Ngaba ugqirha wakho ukuxelele ukuba wenze 'Uvavanyo Loxinzelelo Lwenyukliya'? Xa usiva oko, unokucinga ukuba oku yinto enkulu neyingozi ngenxa yegama elithi 'Nuclear'. Kodwa akukho sizathu sokoyika. Olu luvavanyo olubaluleke kakhulu olunokubonisa okuninzi malunga nempilo yentliziyo yakho. Abantu abaninzi banembono ephosakeleyo malunga nolu vavanyo. Ngoko ke namhlanje, masithethe ngalo ngokucacileyo, ngokucacileyo, nangesiSinhala esilula onokusiqonda.
Ngamafutshane, yintoni uvavanyo loxinzelelo lwenyukliya?
Cinga ngentliziyo yakho njengenkqubo enika amanzi endlwini. Izihlunu zentliziyo zifumana igazi (amanzi) eziwadingayo ngemibhobho (oko kukuthi, imithambo yegazi) kule nkqubo. Ngamanye amaxesha, le mibhobho inokuvaleka ngumhlaba nomhlwa. Emva koko amanzi aba nzima ukuhamba. Yiyo loo ndlela imithambo yegazi entliziyweni ivaleka ngayo.
Uvavanyo loxinzelelo lwenyukliya luvavanyo olukhethekileyo lokujonga ukuba izihlunu zentliziyo yakho zifumana igazi elaneleyo na nokuba kukho ukuvaleka komthambo wegazi ndaweni ithile.
Oku kuquka ukufaka i-tracer encinci kakhulu nekhuselekileyo ye-radioactive emzimbeni wakho. Ungakhathazeki, ayizukuba buhlungu. Oku kufana nedayi efakwa egazini lakho. Ihamba negazi lakho ize ifunxwe yimisipha yentliziyo. Emva koko ikhamera ekhethekileyo ithatha imifanekiso yentliziyo yakho.
- Le mifanekiso ibonisa ngokucacileyo iindawo zemisipha yentliziyo ezifumana ukuhamba kwegazi okuhle .
- Kodwa ukuba umthambo wegazi uvalekile kwaye kukho iindawo ezingenayo indlela yegazi ehambileyo kakuhle , incinci le nto ifikelela kwezo ndawo. Ngoko ke ezo ndawo zibonakala ngokwahlukileyo kwimifanekiso, mhlawumbi zimnyama.
Yindlela oogqirha abanokwazi ngayo ukuba unengxaki yentliziyo. Iingcali zentliziyo zisebenzisa olu vavanyo ukuxilonga iimeko ezifana nesifo semithambo yegazi (CAD) nokuvavanya ubukhali bazo. Lunokujonga nokuba ukhe wahlaselwa yintliziyo ngaphambili kwaye wonzakalise intliziyo yakho.
Olu vavanyo lubizwa nangamanye amagama aliqela:
- I-PET yentliziyo (i-Positron Emission Tomography)
- I-Cardiac SPECT (i-Single-Photon Emission Computed Tomography)
- I-MPI (Umfanekiso Wokutsalwa Kwegazi Kwentliziyo)
- Uvavanyo loxinzelelo lwentliziyo yeNyukliya
Ngaba kukho iintlobo zolu vavanyo?
Ewe, kukho iintlobo ezimbini eziphambili. Umahluko phakathi kwezi zimbini ukwindlela intliziyo yakho 'exinezelekileyo' ngayo.
1. Uvavanyo Loxinzelelo Lokuzilolonga: Olu lolona vavanyo luqhelekileyo. Apha, wenziwa ukuba uhambe nge-treadmill okanye ukhwele ibhayisekile engashukumiyo. Xa uzilolonga, isantya sentliziyo yakho siyanda kwaye ukuhamba kwegazi kuyanda. Kulapho ukuvaleka kwentliziyo kubonakala ngokucacileyo.
2.Uvavanyo loxinzelelo lweMithi: Abanye abantu banengxaki yokuhamba kwi-treadmill ngenxa yobudala, iingxaki zamalungu, okanye ezinye iimeko zempilo. Kwiimeko ezinjalo, endaweni yokuzilolonga, kufakwa iyeza. Eli yeza landisa umthwalo womsebenzi wentliziyo, njengaxa uzilolonga. Ke ngoko, akukho mahluko kwiziphumo.
Kuxa kutheni apho ugqirha angacebisa olu vavanyo?
Kusenokuba nezizathu ezininzi zokuba ugqirha wakho angacebisa olu vavanyo.
- Ukuba usoloko uneentlungu esifubeni okanye i-angina .
- Jonga imeko yentliziyo yakho ngaphambi kotyando olukhulu.
- Jonga izihlunu zentliziyo yakho ukuze ubone iindawo apho igazi lihamba kancinci khona (ischemia) okanye amanxeba avela kuhlaselo lwentliziyo lwangaphambili.
- Vavanya ukusebenza kakuhle konyango lwesifo sentliziyo olukhoyo.
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Kufuneka ulungiselele ngaphambi kolu vavanyo. Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku. Ukulandela loo miyalelo kubaluleke kakhulu ukuze iziphumo zichaneke.
Khumbula, oku kulandelayo yimigaqo nje eqhelekileyo. Ngokuqinisekileyo kufuneka ulandele imiyalelo ethile enikwe ngugqirha wakho.
| Indlela yokulungiselela | Iinkcukacha ezibalulekileyo |
|---|---|
| Izinto eziqulethe i-caffeine | Ziphephe iziselo ezifana nekofu, iti, itshokolethi, i-cola, kunye namayeza ane-caffeine iiyure ezingama-24 ngaphambi kovavanyo. Ezi zinto zinokuchaphazela ukusebenza kwentliziyo. |
| Iimveliso zecuba | Kuphephe ukutshaya okanye ukusebenzisa ezinye iimveliso zecuba iiyure ezisi-8 ngaphambi kovavanyo. |
| Ukuzila ukutya | Musa ukutya okanye ukusela nantoni na ngaphandle kwamanzi iiyure ezi-4-6 ngaphambi kovavanyo. |
| Ngawaphi amayeza owasebenzisayo? | Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza kagqirha, athengiswa ngaphandle kwemvume kagqirha, iivithamini, kunye namayeza e-Ayurvedic). Amanye amayeza anokufuna ukuba uyeke ukuwasebenzisa usuku okanye ezimbini ngaphambi kovavanyo. Ungaze uyeke ukuthatha naliphi na iyeza ngaphandle kokuthetha nogqirha wakho kuqala. |
| Iimpahla | Nxiba impahla ekhululekileyo, ekhululekileyo kunye neesneakers. |
| Ubunzima bokuphefumla | Ukuba unesifo esifana ne-asthma, qiniseka ukuba uzisa i-inhaler yakho. |
Kwenzeka ntoni ngexesha lovavanyo?
Olu vavanyo ludla ngokwenziwa esibhedlele okanye kwikliniki ekhethekileyo. Ingcali okanye umongikazi uza kukunceda kulo lonke ixesha.
1. Ukufaka i-cannula: Okokuqala, kufakwa i-cannula encinci (umgca we-IV) emthanjeni osengalweni yakho. I-radioactive substance (tracer) ifakwa ngale nto. Usenokuziva ubanda kancinci xa ingena emzimbeni wakho.
2. Imifanekiso Yokuphumla: Kuthatha imizuzu embalwa ukuba izinto zihambe emzimbeni wakho zize zifikelele entliziyweni yakho. Emva koko uza kulala ebhedini phantsi kwekhamera ekhethekileyo kwaye kuza kuthatyathwa iseti yokuqala yemifanekiso yentliziyo yakho. Kubalulekile ukuba ungashukumi ngeli xesha. Ezi zithathwa xa intliziyo yakho iphumle.
3. Uqhagamshelo lwe-ECG: Okulandelayo, kuza kubekwa amabala amancinci esifubeni sakho, ezingalweni, nasemilenzeni. La mabala abizwa ngokuba zii-electrodes . La mabala aqhagamshelwe kumatshini we -electrocardiogram (EKG) ngeentambo. Oku kuza kujonga izinga lentliziyo yakho kulo lonke uvavanyo. I-blood pressure cuff iza kubekwa engalweni yakho ukuze ihlale ilinganisa uxinzelelo lwegazi lwakho.
4. Ukuzilolonga (Icandelo Loxinzelelo): Kulapho iqala khona inxalenye 'yoxinzelelo' yovavanyo. Uza kufakwa kwi-treadmill. Qala kancinci ekuqaleni uze unyuse isantya kunye nokuthambeka kancinci. Ufanele uzilolonge ude ufikelele kwinqanaba elithile ekujoliswe kulo. Kodwa ke, kufuneka uzilolonge ude ukubetha kwentliziyo yakho kufikelele kwinqanaba elithile.Ukuba uziva ungakhululekanga, njengeentlungu esifubeni, ubunzima bokuphefumla, okanye isiyezi, kufuneka uxelele abantu apho. Ungakuyeka oku nangaliphi na ixesha.
5. Imifanekiso yoXinzelelo: Emva kokuba ufikelele kwinqanaba eliphezulu lokuzilolonga, inani elincinci le-radioactive substance lifakwa kwakhona nge-cannula. Emva koko, ufakwa ngokukhawuleza phantsi kwekhamera kwakhona kwaye kuthathwe iseti yesibini yemifanekiso. Le mifanekiso ibonisa indlela igazi elihamba ngayo ngexesha lokuzilolonga, oko kuthetha ukuba intliziyo ixinezelekile.
Le nkqubo yonke ingathatha iiyure ezininzi.
Ngaba kukho naziphi na iingozi ngolu vavanyo?
Njengakuyo nayiphi na uvavanyo lwezonyango, kukho iingozi ezincinci kakhulu. Kodwa ngokubanzi, uvavanyo loxinzelelo lwenyukliya luvavanyo olukhuselekileyo kakhulu.
- Ukukhanya: Ubungakanani bokukhanya okuvela kwizinto ezisebenzisa i-radioactive ezisetyenziswa kule nkqubo buphantsi kakhulu. Akubangeli monakalo ixesha elide.
- Ukunganyamezelani: Abanye abantu banokufumana impendulo encinci yokunganyamezelani kwinto efakwe kwi-aleji. Oku kunokuquka ukubomvu, isicaphucaphu, kunye nobunzima bokuphefumla obuncinci. Ezi zinto zihlala ziphela ngokukhawuleza.
Nangona kunjalo, kukho iziphumo ebezingalindelekanga ezinobungozi ezinokwenzeka rhoqo .
| Umngcipheko ongaqhelekanga | Inkcazo |
|---|---|
| Ukungahambi kakuhle kwentliziyo (i-Arrhythmia) | Kusenokubakho utshintsho kwisingqisho sentliziyo, kodwa ekubeni i-EKG ijongwa kulo lonke uvavanyo, unyango lunokunikwa ngokukhawuleza ukuba oku kuyenzeka. |
| Intlungu yesifuba okanye ukuhlaselwa yintliziyo | Umntu onesifo sentliziyo esibi kakhulu unokufumana iintlungu esifubeni okanye, ngequbuliso kakhulu, ahlaselwe yintliziyo xa uxinzelelo lubekwe entliziyweni. Oku akunakwenzeka. |
| Uxinzelelo lwegazi oluphantsi (iHypotension) | Abanye abantu banokuba noxinzelelo lwegazi oluphantsi baze bazive benesiyezi. |
Ngaba kukho abantu abangafanele babhale olu vavanyo?
Ewe. Olu vavanyo aluqhelekanga ukwenziwa koomama abakhulelweyo okanye abancancisayo kuba imitha inokuchaphazela umntwana. Ayifanelekanga nakubantu abaneengxaki zentliziyo ezingalawulekiyo neziqatha. Umzekelo:
- Isifo sentliziyo esibukhali
- Ukuqhaqha kwe-Aortic
- I-stenosis ye-aortic
- I-hypertrophic cardiomyopathy
Ugqirha wakho uza kuqwalasela konke oku aze agqibe ukuba olu vavanyo lukulungele na.
Ingxelo yovavanyo ithini?
Kungathatha iintsuku ezimbalwa ukufumana ingxelo, njengoko ingcali yentliziyo okanye ingcali ye-radiology ifunda ngononophelo le mifanekiso ize ilungiselele ingxelo.
- Iziphumo Eziqhelekileyo: Ukuba imifanekiso ethathwe ngelixa uphumle kunye nemifanekiso ethathwe emva kokuzilolonga zombini zilungile ngokulinganayo, oko kuthetha ukuba izihlunu zentliziyo yakho zifumana ukuhamba kwegazi okuhle. Akukho zithintelo.
- Iziphumo Ezingaqhelekanga: Ukuba ukuhamba kwegazi kulungile xa uphumle kodwa kwehla ngexesha lokuzilolonga, oko kuthetha ukuba kukho ukuvaleka komthambo wegazi entliziyweni yakho.
- Izihlunu ezonakeleyo: Ngamanye amaxesha, inxalenye yentliziyo isenokungafumani igazi elaneleyo, kokubini xa uphumle nangexesha lokuzilolonga. Oku kuthetha ukuba inxalenye yonakele ngonaphakade, ngokufuthi ngenxa yokuhlaselwa yintliziyo ngaphambili.
Ukuba kukho ingxaki ngengxelo, yintoni oyenzayo emva koko?
Ukuba ingxelo yakho ibonisa naziphi na iingxaki, ugqirha wakho uza kukuchazela into ekufuneka uyenze ngokulandelayo. Oku kunokwahluka ngokuxhomekeke kwimeko yakho.
- Uvavanyo olongezelelweyo: Ungathunyelwa kolunye uvavanyo, olufana ne -coronary angiogram, ukuze ubone ukuba iphi kanye kanye indawo evalekileyo kwaye inzima kangakanani.
- Unyango: Unyango lumiselwa ngokusekelwe kwingxaki echongiweyo. Lungabandakanya oku kulandelayo:
- Utshintsho kwindlela yokuphila efana nokuyeka ukutshaya nokunciphisa ukutya ityuwa.
- Ukuqala amayeza kwiimeko ezifana noxinzelelo lwegazi oluphezulu kunye ne-cholesterol.
- I-Angioplasty yenziwa ukuvula umthambo wegazi ovalekileyo kwaye kufakwa i -stent .
- Kwezinye iimeko ezinzima kakhulu , utyando lwe-coronary artery bypass (CABG) lunokucetyiswa.
Umyalezo Wokuya Ekhaya
- Uvavanyo lweNyukliya luvavanyo olubaluleke kakhulu nolukhuselekileyo olusetyenziselwa ukujonga ukuvaleka kwemithambo yegazi yentliziyo.
- Musa ukoyika igama elithi 'inyukliya'. Eli gama lisebenzisa izinto ezincinci kakhulu nezikhuselekileyo ezinemisebe.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha (malunga nokutya, izinto eziselwayo, kunye namayeza) ngaphambi kovavanyo.
- Ngokusekelwe kulwazi olufunyenwe kolu vavanyo, ukuba kukho ingxaki entliziyweni yakho, inokubonwa kwangethuba kwaye unyango olufanelekileyo lunokuqaliswa. Oku kunokunceda kakhulu ekuthinteleni iimeko ezinzima ezifana nokuhlaselwa yintliziyo.
- Ukuba unemibuzo okanye iinkxalabo malunga nolu vavanyo, thetha nogqirha wakho ngalo mbandela ngokukhululekileyo.
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