Dambudziko remwoyo? Ngatidzidzei zvese nezve Echocardiogram!

Wakambozvibvunza here kuti chii chinoitika mumoyo mako uye kuti chinoshanda sei? Dzimwe nguva chiremba angakuudza kuti 'ita echo'. Saka, nhasi tichataura muchidimbu nezve echocardiogram uye kuti inogona kuona chii. Muchidimbu, echocardiogram ibvunzo inoratidza mufananidzo wekufamba kwemoyo wako. Mubvunzo uyu, chiremba kana nyanzvi yezvemagetsi inoisa mudziyo mudiki unobatwa nemaoko pachipfuva chako uye inoshandisa mafungu eruzha anonzi ultrasound kutora mifananidzo yemavharuvhu nemakamuri emwoyo wako. Izvi zvinogona kukubatsira kuona chaizvo kuti moyo wako uri kupomba ropa sei.

Vanachiremba vanowanzo shandisa bvunzo iyi pamwe chete neDoppler ultrasound necolor Doppler kuti vaone kuti ropa rinoyerera sei kuburikidza nemavharuvhu emwoyo. Chinhu chakanakisa ndechekuti bvunzo iyi haishandise chero mwaranzi. Izvi zvakasiyana nedzimwe bvunzo dzinoshandisa mwaranzi , dzakadai seX-rays kana CT scans .

Ndiani anoita echocardiogram iyi?

Unoziva here kuti ndiani anoita echocardiogram iyi? Pane munhu akadzidziswa zvakanyanya, tinomuti inyanzvi yekuona cardiac sonographer . Ndivo vanoshandisa tekinoroji iyi yemazuva ano uye vanoita bvunzo iyi mukamuri rechipatara, kana dzimwe nguva munzvimbo yakakosha yekurapa cardiac ( catheterization lab ).

Kune mhando dzakasiyana dze echocardiograms here?

Ehe, kune mhando dzakasiyana dzebvunzo dze echo. Rudzi rumwe nerumwe rune zvarunobatsira pakuongorora nekurapa chirwere chemwoyo wako. Mhando huru ndeidzi:

• Transthoracic echocardiogram: Iyi ndiyo nzira inonyanya kuitwa uye ndiyo inozivikanwa nevanhu vazhinji.
• Kuongororwa kwemoyo kweTransesophageal: Iyi inzira yakakosha zvishoma inobvumira kunyatsoongorora moyo.
• Echocardiogram yekuyedza mwoyo paunenge uchirovedza muviri: Izvi zvinoedza moyo wako paunenge uchirovedza muviri.

Ndedzipi nzira dzinoshandiswa pakuedza echo?

Nzira dzakasiyana dzinoshandiswa kutora mifananidzo yemoyo wako. Nzira yakanakisisa inoenderana nemamiriro ako ezvinhu uye izvo chiremba anoda kuona.

• Ultrasound ine mativi maviri (2D): Iyi ndiyo mhando inonyanya kushandiswa. Mwoyo unoonekwa pakombiyuta se "zvidimbu".
• Ultrasound yezvikamu zvitatu (3D): Iyi nzira yezvikamu zvitatu yave yepamusoro-soro netekinoroji itsva. Inogona kutora mufananidzo wakakwana wezvikamu zvitatu zvemoyo. Inoratidza nzira iyo ropa rinopombwa nayo zvakajeka, uye unogona zvakare kuona moyo kubva kumativi akasiyana.
• Doppler ultrasound: Izvi zvinoongorora kuti ropa rako riri kuyerera nekukurumidza sei uye nenzira ipi.
• Kuongororwa kweDoppler neruvara: Izvi zvinoratidzawo kuyerera kweropa, asi neruvara. Zviri nyore kunzwisisa nekuti ropa rinoyerera nenzira dzakasiyana, richiratidza mavara akasiyana.
• Kufungidzira kusvuta: Izvi zvinoratidza shanduko diki pakufamba kwetsandanyama dzemwoyo . Izvi zvinogona kubatsira zvikuru pakuona zviratidzo zvekutanga zvezvirwere zvemwoyo.
• Kufungidzira musiyano: Muizvi, mvura yakakosha ( contrast agent ) inopinzwa mutsinga yako. Mvura iyi inoonekwa zvakajeka pamifananidzo, saka zvinhu zviri mumoyo zvinogona kuonekwa zviri nani. Vamwe vanhu vanogona kunge vaine allergy zvishoma nazvo, asi kazhinji haisi nyaya hombe uye inokurumidza kupera.

Kuedza echo kunotora nguva yakareba sei?

Kuongororwa kwemoyo (echocardiogram) kunowanzo tora maminetsi angangoita 40 kusvika 60. Zvisinei, kuratidzwa kweropa nepaburi remudumbu (transesophageal echo), uko kunoitwa nechubhu yakapinzwa muhuro, kunogona kutora maminetsi angangoita 90.

Echo neEKG zvinhu zvakafanana here? Kana kuti zviviri here?

Chimwe chinhu chinovhiringidza vanhu vazhinji ndechekuti Echo neECG (EKG kana ECG) zvakafanana here kana kuti kwete. Zvese zvinotarisa pamoyo wako, asi zvinhu zvavanotarisa uye maitiro azvo zvakasiyana.

Chinongedzo chinotarisa chimiro chose, chimiro, uye mashandiro emoyo. Chinoburitsa mifananidzo inofamba yemoyo.

ECG (EKG) inoyera mashandiro emagetsi emwoyo. Haiburitse mifananidzo yemoyo, asi girafu. Mitsetse iri pagirafu iyi inoratidza kurova kwemoyo uye mutinhimira.

Ndirini pandinofanira kuongororwa echocardiogram?

Zvino ngationei kuti chiremba angakuudza riini kuti upinzwe echocardiogram.

• Kana uine zviratidzo (semuenzaniso kurwadziwa pachipfuva, kunetseka kufema), tsvaga chikonzero (tsvaga chirwere kana kusimbisa kuti hapana chirwere chakadaro).
• Kana chiremba achifunga kuti une chirwere chemwoyo,Izvozvo zviripo. Zvadaro tinoita chimwe chinhu kuti tizive kuti chii chaizvo uye towana rumwe ruzivo nezvazvo.
• Kana uine chirwere chemwoyo chakaonekwa kare, tarisa mamiriro acho. Semuenzaniso, vamwe vanhu vane chirwere chevharuvhu yemwoyo vanofanira kuongororwa mwoyo nguva nenguva.
• Kana uri kugadzirira kuvhiyiwa kana imwe nzira yekurapa.
• Ona kuti mhedzisiro yacho yakaita sei mushure mekuvhiyiwa kana kurapwa.

Chii chinoratidzwa ne echocardiogram?

Echocardiogram inogona kuona mhando dzakasiyana dzezvirwere zvemwoyo. Heano mimwe mienzaniso mishoma:

• Chirwere chemwoyo chekuzvarwa nacho: Izvi zvinoreva chirwere chemwoyo chinowanikwa pakuzvarwa.
• Cardiomyopathy: Ichi chirwere chinokanganisa tsandanyama dzemwoyo.
• Infective endocarditis: Uku kutapukira kwemoyo mumakamuri emwoyo kana mavharuvhu.
• Chirwere chemwoyo: Ichi chirwere chinokanganisa saga diki ( pericardium ) rakakomberedza moyo.
• Chirwere chevharuvhu: Ichi chirwere chinokanganisa mavharuvhu, ayo akaita se "masuo" ari pakati pemakamuri emwoyo.

Uyewo, echo inogona kuratidza shanduko dzinotevera mumoyo:

• Aneurysm yeropa guru
• Kugwamba kweropa
• Bundu remwoyo

Echo yeTransthoracic inoitwa sei?

Iyi ndiyo mhando inofungidzirwa nevanhu vazhinji pavanonzwa izwi rekuti 'heart echo'. Iyi ndiyo nzira inonyanya kushandiswa uye yakajairika. Inoitwa kunze kwemuviri wako. Nyanzvi ye sonographer yakadzidziswa inoisa mudziyo mudiki, unobatwa nemaoko (unonzi transducer ) pachipfuva chako uye inotumira mafungu eruzha mumoyo mako. Mafungu aya anosvetuka kubva muzvikamu zvemoyo wako uye 'echo', kana kuti anodzokorora, zvakare. Aya 'manzwi' ndiwo anoonekwa semifananidzo pakombiyuta ye sonographer. Mifananidzo iyi inogona kuonekwa nachiremba wemwoyo wako nevamwe vanachiremba.

Ndingagadzirira sei kunzwa uku kwe transthoracic echo?

• Hapana chikonzero chekugadzirira zvakawanda nezveizvi. Kazhinji, haufanirwe kudzora kudya nekunwa kwako.
• Kana uine mishonga, inwa sezvawagara uchiita.
• Unogona kuuya wakapfeka chero mbatya. Uchafanirwa kuchinja usati waenda kunoongororwa.
• Zviri nani kusiya zvinhu zvinokosha kumba. Vanokupa nzvimbo yekuchengetera zvinhu zvako.

Chii chinoitika panguva yeTransthoracic Echo?

• Kutanga, uchaudzwa kuti ubvise mbatya dzako kubva muchiuno zvichikwira wopfeka gown rekuchipatara.
• Nyanzvi ichaisa zvinamira zvidiki, zvakati sandara, zvinonamira ( maelectrode ) pachipfuva chako. Izvi zvakabatana neEKG monitor.Yakabatana. Izvi zvinonyora mashandiro emagetsi emwoyo wako panguva yese yekuedzwa.
• Uchafanira kurara patafura yekuongororwa. Uchakumbirwa kurara nerutivi rwako rweruboshwe kana zvichibvira.
• Nyanzvi inoisa mudziyo unonzi transducer (tichaudaidza kuti 'tsvimbo') pachipfuva chako panzvimbo dzakasiyana. Musoro wacho une gel shoma inoiswa pairi, iyo isingakuvadzi ganda. Gel iyi inobatsira kutora mifananidzo yakajeka.
• Unogona kunzwa ruzha rwekuti 'swish swish' panguva yebvunzo. Izvi zvakajairika, usazvidya moyo. Izvi zvinokonzerwa nekuti tsvimbo iri kubata ruzha rweropa riri kuyerera mumoyo.
• Munguva yebvunzo, nyanzvi yezvemagetsi ichakukumbira kuti ubatisise mweya wako kwemasekondi mashoma uye inogonawo kukukumbira kuti uende kune imwe nzvimbo yakasiyana.

Hamuzonzwi kusagadzikana panguva yekuyedzwa uku. Gel iri patsvimbo ichaita kuti ganda renyu rinzwe kutonhora zvishoma. Munogonawo kunzwa kumanikidzwa kudiki kana tsvimbo ikamanikidzwa pachipfuva chenyu.

Kuvhiyiwa kweTransesophageal Echo (TEE) kunoitwa sei?

Izvi zvinotora mifananidzo kubva mukati mechipfuva, kwete kunze. Zvinogona kuona moyo nemavharuvhu zvakadzama kupfuura echo inotenderera chipfuva . Izvi zvinodaro nekuti mapfupa ako nenyama hazvipindi pakati pe transducer nemoyo wako. Pakuyedzwa uku, nyanzvi inoisa transducer diki kuburikidza nechubhu refu, inochinjika ( endoscope ) ichidzika pahuro pako uye mugurokuro rako. Iyi inzira isinganyanyi kupindira, saka unogona kunzwa kusagadzikana kwenguva pfupi. Asi hapana njodzi huru.

Rudzi urwu rwe echo runogona kushandiswa mumamiriro ezvinhu anotevera:

• Chiremba angangoda kunyatsoongorora aorta yako kana kumashure kwemoyo wako (kunyanya atrium yekuruboshwe kana ventricle yekuruboshwe).
• Tarisa kana ropa rakagwamba .
• Tarisa vharuvhu yako yemitral kana vharuvhu yeaortic .
• Kana uine chirwere chekufutisa kana chemapapu.
• Kana echo ye transthoracic isingagone kuitwa nekuda kwezvimwe zvikonzero zvakasiyana-siyana.

Unogadzirira sei transesophageal echo (TEE)?

Paunenge uchigadzirira izvi, unofanira kuudza chiremba wako kana uine chimwe chezvinotevera:

• Matambudziko emudumbu , akadai sehernia yekusununguka kwepamuviri .
• Kuoma kumedza.
• Kutadza kufema zvakanaka pakurara .
• Kana mishonga ikapinzwa mutsinga ( kushandiswa kwemishonga netsinga dzemuviri ).

Zvakare, zvakakosha kutaura kana uri kutora mushonga wechero chezvinotevera:

• Matambudziko ekushaya hope.
• Kuzvidya mwoyo .
• Kurwadziwa .

Zvinhu zvekugadzirira pazuva rebvunzo:

• Iva nechokwadi chekuuya nemumwe munhu kuti akutore uende naye kumba. Uchapiwa mushonga wekuyedza uku, saka hauzokwanisi kutyaira kwemaawa makumi maviri nemana.
• Usadye kana kunwa chero chinhu kwemaawa matanhatu usati waongororwa. Chiremba wako achakupa mirairo chaiyo yezvekudya nekunwa. Zvakakosha kuitevedzera nemazvo.
• Bvunza chiremba wako nezvenguva yaunofanira kunwa mushonga wako wenguva dzose. Unogona kunwa panguva iyoyo nemvura shoma.
• Kana uri kutora mushonga wechirwere cheshuga , bvunza chiremba wako kuti mushonga uyu ungatorwa riini uye sei.
• Ndapota siyai zvinhu zvenyu zvinokosha kumba. Kabhodhi rekuchengetedza zvinhu zvenyu richapihwa.
• Pfekai mbatya dzinonyatsokufadzai. Muchafanira kupfeka mbatya dzechipatara musati matanga kuvhiyiwa.

Chii chinoitika panguva ye transesophageal echo (TEE)?

• Unofanira kubvisa mbatya dzako pamusoro pechiuno wopfeka gown rekuchipatara.
• Chiremba achaisa maelectrode (zvidhindo zvidiki) pachipfuva chako. Izvi zvinogona kutarisa mashandiro emagetsi emwoyo wako panguva yekuongororwa.
• Chiremba achabatanidza chivharo cheBP paruoko rwako uye chinodzora pulse oximeter pamunwe wako.
• Uchasukwa pahuro nemvura inokubatsira kunzwa kusanzwa. Chiremba achapfapfaidzawo mushonga wekuderedza marwadzo pahuro pako.
• Kuti unzwe wakasununguka, uchapihwa mushonga weIV uye uchararamisa. Mushure mechinguva, unotanga kunzwa hope.
• Ungangoiswa chubhu diki mumhino yako kuti ikupe oxygen.
• Unofanira kutendeukira kuruboshwe worara pasi patafura yekuongorora.
• Chiremba achaisa endoscope ( chubhu refu, yakatetepa, inochinjika ine transducer kumagumo) nemuromo wako. Chubhu iyi ichapinda muhuro mako yopinda mugurokuro rako. Ichaiswa mafuta kuti iderere nyore nyore. Kunyangwe izvi zvinganzwa zvisina kunaka, hazvizokukuvadze.
• Ungakumbirwa kuti umedze kuti transducer ive panzvimbo chaiyo iri shure kwemoyo wako.
• Chiremba anotora mifananidzo. Hauzonzwi chero chinhu panguva ino.
• Mushure mekunge chiremba atora mifananidzo yaanoda, achabvisa chubhu pahuro pako. Munguva pfupi, uchava wagadzirira kuchinja mbatya woenda.

Maitiro ekuita Exercise Stress Echo?

Muedzo wekumanikidzwa kwekurovedza muviri , dzimwe nguva unonzi muedzo wekumanikidzwa , unoratidza mashandiro anoita moyo wako kana uchishanda nesimba, kureva kuti, uri pasi pe'stress'. Muedzo uyu ndewechinyakareZvakafanana nebvunzo yekumanikidzwa kwekurovedza muviri. Nyanzvi yezvemitambo ichaongorora kurova kwemoyo wako, mutinhimira, uye BP (chinhu chimwe chete chaungaita panguva yekuongororwa kwekumanikidzwa nguva dzose). Zvisinei, bvunzo iyi inosanganisirawo echo imaging (iyo isingaitwe panguva yekuongororwa kwekumanikidzwa nguva dzose). Bvunzo iyi inoratidza kuti mwoyo wako unogona sei kutsungirira chiitiko ichi. Nyanzvi yezvemitambo ichakutora mifananidzo usati watanga kurovedza muviri uye wapedza.

Mune zvimwe zviitiko, haufanirwe kurovedza muviri. Pane kudaro, chiremba wako achakupa mushonga wekuti mwoyo wako ushande nesimba, sekunge uri kurovedza muviri. Chinangwa ndechekuita kuti mwoyo wako ude okisijeni yakawanda. Kana moyo wako waneta, nyanzvi inogona kuona zvinhu zvausingakwanise kuona paunenge wakarara patafura yekuongororwa. Semuenzaniso, matambudziko netsinga dzemwoyo wako kana mukati memoyo wako.

Ungagadzirira sei Exercise Stress Echo?

Chiremba wako achakupa mirayiridzo yakadzama yekuti ungagadzirira sei bvunzo iyi. Uchafanira kugadzirira zvakawanda pane zvimwe zvirwere.

• Usadye kana kunwa chimwe chinhu kunze kwemvura kwemaawa mana usati waongororwa.
• Usasvuta pazuva rebvunzo.
• Usanwe chero chinhu chine caffeine kwemaawa makumi maviri nemana bvunzo isati yaitwa. Izvi zvinosanganisira kofi, tii, zvinwiwa zvisina shuga (zvinewo caffeine shoma), uye mimwe mishonga yekurwadziwa inotengeswa pasina kunyorerwa chiremba .

Bvunza chiremba wako kuti ungatora riini uye sei mishonga yako yenguva dzose. Ungangoda kurega kutora mimwe mishonga yemwoyo pazuva rekuongororwa. Muyero wemushonga wako wechirwere cheshuga ungangodawo kugadziriswa. Tevedzera mirairo yachiremba wako nemazvo.

Kunyangwe usingazopinzwe marwadzo emudumbu nekuda kweizvi, zvakanaka kuti mumwe munhu akuperekedze kuenda nekudzoka kuchipatara, sezvo unganzwa kuneta mushure mekuvhiyiwa.

Pfeka mbatya neshangu zvinokunyaradza. Uchafamba netreadmill kana kutasva bhasikoro risingamire panguva yebvunzo, saka pfeka zvinokufadza.

Chii chinoitika kana ukaita Exercise Stress Echo?

• Nyanzvi ichaisa maelectrode (zvidhindo zvidiki) pachipfuva chako. Izvi zvakabatana neEKG monitor kuti iongorore kurova kwemoyo wako uye kumhanya kwemuviri panguva yese yebvunzo.
• Usati watanga kufamba, chiremba achayera kurova kwemoyo wako, kurova kwemoyo, uye BP.
• Paunenge wakarara patafura yekuongororwa, nyanzvi yezvemagetsi inotora mifananidzo yemoyo wako. Anoisa tsvimbo inobatwa neruoko inoshandiswa pakuongorora manzwi emuviri wako nguva dzose panzvimbo dzakasiyana-siyana.
• Wobva watanga kufamba. Unogona kufamba uri patreadmill kana kutasva bhasikoro risingamire . Wedzera kumhanya/simba zvishoma nezvishoma.
• Unofanira kuramba uchiita kusvika waneta. Izvi zvinowanzotora maminetsi angangoita manomwe kusvika gumi nemaviri.
• Paunenge uchirovedza muviri, nyanzvi yezvemitambo ichakubvunza kuti unonzwa sei. Vaudze chero zviratidzo zvauri kuona. Vachatarisawo moyo wako vachishandisa EKG monitor .
• Kana wamira kufamba, bvunzo ye echo ichaitwa zvakare.
• Zvadaro uchatonhorera nekufamba netsoka kana kutasva bhasikoro kwenguva yakati. Chiremba achatarisa zviratidzo zvako zvehupenyu kusvika zvadzokera pazvakajairika.

Kana wakapihwa mushonga wekuti mwoyo wako 'uremerwe', maitiro acho achasiyana zvishoma. Hauzove uri patreadmill kana pabhasikoro. Taura nachiremba wako nezvezvaunotarisira uye kuti unganzwa sei panguva yekuongororwa kwakadaro.

Ndingawana sei mhinduro dzangu dzebvunzo?

Mushure mekunge chiremba wemwoyo wenyu aongorora bvunzo, achaisa mhinduro dzacho murekodhi yenyu yezvekurapa yemagetsi. Chiremba wenyu mukuru anogonawo kuona mhinduro idzi. Muchakurukura mhinduro idzi nemumwe wevanachiremba ava kana vese.

Bvunza chero mibvunzo yauinayo nezvemifananidzo uye zvazvinoreva. Chiremba achakutsanangurira zvinoratidzwa nemifananidzo uye kana uchida kuongororwa kana kurapwa.

Chii chausingafaniri kuita usati waita echocardiogram?

Zvinoenderana nerudzi rweultrasound yauri kuita. Bvunza chiremba wako kuti chii chaizvo chaunofanira kuita nezvausingafaniri kuita. Heano mamwe maitiro aungasade kuita usati waita ultrasound:

• Kudya nekunwa (kunyanya kune transurophageal echoes uye stress echoes ).
• Kusvuta kana kushandisa zvimwe zvigadzirwa zve nicotine .
• Kofi kana chero chinhu chine caffeine . Izvi zvinosanganisira zvinwiwa zvisina caffeine , izvo zvinewo caffeine shoma. Izvi zvinosanganisirawo mimwe mishonga inotengeswa muzvitoro isina kunyorerwa chiremba ine caffeine.

Ungangodawo kuchinja purogiramu yako yemishonga usati waongororwa. Usamira kana kuchinja chero mishonga usina kutaura nachiremba wako.

Mharidzo yekudzokera nayo kumba kubva muchinyorwa chino

Echocardiogram ibvunzo inokosha inogona kuburitsa zvakawanda nezvemaumbirwo uye mashandiro emwoyo wako. Kana chiremba wako akakuudza kuti uite echo, bvunza nezverudzi rwebvunzo yauchaita uye zvaunotarisira. Ungangoda kuita echo imwe chete, kana bvunzo dzakawanda uchishandisa nzira dzakasiyana, kuti uwane ruzivo rwese rwaunoda chiremba wako nezvemoyo wako.

Kumbira chiremba wako kuti akutsanangurire mifananidzo yacho uye akubatsire kunzwisisa zvazvinoreva. Kuita basa guru mukuongororwa kwako nekurapwa kunogona kukubatsira kuti unzwe wakasununguka padanho rega rega rekuita izvi.

` Echocardiogram, bvunzo ye echo, kuongorora moyo, chirwere chemwoyo, mashandiro emoyo, echo ye transthoracic, echo ye transesophageal, echo ye stress, bvunzo dzemoyo