Wake wazizwa ubuhlungu obuncane esifubeni sakho, ubunzima bokuphefumula, noma ukushaya kwenhliziyo okungajwayelekile? Ngaleso sikhathi, lapho uya kudokotela, kungenzeka ukuthi uke wamuzwa ethi, "Masenze i-heart scan." Kuyini ngempela i-heart scan, noma ukuthatha izithombe? Lezi zivivinyo zifunani? Ingabe kuyinto okufanele uyesabe? Kulungile, namuhla sizoxoxa ngakho konke ngendlela elula kakhulu, ngendlela ongayiqonda.
Kuyini ukuthwebula izithombe zenhliziyo?
Kalula nje, ukuthwebula izithombe zenhliziyo yigama elijwayelekile lamasu ahlukahlukene asetshenziswa ukuthatha izithombe zenhliziyo yakho kanye nemithambo yegazi kanye nezicubu ezizungezile. Njengokuthatha isithombe ngocingo lwakho, lawa masu avumela odokotela ukuthi babone ngokucacile ukuthi kwenzekani ngaphakathi kwenhliziyo yakho, kungakhathaliseki ukuthi isebenza kahle, noma ngabe kunenkinga ndawana thize.
Lokhu akulona ukuhlolwa okukodwa. Kuhilela izinhlobo eziningi ezahlukene zokuhlolwa udokotela wakho azonquma kuzo ngokusekelwe esimweni sakho. Ngezinye izikhathi, ukuhlolwa okubili noma okuthathu kungenziwa ukuze kutholakale isithombe esiphelele sempilo yenhliziyo yakho.
Kungani udokotela angayala ukuhlolwa okunjalo?
Kunezizathu eziningana zokuthi kungani udokotela angancoma lolu hlobo lokuhlolwa. Cabanga nje, injini yemoto yakho yenza umsindo ongajwayelekile, kodwa awukwazi ukuthola ukuthi kungani. Khona-ke into engcono kakhulu ongayenza ukuvula ibhonethi bese uhlola injini. Lokhu kuyinto efanayo.
Nazi ezinye zezizathu eziyinhloko:
- Ukuhlolwa kwesifo senhliziyo: Lokhu kuhlolwa kungasiza ngezinye izikhathi ukuthola izinkinga zenhliziyo ngaphambi kokuba kuvele izimpawu.
- Hlonza isifo ngokunembile (Ukuxilongwa): Uma unezimpawu ezifana nobuhlungu besifuba nobunzima bokuphefumula, lezi zibalulekile ukuze kutholakale ukuthi imbangela iyinkinga yenhliziyo, futhi uma kunjalo, iyini.
- Hlola izinga lomonakalo: Uma ukuhlaselwa yinhliziyo kwenzeka ngokuzumayo, lokhu kuhlolwa kusiza ekulinganiseni ngokunembile izinga lomonakalo enhliziyweni.
- Linganisa impumelelo yokwelashwa: Lokhu kuhlolwa kwenziwa futhi ukuze kubonakale ukuthi isimo senhliziyo somuntu othola ukwelashwa kwesifo senhliziyo siyathuthuka yini nokuthi imithi isebenza kahle yini.
Yiziphi izindlela eziyinhloko zokuthatha izithombe zenhliziyo?
Kulungile, manje ake sibheke ukuthi yiziphi lezi zinhlobo eziyinhloko zokuhlolwa. Ngayinye yalezi zihlukile. Ukuthi ukuhlolwa okukodwa akusikho ukuhlolwa okunye. Ngakho udokotela wakho uzokhetha ukuhlolwa okufanele kakhulu kuwe.
| Igama Lokuhlolwa | Kalula nje, yilokhu okwenzayo... |
|---|---|
| I-Echocardiogram (i-Echo) | I-Ultrasound isetshenziselwa ukudala ividiyo yenhliziyo. Ibheka amakamelo enhliziyo, ama-valve, kanye nekhono lokupompa. |
| I-Cardiac Computed Tomography (CT) | Kuthathwa uchungechunge lwe-X-ray ekhethekile ukuze kudalwe izithombe ezinemininingwane ezintathu (3D) zenhliziyo. Kuyindlela enhle yokubona ukuvaleka kwemithambo yegazi. |
| Ukuhlolwa Kokucindezeleka Kwenhliziyo Yenuzi (i-PET/SPECT) | Inani elincane le-radioactive dream (tracer) lifakwa emzimbeni bese kubhekwa ukugeleza kwegazi enhliziyweni. Lokhu kwenziwa ngokwehlukana ngesikhathi sokuzivocavoca kanye nokuphumula. |
| I-Angiogram ye-Coronary | Ipayipi elincane kakhulu (i-catheter) lidluliselwa ngemithambo engalweni noma emlenzeni liye enhliziyweni, kufakwe idayi ekhethekile, bese kuthathwa ividiyo ye-X-ray. Lena yindlela engcono kakhulu yokubona ukuthi imithambo yenhliziyo ivaliwe yini. |
| I-MRI yenhliziyo | Isebenzisa amasimu kazibuthe namagagasi omsakazo ukukhiqiza izithombe ezicacile nezinemininingwane zenhliziyo. Ayisebenzisi ama-X-ray. |
| I-MUGA Scan | Ilinganisa ngokunembile ukusebenza kokupompa kwamakamelo angezansi (ama-ventricle) enhliziyo. Ayisasetshenziswa njalo. |
Kuyini i-Echocardiogram (i-Echo)?
Lolu uhlobo lokuhlola oluvame kakhulu. Njengokuskena kwengane kamama okhulelwe, lokhu kusebenzisa namaza omsindo (i-ultrasound).Ngakho-ke akukho mphumela wokukhishwa kwemisebe emzimbeni wakho. Lokhu kuphephile kakhulu. Udokotela angakusebenzisa lokhu ukubona, njengevidiyo ebukhoma, ukuthi amakamelo enhliziyo yakho nama-valve asebenza kahle yini, ukuthi izindonga zenhliziyo yakho zijiyile kangakanani, nokuthi inhliziyo yakho iphampa kahle kangakanani igazi.
Kuyini i-Cardiac CT Scan?
Lokhu kuyinkimbinkimbi kancane kune-X-ray evamile. Cabanga ngakho njengokusika isinkwa sibe yizicucu. I-CT scan ithatha ama-X-ray avela ezinhlangothini ezahlukene enhliziyweni yakho bese iwahlanganisa kukhompyutha ukuze idale isithombe senhliziyo yakho esinobukhulu obuthathu (3D). Lokhu kungabonisa ngokucacile ukuthi imithambo yenhliziyo, ehlinzeka ngegazi enhliziyweni, ine-calcium deposits noma ivinjiwe noma kuphi.
Ake sixoxe ngokuhlolwa kokucindezeleka kwenhliziyo ye-Nuclear
Abanye abantu bayesaba kancane uma bezwa leli gama. Uma bezwa igama elithi "nuclear," bacabanga ukuthi kuyinto enkulu. Kodwa akukho okufanele ukwesabe. Okwenzayo ukufaka inani elincane kakhulu, eliphephile lezinto ezikhipha imisebe (tracer) emthanjeni wakho. Lapho le nto ihamba negazi liye enhliziyweni, ikhamera ekhethekile iyayibona bese idala imephu yokugeleza kwegazi emisipheni yenhliziyo.
Lolu vivinyo lwenziwa ngezigaba ezimbili:
1. Uma uphumule.
2. Uma izinga lokushaya kwenhliziyo yakho likhuphuka ngemva kokuhamba nge-treadmill noma ukuzivocavoca (ukucindezeleka).
Ngokuqhathanisa lezi ezimbili, udokotela anganquma ukuthi ingxenye yenhliziyo ayitholi igazi elanele yini uma icindezelekile. I-Cardiac PET (Positron Emission Tomography) kanye ne-Cardiac SPECT (Single-Photon Emission Computed Tomography) yizivivinyo ezimbili eziyinhloko zalolu hlobo.
Inani lezinto ezisebenzisa imisebe ezisetshenziswa kulezi zivivinyo lincane kakhulu. Liphuma emzimbeni zingakapheli amahora ambalwa. Ngakho-ke ungayesabi ngokungadingekile.
Iyini i-Coronary Angiogram?
Lesi isivivinyo "esijwayelekile segolide" sokuhlola ukuvaleka kwemithambo yegazi yenhliziyo yakho. Ipayipi elincane neliguquguqukayo, elibizwa ngokuthi i-catheter , lifakwa esihlakaleni sakho noma emthanjeni ongalweni yakho emthanjeni wegazi enhliziyweni yakho. Idayi ekhethekile ibe isifakwa ngepayipi bese kuthathwa i-X-ray. Idayi yenza imithambo yegazi ibonakale ngokucacile ku-X-ray. Ingabonisa ngqo ukuthi umthambo uncishisiwe noma uvalekile kuphi. Ngezinye izikhathi, uma kutholakala ukuvaleka, odokotela bangafaka idivayisi encane efana ne-mesh (stent) ukuze bayivule ngokushesha.
Iyini i-MRI yenhliziyo?
Kungenzeka ukuthi uke wezwa nge-MRI. Ayisebenzisi ama-X-ray. Kunalokho, isebenzisa amasimu anamandla kazibuthe kanye namagagasi omsakazo ukudala izithombe ezicacile nezinemininingwane yenhliziyo. (Hawu, isiMalayalam singene. Kumele uqaphele. IsiSinhala kuphela). Isebenzisa amasimu anamandla kazibuthe kanye namagagasi omsakazo ukudala izithombe ezicacile nezinemininingwane yenhliziyo. Iwusizo kakhulu ekutholeni izinto ezifana nomonakalo emisipheni yenhliziyo, izicubu ezibomvu, kanye nokuvuvukala.
Ngingalungiselela kanjani lolu vivinyo?
Indlela okudingeka uzilungiselele ngayo ingahluka kuye ngokuhlolwa okwenzayo. Udokotela wakho noma abasebenzi basesibhedlela bazokunikeza imiyalelo ecacile ngalokhu. Kodwa kunezinto ezimbalwa ezijwayelekile okufanele uzikhumbule.
| Iseluleko | Incazelo |
|---|---|
| Ukudla neziphuzo | Ezinye izivivinyo zingadinga ukuthi uzile ukudla amahora ambalwa. Ezintweni ezifana nezivivinyo zokucindezeleka, ungase ucelwe ukuthi ugweme ukudla okuqukethe i-caffeine njengekhofi, itiye, kanye noshokoledi ngosuku olwandulelayo. |
| Izingubo kanye nobucwebe | Uma uya ezivivinyweni ezifana ne-CT ne-MRI, susa zonke izinto zokuhloba, njengegolide, isiliva, namawashi, bese uwashiya ekhaya. Gqoka izingubo ezikhululekile ezingenazo izinkinobho zensimbi noma omaziphu. |
| Ulwazi lwezokwelapha | Tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, amavithamini, izithasiselo). Qiniseka ukuthi utshela udokotela wakho uma unezinye izimo zezokwelapha (ikakhulukazi isifo sezinso) noma ukungezwani komzimba. |
| Amadivayisi emzimbeni | Uma une-pacemaker, ama-valve ensimbi, izinduku noma izipikili ezifakwe ngokuhlinzwa, kufanele wazise udokotela wakho ngaphambi kwe-MRI. |
| Ukukhulelwa | Uma ukhulelwe noma kungenzeka ukuthi ukhulelwe, kubaluleke kakhulu ukwazisa udokotela wakho ngaphambi kokwenza izivivinyo ezifana ne-X-ray noma i-CT scan. |
Ingabe zikhona izingozi kulezi zivivinyo?
Izindaba ezinhle ukuthi eziningi zalezi zivivinyo ziphephile kakhulu. Azibandakanyi ukusikwa okukhulu njengokuhlinzwa.
Akuvamile ukuba nokusabela kokungezwani komzimba kudayi osetshenziswa ku-angiogram noma ku-CT scan. Kodwa-ke, lokhu akuvamile kakhulu. Uma uke waba nokusabela okunjalo kokungezwani komzimba ngaphambili, tshela udokotela wakho ngakho kusenesikhathi.
Ama-X-ray nama-CT scan akubeka engcupheni encane yemisebe, kodwa inani ngokuvamile liphephile. Udokotela uyala lokhu kuhlolwa ngoba izinzuzo zidlula kakhulu izingozi ezincane.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwenhliziyo kuyinhlanganisela yezivivinyo ezahlukene ezikusiza ukuthi ubheke ngokujulile impilo yenhliziyo yakho.
- I-Echocardiogram, i-CT, i-MRI, kanye ne-Angiogram ngezinye zezindlela ezisetshenziswa kakhulu.
- Lezi zivivinyo zibalulekile ekutholakaleni kwesifo senhliziyo kusenesikhathi, ekuxilongweni okunembile, nasekulinganisweni kwempumelelo yokwelashwa.
- Uma udokotela wakho ekucela ukuthi wenze lokhu kuhlolwa, ungesabi ngokungadingekile. Kuyisinyathelo esibalulekile okufanele usithathe ukuze ugcine inhliziyo yakho iphilile.
- Ngaphambi kokuhlolwa, buza udokotela noma yimiphi imibuzo noma ukungabaza ongase ube nakho ngakho.
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