Wake waba nesipiliyoni esingazelelwe, esinamehlo aluhlaza okwesibhakabhaka, nesididekile? Mhlawumbe uke waba nalesi sipiliyoni ngenkathi umi, umi ngokuzumayo, noma usendaweni egcwele abantu. Wena nomndeni wakho kumelwe ukuthi benisaba kakhulu ngoba beningakwazi ukuthola ukuthi yini ebangela lolu hlobo lokuquleka? Namuhla, sizokhuluma ngokuhlolwa okukhethekile odokotela abakusebenzisayo ukuthola imbangela eqondile yalokhu. Lokhu kubizwa ngokuthi i-Hemodynamic Test.
Kuyini Ukuhlolwa Kwe-Hemodynamic?
Kalula nje, ukuhlolwa kwe-hemodynamic kuwukuhlolwa okubheka ukuthi igazi lakho lihamba kanjani emzimbeni wakho, ukuthi inhliziyo yakho isebenza kahle kangakanani, nokuthi inhliziyo yakho isebenza kahle kangakanani. Lokhu ngezinye izikhathi kubizwa ngokuthi 'ukuhlolwa kwe-hemodynamic tilt'. Lokhu kusebenzisa ikhamera ekhethekile kanye nenani elincane kakhulu lezinto ezikhipha imisebe ukuze kutholakale isithombe esicacile somsebenzi wenhliziyo yakho kanye nemithambo yegazi. Sibiza le ndlela ngokuthi `(i-nuclear imaging)`.
Kungani kwenziwa lokhu kuhlolwa?
Uma uvame ukuquleka, odokotela bazosebenzisa ulwazi oluvela kulolu vivinyo ukuze bazame ukuthola imbangela. Ngokwezokwelapha sibiza ukuquleka ngokuthi "i-syncope." Imiphumela yalolu vivinyo izonquma ukwelashwa okungcono kakhulu kuwe.
Kunezizathu eziningana ezivamile zokuthi kungani umuntu engase aquleke:
- Ukwehla kwesikhashana kokugeleza kwegazi kuya ebuchosheni.
- Ukwehla okungazelelwe komfutho wegazi noma ukushaya kwenhliziyo.
- Ushintsho enanini legazi emzimbeni noma indlela igazi elisakazwa ngayo.
Ngokuvamile, abantu abaqulekayo bangase babe nesifo esihlobene nenhliziyo, isimiso sezinzwa, noma imithambo yegazi ebuchosheni babo. Ngakho-ke lokhu kuhlolwa kungasiza ekuboneni ukuthi siyini ngempela leso simo.
Uzilungiselela kanjani ngaphambi kokuhlolwa?
Ukuze wenze kahle kulolu vivinyo, kudingeka ukulungiselela okuncane kuwe. Qaphela kancane ngalezi zinto.
| Iseluleko | Incazelo |
|---|---|
| Ukukhulelwa | Lokhu kuhlolwa akunakwenziwa uma ukhulelwe noma uncelisa, ngakho-ke ungase ucelwe ukuthi uhlole ukukhulelwa ukuze uphephe. |
| Ukudla neziphuzo | Ungadli noma uphuze lutho amahora amane ngaphambi kokuhlolwa. Ungadli lutho, njengokuhlafuna itshungama noma i-toffee. Uma kufanele uthathe imithi, yiphuze kanye namanzi amancane kuphela. |
| I-caffeine | Ungaphuzi lutho oluqukethe i-caffeine (itiye, ikhofi, i-cola) ngosuku lokuhlolwa. Gwema imikhiqizo ebhalwe ukuthi “ayinayo i-caffeine” noma “engenayo i-caffeine” ngoba ingase ibe nenani elincane le-caffeine. |
| Uma unesifo sikashukela | Uma unesifo sikashukela, cela i-aphoyintimenti cishe ngo-12:30 ntambama. Ngaleyo ndlela ungadla isidlo sasekuseni esilula ngaphambi kuka-8:30 ekuseni. Khuluma nodokotela wakho ngalokhu. |
| Eminye imithi | Ungathathi imithi yokuhlanza umzimba noma imithi yokuhlanza ngaphambi kokuhlolwa. Thatha yonke eminye imithi njengokujwayelekile. Buza udokotela wakho ukuthi ngabe kukhona yini imithi oyithathayo equkethe i-caffeine nokuthi kufanele yini uyithathe ngosuku lokuhlolwa. Ungayeki ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho. |
Yini ongayilindela ngosuku lokuhlolwa?
- Izingubo: Gqoka izingubo nezicathulo ezikhululekile. Kuzodingeka ugqoke ingubo yasesibhedlela emboza ukhalo kusukela okhalweni kuya phezulu ngesikhathi sokuhlolwa. Ngakho-ke, ungagqoki ubucwebe (kufaka phakathi izindandatho zomshado). Ungalethi izinto eziyigugu.
- Izinto Okufanele Uzithathe: Letha imibiko yakho yokuhlolwa kwezokwelapha yakamuva, amanye amarekhodi ezokwelapha ahlobene nesimo sakho, uhlu lwazo zonke imithi kanye nezithasiselo ozithathayo (kanye nenani lazo), kanye nohlu lwanoma yikuphi ukungezwani komzimba onakho.
Kuthatha isikhathi esingakanani ukuhlolwa?
Ukuhlolwa konke kuthatha cishe amahora amathathu. Ngakho-ke lindela ukuba sesibhedlela cishe amahora amathathu. Kuzodingeka uphapheme ngesikhathi sokuhlolwa. Abasebenzi bazokwenza ukhululeke ngangokunokwenzeka. Izithombe ezicacile zizotholakala uma uhlala uthule futhi unganyakazi ngangokunokwenzeka.
Kwenzekani ngesikhathi sokuhlolwa?
Lolu vivinyo luyinhlanganisela yezingxenye eziningana, ngayinye eqoqa ulwazi olubalulekile mayelana nenhliziyo yakho kanye nokujikeleza kwegazi.
| Indlela yokuhlola | Kwenzekani? |
|---|---|
| Ukuqapha i-ECG | Izitikha eziningana ezincane, ezinamathelayo ezibizwa ngokuthi "ama-electrode" zifakwa esifubeni sakho. Lezi zithumela umsebenzi kagesi wenhliziyo yakho emshinini we-"EKG/ECG". Lokhu kungaqapha izinga lokushaya kwenhliziyo yakho kanye nephethini kulo lonke ukuhlolwa. |
| Ukulinganisa umfutho wegazi | Umfutho wegazi lakho ulinganiswa ezindaweni ezahlukene ngesikhathi sokuhlolwa kusetshenziswa i-blood pressure cuff enamathiselwe engalweni yakho. |
| Ukuskena kwe-Echocardiogram (Echo) | Ngaphambi kokuqala kokuhlolwa, ngemva kokuphumula imizuzu engama-20, uzobe wenza i-echocardiogram (ukuskena kwenhliziyo). Lokhu kuthatha izithombe ezinemininingwane zenhliziyo yakho futhi kukala ukuthi inhliziyo yakho iphampa igazi elingakanani ngesikhathi (ukuphuma kwenhliziyo). Lokhu kulinganiswa nakho kuthathwa ngesikhathi sokuhlolwa futhi kuqhathaniswa nokulinganisa kokuqala. |
| Izithombe Zemithi Yenuzi | Lena yingxenye ebaluleke kakhulu. Inani elincane kakhulu lezinto ezikhipha imisebe ezibizwa ngokuthi ``i-radioactive isotope'' noma ``tracer'' lifakwa nge-cannula (IV) efakwa emthanjeni wakho. Ngemuva kwalokho, ikhamera ekhethekile ebizwa ngokuthi ``gamma camera'' ithatha izithombe zesifuba sakho. Le khamera ingathola imisebe ekhishwa yi-tracer. Lezi zithombe zingakutshela okuningi ngokuthi inhliziyo yakho isebenza kahle kangakanani, ukuthi igazi lakho lihamba ngokushesha kangakanani, nokuthi inhliziyo yakho ishaya igazi elingakanani. |
Uzozizwa kanjani ngesikhathi sokuhlolwa?
Esikhathini esiningi, akuzizwa kabi kakhulu. Kodwa-ke, abanye abantu bangase babe nesiyezi , isicanucanu, noma ukushaya kwenhliziyo okusheshayo . Lokhu kuvamile.
Into ebaluleke kakhulu ukutshela abasebenzi ngokushesha nganoma yini oyizwayo ngesikhathi sokuhlolwa, noma ngabe kuyinto engakhululekile. Udokotela uzosebenzisa kokubili izimpawu zakho kanye nolwazi oluvela esivivinyweni ukuze afinyelele esiphethweni ngesimo sakho.
Njengoba izinto ezikhipha imisebe zidlula ku-cannula, ungase uzizwe umkhuhlane ugeleza engalweni yakho. Ungase futhi uzwe ukunambitheka kwensimbi emlonyeni wakho noma iphunga elingavamile ekhaleni lakho. Lezi zimpawu zizophela ngemva kwesikhashana.
Kwenzekani ngemva kokuhlolwa?
Ngemva kokuphela kokuhlolwa,
- Kuzodingeka uhlale esibhedlela kuze kube yilapho ukungakhululeki okuzwile ngesikhathi sokuhlolwa sekuphelile ngokuphelele.
- Enye ye-tracer esetshenziswe esivivinyweni izokhishwa emchameni wakho. Okunye kuzoncibilika ngokwemvelo emzimbeni wakho. Uma ufuna, ungasheshisa le nqubo ngokuphuza amanzi engeziwe.
- Iningi labantu liya ngqo ekhaya ngemva kokuhlolwa, kodwa uma uzwa izimpawu ezinzima (njengokuquleka) ngesikhathi sokuhlolwa, kuwumqondo omuhle ukuba othile akuphelezele.
Ingabe zikhona izingozi ngalolu vivinyo?
Lolu vivinyo luphephile kakhulu. Izingozi ezincane ezingaba khona yilezi:
- Ungase ube nokubomvu, ukubomvu, noma ukuvuvukala lapho kufakwe khona i-cannula. Lokhu kuvamile.
- Izinto ezisebenzisa imisebe akuyona idayi, ngakho-ke azibangeli ukusabela kokungezwani komzimba.
Inani lemisebe elisetshenziswe kulolu vivinyo lincane kakhulu. Eqinisweni, cishe lilingana nenani lemisebe obungabonakala kuyo ngesikhathi se-X-ray yesifuba. Ngakho-ke asikho isizathu sokukhathazeka ngakho.
Uthini umbiko wokuhlolwa?
Umbiko otholwa udokotela wakho uzokutshela ukuthi imiphumela yakho ijwayelekile noma ayijwayelekile. Uma ingavamile, uzochaza nokuthi kungani. Isibonelo:
- Ingabe kukhona isigqi senhliziyo esingajwayelekile?
- Ingabe kukhona izinguquko ekucindezelweni kwegazi?
- Ungathola ukuthi unenkinga efana nesifo semithambo yegazi yenhliziyo, ukuthi ikuphi, nokuthi iyingozi kangakanani.
- Ingabe kukhona ukugeleza kwegazi okunciphile enhliziyweni (ischemia)?
- Ingabe kube nomonakalo ezicutshini zenhliziyo (infarction) ngenxa yokulahlekelwa yigazi nomoya-mpilo?
Ngokuvamile kuthatha izinsuku eziyi-10 kuya kweziyi-14 ukuthola lo mbiko. Ngokusekelwe kule miphumela, udokotela wakho uzokwakhela uhlelo lokwelashwa. Kungadingeka uqale imithi emisha noma udluliselwe kwabanye ochwepheshe.
Umlayezo Wokuya Nawe Ekhaya
- Uma uvame ukuba nesiyezi, lokhu kuyindlela ebaluleke kakhulu yokuthola imbangela eqondile. Ngakho ungesabi lokhu.
- Landela imiyalelo kadokotela ngokucophelela ngaphambi kokuhlolwa, ikakhulukazi mayelana nokudla, iziphuzo kanye nemithi.
- Tshela abasebenzi ngokushesha uma uzizwa ungakhululekile (njengokuzizwa unesizungu noma unesicanucanu) ngesikhathi sokuhlolwa. Lokhu kubalulekile nasekuxilongweni.
- Inani lemisebe kulokhu liphansi kakhulu, ngakho-ke ungayesabi ngokungadingekile.
- Uma umbiko usufikile, khuluma nodokotela wakho ngawo kanye nokwelashwa kwesikhathi esizayo, bese ubuza noma yimiphi imibuzo ongase ube nayo.
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