Kana chiremba wako akakuudza kuti uite bvunzo yemoyo, ungangofunga nezvekumhanya uri patreadmill, handiti? Asi funga nezvazvo, ko kana uine ibvi rakashata, gumbo rakatyoka, kana chimwe chikonzero chinoita kuti zvikuomere kumhanya? Ndipo vanachiremba pavanoshandisa nzira yakasiyana kuti vaongorore mashandiro emoyo wako. Nhasi tichataura nezvenzira iyoyo yakakosha.
Saka chii chinonzi bvunzo iyi yemishonga yekushushikana kwenyukireya?
Zvichitaurwa zviri nyore, iyi bvunzo yakakosha inotarisa kuti ropa rinoyerera sei mutsinga dzeropa dzinoendesa ropa kumoyo wako. Asi pano, pachinzvimbo chekukumhanyisa uri patreadmill, mushonga wakakosha unopinzwa mutsinga yako unogona kuita kuti moyo wako unzwe sekunge uri kurovedza muviri . Ndosaka zvichinzi "pharmacological."
Izwi rekuti "nyukireya" rinobva pakuti bvunzo iyi inoshandisa chinhu chidiki, chisina njodzi chinonzi radiotracer kuratidza zvakajeka tsinga dzeropa dziri mumoyo. Izvi zvakafanana nedhayi inotorwa nekamera yakakosha. Kana ikapinzwa mumuviri wako, kamera yakakosha (gamma camera) inogona kutora mifananidzo yeropa richiyerera mumoyo mako.
Usazvidya moyo, huwandu hwezvinhu zvinosvibisa hunoshandiswa hushoma kwazvo. Huchabuda mumuviri wako mukati memaawa mashoma. Hazvizokukuvadzi kwenguva refu.
Sei chiremba angakukumbira kuti uite bvunzo iyi?
Chiremba anowanzo kurudzira bvunzo iyi kana vachifungidzira kuti une zvirwere zvinotevera kana kuti kuti vaone kuti zviri padanho ripi chaizvo.
| Dambudziko rehutano | Zvichitaurwa zviri nyore... |
|---|---|
| Chirwere chetsinga yeropa | Tarisa kana mitsipa yeropa (coronary arteries) inoendesa ropa kumoyo yakamanikana nekuda kwemafuta akaunganidzwa, zvichiita kuti mwoyo usawane ropa rinodiwa. |
| Angina | Iva nechokwadi chekuti zviratidzo zvaunoona paunenge wakaneta, zvakaita sekurwadziwa pachipfuva nekuoma kwemoyo, hazvikonzerwi nekuvharika kwetsinga dzeropa mumoyo mako. |
| Mushure mekurwara nemoyo | Tsvaga kana tsandanyama yemoyo yakakuvara nekuda kwechirwere chemwoyo uye kuti yakakuvara zvakadii. |
| Cardiomyopathy | Tarisa kana tsandanyama yemoyo isina simba kana kuti yakakura. |
| Mhedzisiro yemamwe marapirwo | Tarisa kana moyo wako wakakuvadzwa nezvinhu zvakaita se chemotherapy kana radiation therapy yegomarara. |
Unoita sei bvunzo iyi?
Bvunzo iyi ine zvikamu zviviri zvikuru. Muzvikamu zvose, mifananidzo miviri yemoyo wako inotorwa.
1. Mifananidzo Yekuzorora: Chinhu chekutanga chaunoona ndechekuti ropa rinoyerera sei richienda kumoyo wako paunenge wakazorora, pasina kushanda nesimba.
2. Mifananidzo yeStress: Tevere, mwoyo unoiswa pasi pestress nekupa mushonga uye kuyerera kweropa kunoonekwa panguva iyoyo.
Nekuenzanisa mifananidzo miviri iyi, chiremba anogona kuona kana paine dambudziko rekutenderera kweropa chero kupi zvako mumoyo.
Mashandiro anoita bvunzo nhanho nenhanho
- Danho 1: Kuchipatara, mukoti achaisa kabhoni kadiki (IV catheter) mutsinga iri muruoko rwako.
- Danho Rechipiri: Kuburikidza ne cannula iyoyo, chinhu chine radioactive chataurwa kare ('Radiotracer') chinopinzwa mumuviri.
- Danho rechitatu: Zvinhu izvi zvinotora maminetsi angangoita makumi matatu kuti zvisvike pamoyo wako. Wobva warara pasi pekamera yakakosha uye, mushure memaminitsi angangoita makumi maviri erunyararo, mifananidzo yekutanga ichatorwa. Munguva iyi, zvidhindo zvidiki (maelectrode) zvichaiswa pachipfuva chako uye kurova kwemoyo wako kuchatariswa uchishandisa electrocardiogram (EKG).
- Danho Rechina: Zvadaro chikamu chechipiri chinotanga. Mushonga wakakosha unopinzwa kuburikidza ne cannula yako kuti uvandudze tsinga dzeropa dziri mumoyo mako uye kukurumidzisa kurova kwemoyo wako. Izvi zvakafanana nezvinoitika paunorovedza muviri.
- Danho Rechishanu: Mushure memaminitsi angangoita makumi matatu mushure mekupihwa mushonga, muchaitwa kuti murare pasi zvakare pasi pekamera, uye seti yechipiri yemifananidzo ichatorwa kwemamwe maminitsi angangoita makumi maviri.
Mukuita uku kwese, vashandi vezvehutano vacharamba vachiongorora BP yako, kurova kwemoyo, uye EKG , saka unenge wakachengeteka zvizere.
Unofanira kugadzirira sei bvunzo isati yaitwa?
Kuti uwane mhedzisiro chaiyo kubva pabvunzo iyi, zvakakosha zvikuru kutevedzera mirairo yachiremba wako nemazvo.
| Maitiro ekugadzirira | Tsananguro uye kukosha |
|---|---|
| Rega kunwa caffeine. | Usanwe chero chinhu chine caffeine, zvakaita setii, kofi (kusanganisira isina caffeine), chokoreti, zvinwiwa zvecola, kana zvimwe zvinoderedza marwadzo, kwemaawa makumi maviri nemana bvunzo isati yaitwa . Caffeine inogona kukanganisa kushanda kwemushonga we'stress' unopihwa kumoyo. |
| Taura nachiremba wako nezvemishonga. | Udza chiremba wako nezvemishonga yese yauri kutora (kunyanya iya yezvirwere zvemwoyo, chirwere cheshuga, uye asthma). Mimwe mishonga ingada kuti urege kuitora zuva risati rasvika bvunzo. Usamborega kunwa mishonga chero ipi zvayo usina kurayirwa nachiremba wako. |
| Chikafu nechinwiwa | Uchakumbirwa kutsanya kwemaawa mashoma usati waongororwa. Uchabvumirwa kunwa mvura. Chiremba achakupawo mirairo chaiyo nezveizvozvo. |
| Dzivisa kusvuta. | Dzivisa kusvuta pazuva rekuongororwa. Nicotine inogona kukanganisa mashandiro emoyo. |
Bvunzo iyi inotora nguva yakareba sei?
Bvunzo yese inowanzotora maawa matatu kusvika mana . Dzimwe nguva, zvichienderana nesarudzo yachiremba, zvikamu zviviri zvebvunzo iyi zvinogona kuitwa kwemazuva maviri.
Pane migumisiro kana njodzi dziripo here pakuita izvi?
Kuongororwa uku kwakajairika kwakachengeteka, asi vamwe vanhu vanogona kunzwa kusagadzikana kudiki nekuda kwemushonga unoshandiswa 'kushungurudza' moyo.
- Musoro
- Dzungu
- Kurwadziwa kwechipfuva kana kuomarara
- Kutadza kufema zvakanaka (Dyspnea)
- Kusvotwa
- Chiso chikatsvuka uye muviri uchinzwa kupisa
Chinhu chinonyanya kukosha ndechekuti zvese izvi zviitike paunenge uri pasi pekutarisirwa nachiremba. Saka kana paine chikanganiso, vashandi vanenge vakagadzirira kuchirapa nekukasika. Dzimwe nguva, kana kurova kwemoyo wako kuchikurumidza (Tachycardia), unogona kupihwa mushonga wekugadzirisa. Saka hapana chikonzero chekutya.
Mushure mekunge bvunzo yapera...
Mushure mekuongororwa, kurova kwemoyo wako neBP zvichaongororwa kwemaminitsi mashoma kusvika zvadzokera pazvakajairika. Mushure meizvozvo, unogona kuenda kumba. Asi pane zvinhu zviviri zvakakosha zvekurangarira:
1. Inwa mvura yakawanda: Inwa mvura yakawanda mukati mezuva. Izvi zvinokurumidza kubvisa "(Radiotracer)" mumuviri wako neweti yako.
2. Gara kure nevana vadiki: Dzivisa kubata kana kumbundira vana vadiki nevacheche kwezuva rose mushure mekuongororwa. Iyi inzira yekuchengetedza sezvo vanogona kukanganiswa nehuwandu hushoma hwemwaranzi.
Zvakabuda muongororo zvinoti chii?
Mifananidzo miviri yakawanikwa kubva pabvunzo (kuzorora uye kushushikana) inoenzaniswa nachiremba ane hunyanzvi.
- Mhedzisiro Yakajairika: Izvi zvinoreva kuti zvikamu zvese zvemoyo wako zviri kuwana ropa rakakwana, panguva yekuzorora uye panguva yekurovedza muviri. Izvi zvinoreva kuti hapana matambudziko makuru aripo.
- Mhedzisiro Isina Kunaka: Izvi zvinogona kureva kuti dzimwe nzvimbo dzemwoyo hadzisi kuwana ropa rakakwana, kunyanya panguva yekurovedza muviri. Izvi zvinogona kureva kuvharika kwetsinga yeropa inopa ropa kumoyo.
Chiremba wako achakutsanangurira zvabuda muongororo iyi uye achataura newe nezve zvekuita zvinotevera. Vanogona kukurudzira kutanga kushandisa mishonga, kuchinja mishonga yauri kushandisa, kana kuti kuongororwa kumwe, senge angiogram.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kweKushushikana Kwenyukireya kweMishonga (Pharmacological Nuclear Stress Test) inzira yakakosha uye yakachengeteka yekutarisa kuyerera kweropa kuenda kumoyo kune avo vane dambudziko rekuita maekisesaizi.
- Zvakakosha zvikuru kurega kunwa caffeine (tii, kofi) zuva risati rasvika bvunzo uye kutevedzera mirairo yachiremba maererano nemishonga nemazvo.
- Hapana chikonzero chekutya sezvo uchatariswa zvakanyanya nevashandi vezvehutano panguva yekuongororwa.
- Inwa mvura yakawanda mukati mezuva mushure mekuongororwa uye usabata vana vadiki.
- Kuongororwa uku inhanho ichapa chiremba wako ruzivo rwakakosha nezvehutano hwemwoyo wako uye kukubatsira kuti urambe uine hutano hwakanaka. Saka usazvitya zvisina kufanira.
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