Zvakajairika kunzwa kutya uye kutya zvishoma kana chiremba wako akakuudza kuti unofanira kuongororwa moyo. Patinonzwa izwi rekuti "stress test," vazhinji vedu tinofunga nezvebvunzo inosanganisira kumhanya uri patreadmill. Asi havasi vese vanogona kuita rudzi irworwo rwekurovedza muviri. Mumamiriro ezvinhu akadaro, bvunzo yakakosha inonzi adenosine stress test inoitirwa kutarisa kuti mwoyo wako uri kuwana ropa zvakadii. Saka, ngatitaure nezvazvo nemashoko akareruka, pasina kutya kana kusava nechokwadi.
Chii chaizvo chinonzi adenosine stress test iyi?
Zvichitaurwa zviri nyore, iyi bvunzo inoongorora kuti mwoyo wako uri kushanda zvakanaka sei. Patinoita maekisesaizi, kumhanya, kana kusvetuka, mwoyo yedu inorova nekukurumidza. Izvi zvinoita kuti tsandanyama dzemwoyo dzide ropa rakawanda. Iyi bvunzo inosanganisira kukupa mushonga mudiki unonzi adenosine, unovhura tsinga dzeropa mumoyo mako sekunge uri kurovedza muviri.
Fungidzira, mushonga uyu unogadzira mamiriro ezvinhu ekuti uri kumhanya uri patreadmill. Zvadaro, vanachiremba vanogona kuona kana paine musiyano pakati penzira iyo mwoyo wako unopomba ropa paunenge wakazorora uye nzira iyo unopomba nayo ropa uri pasi pemhando iyi ye "stress".
Pane zvinhu zvikuru zvinotariswa nebvunzo iyi:
- Tarisa kana paine kukuvara kwemoyo wako zvachose .
- Iva nechokwadi chekuti mwoyo uri kuwana ropa neokisijeni yakakwana .
- Chirwere chemwoyo (CAD) , chinova kuvharika kana kuti kutetepa kwetsinga dzinotakura ropa kuenda kumoyo.
Bvunzo iyi inofanira kuitwa rini?
Bvunzo iyi haisi yemunhu wese. Chiremba anogona kuikurudzira kune munhu anonetseka nekuita bvunzo yekushushikana nguva dzose. Heano mimwe mienzaniso:
- Kana usingakwanise kuita maekisesaizi uri patreadmill, zvakaita sekufamba kana kumhanya (semuenzaniso, mumwe munhu ane matambudziko emajoini kana matambudziko ekufema).
- Kana usingakwanise kurova kwemoyo wako kusvika padanho raunoda pasinei nekurovedza muviri.
- Kana uri kutora mimwe mishonga, yakadai se beta-blockers .
- Kana uine pacemaker yakaisirwa mumoyo mako.
- Kana uine dambudziko nemafambiro anoita masaini emagetsi mumoyo anonzi left bundle branch block .
Bvunzo iyi inoshanda sei?
Kunyangwe izvi zvingaita sezviri nyore, asi chaizvoizvo inzira yakarongeka zvikuru.
Kutanga, huwandu hushoma hwezvinhu zvine mwaranzi (radioactive marker) kana mvura chaiyo (contrast) inopinzwa mutsinga paunenge wakazorora. Zvadaro, kamera yakakosha (scanner) inotora mifananidzo yemoyo wako. Izvi zvinogona kuratidza kuti ropa rinoyerera sei mumoyo mako panguva dzakajairika dzekuzorora.
Zvadaro, mushonga unonzi "Adenosine" unopinzwa mutsinga yako kwemaminitsi mashoma. Kana mushonga uyu ukapinzwa mumuviri wako, tsinga dzeropa dziri mumoyo mako (coronary arteries) dzinokura, sekunge uri kurovedza muviri nesimba. Izvi zvinowedzera kumhanya kweropa kuenda kumoyo wako.
Panguva iyoyo, zvinhu zvine mwaranzi zvinopinzwa mumuviri zvakare, uye scanner inotora mifananidzo yemoyo. Iye zvino vanachiremba vanogona kuenzanisa mifananidzo yekutanga nemifananidzo yechipiri iyi.
Zvichitaurwa zviri nyore, kana ropa richiyerera zvakanaka kumativi ese emoyo kana rakazorora, uye kana "rakamanikidzwa" ropa richiyerera kune dzimwe nzvimbo rinoderera, zvinoreva kuti panogona kunge paine kuvharika kwetsinga yeropa munzvimbo iyoyo.
Chinoskena chinoshandiswa kutora mifananidzo iyi dzimwe nguva chingave chiskena cheMRI (Magnetic Resonance Imaging) , kana chiskena cheCT (Computed Tomography) chakakosha.
Ndinofanira kugadzirira sei bvunzo isati yaitwa?
Ichi chikamu chakakosha zvikuru. Unofanira kutevedzera mirairo iyi chaizvo kuti mhinduro dzebvunzo dzive dzechokwadi.
| Zvekuita | Tsananguro uye kukosha |
|---|---|
| Udza chiremba zvese. | Iva nechokwadi chekuudza chiremba wako nezvezvirwere zvaunazvo (kunyanya asthma) uye chero mishonga yaunotora (kusanganisira mavhitamini nemishonga yemishonga). Mamwe mamiriro ezvinhu anoita kuti bvunzo iyi isakodzere kushandiswa. |
| Kana uine asthma | Ungangoda kurega kutora mishonga yeasthma yakaita setheophylline mazuva maviri bvunzo isati yaitwa. Taura nachiremba wako nezveizvi. Uyewo, iva nechokwadi chekuuya nechinhu chako cheasthma chinokupinza mushonga wekunwa. |
| Caffeine haibvumidzwe! | Ichi ndicho chinhu chakakosha. Usadye kana kunwa chero chinhu chine caffeine kwemaawa makumi maviri nemana bvunzo isati yaitwa . Izvi zvinodaro nekuti caffeine inokanganisa mashandiro emushonga we adenosine. Zvinhu zvekumisa:
|
Chii chandinofanira kutevera pazuva rebvunzo?
Kugadzirira kwako kwakakoshawo zvikuru pazuva rebvunzo.
| Mazano | Tsananguro |
|---|---|
| Chikafu nechinwiwa | Uchakumbirwa kutsanya kwemaawa mashoma usati waongororwa. Hazvina kuipa kunwa mvura kuti utore mushonga wako. Chipatara chichakupa mirairo chaiyo nezveizvi. |
| Kusvuta | Dzivisa kusvuta zvachose pazuva rekuongororwa. |
| Rondedzero yemishonga | Uyai nerunyorwa rwemishonga yese (kusanganisira mavhitamini) yamunowanzo nwa. |
| Mazano akakosha kune vanhu vane chirwere cheshuga | |
| Kana ukatora insulin | Chiremba wako angangoda kugadzirisa dose ye insulin yako. Ungaudzwa kuti utore hafu ye dose yako yemangwanani wodya chikafu chakareruka maawa mana bvunzo isati yaitwa. Usambofa wakachinja dose yako usati watanga wabvunza chiremba wako. |
| Kana ukanwa mapiritsi | Ungangokumbirwa kuti urege kutora mapiritsi ako echirwere cheshuga kusvika bvunzo yapera. |
| Chiyero cheglucose | Uya ne glucometer yako. Unogona kutarisa huwandu hweshuga muropa rako usati waongororwa uye mushure mekuongororwa. Kana uchinzwa wakaderera, taurira vashandi nekukurumidza. |
Chii chinoitika panguva yebvunzo? Ndinofanira kutya here?
Hapana chikonzero chekutya. Vashandi vezvehutano vachakutarisira zvakanaka. Heano zvimwe zvinhu zvichaitika:
- Vachaisa mitsetse miviri yemutsinga muruoko rwako. Mumwe wekupa mushonga, uye mumwe wekupa zvinhu zvine mwaranzi.
- Maelectrode , ari zvidhindo zvidiki, anoiswa pachipfuva chako. Izvi zvinoshandiswa kugara uchitarisa mashandiro emwoyo wako uchishandisa muchina weEKG (Electrocardiogram) .
- Chivharo cheBP chinoiswa paruoko rwako uye BP yako inoyerwa nguva dzose.
- Uchaendeswa muskena wobva wakumbirwa kuti ugare wakanyarara kwemaminitsi angangoita makumi mana nemashanu .
- Vanokuudza kuti ubatisise mweya wako kwemasekondi mashoma uchitora mifananidzo.
- Usati wapihwa adenosine, uchaziviswa nezvemigumisiro yayo.
Maitiro ese anogona kutora maawa maviri, asi scan yacho pachayo inotora maminetsi makumi mana nemashanu.
Pane migumisiro yakaipa here pane izvi?
Mushonga we adenosine unogara mumuviri kwenguva pfupi. Saka kunyangwe kana migumisiro yakaipa ikaitika, inowanzopera mukati memasekonzi mushure mekunge mushonga wamiswa. Vanhu vanosvika 80% vanopinda bvunzo iyi vanowana migumisiro midiki.
Migumisiro yakajairika:
- Kutsvuka kwechiso, kusviba
- Kurwadziwa kwechipfuva kana kuomarara
- Kushaya mweya
Migumisiro isingawanzoitiki:
- Kuvharika kwemoyo
- Kufema (Bronchospasm) - kunyanya kune vane asthma
Usazvidya mwoyo kana migumisiro iyi ikaitika. Chikwata chekurapa chagadzirira. Kana zvichidikanwa, uchapihwa mishonga yakaita secaffeine kana aminophylline kudzora mamiriro aya.
Zvakabuda muongororo zvinoti chii?
Chiremba, uyo anoongorora mifananidzo kubva pakuongororwa kwako, achakuronga muzvikamu zvitatu zvichienderana nenjodzi yemoyo wako: njodzi shoma, njodzi yepakati, kana njodzi huru .
Mhedzisiro yacho inonyanya kukuudza kuti une njodzi yakakura sei yekubatwa nechirwere chemwoyo, uye kana zviratidzo zvako zviripo (zvakadai sekurwadziwa muchipfuva) zvichikonzerwa nekudzikira kweropa rinoenda kumwoyo.
- Kana mhedzisiro yacho iri yakanaka: Izvi zvinoreva kuti zvikamu zvese zvemoyo wako zviri kuwana ropa rakakwana, zvese paunenge wakazorora uye uri pasi pekushushikana. Sezvo uri muboka revanhu vane njodzi shoma, unogona kukurudzirwa kushandisa mimwe mishonga (yakadai se beta-blockers) uye kuchinja mararamiro ako.
- Kana mhedzisiro yacho isina kujairika: Izvi zvinoreva kuti dzimwe nzvimbo dzemwoyo hadzisi kuwana ropa rakakwana, kunyanya kana dziri pakumanikidzwa. Izvi zvinoreva kuti mitsipa yeropa iri munzvimbo iyoyo inogona kuvharika.
Mhedzisiro inowanzo kuwanikwa mukati memazuva mashoma. Chiremba wako achakufonera kuti akuudze zvabuda uye zvekuita zvinotevera.
Kana mhedzisiro yacho isina kujairika, chii chaunotevera kuita?
Usazvidya moyo. Kuongororwa uku kuchakubatsira kuona dambudziko racho uye kurirapa. Chiremba wako anogona kukukurudzira chimwe chinhu chakadai:
- Kuongororwa kweropa mumoyo: Izvi zvinosanganisira kuisa kamera mutsinga dzeropa dzemwoyo kuti uone kuti tsinga yacho yakavharika kupi uye kuti yakanyanya sei.
- Kuisa stent: Kuisa mudziyo mudiki wakaita semesh mukati metsinga yeropa yakavharika kuti uvhurezve.
- Coronary Artery Bypass Graft (CABG): Kana kuvharika kwacho kwakanyanya, tsinga itsva yeropa inoiswa kuti isapinde.
Ndeupi musiyano uripo pakati peLexiscan® neAdenosine stress test?
Lexiscan® (regadenoson) mushonga, sezvakaita adenosine, unoshandawo nekuvhura mitsipa yeropa. Kutaura zvazviri, mushonga uyu ndiwo unonyanya kushandiswa pabvunzo iyi. Kunyange hazvo adenosine ichitora maminetsi mashanu kubaya jekiseni, Lexiscan® inogona kupihwa mumasekonzi gumi. Zvakare, zvimwe zvidzidzo zvakawana kuti Lexiscan® haina migumisiro yakawanda pane adenosine. Zvisinei, chiremba wako ndiye achasarudza kuti ndeupi mushonga wakakunakira.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kwe adenosine stress bvunzo yakachengeteka uye yakakosha kune vanhu vasingakwanise kurovedza muviri kuti vaone kuti mwoyo uri kugamuchira ropa zvakanaka sei.
- Kugadzirira kwako kwakakosha zvikuru kuti ubudirire pabvunzo iyi. Zvikuru sei, usanwa chero chinhu chine caffeine kwemaawa makumi maviri nemana bvunzo isati yaitwa.
- Iva nechokwadi chekuudza chiremba wako pachine nguva nezvezvirwere zvaunazvo (kunyanya asthma) uye chero mishonga yauri kutora.
- Migumisiro inoitika panguva yekuongororwa inowanzova midiki uye inopera nekukurumidza. Chikwata chevanachiremba chakagadzirira izvi.
- Zvichibva pamhedzisiro yebvunzo iyi, chiremba wako achakwanisa kugadzira hurongwa hwakanakisa hwekurapa kuchengetedza hutano hwemwoyo wako. Saka usatya kubvunza chiremba wako chero mibvunzo yaunayo.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga