Ufite ibibazo by'umutima? Ibintu byose ukeneye kumenya kuri echocardiogram | Nirogi Lanka

Ese wigeze wibaza ibibera mu mutima wawe cyangwa uko bikora? Muganga wawe ashobora kuba yaragusabye ikizamini cya 'Echo'. Uyu munsi, reka tuganire ku cyo echocardiogram ari cyo n'icyo ishobora kugaragaza. Mu magambo make, echocardiogram ni uburyo bwo kubona umutima wawe ukora, nk'ishusho igenda. Muri iki kizamini, umuganga cyangwa umuhanga mu by'imyitozo ashyira igikoresho gito ku gituza cyawe. Gikoresha ultrasound (amajwi yo hejuru) kugira ngo gikore amashusho y'uturemangingo tw'umutima wawe n'ibyumba byawo . Ibi bidufasha kubona neza imikorere y'umutima wawe n'uburyo utembera neza amaraso .

Abaganga bakunze guhuza echocardiogram na Doppler ultrasound na Color Doppler tekiniki kugira ngo barebe uko amaraso atembera mu mitsi y'umutima wawe. Igice cyiza ni uko echocardiograms idakoresha imirasire y'izuba. Ibi bituma itandukanye n'ibindi bizamini byo gufata amashusho nka X-rays cyangwa CT scans zisaba ko habaho imirasire.

Ni nde ukora echocardiogram?

Ese wari uzi ko echocardiogram ikorwa n'inzobere mu by'ubuvuzi bw'umutima izwi cyane nka Cardiac Sonographer ? Bakoresha ikoranabuhanga rigezweho kugira ngo bakorere iki kizamini mu cyumba cy'ibitaro cyangwa, rimwe na rimwe, muri laboratwari yihariye yo gushyiramo catheter .

Ese hari ubwoko butandukanye bwa echocardiograms?

Yego, hari ubwoko butandukanye bw'ibizamini bya echo, buri kimwe kikaba gifite intego yihariye mu gusuzuma no kuvura indwara z'umutima. Ubwoko bw'ingenzi burimo:

• Echocardiogram ya Transthoracic: Ubu ni bwo bwoko bukunze kugaragara cyane abantu benshi bamenyereye.
• Isuzuma rya Transesophageal Echocardiogram: Ikizamini cyihariye gifasha umuntu kubona neza kandi mu buryo burambuye umutima.
• Echocardiogram y'imihangayiko y'imyitozo ngororamubiri: Iki kizamini gisuzuma imikorere y'umutima wawe mu gihe uri gukora imyitozo ngororamubiri.

Ni ubuhe buryo bwa tekiniki bukoreshwa mu isuzuma rya echo?

Ikoranabuhanga ritandukanye rikoreshwa mu gufata amashusho y'umutima wawe, bitewe n'ibyo ukeneye mu buvuzi n'ibyo muganga wawe akeneye gukoraho iperereza.

• Ultrasound y'ibice bibiri (2D): Ubu ni bwo buryo bukunze gukoreshwa cyane, bwerekana umutima kuri ecran ya mudasobwa nk'aho urebwa mu "bice".
• Ultrasound y’ibice bitatu (3D): Hamwe n’iterambere rigezweho, ubu buryo butanga icyitegererezo cyuzuye cya 3D cy’umutima wawe. Butuma kureba imikorere yo gutera no kureba umutima mu mpande nyinshi birushaho kuba byiza.
• Doppler ultrasound: Iyi ultrasound ipima umuvuduko n'icyerekezo cy'amaraso yawe.
• Ishusho ya ultrasound y’amabara akoresha ikoranabuhanga rya "Color Doppler": Iyi shusho igaragaza uko amaraso atembera hakoreshejwe ikarita y’amabara, bigatuma byoroha kumenya icyerekezo n’umuvuduko w’amaraso agenda.
• Gupima imbaraga: Ibi bipima impinduka zitagaragara mu mikorere y'imitsi y'umutima wawe. Bifasha cyane mu kumenya ibimenyetso by'indwara zimwe na zimwe z'umutima hakiri kare .
• Gushushanya ku buryo bwo gutandukanya ibintu: Hari ikintu cyihariye gishyirwa mu mitsi yawe ( cyangwa serivise itandukanya ibintu ). Iki kintu gituma amashusho agaragara neza, bigatuma habaho kureba neza imiterere y'umutima. Hari abarwayi bashobora kugira ikibazo gito, cy'igihe gito, ubusanzwe kitari ikintu cyo guhangayikisha.

Isuzuma rya echocardiogram rifata igihe kingana iki?

Ubusanzwe, echocardiogram isanzwe imara iminota 40 kugeza kuri 60. Ariko, echo ya transesophageal echo , isaba imashini yihariye, ishobora kumara iminota 90.

Ese echo na EKG (ECG) ni bimwe?

Abantu benshi basanga bigoye gutandukanya Echo na EKG (cyangwa ECG) . Byombi bikoreshwa mu gusuzuma umutima wawe, ariko bitanga ubwoko butandukanye bw'amakuru.

Echo isuzuma imiterere, imiterere, n'imikorere y'umutima muri rusange, igatanga amashusho akora ku mutima ubwawo.

EKG (ECG) ipima imikorere y'amashanyarazi y'umutima. Ntabwo itanga amashusho, ahubwo ishushanya imiterere y'umutima wawe n'umuvuduko wawo.

Ni ryari nshobora gukenera echocardiogram?

Muganga wawe ashobora kukugira inama yo kwipimisha echocardiogram kubera impamvu zitandukanye:

• Gukora iperereza ku bimenyetso nko kubabara mu gatuza cyangwa kubura umwuka kugira ngo hamenyekane impamvu nyamukuru.
• Niba muganga wawe akeka ko afite indwara y'umutima , banza uyipime cyangwa ushake andi makuru.
• Gukurikirana uko ikibazo cy'umutima gihagaze, nk'indwara y'umutima.
• Mu kwitegura kubagwa cyangwa ubundi buryo bwo kwivuza.
• Gusuzuma uko umutima wawe ukora nyuma yo kubagwa cyangwa kubagwa kwa muganga.

Ni iki icyuma gipima umutima gishobora kumenya?

Echocardiogram ishobora kugaragaza indwara nyinshi z'umutima, harimo:

• Indwara z'umutima zivukanwa: Indwara zibaho kuva umwana avutse.
• Cardiomyopathy: Indwara yibasira imitsi y'umutima.
• Indwara yandura: Indwara yo mu byumba by'umutima cyangwa mu miyoboro y'amaraso.
• Indwara y'umutima: Indwara zigira ingaruka ku gice cy'umutima (agafuka gakikije umutima).
• Indwara ya valive: Ibibazo ku mitsi y'umutima ikora nk'inzugi hagati y'ibyumba.

Byongeye kandi, echo ishobora kubona:

• Aneurysm y'imiyoboro y'amaraso
• Amaraso apfutse
• Ikibyimba cy'umutima

Ishusho ya Transthoracic ikorwa ite?

Iyo abantu bavuze 'umutima usubira inyuma', ubu ni bwo buryo baba bavuga. Ni bwo buryo busanzwe kandi busanzwe, kandi bukorwa hanze y'umubiri wawe. Umuhanga wabihuguriwe, uzwi nka sonographer , azashyira igikoresho gito cyitwa transducer ku gituza cyawe kugira ngo cyohereze amajwi ku mutima wawe. Aya majwi asubira inyuma mu bice bitandukanye by'umutima wawe, bigatuma habaho 'amajwi' ahinduka amashusho kuri ecran ya mudasobwa. Inzobere mu by'umutima n'abandi baganga bashobora gusuzuma aya mashusho kugira ngo basuzume ubuzima bw'umutima wawe.

Ni gute wakwitegura Echo ya Transthoracic?

• Nta gutegura guke cyane gukenewe. Muri rusange, ntugomba kwiyiriza ubusa cyangwa kugabanya indyo yawe.
• Niba urimo gufata imiti iyo ari yo yose, komeza kuyifata uko bisanzwe.
• Ushobora kwambara imyenda iyo ari yo yose ukunda, ariko uzasabwa kwambara ikanzu yo kwa muganga mbere yo kubagwa.
• Ni byiza gusiga ibintu by'agaciro mu rugo. Hazatangwa agasanduku ko kubikamo ibintu byawe.

Ni iki kibaho mu gihe cy'impinduka mu gice cya Transthoracic?

• Ubwa mbere, uzasabwa gukuramo imyenda yawe uhereye mu rukenyerero ujya hejuru ukambara ikanzu yo kwa muganga.
• Umuhanga mu gupima imiterere y'umutima azashyira uduce duto, duto kandi dufata twitwa electrodes ku gituza cyawe. Utwo duce duhujwe na moniteur ya EKG kugira ngo dufate imikorere y'amashanyarazi y'umutima wawe mu gihe cyose cy'ikizamini.
• Uzasabwa kuryama ku meza yo gusuzumisha, akenshi ku ruhande rwawe rw'ibumoso.
• Umuhanga mu gushushanya azashyira gel yihariye kuri transducer(cyangwa 'inkoni') hanyuma ukayijyana mu bice bitandukanye by'igituza cyawe. Iyi gel ntabwo ari mbi ku ruhu rwawe kandi ifasha gufata amashusho asobanutse neza.
• Ushobora kumva ijwi rya 'swish-swish' mu gihe cyo gupimwa. Ibi ni ibisanzwe rwose kandi nta mpungenge ugomba kugira. Iryo jwi ni nk'inkoni imenya amaraso atemba mu mutima wawe.
• Mu gihe cyo gupima, umuganga w’amaso ashobora kugusaba guhagarika umwuka wawe amasegonda make cyangwa guhindura gato aho uhagaze.

Ntabwo ugomba kumva ububabare bukabije muri iki kizamini. Jeli ishobora kumva imbeho ku ruhu rwawe, kandi ushobora kumva igitutu gito iyo umuhanga mu gupima akanda inkoni ku gituza cyawe.

Indwara ya Transesophageal Echo (TEE) ikorwa ite?

Muri ubu buryo, amashusho afatwa imbere aho gufatwa hanze y'igituza. Ijwi rya Transesophageal (TEE) ritanga amashusho arambuye y'umutima n'imitsi yawo ugereranije n'ijwi rya transthoracic. Ibi biterwa nuko amagufwa yawe n'ingingo zawe bitazitira inzira iri hagati ya transducer n'umutima. Muri iki kizamini, transducer nto ifatanywa n'agakoresho gato kandi gafite ubushobozi bworoshye kitwa endoscope , kagezwa mu muhogo wawe kakagera mu muhogo wawe. Kubera ko ubu buryo butari bworoshye cyane, ushobora kugira ububabare buke bw'igihe gito, ariko nta ngaruka nyinshi bufite.

Ubu bwoko bwa echo bushobora gukoreshwa mu bihe bikurikira:

• Niba umuganga wawe akeneye gusuzuma neza aorta yawe cyangwa inyuma y'umutima wawe (cyane cyane atrium y'ibumoso cyangwa ventricle y'ibumoso ).
• Kugira ngo harebwe niba amaraso afite ibice by'amaraso .
• Gusuzuma valve yawe ya mitral cyangwa valve ya aorta .
• Niba ufite umubyibuho ukabije cyangwa indwara zimwe na zimwe zo mu bihaha .
• Iyo inyito isanzwe ya transhoracic idashobora gukorwa kubera izindi mpamvu.

Ni gute wakwitegura ikizamini cya transesophageal Echo (TEE)?

Mu gihe witegura iyi echo, menyesha muganga wawe niba ufite kimwe muri ibi bikurikira:

• Ibibazo ku muhogo wawe, urugero nka hernia yo mu nda .
• Kugorwa no kumira.
• Kubura umwuka wo mu mutwe igihe umuntu asinziriye .
• Amateka yo gukoresha ibiyobyabwenge mu minota ine .

Ni ngombwa kandi kumenyesha muganga wawe niba ufata imiti ya:

• Kubura ibitotsi.
• Guhangayika .
• Ububabare .

Intambwe zo kwitegura umunsi w'ikizamini:

• Ugomba kugira umuntu ugutwara mu modoka ujya mu rugo. Kubera ko uzanywa ikinini muri ubu buryo, ntushobora gutwara imodoka amasaha 24.
• Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose nibura amasaha atandatu mbere yo kwipimisha. Muganga wawe azaguha amabwiriza yihariye yo kwiyiriza ubusa; nyamuneka uyakurikize neza.
• Baza muganga wawe imiti usanzwe ukoresha. Ushobora kwemererwa kuyinywa unywa amazi make.
• Niba ufata imiti ya diyabete , gana muganga wawe ku bijyanye n'igihe n'ingano yayo.
• Siga ibintu by'agaciro mu rugo; hazatangwa agasanduku k'ibikoresho.
• Ambara imyenda igushimisha, nubwo uzasabwa kwambara ikanzu yo kwa muganga.

Ni iki kibaho mu gihe cyo gusohora amaraso mu minota ya transesophageal (TEE)?

• Uzambara ikanzu yo kwa muganga.
• Muganga wawe azashyira electrodes mu gituza cyawe kugira ngo akurikirane imikorere y'amashanyarazi y'umutima wawe.
• Hazashyirwaho agakoresho gapima umuvuduko w'amaraso n'agakoresho gapima umuvuduko w'amaraso kugira ngo bigenzure ibimenyetso by'ubuzima bwawe.
• Uzahabwa umuti wo gusiga ibisebe mu muhogo wawe, kandi muganga wawe ashobora gukoresha umuti ugabanya ububabare mu muhogo wawe.
• Kugira ngo umenye neza ko umerewe neza, uzatangira gupimwa inshinge zo mu mutwe (IV) kugira ngo ugire icyo umara.wowe, bizagutera gusinzira.
• Ushobora guhabwa ogisijeni y'inyongera ukoresheje umuyoboro muto w'izuru.
• Uzaryama ibumoso ku meza yo gupimisha.
• Muganga azayobora witonze endoscope (umuyoboro muto kandi woroshye ufite transducer ku mutwe) mu kanwa kawe hanyuma umanuka mu muhogo wawe ujya mu mwobo . Nubwo bishobora kumera nk'ibidashimishije gato, nta kibazo kirimo kandi ntibizagutwara.
• Ushobora gusabwa kumira mu bihe runaka kugira ngo ufashe transducer gushyira inyuma y'umutima wawe.
• Muganga azafata amashusho. Nta kintu na kimwe uzumva muri iki gice cy'igikorwa.
• Iyo umuganga amaze kubona amashusho yose akenewe, umuyoboro uzakurwaho, maze uzabasha guhindura imyenda no kwitegura gutaha.

Imyitozo ngororamubiri yitwa “Express Stress Echo” ikorwa ite?

Ikizamini cyo gupima stress , rimwe na rimwe cyitwa gusa stress echo , kigaragaza uko umutima wawe ukora iyo uhatiwe gukora cyane mu gihe ufite stress. Iki kizamini gisa n'ikizamini cyo gupima stress gisanzwe. Umutekinisiye azakurikirana umuvuduko w'umutima wawe, umuvuduko w'amaraso n'umuvuduko w'amaraso mu gihe cyose. Ariko, bitandukanye n'ikizamini gisanzwe cyo gupima stress, ibi birimo no gufata amashusho y'umutima . Umuhanga mu gupima stress azafata amashusho y'umutima wawe mbere yuko utangira gukora imyitozo ngororamubiri ndetse n'igihe gito nyuma yaho. Ibi bifasha kwerekana uburyo umutima wawe ushobora kwihanganira imyitozo ngororamubiri.

Mu bihe bimwe na bimwe, imyitozo ngororamubiri ntishoboka kuri wewe. Ahubwo, muganga wawe azaguha umuti utuma umutima wawe ukora cyane, nk'uko byagenda mu gihe cy'imyitozo ngororamubiri. Intego ni ukugutera ikibazo cyo kongera ubwinshi bw'umwuka mu mutima wawe. Iyo umutima wawe uri mu "stress" igenzurwa, umuganga wawe ashobora kumenya ibintu bishobora kutagaragara mu gihe uryamye ku mbonerahamwe yo gupimisha—nk'ibibazo biri mu mitsi yawe y'umutima cyangwa mu gice cy'imbere cy'umutima.

Ni gute wakwitegura Echo y'imyitozo ngororamubiri?

Muganga wawe azaguha amabwiriza arambuye y'uburyo bwo kwitegura iki kizamini. Ubu buryo busaba kwitegura cyane kurusha ubundi bwoko bwa echocardiograms.

• Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose uretse amazi nibura amasaha ane mbere yo gupimwa.
• Ntukanywe itabi ku munsi w'ikizamini.
• Ntukanywe ikintu kirimo kafeyine mu masaha 24 mbere yo gupimwa. Ibi birimo ikawa, icyayi, ibinyobwa bidasembuye (bishobora kuba birimo kafeyine nke), hamwe n'imiti imwe n'imwe ikoreshwa mu kuvura ububabare ishobora kuba irimo kafeyine.

Baza muganga wawe igihe n'uburyo bwo gufata imiti yawe isanzwe. Ushobora guhabwa amabwiriza yo kureka imiti imwe n'imwe y'umutima ku munsi wo kwipimisha, kandi ingano y'imiti yawe ya diyabete ishobora gukenera guhindurwa. Nyamuneka kurikiza amabwiriza ya muganga wawe witonze.

Nubwo ubu buryo budasaba ikinya, ushobora kumva unaniwe nyuma yaho, bityo ni byiza ko umuntu aguherekeza kujya no kuva aho ugiye kwa muganga.

Ambara imyenda n'inkweto byiza. Kubera ko uzaba ugenda ku igare ritembera cyangwa utembera ku igare ritahagaze mu gihe cy'ikizamini, hitamo imyenda igufasha kugenda neza.

Ni iki kibaho mu gihe cyo gukora imyitozo ngororamubiri (siporo stress echo)?

• Umutekinisiye azashyira electrodes (uduti duto) mu gituza cyawe. Ibi bihuzwa na monitor ya EKG kugira ngo bikurikirane umuvuduko w'umutima wawe n'umuvuduko w'amaraso mu gihe cyose cy'igikorwa.
• Mbere yuko utangira kwimuka, itsinda ry’abaganga rizapima uko umutima wawe uhagaze, uko umutima wawe utera, n’umuvuduko w’amaraso.
• Umaze kuryama ku meza yo gusuzuma, umutekinisiye azafata amashusho y'umutima wawe akoresheje inkoni ifata mu ntoki(transducer) ishyirwa ahantu hatandukanye mu gituza cyawe, nk'uko bigaragazwa n'isuzuma risanzwe rya echocardiogram.
• Hanyuma, imyitozo ngororamubiri iratangira. Uzajya ugenda ku igare ritembera cyangwa ugaterura igare ritahagaze , umuvuduko cyangwa imbaraga bigakomeza kwiyongera buhoro buhoro.
• Uzakomeza kugeza ugeze ku rwego rwo hejuru rw'imyitozo. Ibi akenshi bifata iminota irindwi kugeza kuri cumi n'ibiri.
• Mu gihe ukora imyitozo ngororamubiri, umutekinisiye azabaza uko wumva umeze. Menya neza ko utanga ibimenyetso byose ubonye. Bazakurikirana umutima wawe buri gihe binyuze muri EKG monitor .
• Nyuma yo guhagarika imyitozo ngororamubiri, hazakorwa indi echocardiogram.
• Amaherezo, 'uzakonja' ugenda buhoro cyangwa ugenda buhoro buhoro kugeza ubuzima bwawe bugarutse ku buryo busanzwe, muri icyo gihe muganga wawe azakomeza kukwitegereza.

Niba warahawe imiti yo 'gutera stress' umutima wawe aho gukoresha imyitozo ngororamubiri, inzira izatandukana gato. Ntuzakoresha icyuma giteresha umwuka cyangwa igare. Nyamuneka ganira na muganga wawe ku byo witeze n'uko ushobora kumva umeze muri ubwo bwoko bw'ikizamini.

Ni gute nzakira ibisubizo by'ibizamini byanjye?

Iyo umuganga wawe w’umutima amaze gusuzuma ikizamini, azashyira ibyavuye mu bushakashatsi bwawe mu nyandiko y’ubuvuzi bw’ikoranabuhanga . Umuganga wawe w’ibanze nawe azabasha kubona ibi bisubizo. Hanyuma uzaganira ku byavuye mu bushakashatsi n’umwe muri abo baganga cyangwa bombi.

Ntutindiganye kubaza ikibazo icyo ari cyo cyose ufite ku mashusho cyangwa icyo asobanura. Muganga wawe azagusobanurira icyo ibyavuye mu bushakashatsi bigaragaza ndetse niba ukeneye ibindi bipimo cyangwa ubuvuzi bwihariye.

Ni iki nkwiye kwirinda mbere yo kwipimisha Echocardiogram?

Amabwiriza aterwa n'ubwoko bw'ijwi wifashisha. Baza muganga wawe amabwiriza ajyanye n'ikizamini cyawe. Muri rusange, ushobora kugirwa inama yo kwirinda ibi bikurikira:

• Kurya cyangwa kunywa (cyane cyane ku bipimo byo gupima stress no kuvura indwara zo mu gifu ).
• Kunywa itabi cyangwa gukoresha ibindi bicuruzwa bya nikotine .
• Kunywa ikawa cyangwa kunywa ikintu cyose kirimo kafeyine . Ibi birimo imiti idakoreshejwe kafeyine n'imiti imwe n'imwe igurishwa mu iduka .

Ushobora kandi gukenera guhindura gahunda y'imiti yawe. Ntugahagarike gufata cyangwa guhindura imiti yawe utabanje kugisha inama muganga wawe.

Ubutumwa bwo gufata amakuru buturutse muri Nirogi Lanka

Echocardiogram ni ikizamini cy'ingenzi gitanga ubumenyi burambuye ku miterere n'imikorere y'umutima wawe. Niba muganga wawe akugiriye inama yo kuvura, baza ubwoko bw'umutima wawe n'icyo witeze. Ushobora gukenera ubwoko burenze bumwe bw'ibizamini cyangwa uburyo butandukanye kugira ngo muganga wawe abashe gukusanya amakuru yose akenewe ku mutima wawe.

Saba muganga wawe gusobanura amashusho no kugufasha gusobanukirwa icyo agaragaza. Kugira uruhare rugaragara mu gusuzuma no kuvura bizagufasha kumva wisanzuye mu gihe cyose cy'urugendo.

Amagambo ahinnye: Echocardiogram, Echo test, heart scan, heart disease, cardiac function, transhoracic echo, transesophageal echo, stress echo, cardiac piming