Inhliziyo yethu iyisitho esimangalisayo ngempela, akunjalo? Ipompa igazi emzimbeni wethu usuku lonke ngaphandle kokuphumula. Kodwa ngezinye izikhathi, lapho sikhathala kancane, lapho sikhuphuka izitebhisi, noma lapho siphakamisa into esindayo, singase sizwe ukuqina okuncane noma ubuhlungu esifubeni sethu. Abanye abantu baba nobunzima bokuphefumula. Ngakho-ke, ngezikhathi ezinjengalezi, kungenzeka ukuthi uke wacabanga, "Hawu, ingabe kukhona okungahambi kahle ngenhliziyo yami?" Ngezinye izikhathi ezinjengalezi, sikhuluma ngokuhlolwa okukhethekile okwenziwa ukuhlola isimo senhliziyo yakho, ikakhulukazi ukuthi isebenza kanjani lapho umzimba uthola ukuvivinya umzimba. Lokhu kubizwa ngokuthi i-Exercise Stress Echocardiogram .
Kalula nje, iyini le Echocardiogram Yokucindezeleka Kokuzivocavoca?
Leli gama lide kancane, ngakho ake silihlukanise libe izingxenye ezimbili.
1. I-Echocardiogram (Echo): Leli igama okungenzeka ukuthi uke walizwa. Kalula nje, liyi-scan yenhliziyo yakho. Njengoba kunjalo nge-ultrasound scan, isebenzisa amaza omsindo ukudala uchungechunge lwezithombe ezihambayo, njengevidiyo, yenhliziyo yakho. Lezi zithombe zivumela udokotela wakho ukuthi abone ukuma nobukhulu benhliziyo yakho, ama-valve, nokuthi imisipha yenhliziyo yakho isebenza kanjani.
2. Ukucindezeleka Kokuzivocavoca: 'Ukucindezeleka' lapha akubhekiseli ekucindezelekeni kwengqondo, kodwa ekucindezelekeni ngokomzimba. Okusho ukuthi, le Echo yenziwa uma ucindezelekile kancane futhi inhliziyo yakho ishaya ngokushesha.
Ngakho-ke, uma uhlanganisa lokhu kokubili, i-Exercise Stress Echocardiogram yilapho uhamba nge-treadmill noma ugibela ibhayisikili, bese inhliziyo ivivinywa bese inhliziyo ihlolwa ngomshini we-Echo.
Zikhona yini ezinye izinhlobo zokuhlolwa kokucindezeleka okufana nalokhu?
Yebo, kunezinye izindlela eziningana zokuhlola ukusebenza kwenhliziyo ngokuzivocavoca. Ake sibheke izinhlobo eziyinhloko.
| Igama lokuhlolwa | Kwenzekani nje? |
|---|---|
| Ukucindezeleka Kokuzivocavoca I-EKG | Ngesikhathi uzivocavoca, ukuhlolwa kwe-EKG okujwayelekile kulinganisa umsebenzi kagesi wenhliziyo. |
| Ukuhlolwa Kokucindezeleka Kokuzivocavoca Kwenuzi | Kulokhu, inani elincane kakhulu lento ekhipha imisebe lifakwa ngokuphephile emthanjeni. Bese kusetshenziswa ikhamera ekhethekile ukuhlola ukuthi igazi ligeleza kanjani liye enhliziyweni ngaphambi nangemva kokuzivocavoca. |
| Ukuhlolwa Kokucindezeleka Kwemithi | Abanye abantu banenkinga yokuzivocavoca. Kubantu abanjalo, lokhu kuhlolwa kwenziwa ngokubanika umuthi ofana ne -Dobutamine bese kwandiswa izinga lokushaya kwenhliziyo yabo njengokungathi bayazivocavoca. |
| Ukuhlolwa Kokucindezeleka Kokuhamba Ngesivinini | Kulabo abafakelwe i-pacemaker ehlala njalo ukulawula izinga lokushaya kwenhliziyo yabo, lokhu kuhlolwa kungenziwa ngokusheshisa izinga lokushaya kwenhliziyo ngaleyo divayisi. |
Kukuziphi izimo lapho kwenziwa khona lokhu kuhlolwa?
Odokotela basebenzisa kakhulu lolu vivinyo ukuthola isifo esibizwa ngokuthi isifo semithambo yenhliziyo . Kalula nje, kwenziwa ukuze kubonakale ukuthi imithambo yegazi ehambisa igazi emisipheni yenhliziyo (lokho esikubiza ngokuthi 'imithambo yenhliziyo') ivinjiwe noma incishisiwe ngenxa yokugcwala kwamafutha.
Njengoba nje lapho ukungcola kubhajwa epayipini lamanzi, ijubane lamanzi liyehla, lapho imithambo yegazi enhliziyweni ivaleka, inhliziyo ayitholi inani elidingekayo legazi. Nakuba singakuqapheli ngokuvamile, lapho sikhathele, inhliziyo idinga igazi elengeziwe. Yilapho kuvela khona izimpawu ezifana nobuhlungu besifuba.
Ngaphezu kwalesi sizathu esiyinhloko, lokhu kuhlolwa kusiza futhi ukuhlonza noma ukuqapha isimo sezinye izimo zezokwelapha eziningana.
- Ukuqina noma ukuqina kwemisipha yenhliziyo (i-Cardiomyopathy)
- Isifo Senhliziyo Esizalwa Naso
- Ukwehluleka Kwenhliziyo
- Isifo Se-Valve Yenhliziyo
- Umfutho wegazi ophezulu wamaphaphu
Ubani onconywayo ukuthi abhale lolu vivinyo?
Uma unezimpawu ezingase zihlobane nesifo senhliziyo, ikakhulukazi uma lezo zimpawu ziba zimbi kakhulu ngokuzivocavoca noma ukuzikhandla, udokotela wakho angase akucele ukuthi ubhale lolu vivinyo.
| Izimpawu | Amanye amacala |
|---|---|
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Ingabe bakhona abantu abangafaneleki ukwenza lokhu kuhlolwa?
Yebo, akuphephile ukucindezela inhliziyo ngale ndlela kubantu abanezinkinga ezithile zenhliziyo. Lokhu kuhlolwa akwenziwa ezimweni ezinjalo. Isibonelo:
- Ukusikwa kwe-Aortic
- Ukutheleleka/ukuvuvukala kwenhliziyo noma izicubu ezizungezile (i-Endocarditis, i-Myocarditis, i-Pericarditis)
- Abantu abasanda kuba nokuhlaselwa yinhliziyo
- Ukuphazamiseka okukhulu kwe-arrhythmia okungalawulwa
- I-stenosis ye-aortic enzima (i-stenosis ye-aortic valve)
Kodwa ungakhathazeki ngalokhu. Ngaphambi kokuba wenze lokhu kuhlolwa, udokotela uzohlola isimo sakho sempilo esiphelele bese enquma ukuthi lokhu kukufanele yini noma cha.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Ukuze uthole imiphumela yokuhlolwa enembile, udinga ukulungiselela kahle. Udokotela uzokunikeza imiyalelo ngalokhu. Lezi yizinto ezijwayelekile okufanele uzilandele.
| Okumele ukwenze/Okungamele ukwenze | Incazelo |
|---|---|
| I-caffeine | Gwema iziphuzo ezine-caffeine njengekhofi, itiye, ushokoledi, kanye ne-cola amahora angama-24 ngaphambi kokuhlolwa. Lokhu kungathinta izinga lokushaya kwenhliziyo yakho. |
| Imithi | Tshela udokotela wakho nganoma yimiphi imithi oyithathayo. Eminye imithi (njenge-beta-blockers) ingadinga ukuthi uyeke ukuyithatha ngosuku lokuhlolwa. Ungalokothi uyeke ukuthatha noma yimiphi imithi ngaphandle kokubuza udokotela wakho kuqala. |
| Ukudla neziphuzo | Ungadli noma uphuze lutho amahora ambalwa ngaphambi kokuhlolwa. |
| Ukubhema | Gwema ukubhema noma ukusebenzisa eminye imikhiqizo kagwayi ngosuku lokuhlolwa. |
| Izingubo | Hamba uyohamba, uvivinye umzimba, futhi ugqoke izingubo ezikhululekile nezikhululekile kanye nezicathulo. |
Kwenzekani ngesikhathi sokuhlolwa? Ake sibheke isinyathelo ngesinyathelo.
Le nqubo yonke ivame ukuthatha cishe ihora.
1. Ukulungiselela: Okokuqala, uchwepheshe uzobeka izitikha ezincane, ezisicaba (ama-electrode) esifubeni sakho. Lezi zizoxhunywa emshinini we-EKG ukuze kuqashwe ukushaya kwenhliziyo yakho. I-blood pressure cuff izobekwa engalweni yakho.
2. Iphimbo lokuqala: Okulandelayo, uzolala ngohlangothi lwakho lwesobunxele. Uchwepheshe oqeqeshiwe (i-Cardiac Sonographer) uzofaka ijeli esifubeni sakho bese ebeka idivayisi encane (i-transducer) emshinini we-ultrasound ukuze athathe izithombe zenhliziyo yakho. Lesi isithombe sokuqala esithathwayo ngenkathi uphumule.
3. Ukuzivocavoca: Yilapho umsebenzi uqala khona. Uzofakwa ku-treadmill noma ibhayisikili elingashukumi. Qala kancane kancane futhi wandise isivinini kanye nokuthambekela. Uzovivinya umzimba uze ufinyelele "isilinganiso senhliziyo esiqondiwe" esinqunyiwe, kuye ngeminyaka yakho kanye nezinga lokufaneleka komzimba, noma uze uqale ukuzwa izimpawu. Lokhu kuzothatha cishe imizuzu eyi-10-15.
4. Ukubika Izimpawu (Kubaluleke Kakhulu!): Uma uhlangabezana nanoma yini engavamile ngesikhathi sokuzivocavoca, njengobuhlungu besifuba, ingcindezi, ukuqina, ubuhlungu bengalo noma bomhlathi, ubunzima bokuphefumula, isiyezi, noma ukuquleka , kufanele utshele udokotela noma abasebenzi ngokushesha.
5. I-Echo yesibili:Uma ukushaya kwenhliziyo yakho kufinyelela esilinganisweni osifunayo, kufanele wehle ngokushesha ku-treadmill ubuyele embhedeni ukuze ulale phansi. Ukuhlolwa kwesibili kwe-echo kuzokwenziwa ngokushesha. Lesi isithombe esithathwe ngemva kokuba inhliziyo icindezelekile.
6. Phola: Ngemva kwe-Echo yesibili, uzocelwa ukuba uhambe nge-treadmill noma ugibele ibhayisikili futhi ukuze umzimba wakho kanye nokushaya kwenhliziyo yakho kubuyele esimweni esijwayelekile.
Kwenzekani ngemva kokuhlolwa?
Ungaya ekhaya uma ukushaya kwenhliziyo yakho kanye nomfutho wegazi sekubuyele esimweni esijwayelekile. Ungase uzizwe ukhathele kancane ngenxa yokuzilolonga. Lokhu kujwayelekile.
Ingabe zikhona izingozi ngalolu vivinyo?
Ukucindezeleka Kokuzivocavoca I-Echocardiography iyisivivinyo esiphephile kakhulu. Imiphumela emibi ayivamile. Uma kukhona ingozi, akubangelwa ukuhlolwa ngokwako, kodwa ngenxa yesimo esingaphansi kwenhliziyo yakho. Okusho ukuthi, lapho ukucindezeleka kufakwa enhliziyweni, abanye abantu bangase babe nokushaya kwenhliziyo okungajwayelekile (i-arrhythmia) noma ubuhlungu besifuba (i-angina).
Kodwa asikho isidingo sokukhathazeka. Phakathi nokuhlolwa, udokotela kanye nabasebenzi bezokwelapha abaqeqeshiwe bazobe beqapha ngokucophelela i-EKG yakho, umfutho wegazi, kanye nesimo sakho. Uma kuvela noma yiziphi izimo eziyingozi, bazoyeka ukuhlolwa ngokushesha futhi bakunikeze ukwelashwa okudingekayo.
Ithini imiphumela?
Udokotela ufinyelela esiphethweni ngokuqhathanisa izithombe ze-echo ezithathwe ngesikhathi ephumule kanye nezithombe ze-echo ezithathwe ngemva kokuzivocavoca.
- Umphumela Ojwayelekile: Uma zonke izingxenye zemisipha yenhliziyo zisebenza kahle kokubili ekuphumuleni nangemuva kokuzilolonga, kusho ukuthi inhliziyo ithola igazi elanele.
- Umphumela Ongajwayelekile: Uma ezinye izingxenye zemisipha yenhliziyo zibonakala sengathi zingasebenzi kahle ngemva kokuzivocavoca, kusho ukuthi imithambo yegazi ehambisa igazi kulezo zingxenye ingase ivaleke.
Uma imiphumela isifikile, udokotela wakho uzochaza ukuthi isho ukuthini kuwe ngamagama alula. Bazophinde bakhulume nawe ngokuthi yini okufanele uyenze ngokulandelayo, mhlawumbe ukuthi kudingeka yini ukuhlolwa okwengeziwe noma ukuthi kufanele kuqalwe ukwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Echocardiogram Yokucindezeleka Kokuzivocavoca iyi-scan ephephile kakhulu nebaluleke kakhulu ehlola ukuthi inhliziyo yakho isebenza kanjani ngesikhathi sokuzivocavoca.
- Lokhu kusetshenziselwa kakhulu ukuhlonza ukuthi imithambo yegazi ehambisa igazi enhliziyweni ivaliwe yini.
- Landela imiyalelo kadokotela ngokucophelela ngaphambi kokuhlolwa (ikakhulukazi ukugwema i-caffeine nokudla).
- Uma uzwa noma yikuphi ukungakhululeki ngesikhathi sokuhlolwa, njengobuhlungu besifuba noma isiyezi, ungesabi futhi wazise abasebenzi bezokwelapha ngokushesha.
- Ungakhathazeki ngemiphumela yokuhlolwa. Udokotela wakho uzochaza konke futhi akuqondise ngezinyathelo ezilandelayo okudingeka uzithathe.
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