Uxinzelelo lwe-echocardiography

Uxinzelelo lwe-echocardiography luvavanyo olusebenzisa i-imaging ye-ultrasound ukubonisa indlela esebenza ngayo izihlunu zentliziyo yakho ukupompa igazi emzimbeni wakho. Ihlala isetyenziselwa ukukhangela ukwehla kokuhamba kwegazi kuye entliziyweni ukusuka ekunciphiseni kwimithambo yegazi.

Olu vavanyo lwenziwa kwiziko lonyango okanye kwiofisi yomboneleli wezempilo.

I-echocardiogram yokuphumla iya kwenziwa kuqala. Ngelixa ulele ngecala lasekhohlo kunye nengalo yasekhohlo ngaphandle, isixhobo esincinci ekuthiwa yi-transducer sibanjwa esifubeni sakho. Ijeli ekhethekileyo isetyenziselwa ukunceda amaza e-ultrasound afike entliziyweni yakho.

Uninzi lwabantu luya kuhamba ngetreadmill (okanye i-pedal kwibhayisikile yokuzilolonga). Kancinci (malunga nayo yonke imizuzu emi-3), uya kucelwa ukuba uhambe (okanye unyohlise) ngokukhawuleza kwaye uthambekele. Kufana nokucelwa ukuba uhambe ngokukhawuleza okanye ubaleke induli.

Kwiimeko ezininzi, kuyakufuneka uhambe okanye uhambe ngeenyawo malunga nemizuzu emi-5 ukuya kweli-15, kuxhomekeke kwinqanaba lokuqina kwakho kunye nobudala bakho. Umboneleli wakho uya kukucela ukuba uyeke:

• Xa intliziyo yakho ibetha kwinqanaba ekujoliswe kulo
• Xa udinwe kakhulu ukuba uqhubeke
• Ukuba unentlungu esifubeni okanye utshintsho kuxinzelelo lwegazi lwakho oluxhalabisa umboneleli ohambisa uvavanyo

Ukuba awukwazi ukwenza umthambo, uya kufumana ichiza, njenge-dobutamine, ngokusebenzisa umthambo (intambo efakwa ngaphakathi). Eli yeza liyakwenza ukuba intliziyo yakho ibethe ngokukhawuleza kwaye ibenzima, ngokufanayo naxa usenza umthambo.

Uxinzelelo lwegazi kunye nesingqi sentliziyo (ECG) ziya kujongwa kuyo yonke inkqubo.

Imifanekiso emininzi ye-echocardiogram iya kuthathwa ngelixa izinga lokubetha kwentliziyo yakho lisanda, okanye xa lifikelela encotsheni yalo. Imifanekiso iya kubonisa ukuba ngaba naziphi na iinxalenye zentliziyo yemisipha azisebenzi kakuhle xa izinga lokubetha kwentliziyo yakho linyuka. Olu luphawu lokuba inxalenye yentliziyo isenokungafumani gazi laneleyo okanye ioksijini ngenxa yemithambo emxinwa okanye evaliweyo.

Buza umboneleli wakho ukuba kufuneka uthathe nawaphi na amayeza akho esiqhelo ngosuku lovavanyo. Amanye amayeza anokuphazamisa iziphumo zovavanyo. Ungaze uyeke ukuthatha naliphi na iyeza ungakhange uqale uthethe nogqirha wakho.

Kubalulekile ukuxelela ugqirha wakho ukuba uthathe nawaphi na ala mayeza kwiiyure ezingama-24 ezidlulileyo (usuku olu-1):

• ISildenafil citrate (Viagra)
• ITadalafil (iCialis)
• IVardenafil (iLevitra)

SUKUTHA ukutya okanye usele ubuncinci iiyure ezintathu ngaphambi kovavanyo.

Nxiba iimpahla ezikhululekileyo. Uya kucelwa ukuba usayine ifom yemvume phambi kovavanyo.

I-Electrodes (iipatches eziqhubayo) ziya kubekwa esifubeni, kwiingalo, nasemilenzeni ukurekhoda umsebenzi wentliziyo.

Uxinzelelo lwegazi kwikhafu yengalo yakho luya kufakwa rhoqo kwimizuzu embalwa, kuvelise imvakalelo yokucinezela enokuziva yomelele.

Rhoqo, abantu baziva ukungonwabi esifubeni, ukubetha kwentliziyo okungaphezulu okanye okweqileyo, isiyezi, intloko ebuhlungu, isicaphucaphu okanye ukuphefumla kancinci ngexesha lovavanyo.

Uvavanyo lwenziwa ukubona ukuba ngaba izihlunu zentliziyo yakho zifumana ukuhamba kwegazi okwaneleyo kunye neoksijini xa isebenza nzima (iphantsi koxinzelelo).

Ugqirha wakho unokuyalela olu vavanyo ukuba:

• Unempawu ezintsha ze-angina okanye iintlungu zesifuba
• Ngaba i-angina iya isiba mandundu
• Kutshanje uhlaselwe sisifo sentliziyo
• Ngaba uza kutyandwa okanye uqalise inkqubo yokuzilolonga, ukuba usemngciphekweni omkhulu wesifo sentliziyo
• Yiba neengxaki zevalvu zentliziyo

Iziphumo zolu vavanyo loxinzelelo zinokunceda umboneleli wakho:

• Qinisekisa ukuba unyango lwentliziyo lusebenza njani kwaye utshintshe unyango lwakho, ukuba luyimfuneko
• Qinisekisa ukuba intliziyo yakho impompoza njani
• Ukuchonga isifo semithambo
• Khangela ukuba intliziyo yakho inkulu kakhulu

Uvavanyo oluqhelekileyo luya kuhlala luthetha ukuba ubukwazi ukuzilolonga ixesha elide okanye elide kunabantu abaninzi abakwiminyaka yakho kunye nesini. Awunazo neempawu okanye malunga notshintsho kuxinzelelo lwegazi nakwi-ECG yakho. Imifanekiso yentliziyo yakho ibonisa ukuba onke amalungu entliziyo yakho ayaphendula kuxinzelelo olwandayo ngokupompa nzima.

Iziphumo eziqhelekileyo zithetha ukuba ukuhamba kwegazi kwimithambo ye-coronary kuyinto eqhelekileyo.

Intsingiselo yeziphumo zakho zovavanyo ixhomekeke kwisizathu sovavanyo, ubudala bakho, kunye nembali yakho yentliziyo kunye nezinye iingxaki zonyango.

Iziphumo ezingaqhelekanga zinokubangelwa:

• Ukuhamba kwegazi kuncitshisiwe kwinxalenye yentliziyo. Isizathu esona sizathu kukunciphisa okanye ukuvaleka kwemithambo enika intliziyo yakho imisipha.
• Ukurhawuzelela kwemisipha yentliziyo ngenxa yokuhlaselwa sisifo sentliziyo esidlulileyo.

Emva kovavanyo onokulufuna:

• I-Angioplasty kunye nokubekwa kwesitent
• Utshintsho kumayeza entliziyo yakho
• I-Coronary angiography
• Utyando lwentliziyo ngokudlula

Imingcipheko iphantsi kakhulu. Abaqeqeshi bezempilo baya kukujonga ngexesha lenkqubo yonke.

Iingxaki eziqhelekileyo zibandakanya:

• Isingqisho sentliziyo esingaqhelekanga
• Ukuphelelwa amandla (syncope)
• Ukuhlaselwa yintliziyo

Uvavanyo loxinzelelo lwe-Echocardiography; Uvavanyo loxinzelelo-i-echocardiography; I-CAD-yoxinzelelo lwe-echocardiography; Isifo semithambo yegazi-uxinzelelo lwe-echocardiography; Intlungu yesifuba-uxinzelelo lwe-echocardiography; I-angina-uxinzelelo lwe-echocardiography; Isifo sentliziyo-uxinzelelo lwe-echocardiography

• Icandelo lentliziyo phakathi embindini
• Intliziyo - umbono wangaphambili
• Inkqubo yophuhliso lwe-atherosclerosis

Boden WE. I-Angina pectoris kunye nesifo sentliziyo esisigxina se-ischemic. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier; 2020: isahl. 71.

UFihn SD, uBlankenship JC, uAlexander KP, et al. Ngo-2014 i-ACC / AHA / AATS / i-PCNA / i-SCAI / i-STS igxile ekuhlaziyweni kwesikhokelo sokuchongwa kunye nolawulo lwezigulana ezinesifo sentliziyo esisigxina: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwiZikhokelo zokuSebenza, kunye Umbutho waseMelika woNyango lwe-Thoracic, uMbutho wabahlengikazi abaThintelayo be-Cardiovascular, uMbutho we-Cardiovascular Angiography kunye nongenelelo, kunye noMbutho woNyango lweTroacic. J NdinguColl Cardiol. Ngo-2014; 64 (18): 1929-1949. IINKCUKACHA: 25077860 www.ncbi.nlm.nih.gov/pubmed/25077860.

UFowler GC, uSmith A. Uxinzelelo lwe-echocardiography. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 76.

USolomon SD, uWu JC, uGillam L, uBulwer B.I-Echocardiography. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 14.