Mwoyo wedu inhengo inoshamisa zvechokwadi, handiti? Inopomba ropa mumuviri wedu wese zuva rese pasina zororo. Asi dzimwe nguva, patinoneta zvishoma, patinokwira masitepisi, kana patinosimudza chimwe chinhu chinorema, tinogona kunzwa kusungwa zvishoma kana kurwadziwa muchipfuva. Vamwe vanhu vanotonetseka nekufema. Saka, dzimwe nguva dzakadai, ungave wakafunga kuti, "Maiwe, pane chimwe chinhu chisina kumira zvakanaka pamoyo wangu here?" Dzimwe nguva dzakadai, tiri kutaura nezvebvunzo yakakosha inoitirwa kutarisa mamiriro chaiwo emoyo wako, kunyanya mashandiro awo kana muviri uchirovedza muviri. Izvi zvinonzi Exercise Stress Echocardiogram .
Zvichitaurwa zviri nyore, chii chinonzi Exercise Stress Echocardiogram iyi?
Zita iri rakareba zvishoma, saka ngatiriparadzanisei kuita zvikamu zviviri.
1. Echocardiogram (Echo): Iri izwi raungangove wakanzwa. Muchidimbu, i scan yemoyo wako. Kufanana ne ultrasound scan, inoshandisa mafungu eruzha kugadzira mifananidzo inofamba, senge vhidhiyo, yemoyo wako. Mifananidzo iyi inobvumira chiremba wako kuona chimiro nehukuru hwemoyo wako, mavharuvhu, uye mashandiro ari kuita tsandanyama dzemwoyo wako.
2. Kushushikana Kwekurovedza Muviri: 'Kushushikana' pano hakurevi kushushikana kwepfungwa, asi kushushikana kwemuviri. Kureva kuti, iyi Echo inoitwa kana wanyanya kushushikana uye moyo wako uchirova nekukurumidza.
Saka, tichibatanidza izvi zviviri, Exercise Stress Echocardiogram inoitwa kana uchifamba patreadmill kana kutasva bhasikoro, wobva warovedza moyo wobva waedzwa neEcho muchina.
Kune mamwe marudzi ekuedzwa kwekushushikana akadai here?
Ehe, kune dzimwe nzira dzakawanda dzekuongorora mashandiro emwoyo nekuita maekisesaizi. Ngatitarisei mhando huru dzemaekisesaizi.
| Zita rebvunzo | Chii chiri kungoitika? |
|---|---|
| Kushushikana Kwekurovedza muviri EKG | Paunenge uchirovedza muviri, bvunzo yeEKG inoyera mashandiro emagetsi emwoyo. |
| Kuedzwa Kwekushushikana Kwekurovedza Muviri weNyukireya | Muizvi, huwandu hushoma hwechinhu chine mwaranzi hunopinzwa mutsinga zvakachengeteka. Zvadaro, kamera yakakosha inoshandiswa kuongorora kuti ropa rinoyerera sei kuenda kumoyo usati waita maekisesaizi uye mushure mekuita maekisesaizi. |
| Kuedzwa kweKushushikana kweMishonga | Vamwe vanhu vanoomerwa nekuita maekisesaizi. Kune vanhu vakadaro, bvunzo iyi inoitwa nekuvapa mushonga wakaita seDobutamine uye kuwedzera kurova kwemoyo wavo sekunge vari kuita maekisesaizi. |
| Kuedza Kushushikana Kwepfungwa | Kune avo vane muchina wepacemaker unogara wakaiswa kuti udzore kurova kwemoyo wavo, bvunzo iyi inogona kuitwa nekukurumidzisa kurova kwemoyo kuburikidza nemudziyo iwoyo. |
Mumamiriro api ezvinhu apo bvunzo iyi inoitirwa?
Vanachiremba vanoshandisa bvunzo iyi zvakanyanya kuti vaone chirwere chinonzi coronary artery disease . Zvichitaurwa zviri nyore, inoitirwa kuona kana mitsipa yeropa inopa ropa kutsandanyama yemwoyo (yatinoti 'coronary arteries') yakavharika kana kuti yakamanikana nemafuta akaunganidzwa.
Kungofanana nepaya kana tsvina yanamira mupombi yemvura, kumhanya kwemvura kunoderera, kana tsinga dziri mumoyo dzavharika, moyo haugamuchire huwandu hweropa hunodiwa. Kunyangwe tisingazvioni kazhinji, kana taneta, moyo unoda ropa rakawanda. Ndipo panotanga kuoneka zviratidzo zvakaita sekurwadziwa muchipfuva.
Kuwedzera kune chikonzero chikuru ichi, bvunzo iyi inobatsirawo kuona kana kutarisa mamiriro ezvimwe zvirwere zvakawanda.
- Kupera simba kana kukora kwetsandanyama yemoyo (Cardiomyopathy)
- Chirwere chemwoyo chekuzvarwa nacho
- Kukundikana kweMwoyo
- Chirwere cheVharuvhu yeMwoyo
- Kukwira Kweropa Kwemapapu
Ndiani anokurudzirwa kuita bvunzo iyi?
Kana uine zviratidzo zvinogona kunge zvine chekuita nechirwere chemwoyo, kunyanya kana zviratidzo izvozvo zvikawedzera kana uchirovedza muviri kana kurovedza muviri, chiremba wako anogona kukukumbira kuti unyore bvunzo iyi.
| Zviratidzo | Dzimwe nyaya |
|---|---|
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Pane vanhu vasina kukodzera here kunyora bvunzo iyi?
Ehe, hazvina kunaka kuomesa moyo nenzira iyi kune vanhu vane mamwe matambudziko emwoyo. Bvunzo iyi haiitwe mumamiriro ezvinhu akadaro. Semuenzaniso:
- Kubviswa kweAortic
- Utachiona/kuzvimba kwemoyo kana nyama dzakapoteredza (Endocarditis, Myocarditis, Pericarditis)
- Vanhu vakamborwara nemoyo munguva pfupi yapfuura
- Kusagadzikana kwakanyanya kwerhythmias
- Stenosis yakanyanya yeaortic stenosis (stenosis yeaortic valvu)
Asi musazvidya mwoyo nezveizvi. Usati waita bvunzo iyi, chiremba achaongorora hutano hwako hwese uye achasarudza kana izvi zvakakunakirai kana kuti kwete.
Unofanira kugadzirira sei bvunzo isati yaitwa?
Kuti uwane mhinduro dzebvunzo dzakarurama, unofanirwa kugadzirira zvakanaka. Chiremba achakupa mirairo panyaya iyi. Izvi ndizvo zvinhu zvekutevera.
| Zvinofanira kuitwa/zvisingafaniri kuitwa | Tsananguro |
|---|---|
| Kafeini | Dzivisa zvinwiwa zvine caffeine zvakaita sekofi, tii, chokoreti, uye cola kwemaawa makumi maviri nemana bvunzo isati yaitwa. Izvi zvinogona kukanganisa kurova kwemoyo wako. |
| Mishonga | Udza chiremba wako nezvemishonga yauri kutora. Mimwe mishonga (yakadai se beta-blockers) ingada kuti urege kuitora pazuva rekuongororwa. Usamborega kunwa mishonga usina kutanga wabvunza chiremba wako. |
| Chikafu nechinwiwa | Usadye kana kunwa chero chinhu kwemaawa mashoma bvunzo isati yaitwa. |
| Kusvuta | Dzivisa kusvuta kana kushandisa zvimwe zvigadzirwa zvefodya pazuva rekuongororwa. |
| Zvipfeko | Famba-famba, rovedza muviri, uye pfeka mbatya dzakanaka, dzakasununguka uye shangu. |
Chii chinoitika panguva yebvunzo? Ngatizvitarisei nhanho nhanho.
Maitiro ese aya anowanzo tora awa imwe chete.
1. Kugadzirira: Kutanga, nyanzvi yezvehutano ichaisa zvinamatidzwa zvidiki, zvakati sandara (maelectrode) pachipfuva chako. Izvi zvichabatanidzwa nemuchina weEKG kuti utarise kurova kwemoyo wako. Chinovhara BP chichaiswawo paruoko rwako.
2. Muedzo wekutanga: Tevere, ucharara nerutivi rwako rweruboshwe. Nyanzvi yezvepfungwa (Cardiac Sonographer) yakadzidziswa ichaisa gel pachipfuva chako yoisa mudziyo mudiki (transducer) pamuchina we ultrasound kuti itore mifananidzo yemoyo wako. Uyu ndiwo mufananidzo wekutanga kutorwa paunenge wakazorora.
3. Kurovedza muviri: Apa ndipo panotanga basa. Uchaiswa pabhasikoro re treadmill kana bhasikoro risingamire. Tanga zvishoma nezvishoma wowedzera kumhanya uye kutsvedza zvishoma nezvishoma. Ucharovedza muviri kusvika wasvika pa "kurova kwemoyo kwakatarwa" kwakatarwa, zvichienderana nezera rako uye mwero wehutano hwako, kana kusvika watanga kuona zviratidzo. Izvi zvinotora maminetsi angangoita gumi kusvika gumi nemashanu.
4. Kuzivisa Zviratidzo (Zvakakosha Kwazvo!): Kana ukasangana nechimwe chinhu chisingawanzoitika panguva yekurovedza muviri, senge kurwadziwa kwechipfuva, kumanikidzwa, kuomarara, kurwadziwa kweruoko kana shaya, kunetseka kufema, dzungu, kana kupera simba , unofanira kuudza chiremba kana vashandi nekukasika.
5. Chirevo chechipiri:Kana kurova kwemoyo wako kwasvika paunoda, unofanira kukurumidza kubva pa treadmill wodzokera kumubhedha kunorara pasi. Bvunzo yechipiri ye echo ichaitwa ipapo ipapo. Uyu ndiwo mufananidzo unotorwa mushure mekunge mwoyo wamanikidzwa.
6. Tonhodza pfungwa: Mushure meEcho yechipiri, uchakumbirwa kufamba patreadmill kana kutasva bhasikoro zvakare kuti muviri wako nekurova kwemoyo zvidzokere pane zvakajairika.
Chii chinoitika mushure mekuyedzwa?
Unogona kudzokera kumba kana kurova kwemoyo wako neBP zvadzoka pazvakajairika. Unganzwa kuneta zvishoma nekuda kwekurovedza muviri. Izvi zvakajairika.
Pane njodzi here nebvunzo iyi?
Kuedza Kushushikana Mumuviri Kuongororwa kweEchocardiography inzira yakachengeteka zvikuru. Migumisiro yakaipa haiwanzoitiki. Kana paine njodzi, haisi nekuda kwekuedzwa pachakwo, asi nekuda kwemamiriro emwoyo wako. Kureva kuti, kana mwoyo wako waiswa stress, vamwe vanhu vanogona kusangana nekurova kwemoyo kusina kurongeka (arrhythmia) kana kurwadziwa pachipfuva (angina).
Asi hapana chikonzero chekunetseka. Munguva yese yebvunzo, chiremba nevashandi vezvehutano vakadzidziswa vachange vachinyatsoongorora EKG yako, BP, uye mamiriro ako ezvinhu. Kana paine mamiriro ezvinhu ane njodzi, vachabva vamisa bvunzo yacho nekukasika vozokupa kurapwa kwakakodzera.
Mhedzisiro yacho inoti chii?
Chiremba anosvika pamhedziso nekuenzanisa mifananidzo ye echo yakatorwa panguva yekuzorora uye mifananidzo ye echo yakatorwa mushure mekurovedza muviri.
- Mhedzisiro Yakajairika: Kana zvikamu zvese zvetsandanyama yemoyo zvichishanda zvakanaka panguva yekuzorora uye mushure mekurovedza muviri, zvinoreva kuti moyo uri kuwana ropa rakakwana.
- Mhedzisiro Isina Kunaka: Kana zvimwe zvikamu zvetsandanyama yemwoyo zvichiita sezvisina kushanda zvakanaka mushure mekurovedza muviri, zvinoreva kuti tsinga dzinopa ropa kuzvikamu izvozvo dzinogona kuvharika.
Kana zvabuda, chiremba wako achakutsanangurira zvazvinoreva kwauri nemashoko akareruka. Vachataurawo newe nezve zvekuita zvinotevera, pamwe kana paine zvimwe zvinodiwa kuti uedze kana kuti unofanira kutanga kurapwa here.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kweEchocardiogram yeKusimbisa Maekisesaizi inzira yakachengeteka uye inokosha yekuongorora mashandiro emoyo wako panguva yekurovedza muviri.
- Izvi zvinonyanya kushandiswa kuona kana tsinga dzinopa ropa kumoyo dzakavharika.
- Tevedzera mirairo yachiremba nokungwarira usati waongororwa (kunyanya usashandise caffeine nechikafu).
- Kana ukanzwa kusagadzikana panguva yekuongororwa, senge kurwadziwa muchipfuva kana dzungu, usavhunduke uye zivisa vashandi vekurapa nekukasika.
- Usazvidya mwoyo nezvemhedzisiro yebvunzo. Chiremba wako achakutsanangurira zvese uye achakutungamirira pamatanho anotevera aunofanira kutora.
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