Ikizamini cya Adenosine Stress kugira ngo umenye uko amaraso atembera mu mutima! Ntutinye, reka tuganire.

Ushobora kuba wibaza icyo Adenosine Stress Test ari cyo. Wenda muganga yanagusabye gukora iki kizamini. Ntugahangayike! Biroroshye cyane. Uyu munsi turaganira kuri iki kizamini, icyo gikora, uko gikorwa, n'ibyo ukeneye kumenya byose. Mu magambo make, ni ikizamini gipima uburyo umutima wawe urimo kwandura amaraso.

Kuki iki kizamini cy’umuvuduko wa adenosine kiri gukorwa?

Tekereza, iyo ukora siporo, nk'iyo ukora siporo, umutima wawe ukeneye amaraso menshi kurusha iyo uruhuka. Muri iki kizamini cya adenosine stress, abaganga bareba niba umutima wawe ubona amaraso ahagije haba mu gihe cyo gukora siporo no mu gihe cyo kuruhuka. Kugira ngo ibi bigerweho, haterwa umuti muto witwa adenosine. Hanyuma, imiyoboro y'amaraso (imitsi) yo mu mutima wawe ikora neza nk'uko yabikoraga igihe wakoraga siporo.

Iki kizamini gifasha muganga kumenya ibi bikurikira:

• Ese hari icyangiritse burundu ku mitsi y'umutima wawe?
• Ese amaraso na ogisijeni binyura mu mutima bihagije ?
• Ese ufite indwara y'imitsi ifata umutima (CAD) ? Iki ni cyo gihe amaraso ajyana imitsi y'umutima aba make.

Ni nde usanzwe akora iki kizamini?

Si buri wese uzakenera iki kizamini. Muganga ashobora kugusaba gukora ikizamini cya adenosine stress kubera impamvu zikurikira:

• Niba udashobora gukora imyitozo isabwa kugira ngo upime stress isanzwe, nko kugenda n'amaguru ku imashini ikoresha umupira w'amaguru.
• Niba udashobora kongera umuvuduko w'umutima wawe uhagije nubwo ukora imyitozo ngororamubiri.
• Niba ufata imiti imwe n'imwe, nka beta-blockers .
• Niba warashyizwemo agakoresho gatuma umutima utera neza .
• Niba ufite ikibazo cyitwa left bundle branch block .

Ikizamini cya adenosine gikora gite?

Biroroshye cyane. Mu isuzuma rya adenosine stress, muganga aguha urugero ruto rw'umuti wa adenosine. Ibi bituma imitsi y'umutima wawe, imitsi y'amaraso ijyana amaraso mu mutima wawe, ifunguka (yaguka), nk'uko ibikora iyo ukoze imyitozo ngororamubiri. Ibi byongera amaraso atembera mu mutima wawe. Uku niko imyitozo ngororamubiri ikora ku bantu badashobora kwiruka ku gikoresho cyo kwiruka.

Hanyuma, mu gihe uruhuka kandi umaze gutanga umuti wa adenosine, muganga atera agace gato k'ikimenyetso cy'itandukaniro cyangwa ikimenyetso cy'imirasire mu mitsi yawe. Ubwoko bw'ikimenyetso cy'itandukaniro cyangwa ikimenyetso cy'imirasire biterwa n'ubwoko bw'isuzuma riri gukorwa. Hakoreshejwe icyuma cyihariye gipima amashusho, hafatwa amashusho y'irangi rinyura mu mitsi yawe y'amaraso rigera mu mitsi y'umutima wawe.

Hari igihe iyi scanner ishobora kuba scanner ya Magnetic Resonance Imaging (MRI), cyangwa scanner yihariye ya computerized tomography (CT). Ibi birema amashusho ya mudasobwa y'umutima, hanyuma muganga akaba ashobora kuyikoresha kugira ngo apime indwara.

Tekereza, ibi ni nko gushyira kamera mu mutima ukareba, ariko si ko bimeze koko, aya mashusho afatwa hakoreshejwe ikoranabuhanga ryihariye ryo gushakisha.

Muri iki kizamini, umuganga afata amafoto y'ibi bikurikira:

• Ingano n'imikorere y'umutima wawe .
• Uburyo amaraso atembera mu mutima wawe iyo uruhutse .
• Uburyo amaraso atembera mu mutima wawe iyo uri mu muhangayiko .

Twakwitegura dute mbere y'ikizamini?

Ibi ni ingenzi cyane. Ni ngombwa kubwira muganga wawe imiti yose ufata (harimo imiti igurishwa ku giciro cya muganga, inyunganiramirire y'ibimera, n'indi miti) ndetse n'indwara iyo ari yo yose ufite. Niba ufite indwara zimwe na zimwe, nka asima ikomeye cyangwa umutima utari ubyitayeho, ntugomba guhabwa adenosine.

• Niba ufata theophylline kubera asima, ugomba guhagarika kuyifata iminsi ibiri mbere y'uko ikizamini kirangira . Ariko, uzane imashini yawe yo gupima asima.
• Irinde ikintu cyose kirimo kafeyine mu masaha 24 mbere yo gupimwa. Ibi birimo ikawa, icyayi, ibinyobwa bidasembuye, na shokora. Ndetse n'ibintu byanditseho "decafeinated" bishobora kuba birimo kafeyine nke, bityo na byo si byiza.
• Nanone, ntugafate imiti igurishwa mu iduka irimo kafeyine (urugero: Excedrin®, Anacin®, ibinini byo kugabanya ibiro, NoDoz®) amasaha 24 mbere yo kubonana na muganga .

Ni iki twakora ku munsi w'ikizamini?

Ibi bintu ujye ubyibuka ku munsi w'ikizamini:

• Ntukarye cyangwa ngo unywe ikindi kintu kitari amazi make yo kunywa umuti wawe.
• Ntunywe itabi .
• Zana urutonde rw'imiti yose ufata buri gihe. Ibi bigomba kuba birimo imiti igurishwa ku giciro cya muganga, vitamine, n'inyongeramusaruro z'ibimera.
• Niba ufata imiti ya diyabete, uzane uwo muti.Ushobora kuyifata nyuma yuko ikizamini kirangiye. Ntugasibe kurya urimo gufata imiti ya diyabete. Kubikora bishobora gutuma igipimo cy'isukari mu maraso yawe kigabanuka cyane.
• Niba ukoresha insuline , fata urugero muganga wawe akubwira gufata kugira ngo ugenzure isukari mu maraso yawe. Ashobora kukubwira gufata kimwe cya kabiri cy'umuti usanzwe ufata mu gitondo hanyuma ukarya ifunguro ryoroheje amasaha ane mbere y'ikizamini.
• Niba ufata ubwoko ubwo aribwo bwose bw'ikinini kugira ngo ugenzure isukari mu maraso yawe, ntukinywe kugeza igihe ikizamini kirangiye .
• Niba ufite icyuma gipima isukari mu maraso, kizane . Reba urugero rw'isukari mu maraso yawe mbere na nyuma yo gupimwa. Niba ubona isukari mu maraso yawe iri hasi, bwira abakozi b'abaganga ako kanya. Teganya kurya no gufata ibinini by'isukari nyuma yo gupimwa.
• Ku munsi wo gupimwa , fata imiti y'umutima gusa muganga wawe yakwandikiye . Niba ufite ikibazo ku miti ishobora gufatwa ku munsi wo gupimwa, baza muganga wawe mbere yo gupimwa.

Ni iki kibaho mu gihe cy'ikizamini?

Mu gihe cyo gukora ikizamini cya adenosine stress, abakozi b'abaganga baza:

• Mbere yuko isuzuma ritangira, imirongo ibiri ya IV izashyirwa mu mutsi uri mu kuboko kwawe (kugira ngo iguhe imiti n'ibindi bintu nibiba ngombwa).
• Ama-electrode (uduce duto, dufatana) ashyirwa ku gituza cyawe. Aya ma-electrode akoreshwa mu kugenzura umutima wawe hakoreshejwe electrocardiogram (EKG).
• Uzoshyira agakoresho ko gupima umuvuduko w'amaraso ku kuboko kwawe. Ibi bizapima umuvuduko w'amaraso yawe.
• Igipimo cy'umutima wawe, EKG, n'umuvuduko w'amaraso bizagenzurwa mu gihe cyose cy'ikizamini.
• Uzasabwa kuguma uhagaze imbere muri scanner. Ibi bishobora gufata iminota 45.
• Uzasabwa gufata umwuka wawe akanya gato mu gihe scanner ifata amafoto y'umutima wawe.
• Mbere yo gutanga umuti binyuze mu gice cya IV, uzasobanurirwa ingaruka mbi zishobora guterwa n'uwo muti .

Ikizamini kimara igihe kingana iki?

Gusuzuma byonyine bishobora gufata iminota 45 , ariko gahunda yose ishobora gufata amasaha abiri.

Bigenda bite nyuma y'ikizamini?

Nyuma yo gupimwa adenosine stress, abakozi bo kwa muganga bazategereza igihe gito kugira ngo barebe niba nta ngaruka mbi ufite. Niba wumva umeze neza, ushobora gutaha mu minota mike.

Ingaruka mbi z'iki kizamini ni izihe?

Adenosine iguma mu mubiri wawe igihe gito cyane, nk'iminota itanu. Nyuma y'amasegonda icumi, kimwe cya kabiri cy'umuti kiba cyarashize. Niyo mpamvu abantu benshi bagira ingaruka mbi, ariko zishira mu masegonda make nyuma yo guhagarika umuti.

Abantu bagera kuri 80% bakorerwa ikizamini cya adenosine stress bahura n’ingaruka mbi nke.Izakunze kugaragara cyane ni izi:

• Kumva ushyushye kandi ushyushye (gushyuha) .
• Kubabara mu gituza .
• Guhumeka nabi .

Hari igihe ingaruka mbi nk'izi zishobora kubaho:

• Umutima ufunganye .
• Kunanirwa guhumeka neza ( bronchospasm ).

Niba ufite ingaruka mbi zikomoka ku gipimo cya adenosine stress, muganga wawe ashobora kuguha caffeine kugira ngo ivurwe. Hari abantu bashobora no gukenera gufata umuti witwa aminophylline .

Ibisubizo bimeze bite? Bitubwira iki?

Umuganga usuzuma ibisubizo by'ibizamini byawe azagushyira mu cyiciro cy'abafite ibyago bike, ibyago biri hagati, cyangwa ibyago byinshi . Arareba uburyo ushobora kugira indwara y'umutima bitewe no kubura umwuka wa ogisijeni, cyangwa niba ibimenyetso byawe biterwa n'amaraso adatembera neza mu mutima.

Muganga ashobora kuvuga ko hari ibice bimwe by'umutima wawe bitabona amaraso ahagije . Ibyo bivuze ko ibyo bice bitabona ogisijeni ihagije. Bashobora kuba bakeneye kubisuzuma neza.

Niba amaraso yawe atembera neza kandi uri mu itsinda ry’abantu bafite ibyago bike, ushobora gukenera imiti nka beta-blockers cyangwa calcium channel blockers gusa . Imiti igabanya amaraso mu mubiri na statins, igabanya cholesterol, na yo ifasha mu kugabanya ibyago byo kurwara indwara z’umutima n’imitsi.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Bifata iminsi mike gusa kugira ngo umuganga arangije gusuzuma ibisubizo by'ibizamini. Muganga wawe namara kubona ibisubizo, azaguhamagara akakubwira ibyabyo.

Ni iki cyakorwa nyuma y'aho ibisubizo bitameze neza?

Muganga wawe ashobora gushaka gukora ibizamini byinshi kugira ngo arebe ahantu amaraso adatembera neza. Ikizamini cyitwa coronary angiography gishobora kubafasha kumenya impamvu nyayo y'ikibazo. Niba ufite ikibazo muri imwe mu mitsi yawe y'umutima, ushobora gukenera gushyirwamo stent mu mitsi cyangwa kubagwa umutsi w'umutima (CABG) .

Ni ryari nkwiye kuvugana na muganga wanjye?

Menya neza ko ugiye kuvugana na muganga wawe muri ibi bihe:

• Niba utazi icyo wakora nyuma yo gusuzuma Adenosine Stress Test.
• Niba mu cyumweru kimwe utarabona ibisubizo by'ibizamini ...

Kuki adenosine ikoreshwa mu bipimo by'imihangayiko?

Muri make, adenosine ituma imitsi y'umutima ifunguka cyane, nk'uko bigenda iyo ukoze imyitozo ngororamubiri. Ibi byohereza amaraso menshi mu mitsi y'umutima. Uyu muti ushobora kongera amaraso anyura mu mutima wawe inshuro eshatu cyangwa eshanu z'amaraso ubona iyo uruhuka.

Ese ikizamini cya Adenosine Stress Test ni cyiza?

Yego, ikizamini cya adenosine stress muri rusange ni cyiza . Gifite ingaruka nkeya, zihita zishira vuba. Abashakashatsi bagaragaje umutekano wo gukoresha adenosine mu ikizamini cya stress mu bushakashatsi bwakorewe ku bantu bagera ku 15.000.

Ni gute adenosine igira ingaruka ku muvuduko w'umutima wawe?

Adenosine ishobora gutuma umuvuduko w'umutima wawe ugabanuka cyangwa wiyongera . Umuvuduko w'amaraso yawe nawo ushobora kugabanuka gato.

Ni irihe tandukaniro riri hagati ya Lexiscan® n'igipimo cy'umuvuduko wa Adenosine?

Lexiscan® (regadenoson) na adenosine byombi ni imiti ifungura (yagura) imiyoboro y'amaraso yawe. Regadenoson (nk'uko Lexiscan ibivuga) ni umuti abaganga bakoresha kenshi mu gupima stress kurusha indi yose. Regadenoson ifata amasegonda 10 gusa kuyitera. Adenosine ifata iminota itanu.

Ubushakashatsi bwagaragaje ko abantu bihanganira regadenoson kurusha adenosine kandi ko ingaruka mbi zigira nke. Abantu bafata regadenoson bavuga ko ingaruka mbi nke, nko kunyara no kubabara mu gatuza, ariko bashobora kugira ibyago byinshi byo kubabara umutwe no gucika intege.

Ni byiza kuvugana na muganga wawe hanyuma ugahitamo umuti ukubereye.

Amaherezo, ibintu by'ingenzi cyane ugomba kwibuka

Ni ibisanzwe kumva ufite ubwoba gato ku ikizamini kigenzura uko umutima wawe ukora. Umutima ni urugingo rw'ingenzi cyane mu mubiri wacu. Ariko ushobora kwizera ibi: Niba muganga wawe abonye ikibazo ku mutima wawe, azaguha gahunda nziza yo kugufasha. Ntutinye kubaza ibibazo ku kintu icyo ari cyo cyose kitagusobanukiye neza. Baza muganga wawe cyangwa abakozi bo kwa muganga. Hanyuma uzabasha gutsinda ubwoba bwawe bw'iki kizamini.

Ikizamini cya Adenosine Stress, Ibizamini by'umutima, Indwara y'imitsi y'umutima, Ubuzima bw'umutima, Iterambere ry'amaraso, Ibizamini by'ubuvuzi, CAD