Ungathanda ukwazi okwengeziwe nge-Dobutamine Stress Echocardiogram? Ake sixoxe!

Nawe kungenzeka ukuthi ucelwe udokotela ukuthi wenze lolu vivinyo olubizwa ngokuthi `(Dobutamine Stress Echocardiogram)`. Noma kungenzeka ukuthi uke wezwa ngalo ndawana thize. Ungase ube nemibuzo eminingi mayelana nokuthi luyini lolu vivinyo, kungani lwenziwa, nokuthi lusebenza kanjani. Ungakhathazeki, ake sixoxe ngakho kalula. Lolu vivinyo olukusiza ukuthi uthole ulwazi olubalulekile mayelana nempilo yenhliziyo yakho.

Iyini le test ye-dobutamine stress echo?

Kalula nje, lokhu ukuhlolwa okubheka ukuthi inhliziyo yakho isebenza kanjani ngaphansi kokucindezeleka . Cabanga ngakho, lapho sizivocavoca, inhliziyo yethu ishaya ngokushesha, futhi yilokho esizama ukukwenza lapha, ngokudala lolo hlobo lwesimo ngokwenziwa.

Lokhu kusebenzisa into ebizwa ngokuthi i-"Echocardiogram". Okungukuthi, ukuhlolwa kwenhliziyo "kwe-Ultrasound". Kufana nokuskena kwengane esibelethweni, futhi kungabheka ukunyakaza kwenhliziyo nesimo sayo.

Ngokuvamile, uma wenza ukuhlolwa kokucindezeleka, ucelwa ukuba ugijime ku-treadmill noma ugibele ibhayisikili ukuze ukhuphule izinga lokushaya kwenhliziyo yakho. Kodwa kule ``Dobutamine Stress Echocardiogram``, awucelwa ukuba wenze lokho. Kunalokho , unikezwa umuthi obizwa ngokuthi ``Dobutamine.`` Lo muthi uvuselela inhliziyo yakho njengokungathi uyazivocavoca. Ngemuva kwalokho, odokotela bangabona ukuthi inhliziyo yakho isabela kanjani kulolu hlobo lokucindezeleka.

Lokho esingakuthola kulolu vivinyo yilokhu:

• Ingabe kukhona inkinga ngemisipha yenhliziyo yakho noma ama-valve ?
• Ukuthi igazi eliya emisipheni yenhliziyo liyanele noma cha .
• Ingabe inhliziyo yakho izinzile ngogesi kokubili lapho uphumule nalapho uthwele umthwalo?

Kuyokwenziwa nini lokhu kuhlolwa?

Akuwona wonke umuntu ongagijima nge-treadmill noma agibele ibhayisikili. Abanye abantu bangase babe nezinkinga ezifana nobuhlungu bamalunga noma ubunzima bokuphefumula. Yingakho odokotela besebenzisa lo muthi '(Dobutamine)' ukwenza isivivinyo sokucindezeleka.

Kunezizathu eziningana zokwenza lokhu kuhlolwa:

• Bona ukuthi inhliziyo yakho ingakwazi yini ukusingatha umsebenzi ongakanani .
• Hlola ingozi yakho yokuthola isifo semithambo yenhliziyo .
• Thola ukuthi isifo se-valve yenhliziyo sibi kangakanani.
• Hlola ukusebenza kwenhliziyo yakho ngaphambi kokuhlinzwa kwenhliziyo .
• Bona ukuthi ukwelashwa kwenhliziyo kwakho kwamanje kuyasebenza yini.

Ubani owenza lolu vivinyo?

Lokhu kuhlolwa kwenziwa ngaphansi kokuqondisa kukadokotela. I-Dobutamine Stress Echocardiogram yakho yenziwa yi-Cardiac Sonographer, uchwepheshe oqeqeshwe ngokukhethekile ngezifo zenhliziyo . Uzokuchazela imininingwane futhi enze ukuhlolwa kahle.

Kwenziwa kanjani lokhu kuhlolwa kwe-dobutamine stress echo?

Kulungile, manje ake sibone ukuthi kuzokwenzekani uma wenza lesi sivivinyo. Akukho okufanele ukwesabe, konke kuzochazwa kuwe.

• Ukubekwa kwama-electrode: Okokuqala, umhlengikazi noma uchwepheshe uzobeka izitikha ezincane, eziyisicaba ezibizwa ngokuthi ama-electrode ezindaweni ezingaba yi-10 esifubeni sakho. Lezi zixhunywe kwi-monitor ye-electrocardiogram (EKG). Lokhu kulinganisa umsebenzi kagesi wenhliziyo yakho kulo lonke ukuhlolwa.
• I-ECG Yokuphumula kanye ne-Echocardiogram: Ngaphambi kokuba unikezwe umuthi i-Dobutamine, uzophendulwa ngohlangothi lwakho lwesobunxele embhedeni. Ngemuva kwalokho, uchwepheshe uzobeka idivayisi encane (ebizwa ngokuthi i-transducer) esifubeni sakho bese ebuka ukushaya kwenhliziyo yakho. Lokhu kubizwa ngokuthi i-echocardiogram yokuphumula. Izithombe zenhliziyo yakho zithathwa phakathi nokuhlolwa.
• Ukufaka umugqa we-saline engalweni yakho (umugqa we-IV): Okulandelayo, kuzofakwa ithubhu elincane (umugqa we-intravenous / IV) emthanjeni osengalweni yakho. Yilapho umuthi (i-Dobutamine) uzofakwa khona emzimbeni wakho. Ungase uzizwe umuzwa omncane wokuthuthumela kuleli qophelo.
• Umjovo we-Dobutamine: Yilapho i-dobutamine izonikezwa khona kancane kancane nge-IV. Uchwepheshe uzoqhubeka nokubeka i-transducer phezu kwesifuba sakho bese ethatha izithombe. Njengoba umuthi ufakwa, inhliziyo yakho izoqala ukuzizwa sengathi iyavivinya umzimba. Isilinganiso senhliziyo yakho sizokhula. Kungase kuzwakale sengathi inhliziyo yakho ishaya ngokushesha kunokujwayelekile. Ungase uzizwe ufudumele kancane, ubuso bakho bube bomvu, futhi ungase ube nekhanda elincane . Lokhu kuvamile.
• Izimpawu zokuqapha: Ngesikhathi sokuhlolwa, abasebenzi bazokubuza ukuthi uzizwa kanjani. Uma uzwa ubuhlungu noma ukungakhululeki esifubeni sakho, ezingalweni, noma emhlathini , isiyezi, ukuphelelwa umoya, ikhanda elibuhlungu, noma yini enye engavamile, kufanele ubatshele nakanjani. Bazobe bebukele ne-EKG monitor. Uma bebona noma yiziphi izinguquko, bazoyeka ukuhlolwa.
• Ukuphela kokuhlolwa: Uma ukuhlolwa sekuphelile, umugqa we-IV uzosuswa engalweni yakho. Isilinganiso senhliziyo yakho kufanele sibuyele esimweni esijwayelekile zingakapheli imizuzu emi-5 kuya kweyi-10.

Into ebaluleke kakhulu ukutshela abasebenzi ngokushesha uma uzizwa ungakhululekile. Lokhu kuzosiza ukuthi bakugcine uphephile.

Ngingadla futhi ngiphuze ngaphambi kokuhlolwa?

Yebo, ukudla neziphuzo eziningi kungadliwa kuze kube amahora amane ngaphambi kokuhlolwa. Amanzi angadliwa kuze kube seduze nokuhlolwa.

Kodwa-ke, ungabhemi ngosuku lokuhlolwa. I-Nicotine ingathinta imiphumela ye-ultrasound yakho.

Futhi, ungaphuzi noma yini equkethe i-caffeine, njengekhofi, itiye, ushokoledi, iziphuzo ze-cola, kanye neziphuzo zamandla, amahora angama-24 ngaphambi kokuhlolwa.I-caffeine nayo ingathinta imiphumela. Imikhiqizo ebhalwe ukuthi "decaffeinated" (`decaffeinated` / `caffeine-free`) ingase ibe nenani elincane le-caffeine, ngakho-ke ayilungile.

Ingabe ngidinga ukuthatha imithi yami ngaphambi kokuhlolwa?

Lokhu kuyinto okufanele uyihlole nodokotela wakho ukuze uqiniseke. Udokotela wakho angase akucele ukuthi uyeke ukuthatha imithi ethile yenhliziyo ngosuku lokuhlolwa noma emahoreni angama-24 ngaphambi kwalokho.

Ngezinye izikhathi, uma uthatha imithi yobuhlungu besifuba, ungase ucelwe ukuthi uqhubeke nokuthatha. Letha yonke imithi yakho ekuhlolweni. Into ebaluleke kakhulu ukuthi ungayeki ukuthatha imithi yakho ngaphandle kokukhuluma nodokotela wakho.

Imithi evame ukucelwa ukuthi iyekwe yile:

• Ama-Beta-blocker: Izibonelo zifaka phakathi (i-Atenolol / Tenormin®), (i-Carvedilol / Coreg®), (i-Metoprolol / Lopressor®, i-Toprol®), kanye ne-(Propranolol / Inderal®).
• I-Isosorbide dinitrate: Izibonelo: i-Dilatrate®, i-Isordil®, i-Sorbitrate®.
• I-Isosorbide mononitrate: Izibonelo: Ismo®, Imdur®, Monoket®.
• I-Nitroglycerin: Izibonelo zifaka phakathi i-Minitran®, i-Nitropatches®, kanye ne-Nitrostat®.

Futhi, ungathathi noma yimiphi imithi etholakala ngaphandle kwemithi equkethe i-caffeine (isib., amaphilisi okwehlisa isisindo, `(NoDoz®)`, `(Excedrin®)`, `(Anacin®)`) amahora angama-24 ngaphambi kokuhlolwa. Uma ungaqiniseki ngokuthi yimiphi imithi equkethe i-caffeine, buza udokotela wakho noma usokhemisi.

Uma unemibuzo mayelana nemithi yakho, qiniseka ukuthi ukhuluma nodokotela wakho.

Ingabe ngidinga ukuthatha imithi uma nginesifo sikashukela?

Uma unesifo sikashukela, kufanele futhi utshele udokotela wakho ngaso. Uzokutshela ukuthi kufanele unciphise inani lemithi oyiphuzayo ngaphambi kokuhlolwa noma uyiphuze ngemva kokuhlolwa. Isibonelo:

• Uma uthatha i-insulin ukulawula ushukela wegazi lakho: Udokotela wakho angakutshela ukuthi uthathe ingxenye yomthamo wakho wasekuseni bese udla ukudla okulula emahoreni amane ngaphambi kokuhlolwa. Ungalokothi weqe ukudla ngenkathi uthatha umuthi wakho wesifo sikashukela.
• Uma uphuza amaphilisi okulawula ushukela egazini lakho: Udokotela uzokutshela ukuthi uthathe umuthi ngemva kokuhlolwa.
• Uma une -glucose monitor: Yithathe uye nayo esivivinyweni. Kuzodingeka uhlole amazinga kashukela egazini lakho ngaphambi nangemva kokuhlolwa. Uma uzizwa sengathi ushukela wakho wegazi uphansi, tshela othile elabhorethri ngokushesha. Ngemva kokuhlolwa, kufanele udle futhi uthathe imithi yakho yesifo sikashukela.

Hlobo luni lwezingubo okufanele ngizigqoke?

Ungagqoka noma yini oyithandayo. Ngaphambi kokuhlolwa, kuzodingeka ugqoke ingubo yasesibhedlela. Ungalethi izinto eziyigugu njengobucwebe ngosuku lokuhlolwa. Bazokunikeza ilokha yokugcina izimpahla zakho.

Ingabe ikhona imiphumela emibi evela ku-dobutamine? Yiziphi izingozi?

Ungase ube nekhanda elincane uma uthatha i-Dobutamine. Omunye umphumela ovamile ongemuhle ukwehla okuncane komfutho wegazi. Abanye abantu bangase babe nezigqi zenhliziyo ezingajwayelekile noma ukushaya kwenhliziyo okusheshayo ngendlela engavamile (i-Atrial Fibrillation noma i-Ventricular Tachycardia). Kubalulekile ukukhuluma nodokotela wakho mayelana nokuthi usengozini yini yale miphumela emibi.

Ngezinye izikhathi kusetshenziswa i-"Contrast Dye" (uketshezi olusiza ekwenzeni izithombe ezicacile). Uma lokhu kwenzeka, kunengozi encane yokuthi ube nokusabela kokungezwani komzimba nakho. Uma uke waba nokusabela kokungezwani komzimba "ku-Contrast Dye", tshela ithimba lakho lezokwelapha.

Kubantu abane-angina (ubuhlungu besifuba), kunengozi encane kakhulu yokuba nesifo senhliziyo ngesikhathi salolu vivinyo. Uma lokhu kwenzeka, ithimba lezokwelapha lizohlinzeka ngokwelashwa okuphuthumayo okudingekayo.

Kuthiwani uma ngine-pacemaker noma i-defibrillator?

Uma une-pacemaker noma i-defibrillator, udokotela wakho kuzodingeka ayihlole ngaphambi kwalolu vivinyo. Ngakho-ke, shayela udokotela wakho umtshele.

Kuthatha isikhathi esingakanani lokhu kuhlolwa?

I-aphoyintimenti yonke ithatha cishe ihora . I-IV ithatha cishe imizuzu eyi-15 ubude.

Kwenzekani ngemva kokuhlolwa?

Ngemva kokuphela kokuhlolwa, kuzodingeka uhlale egumbini lokululama okungenani imizuzu engama-30 , noma kuze kube yilapho noma yiziphi izimpawu ongase ube nazo (njengokushaya kwenhliziyo okukhuphukile) zibuyela esimweni esijwayelekile.

Ngingakwazi yini ukushayela imoto ngemva kokuhlolwa?

I-Dobutamine ingabangela ukwehla okuncane komfutho wegazi. Ngakho-ke, kungcono ukuba othile akushayele ekhaya ngemuva kokuqokwa kwakho. Akuwona umqondo omuhle ukushayela wedwa.

Ithini imiphumela yalolu vivinyo?

Kunezinhlobo ezintathu zemiphumela ezingavela ekuhlolweni kwe-dobutamine stress echo:

• Okuhle noma okungajwayelekile: Lo mphumela usho ukuthi inhliziyo yakho ayitholi igazi elanele. Lokhu kungaba uphawu lwesifo semithambo yegazi yenhliziyo. Kungaba futhi uphawu lokuthi unomonakalo wemisipha yenhliziyo, awuphilile kahle ngokomzimba, noma ukwelashwa kwakho kwamanje akusebenzi. Uma uthola umphumela onjengalona, ​​kungadingeka ukuthi wenze izivivinyo ezengeziwe. Udokotela wakho uzokhuluma nawe ngalokho okufanele ukwenze ngokulandelayo.
• ``Okungalungile noma okuvamile``: Lokhu kusho ukuthi inhliziyo yakho isabela ngendlela evamile uma ingaphansi kokucindezeleka. Kusho ukuthi ayikho inkinga.
• Okungaphelele / Okungaqondile:Udokotela akakwazi ukwenza ukuxilongwa okuqondile ngale miphumela. Kungase kudingeke ukuhlolwa okwengeziwe.

Inembile kangakanani isivivinyo sokucindezeleka se-dobutamine?

I-stress echocardiography ingaba ukuhlolwa okunembe kakhulu. Kokunye ukuhlola kwabantu abangu-5,131, kwakunembe ngaphezu kuka-95% ekubikezeleni isifo senhliziyo. Kodwa-ke, ngezinye izikhathi kungaveza imiphumela emibi noma imiphumela emibi engamanga. Kubalulekile ukukhuluma nodokotela wenhliziyo ukuze anqume ukuthi yikuphi ukuhlolwa okukulungele ngokusekelwe ezimpawini zakho.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Ngemva kokuba udokotela wenhliziyo ebukeze imiphumela yakho yokuhlolwa, uzoyifaka kwi-Electronic Medical Record yakho (EMR). Udokotela wakho uzobe esebukeza imiphumela bese ekhuluma nawe. Uma ungakezwa muntu phakathi nesonto lokuhlolwa kwakho, shayela udokotela wakho ukuze akubuze imininingwane.

Okokugcina, izinto okufanele uzikhumbule

I-dobutamine stress echocardiogram iyindlela enembile kakhulu yokuthi odokotela babone ukuthi inhliziyo yakho isabela kanjani ekucindezelekeni. Lokhu kuhlolwa kungasiza ekuphenduleni imibuzo mayelana nezimpawu zenhliziyo yakho noma kubone ukuthi uhlelo lwakho lokwelashwa lusebenza kahle yini. Lesi yisinyathelo esibalulekile ekusizeni ithimba lakho lezokwelapha ukuthi linakekele impilo yenhliziyo yakho.

Nakuba ungase uzizwe uthukuthele kancane lapho kufakwa i-IV, ukuhlolwa akubuhlungu. Uma unemibuzo noma ukukhathazeka mayelana nokuhlolwa kwe-dobutamine stress echo, khuluma nodokotela wakho. Bazokwazi ukukusiza.

I- Dobutamine Stress Echo, Ukuhlolwa Kwenhliziyo, I-Echocardiogram, Isifo Senhliziyo, Umsebenzi Wenhliziyo, I-Dobutamine, Impilo Yenhliziyo