Kuongororwa kwakakosha kwekudzidza nezvemoyo wako! (Cardiac Computed Tomography - CT Scan) Ngatitaurei nezvazvo?

Nhasi tichataura nezve scan yakakosha inogona kukuratidza ruzivo rwakawanda nezvemoyo wako. Inonzi cardiac `CT` scan (Cardiac Computed Tomography - CT scan). Pamwe chiremba wako akakuudza kuti uite izvi, kana kuti wakambozvinzwa kune imwe nzvimbo. Saka ngatitarisei kuti chii, kuti zvinoitwa sei, zvaunofanira kuziva usati wazviita, uye zvakanakira nezvazvakaipira.

Chii chinonzi CT scan yemwoyo?

Zvichitaurwa zviri nyore, CT scan yemwoyo imhando yakasarudzika yeX-ray test inoshandisa maX-ray akawanda kubva kumativi akasiyana kuti ibudise mifananidzo yakajeka yemoyo wako, mitsipa mikuru inobatanidza nayo, uye nyama dzakaipoteredza.

Vanachiremba vanoshandisa tekinoroji yeCT yazvino kuita iyi 'Cardiac CT' scan. Dzimwe nguva, mvura yakakosha (intravenous (IV) contrast / dye) inopinzwa mutsinga yako. Izvi zvinoita kuti chimiro chemwoyo netsinga dzeropa dzakabatana nayo zvionekwe zvakajeka. Iyi nzira yekuskena ine zvidimbu zvakawanda inobvumira vanachiremba kuwana mifananidzo yepamusoro-soro yemoyo wako unofamba netsinga huru dzeropa.

Chii chinogona kuonekwa neCT scan yemoyo?

Chiremba wako anogona kunzwisisa zviri nani zvinhu zvakawanda nezvemoyo wako kubva mukuongorora uku. Semuenzaniso:

• Mamiriro etsinga dzemwoyo dzinopa ropa kumoyo wako.
• Mashandiro anoita makamuri emwoyo, tsandanyama dzemwoyo, uye mavharuvhu emwoyo.
• Hunhu hwetsinga dzemapapu .
• Kana paine dambudziko neaorta yechipfuva uye dzimwe nguva abdominal aorta .
• Chikwama chinodzivirira chakakomberedza moyo (pericardium) .

Nekuti zvese izvi zvinoonekwa zvakajeka pakuongorora uku, zvichabatsira zvikuru chiremba kuti asarudze zvakanaka nezvehutano hwemwoyo wako.

Kuongororwa kweCT yemwoyo kunodiwa rini?

Kuongororwa kweCT yemwoyo kunogona kupa ruzivo rwakadzama uye rwakajeka kupfuura kumwe kuongorora mifananidzo. Pane zvikonzero zvakawanda nei chiremba wako angaraira kuongororwa uku. Ngationei kuti ndezvipi:

• Tsvaga kuti chii chiri kukonzera kurwadziwa kwechipfuva chako kana kushaya mweya.
• Tarisa tsinga dzemwoyo wako kuti calcium kana plaque yaungana here, kuti haina kusimba here, kana kuti yakavharwa.
• Ongorora mashandiro anoita mavharuvhu emwoyo wako.
• Tarisa kana paine matambudziko neaorta yako, akadai seaneurysms kana kutsemuka kwetsinga .
• Kuvhiyiwa kwemoyo kwakavhurika kanaRonga kuvhiyiwa kwemwoyo kusinganyanyi kukuvadza muviri/kuvhiyiwa kwemoyo nerobhoti.
• Ronga maitiro e transcatheter/percutaneous valve .
• Ronga nzira dzekubvisa arrhythmia kana mwoyo usingashande zvakanaka .
• Ongorora matambudziko angangoitika mushure mekuvhiyiwa kana kurapwa kwakadaro.
• Tarisa kana uine dambudziko remwoyo rawakazvarwa naro .
• Tsvaga kana paine bundu kana kuti gonye riri mumoyo kana rakakomberedza moyo uye kuti rakaita sei.
• Tarisa bhegi rakatenderedza moyo (pericardium) kuti mvura yaungana here (`fluid`) kana kuti calcium deposits (`calcification`).

Fungidzira, babamukuru vako vari kugara vachirwadziwa pachipfuva, uye vanachiremba havakwanise kuziva kuti chii chiri kukonzera izvi. Panguva yakaita seiyi, `CT` scan inogona kupa ruzivo rwakawanda runobatsira.

Ndiani anoita cardiac CT scan?

Kazhinji, chiremba wemwoyo wako anokurudzira kuongororwa kweCT yemwoyo uku. Zvisinei, kune timu yezvehutano yakasiyana panzvimbo inoitirwa kuongororwa uku kuti ikubatsire. Ndivo:

• Mainjiniya: Ava ndivo vanhu vanoshandisa CT scanner uye vanotora mifananidzo.
• Vanamukoti: Kana zvichidikanwa, vanamukoti vachaisa mutsetse we'IV' mutsinga muruoko rwako uye vachakupa mishonga.
• Vanachiremba: Vanachiremba vanoongorora scan, vanoongorora mifananidzo, uye vanopa mushumo ('dudzira scan').

Kuti uwane scan iyi, unofanirwa kuenda kuchipatara kana kunzvimbo ine hunyanzvi mu "medical imaging".

Kuongororwa kweCT yemwoyo kunoshanda sei?

Zviri nyore kwazvo. Paunenge wakarara pamubhedha we scanner, dayara reX-ray rinotenderera rakakupoteredza. Asi harirove muviri wako. Unogona kunzwa ruzha rudiki kana ruzha rwekudzvanya sezvo muchina uchishanda. Kombiyuta inosanganisa mifananidzo iyi yekuskena kuti igadzire mufananidzo wemoyo wako une mativi matatu (3D).

Ndeupi musiyano uripo pakati peMRI yemwoyo neCT yemwoyo?

Ungave wakambonzwa nezve cardiac MRI test. Cardiac MRI ne cardiac CT zvese zvinogona kuburitsa mifananidzo yakadzama yemoyo, asi pane misiyano mishoma pakati pebvunzo mbiri idzi. Ngationei kuti ndedzipi.

• Paunopinda mumuchina, muchina weCT wakavhurika kupfuura muchina weMRI. Izvi zvinoreva kuti vamwe vanhu vanonzwa vasina kumanikidzwa zvakanyanya kana vari mukati memuchina weMRI.
• Kuongororwa kweMRI kunotora nguva yakareba kupfuura kuongororwa kweCT.
• Kuongororwa kweCT kunoshandisa X-ray radiation , asi MRI haishandisi radiation.
• Muchina weCT wakanyarara kupfuura weMRI.
• Kana ukapihwa nzira yekuongorora musiyano, CT scan inoshandisa nzira yekuongorora musiyano ine iodine , nepo MRI ichishandisa nzira yekuongorora musiyano ine gadolinium .

Saka, chiremba ndiye anosarudza kuti ndeipi scan yakakunakira.

Ndinofanira kugadzirira sei bvunzo iyi?

Unofanira kutevedzera mirairo yachiremba wako pazuva risati rasvika uye pazuva rekuongorora cardiac CT scan yako, maererano nezvekudya nekunwa, uye mishonga yekurega kunwa.

Nezvekudya nezvinwiwa

• Pazuva rekuongororwa, usadye chero chinhu kwemaawa mana kusvika matanhatu nguva yako yakatarwa isati yasvika . Unogona kunwa mvura chete.
• Usanwe zvinwiwa zvine caffeine zuva risati rasvika kana pazuva rebvunzo. Izvi zvinoreva kuti usanwe kofi, tii, kana zvinwiwa zvinopa simba.
• Usashandise mapiritsi ekupa simba kana mapiritsi ekuderedza uremu zuva risati rasvika kana pazuva rekuongororwa. Kana uine mibvunzo nezveizvi, bvunza chiremba wako.

Nezvemishonga

• Kana uri munhu anonzwa kutya munzvimbo dzakamanikana, bvunza chiremba wako nezvemushonga unogona kukuchengetedza wakadzikama panguva yekuongororwa.
• Udza chiremba wako nezvemishonga yese yaunotora, kunyangwe mishonga isiri yakanyorerwa nachiremba.
• Musatore Sildenafil (Viagra® kana Revatio®) kana mimwe mishonga yakafanana zuva risati rasvika kana pazuva rebvunzo, sezvo iyi inogona kukanganisa mishonga yamuchapihwa panguva yebvunzo. Bvunzai chiremba wenyu nezvenyaya iyi zvakare.
• Kana uine chirwere cheshuga , bvunza chiremba wako kuti ungagadzirisa sei mushonga wako pazuva rekuongororwa. Kana uchifunga kuti shuga yako yeropa yakaderera, taurira chiremba wako nekukasika.

Chii chekutarisira pazuva rebvunzo?

Chiremba wako anofanira kuziva nezvezvinhu izvi usati waongorora chirwere chemwoyo chinonzi CT scan:

• Une pamuviri here?
• Une allergy kune iodine uye/kana shellfish here, kana kune mimwe mishonga?
• Uri kugamuchira kurapwa nemwaranzi pari zvino here?
• Kana uine makore anopfuura makumi matanhatu ekuberekwa , kana kuti wakambova nematambudziko eitsvo kare, ungangoda kuongororwa ropa kuti uone mashandiro eitsvo dzako usati wapihwa contrast fluid.

Kugadzirira CT scan

• Bvisa zvishongo zvako wozvisiya kumba.
• Zvipo zvakasarudzika zvaunopihwa nechipataraUnofanira kupfeka gown rechipatara.
• Zvichida chiremba anogona kukupa mushonga unoderedza kurova kwemoyo wako .
• Kana ukapihwa mvura inosiyanisa ruvara (dye), mukoti achaisa mutsetse weIV mutsinga iri muruoko rwako. Mvura iyi ndiyo inoita kuti mitsipa yeropa nemoyo zvionekwe zvakajeka pamifananidzo yekuongorora.
• Uchaitwa kuti urare pamubhedha wakakosha, uye mubhedha uchaendeswa zvishoma nezvishoma kune buri rakatenderera riri pakati peCT scanner.
• Chiremba achachenesa nzvimbo nhatu dzechipfuva chako odziisa zvidimbu zvidiki zvemaelectrode . Kuti uve nechokwadi chekuti maelectrode aya anonamira zvakanaka, ungangoda kuchekerera bvudzi riri panzvimbo iyoyo yechipfuva chako.
• Maelectrode aya akabatanidzwa ne electrocardiogram (EKG) monitor , iyo inorekodha mashandiro emagetsi emwoyo wako panguva yekuedzwa.
• Uchakumbirwa kurara pamubhedha weskena maoko ako ari pamusoro pemusoro wako kusvika bvunzo yapera. Musoro wako nemakumbo zvichave kunze kweskena.

Chinonyanya kukosha: Zvakakosha kuti urambe wakadzikama panguva iyi uye uteedzere mirayiridzo nokungwarira. Ndipo chete pauchakwanisa kuwana mifananidzo yakajeka.

Chii chinoitika panguva yebvunzo?

Kuongororwa kweCT yemwoyo kwakazara kunogona kutora pakati pemaminitsi makumi matatu kusvika makumi matanhatu , kusanganisira nguva yekugadzirira. Zvisinei, CT scan chaiyo pachayo inotora nguva yakati rebei, ingangoita maminetsi gumi .

• Uchanzwa scanner yakaita sedonati ichipinda pamubhedha wawakarara.
• Kana ukapihwa contrast fluid, chiremba achaibaya nepeni yako. Zvakajairika kunzwa kudziya zvishoma mvura yacho ichifamba mumuviri wako. Vamwe vanhu vanogona kunzwa kuravira kwesimbi mumuromo mavo kwemasekondi mashoma.
• Kuti uwane mifananidzo yakajeka, zvakakosha kuti urambe wakadzikama uye uteedzere mirairo nemazvo .
• Unogona kutaura nechikwata chehutano. Vanogonawo kukukumbira kuti umbomira kufema kwenguva pfupi .

Chii chinoitika mushure mekuyedzwa?

Kana chiremba aona kuti vane mifananidzo yese yavanoda, vachabvisa mutsetse wemutsinga wako. Wobva wachinja woenda kumba.

Mushure mekuongororwa, unogona kuita mabasa ako enguva dzose wodya nekunwa. Zvisinei, kana watora mushonga wekunyaradza, mumwe munhu achafanira kuuya kuzokutora kuenda newe kumba.

Chiremba wako achataura newe nezvemhedzisiro yebvunzo zuva iroro kana mumazuva mashoma anotevera.

Pane njodzi here nebvunzo iyi?

Kuongororwa kweCT inzira isina njodzi yakawanda . Zvisinei, vamwe vanhu vanogona kusangana nematambudziko madiki ne contrast fluid kana zvimwe zvinhu zvinoshandiswa mubvunzo.

Mushonga wekusiyanisa/dhayi

• Kashoma, vamwe vanhu vanogona kuva nemhedzisiro yakaipa kune contrast fluid (inowanzova ne iodine). Vamwe vanhu vanogona kuva nekuvaviwa, kuda kurutsa, kuhotsira, kana mapundu eganda mushure mekunge mvura yacho yabayiwa. Zviratidzo izvi zvinowanzopera pasina kurapwa. Zvisinei, zvinogona kudzorwa nemishonga inorwisa mabhakitiriya, steroids, uye histamine blockers .
• Kashoma, chirwere cheallergy (anaphylactic reaction) chinogona kuitika. Chinogona kukonzera kufema kuomera. Izvi zvinogona kuisa hupenyu panjodzi, saka kurapwa nekukurumidza uye mishonga zvinodiwa kudzora zviratidzo izvi.
• Kana uine chirwere cheshuga kana chirwere cheitsvo , unogona kukumbirwa kunwa mvura yakawanda mushure mekuongororwa kuti ubvise iodine mumuviri wako.
• Sezvo nzira yekusiyanisa mwana inoshandiswa pakuongorora CT yemwoyo ichigona kupinda mumukaka wako wezamu , kana uri kuyamwisa, zvakanaka kuti uise mukaka wezamu usati waongororwa. Unogona kudyisa mwana wako mukaka iwoyo kwezuva rimwe kana maviri mushure mekuongororwa.

Mwaranzi

MaCT scanner anoshandisa maX-ray. Pane mukana mudiki wekuti mwana awane kenza kubva mumwaranzi iyi nekufamba kwenguva. Kuti uchengetedzeke, mukana wekuti mwana awane mwaranzi unoderedzwa. Zvisinei, maX-ray anogona kukuvadza mwana ari kukura, saka bvunzo iyi haikurudzirwi kana uine pamuviri . Kana zvichidikanwa, chiremba wako achaita gadziriro dzekudzivirira mwana wako.

Mishonga inoderedza kurova kwemoyo

Kana wakapihwa mushonga wekuderedza kurova kwemoyo wako panguva yekuongororwa, kana kuti uine chirwere chakadai seasthma, heart failure, kana chronic obstructive pulmonary disorder (COPD) , unganetseka kufema panguva yekuongororwa. Zvakakosha kuudza chiremba wako kana uine chimwe chezvirwere izvi.

Mhedzisiro yacho ndeipi? Zvinorevei?

Panogona kuva nemarudzi maviri emhedzisiro mushure mekuskena: mhedzisiro yakajairika uye mhedzisiro isina kujairika.

Mhedzisiro yakajairika

• Mwoyo wako netsinga dzeropa zvinotaridzika zvakanaka .
• Calcium score yako izero (`0`). Izvi zvinoreva kuti hauna chirwere chemwoyo , uye une mukana mudiki wekuva nechirwere chemwoyo.

Mhedzisiro isina kujairika

• Kune mafuta akaunganidzwa (plaque) uye kutetepa (stenosis) mutsinga dzemwoyo.
• Kuva necalcium score yakakwira zvinoreva kuti une coronary atherosclerosis .
• Calcium ine calcium inosvika 100 zvichidzika inoratidza zviratidzo zvishoma zvechirwere chemwoyo.
• Kana iri pamusoro pe400 , zvinoreva zviratidzo zvakapararira zvechirwere chemwoyo.
• Kana iri pakati pe100 ne400 , pane hunhu hwepakati nepakati.
• Kazhinji, huwandu hwecalcium mumuviri wako hunoratidzwa sehuwandu hwepercentile score , iyo inokuudza pauri kana uchienzaniswa nevamwe vanhu vezera rako, murume kana mukadzi, uye rudzi rwako vakanyora bvunzo.
• Mashandiro emoyo kana mavharuvhu haasi kushanda zvakanaka .
• Chirwere chemwoyo - kuungana kwemvura mubhegi rakatenderedza moyo (`effusion`) uye kuzvimba kwepericardium (`pericarditis`).
• Pane bundu kana kuti gonye .
• Pane dambudziko remwoyo rawakazvarwa naro.
• Tsinga yeropa yakakura (aneurysm) , ine kubvaruka (kubvaruka) , kana kuti yakatetepa (stenosis/coarctation) .

Chiremba wako achakutsanangurira zvizere nezvemhedzisiro iyi.

Ndinofanira kufonera chiremba rini?

Kana uchinzwa sekunge uri kuita seuri kunzwa kukanganiswa kwemvura kana mushonga wawakapihwa panguva yekuongororwa, kana kuti kana usina kuwana mhinduro ye cardiac CT scan yako mushure memazuva mashoma, fonera chiremba wako.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Usatya kuvhenekwa kwemwoyo neCT scan kana muchina weCT. Iyi bvunzo isingapindi mumuviri inopa chiremba wako ruzivo rwakawanda rwakakosha nezvezviri kuitika mumoyo mako uye maumbirwo awo akakomberedza.

Kuti uwane mhedzisiro yakanaka, tevera mirairo yachiremba wako pamusoro pekudya nekunwa usati waongororwa. Uyewo, iva nechokwadi chekuti wakamira wakadzikama uye wabata mweya wako panguva yekuongororwa.

Bvunzo iyi inogona kukuudza zvakawanda nezvehutano hwemwoyo wako, saka usazeza kuipedza kana zvichidikanwa. Taura nachiremba wako nezvemibvunzo kana zvinokunetsa.

` Kuongororwa kweCT yemwoyo, moyo, tsinga yemoyo, kuongororwa, chirwere chemwoyo, kuongororwa kweCT, 3D imaging