Bvunzo yakakosha yekuziva nezvehutano hwemoyo wako: Zvese nezve Bvunzo yeNyukireya yeMwoyo!

Dzimwe nguva, kana tiine matambudziko madiki nemoyo yedu, kana patinofungidzira chirwere chemwoyo, vanachiremba vanotikumbira kuti tiite bvunzo dzakasiyana-siyana. Ehe, bvunzo iyi inokosha inotarisa zvakadzama hutano hwemwoyo, kunyanya nzira iyo ropa rinoendeswa kumoyo, inonzi bvunzo yekushushikana kwemoyo yenyukireya. Ungave wakanzwa zita iri, kana kuti chiremba wako angangove akakukumbira kuti uite bvunzo iyi. Saka, ngatitaurei nezvazvo zviri nyore uye zvakajeka nhasi, zvakanaka here?

Chii chinonzi bvunzo iyi yeNuclear Cardiac Stress Test?

Zvichitaurwa zviri nyore, iyi bvunzo yakakosha inobatsira kuongorora chirwere chemwoyo. Chinoitika pano ndechekuti chiremba kana nyanzvi yezvemagetsi inobaya huwandu hushoma hwezvinhu zvine radioactive (tracer kana radiopharmaceutical) mumuviri wako, ndiko kuti, mutsinga yeropa. Usazvidya moyo, iyi ishoma kwazvo, uye yakachengeteka. Iyi midziyo inofamba nemutsinga dzeropa rako uye inonyudzwa mutsandanyama dzemwoyo netsinga dzeropa. Zvadaro, kana ichionekwa nekamera yakakosha, nzira iyo ropa rinoyerera nayo kuenda kumoyo, uye zvikamu zvemoyo zvinoonekwa zvakajeka. Izvi zvakafanana nekushandisa tochi kuti uwane chimwe chinhu murima.

Bvunzo iyi inodanwa nemamwe mazita, uye chiremba wako angangodaro akati rimwe remazita aya:

• Kuongorora kwePET yemwoyo (Positron Emission Tomography).
• Kuongororwa kweCardiac SPECT (Single-Photon Emission Computed Tomography).
• Kufungidzira Kuyerera Kweropa Mumwoyo (MPI).
• Kuedzwa kwekumanikidzwa kwenyukireya.

Usavhunduke kana ukanzwa mazita aya, aya mazita akasiyana ebvunzo imwe chete.

Ndedzipi mhando dzemiedzo yekushushikana kwemwoyo yenyukireya dziripo?

Kune nzira mbiri huru dzekuita bvunzo iyi, imwe ndeye "stress" testing, iyo inosanganisira kuisa huwandu hwakati hwedzvinyiriro pamoyo.

1. Kuedza kumanikidza muviri: Mubvunzo uyu, uchakumbirwa kurovedza muviri uri pabhasikoro remitambo kana kuti rakamira. Wedzera kumhanya zvishoma nezvishoma kusvika kurova kwemoyo wako kwasvika padanho rakatarwa. Izvi zvinowedzera kuyerera kweropa kuenda kumoyo.

2. Kuongororwa kwemishonga: Fungidzira kuti unoomerwa nekuita maekisesaizi nekuda kwedambudziko remajoini kana chimwe chikonzero. Nzira iyi inoshandiswa kuvanhu vakadaro. Chinoitika pano ndechekuti mushonga unopinzwa mutsinga iri muruoko rwako. Mushonga uyu unowedzera kuyerera kweropa kuenda kumoyo, sekunge paunorovedza muviri, ndiko kuti, unomutsa moyo.

Pamusoro pezvo, tekinoroji inoshandiswa kutora mifananidzo inoratidzawo kuti i "PET" kana kuti "SPECT". Izvozvo ndizvo zvinosarudzwa navanachiremba.

Chii chingawanikwe nekuyedzwa uku kwekushushikana kwemwoyo kwenyukireya?

Kuongororwa uku kunowanzoitwa kuti kuongororwe chirwere chemwoyo (CAD).Tarisa kuti ionekwe here uye uiongorore. Unoziva here kuti chii chinonzi ``(CAD)``? Zvinoreva kuti tsinga dzinopa ropa kumoyo (tsinga dzemoyo) dzinovharwa nemafuta akaunganidzwa. Zvakafanana nevhu rinonamira mupombi yemvura uye kuderedza kuyerera kwemvura.

Kuongororwa uku kunogona kuratidza zvimwe zvinhu zvakawanda:

• Tsandanyama dzemwoyo wako dziri kushanda zvakanaka here, zvichireva kuti dziri kupomba zvakanaka here?
• Pane nzvimbo here apo ropa rinoyerera kuenda kumoyo rinoderera ?
• Tsvaga nzvimbo chaiyo yetsinga dzakavharika .
• Mwoyo wakakuvadzwa nechimwe chinhu chakafanana nechirwere chemwoyo chakamboitika here ?

Uyewo, bvunzo iyi inogona kuitwa nevanhu vane zvirwere zvinotevera:

• Chirwere chemwoyo chakasimba.
• Kuchinja kwekushanda kwemagetsi mumoyo kunonzi bundle branch block.
• Kukundikana kwemoyo (congestive heart failure).
• Zvimwe zvirwere zvemwoyo zvakasimbiswa kana zvinofungidzirwa.
• Kutadza kufema zvakanaka.

Ndiani ari kuita bvunzo iyi?

Vanachiremba vemwoyo vanowanzo kurudzira bvunzo iyi. Dzimwe nguva vanoizviita vega, kana kuti vanobatsirwa nenyanzvi ye radiology. Vese vane kudzidziswa kwakakosha kweizvi.

Ndeupi musiyano uripo pakati pebvunzo yekushushikana yakajairika nebvunzo yekushushikana kwenyukireya?

Pamwe wakambonzwa nezvebvunzo yekusimbisa muviri nguva dzose. Pane zvimwe zvakafanana pakati payo nebvunzo iyi yekusimbisa muviri. Dzose dzinoshandisa electrocardiogram (EKG) kuti dzione mashandiro emagetsi emwoyo wako. Uye dzese dzinotarisa kuti mwoyo wako unoita sei kana uri pasi pedambudziko.

Zvisinei, bvunzo yekumanikidzwa kwenyukireya inzira yepamusoro-soro. Inogona kupa ruzivo rwakadzama.

Mukuedzwa kwekurovedza muviri kwakajairika, moyo wako unoongororwa chete ne electrocardiogram (EKG) kana wakazorora uye paunenge uchirovedza muviri.

Zvisinei, mukuyedzwa kwekumanikidzwa kwenyukireya, chinhu chine mwaranzi chinonzi ``(tracer)`` chandambotaura chinopinzwa mumuviri, uye kamera yakakosha inotora mifananidzo yemoyo usati waita maekisesaizi uye mushure mekurovedza muviri. Izvi zvinotibvumira kuona zvakajeka kuti ropa rinoyerera sei mumoyo.

Ndinofanira kugadzirira sei bvunzo iyi?

Chiremba wako achakupa mirairo yakajeka yekuti ungagadzirira sei bvunzo iyi. Zvakakosha kuitevera nemazvo kuti uwane mhedzisiro yakanaka. Vanowanzo taura zvinhu zvakaita seizvi:

• Dzivisa kudya zvinwiwa zvine caffeine (semuenzaniso kofi, tii, zvinwiwa zvisina doro, chokoreti) nemishonga kwemaawa makumi maviri nemana bvunzo isati yaitwa.
• Kana uchinetseka kufema, uya nezvinhu zvakaita semushonga wako wekufemesa.
• Usasvuta usati waenda kunoongororwa.
• Tsanya kwemaawa mashoma usati waongororwa (unogona kunwa mvura chete).
• Udza chiremba wako nezvemishonga yese yaunotora (yakanyorwa nachiremba, inotengeswa pasina kunyorerwa chiremba, mishonga isingabvumirwe, mishonga inovaka muviri).
• Pfeka mbatya dzakanaka, dzisingapindiki uye shangu dzemitambo.

Chinhu chinonyanya kukosha ndechekuti chiremba wako anogona kukukumbira kuti urege kutora mimwe mishonga kana kuti uchinje mwero wemushonga usati waongororwa. Zvisinei, usamborega kana kuchinja chero mishonga yauri kutora usina kurayirwa nachiremba wako.

Chii chinoitika panguva yebvunzo? Chii chandichawana?

Bvunzo iyi inowanzoitwa muchipatara kana kiriniki nenyanzvi kana chiremba akadzidziswa zvine hunyanzvi. Hezvino zvinowanzoitika:

1. Kutanga, tsono diki inopinzwa mutsinga iri muruoko rwako uye mutsetse weIV unopinzwa. Apa ndipo panopinzwa radioactive tracer mumuviri wako. Unganzwa kutonhora zvishoma painopinda mumuviri wako.

2. Zvadaro, unofanira kumirira kwemaminitsi mashoma kuti chinhu ichi chifambe mumuviri wese uye chipinde mumoyo.

3. Zvadaro, vanonamira zvidimbu zvidiki zvechinhu chinonzi maerekitirodhi pachipfuva chako, maoko, nemakumbo. Dzimwe nguva, ungangoda kuchekerera bvudzi riri munzvimbo iyoyo kuti zvimedu zvinamire zviri nani.

4. Maelectrode aya akabatana nemuchina we ``(EKG)``, uyo unoyera mashandiro emagetsi emwoyo wako nguva dzose.

5. Kumanikidzwa kweropa rako kuchaongororwa nguva nenguva nechinhu chinovhara ropa.

6. Zvadaro, uchakumbirwa kurara pasi patafura. Kamera yakakosha ichatora mifananidzo yemoyo wako. Aya ndiwo mifananidzo "yekuzorora".

7. Chinotevera chikamu che "stress". Unokumbirwa kuti uite maekisesaizi uri pa treadmill kana pabhasikoro. Tanga zvishoma nezvishoma pakutanga wowedzera kumhanya/simba zvishoma nezvishoma.

8. Uchakumbirwa kuti uite maekisesaizi kusvika kurova kwemoyo wako kwasvika padanho raunotarisirwa nachiremba, kana kusvika wava nezviratidzo zvisingafadzi (semuenzaniso kurwadziwa pachipfuva, kuneta kwakanyanya). Zvisinei, unogona kumisa bvunzo chero nguva kana usingakwanise kuzviita.

9. Paunenge uchirovedza muviri kana kuti wasvika padanho repamusoro, uchapinzwa jekiseni diki rechinhu chine radioactive `(tracer)` zvakare.

10. Zvadaro, zvakare, ndinogara pasi patafura ndotora seti yechipiri yemifananidzo (mifananidzo yekushushikana).

Ko kana ndisingakwanise kurovedza muviri?

Usazvidya moyo. Ndakambotaura kare kuti vamwe vanhu vanoomerwa nekuita maekisesaizi. Kune munhu akadaro, chiremba anobaya mushonga mutsinga iri muruoko rwako. Mushonga uyu unoshanda nekukurudzira moyo uye kuwedzera kuyerera kweropa, sezvinoita paunoita maekisesaizi. Saka, mushonga uyu unogona kukonzera mamiriro akafanana mumoyo usingaite maekisesaizi.

Kuedzwa uku kwekumanikidzwa kwenyukireya kunotora nguva yakareba sei?

Kazhinji, bvunzo yese inogona kutora maawa matatu kusvika mana , nekuti zvinotora nguva kuti zvinhu zvine mwaranzi zvipinde mumuviri, pamwe nenguva yekutora mifananidzo nekuita maekisesaizi.

Chii chandinofanira kuita uye chandinofanira kudzivisa mushure mekuongororwa?

Kana bvunzo yapera, chiremba wako achakupa mirairo. Kazhinji, unogona kuramba uchiita mabasa ako enguva dzose.

Zvisinei, vanokuudza kuti unwe mvura yakawanda kuti zvinhu zvine mwaranzi zvakapinzwa mumuviri wako zvibude mumuviri wako nekukurumidza.

Vamwe vanhu vanogona kunzwa kuneta zvishoma, dzungu, kana musoro mushure mekuongororwa. Izvi zvinopera mushure mechinguva, nekuzorora.

Ndeipi njodzi dzekuedzwa uku kwekumanikidzwa kwenyukireya?

Bvunzo idzi dzinowanzo chengetedzwa zvikuru. Zvisinei, kashoma, munhu mumwe chete pavanhu 5,000 anogona kusangana nedambudziko diki. Semuenzaniso:

• Kurova kwemoyo kusina kurongeka (Arrhythmia).
• Kurwadziwa kwechipfuva.
• Kurwiswa kwemoyo (myocardial infarction) (izvi hazviwanzoitiki).
• Kuderera kweropa (hypotension).

Nekuti bvunzo iyi inoshandisa chinhu chine radioactive, unosangana nemwaranzi shoma kwazvo. Kunyangwe takanzwa kuti mwaranzi inogona kukonzera kenza, inoda kuti unosangana nemwaranzi yakawanda kwazvo, kazhinji kwenguva yakareba. Huwandu hwemwaranzi mubvunzo iyi hushoma kwazvo.

Zvakakosha: Kuongororwa uku kwekumanikidzwa kwesimba renyukireya hakukurudzirwi kune vanhu vane mamwe matambudziko ehutano akaoma kana asingadzoreki. Semuenzaniso:

* Kurwadziwa kwakanyanya pachipfuva (Angina).

* Kuchekwa kwetsinga yeropa.

* Kutetepa kweaorta (Aortic stenosis).

* Matambudziko emwoyo asingadzoreki `(Arrhythmia)`.

* Kukundikana kukuru kwemoyo.

* Utachiona hwemwoyo.

* Pulmonary embolism (kugwamba kweropa mumapapu).

* Kukwira kweropa mumapapu.

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Kana uine chirwere ichi, unofanira kuudza chiremba wako nezvazvo pachine nguva.

Ndichaziva rini zvabuda muongororo yangu?

Zvinogona kutora mazuva akati wandei kuti uwane mhedzisiro yekuongororwa kwesimba renyukireya, nekuti chiremba wemwoyo kana radiologist anoongorora mifananidzo yacho uye anoiongorora asati aburitsa mushumo.

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Saka, ikozvino ungangove wava kunzwisisa kuti iyi Nuclear Cardiac Stress Test chii. Iyi ibvunzo yakakosha zvikuru inobatsira kuona nekutarisa mamiriro ezvinhu akadai sechirwere chemwoyo, kunyanya chirwere chemwoyo.

Kana chiremba akakuudza kuti uedze chirwere ichi, hapana chikonzero chekutya kana kunetseka.Bvunza chiremba wako chero mibvunzo kana zvinokunetsa. Nekugadzirira zvakanaka usati waongororwa uye kutevedzera mirairo, uchakwanisa kuwana mufananidzo wakajeka wemamiriro emwoyo wako uye kugamuchira kurapwa kwakakodzera. Kutarisira moyo wako kwakakosha!

Chirwere chemwoyo , bvunzo yekushushikana kwenyukireya, bvunzo dzemwoyo, zvinhu zvine mwaranzi, chirwere chetsinga yemoyo, bvunzo yekurovedza muviri, hutano hwemoyo