Xa ugqirha wakho wathi, "Masenze iskeni sentliziyo," woyika kancinci, akunjalo? Xa sicinga 'ngeskeni', sicinga ngoomatshini abakhulu kwaye ngamanye amaxesha uvavanyo olubuhlungu. Kodwa ungoyiki. Uhlobo oluqhelekileyo lweskeni sentliziyo, i-echocardiogram, luvavanyo olulula kakhulu nolungenabuhlungu. Makhe sijonge ukuba yintoni kanye kanye, kutheni lwenziwa, kwaye lwenziwa njani.
Yintoni iTransthoracic Echocardiogram (TTE)?
Ngamafutshane, i-Transthoracic Echocardiogram (TTE) siskeni se-ultrasound esithatha uthotho lwemifanekiso, njengevidiyo, yentliziyo yakho. Usenokuba ukhe weva ngeskeni zeentsana zabasetyhini abakhulelweyo. Olu luvavanyo olusebenzisa amaza esandi.
Igama elithi 'transthoracic' lithetha "ukugqitha esifubeni." Oku kuthetha ukuba uvavanyo lwenziwa kumphezulu wesifuba sakho. Olu lolona hlobo luqhelekileyo nolokuqala lwe-echocardiogram.
Oku kuvumela ugqirha ukuba abone umfanekiso ocacileyo wendlela intliziyo yakho ebetha ngayo, amagumbi amane entliziyo, iivalvu ezine entliziyweni, kunye nemithambo yegazi emikhulu edibana nentliziyo. Okubaluleke kakhulu, akukho mitha isetyenziswayo.
Kutheni ugqirha endicela ukuba ndenze olu vavanyo lwe-TTE?
Kukho izizathu ezahlukeneyo zokuba ugqirha angakucela ukuba wenze olu vavanyo. Kukho izizathu ezintathu eziphambili zokuba oku kwenziwe.
| Isizathu sovavanyo | Kalula nje... |
|---|---|
| Ukujonga impilo yentliziyo | Ngaphambi okanye emva kokuba ufunyenwe unesifo sentliziyo, okanye ukuze ubone indlela intliziyo yakho esabela ngayo kunyango. |
| Ukufumana unobangela weempawu | Cinga ukuba ezinye zeempawu zakho (umz. iintlungu zesifuba, ukuphefumla kancinci) zinokubangelwa yingxaki yentliziyo. |
| Ukufunyanwa nokuqinisekiswa kwesifo | Jonga naziphi na iingxaki zentliziyo ezikrokrelwayo, kwaye ukuba zikhona, zichonge kanye kanye ukuba zeziphi. |
Yintoni kanye kanye le scan ijongeka entliziyweni?
Khawucinge ngomkhandi wemoto ejonga injini yemoto. Ngolu vavanyo, ugqirha unokubona okuninzi malunga nokusebenza kwentliziyo yakho.
- Ingaba iivalvu zentliziyo zisebenza kakuhle na: Intliziyo ineevalvu ezine ezisebenza njengeengcango. Ezi zivumela igazi ukuba lihambe kwicala elinye kuphela. Oku kujonga ukuba ezi valve zivuleka kwaye zivala kakuhle na, okanye ukuba igazi livuza ngasemva na.
- Indlela intliziyo epompa ngayo igazi: Intliziyo yakho ifana nepompo epompa igazi emzimbeni wakho wonke. Ilinganisa indlela esebenza ngayo loo mpompi.
- Isantya sokuhamba kwegazi kunye noxinzelelo ngaphakathi entliziyweni: Oku kunika umbono wesantya kunye noxinzelelo lwegazi oluhamba kwiigumbi kunye neevalvu zentliziyo.
- Ubungakanani kunye nokuma kwamagumbi entliziyo: Ungajonga ukuba iindonga zentliziyo zijiyile okanye amagumbi akhulisiwe.
Zeziphi izifo ezinokufunyaniswa ngovavanyo lwe-TTE?
Olu vavanyo lulula lunokufumanisa izifo ezininzi ezinzulu ezinxulumene nentliziyo kwangethuba. Lelo lixabiso lalo elikhulu.
| Imeko yezonyango enokuxilongwa | Intshayelelo emfutshane |
|---|---|
| Izizathu zeempawu ezifana neentlungu zesifuba kunye nokuphefumla kancinci | Ukufumanisa ukuba ezi mpawu zibangelwa yingxaki yentliziyo na. |
| Umonakalo entliziyweni emva kokuhlaselwa yintliziyo | Ukufumanisa ukuba ingaba umonakalo owenziweyo kwimisipha yentliziyo ngenxa yokuhlaselwa yintliziyo ungakanani kwaye ungakanani umonakalo owenziweyo. |
| Ukumelwa yintliziyo | Imeko apho intliziyo ingakwazi ukupompa igazi elaneleyo emzimbeni. |
| Isifo sevalvu yentliziyo | Iimeko ezinje ngokuncitshiswa kweevalvu, ukungavaleki kakuhle, okanye ukuvuza kwegazi. |
| Iimeko zentliziyo zokuzalwa | Ukuchonga imingxunya okanye ezinye iziphene entliziyweni ezikhoyo ekuzalweni. |
| Amahlwili egazi okanye iithumba entliziyweni | Ukujonga ukuba azikho na iihlwili zegazi okanye izimila ezingezizo zomhlaza entliziyweni. |
Yintoni umahluko phakathi kwe-TTE kunye ne-TEE?
Usenokuba ukhe weva ngelinye elibizwa ngokuba yi-TEE. Zombini ezi ntlobo zovavanyo lwe-echo.
- I-TTE (i-Transthoracic Echocardiogram): Olu lolona vavanyo luqhelekileyo esithetha ngalo, olwenziwa kumphezulu wesifuba . Kule nto, akukho nto ifakwayo emzimbeni.
- I-TEE (i-Transesophageal Echocardiogram): Oku kuquka ukufaka ityhubhu encinci (i-endoscope) ngomlomo uze uyidlulisele kwi-esophagus ukuze uthathe imifanekiso yentliziyo. Ngenxa yokuba i-esophagus ikufutshane kakhulu nentliziyo, ngamanye amaxesha inokubonisa izinto ezingacacanga kwi-TTE.
Ngokwesiqhelo, ugqirha uya kuqala enze uvavanyo lwe-TTE. Kuphela xa ulwazi olufunyenweyo kuloo nto lunganelanga okanye ukuba kukho into ekufuneka ijongwe ngokunzulu apho baya kukuthumela kuvavanyo lwe-TEE.
Ngaba kufuneka ndilungiselele nantoni na ngaphambi kovavanyo?
Le yeyona nxalenye ilungileyo. Akunyanzelekanga ukuba wenze nantoni na ekhethekileyo ukuze ulungiselele olu vavanyo.
- Ungatya kwaye usele amanzi ngokwesiqhelo.
- Ukuba unamayeza owasela yonke imihla, ungawasela njengesiqhelo.
Ngoko ke akufuneki ukhathazeke ngolu vavanyo okanye utshintshe indlela oqhele ukwenza ngayo imihla ngemihla.
Kulungile, ndixelele ukuba kwenzeka ntoni xa usenza uvavanyo...
Olu vavanyo ludla ngokuthatha malunga neyure, kwaye ngelo xesha, kwenzeka izinto ezimbalwa ezilula.
1. Ukulala ebhedini:Uza kucelwa ukuba ulale ebhedini kwigumbi lovavanyo.
2. Ii-electrode: Izitikha ezincinci zifakwa esifubeni sakho kwiindawo ezahlukeneyo. Ezi zisetyenziselwa ukurekhoda ukubetha kwentliziyo yakho ngexesha lovavanyo, ngendlela efanayo ne-ECG.
3. Ukufaka ijeli: Emva koko, i-sonographer izakufaka ijeli ekhethekileyo esifubeni sakho. Iya kuvakala ibanda kancinci. Le jeli inceda amaza esandi ukuba ahambe ngcono eluswini lwakho.
4. Ukuskena: Okulandelayo, isixhobo esincinci (i-transducer) esifana nemakrofoni sibekwa phezu kwejeli size sihanjiswe siye phambili nangasemva esifubeni. Esi sixhobo sithumela amaza esandi entliziyweni size sirekhode amaza abuyayo.
5. Ukutshintsha indlela oziphatha ngayo: Ngamanye amaxesha, ungatsho izinto ezifana nokujika uye ngasekhohlo, uphefumle nzulu, uze ubambe okwethutyana. Oku kuya kukunceda ubone iindawo ezahlukeneyo zentliziyo yakho ngokucacileyo.
Yiloo nto kuphela eyenzekayo. Awuyi kuva ntlungu. Ngamanye amaxesha, ukuba ufuna ukubona igazi lihamba entliziyweni yakho ngokucacileyo, i-cannula encinci inokufakwa emthanjeni osengalweni yakho kwaye ulwelo olukhethekileyo (idayi echaseneyo) lunokufakwa. Oku akwenzelwa wonke umntu.
Xa uvavanyo luphelile, ijeli iya kusulwa kwaye izitikha ziya kususwa. Emva koko, ungaya ngqo ekhaya. Akukho ngxaki nokuba uziqhubela imoto ngokwakho.
Ngaba kukho umngcipheko koku? Ngaba kuya kuba buhlungu?
Kwakhona, akukho mngcipheko kolu vavanyo lwe-TTE.
- Oku akusebenzisi izinto ezinemisebe efana nee-X-ray.
- Umzimba awutshayiwa ngombane.
- Ukuba kufuneka ufake idayi yokwahlulahlula ekhankanyiweyo ngaphambili, awuyi kuva ntlungu ngexesha lokuskena, ngaphandle kokuba uziva urhawuzelelwa kancinci xa kutsalwa igazi.
Ngoko ke, olu luvavanyo olukhuselekileyo kakhulu.
Ndiza kuyifumana nini ingxelo?
Ingcali eyenza uvavanyo ithatha imifanekiso yeskeni ize iyithumele kugqirha ochwephesha (ingcali yentliziyo). Loo gqirha uhlalutya imifanekiso aze enze ingxelo. Kudla ngokuthatha usuku okanye ezimbini ukuba ugqirha oye wayalela uvavanyo afumane le ngxelo.
Emva koko ugqirha wakho uza kukwazisa aze akuchazele yonke into ekwingxelo, kuquka indlela intliziyo yakho eqhuba ngayo, ukuba kukho naziphi na iingxaki, kunye nento ekufuneka uyenze ngokulandelayo.
Umyalezo Wokuya Ekhaya
- I-Transthoracic Echocardiogram (TTE) siskeni se-ultrasound esingenabuhlungu nesikhuselekileyo esijonga ukusebenza kwentliziyo.
- Oku kukunceda ujonge impilo yentliziyo yakho, ufumane izizathu zeempawu, kwaye uchonge izifo ezahlukeneyo zentliziyo.
- Akukho mfuneko yokuphepha ukutya okanye ukusela ngaphambi kovavanyo, kwaye akukho mfuneko yokulungiselela olunye uhlobo lovavanyo.
- Olu vavanyo alubandakanyi mngcipheko okanye imisebe.
- Wakuba ufumene ingxelo yovavanyo lwakho, xoxa ngeziphumo kunye namanyathelo alandelayo nogqirha wakho. Ungathandabuzi ukumbuza nayiphi na imibuzo onokuba unayo.
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