Dokotala wanu akakuuzani kuti muyese mtima wanu, mwina mumaganiza zothamanga pa treadmill, eti? Koma taganizirani izi, bwanji ngati bondo lanu lavulala, mwendo wanu wasweka, kapena chifukwa china chomwe chimakuvutani kuthamanga? Pamenepo madokotala amagwiritsa ntchito njira ina kuti aone momwe mtima wanu umagwirira ntchito. Lero tikambirana za njira yapadera imeneyo.
Ndiye kodi mayeso oyesera kupsinjika kwa mankhwala awa ndi otani? (Mayeso a Kupsinjika kwa Nyukiliya ya Mankhwala)
Mwachidule, iyi ndi mayeso apadera omwe amayang'ana momwe magazi amayendera kudzera m'mitsempha yamagazi yomwe imapereka magazi kumtima mwanu. Koma apa, m'malo mokupangitsani kuthamanga pa treadmill, mankhwala apadera amalowetsedwa mumitsempha yanu omwe angapangitse mtima wanu kumva ngati mukuchita masewera olimbitsa thupi . Ndicho chifukwa chake amatchedwa "mankhwala."
Mawu oti "nyukiliya" amachokera ku mfundo yakuti mayesowa amagwiritsa ntchito chinthu chaching'ono kwambiri, chopanda vuto chotchedwa radiotracer kuti chiwonetse bwino mitsempha yamagazi mumtima. Izi zili ngati utoto womwe umatengedwa ndi kamera yapadera. Ikalowetsedwa m'thupi lanu, kamera yapadera (kamera ya gamma) imatha kujambula zithunzi za magazi akuyenda mumtima mwanu.
Musadandaule, kuchuluka kwa zinthu zowononga zomwe zimagwiritsidwa ntchito ndi kochepa kwambiri. Zidzachoka m'thupi lanu mkati mwa maola ochepa. Sizidzakupwetekani kwa nthawi yayitali.
N’chifukwa chiyani dokotala angakupempheni kuti muchite mayeso amenewa?
Dokotala nthawi zambiri amalangiza mayesowa ngati akukayikira kuti muli ndi matenda otsatirawa kapena kuti adziwe kuchuluka kwake.
| Matenda | Mwachidule... |
|---|---|
| Matenda a Mitsempha ya Mtima | Yang'anani ngati mitsempha yamagazi (mitsempha ya mtima) yomwe imapereka magazi kumtima yachepa chifukwa cha mafuta ambiri, zomwe zimapangitsa kuti mtima usalandire magazi okwanira. |
| Angina | Onetsetsani kuti zizindikiro zomwe mumakumana nazo mukatopa, monga kupweteka pachifuwa ndi kupsinjika, sizimachitika chifukwa cha kutsekeka kwa mitsempha yamagazi mumtima mwanu. |
| Pambuyo pa Matenda a Mtima | Dziwani ngati minofu ya mtima yawonongeka ndi matenda a mtima komanso kuchuluka kwa kuwonongeka komwe kwachitika. |
| Matenda a mtima | Yang'anani ngati minofu ya mtima ndi yofooka kapena yokulirapo. |
| Zotsatira za mankhwala ena | Yang'anani ngati mtima wanu wawonongeka ndi zinthu monga chemotherapy kapena radiation therapy ya khansa. |
Kodi mumayesa bwanji mayesowa?
Mayeso awa ali ndi magawo awiri akuluakulu. M'magawo onse awiri, zithunzi ziwiri za mtima wanu zimajambulidwa.
1. Zithunzi Zopumula: Chinthu choyamba chomwe mumawona ndi momwe magazi amayendera mumtima mwanu mukapuma, popanda kuchita khama.
2. Zithunzi Zokhudza Kupsinjika Maganizo: Kenako, mtima umapanikizika popereka mankhwala ndipo magazi amatuluka nthawi imeneyo.
Poyerekeza zithunzi ziwirizi, dokotala amatha kudziwa bwino ngati pali vuto la kuyenda kwa magazi kulikonse mumtima.
Momwe mayeso amagwirira ntchito pang'onopang'ono
- Gawo 1: Ku chipatala, namwino adzaika katemera kakang'ono (IV catheter) mu mtsempha womwe uli m'dzanja lanu.
- Gawo Lachiwiri: Kudzera mu cannula imeneyo, mankhwala owopsa ('Radiotracer') omwe atchulidwa kale amalowetsedwa m'thupi.
- Gawo 3: Zinthuzo zitenga mphindi 30 kuti zifike pamtima panu. Kenako mudzagona pansi pa kamera yapadera ndipo, patatha mphindi 20 chete, zithunzi zoyamba zidzajambulidwa. Panthawiyi, zomata zazing'ono (ma electrode) zidzaikidwa pachifuwa panu ndipo kugunda kwa mtima wanu kudzayang'aniridwa pogwiritsa ntchito electrocardiogram (EKG).
- Gawo Lachinayi: Kenako gawo lachiwiri limayamba. Mankhwala apadera amabayidwa kudzera mu kanula yanu kuti akulitse mitsempha yamagazi mumtima mwanu ndikufulumizitsa kugunda kwa mtima wanu. Izi zikufanana ndi zomwe zimachitika mukamachita masewera olimbitsa thupi.
- Gawo Lachisanu: Patatha mphindi 30 mutapereka mankhwala, mudzagonedwanso pansi pa kamera, ndipo zithunzi zina zidzajambulidwa kwa mphindi zina 20.
Mu ndondomeko yonseyi, ogwira ntchito zachipatala adzayang'anira kuthamanga kwa magazi anu, kugunda kwa mtima wanu, ndi EKG , kuti mukhale otetezeka kotheratu.
Kodi muyenera kukonzekera bwanji musanayese mayeso?
Kuti mupeze zotsatira zolondola kuchokera ku mayesowa, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola.
| Momwe mungakonzekerere | Kufotokozera ndi kufunika kwake |
|---|---|
| Siyani kumwa caffeine. | Musamwe chilichonse chokhala ndi caffeine, monga tiyi, khofi (kuphatikizapo wopanda caffeine), chokoleti, zakumwa za cola, kapena mankhwala ochepetsa ululu, kwa maola 24 mayeso asanachitike . Caffeine ikhoza kusokoneza momwe mankhwala 'opsinjika' amagwirira ntchito pamtima. |
| Lankhulani ndi dokotala wanu za mankhwala. | Uzani dokotala wanu za mankhwala onse omwe mukumwa (makamaka a matenda a mtima, matenda a shuga, ndi mphumu). Mankhwala ena angafunike kuti musiye kumwa tsiku lisanafike mayeso. Musasiye kumwa mankhwala aliwonse popanda upangiri wa dokotala. |
| Chakudya ndi zakumwa | Mudzapemphedwa kusala kudya kwa maola angapo musanayesedwe. Mudzaloledwa kumwa madzi. Dokotala adzakupatsaninso malangizo enieni okhudza zimenezo. |
| Pewani kusuta fodya. | Pewani kusuta fodya tsiku loyesa. Nikotini ingakhudze ntchito ya mtima. |
Kodi mayesowa amatenga nthawi yayitali bwanji?
Mayeso onse nthawi zambiri amatenga maola atatu kapena anayi . Nthawi zina, kutengera ndi chisankho cha dokotala, magawo awiri a mayesowa amatha kuchitidwa kwa masiku awiri.
Kodi pali zotsatirapo kapena zoopsa zilizonse pa izi?
Kuyezetsa kumeneku nthawi zambiri kumakhala kotetezeka, koma anthu ena angavutike pang'ono chifukwa cha mankhwala omwe amagwiritsidwa ntchito 'kupsinjika' mtima.
- Mutu
- Chizungulire
- Kupweteka pachifuwa kapena kulimba
- Kuvuta kupuma (Dyspnea)
- Kusanza
- Nkhope ikufiira ndipo thupi likumva kutentha
Chofunika kwambiri ndichakuti zonsezi zichitike pamene muli pansi pa utsogoleri wa dokotala. Choncho ngati chinachake chalakwika, ogwira ntchito amakhala okonzeka kuchichiza nthawi yomweyo. Nthawi zina, ngati kugunda kwa mtima wanu kuli mofulumira (Tachycardia), mutha kupatsidwa mankhwala kuti musinthe. Choncho palibe chifukwa choopera.
Pambuyo poti mayeso atha...
Pambuyo pa mayeso, kugunda kwa mtima wanu ndi kuthamanga kwa magazi zidzayang'aniridwa kwa mphindi zingapo mpaka zitabwerera mwakale. Pambuyo pake, mutha kupita kunyumba. Koma pali zinthu ziwiri zofunika kukumbukira:
1. Imwani madzi ambiri: Imwani madzi ambiri tsiku lonse. Izi zidzatulutsa mwachangu `(Radiotracer)' m'thupi lanu ndi mkodzo wanu.
2. Pewani ana aang'ono: Pewani kugwira kapena kukumbatira ana aang'ono ndi makanda kwa tsiku lonse mutamaliza mayeso. Iyi ndi njira yodzitetezera chifukwa angakhudzidwe ndi mphamvu yochepa ya kuwala kwa dzuwa.
Kodi zotsatira za mayeso zikuti chiyani?
Zithunzi ziwiri zomwe zapezeka kuchokera mu mayesowo (kupumula ndi kupsinjika maganizo) zimayerekezeredwa ndi dokotala waluso.
- Zotsatira Zabwinobwino: Izi zikutanthauza kuti ziwalo zonse za mtima wanu zimalandira magazi okwanira, pogona komanso panthawi yochita masewera olimbitsa thupi. Izi zikutanthauza kuti palibe zotsekeka zazikulu.
- Zotsatira Zosazolowereka: Izi zitha kutanthauza kuti ziwalo zina za mtima sizilandira magazi okwanira, makamaka panthawi yochita masewera olimbitsa thupi. Izi zitha kusonyeza kuchepa kapena kutsekeka kwa mtsempha wamagazi womwe umapatsa magazi kumtima.
Dokotala wanu adzakufotokozerani zotsatira izi ndikukambirana nanu zomwe mungachite kenako. Angakulimbikitseni kuyamba kumwa mankhwala, kusintha mankhwala omwe mukugwiritsa ntchito panopa, kapena kuyesedwa kwina, monga angiogram.
Uthenga Wopita Nawo Kunyumba
- Mayeso a Pharmacological Nuclear Stress ndi mayeso ofunikira kwambiri komanso otetezeka kuti aone ngati magazi akuyenda bwino mumtima mwa anthu omwe ali ndi vuto lochita masewera olimbitsa thupi.
- Ndikofunikira kwambiri kusiya kumwa caffeine (tiyi, khofi) tsiku lisanafike mayeso ndikutsatira malangizo a dokotala okhudza mankhwala molondola.
- Palibe chifukwa choopera chifukwa ogwira ntchito zachipatala adzakuyang'anirani mosamala panthawi yoyezetsa.
- Imwani madzi ambiri tsiku lonse mutatha mayeso ndipo pewani kunyamula ana aang'ono.
- Kuyezetsa kumeneku ndi sitepe chabe yomwe ingapereke chidziwitso chofunikira chokhudza thanzi la mtima wanu ndikukuthandizani kukhala ndi thanzi labwino. Choncho musachite mantha mosayenera.
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