Kuongororwa kweAdenosine Stress kuti uzive nezvekuyerera kweropa mumoyo! Usatya, ngatitaure.

Ungave uchishamisika kuti chii chinonzi Adenosine Stress Test. Pamwe chiremba akatokukumbira kuti uite bvunzo iyi. Usazvidya moyo! Zviri nyore kwazvo. Nhasi tichataura nezvebvunzo iyi, zvainoita, zvainoitwa sei, uye zvese zvaunoda kuziva. Muchidimbu, bvunzo iyi inoyera kuti mwoyo wako uri kuwana ropa zvakadii.

Sei bvunzo iyi ye adenosine stress iri kuitwa?

Fungidzira, paunenge uchiita maekisesaizi, sepaunenge uchirovedza muviri, mwoyo wako unoda ropa rakawanda kupfuura raunozorora. Nekuyedzwa uku kwe adenosine stress, vanachiremba vanoongorora kana moyo wako uri kuwana ropa rakakwana panguva yekushanda nesimba uye yekuzorora. Kuti izvi zviitike, mushonga mudiki unonzi adenosine unobayiwa. Zvadaro, mitsipa yeropa (tsinga) dziri mumoyo mako dzinoita sezvadzaizoita pawairovedza muviri.

Bvunzo iyi inobatsira chiremba kuziva nezve:

• Pane kukuvara kusingaperi kwetsandanyama yemwoyo wako here ?
• Ropa neokisijeni zvakakwana here zvinoyerera nepakati pemoyo?
• Une chirwere chemwoyo (CAD) here? Apa ndipo panopera ropa rinoenda kutsandanyama dzemwoyo.

Ndiani anowanzoita bvunzo iyi?

Havasi vese vanozoda bvunzo iyi. Chiremba anogona kukukumbira kuti uedze adenosine stress test nekuda kwezvikonzero zvinotevera:

• Kana usingakwanise kuita maekisesaizi anodiwa kuti uedze kushushikana, sekufamba uri patreadmill.
• Kana usingakwanise kuwedzera kurova kwemoyo wako zvakakwana pasinei nekurovedza muviri.
• Kana uri kutora mimwe mishonga, yakadai se beta-blockers .
• Kana wakaisirwa ventricular pacemaker .
• Kana uine chirwere chinonzi left bundle branch block .

Muedzo we adenosine stress unoshanda sei?

Zviri nyore kwazvo. Mubvunzo we adenosine stress, chiremba anokupa mushonga mudiki we adenosine. Izvi zvinoita kuti tsinga dzemoyo, idzo dzinopa ropa kumoyo wako, dzivhurike (dzikure), sezvadzinoita kana uchirovedza muviri. Izvi zvinowedzera kuyerera kweropa kumoyo wako. Aya ndiwo mashandiro anoita kurovedza muviri kune vanhu vasingakwanise kumhanya pa treadmill.

Zvadaro, paunenge wakazorora uye mushure mekukupa mushonga weadenosine, chiremba achabaya kamushonga kadiki kekusiyanisa kana kuti radioactive marker mune imwe yetsinga dzako. Rudzi rwechinhu chinoshandiswa runoenderana nerudzi rwekuskena kuri kuitwa. Uchishandisa scanner chaiyo yekufungidzira, mifananidzo yechinhu ichi inotorwa sezvainofamba nemutsinga dzeropa rako ichienda kutsandanyama dzemwoyo wako.

Dzimwe nguva scanner iyi inogona kunge iri Magnetic Resonance Imaging (MRI), kana kuti specialized computerized tomography (CT) scanner. Izvi zvinogadzira mifananidzo yemwoyo pakombiyuta, iyo chiremba anogona kushandisa kuongorora chirwere.

Fungidzira, izvi zvakafanana nekuisa kamera mumoyo wotarisa, asi hazvina kudaro, mifananidzo iyi inotorwa uchishandisa tekinoroji yakakosha yekuskena.

Mubvunzo uyu, chiremba anotora mifananidzo yezvinotevera:

• Kukura uye mashandiro emwoyo wako .
• Mafambiro anoita ropa mumoyo mako kana rakazorora .
• Mafambiro anoita ropa mumoyo mako kana uri pasi pekushushikana .

Tinofanira kugadzirira sei bvunzo isati yaitwa?

Izvi zvakakosha zvikuru. Zvakakosha kuudza chiremba wako nezvemishonga yese yaunotora (kusanganisira mishonga inotengwa kunze kwemushonga unopihwa nechiremba, mishonga yemishonga inowedzerwa kubva kumishonga yemishonga, nemimwe mishonga) uye nezvechero chirwere chaunacho. Kana uine zvimwe zvirwere, zvakaita seasthma yakanyanya kana kurova kwemoyo kusingatarisirwi, haufanirwe kupihwa adenosine.

• Kana uri kutora theophylline yeasthma, unofanira kurega kuitora mazuva maviri bvunzo isati yaitwa . Zvisinei, uya nechinhu chako cheasthma chinokupinza mushonga wekunwa.
• Dzivisa chero chinhu chine caffeine kwemaawa makumi maviri nemana bvunzo isati yaitwa . Izvi zvinosanganisira kofi, tii, zvinwiwa zvisina kupfava, uye chokoreti. Kunyangwe zvinhu zvakanyorwa kuti "decaffeinated" zvinogona kunge zvichiri necaffeine shoma, saka hazvikurudzirwi.
• Uyewo, musatore mishonga inotengeswa muchitoro chemuchipatara ine caffeine (semuenzaniso Excedrin®, Anacin®, mapiritsi ekuderedza uremu, NoDoz®) kwemaawa makumi maviri nemana musati maonana .

Chii chatinofanira kuita pazuva rebvunzo?

Ramba uchifunga zvinhu izvi pazuva rebvunzo:

• Usadye kana kunwa chimwe chinhu kunze kwemvura shoma shoma kuti unwe mushonga wako.
• Usasvuta .
• Uyai nerunyorwa rwemishonga yose yamunonwa nguva dzose. Izvi zvinofanira kusanganisira mishonga inotengeswa musiri muchitoro chemishonga, mavhitamini, uye mishonga yemishonga.
• Kana uri kutora mushonga wechirwere cheshuga, uya nemushonga iwoyo.Unogona kuitora mushure mekunge bvunzo yapera. Usarega kudya paunenge uchitora mushonga wako wechirwere cheshuga. Kuita izvi kunogona kukonzera kuti huwandu hweshuga muropa rako hudzikire zvakanyanya.
• Kana ukashandisa insulin , tora huwandu hwaunoudzwa nachiremba kuti utore kuti udzore shuga yako yeropa. Anogona kukuudza kuti utore hafu yemushonga wako wenguva dzose mangwanani wodya chikafu chakareruka maawa mana bvunzo isati yaitwa.
• Kana uri kutora chero rudzi rwepiritsi rekudzora shuga yeropa rako, usatore kusvika bvunzo yapera .
• Kana uine glucometer, uya nayo . Tarisa huwandu hweshuga muropa rako usati waongororwa uye wapedza kuongororwa. Kana uchifunga kuti shuga yako muropa yakaderera, taurira vashandi vezvehutano nekukasika. Ronga kudya uye kunwa mapiritsi eshuga mushure mekuongororwa.
• Pazuva rekuongororwa , tora mushonga wemwoyo wawakanyorerwa nachiremba wako chete . Kana uine mibvunzo pamusoro pekuti ndeipi mishonga yakachengeteka kunwa pazuva rekuongororwa, bvunza chiremba wako usati waongororwa.

Chii chinoitika panguva yebvunzo?

Pakuita bvunzo ye adenosine stress, vashandi vekurapa vacha:

• Usati watanga kuongorora, mitsetse miviri yemutsinga ichaiswa mutsinga iri muruoko rwako (kuti ikupe mishonga nezvimwe zvinhu kana zvichidikanwa).
• Maelectrode (zvidimbu zvidiki, zvinonamira) anoiswa pachipfuva chako. Aya anoshandiswa kuongorora moyo wako uchishandisa electrocardiogram (EKG).
• Chivharo cheBP chichaiswa paruoko rwako. Izvi zvichayera BP yako.
• Kurova kwemwoyo wako, EKG, uye BP zvichaongororwa mukati mebvunzo.
• Uchakumbirwa kuti urambe wakadzikama mukati memuchina wekuongorora. Izvi zvinogona kutora kusvika maminetsi makumi mana nemashanu.
• Uchakumbirwa kuti ubatisise mweya wako kwechinguva uku muchina wekuongorora uchitora mifananidzo yemoyo wako.
• Usati wapa mushonga kuburikidza neIV, uchatsanangurirwa migumisiro inogona kuitika yemushonga .

Bvunzo yacho inotora nguva yakareba sei?

Kuongororwa kwega kunogona kutora maminetsi angangoita makumi mana nemashanu , asi nguva yese yekuongororwa inogona kutora maawa maviri.

Chii chinoitika mushure mekuyedzwa?

Mushure mekuongororwa kwe adenosine stress, vashandi vekurapa vanomirira kwenguva yakati kuti vaone kana paine zvimwe zvinokuvadza. Kana uchinzwa zvakanaka, unogona kudzokera kumba mumaminitsi mashoma.

Ndezvipi migumisiro yebvunzo iyi?

Adenosine inongogara mumuviri wako kwenguva pfupi, ingangoita maminetsi mashanu. Mushure memasekonzi gumi, hafu yemushonga inonyangarika. Ndosaka vanhu vazhinji vachisangana nemigumisiro, asi inonyangarika mukati memasekonzi mashoma mushure mekumira kwemushonga.

Vanhu vanosvika 80% vanoongororwa adenosine stress test vanowana migumisiro midiki.Anonyanya kuzivikanwa ndeaya:

• Kunzwa kupisa uye kusviba (kusviba) .
• Kurwadziwa kwechipfuva .
• Kushaya mweya .

Dzimwe nguva, migumisiro yakadaro inogona kuitika:

• Kuvharika kwemoyo .
• Kuoma kwekufema ( bronchospasm ).

Kana uine migumisiro yakaipa kubva pabvunzo ye adenosine stress, chiremba wako anogona kukupa caffeine kuti irapwe. Vamwe vanhu vangangodawo kutora mushonga unonzi aminophylline .

Zvakaita sei? Zvinotiudza kuti chii?

Chiremba anoongorora zvabuda muongororo yako achakuisa muchikamu chevanhu vane njodzi shoma, vari pakati nepakati, kana kuti vane njodzi huru . Vari kutarisa kuti ungangobatwa nechirwere chemwoyo sei nekuda kwekushaya okisijeni, kana kuti zviratidzo zvako zvinokonzerwa nekusafamba zvakanaka kweropa kuenda kumwoyo.

Chiremba angati dzimwe nzvimbo dzemwoyo wako hadzisi kuwana ropa rakakwana . Izvi zvinoreva kuti nzvimbo idzodzo hadzisi kuwana oxygen yakakwana. Vangangoda kutarisa nzvimbo idzodzo zvakanyanya.

Kana ropa rako richiyerera zvakanaka uye uri muboka revanhu vane njodzi shoma, ungangoda mishonga yakaita se beta-blockers kana calcium channel blockers . Mishonga inoderedza mafuta mumuviri (anticoagulants) uye statins, iyo inoderedza cholesterol, inobatsirawo panjodzi yemwoyo.

Zvinotora nguva yakareba sei kuti uzive mhedzisiro?

Zvinongotora mazuva mashoma kuti chiremba apedzise kuongorora zvabuda muongororo. Kana chiremba wako awana zvabuda, achakufonera okuudza nezvazvo.

Chii chinofanira kuitwa kana mhedzisiro yacho isina kujairika?

Chiremba wako angangoda kuita bvunzo dzakawanda kuti aone nzvimbo dzisina ropa zvakanaka. Kuongororwa kunonzi coronary angiography kunogona kuvabatsira kuwana chikonzero chaicho chedambudziko. Kana imwe yetsinga dzemwoyo wako yakavharika, ungangoda kuiswa stent mutsinga kana kuvhiyiwa kwe coronary artery bypass graft (CABG) .

Ndinofanira kutaura nachiremba wangu rini?

Iva nechokwadi chekutaura nachiremba wako muzviitiko izvi:

• Kana usina chokwadi chezvekuita mushure meAdenosine Stress Test.
• Kana usati wanzwa mhinduro kubva kumhedzisiro yebvunzo muvhiki imwe chete ...

Sei adenosine ichishandiswa mukuyedzwa kwekushushikana?

Zvichitaurwa zviri nyore, adenosine inoita kuti tsinga dzemwoyo dzivhurike zvakanyanya, sezvinoita kana uchirovedza muviri. Izvi zvinotumira ropa rakawanda mutsandanyama yemoyo wako. Mushonga uyu unogona kuwedzera kuyerera kweropa mumoyo mako nekatatu kusvika kashanu kupfuura ropa raunowana paunenge wakazorora.

Kuongororwa kweAdenosine Stress kwakachengeteka here?

Ehe, bvunzo ye adenosine stress inowanzo kuve yakachengeteka . Haina migumisiro midiki mishoma, iyo inokurumidza kupera. Vaongorori vakaratidza kuchengetedzeka kwekushandisa adenosine bvunzo ye stress muzvidzidzo zvinosanganisira vanhu vanosvika zviuru gumi nezvishanu.

Adenosine inokanganisa sei kurova kwemoyo wako?

Adenosine inogona kukonzera kuti kurova kwemoyo wako kudzikire kana kuwedzera . BP yako inogonawo kuderera zvishoma.

Ndeupi musiyano uripo pakati peLexiscan® neAdenosine Stress Test?

Lexiscan® (regadenoson) neadenosine mishonga yese inovhura (kuwedzera) tsinga dzeropa rako. Regadenoson (sekudanwa kwainoitwa neLexiscan) mushonga unoshandiswa navanachiremba kakawanda pakuyedzwa kwestress kupfuura mimwe mishonga yese. Regadenoson inotora masekondi gumi chete kubaya jekiseni. Adenosine inotora maminetsi angangoita mashanu.

Ongororo dzakaratidza kuti vanhu vanotsungirira regadenoson zviri nani pane adenosine uye vane migumisiro mishoma. Vanhu vanotora regadenoson vanotaura migumisiro mishoma, yakadai sekubuda ropa uye kurwadziwa muchipfuva, asi vane mukana wekunzwa musoro nepfari.

Zvakanaka kutaura nachiremba wako wosarudza kuti ndeipi mishonga yakakunakira.

Chekupedzisira, zvinhu zvinonyanya kukosha zvekurangarira

Zvakajairika kuti unzwe kutya zvishoma nezvebvunzo inoongorora kuti mwoyo wako uri kushanda zvakanaka sei. Mwoyo inhengo inokosha kwazvo mumuviri wedu. Asi unogona kuvimba neizvi: Kana chiremba wako akawana dambudziko nemoyo wako, iye achauya nehurongwa hwakanakisisa hwekukubatsira. Usatya kubvunza mibvunzo nezvechinhu chipi zvacho chausinganzwisise. Bvunza chiremba wako kana vashandi vezvehutano. Ipapo uchakwanisa kukunda kutya kwako bvunzo iyi.

Kuongororwa kweAdenosine Stress, Kuongororwa kweMwoyo, Chirwere cheCoronary Artery, Hutano hweMwoyo, Kutenderera kweRopa, Kuongororwa kweUtano, CAD