Ungathanda ukwazi okungakumbi nge-Dobutamine Stress Echocardiogram? Masithethe!

Nawe kusenokwenzeka ukuba ucelwe ngugqirha ukuba wenze olu vavanyo lubizwa ngokuba yi-`(Dobutamine Stress Echocardiogram)`. Okanye usenokuba ukhe weva ngalo ndaweni ithile. Usenokuba unemibuzo emininzi malunga nokuba luyintoni olu vavanyo, kutheni lwenziwa, kwaye lusebenza njani. Ungakhathazeki, masithethe ngalo ngokulula. Olu luvavanyo olukunceda ufumane ulwazi oluxabisekileyo malunga nempilo yentliziyo yakho.

Yintoni le vavanyo ye-dobutamine stress echo?

Ngamafutshane, olu luvavanyo olujonga indlela intliziyo yakho esebenza ngayo phantsi koxinzelelo . Cinga ngako, xa sizilolonga, iintliziyo zethu zibetha ngokukhawuleza, kwaye yiloo nto sizama ukuyenza apha, sidala olo hlobo lwemeko ngobuchule.

Oku kusebenzisa into ebizwa ngokuba yi-"Echocardiogram". Oko kukuthi, uvavanyo lwentliziyo olubizwa ngokuba yi-"Ultrasound". Kufana nokuskena komntwana osesibelekweni, kwaye kunokujonga intshukumo yentliziyo kunye nokuma kwayo.

Ngokwesiqhelo, xa wenza uvavanyo loxinzelelo, ucelwa ukuba ugijime kwi-treadmill okanye ukhwele ibhayisekile ukuze unyuse izinga lokubetha kwentliziyo yakho. Kodwa kule ``Dobutamine Stress Echocardiogram``, awucelwa ukuba wenze loo nto. Endaweni yoko , unikwa iyeza elibizwa ngokuba yi``Dobutamine``. Eli yeza livuselela intliziyo yakho ngokungathi uqhelisela umzimba. Emva koko, oogqirha banokubona indlela intliziyo yakho esabela ngayo kolu hlobo loxinzelelo.

Esinokukufumana kolu vavanyo:

• Ngaba kukho ingxaki kwimisipha yentliziyo yakho okanye kwiivalvu ?
• Nokuba igazi eliya kwimisipha yentliziyo lanele okanye akunjalo .
• Ingaba intliziyo yakho izinzile ngombane xa uphumle kwaye uthwele umthwalo?

Olu vavanyo luza kwenziwa nini?

Asinguye wonke umntu onokubaleka kwi-treadmill okanye akhwele ibhayisekile. Abanye abantu banokuba neengxaki ezifana neentlungu zamalungu okanye ubunzima bokuphefumla. Yiyo loo nto oogqirha besebenzisa eli yeza `(Dobutamine)` ukwenza uvavanyo loxinzelelo.

Kukho izizathu ezahlukeneyo zokwenza olu vavanyo:

• Jonga ukuba intliziyo yakho ingenza umsebenzi ongakanani na .
• Hlola umngcipheko wakho wokuba nesifo semithambo yegazi yentliziyo .
• Fumanisa ukuba isifo sevalvu yentliziyo sibi kangakanani.
• Jonga ukusebenza kwentliziyo yakho ngaphambi kotyando lwentliziyo .
• Jonga ukuba unyango lwakho lwentliziyo luyasebenza na .

Ngubani owenza olu vavanyo?

Olu vavanyo lwenziwa phantsi kweliso likagqirha. I-Dobutamine Stress Echocardiogram yakho yenziwa yiCardiac Sonographer, ingcali yezobuchwepheshe eqeqeshwe ngokukhethekileyo kwisifo sentliziyo . Yena uza kukuchazela iinkcukacha aze enze uvavanyo ngokufanelekileyo.

Lwenziwa njani olu vavanyo lwe-dobutamine stress echo?

Kulungile, masibone ukuba kwenzeka ntoni xa usenza olu vavanyo. Akukho nto yokoyika, yonke into iza kucaciswa kuwe.

• Ukubekwa kwe-electrode: Okokuqala, umongikazi okanye ingcali iza kubeka izitikha ezincinci, ezithe tyaba ezibizwa ngokuba zii-electrode kwiindawo ezili-10 esifubeni sakho. Ezi ziqhagamshelwe kwi-monitor ye-electrocardiogram (EKG). Oku kulinganisa umsebenzi wombane wentliziyo yakho kulo lonke uvavanyo.
• I-ECG yokuphumla kunye ne-Echocardiogram: Ngaphambi kokuba unikwe iyeza iDobutamine, uza kujika ngecala lakho lasekhohlo ebhedini. Emva koko, ingcali iza kubeka isixhobo esincinci (esibizwa ngokuba yi-transducer) esifubeni sakho ize ijonge ukubetha kwentliziyo yakho. Oku kubizwa ngokuba yi-echocardiogram yokuphumla. Imifanekiso yentliziyo yakho ithathwa kulo lonke uvavanyo.
• Ukufaka umgca wetyuwa engalweni yakho (umgca we-IV): Okulandelayo, ityhubhu encinci (umgca we-intravenous / IV) iya kufakwa emthanjeni osengalweni yakho. Kulapho iyeza (iDobutamine) liza kufakwa khona emzimbeni wakho. Usenokuziva unesithukuthezi esincinci ngeli xesha.
• Inaliti yeDobutamine: Kulapho idobutamine iza kunikwa khona kancinci nge-IV. Ingcali iza kuqhubeka nokubeka i-transducer phezu kwesifuba sakho ize ithathe imifanekiso. Njengoko iyeza lifakwa, intliziyo yakho iya kuqala ukuziva ngathi iyazilolonga. Isantya sentliziyo yakho siya kunyuka. Isenokuvakala ngathi intliziyo yakho ibetha ngokukhawuleza kunesiqhelo. Usenokuziva ushushu kancinci, ubuso bakho bunokuba bomvu, kwaye unokuba nentloko ebuhlungu kancinci . Oku kuqhelekile.
• Iimpawu zokujonga: Ngexesha lovavanyo, abasebenzi baza kukubuza ukuba uziva njani. Ukuba uziva iintlungu okanye ukungakhululeki esifubeni sakho, ezingalweni, okanye emhlathini , isiyezi, ukuphefumla okufutshane, ukuba nentloko ebuhlungu, okanye nantoni na engaqhelekanga, kufuneka ubaxelele ngokuqinisekileyo. Baza kube bejonge ne-EKG monitor. Ukuba babona naluphi na utshintsho, baza kuyeka uvavanyo.
• Ukuphela kovavanyo: Xa uvavanyo luphelile, umgca we-IV uza kususwa engalweni yakho. Isantya sentliziyo yakho kufuneka sibuyele kwisiqhelo kwimizuzu emi-5 ukuya kweli-10.

Eyona nto ibalulekileyo kukuxelela abasebenzi ngoko nangoko ukuba uziva ungakhululekanga. Oku kuya kubanceda bahlale bekhuselekile.

Ndingatya ndize ndisele ngaphambi kovavanyo?

Ewe, ungatya uninzi lokutya neziselo ukuya kuthi ga kwiiyure ezine ngaphambi kovavanyo. Amanzi angaselwa de kube luvavanyo.

Nangona kunjalo, musa ukutshaya ngomhla wovavanyo. I-Nicotine inokuchaphazela iziphumo ze-ultrasound yakho.

Kwakhona, musa ukutya nantoni na equlethe i-caffeine, efana nekofu, iti, itshokolethi, iziselo ze-cola, kunye neziselo ezinika amandla, kangangeeyure ezingama-24 ngaphambi kovavanyo.I-caffeine nayo inokuchaphazela iziphumo. Iimveliso ezibhalwe "decaffeinated" (`decaffeinated` / `caffeine-free`) zinokuba nezixa ezincinci ze-caffeine, ngoko ke azilunganga.

Ngaba kufuneka ndithathe amayeza am ngaphambi kovavanyo?

Le yinto ekufuneka uyiqwalasele kugqirha wakho ukuze uqiniseke. Ugqirha wakho angakucela ukuba uyeke ukuthatha amayeza athile entliziyo ngosuku lovavanyo okanye kwiiyure ezingama-24 ngaphambi koko.

Ngamanye amaxesha, ukuba usela amayeza eentlungu zesifuba, unokucelwa ukuba uqhubeke uwasela. Zisa onke amayeza akho kuvavanyo. Eyona nto ibalulekileyo kukuba ungaze uyeke ukuwasela amayeza akho ngaphandle kokuthetha nogqirha wakho.

Amayeza adla ngokucelwa ukuba ayeke ngala:

• Ii-Beta-blockers: Imizekelo ibandakanya (i-Atenolol / Tenormin®), (i-Carvedilol / Coreg®), (i-Metoprolol / i-Lopressor®, i-Toprol®), kunye ne-(i-Propranolol / Inderal®).
• I-Isosorbide dinitrate: Imizekelo: iDilatrate®, iIsordil®, iSorbitrate®.
• I-Isosorbide mononitrate: Imizekelo: Ismo®, Imdur®, Monoket®.
• I-Nitroglycerin: Imizekelo iquka iMinitran®, iNitropatches®, kunye neNitrostat®.

Kwakhona, musa ukuthatha amayeza athengiswa ngaphandle kwemvume kagqirha aqulethe i-caffeine (umz., iipilisi zokunciphisa umzimba, `(NoDoz®)`, `(Excedrin®)`, `(Anacin®)`) iiyure ezingama-24 ngaphambi kovavanyo. Ukuba awuqinisekanga ukuba zeziphi amayeza aqulethe i-caffeine, buza ugqirha wakho okanye ikhemisti.

Ukuba unemibuzo malunga namayeza akho, qiniseka ukuba uthetha nogqirha wakho.

Ngaba kufuneka ndithathe amayeza ukuba ndinesifo seswekile?

Ukuba unesifo seswekile, kufuneka uxelele ugqirha wakho ngaso. Uza kukuxelela ukuba kufuneka unciphise amayeza owathathayo ngaphambi kovavanyo okanye uwathathe emva kovavanyo. Umzekelo:

• Ukuba uthatha i-insulin ukulawula iswekile yakho egazini: Ugqirha wakho angakuxelela ukuba uthathe isiqingatha sedosi yakho yasekuseni uze utye isidlo esilula iiyure ezine ngaphambi kovavanyo. Ungaze ulibale ukutya ngelixa uthatha amayeza akho eswekile.
• Ukuba usela iipilisi zokulawula iswekile egazini lakho: Ugqirha uza kukuxelela ukuba uthathe iyeza emva kovavanyo.
• Ukuba unesixhobo sokujonga iglucose: Yiphathe uye naso xa usiya kuvavanyo. Kuya kufuneka ujonge amanqanaba eswekile egazini lakho ngaphambi nasemva kovavanyo. Ukuba uvakalelwa kukuba iswekile yakho yegazi iphantsi, xelela umntu oselebhu ngoko nangoko. Emva kovavanyo, kufuneka utye kwaye uthathe amayeza akho eswekile.

Ndifanele ndinxibe mpahla enjani?

Unganxiba nantoni na oyithandayo. Ngaphambi kovavanyo, kuya kufuneka unxibe ilokhwe yesibhedlele. Musa ukuzisa izinto ezixabisekileyo ezifana nezacholo ngomhla wovavanyo. Baza kukunika ilokha yokugcina izinto zakho.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga ezivela kwi-dobutamine? Zithini iingozi?

Usenokuba nentloko ebuhlungu kancinci xa usebenzisa iDobutamine. Esinye isiphumo esiqhelekileyo kukwehla kancinci koxinzelelo lwegazi. Abanye abantu banokuba nesantya sentliziyo esingaqhelekanga okanye amanqanaba entliziyo akhawulezayo ngendlela engaqhelekanga (i-Atrial Fibrillation okanye i-Ventricular Tachycardia). Kubalulekile ukuthetha nogqirha wakho malunga nokuba usemngciphekweni na wale miphumo emibi.

Ngamanye amaxesha kusetyenziswa i-"Contrast Daye" (ulwelo olunceda ekwenzeni imifanekiso ecacileyo) ngeli xesha lovavanyo. Ukuba oku kuyenzeka, kukho umngcipheko omncinci wokuba kubekho i-allergy kuyo. Ukuba wakha waba ne-allergy kwi-"Contrast Daye", xelela iqela lakho lezonyango.

Kubantu abane-angina (iintlungu zesifuba), kukho umngcipheko omncinci kakhulu wokuba nesifo sentliziyo ngexesha lovavanyo. Ukuba oku kuyenzeka, iqela lezonyango liya kubonelela ngonyango olungxamisekileyo olufunekayo.

Kuthekani ukuba ndine-pacemaker okanye i-defibrillator?

Ukuba une-pacemaker okanye i-defibrillator, ugqirha wakho kuya kufuneka ayihlole ngaphambi kolu vavanyo. Ngoko ke, fowunela ugqirha wakho umxelele.

Olu vavanyo luthatha ixesha elingakanani?

Idinga lonke lithatha malunga neyure . I-IV ithatha malunga nemizuzu eli-15 kuphela.

Kwenzeka ntoni emva kovavanyo?

Emva kokuba uvavanyo luphelile, kuya kufuneka uhlale kwigumbi lokuchacha ubuncinane imizuzu engama-30 , okanye ude naziphi na iimpawu onokuba unazo (ezifana nokubetha kwentliziyo okunyukileyo) zibuyele esiqhelweni.

Ndingakwazi ukuqhuba imoto emva kovavanyo?

I-Dobutamine inokubangela ukwehla okuncinci koxinzelelo lwegazi. Kungoko ke, kungcono ukuba umntu akuqhubele ekhaya emva kwedinga lakho. Akuyongcinga ilungileyo ukuqhuba wedwa.

Zithini iziphumo zolu vavanyo?

Kukho iintlobo ezintathu zeziphumo ezinokuvela kuvavanyo lwe-dobutamine stress echo:

• Ukuba ulungile okanye awulunganga: Esi siphumo sithetha ukuba intliziyo yakho ayifumani gazi laneleyo. Oku kungaba luphawu lwesifo semithambo yegazi yentliziyo. Kungaba luphawu lokuba unomonakalo kwimisipha yentliziyo, awukho sempilweni, okanye unyango lwakho lwangoku alusebenzi. Ukuba ufumana iziphumo ezinje, kunokufuneka wenze uvavanyo olongezelelekileyo. Ugqirha wakho uza kuthetha nawe malunga nento omawuyenze ngokulandelayo.
• ``Imbi okanye iqhelekile``: Oku kuthetha ukuba intliziyo yakho isabela ngendlela eqhelekileyo xa iphantsi koxinzelelo. Kuthetha ukuba akukho ngxaki.
• Ayigqibeki/ Ayingqinelani:Ugqirha akanakukwazi ukwenza uxilongo oluchanekileyo kwezi ziphumo. Kusenokufuneka ezinye iimvavanyo.

Luchane kangakanani uvavanyo loxinzelelo lwe-dobutamine?

I-stress echocardiography inokuba luvavanyo oluchanekileyo kakhulu. Kolunye uphando lwabantu abayi-5,131, yayichaneke ngaphezu kwe-95% ekuxeleni kwangaphambili isifo sentliziyo. Nangona kunjalo, ngamanye amaxesha inokuvelisa iziphumo ezingezizo ezilungileyo okanye ezimbi. Kubalulekile ukuthetha nogqirha wentliziyo ukuze agqibe ukuba loluphi uvavanyo olulungele wena ngokusekelwe kwiimpawu zakho.

Kuthatha ixesha elingakanani ukwazi iziphumo?

Emva kokuba ugqirha wentliziyo ephonononge iziphumo zovavanyo lwakho, uza kuzifaka kwiRekhodi yakho yezonyango ye-elektroniki (EMR). Ugqirha wakho uza kuhlola iziphumo aze athethe nawe. Ukuba awukafumani mntu kwiveki emva kovavanyo lwakho, fowunela ugqirha wakho ukuze akubuze iinkcukacha.

Okokugqibela, izinto ekufuneka uzikhumbule

I-dobutamine stress echocardiogram yindlela echanekileyo kakhulu yokuba oogqirha babone indlela intliziyo yakho esabela ngayo kuxinzelelo. Olu vavanyo lunokunceda ekuphenduleni imibuzo malunga neempawu zentliziyo yakho okanye lubone ukuba isicwangciso sakho sonyango sisebenza kakuhle na. Eli linyathelo elibalulekileyo ekuncedeni iqela lakho lezonyango ukuba linyamekele impilo yentliziyo yakho.

Nangona ungaziva urhawuzelelwa kancinci xa kufakwa i-IV, uvavanyo alunabuhlungu. Ukuba unemibuzo okanye iinkxalabo malunga novavanyo lwe-dobutamine stress echo, thetha nogqirha wakho. Baya kukwazi ukukunceda.

I- Dobutamine Stress Echo, Uvavanyo lwentliziyo, i-Echocardiogram, isifo sentliziyo, umsebenzi wentliziyo, i-Dobutamine, impilo yentliziyo