Ingabe uvame ukuzizwa unesizungu? Ake sixoxe ngokuhlolwa kwe-Hemodynamic!

Ingabe ngezinye izikhathi uzizwa unesizungu ngokuzumayo, amehlo akho aphenduka aluhlaza okwesibhakabhaka, futhi izinto ezikuzungezile uzizwa sengathi ziyajikeleza? Noma uzizwa ungakhululekile, njengokungathi isifuba sakho siyashaya futhi unenkinga yokuphefumula? Uma lezi zinto zenzeka njalo, kubaluleke kakhulu ukuthola ukuthi yini ezibangela zona. Ezimweni ezinjalo, ukuhlolwa okukhethekile udokotela wakho angase akuphakamisele khona kubizwa ngokuthi "Ukuhlolwa Kwe-Hemodynamic". Namuhla, sizoxoxa ngalokhu ngokuningiliziwe, kalula kakhulu.

Kuyini lokhu 'Ukuhlolwa kwe-Hemodynamic'?

Kalula nje, lokhu `(Ukuhlolwa kwe-Hemodynamic)` kuyindlela yokuhlola ukugeleza kwegazi emzimbeni wakho, okungukuthi, ukujikeleza kwegazi kunjani, nokuthi inhliziyo yakho isebenza kahle kangakanani. Ngezinye izikhathi kubizwa nangokuthi `(ukuhlolwa kwe-hemodynamic tilt)` noma `(ukuhlolwa kwe-technetium hemodynamic)`. Lokhu kungenxa yokuthi lokhu kuhlolwa kusebenzisa i-isotope enemisebe ebizwa ngokuthi `(technetium)` (sizoxoxa ngalokhu kamuva). Empeleni lokhu kuhlolwa kusetshenziswa ubuchwepheshe obubizwa ngokuthi `(ukucabanga kwe-nuclear)`. Ungesabi, yize igama lalokhu lingokwesayensi kancane, uma usufunde ngokuhlolwa, uzobona ukuthi lokhu akwesabisi kangako.

Kungani kwenziwa lokhu kuhlolwa? Kufunani?

Cabanga nje, ngokuzumayo uyaquleka bese uyawa (okuthiwa futhi "i-syncope") ngisho noma umi nje unganyakazi. Noma udokotela usola ukuthi kukhona okungahambi kahle ngendlela igazi lakho eligeleza ngayo, okungukuthi, ngokujikeleza kwegazi lakho. Yilapho-ke lokhu kuhlolwa kwenziwa khona.

Ulwazi oluvela kulolu vivinyo lungasiza udokotela wakho ukuthi anqume ukuthi kungani uzizwa ubuthakathaka, noma ukuthi inkinga ikuphi ngohlelo lwakho lokujikeleza kwegazi. Kulapho-ke kuphela lapho bezokwazi khona ukuthola ukwelashwa okungcono kakhulu kuwe.

Kunezizathu eziningana ezivamile zokuthi kungani umuntu engase aquleke:

• Inani legazi eliya ebuchosheni bakho liyancipha ngokuzumayo.
• Ukwehla okungazelelwe komfutho wegazi noma ukushaya kwenhliziyo.
• Ushintsho enanini legazi emzimbeni (`umthamo wegazi`) noma indlela igazi elisakazwa ngayo.

Ngokuvamile, abantu abaquleka kanjalo bangase babe nohlobo oluthile lwesifo enhliziyweni yabo, ohlelweni lwezinzwa, noma ohlelweni oluthwala igazi liye ebuchosheni. Ngakho-ke lokhu ``(Ukuhlolwa kwe-Hemodynamic)`` kusiza ukuthola izinto ezinjalo.

Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?

Kunezinto ezimbalwa okudingeka uzazi futhi uzilandele ngaphambi kokuthatha lesi sivivinyo. Kuphela ngokuzilandela ngqo lapho uzokwazi ukuphumelela khona esivivinyweni.

• Ukukhulelwa nokuncelisa: Lokhu kuhlolwa akunakwenziwa uma ukhulelwe noma uncelisa. Ngakho-ke, kungadingeka ukuthi uhlole ukukhulelwa ukuze ube sesimweni esiphephile.
• Ukudla Nokuphuza: Awukwazi ukudla noma ukuphuza noma yini amahora amane ngaphambi kokuhlolwa. Awukwazi ukuhlafuna itshungama noma i-toffee. Kodwa-ke, uma unemithi, ungayiphuza kanye nezipuni ezimbalwa zamanzi. Buza udokotela wakho ngalokhu bese uqinisekisa.
• I-Caffeine: Ungaphuzi noma yini equkethe i-caffeine ngosuku lokuhlolwa. Akuyona nje itiye nekhofi, kodwa neziphuzo ezibandayo kanye noshokoledi kuqukethe i-caffeine. Ngisho nemikhiqizo ebhalwe ukuthi "ayinayo i-caffeine" noma "engena-caffeine" ngezinye izikhathi ingaba nenani elincane le-caffeine, ngakho gwema nayo.
• Kulabo abanesifo sikashukela: Uma unesifo sikashukela, cela ukuhlela ukuhlolwa kwakho cishe ngo-12:30 ntambama. Ngaleyo ndlela, ungaba nesidlo sasekuseni esilula ngaphambi kuka-8:30 ekuseni. Kungumqondo omuhle ukukhuluma nodokotela wakho ngalokhu futhi.
• Imithi ethile: Ungathathi imithi yokukhipha isisu (amaphilisi amanzi) noma imithi yokukhipha isisu ( imithi yokukhipha isisu ) ngaphambi kokuhlolwa. Kungcono ukungavuki ngesikhathi sokuhlolwa.
• Eminye imithi: Ungathatha noma yimiphi eminye imithi ovame ukuyithatha njengenjwayelo. Kodwa-ke, buza udokotela wakho noma usokhemisi ukuthi ikhona yini imithi oyithathayo equkethe i-caffeine nokuthi iphephile yini ukuyithatha ngosuku lokuhlolwa. Ungaqala noma uyeke noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho.

Yini ongayilindela ngosuku lokuhlolwa?

Kufanele futhi unakekele lezi zinto ngosuku lokuhlolwa.

• Izingubo: Gqoka izingubo ezikhululekile nezilula kanye nezicathulo. Ngesikhathi sokuhlolwa, kuzodingeka ugqoke ingubo yasesibhedlela engamboziwe kusukela okhalweni kuya phezulu.
• Ubucwebe nezinto eziyigugu: Gwema ukugqoka ubucwebe obufana namacici, imigexo, amasongo (kufaka phakathi amasongo omshado). Ungaphathi izinto eziyigugu.
• Izinto okufanele uzilethe: Qiniseka ukuthi uletha lezi:
• Umlando wakho wezokwelapha wakamuva kanye nombiko wokuhlolwa komzimba.
• Amanye amarekhodi ezokwelapha ahlobene nezinkinga zakho zempilo.
• Uhlu lwazo zonke izidakamizwa kanye nezithasiselo ozithathayo (kufaka phakathi inani olithathayo).
• Uhlu lwazo zonke izifo zakho zokungezwani komzimba.

Kuthatha isikhathi esingakanani lokhu kuhlolwa? Ingabe uqaphile?

Lokhu kuhlolwa kuthatha cishe amahora amathathu ukuqeda, ngakho-ke lindela ukuchitha cishe amahora amathathu esibhedlela.

Yebo, uzophaphama phakathi nokuhlolwa. Abasebenzi bezokwelapha bazokwenza ukhululeke ngangokunokwenzeka. Kodwa kubaluleke kakhulu ukuthi uhlale uthule ngangokunokwenzeka. Yileyo ndlela abangathola ngayo izithombe ezinhle kakhulu nezicacile.

Yini esetshenziswa esivivinyweni?

Odokotela basebenzisa amathuluzi nezindlela eziningana ezahlukene lapho benza lokhu kuhlolwa. Ake sibheke ukuthi ziyini.

• Ukuqapha i-EKG (ECG):Kubekwa ama-patches amaningana amancane, anamathelayo (ama-electrode) esifubeni sakho. Ulwazi oluvela kulokhu luthunyelwa emshinini obizwa ngokuthi i-electrocardiograph (EKG/ECG). Lo mshini uqopha umsebenzi kagesi wenhliziyo yakho njengegrafu ephepheni elihambayo. Ungaqapha izinga lokushaya kwenhliziyo yakho kanye nesigqi ngesikhathi sokuhlolwa.
• Ukuqapha Umfutho Wegazi: I-cuff yomfutho wegazi ibekwa engalweni yakho futhi umfutho wegazi wakho ulinganiswa ngezikhathi ezahlukene ngesikhathi sokuhlolwa.
• I-Hemodynamic Echo: Ngaphambi kokuba kuqale ukuhlolwa (ngemva kokuphumula cishe imizuzu engama-20), uzobe uhlolwa i-echocardiogram. Lokhu kuhlolwa kuthatha cishe imizuzu engama-20. Kuthatha izithombe ezinemininingwane zenhliziyo yakho. Kuphinde kulinganise ukuthi inhliziyo yakho iphampa igazi elingakanani ngesikhathi (ukuphuma kwenhliziyo). Bese kuthi, ngesikhathi sokuhlolwa, ukuphuma kwenhliziyo yakho kulinganiswe futhi futhi kuqhathaniswe nokufundwa kokuqala.
• Ukuthwebula Izithombe Zemithi Yenuzi: Udokotela usebenzisa ikhamera ekhethekile ebizwa ngokuthi ikhamera ye-gamma ukuthatha izithombe ngesikhathi sokuhlolwa. Le khamera ithola imisebe ye-gamma ekhishwa yi-isotope enemisebe (noma i-tracer). Izithombe ezithathwe yile khamera zinikeza udokotela ulwazi oluningi olubalulekile mayelana nokuthi inhliziyo yakho isebenza kahle kangakanani nokuthi igazi lakho lihamba kanjani. Ingakutshela nokuthi inhliziyo yakho ishaya igazi elingakanani nokuthi igazi lakho lihamba ngokushesha kangakanani.

Kwenzekani ngesikhathi sokuhlolwa?

Kulungile, manje ake sibone ukuthi kwenzekani ngempela ngesikhathi sokuhlolwa.

• Uzolaliswa etafuleni lokuhlolwa.
• Umhlinzeki wezempilo, kungaba udokotela noma umhlengikazi, uzokuchazela ngokucacile ukuhlolwa. Ungesabi ukubuza noma yimiphi imibuzo onayo ngaleso sikhathi.
• Uzonikezwa i-IV (i-cannula efana ne-saline drip). Yilapho i-isotope enemisebe (noma i-tracer) okukhulunywe ngayo ekuqaleni inikezwa khona emzimbeni wakho. Le tracer ifakwa nge-IV yakho ngaphambi kokuba kuthathwe isethi ngayinye yezithombe. Ngezinye izikhathi eminye imithi inganikezwa ngale IV ngesikhathi sokuhlolwa.
• Udokotela uzobeka ikhamera ye-gamma esifubeni sakho. Kubalulekile ukuthi uhlale unganyakazi ngenkathi ikhamera ithatha izithombe. Ikhamera ingase futhi ijikeleze wena.

Kuzwakala kanjani ukubhala isivivinyo?

Ungase ungabi nazo izimpawu ezikhethekile ngesikhathi sokuhlolwa. Kodwa-ke, kuvamile ukuzizwa unesicanucanu, unesicanucanu, noma ukushaya kwenhliziyo. Ungakhathazeki ngalokho.

Uma i-radioactive agent ifakwa ku-IV yakho, ungase uzwe umuzwa wokubanda ugijima engalweni yakho. Ungase futhi uzwe ukunambitheka kwensimbi emlonyeni wakho kanye nephunga elingavamile ekhaleni lakho. Kodwa le mizwa ayihlali isikhathi eside futhi izophela ngemva kwesikhashana.

Kubaluleke kakhulu ukutshela udokotela noma umhlengikazi konke okuzwayo ngesikhathi sokuhlolwa, kungakhathaliseki ukuthi kuncane kangakanani. Bangenza izinguquko ukuze kube lula ngawe ukuhlala phakathi kwezithombe ezimbili. Udokotela uzosebenzisa izimpawu zakho kanye nolwazi oluvela esivivinyweni ukuze anqume ukuthi yini ngempela ebangela isimo sakho.

Isebenza kanjani?

Imisebe ekhishwa yi-tracer enikezwa nge-IV yakho itholwa yikhamera ye-gamma. Ikhompyutha bese isebenzisa lolu lwazi ukudala uchungechunge lwezithombe. Unganikwa amasethi amathathu ezithombe (ezimbili ulele phansi kanye neyodwa uhleli phezulu).

Kwenzekani ngemva kokuhlolwa?

Kunezinto ezimbalwa okufanele uzikhumbule ngisho nangemva kokuphela kokuhlolwa.

• Uma uba nanoma yiziphi izimpawu ngesikhathi sokuhlolwa, kuzodingeka uhlale esibhedlela kuze kube yilapho lezo zimpawu zinyamalala ngokuphelele.
• Enye ye-`(tracer)` esetshenziswe esivivinyweni izokhishwa emzimbeni wakho ngomchamo wakho. Okunye kuzohlakazeka ngokwemvelo emzimbeni wakho. Uma ukwazi, phuza amanzi engeziwe. Lokho kuzosiza ukukhipha i-`(tracer)` emzimbeni wakho ngokushesha.
• Ngemva kokuhlolwa, uzonikezwa ikhadi ozoliphatha uma uhamba isonto lonke. (E-US, leli ikhadi elithi "UMnyango Wezokuphepha Kwasekhaya wase-US.") Ngenxa yokuthi i-isotope esetshenziswe esivivinyweni iyi-"(isotope)", ungase ushaye i-"(alamu)" uma uhlola izindawo ezifana nezikhumulo zezindiza.
• Iningi labantu lingaya ekhaya ngokushesha ngemva kokuhlolwa. Kodwa-ke, uma unezimpawu ezinzima, kungcono ukuba nomuntu ozokuhambisa ekhaya ngemoto. Ngakho-ke kuwukuhlakanipha ukuba nomuntu ohamba nawe uma uhamba.

Ziyini izingozi nemiphumela emibi yalokhu?

Njenganoma yikuphi ukuhlolwa kwezokwelapha, kungaba nezinkinga ezincane nalokhu.

• Ungase uzwe imihuzuko, ukubomvu, noma ukuvuvukala lapho kufakwe khona i-IV. Lokhu kuvamile futhi kuzophela ezinsukwini ezimbalwa. Ungase uzizwe nobuhlungu noma ukungakhululeki lapho kufakwa i-IV.
• Leyo isotope enemisebe ayiyona idayi, ngakho ayibangeli imiphumela emibi yokungezwani komzimba.
• Inani lemisebe elisetshenziswe esivivinyweni liphansi kakhulu. Licishe libe yinani elifanayo lemisebe elitholwa ngumzimba wakho uma uthola i-X-ray yesifuba. Ngakho-ke akukho okufanele ukhathazeke ngakho.

Injani imiphumela? Isitshelani?

Umbiko ozotholwa udokotela wakho uzosho ukuthi imiphumela yakho "ijwayelekile" noma "ayijwayelekile" yini.

Futhi, lolu vivinyo lungabonisa izinto ezifana nalezi:

• Ingabe une-cardio engavamile?
• Ingabe kukhona izinguquko ekucindezelweni kwegazi?
• Ingabe ikhona inkinga ngenhliziyo, njengesifo semithambo yenhliziyo, ukuthi ikuphi, imbi kangakanani, nokuthi imiphi imithambo yegazi ethintekile?
• Ingabe kukhona ukwehla kokunikezwa kwegazi (ischemia)?
• Kungakhathaliseki ukuthi kube nokufa kwezicubu (infarction) ngenxa yokuntuleka kwegazi nomoya-mpilo.

Ulwazi oluningi olubalulekile olufana nalolu lungatholakala kulolu vivinyo.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Ngokuvamile kuthatha izinsuku eziyi-10 kuya kweziyi-14 (okungaba amasonto amabili) ukuthi udokotela athole imiphumela yalolu vivinyo.

Udokotela uzobe esesebenzisa imiphumela ukudala uhlelo lokunakekelwa olukufanele. Kungase kudingeke uqale imithi emisha noma ushintshe imithi oyithathayo njengamanje. Ungathunyelwa kwabanye ochwepheshe.

Ngokusekelwe emiphumeleni yalolu ``Hemodynamic Test'', udokotela anganquma ukuthi kudingeka ezinye izivivinyo.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, ungabona ukuthi lolu "Hlobo lwe-Hemodynamic" luwuvivinyo olubaluleke kakhulu olungakusiza ukuthola imbangela yezinto ezifana nokuquleka njalo kanye nobunzima bokuphefumula.

Khumbula, ubuhlungu obuwukuphela kozobuzwa phakathi nalolu vivinyo cishe buwukuzwa okuncane okuhlabayo lapho kufakwa i-IV. Konke okunye kulula kuwe ukukuthwala.

Imiphumela yalolu vivinyo izosiza udokotela wakho ukuthi anqume ukuthi yikuphi ukwelashwa okukulungele. Uma uneminye imibuzo mayelana nalolu vivinyo, ungangabazi ukubuza udokotela wakho. Hlala uphilile!

'Ukuhlolwa kwe-Hemodynamic, ukujikeleza kwegazi, ukusebenza kwenhliziyo, ukuquleka, i-syncope, imithi yenuzi, isifo senhliziyo, i-EKG, i-echocardiogram