Scintigraphy ya myocardial: kukonzekera ndi zoopsa zomwe zingachitike

Zamkati

• Momwe mayeso amachitikira
• Momwe mungakonzekerere
• 1. Ndi mankhwala ati omwe muyenera kupewa
• 2. Zakudya zizikhala bwanji?
• Zowopsa zomwe zingachitike komanso zotsutsana

Kukonzekera scintigraphy ya myocardial, yotchedwanso myocardial perfusion scintigraphy kapena ndi myocardial scintigraphy ndi mibi, ndibwino kuti mupewe zakudya zina monga khofi ndi nthochi ndikuyimitsa, monga adalangizidwa ndi dokotala wanu, mankhwala oletsa beta (atenolol, propranolol, metoprolol, bisoprolol), 1 kapena 2 masiku asanachitike. Odwala omwe sangathe kusiya mankhwalawa, pali njira yogwirizanitsira mankhwala ndi chopondera.

Zoyeserera zam'mimba zimakhala ndi mtengo wapakati pa 1200 ndi 1400 reais ndipo zimawunika momwe magazi amayendera m'mitsempha yamtima, kugwiritsidwa ntchito kuyesa kupezeka kwa infarction mwa odwala omwe ali ndi kupweteka pachifuwa, pachiwopsezo chachikulu chokhala ndi mavuto amtima kapena mtima kulephera, kumuika mtima ndi matenda a valavu yamtima.

Onani zizindikiro 12 zomwe zitha kuwonetsa mavuto amtima.

Momwe mayeso amachitikira

Poyambirira, munthuyo amalandira jakisoni wokhala ndi zinthu zowononga radio, zofunikira kupanga zithunzi mu chipangizocho, chomwe chimawunika momwe magazi amafikira pamtima. Kenako, muyenera kumwa pafupifupi magalasi atatu amadzi, kudya ndi kuyenda pang'ono, kuti muthandizire zinthuzo kudziunjikira mdera lamtima, ndikuwongolera zithunzi zomwe zimapezeka pamayeso.

Mayesowa ali ndi magawo awiri:

1. Gawo lopumula: munthuyo amatenga zithunzizo pamakina, atakhala kapena kugona pansi;
2. Kupsinjika gawo: zithunzizo zimatengedwa pambuyo pa kupsinjika kwa mtima komwe kumatha kuchitidwa ndi munthu nthawi yochita masewera olimbitsa thupi, nthawi zambiri, pa treadmill, kapena pogwiritsa ntchito mankhwala omwe amafanana ndi omwe mtima ukuchita.

Mchigawo chomaliza ichi, palinso machitidwe ophatikizika, pomwe pali kuphatikiza mankhwala ndi kulimbitsa thupi. Chisankho cha momwe gawoli lidzachitikire chiyenera kupangidwa ndi dokotala yemwe amamuyesa mayeso, atawunika wodwalayo kale.

Kuunika kwa mtima kumayamba mphindi 30 mpaka 90 pambuyo pobayidwa ndi mankhwala a radioactive, ndipo zithunzi zimapangidwa kudzera pachida chomwe chimazungulira pamimba pa wodwalayo pafupifupi mphindi 5.

Nthawi zambiri, mayesowo amachitika onse atapuma komanso atapanikizika, chifukwa zimatha kutenga masiku awiri kuti ayesedwe. Koma ngati zachitika tsiku lomwelo, mayeso nthawi zambiri amayamba panthawi yopuma.

Momwe mungakonzekerere

Kukonzekera mayeso kumaphatikizapo kusamalira mankhwala ndi chakudya:

1. Ndi mankhwala ati omwe muyenera kupewa

Muyenera kukambirana ndi adokotala kuti akupatseni malangizo, chifukwa muyenera kupewa kugwiritsa ntchito, kwa maola 48, mankhwala othamanga magazi, monga Verapamil ndi Diltiazem ndi beta-blockers omwe amatha kuchepa kugunda kwa mtima, komanso mphumu ndi bronchitis, monga Aminophylline.

Kuphatikiza apo, mankhwala omwe amathandizira kuti magazi aziyenda bwino potengera ma nitrate, monga Isosorbide ndi Monocordil, akuyenera kuyimitsidwa m'maola 12 asanakwane mayeso, ngati dokotala akuwona kuti pangakhale phindu lina kuposa kuyimitsidwa.

2. Zakudya zizikhala bwanji?

Maola 24 asanachitike mayeso, kuyamwa kwa:

• Khofi;
• Khofi wonyezimira;
• Tiyi;
• Chokoleti kapena chakudya chokoleti;
• Nthochi;
• Zakumwa zozizilitsa kukhosi.

Kuphatikiza apo, muyeneranso kupewa zakudya zilizonse kapena mankhwala omwe ali ndi caffeine, zakumwa zoledzeretsa ndi zakumwa za kaboni.

Ngakhale madotolo ena amatha kuwonetsa kusala kudya asanayesedwe, ambiri amalangiza kudya pang'ono maola 2 chisanafike scintigraphy.

Zowopsa zomwe zingachitike komanso zotsutsana

Kuopsa kwa scionigraphy ya myocardial kumayembekezereka m'makina owonera m'mnyewa omwe amakhala ndi nkhawa chifukwa chazovuta zamankhwala zomwe zingakhale:

• Kutentha kwa mutu;
• Kupweteka pachifuwa;
• Migraine;
• Chizungulire;
• Kuchepetsa kuthamanga kwa magazi;
• Kupuma pang'ono;
• Nseru.

Komabe, scintigraphy ya myocardial nthawi zambiri siyimayambitsa zovuta zathanzi ndipo sikofunikira kukhala mchipatala.

Kuphatikiza apo, ndikofunikira kukumbukira kuti zojambulazo za myocardial scintigraphy zimatsutsana ndi azimayi omwe ali ndi pakati kapena akuyamwitsa.