Xa ugqirha wakho ekuxelela ukuba wenze uvavanyo loxinzelelo lwentliziyo, mhlawumbi ucinga ngokubaleka kwi-treadmill, akunjalo? Kodwa cinga ngayo, kuthekani ukuba unedolo elibi, umlenze owaphukileyo, okanye esinye isizathu esenza kube nzima ukubaleka? Kulapho oogqirha basebenzisa khona indlela eyahlukileyo ukujonga ukusebenza kwentliziyo yakho. Namhlanje siza kuthetha ngaloo ndlela ikhethekileyo.
Ngoko ke yintoni olu vavanyo loxinzelelo lwenyukliya lwezonyango?
Ngamafutshane, olu luvavanyo olukhethekileyo olujonga indlela igazi elihamba ngayo ngemithambo yegazi ehambisa igazi entliziyweni yakho. Kodwa apha, endaweni yokukwenza ubaleke kwi-treadmill, kufakwa iyeza elikhethekileyo emthanjeni wakho elinokwenza intliziyo yakho ivakale ngathi uyayiqeqesha . Yiyo loo nto libizwa ngokuba "yi-pharmacological."
Igama elithi "nuclear" livela kwinto yokuba olu vavanyo lusebenzisa into encinci kakhulu, engenabungozi ene-radioactive ebizwa ngokuba yi- radiotracer ukubonisa ngokucacileyo imithambo yegazi entliziyweni. Oku kufana nedayi ethathwa yikhamera ekhethekileyo. Xa oku kufakwa emzimbeni wakho, ikhamera ekhethekileyo (ikhamera ye-gamma) inokuthabatha imifanekiso yegazi elihamba entliziyweni yakho.
Ungakhathazeki, ubungakanani bezinto ezine-radioactive ezisetyenzisiweyo buncinci kakhulu. Buya kuphuma emzimbeni wakho kwiiyure ezimbalwa. Abuyi kukwenzakalisa ixesha elide.
Kutheni ugqirha angakucela ukuba wenze olu vavanyo?
Ugqirha udla ngokucebisa olu vavanyo ukuba ukrokrela ukuba unezi meko zilandelayo okanye ukuze afumanise ukuba zingakanani na kanye izinga lazo.
| Imeko yezonyango | Kalula nje... |
|---|---|
| Isifo seMitha yeCoronary | Jonga ukuba imithambo yegazi (imithambo ye-coronary) ehambisa igazi entliziyweni inciphile na ngenxa yokugcwala kwamafutha, nto leyo ethintela intliziyo ekufumaneni igazi elifunekayo. |
| I-Angina | Qinisekisa ukuba iimpawu ozifumanayo xa udiniwe, ezinje ngeentlungu zesifuba kunye nokuxinana, azibangelwa kukuvaleka kwemithambo yegazi entliziyweni yakho. |
| Emva kohlaselo lwentliziyo | Fumanisa ukuba izihlunu zentliziyo zonakele na ngenxa yokuhlaselwa yintliziyo kwaye bungakanani umonakalo owenziweyo. |
| I-Cardiomyopathy | Jonga ukuba izihlunu zentliziyo zibuthathaka okanye zikhulu. |
| Impembelelo yolunye unyango | Jonga ukuba intliziyo yakho yonakele na zizinto ezifana ne-chemotherapy okanye unyango lwe-radiation lomhlaza. |
Uyenza njani le vavanyo ngokwenene?
Olu vavanyo luneenxalenye ezimbini eziphambili. Kuzo zombini iinxalenye, kuthathwe imifanekiso emibini yentliziyo yakho.
1. Imifanekiso Yokuphumla: Into yokuqala oyibonayo yindlela igazi elihamba ngayo entliziyweni yakho xa uphumle, ngaphandle kokuzibhokoxa.
2. Imifanekiso yoXinzelelo: Okulandelayo, intliziyo ifakwa phantsi koxinzelelo ngokunika iyeza kwaye ukuhamba kwegazi kujongwa ngelo xesha.
Ngokuthelekisa le mifanekiso mibini, ugqirha unokwazi ukubona ngokuchanekileyo ukuba kukho ingxaki yokujikeleza kwegazi naphi na entliziyweni.
Indlela olusebenza ngayo uvavanyo inyathelo ngenyathelo
- Inyathelo 1: Esibhedlele, umongikazi uza kufaka i-cannula encinci (i-IV catheter) kumthambo osengalweni yakho.
- Inyathelo lesiBini: Ngaloo cannula, into enokutsalwa yi-radioactive (`Radiotracer`) ekhankanyiweyo ngaphambili ifakwa emzimbeni.
- Inyathelo lesi-3: Izinto ezisetyenzisiweyo ziya kuthatha malunga nemizuzu engama-30 ukuya entliziyweni yakho. Emva koko uza kulala phantsi kwekhamera ekhethekileyo, kwaye emva kwemizuzu engama-20 yokuzola, iseti yokuqala yemifanekiso iya kuthathwa. Ngeli xesha, izitikha ezincinci (ii-electrode) ziya kubekwa esifubeni sakho kwaye isantya sentliziyo yakho siya kuhlolwa kusetyenziswa i-electrocardiogram (EKG).
- Inyathelo Lesine: Emva koko icandelo lesibini liyaqala. Iyeza elikhethekileyo lifakwa kwi-cannula yakho ukuze kwandiswe imithambo yegazi entliziyweni yakho kwaye kukhawuleziswe ukubetha kwentliziyo yakho. Oku kufana noko kwenzekayo xa uzilolonga.
- Inyathelo lesihlanu: Emva kwemizuzu engama-30 emva kokunika iyeza, uza kuphoswa phantsi kwakhona phantsi kwekhamera, kwaye iseti yesibini yemifanekiso iya kuthatyathwa malunga neminye imizuzu engama-20.
Kuyo yonke le nkqubo, abasebenzi bezonyango baya kuhlala bejonga uxinzelelo lwegazi lwakho, izinga lokubetha kwentliziyo yakho, kunye ne-EKG , ukuze ukhuseleke ngokupheleleyo.
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Ukuze ufumane iziphumo ezichanekileyo kolu vavanyo, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.
| Indlela yokulungiselela | Inkcazo kunye nokubaluleka |
|---|---|
| Yeka ukusebenzisa i-caffeine. | Musa ukusela nantoni na equlethe i-caffeine, efana neti, ikofu (kuquka ne-decaffeinated), itshokolethi, iziselo ze-cola, okanye ezinye izithomalalisi zentlungu, kangangeeyure ezingama-24 ngaphambi kovavanyo. I-caffeine inokuphazamisana nokusebenza kwamayeza 'oxinzelelo' anikwa intliziyo. |
| Thetha nogqirha wakho malunga namayeza. | Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (ingakumbi lawo esifo sentliziyo, isifo seswekile, kunye ne-asthma). Amanye amayeza anokufuna ukuba uyeke ukuwasebenzisa ngosuku olungaphambi kovavanyo. Ungaze uyeke ukuthatha nawaphi na amayeza ngaphandle kwengcebiso kagqirha wakho. |
| Ukutya neziselo | Uza kucelwa ukuba uzile ukutya iiyure ezimbalwa ngaphambi kovavanyo. Uza kuvunyelwa ukuba usele amanzi. Ugqirha uza kukunika imiyalelo ethile ngaloo nto. |
| Kuphephe ukutshaya. | Kuphephe ukutshaya ngomhla wovavanyo. I-Nicotine inokuchaphazela ukusebenza kwentliziyo. |
Olu vavanyo luthatha ixesha elingakanani?
Uvavanyo lonke ludla ngokuthatha malunga neeyure ezintathu ukuya kwezine . Ngamanye amaxesha, ngokuxhomekeke kwisigqibo sikagqirha, iinxalenye ezimbini zolu vavanyo zinokwenziwa kwiintsuku ezimbini.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi koku?
Olu vavanyo ngokubanzi lukhuselekile kakhulu, kodwa abanye abantu banokufumana ukungakhululeki okuncinci ngenxa yamayeza asetyenziselwa 'ukuxinzelela' intliziyo.
- Intloko ebuhlungu
- Isiyezi
- Intlungu yesifuba okanye ukuxinana
- Ubunzima bokuphefumla (i-Dyspnea)
- Isicaphucaphu
- Ubuso bujika bube bomvu kwaye umzimba uzive ushushu
Eyona nto ibalulekileyo kukuba konke oku kwenzeke ngelixa uphantsi kweliso likagqirha. Ngoko ke ukuba kukho into engahambi kakuhle, abasebenzi bakulungele ukuyinyanga ngoko nangoko. Ngamanye amaxesha, ukuba isantya sentliziyo yakho sikhawuleza (iTachycardia), unganikwa amayeza okuyenza iqheleke. Ngoko ke akukho sizathu sokoyika.
Emva kokuba uvavanyo luphelile...
Emva kovavanyo, izinga lentliziyo yakho kunye noxinzelelo lwegazi ziya kuhlolwa imizuzu embalwa de zibuyele esiqhelweni. Emva koko, ungagoduka. Kodwa kukho izinto ezimbini ezibalulekileyo ekufuneka uzikhumbule:
1. Sela amanzi amaninzi: Sela amanzi amaninzi imini yonke. Oku kuya kukhupha ngokukhawuleza i-``(Radiotracer)'' emzimbeni wakho ngomchamo wakho.
2. Hlala kude nabantwana abancinci: Kuphephe ukubamba okanye ukugona abantwana abancinci kunye neentsana usuku lonke emva kovavanyo. Eli linyathelo lokhuseleko kuba banokuchaphazeleka bubungakanani obuncinci bemitha.
Zithini iziphumo zovavanyo?
Iiseti ezimbini zemifanekiso ezifunyenwe kuvavanyo (ukuphumla kunye noxinzelelo) zithelekiswa ngugqirha okhethekileyo.
- Isiphumo Esiqhelekileyo: Oku kuthetha ukuba zonke iindawo zentliziyo yakho zifumana ukuhamba kwegazi okwaneleyo, kokubini xa uphumle nangexesha lokuzilolonga. Oku kuthetha ukuba akukho zithintelo zinkulu.
- Isiphumo Esingaqhelekanga: Oku kunokuthetha ukuba ezinye iindawo zentliziyo azifumani gazi laneleyo, ingakumbi ngexesha lokuzilolonga. Oku kunokubonisa ukuncitshiswa okanye ukuvaleka komthambo wegazi ohambisa igazi entliziyweni.
Ugqirha wakho uza kukuchazela ezi ziphumo aze athethe nawe malunga nento omawuyenze ngokulandelayo. Banokucebisa ukuba uqale amayeza, utshintshe amayeza akho, okanye wenze olunye uvavanyo, olufana ne-angiogram.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwePharmacological Nuclear Stress luvavanyo olubaluleke kakhulu nolukhuselekileyo lokujonga ukuhamba kwegazi entliziyweni kwabo banengxaki yokuzilolonga.
- Kubaluleke kakhulu ukuyeka ukusebenzisa i-caffeine (iti, ikofu) ngosuku olungaphambi kovavanyo kwaye ulandele imiyalelo kagqirha malunga namayeza ngokuchanekileyo.
- Akukho sizathu sokoyika njengoko uza kubekwa esweni ngabasebenzi bezonyango ngexesha lovavanyo.
- Sela amanzi amaninzi imini yonke emva kovavanyo kwaye ungaphathi abantwana abancinci.
- Olu vavanyo linyathelo nje eliza kunika ugqirha wakho ulwazi olubalulekileyo malunga nempilo yentliziyo yakho kwaye likuncede uhlale usempilweni. Ngoko ke musa ukuyoyika ngokungeyomfuneko.
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