Ingabe kufanele senze i-Transthoracic Echocardiogram (TTE) ukuze sithole impilo yenhliziyo yakho?

Ingabe udokotela ukutshelile ukuthi udinga ukwenza i-'Echocardiogram', noma i-'TTE', ukuhlola inhliziyo yakho? Kuvamile ukuzizwa wesaba kancane uma uzwa lokho. Kodwa, empeleni kuwukuhlolwa okulula kakhulu, okungenabuhlungu. Namuhla, sizoxoxa ngokuthi iyini le 'Transthoracic Echocardiogram (TTE)', ukuthi ibukeka kanjani, nokuthi yenziwa kanjani.

Kuyini i-'Transthoracic Echocardiogram (TTE)'?

Kalula nje, i-Transthoracic Echocardiogram, noma i-TTE ngamafuphi, iyisivivinyo esithatha izithombe zenhliziyo yakho . Kufana nokuskena kwe-ultrasound kwengane yakho. Kodwa lokhu kungokwenhliziyo yakho. Kusebenzisa amaza omsindo abizwa ngokuthi i-ultrasound ukuthatha izithombe zenhliziyo yakho. Lolu uhlobo oluvame kakhulu lwe-echocardiogram.

Lokhu kuhlolwa kuvumela odokotela ukuthi babone inhliziyo yakho, amakamelo ayo amane, ama-valve enhliziyo amane, kanye nemithambo yegazi emikhulu exhuma kuyo. Kufana nokubuka ividiyo yalokho okwenzeka ngaphakathi kwenhliziyo yakho.

Kungani ucelwa ukuthi wenze lolu vivinyo lwe-'TTE'?

Odokotela basebenzisa ukuhlolwa kwe-TTE ngezindlela eziningi. Lokho kusho ukuthi ungase ucelwe ukuba ukwenze ngezizathu ezahlukene.

Hlola impilo yenhliziyo

Ngezinye izikhathi, ngemva kokuthola ukuthi unesifo senhliziyo, noma ngemva kokuthola ukwelashwa kwaso, le 'TTE' iyasiza ukubona ukuthi inhliziyo yakho isebenza kanjani. Iphinde isetshenziswe ukuthola umbono wempilo yenhliziyo yakho ngaphambi kokuba isifo sitholakale.

I-`TTE` ingabheka izinto ezifana nalezi:

• Ukuthi ama-valve enhliziyo yakho asebenza kahle yini. Ukuthi ayavuleka futhi avaleke kahle yini, nokuthi igazi liyavuza emuva yini.
• Indlela inhliziyo yakho ephampa ngayo igazi . Okusho ukuthi, inhliziyo yakho inamandla kangakanani (ingxenye yokukhipha igazi).
• Umfutho wegazi kanye nokugeleza kwegazi kunjani enhliziyweni?
• Ingabe amakamelo asenhliziyweni yakho anobukhulu kanye nesimo esiqondile ? Ingabe makhulu, ingabe izindonga zinobukhulu?

Thola imbangela yezimpawu ezithile

Uma unezimpawu ezithile, i-TTE ingasiza futhi ekunqumeni ukuthi zibangelwa yini inkinga yenhliziyo. Isibonelo:

• Ubuhlungu besifuba : Hlola ukuthi lokhu kungenxa yokuvaleka kwemithambo yegazi yenhliziyo noma kungenxa yesinye isizathu.
• Ukuvuvukala : Ingabe ukwehluleka kwenhliziyo kuyimbangela yokuvuvukala kwezandla nezinyawo?
• Ukububula kwenhliziyo : Uma udokotela ezwa umsindo ongajwayelekile lapho elalele inhliziyo yakho, angase afune ukuphenya ukuthi imbangela iyiphutha le-valve.
• Ukuphelelwa umoya / Ukuphelelwa umoya : Uma unenkinga yokuphefumula ngisho noma uzikhandla kancane, kungenzeka ukuthi kungenxa yokushintsha kokusebenza kwenhliziyo.

Thola futhi ulandelele izimo ezithile zezokwelapha

I-TTE isetshenziselwa ukuhlola izimo ezithile zezokwelapha nokuqapha intuthuko yazo uma zikhona.

• Kungakhathaliseki ukuthi kukhona i-aortic aneurysm noma ukudabuka kwe-aorta (ukuhlukana kwe-aorta).
• Ukuthi amahlule egazi akheke yini ngaphakathi enhliziyweni.
• Iyini imbangela yezinguquko ekuhlolweni kwakho kwe-Electrocardiogram (ECG)?
• Ingabe zikhona izinkinga zenhliziyo ezizalwa nazo , noma isimo sinjani ngemva kokwelashwa?
• Ekuhlulekeni kwenhliziyo, inhliziyo ibuthakathaka kangakanani?
• Uhlobo kanye nobunzima besifo se-valve yenhliziyo .
• Ukuthi kukhona yini ukuqina okungajwayelekile kwemisipha yenhliziyo (`i-hypertrophic cardiomyopathy`).
• Ingabe kukhona izimila noma umdlavuza enhliziyweni?

Uyini umehluko phakathi kwe-`TTE` ne-`TEE`?

Kunezinhlobo ezimbili eziyinhloko ze-'Echocardiogram'. Eyokuqala yi-'Transthoracic Echocardiogram (TTE)' esikhuluma ngayo. Enye yi-'Transesophageal Echocardiogram (TEE)'.

I-`TTE` iyindlela evame kakhulu futhi elula kakhulu. Ayifaki lutho olufakwa emzimbeni wakho (olungahlaseli), noma ngezinye izikhathi nje `umjovo` omncane (ongahlaseli kakhulu).

I-TEE inqubo ehlasela kancane lapho udokotela edlulisa khona ithubhu elincane elifakwe ikhamera (i-endoscope) emphinjeni wakho.

Ngisho nangemva kwe-'TTE', i-'TEE' ivame uku-odwa uma udokotela edinga izithombe ezicacile nezinemininingwane eminingi. Ngenxa yokuthi umphimbo useduze kakhulu nenhliziyo, i-'TEE' ngezinye izikhathi inganikeza izithombe ezicacile.

Ubani owenza lolu vivinyo lwe-`TTE`?

Ngokuvamile, umhlinzeki wakho wokunakekelwa okuyinhloko noma udokotela wenhliziyo uzoncoma i-TTE. Lokhu kuhlolwa kwenziwa uchwepheshe (i-sonographer) oqeqeshwe ngobuchwepheshe be-ultrasound. Uzokwenza ukuhlolwa bese ethumela umbiko kudokotela wakho.

Isebenza kanjani i-`TTE`?

Le nqubo, ebizwa ngokuthi i-'Echocardiography', isebenzisa ubuchwepheshe be-'ultrasound'. Ithumela amaza omsindo avame kakhulu emzimbeni wakho. Lawa maza omsindo ashaya izicubu zenhliziyo bese ebuyela emuva. Lawa maza omsindo abonakalayo abizwa ngokuthi ama-'echoes'.

Kusetshenziswa ubuchwepheshe bekhompyutha, lawa "ma-echo" asetshenziselwa ukudala izithombe zenhliziyo yakho njengoba ishaya. Ezinye izivivinyo ze-echo zisebenzisa nendlela ekhethekile ebizwa ngokuthi i-Doppler ultrasound. Lokhu kungalinganisa futhi kuhlole izinto ezifana nendlela igazi eligeleza ngayo emakamelweni nasemavalvini enhliziyo, njengejubane kanye nesiqondiso sokugeleza kwegazi.

Lezi zithombe ezihambayo ziboniswa esikrinini ukuze wena nodokotela nizibone.

Ingabe udinga ukulungiselela kusenesikhathi i-'TTE'?

Cha, akukho ukulungiselela okukhethekile okudingekayo.Kufanele udle futhi uphuze ngendlela evamile futhi uthathe noma yimiphi imithi oyiphuzayo ngaphambi kokuhlolwa. Ungakhathazeki ngalokho.

Kwenzekani ngesikhathi se-'TTE'?

Ukuhlolwa kwe-TTE kuvame ukuthatha cishe ihora. Uchwepheshe (uchwepheshe we-sonographer) noma omunye uchwepheshe wezempilo wenza ukuhlolwa ngale ndlela elandelayo:

Ngaphambi kokuhlolwa

Ngezinye izikhathi, ngaphambi kokwenza i-TTE, udokotela angase afake uketshezi olukhethekile (udayi ohlukile) emthanjeni wakho. Lokhu kusiza ukubona ngokucacile ukuthi igazi ligeleza kanjani enhliziyweni. Lokhu akunikezwa wonke umuntu, kodwa kuphela uma kudingeka.

Ngesikhathi sokuhlolwa

1. Uzolaliswa etafuleni lokuhlolwa.

2. Kubekwa ama-patches amancane (ama-electrode) esifubeni sakho. Lawa aqopha ukushaya kwenhliziyo yakho kanye nesigqi.

3. Ngemuva kwalokho, kufakwa ijeli ekhethekile ebusweni besikhumba sakho. Le jeli isiza amaza omsindo ukuthi adlule esikhumbeni sakho kahle.

4. Okulandelayo, idivayisi ebizwa ngokuthi i-`transducer` (idivayisi encane efana nemakrofoni) icindezelwa esikhumbeni sakho bese ihanjiswa. Le `transducer` yiyo ethumela amaza omsindo futhi ithathe ama-`echoes` abuyayo.

5. Umuntu owenza ukuhlolwa uzokutshela ukuthi uhlale uthule isikhashana, ushintshe ukuma komzimba wakho, noma ushintshe indlela ophefumula ngayo. Lokhu kuzokusiza ukuthi uthole izithombe ezingcono ngezindlela ezahlukene.

Cabanga ngakho, lokhu kufana nokuba "nefilimu ebukhoma" enhliziyweni yakho. Ngakho-ke kubaluleke kakhulu ukusekela buthule, njengoba usho.

Ingabe uyalaliswa i-anesthesia?

Cha. I-`TTE` inqubo engahlaseli, ngakho-ke awuphuziswa utshwala. Kwenziwa uvukile. Ngakho-ke asikho isizathu sokwesaba.

Kwenzekani ngemva kwe-`TTE`?

Ngemva kokuba uchwepheshe esethathe zonke izithombe azidingayo, uzogeza ijeli ebelifakwe emzimbeni wakho bese esusa ama-electrode. Ngemva kwalokho , ungaya ngqo ekhaya. Ungaqhubeka nemisebenzi yakho evamile. Ungashayela ngisho nokubuyela ekhaya.

Ingabe zikhona izingozi ku-'TTE'?

Azikho izingozi ezithile ezihlobene nokuhlolwa kwe-`TTE`. Lokhu kuhlolwa akusebenzisi imisebe, futhi akuhileli ukushaqeka kukagesi. Ngaphandle komuzwa omncane wokuhlaba lapho 'i-contrast agent' 'ijovwa', abukho ubuhlungu obuhambisana nalokhu kuhlolwa. Ngakho-ke, kuwukuhlolwa okuphephile kakhulu.

Imiphumela ye-`TTE` izotholakala nini?

Uchwepheshe owenze ukuhlolwa uzothumela umbiko kudokotela oku-ode ukuhlolwa. Lokhu kuvame ukuthatha cishe usuku olulodwa noma ezimbili. Ngemva kwalokho, udokotela wakho uzokushayela ucingo ukuze axoxe ngemiphumela, ukuxilongwa, uhlelo lokwelashwa, nokuthi ngabe kudingeka yini ukuhlolwa okwengeziwe.

Ngakho ungakhathazeki kuze kube yilapho imiphumela ifika. Udokotela uzokutshela yonke imininingwane.

Amaphuzu amafushane okufanele uwakhumbule

I-Transthoracic Echocardiogram (TTE) ukuhlolwa okusebenzisa ubuchwepheshe be-ultrasound ukuthatha izithombe zesakhiwo kanye nokusebenza kwenhliziyo yakho. Kuyindlela elula kakhulu, ephephile, futhi engenabuhlungu .

Uma uceliwe ukuthi wenze lolu vivinyo, udokotela wakho uzokuchazela ngokuningiliziwe ukuthi siyini isizathu nokuthi imiphumela isho ukuthini. Ngakho ungesabi lutho. Lokhu kuzokusiza kakhulu ekwazini impilo yenhliziyo yakho.

Ukuskena kwenhliziyo , i-Echocardiogram, i-TTE, isifo senhliziyo, ukuhlolwa kwenhliziyo, ukusebenza kwenhliziyo, i-ultrasound