Uvavanyo lwe-Adenosine Stress ukuze ufunde ngokuhamba kwegazi entliziyweni! Musa ukoyika, masithethe.

Usenokuba uzibuza ukuba yintoni i-Adenosine Stress Test. Mhlawumbi ugqirha ukucele ukuba wenze olu vavanyo. Kulungile, ungakhathazeki! Kulula kakhulu. Namhlanje siza kuthetha ngolu vavanyo, ukuba lwenza ntoni, lwenziwa njani, kunye nayo yonke into ekufuneka uyazi. Ngamafutshane, luvavanyo olulinganisa ukuba intliziyo yakho ifumana igazi kangakanani.

Kutheni le nto kwenziwa olu vavanyo loxinzelelo lwe-adenosine?

Khawucinge nje, xa usebenza, njengaxa uzilolonga, intliziyo yakho ifuna igazi elingaphezulu kunaxa uphumle. Ngolu vavanyo loxinzelelo lwe-adenosine, oogqirha bajonga ukuba intliziyo yakho ifumana igazi elaneleyo na ngexesha lokusebenza kunye nexesha lokuphumla. Ngenxa yesi sizathu, kufakwa isixa esincinci seyeza elibizwa ngokuba yi-adenosine. Emva koko, imithambo yegazi (imithambo yegazi) entliziyweni yakho iziphatha ngendlela efanayo na xa ubuzilolonga.

Olu vavanyo lunceda ugqirha ukuba afumanise malunga noku:

• Ngaba kukho umonakalo osisigxina kwimisipha yentliziyo yakho?
• Ingaba igazi neoksijini eyaneleyo ingena entliziyweni?
• Ngaba unesifo semithambo yegazi yentliziyo (CAD) ? Kulapho ukunikezelwa kwegazi kwimisipha yentliziyo kuncipha khona.

Ngubani ohlala ethatha olu vavanyo?

Ayinguye wonke umntu oza kuyidinga le vavanyo. Ugqirha angakucela ukuba wenze uvavanyo loxinzelelo lwe-adenosine ngenxa yezi zizathu zilandelayo:

• Ukuba awukwazi ukwenza umthambo ofunekayo kuvavanyo oluqhelekileyo loxinzelelo, njengokuhamba nge-treadmill.
• Ukuba awukwazi ukunyusa isantya sentliziyo yakho nangona usenza umthambo.
• Ukuba uthatha amayeza athile, anjenge-beta-blockers .
• Ukuba ufakelwe i-ventricular pacemaker .
• Ukuba unemeko ebizwa ngokuba yi-left bundle branch block .

Uvavanyo loxinzelelo lwe-adenosine lusebenza njani?

Kulula kakhulu. Kuvavanyo loxinzelelo lwe-adenosine, ugqirha ukunika isixa esincinci seyeza i-adenosine. Oku kubangela ukuba imithambo yakho yentliziyo, imithambo yegazi ephambili ehambisa igazi entliziyweni yakho, ivuleke (ivuleke), njengokuba isenza xa uzilolonga. Oku kwandisa ukuhamba kwegazi entliziyweni yakho. Le yindlela umthambo osebenza ngayo kubantu abangakwaziyo ukubaleka kwi-treadmill.

Emva koko, ngelixa uphumle kwaye emva kokukunika iyeza i-adenosine, ugqirha uza kufaka inani elincinci le-contrast medium okanye i-radioactive marker kwenye yemithambo yakho. Uhlobo lwento esetyenzisiweyo luya kuxhomekeka kuhlobo lwe-scan eyenziwayo. Kusetyenziswa i-imaging scanner ekhethekileyo, kuthathwa imifanekiso yento njengoko ihamba ngemithambo yegazi ukuya kwimisipha yentliziyo yakho.

Ngamanye amaxesha esi sikena singaba siskena seMagnetic Resonance Imaging (MRI), okanye i-computerized tomography (CT) scanner ekhethekileyo. Oku kudala imifanekiso yekhompyutha yentliziyo, enokusetyenziswa ngugqirha ukwenza uxilongo.

Khawuthelekelele, oku kufana nokufaka ikhamera entliziyweni uze ujonge, kodwa akunjalo ngokwenene, le mifanekiso ithathwa kusetyenziswa ubuchwepheshe obukhethekileyo bokuskena.

Kolu vavanyo, ugqirha uthatha imifanekiso yezi zinto zilandelayo:

• Ubungakanani kunye nomsebenzi wentliziyo yakho .
• Indlela igazi elihamba ngayo entliziyweni yakho xa liphumle .
• Indlela igazi elihamba ngayo entliziyweni yakho xa iphantsi koxinzelelo .

Sifanele sizilungiselele njani ngaphambi kovavanyo?

Oku kubaluleke kakhulu. Kubalulekile ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka amayeza athengiswa ngaphandle kwemvume kagqirha, izongezo zezityalo, kunye namanye amayeza) kunye nazo naziphi na iimeko zempilo onazo. Ukuba uneemeko ezithile, ezifana ne-asthma enzima okanye izingqisho zentliziyo ezingaqhelekanga ezingalawulwayo, akufuneki unikwe i-adenosine.

• Ukuba usebenzisa i-theophylline yesifo sesifuba, kufuneka uyeke ukuyisebenzisa kwiintsuku ezimbini ngaphambi kovavanyo . Nangona kunjalo, yiza ne-inhaler yakho yesifuba kuvavanyo.
• Ziphephe naziphi na izinto ezine-caffeine iiyure ezingama-24 ngaphambi kovavanyo. Oku kuquka ikofu, iti, iziselo ezibandayo, kunye netshokholethi. Kwanezinto ezibhalwe "decaffeinated" zisenokuba zisenazo iikhafeyini ezincinci, ngoko ke azikhuthazwa.
• Kwakhona, musa ukuthatha amayeza athengiswa ngaphandle kwemvume kagqirha aqulethe i-caffeine (umz. i-Excedrin®, i-Anacin®, iipilisi zokunciphisa umzimba, i-NoDoz®) iiyure ezingama-24 ngaphambi kokudibana nawe .

Yintoni esifanele siyenze ngomhla wovavanyo?

Gcina ezi zinto engqondweni yakho ngomhla wovavanyo:

• Musa ukutya okanye ukusela nantoni na ngaphandle kwezipuni ezimbalwa zamanzi ukuze usele amayeza akho.
• Musa ukutshaya .
• Zisa uluhlu lwamayeza onke owasela rhoqo. Oku kufuneka kuquke amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, kunye nezongezo zemifuno.
• Ukuba usela amayeza esifo seswekile, yiza nawo loo mayeza.Ungayithatha emva kokuba uvavanyo luphelile. Musa ukulibazisa ukutya ngelixa usela amayeza akho eswekile. Ukwenza njalo kunokubangela ukuba amanqanaba eswekile egazini lakho ehle kakhulu.
• Ukuba usebenzisa i-insulin , thatha umlinganiselo ugqirha wakho akuxelele ukuba uwuthathe ukuze ulawule iswekile yakho egazini. Usenokukuxelela ukuba uthathe isiqingatha sedosi yakho eqhelekileyo kusasa uze utye isidlo esilula iiyure ezine ngaphambi kovavanyo.
• Ukuba uthatha naluphi na uhlobo lwepilisi ukulawula iswekile egazini lakho, ungayithathi de uvavanyo luphele .
• Ukuba unesixhobo sokujonga iswekile egazini, yizise . Jonga amanqanaba eswekile egazini lakho ngaphambi nasemva kovavanyo. Ukuba ucinga ukuba iswekile egazini lakho iphantsi, xelela abasebenzi bezonyango ngoko nangoko. Cwangcisa ukutya kwaye uthathe iipilisi zeswekile emva kovavanyo.
• Ngomhla wovavanyo , thatha kuphela amayeza entliziyo achazwe ngugqirha wakho . Ukuba unemibuzo malunga nokuba ngawaphi amayeza akhuselekileyo ukuwathatha ngomhla wovavanyo, buza ugqirha wakho ngaphambi kovavanyo.

Kwenzeka ntoni ngexesha lovavanyo?

Xa besenza uvavanyo loxinzelelo lwe-adenosine, abasebenzi bezonyango baya:

• Ngaphambi kokuba kuqalwe ukuskena, kuza kufakwa imigca emibini ye-IV emthanjeni engalweni yakho (ukuze ikunike amayeza nezinye izinto ukuba kuyimfuneko).
• Ii-electrodes (iziqwenga ezincinci nezinamathelayo) zifakwa esifubeni sakho. Ezi zisetyenziselwa ukujonga intliziyo yakho kusetyenziswa i-electrocardiogram (EKG).
• Isixhobo sokulinganisa uxinzelelo lwegazi siya kubekwa engalweni yakho. Oku kuya kulinganisa uxinzelelo lwegazi lwakho.
• Isantya sentliziyo yakho, i-EKG, kunye noxinzelelo lwegazi ziya kuhlolwa kulo lonke uvavanyo.
• Uza kucelwa ukuba uhlale ungashukumi ngaphakathi kwiskena. Oku kungathatha ukuya kuthi ga kwimizuzu engama-45.
• Uza kucelwa ukuba ubambe umphefumlo wakho okwethutyana ngelixa iskena sithatha imifanekiso yentliziyo yakho.
• Ngaphambi kokuba unike iyeza nge-IV, uza kuchazelwa ngemiphumo emibi enokubakho yeyeza .

Uvavanyo luthatha ixesha elingakanani?

Ukuskena kukodwa kungathatha malunga nemizuzu engama-45 , kodwa lonke idinga lingathatha malunga neeyure ezimbini.

Kwenzeka ntoni emva kovavanyo?

Emva kovavanyo lwe-adenosine stress, abasebenzi bezonyango baza kulinda okwethutyana ukuze babone ukuba unayo na imiphumo emibi. Ukuba uziva uphilile, ungagoduka kwimizuzu embalwa.

Zithini iziphumo ebezingalindelekanga zolu vavanyo?

I-Adenosine ihlala emzimbeni wakho ixesha elifutshane kakhulu, malunga nemizuzu emihlanu. Emva kwemizuzwana elishumi, isiqingatha samayeza siyaphela. Yiyo loo nto abantu abaninzi befumana iziphumo ebezingalindelekanga, kodwa ziyaphela kwimizuzwana embalwa emva kokuba iyekile ukusebenzisa amayeza.

Malunga nama-80% abantu abavavanywa ngoxinzelelo lwe-adenosine bafumana iziphumo ebezingalindelekanga ezincinci.Ezona zixhaphakileyo zezi:

• Ukuziva ushushu kwaye uthambile (uthambile) .
• Iintlungu zesifuba .
• Ukuqhawukelwa ngumphefumlo .

Ngamanye amaxesha, iziphumo ebezingalindelekanga ezifana nezi zinokwenzeka:

• Ukuvimba kwentliziyo .
• I-Bronchospasm (ubunzima bokuphefumla).

Ukuba uneziphumo ebezingalindelekanga ezivela kuvavanyo loxinzelelo lwe-adenosine, ugqirha wakho angakunika i-caffeine ukuze ubanyange. Abanye abantu banokufuna nokuthatha iyeza elibizwa ngokuba yi-aminophylline .

Zinjani iziphumo? Zisixelela ntoni?

Ugqirha ohlola iziphumo zovavanyo lwakho uza kukubeka kudidi olunengozi encinci, olunengozi ephakathi, okanye olunengozi ephezulu . Bajonga ukuba unokuba sengozini kangakanani na yokuba nesifo sentliziyo ngenxa yokunqongophala kweoksijini, okanye ukuba iimpawu zakho zibangelwa kukuhamba kwegazi okungalunganga entliziyweni.

Ugqirha usenokuthi ezinye iindawo zentliziyo yakho azifumani gazi laneleyo . Oko kuthetha ukuba ezo ndawo azifumani oxygen yaneleyo. Kusenokufuneka bajonge ezo ndawo ngakumbi.

Ukuba ukuhamba kwegazi lakho kulungile kwaye ukwiqela elinomngcipheko omncinci, ungadinga kuphela amayeza afana ne-beta-blockers okanye i-calcium channel blockers . Ii-anticoagulants kunye ne-statins, ezinciphisa i-cholesterol, zikwanceda nomngcipheko wentliziyo.

Kuthatha ixesha elingakanani ukwazi iziphumo?

Kuthatha iintsuku ezimbalwa kuphela ukuba ugqirha agqibe ukuhlola iziphumo zovavanyo. Xa ugqirha wakho efumene iziphumo, uza kukufowunela aze akuxelele ngazo.

Yintoni omawuyenze emva koko ukuba iziphumo aziqhelekanga?

Ugqirha wakho usenokufuna ukwenza uvavanyo olongezelelekileyo ukuze ajonge iindawo apho igazi lingahambi kakuhle khona. Uvavanyo olubizwa ngokuba yi-coronary angiography lunokubanceda bafumane unobangela ochanekileyo wengxaki. Ukuba uvalekile kwenye yemithambo yakho yentliziyo, kunokufuneka ukuba ufake i-stent kwimithambo okanye wenze utyando lwe-coronary artery bypass graft (CABG) .

Ndingaqhagamshelana nini nogqirha wam?

Qiniseka ukuba unxibelelana nogqirha wakho kwezi meko zilandelayo:

• Ukuba awuqinisekanga ukuba wenze ntoni emva kovavanyo lwe-Adenosine Stress.
• Ukuba awukayiva impendulo kwiziphumo zovavanyo kwiveki enye ...

Kutheni i-adenosine isetyenziswa kwiimvavanyo zoxinzelelo?

Ngamafutshane, i-adenosine ibangela ukuba imithambo yakho yentliziyo ivuleke (ivuleke) ngakumbi, njengaxa uzilolonga. Oku kuthumela igazi elingakumbi kwimisipha yentliziyo yakho. Eli yeza linokunyusa ukuhamba kwegazi entliziyweni yakho ngokuphindwe kathathu ukuya kahlanu kunomlinganiselo wegazi eliwufumanayo xa uphumle.

Ingaba uvavanyo lwe-Adenosine Stress lukhuselekile?

Ewe, uvavanyo loxinzelelo lwe-adenosine luhlala lukhuselekile . Luneziphumo ezimbalwa ebezingalindelekanga, eziphela ngokukhawuleza. Abaphandi baye bangqina ukhuseleko lokusebenzisa i-adenosine kuvavanyo loxinzelelo kwizifundo ezibandakanya abantu abamalunga ne-15,000.

I-adenosine iyichaphazela njani isantya sentliziyo yakho?

I-Adenosine inokubangela ukuba isantya sentliziyo yakho sehle okanye sinyuke . Uxinzelelo lwakho lwegazi lusenokwehla kancinci.

Yintoni umahluko phakathi kweLexiscan® kunye novavanyo lwe-Adenosine Stress?

ILexiscan® (regadenoson) kunye ne-adenosine zombini ngamayeza avula (andisa) imithambo yegazi yakho. IRegadenoson (njengoko iLexiscan iyibiza) liyeza elisetyenziswa ngoogqirha rhoqo kwiimvavanyo zoxinzelelo kunalo naliphi na elinye. IRegadenoson ithatha imizuzwana eli-10 kuphela ukujova. IAdenosine ithatha malunga nemizuzu emihlanu.

Izifundo zibonise ukuba abantu bayayinyamezela i-regadenoson ngcono kune-adenosine kwaye baneziphumo ezimbalwa ezingalindelekanga. Abantu abasebenzisa i-regadenoson baxela iziphumo ezimbalwa ezingalindelekanga, ezifana nokurhawuzelela kunye neentlungu zesifuba, kodwa banamathuba amaninzi okuba neentloko ezibuhlungu kunye nokuxhuzula.

Kungcono ukuthetha nogqirha wakho uze ugqibe ukuba loluphi unyango olulungele wena.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule

Kuqhelekile ukuba nexhala malunga novavanyo olujonga ukuba intliziyo yakho isebenza kakuhle kangakanani na. Intliziyo sisitho esibaluleke kakhulu emzimbeni wethu. Kodwa ungakuthemba oku: Ukuba ugqirha wakho ufumana ingxaki entliziyweni yakho, uza kuza necebo elifanelekileyo lokukunceda. Ungoyiki ukubuza imibuzo malunga nantoni na ongayiqondiyo. Buza ugqirha wakho okanye abasebenzi bezonyango. Emva koko uya kukwazi ukoyisa uloyiko lwakho ngolu vavanyo.

Uvavanyo loxinzelelo lwe - Adenosine, Uvavanyo lwentliziyo, Isifo semithambo yentliziyo, Impilo yentliziyo, Ukuhamba kwegazi, Uvavanyo lwezonyango, i-CAD