Kodi Matenda a Mtima Amadziwika Bwanji?

Zamkati

• Zizindikiro za matenda amtima
• Kuyezetsa thupi komanso kuyesa magazi
• Kuyesa kosavomerezeka kwa matenda amtima
• Electrocardiogram
• Zojambulajambula
• Kuyesa kwa kupsinjika
• Carotid ultrasound
• Woyang'anira Holter
• X-ray pachifuwa
• Pendeketsa mayeso patebulo
• Kujambula kwa CT
• MRI ya Mtima
• Kuyesa kovuta kuti mupeze matenda amtima
• Coronary angiography ndi catheterization yamtima
• Kafukufuku wa Electrophysiology
• Nthawi yoti muwone dokotala wanu

Kuyesera matenda amtima

Matenda amtima ndimikhalidwe iliyonse yomwe imakhudza mtima wanu, monga matenda amitsempha yam'mimba ndi arrhythmia. Malingana ndi matendawa, matenda amtima ndiwo amachititsa munthu m'modzi mwa anayi amwalira ku United States chaka chilichonse. Ndicho chifukwa chachikulu cha imfa mwa amuna ndi akazi.

Kuti mupeze matenda amtima, dokotala wanu adzakuyesani kangapo. Atha kugwiritsanso ntchito ena mwa mayesowa kuti akuwonetseni matenda amtima musanakhale ndi zizindikilo zowonekera.

Zizindikiro za matenda amtima

Zizindikiro za vuto la mtima zitha kuphatikiza:

• kukomoka
• kugunda pang'onopang'ono kapena mwachangu
• kufinya pachifuwa
• kupweteka pachifuwa
• kupuma movutikira
• kutupa mwadzidzidzi miyendo yanu, mapazi, akakolo, kapena pamimba

Ngati muli ndi izi, muyenera kukonzekera kukakumana ndi dokotala wanu. Kuzindikira koyambirira ndi chithandizo kumatha kuchepetsa mavuto anu, monga matenda amtima kapena sitiroko.

Kuyezetsa thupi komanso kuyesa magazi

Mukamusankha, dokotala wanu adzakufunsani zamatenda anu komanso mbiri yakuchipatala kwanu. Awonanso kugunda kwa mtima ndi kuthamanga kwa magazi.

Dokotala wanu amathanso kuyitanitsa kuyesa magazi. Mwachitsanzo, kuyesa kwa cholesterol kumayeza kuchuluka kwamafuta ndi cholesterol m'magazi anu. Dokotala wanu amatha kugwiritsa ntchito mayesowa kuti akuthandizeni kudziwa chiwopsezo cha matenda amtima komanso matenda amtima.

Kuyezetsa magazi kwathunthu kumayang'ana mitundu inayi yamafuta m'magazi anu:

• Cholesterol chonse ndi kuchuluka kwa cholesterol yonse m'magazi anu.
• Cholesterol yotsika kwambiri (LDL) cholesterol nthawi zina amatchedwa "cholesterol" choyipa. Kuchuluka kwake kumapangitsa mafuta kukulira m'mitsempha yanu, yomwe imachepetsa magazi. Izi zingayambitse matenda a mtima kapena kupwetekedwa mtima.
• Kutalika kwambiri kwa lipoprotein (HDL) cholesterol nthawi zina amatchedwa "wabwino" cholesterol. Zimathandiza kunyamula cholesterol ya LDL ndikuchotsa mitsempha yanu.
• Ma Triglycerides ndi mtundu wamafuta m'magazi anu. Kuchuluka kwa triglycerides nthawi zambiri kumalumikizidwa ndi matenda ashuga, kusuta, komanso kumwa mowa kwambiri.

Dokotala wanu amathanso kuyitanitsa mayeso a C-reactive protein (CRP) kuti awone thupi lanu ngati lili ndi zotupa. Atha kugwiritsa ntchito zotsatira za mayeso anu a CRP ndi cholesterol kuti muwone kuwopsa kwa matenda amtima.

Kuyesa kosavomerezeka kwa matenda amtima

Mukamaliza kuyesa thupi ndi kuyezetsa magazi, dokotala wanu atha kuyitanitsa mayeso ena owonjezera. Kupanda tanthauzo kumatanthauza kuti mayeso samakhudza zida zomwe zimaphwanya khungu kapena kulowa mthupi. Pali mayesero ambiri osagwirizana omwe angathandize dokotala wanu kuti adziwe matenda a mtima.

Electrocardiogram

Electrococardiogram (EKG) ndiyeso lalifupi lomwe limayang'anira zochitika zamagetsi mumtima mwanu. Ikulemba izi papepala. Dokotala wanu atha kugwiritsa ntchito mayesowa kuti awone ngati pali kuwonongeka kwa mtima kapena kuwonongeka kwa mtima.

Zojambulajambula

Echocardiogram ndi ultrasound ya mtima wanu. Imagwiritsa ntchito mafunde akumva kuti apange chithunzi cha mtima wako. Dokotala wanu akhoza kuchigwiritsa ntchito kuti aone mavavu amtima wanu ndi minofu ya mtima.

Kuyesa kwa kupsinjika

Kuti mupeze mavuto amtima, dokotala wanu angafunike kukuyesani pamene mukuchita zovuta. Mukamayesedwa kupsinjika, atha kukufunsani kuti mukwere njinga kapena kuyendetsa kapena kuthamanga pa treadmill kwa mphindi zingapo. Adzawunika momwe thupi lanu likuchitira kupsinjika mtima wanu ukuwonjezeka.

Carotid ultrasound

Kujambula kwa carotid duplex kumagwiritsa ntchito mafunde omveka kuti apange zithunzi za mitsempha yanu ya carotid mbali zonse ziwiri za khosi lanu. Amalola dokotala wanu kuti ayang'ane chikwangwani chokwanira m'mitsempha yanu ndikuwonanso chiopsezo chanu cha sitiroko.

Woyang'anira Holter

Ngati dokotala akuyenera kuyang'anira mtima wanu kwa nthawi 24 mpaka 48, adzakufunsani kuti muvale chida chotchedwa Holter monitor. Makina ang'ono awa amagwira ntchito ngati EKG yopitilira. Dokotala wanu amatha kuigwiritsa ntchito kuti aone ngati ali ndi vuto la mtima lomwe silingapezeke pa EKG yachibadwa, monga arrhythmias, kapena kugunda kwamtima kosazolowereka.

X-ray pachifuwa

X-ray pachifuwa imagwiritsa ntchito cheza pang'ono kuti apange zithunzi za chifuwa chanu, kuphatikiza mtima wanu. Ikhoza kuthandiza dokotala kudziwa chomwe chimayambitsa kupuma movutikira kapena kupweteka pachifuwa.

Pendeketsa mayeso patebulo

Dokotala wanu akhoza kuyesa mayeso patebulo ngati mwakomoka. Akufunsani kuti mugone patebulo lomwe limasunthira kuchoka pamalo opingasa kupita pamalo owonekera. Gome likuyenda, adzawunika kugunda kwa mtima wanu, kuthamanga kwa magazi, komanso kuchuluka kwa mpweya. Zotsatirazi zitha kuthandiza dokotala kudziwa ngati kukomoka kwanu kudachitika chifukwa cha matenda amtima kapena vuto lina.

Kujambula kwa CT

Kujambula kwa CT kumagwiritsa ntchito zithunzi za X-ray zingapo kuti apange chithunzi chamtanda wa mtima wanu. Dokotala wanu amatha kugwiritsa ntchito mitundu yosiyanasiyana ya ma CT kuti azindikire matenda amtima. Mwachitsanzo, atha kugwiritsa ntchito kuyesa kwa calcium poyang'ana pamtima kuti awone ngati calcium yayika m'mitsempha yanu. Kapenanso atha kugwiritsa ntchito coronary CT angiography kuti ayang'ane mafuta kapena calcium m'mitsempha mwanu.

MRI ya Mtima

Mu MRI, maginito akulu ndi mafunde awayilesi amapanga zithunzi zamkati mwa thupi lanu. Pakati pa MRI yamtima, waluso amapanga zithunzi za mitsempha yanu yamagazi ndi mtima pamene ikugunda. Pambuyo pa mayeso, dokotala wanu amatha kugwiritsa ntchito zithunzizo kuti azindikire zinthu zambiri, monga matenda am'mimba yam'mimba ndi matenda amitsempha yam'mimba.

Kuyesa kovuta kuti mupeze matenda amtima

Nthawi zina mayeso osavomerezeka samapereka mayankho okwanira. Dokotala wanu angafunike kugwiritsa ntchito njira yovuta kuti azindikire matenda amtima. Njira zowononga zimaphatikizapo zida zomwe zimalowa mthupi, monga singano, chubu, kapena kukula.

Coronary angiography ndi catheterization yamtima

Pakati pa catheterization yamtima, dokotala wanu amalowetsa chubu lalitali losunthika kudzera mumitsempha yamagazi mu kubuula kwanu kapena gawo lina la thupi lanu. Kenako amasuntha chubu ichi kumtima kwanu. Dokotala wanu amatha kugwiritsa ntchito mayeso kuti aone ngati ali ndi vuto la mitsempha yamagazi komanso zovuta pamtima.

Mwachitsanzo, dokotala wanu akhoza kumaliza coronary angiography ndi catheterization. Adzakulowetsani utoto wapadera m'mitsempha yamagazi yamtima wanu. Kenako adzagwiritsa ntchito X-ray kuti ayang'ane mitsempha yanu yamitsempha. Atha kugwiritsa ntchito mayeso amenewa kuti ayang'ane mitsempha yochepetsetsa kapena yotseka.

Kafukufuku wa Electrophysiology

Ngati muli ndi mikhalidwe yachilendo, dokotala wanu amatha kuchita kafukufuku wamagetsi kuti adziwe chomwe chimayambitsa ndi njira yabwino yothandizira. Pakuyesa uku, dokotala wanu amadyetsa catheter yama electrode kudzera mumitsempha yamagazi pamtima panu. Amagwiritsa ntchito elekitirodi iyi kuti azitumiza zizindikiritso zamagetsi pamtima panu ndikupanga mapu azamagetsi ake.

Dokotala wanu akhoza kuyesa kubwezeretsa thupi lanu lachilengedwe polemba mankhwala kapena mankhwala ena.

Nthawi yoti muwone dokotala wanu

Ngati mukuganiza kuti mwina muli ndi matenda amtima, kambiranani ndi dokotala wanu. Zinthu zomwe zimakuikani pachiwopsezo chachikulu cha matenda amtima ndi izi:

• mbiri yabanja yamatenda amtima
• mbiri ya kusuta
• kunenepa kwambiri
• kusadya bwino
• zaka

Dokotala wanu amatha kuyesa thupi, kuyitanitsa mayeso a magazi, kapena kugwiritsa ntchito mayeso ena kuti awone zovuta zamtima wanu kapena mitsempha yamagazi. Mayesowa atha kuwathandiza kuzindikira matenda amtima ndikupanga dongosolo lamankhwala.

Zovuta zamatenda amtima zimaphatikizapo matenda amtima komanso kupwetekedwa mtima. Mungachepetse chiopsezo cha mavuto ndi matenda oyambirira ndi chithandizo. Lankhulani ndi dokotala wanu ngati muli ndi nkhawa. Akuphunzitsani momwe mungadziwire zizindikiro za matenda amtima ndikukhalabe ndi mtima wathanzi.