Intliziyo yethu sisitho esimangalisayo ngokwenene, akunjalo? Ipompa igazi emzimbeni wethu imini yonke ngaphandle kokuphumla. Kodwa ngamanye amaxesha, xa sidinwa kancinci, xa sinyuka izinyuko, okanye xa siphakamisa into enzima, sinokuziva sixinene okanye sibuhlungu esifubeni. Abanye abantu bade babe nobunzima bokuphefumla. Ngoko ke, ngamaxesha anje ngala, usenokuba ukhe wacinga, "Hayi bo, kukho into engalunganga entliziyweni yam?" Ngamaxesha anje ngala, sithetha ngovavanyo olukhethekileyo olwenziwayo ukujonga imeko yentliziyo yakho, ingakumbi indlela esebenza ngayo xa umzimba ufumana umthambo. Oku kubizwa ngokuba yi-Exercise Stress Echocardiogram .
Ngamafutshane, yintoni le Echocardiogram yoxinzelelo lomzimba?
Eli gama lide kancinci, ngoko masilahlule libe ngamacandelo amabini.
1. I-Echocardiogram (Echo): Eli ligama osenokuba ulivile. Ngamafutshane, sisikeni sentliziyo yakho. Njenge-ultrasound scan, isebenzisa amaza esandi ukwenza uthotho lwemifanekiso eshukumayo, njengevidiyo, yentliziyo yakho. Le mifanekiso ivumela ugqirha wakho ukuba abone imo kunye nobukhulu bentliziyo yakho, iivalvu, kunye nendlela esebenza ngayo imisipha yentliziyo yakho.
2. Uxinzelelo Lokuzilolonga: 'Uxinzelelo' apha alubhekiseli kuxinzelelo lwengqondo, kodwa kuxinzelelo lomzimba. Oko kukuthi, le Echo yenziwa xa uxinezelekile kancinci kwaye intliziyo yakho ibetha ngokukhawuleza.
Ngoko ke, xa udibanisa ezi zinto zimbini, i-Exercise Stress Echocardiogram kuxa uhamba kwi-treadmill okanye ukhwela ibhayisekile, uze emva koko intliziyo iqheliswe uze emva koko intliziyo ivavanywe ngomatshini we-Echo.
Ngaba zikho ezinye iintlobo zovavanyo loxinzelelo olufana nolu?
Ewe, zikho ezinye iindlela ezininzi zokujonga ukusebenza kwentliziyo ngokuzivocavoca. Makhe sijonge iintlobo eziphambili.
| Igama lovavanyo | Kwenzeka ntoni nje? |
|---|---|
| Uxinzelelo lomzimba EKG | Ngelixa uzilolonga, uvavanyo oluqhelekileyo lwe-EKG lulinganisa umsebenzi wombane wentliziyo. |
| Uvavanyo loxinzelelo lokuzivocavoca ngeNyukliya | Kule meko, kufakwa isixa esincinci kakhulu sento enemisebe ngokukhuselekileyo emthanjeni. Emva koko, kusetyenziswa ikhamera ekhethekileyo ukujonga indlela igazi elihamba ngayo liye entliziyweni ngaphambi nasemva kokuzilolonga. |
| Uvavanyo loxinzelelo lwezeMithi | Abanye abantu banobunzima bokuzilolonga. Kubantu abanjalo, olu vavanyo lwenziwa ngokubanika amayeza afana neDobutamine nokunyusa izinga lokubetha kwentliziyo yabo ngokungathi bayazilolonga. |
| Uvavanyo loxinzelelo lwesantya | Kwabo bane- pacemaker esisigxina efakelwe ukulawula izinga lentliziyo yabo, olu vavanyo lunokwenziwa ngokukhawulezisa izinga lentliziyo ngeso sixhobo. |
Kweziphi iimeko olu vavanyo lwenziwa kuzo?
Oogqirha basebenzisa olu vavanyo ikakhulu ukufumanisa imeko ebizwa ngokuba sisifo semithambo yegazi yentliziyo . Ngamafutshane, lwenziwa ukuze kubonwe ukuba imithambo yegazi ehambisa igazi kwizihlunu zentliziyo (oko sikubiza ngokuba yi-'coronary arteries') ivaliwe okanye incitshiswe ngamanqatha.
Kanye njengokuba ukungcola kubhajwa kumbhobho wamanzi, isantya samanzi siyancipha, xa imithambo yegazi entliziyweni ivalekile, intliziyo ayifumani igazi elifunekayo. Nangona singakuqapheli oku ngokuqhelekileyo, xa sidiniwe, intliziyo ifuna igazi elingakumbi. Kulapho kuvela khona iimpawu ezifana neentlungu zesifuba.
Ukongeza kwesi sizathu siphambili, olu vavanyo lukwanceda ekuchongeni okanye ekujongeni imeko yezinye iimeko zonyango ezininzi.
- Ukubuthathaka okanye ukuqina kwemisipha yentliziyo (iCardiomyopathy)
- Isifo sentliziyo esizalwa naso
- Ukumelwa yintliziyo
- Isifo seValve yeNtliziyo
- Uxinzelelo lwegazi oluphezulu lwemiphunga
Ngubani ocetyiswayo ukuba athathe olu vavanyo?
Ukuba uneempawu ezinokuthi zinxulunyaniswe nesifo sentliziyo, ingakumbi ukuba ezo mpawu ziya zisiba mandundu xa uzilolonga okanye usebenza nzima, ugqirha wakho angakucela ukuba wenze olu vavanyo.
| Iimpawu | Amanye amatyala |
|---|---|
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Ngaba kukho abantu abangafanelekiyo ukwenza olu vavanyo?
Ewe, akukhuselekanga ukuxinzelela intliziyo ngale ndlela kubantu abaneengxaki ezithile zentliziyo. Olu vavanyo alwenziwa kwiimeko ezinjalo. Umzekelo:
- Ukuqhaqha kwe-Aortic
- Usulelo/ukudumba kwentliziyo okanye izicwili ezingqongileyo (i-Endocarditis, i-Myocarditis, i-Pericarditis)
- Abantu abasandula ukuba nesifo sentliziyo
- I-arrhythmias enzima engalawulwayo
- I-stenosis ye-aortic enzima (i-stenosis ye-aortic valve)
Kodwa ungakhathazeki ngale nto. Ngaphambi kokuba wenze olu vavanyo, ugqirha uza kuhlola imeko yakho yonke yempilo aze agqibe ukuba ingaba oku kukulungele okanye akunjalo.
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Ukuze ufumane iziphumo zovavanyo ezichanekileyo, kufuneka ulungiselele kakuhle. Ugqirha uza kukunika imiyalelo ngale nto. Ezi zizinto eziqhelekileyo ekufuneka uzilandele.
| Izinto ekufuneka zenziwe/ezingafanele zenziwe | Inkcazo |
|---|---|
| I-Caffeine | Ziphephe iziselo ezine-caffeine ezifana nekofu, iti, itshokolethi, kunye ne-cola iiyure ezingama-24 ngaphambi kovavanyo. Ezi zinto zinokuchaphazela izinga lokubetha kwentliziyo yakho. |
| Amayeza | Xelela ugqirha wakho ngayo nayiphi na imithi oyithathayo. Amanye amayeza (afana ne-beta-blockers) anokufuna ukuba uyeke ukuwasebenzisa ngomhla wovavanyo. Ungaze uyeke ukuthatha nayiphi na imithi ngaphandle kokubuza ugqirha wakho kuqala. |
| Ukutya neziselo | Musa ukutya okanye ukusela nantoni na kangangeeyure ezimbalwa ngaphambi kovavanyo. |
| Ukutshaya | Kuphephe ukutshaya okanye ukusebenzisa ezinye iimveliso zecuba ngomhla wovavanyo. |
| Iimpahla | Hamba-hamba, uzilolonge, unxibe impahla ekhululekileyo nekhululekileyo kunye nezihlangu. |
Kwenzeka ntoni ngexesha lovavanyo? Masiyijonge inyathelo ngenyathelo.
Le nkqubo yonke idla ngokuthatha malunga neyure.
1. Ukulungiselela: Okokuqala, ingcali iza kubeka izitikha ezincinci, ezisicaba (ii-electrode) esifubeni sakho. Ezi ziza kuqhagamshelwa kumatshini we-EKG ukujonga izinga lentliziyo yakho. I-blood pressure cuff nayo iya kubekwa engalweni yakho.
2. Ingxolo yokuqala: Okulandelayo, uza kulala ngecala lakho lasekhohlo. Ingcali eqeqeshiweyo (iCardiac Sonographer) iza kubeka ijeli esifubeni sakho ize ibeke isixhobo esincinci (i-transducer) kumatshini we-ultrasound ukuze ithathe imifanekiso yentliziyo yakho. Lo ngumfanekiso wokuqala othathwayo ngelixa uphumle.
3. Ukuzilolonga: Kulapho umsebenzi uqala khona. Uza kufakwa kwi-treadmill okanye ibhayisekile engashukumiyo. Qala kancinci kwaye kancinci kancinci wonyuse isantya kunye nokuthambeka. Uza kuzilolonga ude ufikelele "kwisantya sentliziyo" esimiselweyo, kuxhomekeke kwiminyaka yakho kunye nenqanaba lokuqina komzimba, okanye ude uqale ukufumana iimpawu. Oku kuza kuthatha malunga nemizuzu eli-10-15.
4. Ukunika Ingxelo Ngeempawu (Kubaluleke Kakhulu!): Ukuba ufumana nantoni na engaqhelekanga ngexesha lokuzilolonga, njengentlungu yesifuba, uxinzelelo, ukuqina, intlungu yengalo okanye yomhlathi, ubunzima bokuphefumla, isiyezi, okanye ukuquleka , kufuneka uxelele ugqirha okanye abasebenzi ngoko nangoko.
5. I-Echo yesibini:Xa isantya sentliziyo yakho sifikelele kwindawo oyifunayo, kufuneka ukhawuleze uphume kwi-treadmill ubuyele ebhedini ukuze ulale. Uvavanyo lwesibini lwe-echo luya kwenziwa ngoko nangoko. Lo ngumfanekiso othathwe emva kokuba intliziyo ixinezelekile.
6. Phola: Emva kwe-Echo yesibini, uza kucelwa ukuba uhambe nge-treadmill okanye ukhwele ibhayisekile kwakhona ukuze umzimba wakho kunye nesantya sentliziyo yakho zibuyele esiqhelweni.
Kwenzeka ntoni emva kovavanyo?
Ungaya ekhaya xa isantya sentliziyo yakho kunye noxinzelelo lwegazi zibuyele esiqhelweni. Usenokuziva udiniwe kancinci ngenxa yokuzilolonga. Oku kuqhelekile.
Ngaba kukho naziphi na iingozi ngolu vavanyo?
Uxinzelelo lomzimba I-Echocardiography luvavanyo olukhuselekileyo kakhulu. Iziphumo ebezingalindelekanga azixhaphakanga. Ukuba kukho umngcipheko, akubangelwa luvavanyo ngokwalo, kodwa kungenxa yemeko engaphantsi kwentliziyo yakho. Oko kukuthi, xa uxinzelelo lubekwe entliziyweni, abanye abantu banokufumana ukubetha kwentliziyo okungaqhelekanga (arrhythmia) okanye iintlungu zesifuba (angina).
Kodwa akukho mfuneko yokukhathazeka. Kuyo yonke uvavanyo, ugqirha kunye nabasebenzi bezonyango abaqeqeshiweyo baya kujonga ngokusondeleyo i-EKG yakho, uxinzelelo lwegazi, kunye nemeko yakho. Ukuba kuvela naziphi na iimeko eziyingozi, baya kuyimisa ngoko nangoko uvavanyo baze banike unyango olufunekayo.
Zithini iziphumo?
Ugqirha ufikelela kwisigqibo ngokuthelekisa imifanekiso ye-echo ethathwe ngexesha lokuphumla kunye nemifanekiso ye-echo ethathwe emva kokuzilolonga.
- Isiphumo Esiqhelekileyo: Ukuba zonke iindawo zemisipha yentliziyo zisebenza kakuhle xa ziphumla nasemva kokuzilolonga, oko kuthetha ukuba intliziyo ifumana igazi elaneleyo.
- Isiphumo Esingaqhelekanga: Ukuba ezinye iindawo zemisipha yentliziyo zibonakala ngathi zingasebenzi kakuhle emva kokuzilolonga, oko kuthetha ukuba imithambo yegazi ehambisa igazi kwezo ndawo isenokuvaleka.
Nje ukuba iziphumo zifike, ugqirha wakho uza kukuchazela ukuba zithetha ukuthini kuwe ngamazwi alula. Baza kuthetha nawe ngento omawuyenze ngokulandelayo, mhlawumbi nokuba kufuneka uvavanyo olongezelelekileyo okanye ngaba unyango lufanele luqalwe.
Umyalezo Wokuya Ekhaya
- I-Echocardiogram yoxinzelelo lomzimba siskeni esikhuselekileyo nesibalulekileyo esijonga indlela intliziyo yakho esebenza ngayo ngexesha lokuzilolonga.
- Oku kusetyenziswa kakhulu ekuchongeni ukuba imithambo yegazi ehambisa igazi entliziyweni ivaliwe na.
- Landela imiyalelo kagqirha ngononophelo ngaphambi kovavanyo (ingakumbi ukuphepha i-caffeine nokutya).
- Ukuba ufumana naluphi na uvakalelo olungathandekiyo ngexesha lovavanyo, olufana neentlungu zesifuba okanye isiyezi, musa ukoyika kwaye wazise abasebenzi bezonyango ngoko nangoko.
- Ungakhathazeki ngeziphumo zovavanyo. Ugqirha wakho uza kukuchazela yonke into aze akunike isikhokelo kumanyathelo alandelayo ekufuneka uwathathe.
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