Uvavanyo olukhethekileyo lokufumanisa impilo yentliziyo yakho: Yonke into malunga novavanyo loxinzelelo lwentliziyo yeNyukliya!

Ngamanye amaxesha, xa sineengxaki ezincinci ngentliziyo yethu, okanye xa sikrokrela isifo sentliziyo, oogqirha basicela ukuba senze uvavanyo olwahlukeneyo. Kaloku, olu vavanyo lubalulekileyo olujonga nzulu impilo yentliziyo, ingakumbi indlela igazi elithunyelwa ngayo entliziyweni, lubizwa ngokuba luvavanyo loxinzelelo lwentliziyo lwenyukliya. Usenokuba ukhe waliva eli gama, okanye ugqirha wakho usenokuba ucele ukuba wenze olu vavanyo. Ngoko ke, masithethe ngale nto ngokulula nangokucacileyo namhlanje, kulungile?

Yintoni le Ngxaki Yokuxinzelelwa Yintliziyo Yenyukliya?

Ngamafutshane, olu luvavanyo olukhethekileyo olunceda ekuxilongeni isifo sentliziyo. Okwenzekayo apha kukuba ugqirha okanye ingcali eqeqeshiweyo ifake inani elincinci lezinto ezinemisebe (i-tracer okanye i-radiopharmaceutical) emzimbeni wakho, oko kukuthi, kwimithambo yegazi. Ungakhathazeki, eli linani elincinci kakhulu, kwaye likhuselekile. Le nto ihamba ngemithambo yegazi yakho kwaye ifunxwa kwimisipha yentliziyo kunye nemithambo yegazi. Emva koko, xa ijongwa ngekhamera ekhethekileyo, indlela igazi elihamba ngayo ukuya entliziyweni, kwaye iindawo zentliziyo zibonakala ngokucacileyo. Oku kufana nokusebenzisa ithotshi ukufumana into ebumnyameni.

Olu vavanyo lubizwa ngamanye amagama, kwaye ugqirha wakho usenokuba uthe elinye lala magama:

• Iskeni se-Cardiac PET (Positron Emission Tomography).
• Iskeni seCardiac SPECT (Single-Photon Emission Computed Tomography).
• Umzobo Wokurhaxwa Kwentliziyo (MPI).
• Uvavanyo loxinzelelo lwenyukliya.

Musa ukoyika xa usiva la magama, la magama ahlukeneyo ovavanyo olufanayo.

Ziziphi iintlobo zovavanyo loxinzelelo lwentliziyo olukhoyo?

Kukho iindlela ezimbini eziphambili zokwenza olu vavanyo, enye kukuvavanya "uxinzelelo", olubandakanya ukufaka uxinzelelo oluthile entliziyweni.

1. Uvavanyo loxinzelelo lokuzivocavoca: Kolu vavanyo, uza kucelwa ukuba uzilolonge kwi-treadmill okanye kwibhayisekile engashukumiyo. Kancinci kancinci yonyusa isantya de isantya sentliziyo yakho sifikelele kwinqanaba elithile. Oku kwandisa ukuhamba kwegazi ukuya entliziyweni.

2. Uvavanyo loxinzelelo lwezonyango: Khawuthelekelele ukuba unobunzima bokuzilolonga ngenxa yengxaki yamalungu okanye ngesizathu esithile. Le ndlela isetyenziselwa abantu abanjalo. Okwenzekayo apha kukuba iyeza lifakwe emthanjeni osengalweni yakho. Eli yeza linyusa ukuhamba kwegazi ukuya entliziyweni, njengokuba xa uzilolonga, oko kukuthi, livuselela intliziyo.

Ukongeza, ubuchwepheshe obusetyenziswayo ukufota imifanekiso bukwamisela nokuba yi-"PET" okanye yi-"SPECT". Yinto ethathwa ngoogqirha.

Yintoni enokufunyanwa ngolu vavanyo loxinzelelo lwentliziyo lwenyukliya?

Olu vavanyo ludla ngokwenziwa ukuze kufunyaniswe isifo semithambo yentliziyo (CAD).Yijonge kwaye uyibeke esweni. Uyazi ukuba yintoni ``(CAD)``? Oku kuthetha ukuba imithambo yegazi ehambisa igazi entliziyweni (imithambo yegazi ye-coronary) ivalwa ngamanqatha. Kufana nothuli olubhajwa kumbhobho wamanzi nokunciphisa ukuhamba kwamanzi.

Olu vavanyo lunokubonisa ezinye izinto ezininzi:

• Ngaba izihlunu zentliziyo yakho zisebenza kakuhle, oko kuthetha ukuba ziyampompa kakuhle ?
• Ngaba kukho iindawo apho ukuhamba kwegazi entliziyweni kuncipha khona ?
• Fumana indawo echanekileyo ekuyo imithambo evalekileyo .
• Ingaba intliziyo yonakaliswe yinto efana nohlaselo lwentliziyo lwangaphambili?

Kwakhona, olu vavanyo lunokwenziwa ngabantu abanezi meko zilandelayo:

• Isifo sentliziyo esibukhali.
• Utshintsho kumsebenzi wombane wentliziyo olubizwa ngokuba yi-bundle branch block.
• Ukusilela kwentliziyo okubangelwa kukunganyamezelani (ukusilela kwentliziyo).
• Ezinye izifo zentliziyo eziqinisekisiweyo okanye ezirhanelwayo.
• Ubunzima bokuphefumla.

Ngubani owenza olu vavanyo?

Iingcali zentliziyo zihlala zicebisa olu vavanyo. Ngamanye amaxesha balwenza ngokwabo, okanye banikwe ingcali ye-radiology. Bonke banoqeqesho olukhethekileyo lokwenza oku.

Yintoni umahluko phakathi kovavanyo loxinzelelo oluqhelekileyo kunye novavanyo loxinzelelo lwenyukliya?

Mhlawumbi ukhe weva ngovavanyo loxinzelelo lomthambo oluqhutywa rhoqo. Kukho ukufana okuthile phakathi koko nolu vavanyo loxinzelelo lwenyukliya. Zombini zisebenzisa i-electrocardiogram (EKG) ukujonga umsebenzi wombane wentliziyo yakho. Kwaye zombini zijonga indlela intliziyo yakho esabela ngayo xa iphantsi koxinzelelo.

Nangona kunjalo, uvavanyo loxinzelelo lwenyukliya yindlela ephucukileyo ngakumbi. Ingabonelela ngolwazi oluneenkcukacha ezininzi.

Kuvavanyo oluqhelekileyo loxinzelelo lokuzilolonga, intliziyo yakho ijongwa kuphela nge-electrocardiogram (EKG) xa uphumle naxa uzilolonga.

Nangona kunjalo, kuvavanyo loxinzelelo lwenyukliya, into ene-radioactive ``(tracer)`` endikhankanyileyo ngaphambili ifakwa emzimbeni, kwaye ikhamera ekhethekileyo ithatha imifanekiso yentliziyo ngaphambi nasemva kokuzilolonga. Oku kusenza sibone ngokucacileyo indlela igazi elihamba ngayo entliziyweni.

Ndingazilungiselela njani ezi vavanyo?

Ugqirha wakho uza kukunika imiyalelo ecacileyo yendlela yokulungiselela olu vavanyo. Kubaluleke kakhulu ukuyilandela ngokuchanekileyo ukuze ufumane iziphumo ezilungileyo. Badla ngokuthi izinto ezinje:

• Kuphephe ukutya neziselo ezine-caffeine (umz. ikofu, iti, iziselo ezibandayo, itshokolethi) kunye namayeza iiyure ezingama-24 ngaphambi kovavanyo.
• Ukuba unengxaki yokuphefumla, yiza nezinto ezifana ne-inhaler yakho.
• Musa ukutshaya ngaphambi kovavanyo.
• Zila ukutya iiyure ezimbalwa ngaphambi kovavanyo (ungasela amanzi kuphela).
• Xelela ugqirha wakho ngazo zonke iziyobisi ozisebenzisayo (ezibhalwe ngugqirha, ezithengiswa ngaphandle kwemvume kagqirha, iziyobisi ezingekho mthethweni, izongezo zesondlo).
• Nxiba iimpahla ezikhululekileyo nezikhululekileyo kunye neesneakers.

Eyona nto ibalulekileyo kukuba ugqirha wakho angakucela ukuba uyeke ukusebenzisa amayeza athile okanye utshintshe umthamo ngaphambi kovavanyo. Nangona kunjalo, ungaze uyeke okanye utshintshe nawaphi na amayeza owasebenzisayo ngaphandle kwengcebiso kagqirha wakho.

Kwenzeka ntoni ngexesha lovavanyo? Luhlobo luni lwamava endiya kuba nawo?

Olu vavanyo ludla ngokwenziwa esibhedlele okanye ekliniki ngugqirha okanye ingcali eqeqeshwe ngokukodwa. Nantsi into edla ngokwenzeka:

1. Okokuqala, kufakwa inaliti encinci emthanjeni osengalweni yakho kwaye kufakwa umgca we-IV. Kulapho kufakwa khona i-radioactive tracer emzimbeni wakho. Usenokuziva ubanda kancinci xa ingena emzimbeni wakho.

2. Emva koko, kuya kufuneka ulinde imizuzu embalwa ukuze loo nto ihambe emzimbeni wonke ize ingene entliziyweni.

3. Emva koko, baya kuncamathisela amaqhekeza amancinci ezinto ezibizwa ngokuba zii-electrodes esifubeni sakho, ezingalweni nasemilenzeni. Ngamanye amaxesha, unokufuna ukunciphisa ezinye zeenwele ezikuloo ndawo ukuze uncede amaqhekeza anamathele ngcono.

4. Ezi electrode ziqhagamshelwe kumatshini we-``(EKG)``, ohlala ulinganisa umsebenzi wombane wentliziyo yakho.

5. Uxinzelelo lwakho lwegazi luya kuhlolwa rhoqo nge-blood pressure cuff.

6. Emva koko, uza kucelwa ukuba ulale ungashukumi etafileni. Ikhamera ekhethekileyo iza kuthatha imifanekiso yentliziyo yakho. Le yimifanekiso "yokuphumla".

7. Okulandelayo yinxalenye "yoxinzelelo". Ucelwa ukuba uzilolonge kwi-treadmill okanye kwibhayisekile. Qala kancinci ekuqaleni uze unyuse isantya/ubunzima kancinci kancinci.

8. Uza kucelwa ukuba uzilolonge de ukubetha kwentliziyo yakho kufikelele kwinqanaba elilindelwe ngugqirha wakho, okanye ude ufumane iimpawu ezingathandekiyo (umz. iintlungu zesifuba, ukudinwa kakhulu). Nangona kunjalo, ungayeka uvavanyo nangaliphi na ixesha ukuba awukwazi ukwenza njalo.

9. Nokuba ngexesha lokuzilolonga okanye emva kokufikelela kwinqanaba eliphezulu, uza kuphinda ufakwe inaliti encinci ye-radioactive substance `(tracer)`.

10. Emva koko, kwakhona, ndihlala phantsi etafileni ndize ndithathe iseti yesibini yemifanekiso (imifanekiso yoxinzelelo).

Kuthekani ukuba andikwazi ukuzilolonga?

Ungakhathazeki. Nditshilo ngaphambili, abanye abantu banengxaki yokuzilolonga. Kumntu onjalo, ugqirha uza kufaka iyeza emthanjeni osengalweni yakho. Eli yeza lisebenza ngokuvuselela intliziyo nokunyusa ukuhamba kwegazi, njengaxa uzilolonga. Ngoko ke, eli yeza linokubangela imeko efanayo entliziyweni ngaphandle kokuzilolonga.

Olu vavanyo loxinzelelo lwenyukliya luthatha ixesha elingakanani?

Ngokwesiqhelo, uvavanyo lonke lunokuthatha malunga neeyure ezintathu ukuya kwezine , kuba kuthatha ixesha ukuba izinto ezinemisebe zingene emzimbeni, kunye nexesha lokuthatha imifanekiso nokwenza umthambo.

Yintoni endifanele ndiyenze kwaye ndiyiphephe emva kovavanyo?

Emva kokuba uvavanyo lugqityiwe, ugqirha wakho uya kukunika imiyalelo. Kwiimeko ezininzi, ungaqhubeka nemisebenzi yakho yesiqhelo.

Nangona kunjalo, bakuxelela ukuba usele amanzi amaninzi ukuze kuncedwe izinto ezinemisebe ezifakwe emzimbeni wakho ziphume emzimbeni wakho ngokukhawuleza.

Abanye abantu basenokudinwa kancinci, babe nesiyezi, okanye babe nentloko ebuhlungu emva kovavanyo. Oku kuya kuphela emva kwexesha elithile, xa bephumle.

Zithini iingozi zolu vavanyo loxinzelelo lwenyukliya?

Olu vavanyo ngokubanzi lukhuselekile kakhulu. Nangona kunjalo, kunqabile kakhulu, malunga nomntu omnye kwabayi-5,000 unokufumana ingxaki encinci. Umzekelo:

• Ukubetha kwentliziyo okungaqhelekanga (i-Arrhythmia).
• Iintlungu zesifuba.
• Uhlaselo lwentliziyo (i-myocardial infarction) (oku kunqabile kakhulu).
• Uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi).

Ngenxa yokuba olu vavanyo lusebenzisa into enemisebe, uchaphazeleka kumlinganiselo omncinci kakhulu wemisebe. Nangona sivile ukuba imisebe ingabangela umhlaza, ifuna ukuvezwa kumlinganiselo omkhulu kakhulu wemisebe, rhoqo kangangexesha elide. Umlinganiselo wokuvezwa kolu vavanyo uncinci kakhulu.

Kubalulekile: Olu vavanyo loxinzelelo lwenyukliya alukhuthazwa kubantu abaneengxaki ezithile zempilo ezinzima okanye ezingalawulekiyo. Umzekelo:

* Intlungu ebuhlungu esifubeni (i-Angina).

* Ukuqhaqha kwe-aorta.

* Ukuncitshiswa kwe-aorta (i-Aortic stenosis).

* Ukuphazamiseka kwesingqisho sentliziyo okungalawulekiyo `(Arrhythmia)`.

* Ukusilela okukhulu kwentliziyo.

* Usulelo lwentliziyo.

* I-Pulmonary embolism (ukuqhekeka kwegazi emiphungeni).

* Uxinzelelo lwegazi oluphezulu emaphaphu.

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Ukuba unale meko, kufuneka uxelele ugqirha wakho ngayo kwangethuba.

Ndiza kuzazi nini iziphumo zovavanyo lwam?

Kungathatha iintsuku ezininzi ukufumana iziphumo zovavanyo loxinzelelo lwenyukliya, kuba ingcali yentliziyo okanye ingcali ye-radiology ihlola imifanekiso ize iyihlalutye ngaphambi kokuba ikhuphe ingxelo.

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, ngoku mhlawumbi uyaqonda ukuba yintoni olu Vavanyo loXinzelelo lweNyukliya. Olu luvavanyo olubaluleke kakhulu olunceda ekufumaneni nasekujongeni iimeko ezifana nesifo semithambo yegazi, ingakumbi isifo sentliziyo.

Ukuba ugqirha ukuxelela ukuba wenze olu vavanyo, akukho sizathu sokuba woyike okanye ukhathazeke.Buza ugqirha wakho nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Ngokulungiselela kakuhle ngaphambi kovavanyo nokulandela imiyalelo, uya kukwazi ukufumana umfanekiso ocacileyo wesimo sentliziyo yakho kwaye ufumane unyango olufunekayo. Ukunyamekela intliziyo yakho kuyafaneleka!

Isifo sentliziyo , uvavanyo loxinzelelo lwenyukliya, uvavanyo lwentliziyo, izixhobo ze-radioactive, isifo semithambo yentliziyo, uvavanyo lokuzilolonga, impilo yentliziyo