Ingabe udokotela wakho ukutshelile ukuthi wenze 'Ukuhlolwa Kokucindezeleka Kwenuzi'? Uma uzwa lokho, ungase ucabange ukuthi lokhu kuyinto enkulu futhi eyingozi ngenxa yegama elithi 'Nuclear'. Kodwa asikho ngempela isizathu sokwesaba. Lokhu ukuhlolwa okubaluleke kakhulu okungaveza okuningi ngempilo yenhliziyo yakho. Abantu abaningi banombono ongalungile ngalokhu kuhlolwa. Ngakho-ke namuhla, ake sixoxe ngakho ngokucacile, ngokusobala, nangesiSinhala esilula ongasiqonda.
Kalula nje, kuyini ukuhlolwa kokucindezeleka kwenyukliya?
Cabanga ngenhliziyo yakho njengohlelo oluhlinzeka ngamanzi endlini. Imisipha yenhliziyo ithola igazi (amanzi) eliwadingayo ngamapayipi (okungukuthi imithambo yegazi) kulesi simiso. Ngezinye izikhathi, la mapayipi angavaleka ngothuli nokugqwala. Bese amanzi eba nzima ukugeleza. Yileyo ndlela imithambo yegazi enhliziyweni evaleka ngayo.
Ukuhlolwa kokucindezeleka kwe-nuclear kuwukuhlolwa okukhethekile kwesithombe okubheka ukuthi imisipha yenhliziyo yakho ithola igazi elanele yini nokuthi kukhona yini ukuvaleka kwemithambo yegazi endaweni ethile.
Lokhu kuhilela ukufaka i-tracer encane kakhulu, ephephile enemisebe emzimbeni wakho. Ungakhathazeki, ngeke kube buhlungu. Lokhu kufana nodayi ofakwa egazini lakho. Uhamba negazi lakho bese umuncwa yimisipha yenhliziyo. Bese kuba nekhamera ekhethekile ethatha izithombe zenhliziyo yakho.
- Lezi zithombe zibonisa ngokucacile izindawo zemisipha yenhliziyo ezithola ukugeleza kwegazi okuhle .
- Kodwa uma umthambo wegazi uvaliwe futhi kunezindawo ezinokugeleza kwegazi okubi , okuncane kwalokhu kufinyelela kulezo zindawo. Ngakho lezo zindawo zibonakala ngendlela ehlukile ezithombeni, mhlawumbe zimnyama.
Yileyo ndlela odokotela abangabona ngayo ukuthi unenkinga yenhliziyo. Odokotela benhliziyo basebenzisa lolu vivinyo ukuthola izimo ezifana nesifo semithambo yegazi yenhliziyo (CAD) nokuhlola ubukhali bazo. Lungahlola nokuthi uke waba nokuhlaselwa yinhliziyo ngaphambilini futhi walimaza inhliziyo yakho.
Lolu vivinyo lubizwa nangamanye amagama amaningana:
- I-PET yenhliziyo (i-Positron Emission Tomography)
- I-Cardiac SPECT (i-Single-Photon Emission Computed Tomography)
- I-MPI (Umfanekiso Wokugeleza Kwegazi Kwe-Myocardial)
- Ukuhlolwa Kokucindezeleka Kwenhliziyo Yenuzi
Zikhona yini izinhlobo zalolu vivinyo?
Yebo, kunezinhlobo ezimbili eziyinhloko. Umehluko phakathi kwalezi ezimbili usekutheni inhliziyo yakho 'icindezelekile'.
1. Isivivinyo Sokucindezeleka Kokuzivocavoca: Lesi isivivinyo esivame kakhulu. Lapha, wenziwa ukuthi uhambe nge-treadmill noma ugibele ibhayisikili elingashukumi. Uma uzivocavoca, ukushaya kwenhliziyo yakho kuyanda futhi ukugeleza kwegazi kuyanda. Lokhu kwenzeka lapho ukuvaleka kwenhliziyo kubonakala ngokucacile.
2.Ukuhlolwa Kokucindezeleka Kwemithi: Abanye abantu banenkinga yokuhamba nge-treadmill ngenxa yokuguga, izinkinga zamalunga, noma ezinye izimo zezokwelapha. Ezimweni ezinjalo, esikhundleni sokuzivocavoca, kufakwa umuthi. Lo muthi wandisa umthwalo womsebenzi wenhliziyo, njengalapho uzivocavoca. Ngakho-ke, akukho mehluko emiphumeleni.
Kukuziphi izimo lapho udokotela angancoma khona lokhu kuhlolwa?
Kungase kube nezizathu eziningana zokuthi kungani udokotela wakho engase ancome lokhu kuhlolwa.
- Uma uzwa ubuhlungu besifuba njalo noma i-angina .
- Hlola ukuqina kwenhliziyo yakho ngaphambi kokuhlinzwa okukhulu.
- Hlola imisipha yenhliziyo yakho ukuze ubone izindawo lapho ukugeleza kwegazi kunciphile khona (ischemia) noma izibazi ezivela ekuhlaselweni yinhliziyo kwangaphambilini.
- Hlola ukusebenza kahle kwezindlela zokwelapha izifo zenhliziyo ezikhona.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Udinga ukulungiselela okuthile ngaphambi kwalokhu kuhlolwa. Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu. Ukulandela leyo miyalelo kubaluleke kakhulu ukuze imiphumela ibe nokunemba.
Khumbula, okulandelayo kumane kuyisiqondiso esijwayelekile. Kufanele nakanjani ulandele imiyalelo ethile enikezwe udokotela wakho.
| Indlela yokulungiselela | Imininingwane ebalulekile |
|---|---|
| Izinto eziqukethe i-caffeine | Gwema iziphuzo ezifana nekhofi, itiye, ushokoledi, i-cola, kanye nemithi equkethe i-caffeine amahora angama-24 ngaphambi kokuhlolwa. Lokhu kungathinta ukusebenza kwenhliziyo. |
| Imikhiqizo kagwayi | Gwema ukubhema noma ukusebenzisa eminye imikhiqizo kagwayi amahora angu-8 ngaphambi kokuhlolwa. |
| Ukuzila ukudla | Ungadli noma uphuze lutho ngaphandle kwamanzi amahora angu-4-6 ngaphambi kokuhlolwa. |
| Yimiphi imithi oyiphuzayo? | Tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, amavithamini, kanye nemithi ye-Ayurvedic). Eminye imithi ingadinga ukuthi uyeke ukuyithatha usuku noma ezimbili ngaphambi kokuhlolwa. Ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kokukhuluma nodokotela wakho kuqala. |
| Izingubo | Gqoka izingubo ezikhululekile nezikhululekile kanye nama-sneakers. |
| Ubunzima bokuphefumula | Uma unesifo esifana ne-asthma, qiniseka ukuthi uletha i-inhaler yakho. |
Kwenzekani ngesikhathi sokuhlolwa?
Lokhu kuhlolwa kuvame ukwenziwa esibhedlela noma emtholampilo okhethekile. Uchwepheshe noma umhlengikazi uzokusiza phakathi naso sonke isikhathi.
1. Ukufaka i-cannula: Okokuqala, kufakwa i-cannula encane (umugqa we-IV) emthanjeni ongalweni yakho. I-radioactive substance (tracer) ifakwa ngale ndlela. Ungase uzizwe ubanda kancane njengoba ingena emzimbeni wakho.
2. Izithombe Zokuphumula: Kuthatha imizuzu embalwa ukuthi izinto zihambe emzimbeni wakho futhi zifinyelele enhliziyweni yakho. Ngemuva kwalokho uzolala embhedeni ngaphansi kwekhamera ekhethekile bese kuthathwe isethi yokuqala yezithombe zenhliziyo yakho. Kubalulekile ukuthi unganyakazi phakathi nalesi sikhathi. Lezi zithathwa lapho inhliziyo yakho iphumule.
3. Ukuxhumeka kwe-ECG: Okulandelayo, kuzobekwa ama-patches amancane esifubeni sakho, ezingalweni nasemilenzeni. Lawa abizwa ngokuthi ama-electrode . Lawa axhunywe emshinini we -electrocardiogram (EKG) ngezintambo. Lokhu kuzoqapha izinga lokushaya kwenhliziyo yakho kulo lonke ukuhlolwa. I-blood pressure cuff nayo izobekwa engalweni yakho ukuze ikale njalo umfutho wegazi lakho.
4. Ukuzivocavoca (Ingxenye Yokucindezeleka): Yilapho ingxenye 'Yokucindezeleka' yokuhlolwa iqala khona. Uzofakwa ku-treadmill. Qala kancane ekuqaleni bese ukhuphula ijubane nokuthambekela kancane kancane. Kufanele uvivinye kuze kube yilapho ukushaya kwenhliziyo yakho kufinyelela ezingeni elithile eliqondiwe. KodwaUma uzizwa ungakhululekile, njengobuhlungu besifuba, ubunzima bokuphefumula, noma isiyezi, kufanele utshele abantu lapho. Ungakuyeka lokhu nganoma yisiphi isikhathi.
5. Izithombe Zokucindezeleka: Ngemva kokufinyelela izinga lakho eliphezulu lokuzivocavoca, inani elincane lento ekhipha imisebe liyajovwa futhi nge-cannula. Ngemuva kwalokho, ufakwa ngokushesha ngaphansi kwekhamera futhi bese kuthathwa isethi yesibili yezithombe. Lezi zithombe zibonisa ukuthi igazi ligeleza kanjani ngesikhathi sokuzivocavoca, okusho ukuthi inhliziyo icindezelekile nini.
Lonke lolu hlelo lungathatha amahora amaningana.
Ingabe zikhona izingozi ngalolu vivinyo?
Njenganoma yikuphi ukuhlolwa kwezokwelapha, kunezingozi ezincane kakhulu. Kodwa-ke, ukuhlolwa kokucindezeleka kwe-Nuclear kuyindlela ephephile kakhulu.
- Ukukhishwa kwemisebe: Inani lemisebe evela ezintweni ezisebenzisa imisebe ezisetshenziswa kule nqubo liphansi kakhulu. Alibangeli umonakalo wesikhathi eside.
- Ukungezwani komzimba: Abanye abantu bangase babe nokusabela okuncane kokungezwani komzimba nomuthi ojoviwe. Lokhu kungafaka phakathi ukubomvu, isicanucanu, kanye nobunzima obuncane bokuphefumula. Lokhu kuvame ukuphela ngokushesha.
Kodwa-ke, kunemiphumela emibi engathi sína engenzeka kaningi .
| Ingozi engavamile | Incazelo |
|---|---|
| Ukuphazamiseka kwenhliziyo (i-Arrhythmia) | Kungase kube noshintsho endleleni inhliziyo egijima ngayo, kodwa njengoba i-EKG iqashwe kulo lonke ukuhlolwa, ukwelashwa kunganikezwa ngokushesha uma lokhu kwenzeka. |
| Ubuhlungu besifuba noma ukuhlaselwa yinhliziyo | Umuntu onesifo senhliziyo esibi kakhulu angase abe nobuhlungu esifubeni noma, ngokungavamile, ahlaselwe yinhliziyo lapho inhliziyo icindezelekile. Lokhu akunakwenzeka neze. |
| Umfutho wegazi ophansi (i-Hypotension) | Abanye abantu bangase babe nomfutho wegazi ophansi futhi bazizwe benesiyezi. |
Ingabe bakhona abantu okungafanele babhale lolu vivinyo?
Yebo. Lokhu kuhlolwa akuvamile ukwenziwa komama abakhulelwe noma abancelisayo ngoba imisebe ingathinta ingane. Futhi ayifanele abantu abanezinkinga zenhliziyo ezingalawuleki nezinzima. Isibonelo:
- I-acute coronary syndrome
- Ukusikwa kwe-aorta
- I-stenosis ye-aorta
- I-hypertrophic cardiomyopathy
Udokotela wakho uzocabangela konke lokhu bese enquma ukuthi lolu vivinyo lukulungele yini.
Uthini umbiko wokuhlolwa?
Kungathatha izinsuku ezimbalwa ukuthola umbiko, njengoba udokotela wezifo zenhliziyo noma udokotela wezifo ze-radiation ehlola ngokucophelela lezi zithombe futhi elungiselela umbiko.
- Imiphumela Ejwayelekile: Uma izithombe ezithathwe ngesikhathi uphumule kanye nezithombe ezithathwe ngemva kokuzivocavoca zombili zinhle ngokulinganayo, kusho ukuthi imisipha yenhliziyo yakho ithola ukugeleza kwegazi okuhle. Azikho izithiyo.
- Imiphumela Engajwayelekile: Uma ukugeleza kwegazi kuhle ekuphumuleni kodwa kwehla ngesikhathi sokuzivocavoca, kusho ukuthi kukhona ukuvaleka kwemithambo yegazi enhliziyweni yakho.
- Imisipha Ewonakele: Ngezinye izikhathi, ingxenye yenhliziyo ingase ingatholi ukugeleza kwegazi okwanele, kokubili ekuphumuleni kanye nasekuzivocavoceni. Lokhu kusho ukuthi ingxenye yonakele unomphela, ngokuvamile ngenxa yokuhlaselwa yinhliziyo ngaphambilini.
Uma kunenkinga ngombiko, yini oyenzayo ngokulandelayo?
Uma umbiko wakho ubonisa noma yiziphi izinkinga, udokotela wakho uzochaza ukuthi yini okufanele uyenze ngokulandelayo. Lokhu kungahluka kuye ngesimo sakho.
- Ukuhlolwa okwengeziwe: Ungathunyelwa kolunye ukuhlolwa, njenge- coronary angiogram, ukuze ubone ukuthi ukuvaleka kukuphi nokuthi kukhulu kangakanani.
- Ukwelashwa: Ukwelashwa kunikezwa ngokusekelwe enkingeni etholakele. Kungafaka okulandelayo:
- Izinguquko zendlela yokuphila njengokuyeka ukubhema nokunciphisa usawoti odliwayo.
- Ukuqala imithi yezimo ezifana nomfutho wegazi ophezulu kanye ne-cholesterol.
- I-Angioplasty yenziwa ukuvula umthambo wegazi ovalekile bese kufakwa i- stent .
- Kwezinye izimo ezinzima kakhulu , ukuhlinzwa kwe-coronary artery bypass (CABG) kunganconywa.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa Kokucindezeleka Kwenuzi kuyindlela ebaluleke kakhulu futhi ephephile esetshenziselwa ukuhlola ukuvaleka kwemithambo yegazi yenhliziyo.
- Ungesabi igama elithi 'nuclear'. Lokhu kusebenzisa into encane kakhulu, ephephile enemisebe.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela (mayelana nokudla, iziphuzo, kanye nemithi) ngaphambi nje kokuhlolwa.
- Ngokusekelwe olwazini olutholakale kulolu vivinyo, uma kunenkinga ngenhliziyo yakho, ingatholakala kusenesikhathi futhi ukwelashwa okufanele kungaqalwa. Lokhu kungasiza kakhulu ekuvimbeleni izimo ezingathi sína njengokuhlaselwa yinhliziyo.
- Uma unemibuzo noma ukukhathazeka ngalolu vivinyo, khuluma nodokotela wakho ngakho ngokukhululekile.
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