Ukuhlolwa okukhethekile ukuthola impilo yenhliziyo yakho: Konke mayelana nokuhlolwa kokucindezeleka kwenhliziyo ye-Nuclear!

Ngezinye izikhathi, uma sinezinkinga ezincane ngenhliziyo yethu, noma uma sisola isifo senhliziyo, odokotela basicela ukuba senze izivivinyo ezahlukahlukene. Nokho, lokhu kuhlolwa okubalulekile okubheka ngokujulile impilo yenhliziyo, ikakhulukazi indlela igazi elinikezwa ngayo enhliziyweni, kubizwa ngokuthi ukuhlolwa kokucindezeleka kwenhliziyo yenuzi. Kungenzeka ukuthi uke wezwa leli gama, noma udokotela wakho kungenzeka ukuthi ukucele ukuba wenze lokhu kuhlolwa. Ngakho-ke, ake sixoxe ngalokhu kalula nangokucacile namuhla, kulungile?

Kuyini lokhu kuhlolwa kokucindezeleka kwenhliziyo ye-nuclear?

Kalula nje, lokhu ukuhlolwa okukhethekile okusiza ekuxilongeni isifo senhliziyo. Okwenzekayo lapha ukuthi udokotela noma uchwepheshe oqeqeshiwe ufaka inani elincane lezinto ezinemisebe (i-tracer noma i-radiopharmaceutical) emzimbeni wakho, okungukuthi, emthanjeni wegazi. Ungakhathazeki, leli inani elincane kakhulu, futhi liphephile. Le nto ihamba ngemithambo yegazi yakho futhi imuncwa emisipheni yenhliziyo kanye nemithambo yegazi. Ngemuva kwalokho, uma ibukwa ngekhamera ekhethekile, indlela igazi eligeleza ngayo liye enhliziyweni, futhi izingxenye zenhliziyo zibonakala ngokucacile. Lokhu kufana nokusebenzisa ithoshi ukuthola okuthile ebumnyameni.

Lokhu kuhlolwa kubizwa ngamanye amagama, futhi udokotela wakho kungenzeka ukuthi uthe elinye lala magama:

• Isikeni se-Cardiac PET (Positron Emission Tomography).
• Iskeni se-Cardiac SPECT (Single-Photon Emission Computed Tomography).
• Isithombe Sokugeleza Kwegazi Esisenhliziyweni (MPI).
• Ukuhlolwa kokucindezeleka kwenyukliya.

Ungakhathazeki uma uzwa la magama, wonke lawa amagama ahlukene okuhlolwa okufanayo.

Yiziphi izinhlobo zokuhlolwa kokucindezeleka kwenhliziyo yenuzi ezikhona?

Kunezindlela ezimbili eziyinhloko zokwenza lokhu kuhlolwa, enye ukuhlolwa "kokucindezeleka", okusho ukufaka ingcindezi ethile enhliziyweni.

1. Ukuhlolwa kokucindezeleka kokuzivocavoca: Kulesi sivivinyo, uzocelwa ukuthi uvivinye umzimba usebenzisa i-treadmill noma ibhayisikili elingashukumi. Khulisa kancane kancane isivinini kuze kube yilapho ukushaya kwenhliziyo yakho kufinyelela ezingeni elithile eliqondiwe. Lokhu kwandisa ukugeleza kwegazi enhliziyweni.

2. Ukuhlolwa kokucindezeleka kwemithi: Ake sithi unobunzima bokuzivocavoca ngenxa yenkinga yamalunga noma ngesizathu esithile. Le ndlela isetshenziselwa abantu abanjalo. Okwenzekayo lapha ukuthi umuthi ufakwa emthanjeni ongalweni yakho. Lo muthi wandisa ukugeleza kwegazi enhliziyweni, njengoba nje uma uzivocavoca, okungukuthi, uvuselela inhliziyo.

Ngaphezu kwalokho, ubuchwepheshe obusetshenziswayo ukuthatha izithombe bunquma nokuthi ngabe ukuskena "kwe-PET" noma "kwe-SPECT". Lokho kuyinto enqunywa odokotela.

Yini engatholakala ngalesi sivivinyo sokucindezeleka kwenhliziyo yenuzi?

Lokhu kuhlolwa kuvame ukwenziwa ukuze kutholakale isifo semithambo yenhliziyo (CAD).Yihlole bese uyiqapha. Uyazi ukuthi iyini i-``(CAD)``? Kusho ukuthi imithambo yegazi ehambisa igazi enhliziyweni (imithambo yegazi ye-coronary) ivinjelwa yizinqwaba zamafutha. Kufana nokungcola okubhajwa epayipini lamanzi nokunciphisa ukugeleza kwamanzi.

Lolu vivinyo lungaveza izinto eziningi ezengeziwe:

• Ingabe imisipha yenhliziyo yakho isebenza kahle, okusho ukuthi ishaya kahle ?
• Ingabe zikhona izindawo lapho ukugeleza kwegazi enhliziyweni kuncipha khona ?
• Thola indawo eqondile yemithambo evalekile .
• Ingabe inhliziyo yonakaliswe yinto efana nokuhlaselwa yinhliziyo kwangaphambilini?

Futhi, lolu vivinyo lungenziwa ngabantu abanezimo ezilandelayo:

• I-acute coronary syndrome.
• Ushintsho emsebenzini kagesi wenhliziyo olubizwa ngokuthi i-bundle branch block.
• Ukwehluleka kwenhliziyo okubangelwa ukucindezeleka kwegazi (ukwehluleka kwenhliziyo).
• Ezinye izifo zenhliziyo eziqinisekisiwe noma ezisolwayo.
• Ubunzima bokuphefumula.

Ubani owenza lolu vivinyo?

Odokotela benhliziyo bavame ukuncoma lokhu kuhlolwa. Ngezinye izikhathi bakwenza bona ngokwabo, noma basebenzise uchwepheshe we-radiology. Bonke banokuqeqeshwa okukhethekile kulokhu.

Uyini umehluko phakathi kokuhlolwa kokucindezeleka okuvamile kanye nokuhlolwa kokucindezeleka kwenuzi?

Cishe uke wezwa ngokuhlolwa kokucindezeleka kokuzivocavoca okuvamile. Kukhona ukufana okuthile phakathi kwalokho nalokhu kuhlolwa kokucindezeleka kwenuzi. Bobabili basebenzisa i-electrocardiogram (EKG) ukubheka umsebenzi kagesi wenhliziyo yakho. Futhi bobabili babheka indlela inhliziyo yakho esabela ngayo lapho ingaphansi kokucindezeleka.

Kodwa-ke, ukuhlolwa kokucindezeleka kwenuzi kuyindlela ethuthuke kakhulu. Kunganikeza ulwazi olunemininingwane eminingi.

Esivivinyweni esivamile sokucindezeleka kokuzivocavoca, inhliziyo yakho iqashwa kuphela nge-electrocardiogram (EKG) uma uphumule futhi uma uzivocavoca.

Kodwa-ke, ekuhlolweni kokucindezeleka kwenuzi, into ekhipha imisebe ethi ``(tracer)`` engikhulume ngayo ekuqaleni ifakwa emzimbeni, futhi ikhamera ekhethekile ithatha izithombe zenhliziyo ngaphambi nangemva kokuzivocavoca. Lokhu kusenza sibone ngokucacile ukuthi igazi ligeleza kanjani enhliziyweni.

Ngingalungiselela kanjani lolu vivinyo?

Udokotela wakho uzokunikeza imiyalelo ecacile yokuthi ungalungiselela kanjani lolu vivinyo. Kubaluleke kakhulu ukuyilandela ngqo ukuze uthole imiphumela emihle kakhulu. Ngokuvamile basho izinto ezinjengalezi:

• Gwema ukudla neziphuzo eziqukethe i-caffeine (isib. ikhofi, itiye, iziphuzo ezibandayo, ushokoledi) kanye nemithi amahora angama-24 ngaphambi kokuhlolwa.
• Uma unenkinga yokuphefumula, letha izinto ezifana ne-inhaler yakho.
• Ungabhemi ngaphambi kokuhlolwa.
• Zila ukudla amahora ambalwa ngaphambi kokuhlolwa (ungaphuza amanzi kuphela).
• Tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi engekho emthethweni, izithasiselo zokudla).
• Sicela ugqoke izingubo ezikhululekile nezikhululekile kanye nama-sneakers.

Into ebaluleke kakhulu ukuthi udokotela wakho angakucela ukuthi uyeke ukuthatha imithi ethile noma ushintshe umthamo ngaphambi kokuhlolwa. Kodwa-ke, ungalokothi uyeke noma ushintshe noma yimiphi imithi oyithathayo ngaphandle kweseluleko sikadokotela wakho.

Kwenzekani ngesikhathi sokuhlolwa? Ngizoba nohlobo luni lwesipiliyoni?

Lokhu kuhlolwa kuvame ukwenziwa esibhedlela noma emtholampilo nguchwepheshe noma udokotela oqeqeshwe ngokukhethekile. Nakhu okuvame ukwenzeka:

1. Okokuqala, inaliti encane ifakwa emthanjeni ongalweni yakho bese kufakwa umugqa we-IV. Yilapho i-radioactive tracer ifakwa khona emzimbeni wakho. Ungase uzizwe ubanda kancane njengoba ingena emzimbeni wakho.

2. Ngemuva kwalokho, kufanele ulinde imizuzu embalwa ukuze into ihambe emzimbeni wonke futhi imuncwe enhliziyweni.

3. Okulandelayo, bazonamathisela ama-patches amancane ezinto ezibizwa ngokuthi ama-electrode esifubeni sakho, ezingalweni nasemilenzeni. Ngezinye izikhathi, kungadingeka unciphise ezinye zezinwele kuleyo ndawo ukuze usize ama-patches anamathele kangcono.

4. Lawa ma-electrode axhunywe emshinini othi ``(EKG)``, olinganisa njalo umsebenzi kagesi wenhliziyo yakho.

5. Umfutho wegazi wakho uzohlolwa njalo nge-blood pressure cuff.

6. Ngemuva kwalokho, uzocelwa ukuthi ulale unganyakazi etafuleni. Ikhamera ekhethekile izothatha izithombe zenhliziyo yakho. Lezi yizithombe "zokuphumula".

7. Okulandelayo ingxenye "yokucindezeleka". Ucelwa ukuba uvivinye umzimba usebenzisa i-treadmill noma ibhayisikili. Qala kancane kancane bese ukhuphula isivinini/ukuqina kancane kancane.

8. Uzocelwa ukuthi uvivinye umzimba kuze kube yilapho ukushaya kwenhliziyo yakho kufinyelela ezingeni udokotela wakho alilindele, noma kuze kube yilapho ubona izimpawu ezingakhululekile (isib. ubuhlungu besifuba, ukukhathala okukhulu). Kodwa-ke, ungayeka ukuhlolwa nganoma yisiphi isikhathi uma ungakwazi ukwenza kanjalo.

9. Kungaba ngesikhathi sokuzivocavoca noma ngemva kokufinyelela esicongweni sakho, uzophinde ujovwe ngenani elincane le-'(tracer)' futhi.

10. Bese, ngiphinde ngihlale phansi etafuleni bese ngithatha isethi yesibili yezithombe (izithombe zokucindezeleka).

Kuthiwani uma ngingakwazi ukuzivocavoca?

Ungakhathazeki. Ngishilo ngaphambili, abanye abantu banenkinga yokuzivocavoca. Kumuntu onjalo, udokotela uzofaka umuthi emthanjeni osengalweni yakho. Lo muthi usebenza ngokuvuselela inhliziyo nokwandisa ukugeleza kwegazi, njengalapho uzivocavoca. Ngakho-ke, lo muthi ungadala isimo esifanayo enhliziyweni ngaphandle kokuzivocavoca.

Kuthatha isikhathi esingakanani lokhu kuhlolwa kokucindezeleka kwenuzi?

Ngokuvamile, lonke isivivinyo singathatha cishe amahora amathathu kuya kwamane , ngoba kuthatha isikhathi ukuthi izinto ezikhipha imisebe zingene emzimbeni, kanye nesikhathi sokuthatha izithombe nokwenza izivivinyo.

Yini okufanele ngiyenze futhi ngiyigweme ngemva kokuhlolwa?

Ngemva kokuphela kokuhlolwa, udokotela wakho uzokunikeza imiyalelo. Ezimweni eziningi, ungaqhubeka nemisebenzi yakho evamile.

Kodwa-ke, bakutshela ukuthi uphuze amanzi amaningi ukuze kusize izinto ezikhipha imisebe emzimbeni wakho ziphume emzimbeni wakho ngokushesha.

Abanye abantu bangase babe nokukhathala okuncane, isiyezi, noma ikhanda elibuhlungu ngemva kokuhlolwa. Lokhu kuzophela ngemva kwesikhashana, ngokuphumula.

Ziyini izingozi zalolu vivinyo lokucindezeleka kwenuzi?

Lezi zivivinyo ngokuvamile ziphephile kakhulu. Kodwa-ke, akuvamile kakhulu, cishe umuntu oyedwa kwabayi-5,000 angase abhekane nenkinga encane. Isibonelo:

• Ukushaya kwenhliziyo okungajwayelekile (i-Arrhythmia).
• Ubuhlungu besifuba.
• Ukuhlaselwa yinhliziyo (i-myocardial infarction) (lokhu akuvamile kakhulu).
• Umfutho wegazi ophansi (hypotension).

Ngenxa yokuthi lokhu kuhlolwa kusebenzisa into ekhipha imisebe, ubhekene nenani elincane kakhulu lemisebe. Nakuba sizwile ukuthi imisebe ingabangela umdlavuza, idinga ukuvezwa emithanjeni eminingi kakhulu, ngokuvamile isikhathi eside. Inani lokuvezwa kulolu vivinyo lincane kakhulu.

Okubalulekile: Lokhu kuhlolwa kokucindezeleka kwe-nuclear akukhuthazwa kubantu abanezimo ezithile zezokwelapha ezinzima noma ezingalawuleki. Isibonelo:

* Ubuhlungu obukhulu esifubeni (i-Angina).

* Ukusikwa kwe-aorta.

* Ukuncishiswa kwe-aorta (i-Aortic stenosis).

* Ukuphazamiseka kwesigqi senhliziyo okungalawulwa `(Arrhythmia)`.

* Ukwehluleka okukhulu kwenhliziyo.

* Ukutheleleka kwenhliziyo.

* I-pulmonary embolism (ukugoba kwegazi emaphashini).

* Umfutho wegazi ophezulu wamaphaphu.

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Uma unalesi simo, kufanele utshele udokotela wakho ngaso kusenesikhathi.

Ngizoyazi nini imiphumela yokuhlolwa kwami?

Kungathatha izinsuku eziningana ukuthola imiphumela yokuhlolwa kokucindezeleka kwenuzi, ngoba udokotela wenhliziyo noma udokotela we-radiation uhlola izithombe futhi azihlaziye ngaphambi kokukhipha umbiko.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, manje cishe usuyaqonda ukuthi iyini le Nuclear Cardiac Stress Test. Empeleni lokhu ukuhlolwa okubaluleke kakhulu okusiza ukuthola nokuqapha izimo ezifana nesifo semithambo yenhliziyo, ikakhulukazi isifo senhliziyo.

Uma udokotela ekutshela ukuthi wenze lokhu kuhlolwa, asikho isizathu sokwesaba noma sokukhathazeka.Buza udokotela wakho noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Ngokulungiselela kahle ngaphambi kokuhlolwa nokulandela imiyalelo, uzokwazi ukuthola isithombe esicacile sesimo senhliziyo yakho futhi uthole ukwelashwa okudingekayo. Ukunakekela inhliziyo yakho kuyakufanelekela!

Isifo senhliziyo, ukuhlolwa kokucindezeleka kwenuzi, ukuhlolwa kwenhliziyo, izinto ezikhipha imisebe, isifo semithambo yenhliziyo, ukuhlolwa kokuzilolonga, impilo yenhliziyo