Dzimwe nguva unonzwa kurwadziwa pachipfuva, kufema zvishoma, kana kunzwa kuremerwa paunenge uchifamba here? Paunoenda kunoona chiremba wako, angakuudza kuti unofanira kuita bvunzo yakakosha kuti uone kana paine kuvharika kwetsinga dzinopa ropa kumoyo wako (dzatinoti mitsipa yemoyo). Imwe yemiyedzo yakakosha inoitwa panguva dzakadaro ndeye 'coronary angiogram'. Vamwe vanhu vanonzwa kutya uye kutya zvishoma pavanonzwa zita iri. "Ah, uku kuvhiyiwa kukuru here?", "Zvicharwadza zvakanyanya here?" "Pane njodzi here?" Mibvunzo yakawanda inouya mupfungwa. Saka, munyaya ino, tichataura chaizvo kuti bvunzo iyi ye angiogram chii, kuti inoitwa sei, kuti ungaigadzirira sei, uye zvese zvaunoda kuziva nezvazvo.
Chii chinonzi coronary angiogram?
Zvichitaurwa zviri nyore, coronary angiogram iongororo yakakosha yeX-ray inoongorora kuti ropa riri kufamba zvakanaka sei mutsinga dzemwoyo wako, idzo huru dzeropa dzinotakura ropa kuenda kutsandanyama dzemwoyo wako. Kufanana nekutarisa mota mumugwagwa weguta kuti uone kana paine kuvharika, kuvharika, kana kutetepa, inoongorora kuvharika kana kutetepa mutsinga dzemwoyo wako.
Munguva yekuyedzwa uku, dhayi chaiyo, kana kuti pigment, inopinzwa mutsinga dzeropa uye mifananidzo yakawanda yeX-ray inotorwa. Dhayi iyi inobvumira mukati metsinga dzeropa kuti zvionekwe zvakajeka paX-ray. Zvakafanana nekuvhenekesa tochi muimba ine rima woona mugwagwa. Izvi zvinobvumira chiremba kuona kana paine cholesterol yakawanda mutsinga dzako (inonzi atherosclerosis ) yakaderedza kana kudzivirira kuyerera kweropa. Rudzi urwu rwekuvharika ndicho chikonzero chikuru chekurwara nemoyo gare gare.
Chiremba angakukumbira kuti uedze bvunzo iyi mumamiriro api ezvinhu?
Chiremba wako angangokurudzira bvunzo iyi kana uine chimwe chezvikonzero zvinotevera. Ngationei kuti chii.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Mishumo yekuongororwa isina kujairika | Kana wakambowana mhedzisiro isingawanzoitiki kubva pakuedzwa kwekushushikana kwakapfuura kana ECG (Electrocardiogram). |
| Chirwere chemwoyo chagara chiripo | Kana uine chirwere chemwoyo, chirwere chemwoyo, kana kutadza kushanda zvakanaka kwemoyo. |
| Usati wavhiyiwa | Kana wakarongerwa kuvhiyiwa kwemoyo zvakare, tarisa mamiriro etsinga dzemwoyo usati waita izvozvo. |
| Kurwadziwa pachipfuva (Angina) | Kana uine kurwadziwa kutsva muchipfuva, kana kuti rudzi rwekurwadziwa kwacho rwachinja. |
| Zviratidzo zvisingatsanangurike | Kana uine kusagadzikana kwechipfuva kusingawanzoitiki kana kuoma kufema izvo zvisingawanikwe nemimwe miedzo. |
Chiremba achakutsanangurira kuti sei uri kukumbirwa kuti uedze bvunzo iyi. Bvunza chero mibvunzo kana zvinokunetsa zvaungave nazvo nezvazvo nekukasika.
Unofanira kugadzirira sei bvunzo isati yaitwa?
Kunyangwe izvi zvisiri zvikuru sekuvhiyiwa, zvinoda kugadzirira zvishoma. Chiremba wako achakutsanangurira izvi zvakadzama. Izvi ndizvo zvinhu zvaunowanzo kumbirwa kuita:
- Zvekudya Nekunwa: Uchakumbirwa kuti usadye kana kunwa chero chinhu kunze kwemvura kwemaawa masere bvunzo isati yaitwa.
- Mishonga: Kana uri kutora mishonga yakadai semishonga inorwisa ropa, mishonga yeshuga, mishonga inobvisa ropa kubva muropa, kana sildenafil, chiremba wako achakubvunza kana uchida kurega kuitora kana kugadzirisa mwero wemushonga mumazuva mashoma bvunzo isati yaitwa. Zvakakosha kuzivisa chiremba wako nezvemishonga yese yauri kutora.
- Kurwara: Kana wakambova nechirwere cherudzi rwedhayi inosiyanisa mavara kana mushonga unonyaradza marwadzo, iva nechokwadi chekuudza chiremba wako nezvazvo.
- Kubata pamuviri: Unofanirawo kuudza chiremba wako kana uine pamuviri kana kuti uri kuronga kubata pamuviri.
- Kutakurwa: Hamuzobvumirwi kutyaira dhiraivha zuva rimwe chete mushure mebvunzo. Saka, kana muchidzokera kumba zuva iroro, zvakakosha kuronga kuti mumwe munhu akutakure dhiraivha.
Chii chinoitika panguva ye angiogram?
Uyu ndiwo mubvunzo mukuru unobvunzwa nemunhu wese. "Chii chiri kuitika mukati?" Fungidzira, ichi chinhu chakarongwa uye chakaitwa nokungwarira. Ngationei zvinoitika nhanho nhanho.
1. Kugadzirira: Kutanga, uchapihwa jira rekuchipatara wobva wakumbirwa kuti urare pamubhedha wakakosha muimba yekuongororwa.
2. Kunyaradza: Zvadaro, chubhu yemutsinga (cannula) inoiswa mutsinga iri muruoko rwako, uye mushonga wekunyaradza unopihwa kuburikidza nawo. Izvi zvichakubatsira kuzorora uye kubvisa kutya kwako nekuzvidya mwoyo. Asi hauzorasikirwi nepfungwa, uchanzwa zvakakwana kuti uteerere zvinotaurwa navanachiremba, kukosora zvishoma pavanokuudza kuti udaro, uye kubata mweya wako.
3. Kuongororwa kwemoyo: Zvitambi zveECG zvinoiswa pachipfuva chako uye kurova kwemoyo wako kunoongororwa panguva yese yekuedzwa.
4. Kusanzwa: Tevere, chiremba achasarudza kuisa chubhu diki mutsinga yeropa iri mugotsi kana paruoko rwako. Nzvimbo yacho ichavharwa nechinhu chinonyaradza marwadzo. Saka hauzonzwi kurwadziwa. Zvisinei, unogona kunzwa kunhuhwirira kudiki sezvo chiremba achishanda.
5. Kuiswa kwekatheta: Mushure mekunzwa kurwadziwa, chubhu yakatetepa, inochinjika, inonzi katheta , inopinzwa nepatsinga yeropa yakasarudzwa.
6. Rwendo rwekuenda kumoyo: Chiremba wemwoyo anobva atarisa X-ray screen uye anotungamira catheter iyi nekungwarira kuburikidza netsinga dzeropa rako kuenda kutsinga dzemwoyo dziri mumoyo mako.
Chinhu chinonyanya kukosha ndechekuti hauzonzwi catheter iyi ichipinda mumuviri wako zvachose, nekuti hapana tsinga dziri mutsinga dzeropa dzinogona kunzwa kurwadziwa.
7. X-ray nedhayi: Kana catheter yavapo, dhayi yakakosha inopinzwa mutsinga kuburikidza necatheter. Kana dhayi yapinzwa, unogona kunzwa kudziya zvishoma kana kunzwa kupisa kwemasekondi mashoma. Izvi zvakajairika uye hazvifanirwe kuvhundutswa. Sezvo dhayi ichipfuura nemutsinga, muchina weX-ray (unonzi fluoroscopy ) unotenderera wakakupoteredza wotora mifananidzo.
8. Kuona zvivhariso: Nekuti dhayi inoita kuti mukati metsinga dzeropa muonekwe zvakajeka paX-ray, chiremba anogona kuona kana tsinga dzacho dzakavharika, dzakatetepa, kana kuti dzichivharira kufamba kweropa nekuda kwezvinhu zvakaita secholesterol nemafuta.
Kazhinji, maitiro ese aya anogona kutora pakati pemaminitsi makumi matatu kusvika makumi mashanu.
Ndingawana here kurapwa panguva yekuongororwa?
Ehe. Dzimwe nguva, kana chiremba akaona kuvharika, anogona kurapa nekukasika. Bharumu rinotumirwa kuvharika rofuridzirwa kuti tsinga yeropa iwedzere ( angioplasty ). Zvadaro mudziyo mudiki wakaita semesh ( stent ) unoiswa munzvimbo iyi kuti tsinga yeropa isatsvedze zvakare. Asi izvi hazviitwe nguva dzose. Dzimwe nguva, chiremba anogona kusarudza kuti zviri nani kuita imwe kurapwa pane imwe nguva inotevera.
Chii chinoitika mushure mekuyedzwa?
Kana bvunzo yapera, chiremba achabvisa catheter. Zvadaro, kuti vamise kubuda ropa, vachaisa simba nebhandeji panzvimbo yakaiswa catheter. Vanhu vazhinji vanogona kuenda kumba mukati memaawa mashoma mushure mekuongororwa, kunyangwe pazuva rimwe chete. Zvisinei, kana bvunzo yacho yakaoma kana kuti ikaitwa masikati, ungangoda kugara muchipatara husiku ihwohwo.
Unganzwa kuneta zvishoma mushure mekudzokera kumba. Nzvimbo yakaisirwa catheter inogona kunge ichirwadza uye yakakuvara kweinenge vhiki. Chiremba wako achakukurudzira kuti uzorore uye usaite mabasa akaomarara kwemazuva maviri kusvika matatu.
Pangave nenjodzi dzipi zvadzo here mune izvi?
Sezvinoitwa chero nzira ipi zvayo yekurapa, pane njodzi diki. Asi yeuka, matambudziko akakomba haawanzoitiki. Kunyanya kana bvunzo iyi ichiitwa muchipatara chine vanachiremba vane ruzivo vanoita bvunzo iyi nguva dzose.
| Njodzi dzinogona kuitika (asi dzisingawanzoitiki) | |
|---|---|
| Kurwara nedhayi kana kuti mushonga unouraya marwadzo | Kukuvadzwa kwetsinga yeropa |
| Kubuda ropa, hutachiona hunobva panzvimbo inopinzwa catheter | Kurova kwemoyo kusina kurongeka (arrhythmia) |
| Kugwamba kweropa | Kurwiswa kwemoyo kana sitiroko |
| Kukuvara kweitsvo (kunyanya kuvanhu vane chirwere cheitsvo kare) | Kuungana kwemvura yakakomberedza mwoyo (cardiac tamponade) |
Ndiani angave ari panjodzi yakawedzera zvishoma?
- Kune avo vane makore anopfuura makumi matanhatu nemashanu ekuberekwa
- Kune avo vane chirwere cheshuga
- Kune avo vane chirwere cheitsvo
Kana muine mibvunzo nezvenjodzi idzi, taurai nachiremba wenyu musati maongororwa uye muzive zvakawanda.
Ndingaziva sei mhedzisiro yebvunzo?
Kazhinji, chiremba wako anokuudza zvabuda kana bvunzo yapera.
- Mhedzisiro Yakajairika: Izvi zvinoreva kuti hapana tsinga dzemwoyo dzakavharika uye kuti kuyerera kweropa kwakanaka. Kana zvakadaro, chikonzero chezviratidzo zvako chingave chimwe chinhu chakasiyana.
- Mhedzisiro Isina Kunaka: Izvi zvinoreva kuti pane kuvharika kana kutetepa mutsinga imwe kana kupfuura. Chiremba achakutsanangurirai chaizvo kuti ndeipi tsinga yakavharika, iri kupi, uye kuti kuvharika kwacho kwakakomba sei. Izvi zvinogona kuratidzwa sechikamu (semuenzaniso, 70% yakavharika).
Kana mhedzisiro yacho isina kujairika, chii chaunotevera kuita?
Kana paine dambudziko rekuvharika, chiremba wako achakutsanangurira nzira yakanakisisa yekuita. Izvi zvinogona kusanganisira:
- Angioplasty uye stenting
- Kutanga mishonga
- Kuchinja mararamiro ako, zvakadai sekuchinja kudya kwako uye kurovedza muviri
- Kuvhiyiwa kweBypass (Coronary Artery Bypass Surgery - CABG)
Unoda kunoona chiremba zvakare rini?
Kana wadzokera kumba, nyatsocherechedza pakaiswa catheter. Kana uine chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika.
- Kana ropa rakawanda richibva munzvimbo iyoyo
- Kana kuzvimba kuchiwedzera
- Kana ukaona zviratidzo zvehutachiona, zvakaita sekutsvuka kweruvara rweganda kana kuti matumbu
- Kana uchinzwa kuoma kwekufamba kweropa mumaoko ako kana makumbo
Kuongororwa kweangiogram hakusi kurwadza zvakanyanya. Unongonzwa kurwadziwa kudiki kana waiswa IV wopiwa mushonga wekuti usanzwa kurwadziwa. Hauzonzwi catheter ichiiswa kana kufambiswa mumuviri wako. Kana ukanzwa kurwadziwa kusingatsungiririki panguva yekuvhiyiwa, taurira chiremba kana nesi nekukasika.
Zvakajairika kuti unzwe kutya kana ukaudzwa kuti unoda angiogram. Asi yeuka, ruzivo rwunobva mukuongororwa uku ruchabatsira chiremba wako kuona mamiriro chaiwo emwoyo wako uye kuronga kurapwa kwakakunakira. Saka taura nachiremba wako nezvemibvunzo kana zvinokunetsa zvaungave nazvo nezvenyaya iyi. Varipo kuti vakubatsire.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kwemoyo (coronary angiogram) inzira yakajairika uye yakachengeteka yekuongorora kana paine tsinga dzeropa dzemwoyo dzakavharika.
- Zvichibva paruzivo rwakapihwa, chiremba anogona kusarudza mushonga wakanakira iwe.
- Iyi haisi nzira inorwadza zvakanyanya. Uchanzwa kusagadzikana zvishoma nekuda kwekunzwa kukwenya.
- Zvakakosha zvikuru kutevedzera mirairo yachiremba (kutsanya, mishonga) usati waongororwa.
- Taura nachiremba wako nezvemibvunzo kana zvinokunetsa zvaungave nazvo usati waongororwa kuti ubvise kusava nechokwadi kupi zvako.
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