Ngaba kufuneka senze i-Transthoracic Echocardiogram (TTE) ukuze sifumane ulwazi ngempilo yentliziyo yakho?

Ngaba ugqirha ukuxelele ukuba kufuneka wenze i-'Echocardiogram', okanye i-'TTE', ukuze ujonge intliziyo yakho? Kuqhelekile ukuba uzive usoyika kancinci xa usiva loo nto. Kodwa, eneneni luvavanyo olulula kakhulu, olungenabuhlungu. Namhlanje, siza kuthetha ngokuba yintoni le 'Transthoracic Echocardiogram (TTE)', ijongeka njani, kwaye yenziwa njani.

Yintoni i-'Transthoracic Echocardiogram (TTE)'?

Ngamafutshane, i-Transthoracic Echocardiogram, okanye i-TTE ngamafutshane, luvavanyo oluthatha imifanekiso yentliziyo yakho . Lufana ne-ultrasound scan yomntwana wakho. Kodwa olu lolwentliziyo yakho. Lusebenzisa amaza esandi abizwa ngokuba yi-ultrasound ukuthatha imifanekiso yentliziyo yakho. Olu lolona hlobo luqhelekileyo lwe-echocardiogram.

Olu vavanyo luvumela oogqirha ukuba babone intliziyo yakho, amagumbi ayo amane, iivalvu zentliziyo ezine, kunye nemithambo yegazi emikhulu edibana nayo. Kufana nokubukela ividiyo yoko kwenzekayo ngaphakathi entliziyweni yakho.

Kutheni ucelwa ukuba wenze olu vavanyo lwe-`TTE`?

Oogqirha basebenzisa uvavanyo lwe-TTE ngeendlela ezininzi. Oko kuthetha ukuba unokucelwa ukuba ulwenze ngezizathu ezahlukeneyo.

Vavanya impilo yentliziyo

Ngamanye amaxesha, emva kokuba ufunyenwe unesifo sentliziyo, okanye emva kokuba unyangiwe, le 'TTE' inceda ukubona indlela intliziyo yakho eqhuba ngayo. Ikwasetyenziselwa ukufumana umbono wempilo yentliziyo yakho ngaphambi kokuba isifo sifunyanwe.

I-`TTE` ingajonga izinto ezinje:

• Ingaba iivalvu zentliziyo yakho zisebenza kakuhle na ? Nokuba ziyavuleka kwaye zivaleke kakuhle na, kwaye ingaba igazi livuza ngasemva na.
• Indlela intliziyo yakho epompa ngayo igazi . Oko kukuthi, indlela enamandla ngayo intliziyo yakho (inxalenye yokukhupha igazi).
• Uxinzelelo lwegazi kunye nokuhamba kwegazi entliziyweni kwenzeka njani?
• Ngaba amagumbi asentliziyweni yakho anobukhulu obuchanekileyo kunye nemilo echanekileyo ? Ngaba makhulu, ngaba iindonga zinobukhulu?

Fumana unobangela wezinye iimpawu

Ukuba uneempawu ezithile, i-TTE inokukunceda ekuboneni ukuba zibangelwa yingxaki yentliziyo. Umzekelo:

• Intlungu yesifuba : Jonga ukuba oku kungenxa yokuvaleka kwemithambo yegazi yentliziyo okanye kungenxa yesinye isizathu.
• Ukudumba : Ngaba ukusilela kwentliziyo kunokubangela ukudumba kwezandla neenyawo?
• Ukugquma kwentliziyo : Ukuba ugqirha uva isandi esingaqhelekanga xa emamele intliziyo yakho, banokufuna ukuphanda ukuba ingaba imbangela yingxaki yevalvu.
• Ukuphelelwa ngumphefumlo/Ukuphelelwa ngamandla : Ukuba unengxaki yokuphefumla nokuba usebenzisa amandla amancinci, oku kusenokubangelwa kukutshintsha kwendlela intliziyo esebenza ngayo.

Chonga kwaye ulandelele iimeko ezithile zempilo

I-TTE isetyenziselwa ukujonga iimeko ezithile zempilo kunye nokujonga inkqubela yazo ukuba zikhona.

• Nokuba kukho i-aortic aneurysm okanye ukukrazuka kwi-aorta (i-aortic dissection).
• Ingaba kukho amahlwili egazi aqunjelweyo entliziyweni.
• Yintoni imbangela yotshintsho kuvavanyo lwakho lwe-Electrocardiogram (ECG)?
• Ngaba kukho naziphi na iingxaki zentliziyo ezizalwa nazo , okanye imeko injani emva konyango?
• Kwisifo sentliziyo, intliziyo ibuthathaka kangakanani?
• Uhlobo kunye nobunzima besifo se-valve yentliziyo .
• Nokuba kukho ukutyeba okungaqhelekanga kwemisipha yentliziyo (`i-Hypertrophic cardiomyopathy`).
• Ngaba kukho iithumba okanye umhlaza entliziyweni?

Yintoni umahluko phakathi kwe-`TTE` kunye ne-`TEE`?

Kukho iintlobo ezimbini eziphambili ze-'Echocardiogram'. Enye yi-'Transthoracic Echocardiogram (TTE)' esithetha ngayo. Enye yi-'Transesophageal Echocardiogram (TEE)'.

I-`TTE` yeyona ndlela iqhelekileyo nelula. Ayibandakanyi ukufakwa kwanto emzimbeni wakho (engangenisi), okanye ngamanye amaxesha `inaliti` encinci (engenasithintelo kangako).

I-TEE yinkqubo engenelelayo kancinci apho ugqirha edlulisa ityhubhu encinci enekhamera (i-endoscope) ezantsi komphimbo wakho.

Nokuba emva kwe-'TTE', i-'TEE' idla ngoku-odolwa ukuba ugqirha ufuna imifanekiso ecacileyo neneenkcukacha. Ngenxa yokuba umphimbo usondele kakhulu entliziyweni, i-'TEE' ngamanye amaxesha inokubonelela ngemifanekiso ecacileyo.

Ngubani owenza olu vavanyo lwe-`TTE`?

Ngokwesiqhelo, umboneleli wakho oyintloko okanye ingcali yentliziyo iya kucebisa i-TTE. Olu vavanyo lwenziwa yingcali (i-sonographer) eqeqeshwe kubuchwepheshe be-ultrasound. Yena uya kwenza uvavanyo aze athumele ingxelo kugqirha wakho.

Isebenza njani i-`TTE`?

Le nkqubo, ebizwa ngokuba yi-'Echocardiography', isebenzisa iteknoloji ye-'ultrasound'. Ithumela amaza esandi asebenza rhoqo emzimbeni wakho. La maza esandi abetha izicubu zentliziyo aze abuyele umva. La maza esandi abonakalisiweyo abizwa ngokuba yi-'echoes'.

Ngokusebenzisa ubuchwepheshe bekhompyutha, ezi "echoes" zisetyenziselwa ukwenza imifanekiso yentliziyo yakho njengoko ibetha. Ezinye iimvavanyo ze-echo zisebenzisa ubuchule obukhethekileyo obubizwa ngokuba yi-Doppler ultrasound. Oku kunokulinganisa nokuvavanya izinto ezifana nendlela igazi elihamba ngayo kwiigumbi kunye neevalvu zentliziyo, njengesantya kunye necala lokuhamba kwegazi.

Le mifanekiso ishukumayo iboniswa kwiscreen ukuze wena nogqirha nikwazi ukuyibona.

Ngaba kufuneka uzilungiselele kwangaphambili i-'TTE'?

Hayi, akukho mfuneko yokulungiselela okukhethekileyo.Ufanele utye kwaye usele ngendlela eqhelekileyo kwaye uthathe nawaphi na amayeza owathathayo ngaphambi kovavanyo. Ungakhathazeki ngaloo nto.

Kwenzeka ntoni ngexesha le-'TTE'?

Uvavanyo lwe-TTE ludla ngokuthatha malunga neyure. Ingcali (i-sonographer) okanye enye ingcali yezempilo yenza uvavanyo ngolu hlobo lulandelayo:

Ngaphambi kovavanyo

Ngamanye amaxesha, ngaphambi kokuba enze i-TTE, ugqirha angakufaka ulwelo olukhethekileyo (idayi yokwahlula) emthanjeni wakho. Oku kunceda ukubona ngokucacileyo indlela igazi elihamba ngayo entliziyweni. Oku akunikwa wonke umntu, kodwa kuphela xa kuyimfuneko.

Ngexesha lovavanyo

1. Uza kuphoswa etafileni yovavanyo.

2. Kubekwa amaqhekeza amancinci esifubeni sakho. La maqhekeza arekhoda isantya sentliziyo yakho kunye nesingqisho.

3. Emva koko, kufakwa ijeli ekhethekileyo kumphezulu wesikhumba sakho. Le jeli inceda amaza esandi ukuba adlule kakuhle eluswini lwakho.

4. Okulandelayo, isixhobo esibizwa ngokuba yi-'transducer' (isixhobo esincinci esifana nemakrofoni) sicinezelwa eluswini lwakho size sijikeleziswe. Esi 'transducer' yiso esithumela amaza esandi size sithathe 'imisindo' ebuyayo.

5. Umntu oza kwenza uvavanyo uza kukuxelela ukuba uhlale uzolile okwethutyana, utshintshe indlela umzimba wakho omi ngayo, okanye utshintshe indlela ophefumla ngayo. Oku kuya kukunceda ufumane imifanekiso engcono kwiindlela ezahlukeneyo.

Cinga ngayo, oku kufana nokuba ne "movie ephilayo" entliziyweni yakho. Ngoko ke kubaluleke kakhulu ukuxhasa buthule, njengoko usitsho.

Ngaba uphathwa i-anesthesia?

Hayi. I-`TTE` yinkqubo engahlaseliyo, ngoko ke awuthomalalisi. Yenziwa xa uvukile. Ngoko ke akukho sizathu sokoyika.

Kwenzeka ntoni emva kwe-`TTE`?

Emva kokuba ingcali ithathe yonke imifanekiso eyidingayo, iya kuhlamba ijeli ebifakwe emzimbeni wakho ize isuse ii-electrodes. Emva koko , ungaya ngqo ekhaya. Ungaqhubeka nemisebenzi yakho yesiqhelo. Ungade uziqhubele ekhaya.

Ngaba kukho naziphi na iingozi kwi-'TTE'?

Akukho mingcipheko ithile enxulumene novavanyo lwe-`TTE`. Olu vavanyo alusebenzisi imitha, kwaye alubandakanyi ukutshayiswa ngumbane. Ngaphandle kwemvakalelo encinci yokuhlaba xa `i-agent yokwahlula` ijojowe, akukho ntlungu inxulumene nolu vavanyo. Ke ngoko, luvavanyo olukhuselekileyo kakhulu.

Ziza kufumaneka nini iziphumo ze-`TTE`?

Ingcali eyenze uvavanyo iza kuthumela ingxelo kugqirha oku-odolele uvavanyo. Oku kudla ngokuthatha malunga nosuku okanye ezimbini. Emva koko, ugqirha wakho uza kukubiza ukuze axoxe ngeziphumo, ukuxilongwa, isicwangciso sonyango, kunye nokuba ngaba kufuneka ezinye iimvavanyo.

Ngoko ke ungakhathazeki de kufike iziphumo. Ugqirha uza kukuxelela zonke iinkcukacha.

Amanqaku amafutshane ekufuneka uwakhumbule

I-Transthoracic Echocardiogram (TTE) luvavanyo olusebenzisa ubuchwepheshe be-ultrasound ukuthatha imifanekiso yesakhiwo kunye nokusebenza kwentliziyo yakho. Luvavanyo olulula kakhulu, olukhuselekileyo, nolungenabuhlungu .

Ukuba uceliwe ukuba wenze olu vavanyo, ugqirha wakho uza kukuchazela ngokweenkcukacha ukuba siyintoni isizathu kunye nokuba iziphumo zithetha ukuthini. Ngoko ke ungoyiki nto. Oku kuya kukunceda kakhulu ekwazini ngempilo yentliziyo yakho.

Iskeni yentliziyo , i-Echocardiogram, i-TTE, isifo sentliziyo, uvavanyo lwentliziyo, ukusebenza kwentliziyo, i-ultrasound