndi caffeine kwa maola 24 musanayesedwe . Izi zingakhudze momwe mtima umagwirira ntchito. |
| Fodya | Pewani kusuta fodya kapena kugwiritsa ntchito zinthu zina za fodya kwa maola 8 musanayesedwe . |
| Kusala Kudya | Musadye kapena kumwa chilichonse kupatula madzi kwa maola 4-6 musanayesedwe . |
| Kodi mukumwa mankhwala otani? | Uzani dokotala wanu za mankhwala onse omwe mukumwa (mankhwala ochokera kwa dokotala, omwe amaperekedwa kwa dokotala, mavitamini, mankhwala a Ayurvedic). Mankhwala ena angafunike kuti musiye kumwa tsiku limodzi kapena awiri musanayesedwe. Musasiye kumwa mankhwala aliwonse popanda kulankhula ndi dokotala wanu kaye. |
| Zovala | Valani zovala zomasuka komanso zomasuka komanso nsapato zamasewera. |
| Kuvuta kupuma | Ngati muli ndi vuto la matenda monga mphumu, onetsetsani kuti mwabweretsa inhaler yanu. |
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Mayeso amenewa nthawi zambiri amachitikira kuchipatala kapena ku chipatala chapadera. Katswiri kapena namwino adzakuthandizani nthawi yonseyi.
1. Kuyika kannula: Choyamba, kannula kakang'ono (IV line) kamalowetsedwa mu mtsempha womwe uli m'dzanja lanu. Mankhwala owopsa (tracer) amalowetsedwa kudzera mu izi. Mungamve kuzizira pang'ono kakalowa m'thupi lanu.
2. Zithunzi Zopumula: Zimatenga mphindi zochepa kuti zinthuzo zidutse m'thupi lanu ndikufikira mumtima mwanu. Kenako mudzagona pabedi pansi pa kamera yapadera ndipo zithunzi zoyambirira za mtima wanu zidzajambulidwa. Ndikofunikira kuti musasunthe panthawiyi. Izi zimajambulidwa pamene mtima wanu uli pamtendere.
3. Kulumikizana kwa ECG: Kenako, tinthu tating'onoting'ono tidzaikidwa pachifuwa panu, m'manja, ndi m'miyendo. Izi zimatchedwa ma electrode . Izi zimalumikizidwa ndi makina a electrocardiogram (EKG) kudzera pa waya. Izi zidzayang'anira kugunda kwa mtima wanu panthawi yonse yoyeserera. Chotsukira cha kuthamanga kwa magazi chidzayikidwanso pa mkono wanu kuti muyeze kuthamanga kwa magazi nthawi zonse.
4. Kuchita Masewera Olimbitsa Thupi (Gawo la Kupsinjika Maganizo): Apa ndi pomwe gawo la 'Kupsinjika' la mayeso limayambira. Mudzayikidwa pa treadmill. Yambani pang'onopang'ono poyamba ndipo pang'onopang'ono muwonjezere liwiro ndi kutsika. Muyenera kuchita masewera olimbitsa thupi mpaka kugunda kwa mtima wanu kufika pamlingo winawake. KomaNgati mukumva kusasangalala kulikonse, monga kupweteka pachifuwa, kupuma movutikira, kapena chizungulire, muyenera kuuza anthu omwe ali pamenepo. Mutha kusiya izi nthawi iliyonse.
5. Zithunzi Zokhudza Kupsinjika Maganizo: Mukamaliza kuchita masewera olimbitsa thupi mokwanira, pang'ono chabe ya mankhwala owopsa amabayidwanso kudzera mu cannula. Kenako, mumayikidwanso pansi pa kamera mwachangu ndipo zithunzi zina zimatengedwa. Zithunzizi zikuwonetsa momwe magazi amayendera panthawi yochita masewera olimbitsa thupi, zomwe zikutanthauza nthawi yomwe mtima uli ndi nkhawa.
Ntchito yonseyi ingatenge maola angapo.
Kodi pali zoopsa zilizonse ndi mayesowa?
Monga momwe zimakhalira ndi mayeso ena aliwonse azachipatala, pali zoopsa zazing'ono kwambiri. Koma ponseponse, mayeso a Nuclear Stress Test ndi mayeso otetezeka kwambiri.
- Kutulutsa kwa radiation: Kuchuluka kwa kuwala kuchokera ku zinthu zotulutsa radiation zomwe zimagwiritsidwa ntchito pochita izi ndi kochepa kwambiri. Sizimayambitsa mavuto kwa nthawi yayitali.
- Matenda a ziwengo: Anthu ena akhoza kukhala ndi vuto lochepa la ziwengo chifukwa cha mankhwala omwe amaperekedwa. Izi zitha kuphatikizapo kufiira, nseru, komanso kuvutika kupuma pang'ono. Izi nthawi zambiri zimatha msanga.
Komabe, pali zotsatirapo zina zoopsa zomwe sizingachitike kawirikawiri .
| Chiwopsezo chosowa | Kufotokozera |
|---|---|
| Kusakhazikika kwa kugunda kwa mtima (Arrhythmia) | Pakhoza kukhala kusintha kwa kayimbidwe ka mtima, koma popeza EKG imayang'aniridwa nthawi yonse yoyezetsa, chithandizo chingaperekedwe mwachangu ngati izi zitachitika. |
| Kupweteka pachifuwa kapena matenda a mtima | Munthu amene ali ndi matenda aakulu a mtima omwe analipo kale akhoza kumva kupweteka pachifuwa kapena, nthawi zina, matenda a mtima akamapanikizika mtima. Izi sizingatheke. |
| Kuthamanga kwa magazi pang'ono (Hypotension) | Anthu ena akhoza kukhala ndi kuthamanga kwa magazi kochepa komanso kumva chizungulire. |
Kodi pali anthu omwe sayenera kuchita mayeso awa?
Inde. Kuyesa kumeneku nthawi zambiri sikumachitika kwa amayi apakati kapena oyamwitsa chifukwa kuwala kwa dzuwa kumatha kukhudza mwana. Sikoyeneranso kwa anthu omwe ali ndi matenda amtima osalamulirika komanso oopsa. Mwachitsanzo:
- Matenda a mtima oopsa
- Kugawanika kwa mtsempha wamagazi
- Stenosis ya mtsempha wamagazi
- Hypertrophic cardiomyopathy
Dokotala wanu adzaganizira zonsezi ndikusankha ngati mayesowa ndi oyenera kwa inu.
Kodi lipoti la mayeso likuti chiyani?
Zingatenge masiku angapo kuti munthu alandire lipotilo, chifukwa katswiri wa mtima kapena katswiri wa radiology amafufuza mosamala zithunzizi ndikukonzekera lipotilo.
- Zotsatira Zabwinobwino: Ngati zithunzi zomwe zajambulidwa mukupumula ndi zomwe zajambulidwa mutatha kuchita masewera olimbitsa thupi zonse zili bwino, zikutanthauza kuti minofu ya mtima wanu ikuyenda bwino. Palibe zotsekeka.
- Zotsatira Zosazolowereka: Ngati magazi akuyenda bwino panthawi yopuma koma akuchepa panthawi yochita masewera olimbitsa thupi, zikutanthauza kuti pali kutsekeka kwa mtsempha wamagazi mumtima mwanu.
- Minofu Yowonongeka: Nthawi zina, gawo la mtima silingalandire magazi okwanira, pogona komanso panthawi yochita masewera olimbitsa thupi. Izi zikutanthauza kuti gawolo lawonongeka kwamuyaya, nthawi zambiri chifukwa cha matenda a mtima omwe adachitikapo kale.
Ngati pali vuto ndi lipotilo, kodi kenako muchita chiyani?
Ngati lipoti lanu likuwonetsa mavuto aliwonse, dokotala wanu adzakufotokozerani zomwe mungachite kenako. Izi zitha kusiyana malinga ndi momwe zinthu zilili.
- Mayeso ena: Mungatumizidwe ku mayeso ena, monga coronary angiogram, kuti muwone komwe kutsekeka kwa magazi kuli komanso momwe kulili koopsa.
- Chithandizo: Chithandizo chimaperekedwa kutengera vuto lomwe lapezeka. Chingaphatikizepo izi:
- Kusintha moyo monga kusiya kusuta fodya ndi kuchepetsa kumwa mchere.
- Kuyamba mankhwala a matenda monga kuthamanga kwa magazi ndi cholesterol.
- Angioplasty imachitidwa kuti mutsegule mtsempha wamagazi wotsekedwa ndipo stent imayikidwa.
- Pa milandu ina yovuta kwambiri , opaleshoni ya mitsempha ya mtima (CABG) ingakulimbikitseni.
Uthenga Wopita Nawo Kunyumba
- Mayeso a Nuclear Stress ndi mayeso ofunikira kwambiri komanso otetezeka omwe amagwiritsidwa ntchito poyesa kutsekeka kwa mitsempha yamagazi ya mtima.
- Musaope mawu oti 'nyukiliya'. Izi zimagwiritsa ntchito zinthu zazing'ono kwambiri komanso zotetezeka zotulutsa ma radiation.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala (okhudza chakudya, zakumwa, ndi mankhwala) musanayesedwe.
- Kutengera ndi zomwe zapezeka kuchokera mu mayesowa, ngati pali vuto la mtima wanu, lingathe kuzindikirika msanga ndipo chithandizo choyenera chingayambitsidwe. Izi zingathandize kwambiri kupewa matenda aakulu monga matenda a mtima.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mayesowa, lankhulani ndi dokotala wanu za izi momasuka.
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