Kupsinjika kwa echocardiography

Kupsinjika kwa echocardiography ndi mayeso omwe amagwiritsa ntchito kujambula kwa ultrasound kuwonetsa momwe minofu ya mtima wanu ikugwirira ntchito kutulutsa magazi mthupi lanu. Kawirikawiri amagwiritsidwa ntchito kuti azindikire kuchepa kwa magazi kumka mumtima kuchokera pakuchepa kwa mitsempha ya mitsempha.

Kuyesaku kumachitika kuchipatala kapena kuofesi ya othandizira zaumoyo.

Echocardiogram yopuma iyenera kuyamba kaye. Mukugona kumanzere ndi dzanja lanu lamanzere mutatulutsa, kachipangizo kakang'ono kotchedwa transducer kamayikidwa pachifuwa. Gel osakaniza amagwiritsidwa ntchito kuthandiza mafunde a ultrasound kufika pamtima panu.

Anthu ambiri amayenda pa chopondera (kapena kupalasa njinga). Pang'onopang'ono (pafupifupi mphindi zitatu zilizonse), mudzafunsidwa kuyenda (kapena kupotoza) mwachangu komanso mopendekeka. Zili ngati kupemphedwa kuyenda mwachangu kapena kuthamanga paphiri.

Nthawi zambiri, mumayenera kuyenda kapena kupondaponda kwa mphindi 5 mpaka 15, kutengera momwe muliri olimba komanso msinkhu wanu. Wopereka wanu adzakufunsani kuti muyime:

• Pamene mtima wanu ukugunda pamlingo womwe mukufuna
• Mukatopa kwambiri kuti musapitilize
• Ngati mukumva kupweteka pachifuwa kapena kusintha kwa kuthamanga kwa magazi komwe kumakhumudwitsa omwe akukuyesani

Ngati simutha kuchita masewera olimbitsa thupi, mupeza mankhwala, monga dobutamine, kudzera mumitsempha (intravenous line). Mankhwalawa amachititsa mtima wanu kugunda mofulumira komanso mwamphamvu, mofanana ndi nthawi yochita masewera olimbitsa thupi.

Kuthamanga kwanu kwa magazi ndi kugunda kwa mtima (ECG) kumayang'aniridwa munthawi yonseyi.

Zithunzi zambiri za echocardiogram zidzatengedwa mtima wanu ukuwonjezeka, kapena ukafika pachimake. Zithunzizo zikuwonetsa ngati ziwalo zilizonse za minofu ya mtima sizigwiranso ntchito mtima wanu ukawonjezeka. Ichi ndi chisonyezo chakuti gawo la mtima mwina silikupeza magazi okwanira kapena mpweya wokwanira chifukwa cha mitsempha yochepetsetsa kapena yotseka.

Funsani omwe akukuthandizani ngati mungatengeko mankhwala omwe mumamwa tsiku lomwelo. Mankhwala ena amatha kusokoneza zotsatira za mayeso. Osasiya kumwa mankhwala musanalankhule ndi dokotala.

Ndikofunika kuuza dokotala ngati mwamwa mankhwala aliwonse awa m'maola 24 apitawa (tsiku limodzi):

• Sildenafil citrate (Viagra)
• Tadalafil (Cialis)
• Vardenafil (Levitra)

Musadye kapena kumwa kwa maola atatu musanakayezetse.

Valani zovala zomasuka. Mudzafunsidwa kusaina fomu yovomereza musanayesedwe.

Maelekitirodi (zigamba zotsogola) adzaikidwa pachifuwa, mikono, ndi miyendo yanu kuti mulembe zochitika pamtima.

Chophimbacho chimagwira mpweya pamkono wanu chikhala chodzaza mphindi zilizonse, ndikupangitsa chidwi chomwe chingamveke cholimba.

Nthawi zambiri, anthu samamva kupweteka pachifuwa, kugundana kowonjezera kapena kudumphadumpha, chizungulire, kupweteka mutu, kunyansidwa kapena kupuma movutikira poyesa.

Kuyesaku kumachitika kuti muwone ngati minofu ya mtima wanu ikupeza magazi okwanira komanso mpweya wabwino ikamagwira ntchito molimbika (pansi pamavuto).

Dokotala wanu atha kuyitanitsa mayesowa ngati:

• Khalani ndi zisonyezo zatsopano za angina kapena kupweteka pachifuwa
• Khalani ndi angina omwe akuipiraipira
• Posachedwa ndidadwala mtima
• Muchita opaleshoni kapena kuyamba pulogalamu yochita masewera olimbitsa thupi, ngati muli pachiwopsezo chachikulu cha matenda amtima
• Khalani ndi mavuto a valavu yamtima

Zotsatira za mayeso opsinjikawa zitha kuthandiza othandizira anu:

• Dziwani momwe chithandizo cha mtima chikugwirira ntchito ndikusintha chithandizo chanu, ngati pakufunika kutero
• Dziwani momwe mtima wanu ukupopera bwino
• Dziwani za matenda amitsempha yamagazi
• Onani ngati mtima wanu ndi waukulu kwambiri

Kuyesedwa koyenera nthawi zambiri kumatanthauza kuti mumatha kuchita masewera olimbitsa thupi malinga ndi anthu azaka zanu komanso kugonana kwanu. Simunakhale ndi zisonyezo kapena zokhudzana ndi kusintha kwa kuthamanga kwa magazi ndi ECG yanu. Zithunzi za mtima wanu zikuwonetsa kuti ziwalo zonse za mtima wanu zimayankha kukapanikizika kowonjezera pakupopa kwambiri.

Zotsatira zabwinobwino zimatanthauza kuti magazi amayenda m'mitsempha yam'mimba mwina ndiyabwino.

Tanthauzo la zotsatira za mayeso anu zimadalira chifukwa cha mayeso, msinkhu wanu, komanso mbiri yanu yamtima ndi zovuta zina zamankhwala.

Zotsatira zachilendo zitha kukhala chifukwa cha:

• Kuchepetsa magazi kutuluka gawo la mtima. Chomwe chimayambitsa kwambiri ndikuchepetsa kapena kutsekeka kwa mitsempha yomwe imapatsa mtima wanu minofu.
• Kuthyola minofu ya mtima chifukwa chodwala kwamtima kale.

Pambuyo pa mayeso mungafunike:

• Kukhazikitsidwa kwa Angioplasty ndi stent
• Zosintha mumtima mwanu mankhwala
• Zowonera Coronary
• Opaleshoni ya mtima

Zowopsa ndizotsika kwambiri. Ogwira ntchito zaumoyo adzakuwunika pa nthawi yonseyi.

Zovuta zambiri zimaphatikizapo:

• Nyimbo yachilendo
• Kukomoka (syncope)
• Matenda amtima

Mayeso a kupsinjika kwa Echocardiography; Kupsinjika kwa mayeso - echocardiography; CAD - kupsinjika kwa malingaliro; Mitsempha yamitsempha yamatenda - kupsinjika kwa chithunzi; Kupweteka pachifuwa - kupsinjika kwa malingaliro; Angina - kupsinjika kwa malingaliro; Matenda amtima - kupsinjika kwa malingaliro

• Mtima - gawo kupyola pakati
• Mtima - kuwonera kutsogolo
• Kukula kwa atherosclerosis

Kutumiza WE. Angina pectoris ndi khola la ischemic matenda amtima. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier; 2020: chap 71.

Fihn SD, Blankenship JC, Alexander KP, ndi al. Chidziwitso cha 2014 ACC / AHA / AATS / PCNA / SCAI / STS chitsogozo chazidziwitso zakuwunika ndi kuwunika kwa odwala omwe ali ndi matenda osakhazikika amtima: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines, ndi American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Intervention, ndi Society of Thoracic Surgeons. J Ndine Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 www.ncbi.nlm.nih.gov/pubmed/25077860.

Fowler GC, Smith A. Kupsinjika kwa makadi. Mu: Fowler GC, mkonzi. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 76.

Solomon SD, Wu JC, Gillam L, Bulwer B. Zojambulajambula. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chaputala 14.