Kuyesa kwa kupsinjika kwa nyukiliya

Kuyesa kwa kupsinjika kwa nyukiliya ndi njira yojambulira yomwe imagwiritsa ntchito zida zowulutsa ma radio posonyeza momwe magazi amayendera bwino muminyewa yamtima, kupumula komanso nthawi yogwira ntchito.

Kuyesaku kumachitika kuchipatala kapena kuofesi ya othandizira zaumoyo. Zachitika pang'onopang'ono:

Mudzakhala ndi mzere wolowa mkati (IV) woyambitsidwa.

• Mankhwala a radioactive, monga thallium kapena sestamibi, adzalowetsedwa m'mitsempha mwanu.
• Mudzagona pansi ndikudikirira pakati pa 15 ndi 45 mphindi.
• Kamera yapadera imasanthula mtima wanu ndikupanga zithunzi zosonyeza momwe zinthuzo zadutsira m'magazi anu komanso mumtima mwanu.

Anthu ambiri amayenda pa chopondapo (kapena kupangira makina olimbitsa thupi).

• Treadmill ikayamba kuyenda pang'onopang'ono, mudzafunsidwa kuyenda (kapena kupendekera) mwachangu komanso mopendekera.
• Ngati simutha kuchita masewera olimbitsa thupi, mutha kupatsidwa mankhwala otchedwa vasodilator (monga adenosine kapena persantine). Mankhwalawa amakulitsa (amachepetsa) mitsempha yamtima wanu.
• Nthawi zina, mungapeze mankhwala (dobutamine) omwe angapangitse mtima wanu kugunda mofulumira komanso mwamphamvu, mofanana ndi nthawi yochita masewera olimbitsa thupi.

Kuthamanga kwa magazi anu komanso kuthamanga kwa mtima (ECG) kudzawonedwa panthawi yonse yoyesa.

Mtima wanu ukamagwira ntchito molimbika momwe mungathere, chinthu chowonjezera ma radio chibayikiranso mu umodzi mwamitsempha yanu.

• Mudzadikirira mphindi 15 mpaka 45.
• Apanso, kamera yapaderayo imasanthula mtima wanu ndikupanga zithunzi.
• Mutha kuloledwa kudzuka patebulo kapena pampando ndikukhala ndi zakumwa zozizilitsa kukhosi kapena kumwa.

Wopereka wanu adzafanizira chithunzi choyamba ndi chachiwiri pogwiritsa ntchito kompyuta. Izi zitha kukuthandizani kudziwa ngati muli ndi matenda amtima kapena ngati matenda anu amtima akukulirakulira.

Muyenera kuvala zovala zabwino ndi nsapato zokhala ndi zidendene zopanda skid. Mutha kupemphedwa kuti musadye kapena kumwa pambuyo pausiku. Mudzaloledwa kumwa pang'ono pokha ngati mukufuna kumwa mankhwala.

Muyenera kupewa caffeine kwa maola 24 mayeso asanayesedwe. Izi zikuphatikiza:

• Tiyi ndi khofi
• Ma soda onse, ngakhale omwe amatchedwa kuti caffeine alibe
• Chokoleti, ndi ululu wina womwe umachepetsa womwe uli ndi caffeine

Mankhwala ambiri amatha kusokoneza zotsatira zoyesa magazi.

• Wothandizira anu adzakuuzani ngati mukufunika kusiya kumwa mankhwala musanayezeke.
• Osayimitsa kapena kusintha mankhwala anu osalankhula ndi dokotala poyamba.

Pakati pa mayeso, anthu ena amamva:

• Kupweteka pachifuwa
• Kutopa
• Zilonda zam'miyendo m'miyendo kapena m'mapazi
• Kupuma pang'ono

Ngati mwapatsidwa mankhwala a vasodilator, mutha kumva kupweteka ngati mankhwala obayidwa. Izi zimatsatiridwa ndikumverera kwachikondi. Anthu ena amakhalanso ndi mutu, nseru, ndikumverera kuti mtima wawo ukugunda.

Mukapatsidwa mankhwala kuti mtima wanu ugunde mwamphamvu komanso mwachangu (dobutamine), mutha kukhala ndi mutu, nseru, kapena mtima wanu ungagunde mwachangu komanso mwamphamvu.

Nthawi zambiri, poyesa anthu amakumana ndi izi:

• Kusapeza bwino pachifuwa
• Chizungulire
• Kupindika
• Kupuma pang'ono

Ngati zina mwazizindikirozi zimachitika mukamayesedwa, uzani munthu amene akuyesayo nthawi yomweyo.

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

Wopereka wanu atha kuyitanitsa mayesowa kuti adziwe:

• Chithandizo (mankhwala, angioplasty, kapena opaleshoni ya mtima) chikugwira ntchito.
• Ngati muli pachiwopsezo chachikulu cha matenda amtima kapena zovuta.
• Ngati mukukonzekera kuyambitsa pulogalamu yochita masewera olimbitsa thupi kapena kuchitidwa opaleshoni.
• Zomwe zimayambitsa kupweteka pachifuwa kapena angina akukula.
• Zomwe mungayembekezere mutadwala mtima.

Zotsatira za kuyesa kwa zida za nyukiliya zitha kuthandiza:

• Dziwani momwe mtima wanu ukupopera bwino
• Dziwani chithandizo choyenera cha matenda amtima
• 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 zogonana. Simunakhale ndi zisonyezo kapena kusintha kwa kuthamanga kwa magazi, ECG yanu kapena zithunzi za mtima wanu zomwe zidakudetsani nkhawa.

Zotsatira zabwinobwino zimatanthauza kuti magazi amayenda kudzera m'mitsempha yamagazi 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 kwamitsempha imodzi kapena zingapo zomwe zimapatsa minofu ya mtima wanu.
• Kuthyola minofu ya mtima chifukwa chodwala kwamtima kwam'mbuyomu.

Pambuyo pa mayeso mungafunike:

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

Zovuta ndizosowa, koma zingaphatikizepo:

• Arrhythmias
• Kuchuluka kwa kupweteka kwa angina poyesa
• Mavuto opumira kapena momwe amachitira mphumu
• Kuthamanga kwakukulu kwa kuthamanga kwa magazi
• Ziphuphu pakhungu

Wothandizira anu adzafotokoza zoopsa zisanayesedwe.

Nthawi zina, ziwalo zina ndi ziwalo zimatha kubweretsa zotsatira zabodza. Komabe, pali njira zingapo zomwe zingatengeke kupewa vutoli.

Mungafune mayeso ena, monga catheterization yamtima, kutengera zotsatira zanu.

Kuyesedwa kwa Sestamibi; Kuyesedwa kwa MIBI; Zojambulazo; Mayeso opsinjika a Dobutamine; Kuyesa kupsinjika kwa Persantine; Mayeso a Thallium; Kupsinjika - nyukiliya; Mayeso a kupsinjika kwa Adenosine; Mayeso a kupsinjika kwa Regadenoson; CAD - kupsinjika kwa nyukiliya; Mitsempha matenda - nyukiliya nkhawa; Angina - nkhawa za nyukiliya; Kupweteka pachifuwa - kupsinjika kwa nyukiliya

• Sakani nyukiliya
• Mitsempha yamkati yamkati

Amsterdam EA, Wenger NK, Brindis RG, ndi al. Chitsogozo cha AHA / ACC cha 2014 pakuwongolera odwala omwe alibe ST-elevation acute coronary syndromes: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines. J Ndine Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubed.ncbi.nlm.nih.gov/25260718/.

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 adatulutsidwa.ncbi.nlm.nih.gov/25077860/.

Flink L, Phillips L. Nuclear wamtima. Mu: Levine GN, mkonzi. Zinsinsi za Cardiology. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 8.

Udelson JE, Dilsizian V, Bonow RO. Matenda a nyukiliya. 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: mutu 16.