Uma udokotela wakho ekutshela ukuthi wenze ukuhlolwa kokucindezeleka kwenhliziyo, cishe ucabanga ngokugijima ku-treadmill, akunjalo? Kodwa cabanga ngakho, kuthiwani uma unedolo elibi, umlenze ophukile, noma esinye isizathu esenza kube nzima ngawe ukugijima? Yilapho odokotela besebenzisa khona indlela ehlukile ukuhlola ukusebenza kwenhliziyo yakho. Namuhla sizokhuluma ngaleyo ndlela ekhethekile.
Ngakho-ke luyini lolu vivinyo lokucindezeleka kwe-nuclear kwezokwelapha?
Kalula nje, lokhu futhi kuyindlela ekhethekile yokuhlola ukuthi igazi ligeleza kanjani emithanjeni yegazi enikeza igazi enhliziyweni yakho. Kodwa lapha, esikhundleni sokukwenza ugijime ku-treadmill, umuthi okhethekile ufakwa emithanjeni yakho ongenza inhliziyo yakho izizwe sengathi uyazivocavoca . Yingakho ubizwa ngokuthi "i-pharmacological."
Igama elithi "nuclear" livela eqinisweni lokuthi lolu vivinyo lusebenzisa into encane kakhulu, engenangozi enemisebe ebizwa ngokuthi i -radiotracer ukuze ibonise ngokucacile imithambo yegazi enhliziyweni. Lokhu kufana nodayi othathwa yikhamera ekhethekile. Uma lokhu kufakwa emzimbeni wakho, ikhamera ekhethekile (ikhamera ye-gamma) ingathwebula izithombe zegazi eligeleza enhliziyweni yakho.
Ungakhathazeki, inani lezinto ezisebenzisa imisebe lincane kakhulu. Lizophuma emzimbeni wakho zingakapheli amahora ambalwa. Ngeke likubangele noma yimuphi umonakalo wesikhathi eside.
Kungani udokotela angakucela ukuthi wenze lolu vivinyo?
Udokotela uvame ukuncoma lokhu kuhlolwa uma esola ukuthi unezimo ezilandelayo noma ukuthola ukuthi zingakanani ngempela izinga lazo.
| Isimo sezokwelapha | Kalula nje... |
|---|---|
| Isifo Semithambo Yenhliziyo | Hlola ukuthi imithambo yegazi (imithambo ye-coronary) ehambisa igazi enhliziyweni incishisiwe yini ngenxa yokugcwala kwamafutha, okuvimbela inhliziyo ekutholeni inani elidingekayo legazi. |
| I-Angina | Qiniseka ukuthi izimpawu ozizwayo uma ukhathele, njengobuhlungu besifuba kanye nokuqina, azibangelwa ukuvaleka kwemithambo yegazi enhliziyweni yakho. |
| Ngemva Kokuhlaselwa Yinhliziyo | Thola ukuthi imisipha yenhliziyo yonakele yini ngenxa yokuhlaselwa yinhliziyo nokuthi umonakalo owenzekile ungakanani. |
| I-cardiomyopathy | Hlola ukuthi imisipha yenhliziyo ibuthakathaka noma ikhulisiwe. |
| Umphumela wezinye izindlela zokwelapha | Hlola ukuthi inhliziyo yakho yonakaliswe yini yizinto ezifana ne-chemotherapy noma ukwelashwa ngemisebe yomdlavuza. |
Ulwenza kanjani ngempela lolu vivinyo?
Lolu vivinyo lunezingxenye ezimbili eziyinhloko. Kuzo zombili izingxenye, kuthathwe izithombe ezimbili zenhliziyo yakho.
1. Izithombe Zokuphumula: Into yokuqala oyibonayo ukuthi igazi ligeleza kanjani enhliziyweni yakho uma uphumule, ngaphandle kokuzikhandla.
2. Izithombe Zokucindezeleka: Okulandelayo, inhliziyo icindezelwa ngokunikeza umuthi bese kuqashelwa ukugeleza kwegazi ngaleso sikhathi.
Ngokuqhathanisa lezi zithombe ezimbili, udokotela angabona kahle ukuthi kukhona yini inkinga ngokujikeleza kwegazi noma kuphi enhliziyweni.
Indlela ukuhlolwa okusebenza ngayo isinyathelo ngesinyathelo
- Isinyathelo 1: Esibhedlela, umhlengikazi uzofaka i-cannula encane (i-IV catheter) emthanjeni osengalweni yakho.
- Isinyathelo Sesibili: Ngaleyo cannula, into ekhipha imisebe (`Radiotracer`) okukhulunywe ngayo ngaphambilini ifakwa emzimbeni.
- Isinyathelo 3: Izinto zizothatha cishe imizuzu engama-30 ukuya enhliziyweni yakho. Ngemuva kwalokho uzolala phansi ngaphansi kwekhamera ekhethekile, futhi ngemva kwemizuzu engama-20 yokuzola, kuzothathwa isethi yokuqala yezithombe. Phakathi nalesi sikhathi, izitika ezincane (ama-electrode) zizobekwa esifubeni sakho futhi ukushaya kwenhliziyo yakho kuzoqashwa kusetshenziswa i-electrocardiogram (EKG).
- Isinyathelo Sesine: Bese kuqala ingxenye yesibili. Umuthi okhethekile ufakwa nge-cannula yakho ukuze wandise imithambo yegazi enhliziyweni yakho futhi usheshise ukushaya kwenhliziyo yakho. Lokhu kufana nalokho okwenzekayo lapho uzivocavoca.
- Isinyathelo Sesihlanu: Cishe imizuzu engama-30 ngemva kokunikeza umuthi, uzophinde ulale phansi ngaphansi kwekhamera, bese kuthi isethi yesibili yezithombe izothathwa cishe eminye imizuzu engama-20.
Kuyo yonke le nqubo, abasebenzi bezokwelapha bazoqhubeka nokuqapha umfutho wegazi lakho, izinga lokushaya kwenhliziyo, kanye ne-EKG , ukuze uphephe ngokuphelele.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Ukuze uthole imiphumela enembile kulolu vivinyo, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
| Indlela yokulungiselela | Incazelo nokubaluleka |
|---|---|
| Yeka ukudla i-caffeine. | Ungaphuzi lutho oluqukethe i-caffeine, njengetiye, ikhofi (kufaka phakathi i-decaffeinated), ushokoledi, iziphuzo ze-cola, noma ezinye izidakamizwa zokunciphisa ubuhlungu, amahora angama-24 ngaphambi kokuhlolwa. I-caffeine ingaphazamisa ukusebenza komuthi 'wokucindezeleka' onikezwa inhliziyo. |
| Khuluma nodokotela wakho ngemithi. | Tshela udokotela wakho ngayo yonke imithi oyithathayo (ikakhulukazi leyo yesifo senhliziyo, isifo sikashukela, kanye ne-asthma). Eminye imithi ingadinga ukuthi uyeke ukuyithatha ngosuku olungaphambi kokuhlolwa. Ungalokothi uyeke ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho. |
| Ukudla neziphuzo | Uzocelwa ukuba uzile ukudla amahora ambalwa ngaphambi kokuhlolwa. Uzovunyelwa ukuphuza amanzi. Udokotela uzokunikeza imiyalelo eqondile ngalokho. |
| Gwema ukubhema. | Gwema ukubhema ngosuku lokuhlolwa. I-Nicotine ingathinta ukusebenza kwenhliziyo. |
Kuthatha isikhathi esingakanani lokhu kuhlolwa?
Ukuhlolwa konke kuvame ukuthatha cishe amahora amathathu kuya kwamane . Ngezinye izikhathi, kuye ngesinqumo sikadokotela, izingxenye ezimbili zalolu vivinyo zingenziwa izinsuku ezimbili.
Ingabe kukhona imiphumela emibi noma izingozi kulokhu?
Lokhu kuhlolwa ngokuvamile kuphephile kakhulu, kodwa abanye abantu bangase bazizwe bengakhululekile ngenxa yemithi esetshenziselwa 'ukucindezela' inhliziyo.
- Ikhanda elibuhlungu
- Isiyezi
- Ubuhlungu besifuba noma ukuqina
- Ubunzima bokuphefumula (i-Dyspnea)
- Isicanucanu
- Ubuso buphenduka bubomvu nomzimba uzizwa ushisa
Into ebaluleke kakhulu ukuthi konke lokhu kwenzeka ngenkathi ungaphansi kokuqashwa kwezokwelapha. Ngakho-ke uma kukhona okungahambi kahle, abasebenzi bakulungele ukukwelapha ngokushesha. Ngezinye izikhathi, uma ukushaya kwenhliziyo yakho kushesha (i-Tachycardia), unganikezwa umuthi wokukwenza kube ngokwejwayelekile. Ngakho-ke asikho isizathu sokwesaba.
Ngemva kokuphela kokuhlolwa...
Ngemva kokuhlolwa, izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi kuzoqashwa imizuzu embalwa kuze kube yilapho kubuyela esimweni esijwayelekile. Ngemva kwalokho, ungaya ekhaya. Kodwa kunezinto ezimbili ezibalulekile okufanele uzikhumbule:
1. Phuza amanzi amaningi: Phuza amanzi amaningi usuku lonke. Lokhu kuzokhipha ngokushesha i-``(Radiotracer)'' emzimbeni wakho ngomchamo wakho.
2. Hlala kude nezingane ezincane: Gwema ukubamba noma ukugona izingane ezincane nezinsana usuku lonke ngemva kokuhlolwa. Lesi yisinyathelo sokuphepha njengoba zingase zithinteke yinani elincane kakhulu lemisebe.
Ithini imiphumela yokuhlolwa?
Izithombe ezimbili ezitholwe esivivinyweni (ukuphumula nokucindezeleka) ziqhathaniswa nodokotela ochwepheshe.
- Umphumela Ojwayelekile: Lokhu kusho ukuthi zonke izingxenye zenhliziyo yakho zithola ukugeleza kwegazi okwanele, kokubili lapho uphumule kanye nalapho uzikhandla. Lokhu kusho ukuthi azikho izithiyo ezinkulu.
- Umphumela Ongajwayelekile: Lokhu kungasho ukuthi ezinye izingxenye zenhliziyo azitholi igazi elanele, ikakhulukazi ngesikhathi sokuzivocavoca. Lokhu kungasho ukuncishiswa noma ukuvaleka komthambo wegazi ohambisa igazi enhliziyweni.
Udokotela wakho uzokuchazela le miphumela futhi akhulume nawe ngokuthi yini okufanele uyenze ngokulandelayo. Bangase batuse ukuqala imithi, ukushintsha imithi yakho yamanje, noma ukwenza olunye uvivinyo, njenge-angiogram.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa Kokucindezeleka Kwenuzi Kwemithi kuyindlela ebaluleke kakhulu futhi ephephile yokuhlola ukugeleza kwegazi enhliziyweni kulabo abanenkinga yokuzivocavoca.
- Kubaluleke kakhulu ukuyeka ukuphuza i-caffeine (itiye, ikhofi) ngosuku olwandulela ukuhlolwa bese ulandela imiyalelo kadokotela mayelana nemithi ngqo.
- Asikho isizathu sokwesaba njengoba uzoqashwa eduze ngabasebenzi bezokwelapha ngesikhathi sokuhlolwa.
- Phuza amanzi amaningi usuku lonke ngemva kokuhlolwa futhi ugweme ukubamba izingane ezincane.
- Lokhu kuhlolwa kuyisinyathelo nje esizonikeza udokotela wakho ulwazi olubalulekile mayelana nempilo yenhliziyo yakho futhi sikusize uhlale uphilile. Ngakho-ke ungesabi ngokungadingekile.
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