Kuyesa Kwapanikizika

Zamkati

• Kodi kuyesa kupsinjika ndi chiyani?
• Kodi amagwiritsa ntchito chiyani?
• Chifukwa chiyani ndikufunika kuyesa kupsinjika?
• Kodi chimachitika ndi chiyani poyesedwa?
• Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
• Kodi pali zoopsa zilizonse pamayeso?
• Kodi zotsatirazi zikutanthauza chiyani?
• Zolemba

Kodi kuyesa kupsinjika ndi chiyani?

Kuyesedwa kwa kupsinjika kumawonetsa momwe mtima wanu umagwirira ntchito zolimbitsa thupi. Mtima wanu umapopa kwambiri komanso mukamachita masewera olimbitsa thupi. Matenda ena amtima amapezeka mosavuta ngati mtima wanu ukugwira ntchito molimbika. Mukamayesedwa kupanikizika, mtima wanu udzawunikidwa mukamachita masewera olimbitsa thupi kapena njinga yoyimirira. Ngati simukukhala wathanzi lokwanira kuchita masewera olimbitsa thupi, mupatsidwa mankhwala omwe amachititsa kuti mtima wanu uzigunda mofulumira komanso mwamphamvu, ngati kuti mukuchita masewera olimbitsa thupi.

Ngati mukulephera kumaliza kuyesa kwakanthawi kwakanthawi, zitha kutanthauza kuti kuchepa kwamagazi kumafika mumtima mwanu. Kuchepetsa magazi kumatha kuyambitsidwa ndi mitima ingapo, ina mwazovuta kwambiri.

Mayina ena: kuyesa kupsinjika, kuyesa kupondaponda, EKG yamavuto, ECG yamavuto, kuyesa kwa zida za nyukiliya, echocardiogram

Kodi amagwiritsa ntchito chiyani?

Mayeso a kupsinjika amagwiritsidwa ntchito motere:

• Dziwani za matenda amitsempha yam'mitsempha, vuto lomwe limapangitsa kuti pakhale chinthu chotulutsa mawu chotchedwa plaque chikhazikike mumitsempha. Zitha kupangitsa kutsekeka kowopsa kwamagazi mpaka pamtima.
• Dziwani za arrhythmia, vuto lomwe limayambitsa kugunda kwamtima kosazolowereka
• Pezani masewera olimbitsa thupi omwe ndi abwino kwa inu
• Dziwani momwe chithandizo chanu chikugwirira ntchito ngati mwapezeka kale kuti muli ndi matenda amtima
• Onetsani ngati muli pachiwopsezo chodwala mtima kapena matenda ena amtima

Chifukwa chiyani ndikufunika kuyesa kupsinjika?

Mungafunike kuyesa kupsinjika ngati muli ndi zizindikiro zakuchepa kwamagazi mumtima mwanu. Izi zikuphatikiza:

• Angina, mtundu wa kupweteka pachifuwa kapena kusapeza bwino komwe kumachitika chifukwa chotsika magazi mumtima
• Kupuma pang'ono
• Kugunda kwamtima mwachangu
• Kugunda kwamtima (arrhythmia). Izi zitha kumveka ngati kukuwerengerani pachifuwa.

Mwinanso mungafunike kuyesa kupanikizika kuti muwone thanzi la mtima wanu ngati:

• Mukukonzekera kuyambitsa pulogalamu yochita masewera olimbitsa thupi
• Adachitidwa opaleshoni yamtima posachedwa
• Akuchiritsidwa matenda amtima. Kuyezetsa kumatha kuwonetsa momwe mankhwala anu akugwirira ntchito.
• Adakhalapo ndi vuto la mtima m'mbuyomu
• Ali pachiwopsezo chachikulu cha matenda amtima chifukwa cha mavuto azaumoyo monga matenda ashuga, mbiri yabanja yamatenda amtima, ndi / kapena zovuta zam'mbuyomu

Kodi chimachitika ndi chiyani poyesedwa?

Pali mitundu itatu yayikulu yoyeserera kupsinjika: kuyesa masewera olimbitsa thupi, kuyesa kupsinjika kwa zida za nyukiliya, ndi ma echocardiograms opsinjika. Mitundu yonse yamayeso amisala ingachitike kuofesi ya othandizira zaumoyo, kuchipatala cha odwala, kapena kuchipatala.

Pa nthawi yochita masewera olimbitsa thupi:

• Wothandizira zaumoyo adzaika ma electrode angapo (masensa ang'onoang'ono omwe amamatira pakhungu) m'manja mwanu, miyendo, ndi chifuwa. Woperekayo angafunike kumeta tsitsi lochulukirapo asanaike ma electrode.
• Maelekitirodi amalumikizidwa ndi mawaya pamakina a electrocardiogram (EKG), omwe amalemba zochitika zamagetsi pamtima panu.
• Mutha kuyenda pa treadmill kapena kukwera njinga yoyimirira, kuyambira pang'onopang'ono.
• Kenako, muziyenda kapena kuyenda mofulumira, ndikuwongolera komanso kukana kukulira pamene mukupita.
• Mupitiliza kuyenda kapena kukwera mpaka mukafike pamlingo wokhazikitsidwa ndi omwe amakupatsani. Muyenera kuyima msanga mukayamba kukhala ndi zowawa monga kupweteka pachifuwa, kupuma movutikira, chizungulire, kapena kutopa. Mayesowo amathanso kuimitsidwa ngati EKG ikuwonetsa vuto ndi mtima wanu.
• Pambuyo pa mayeso, mudzayang'aniridwa kwa mphindi 10-15 kapena mpaka kugunda kwa mtima wanu kubwerere mwakale.

Mayeso onse a kupsinjika kwa zida za nyukiliya ndi ma echocardiograms opanikizika ndimayeso ojambula. Izi zikutanthauza kuti zithunzi zidzatengedwa pamtima wanu mukamayesedwa.

Pakati pa kuyesa kwa zida za nyukiliya:

• Mudzagona pa tebulo la mayeso.
• Wopereka chithandizo chamankhwala adzalowetsa chingwe chotengera (IV) m'manja mwanu. IV imakhala ndi utoto wa radioactive. Utoto umapangitsa kuti wothandizira zaumoyo awone zithunzi za mtima wanu. Zimatenga pakati pa mphindi 15 mpaka 40 kuti mtima utenge utoto.
• Kamera yapadera imasanthula mtima wanu kuti ipange zithunzizo, zomwe zimawonetsa mtima wanu kupumula.
• Mayeso ena onse ali ngati mayeso opsinjika thupi. Mudzalumikizidwa ndi makina a EKG, kenako yendani pa chopondera kapena mukwera njinga yoyima.
• Ngati simukukhala wathanzi lokwanira kuchita masewera olimbitsa thupi, mupeza mankhwala omwe amachititsa kuti mtima wanu uzigunda mofulumira komanso mwamphamvu.
• Mtima wanu ukamagwira ntchito molimbika kwambiri, mupezanso jakisoni wina wa utoto wama radiation.
• Mudzadikirira pafupifupi mphindi 15 mpaka 40 kuti mtima wanu uyamwe utoto.
• Muyambiranso kuchita masewera olimbitsa thupi ndipo kamera yapadera imatenga zithunzi zambiri za mtima wanu.
• Wopereka wanu adzafanizira magawo awiri azithunzi: umodzi wamtima wanu ukupuma; winayo akugwira ntchito molimbika.
• Pambuyo pa kuyesa, mudzayang'aniridwa kwa mphindi 10-15 kapena mpaka kugunda kwa mtima wanu kubwerere mwakale.
• Utoto wa nyukiliya umachoka mthupi mwako kudzera mumkodzo. Kumwa madzi ambiri kumathandizira kuchotsa mwachangu.

Pakati pa kupsinjika kwa echocardiogram:

• Mudzagona pa tebulo la mayeso.
• Woperekayo adzapaka gel osakaniza pachipangizo china chotchedwa transducer. Adzakhala ndi transducer pachifuwa panu.
• Chida ichi chimapanga mafunde amawu, omwe amapanga zithunzi zosunthika za mtima wanu.
• Zithunzizi zitatengedwa, mudzachita masewera olimbitsa thupi kapena njinga, monga m'mayeso ena azovuta.
• Ngati simukukhala wathanzi lokwanira kuchita masewera olimbitsa thupi, mupeza mankhwala omwe amachititsa kuti mtima wanu uzigunda mofulumira komanso mwamphamvu.
• Zithunzi zina zidzatengedwa pamene kugunda kwa mtima kwanu kukukulira kapena pamene ikugwira ntchito molimbika kwambiri.
• Wopereka wanu adzafanizira magawo awiri azithunzi; umodzi wa mtima wanu ukupumula; winayo akugwira ntchito molimbika.
• Pambuyo pa mayeso, mudzayang'aniridwa kwa mphindi 10-15 kapena mpaka kugunda kwa mtima wanu kubwerere mwakale.

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Muyenera kuvala nsapato zabwino ndi zovala zotayirira kuti musavutike kuchita masewera olimbitsa thupi. Wothandizira anu akhoza kukupemphani kuti musadye kapena kumwa kwa maola angapo musanayese. Ngati muli ndi mafunso okonzekera, kambiranani ndi omwe akukuthandizani.

Kodi pali zoopsa zilizonse pamayeso?

Mayeso opsinjika amakhala otetezeka. Nthawi zina kuchita masewera olimbitsa thupi kapena mankhwala omwe amakulitsa kugunda kwa mtima kwanu amatha kuyambitsa zizindikilo monga kupweteka pachifuwa, chizungulire, kapena nseru. Mudzawunikidwa mosamala pamayeso onse kuti muchepetse chiopsezo chanu chazovuta kapena kuchiza msanga mavuto aliwonse azaumoyo. Utoto wa radioactive womwe umagwiritsidwa ntchito poyesa kupsinjika kwa zida za nyukiliya ndiwotheka kwa anthu ambiri. Nthawi zambiri, zimatha kuyambitsa vuto. Komanso, kuyesa kwa zida za nyukiliya sikuvomerezeka kwa amayi apakati, chifukwa utoto ungakhale wovulaza kwa mwana wosabadwa.

Kodi zotsatirazi zikutanthauza chiyani?

Zotsatira zoyesedwa zabwinobwino zikutanthauza kuti palibe zovuta zoyenda magazi zomwe zapezeka. Ngati zotsatira zanu sizinali zachilendo, zitha kutanthauza kuti kuchepa kwa magazi kumafika mumtima mwanu. Zifukwa zochepetsera magazi zimaphatikizapo:

• Mitsempha ya Coronary
• Ziwombankhanza za matenda amtima am'mbuyomu
• Chithandizo chanu chamtima pano sichikugwira ntchito bwino
• Kulimbitsa thupi

Ngati zotsatira zanu zoyeserera zolimbitsa thupi sizinali zachilendo, wothandizira zaumoyo wanu atha kuyitanitsa mayeso anyukiliya kapena echocardiogram. Mayesowa ndi olondola kwambiri kuposa kuyesa kupsinjika, komanso okwera mtengo. Ngati mayeserowa akuwonetsa vuto ndi mtima wanu, omwe akukuthandizani atha kulimbikitsa mayesero ena ndi / kapena chithandizo.

Ngati muli ndi mafunso pazotsatira zanu, lankhulani ndi omwe amakuthandizani.

Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.

Zolemba

1. Advanced Cardiology ndi Primary Care [Internet]. Advanced Cardiology ndi Primary Care LLC; c2020. Kuyesedwa kwa Kupsinjika; [adatchula 2020 Jul 14]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.advancedcardioprimary.com/cardiology-services/stress-testing
2. American Heart Association [Intaneti]. Dallas (TX): American Mtima Association Inc .; c2018. Kuyesa Kupanikizika; [yotchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.heart.org/en/health-topics/heart-attack/diagnosing-a-heart-attack/exercise-stress-test
3. American Heart Association [Intaneti]. Dallas (TX): American Mtima Association Inc .; c2018. Mayeso ndi Njira Zosasunthika; [yotchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.heart.org/en/health-topics/heart-attack/diagnosing-a-heart-attack/noninvasive-tests-and-procedures
4. Malo Osamalira Mtima a Kumpoto chakumadzulo kwa Houston [Internet]. Houston (TX): Malo Osamalira Mtima, Board Cardologist Akatswiri Ovomerezeka; c2015. Kodi Kuyesa Kwapanja Kotani; [adatchula 2020 Jul l4]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: http://www.theheartcarecenter.com/northwest-houston-treadmill-stress-test.html
5. Chipatala cha Mayo [Intaneti]. Mayo Foundation for Medical Education and Research; c1998–2018. Echocardiogram: Mwachidule; 2018 Oct 4 [yotchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.mayoclinic.org/tests-procedures/echocardiogram/about/pac-20393856
6. Chipatala cha Mayo [Intaneti]. Mayo Foundation for Medical Education and Research; c1998–2018. Electrocardiogram (ECG kapena EKG): Mwachidule; 2018 Meyi 19 [yatchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.mayoclinic.org/tests-procedures/ekg/about/pac-20384983
7. Chipatala cha Mayo [Intaneti]. Mayo Foundation for Medical Education and Research; c1998–2018. Kupsinjika kwa mayeso: Mwachidule; 2018 Mar 29 [yotchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.mayoclinic.org/tests-procedures/stress-test/about/pac-20385234
8. Chipatala cha Mayo [Intaneti]. Mayo Foundation for Medical Education and Research; c1998–2018. Kuyesa kwa kupsinjika kwa nyukiliya: Mwachidule; 2017 Dec 28 [yotchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.mayoclinic.org/tests-procedures/nuclear-stress-test/about/pac-20385231
9. Merck Manual Consumer Version [Intaneti]. Kenilworth (NJ): Merck & Co., Inc .; c2018. Kuyesedwa kwa Kupsinjika; [yotchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/diagnosis-of-heart-and-blood-vessel-disorders/stress-testing
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12. National Heart, Lung, ndi Blood Institute [Internet]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Kuyesedwa kwa Kupsinjika; [yotchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.nhlbi.nih.gov/health-topics/stress-testing
13. UF Health: University of Florida Health [Intaneti]. Gainesville (FL): Yunivesite ya Florida Health; c2018. Yesani kupsinjika kwamaganizidwe: Mwachidule; [yasinthidwa 2018 Nov 8; yatchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://ufhealth.org/exercise-stress-test
14. UF Health: University of Florida Health [Intaneti]. Gainesville (FL): Yunivesite ya Florida Health; c2018. Kuyesa kwanyukiliya: Kupenda mwachidule [kusinthidwa 2018 Nov 8; yatchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://ufhealth.org/nuclear-stress-test
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16. University of Rochester Medical Center [Intaneti]. Rochester (NY): Yunivesite ya Rochester Medical Center; c2018. Cardiology ya URMC: Mayeso Olimbitsa Thupi; [yotchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.urmc.rochester.edu/cardiology/patient-care/diagnostic-tests/exercise-stress-tests.aspx
17. Mankhwala a UR: Chipatala cha Highland [Internet]. Rochester (NY): Yunivesite ya Rochester Medical Center; c2018. Cardiology: Kuyesedwa kwa Mtima; [yotchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.urmc.rochester.edu/highland/departments-centers/cardiology/tests-procedures/stress-tests.aspx
18. Mankhwala a UR: Chipatala cha Highland [Internet]. Rochester (NY): Yunivesite ya Rochester Medical Center; c2018. Cardiology: Kuyesedwa kwa Kupsinjika kwa Nyukiliya; [yotchulidwa 2018 Nov 9]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.urmc.rochester.edu/highland/departments-centers/cardiology/tests-procedures/stress-tests/nuclear-stress-test.aspx

Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.