Nini ukuvavanywa kwentliziyo

Umxholo

• Ukujonga nini
• Zeziphi iimviwo ezibandakanyiweyo xa kutshekishwa

Ukuhlolwa kwentliziyo kuqukethe iqela leemvavanyo ezinceda ugqirha ukuba avavanye umngcipheko wokuba nengxaki yentliziyo okanye yokujikeleza kwegazi, njengokungaphumeleli kwentliziyo, arrhythmia okanye infarction, umzekelo.

Ngokubanzi, olu hlobo lokutshekishwa luboniswa kumadoda angaphezu kweminyaka engama-45 ubudala nakwabasetyhini kwinqanaba lesithuba sasemva kwexesha lokuya exesheni, kuba la ngala maxesha apho umngcipheko weengxaki zentliziyo ukhulu kakhulu.

Ukujonga nini

Ukuhlolwa kwentliziyo kuyacetyiswa kumadoda ngaphezulu kwe-45 kunye nabasetyhini abasemva kwemasopaopausal. Nangona kunjalo, ezinye iimeko zinokulindela ukuya kwi-cardiologist, njenge:

• Imbali yamalungu osapho awayehlaselwa sisifo sentliziyo okanye ukufa ngesiquphe;
• Uxinzelelo lwegazi oluhlala luhleli lungaphezulu kwe-139/89 mmHg;
• Ukutyeba kakhulu;
• Isifo seswekile;
• I-cholesterol ephezulu kunye ne-triglycerides;
• Abatshayayo;
• Isifo sentliziyo somntwana.

Ukongeza, ukuba uhleli phantsi okanye wenza izinto ezinomzimba ophantsi, ngaphambi kokuba uqale ukwenza umdlalo omtsha, kubalulekile ukuba uye kugqirha wezentliziyo ukuze uhlolwe, ukuze ugqirha akwazi ukwazisa ukuba intliziyo iyasebenza imisebenzi ngokuchanekileyo.

Ukuba kuye kwafunyanwa ingxaki yentliziyo, kuyacetyiswa ukuba uye kugqirha wentliziyo ubuncinci kube kanye ngonyaka okanye nanini na apho athi anyenyise unyango. Yazi ixesha lokuya kugqirha wezentliziyo.

Jonga umngcipheko wokuhlaselwa sisifo sentliziyo:

Zeziphi iimviwo ezibandakanyiweyo xa kutshekishwa

Olu vavanyo lubandakanyiwe ekujongeni kwentliziyo luyahluka ngokobudala bomntu kunye nembali yezonyango, kwaye zihlala zibandakanywa:

• I-X-ray yesifuba, nto leyo edla ngokwenziwa ngumntu omileyo kwaye ijonge ukujonga ummandla ojikeleze intliziyo, ichonge naluphi na utshintsho kwimithambo efika okanye eshiya intliziyo, umzekelo;
• Electro kunye echocardiogramapho kuvavanywa isingqisho senhliziyo, ubukho bokungaqhelekanga kunye nobume bentliziyo, bejonga ukuba ngaba ilungu lisebenza ngokuchanekileyo na;
• Uvavanyo loxinzelelo, apho ugqirha avavanya ukusebenza kwentliziyo ngexesha lomsebenzi womzimba, ekwazi ukubona izinto ezinokubonisa ukubetha okanye ukusilela kwentliziyo, umzekelo;
• Iimvavanyo zaselebhu, ezifana nokubala kwegazi, i-CK-MB, i-troponin kunye ne-myoglobin, umzekelo. Ukongeza, ezinye iimvavanyo zaselabhoratri zinoku-odolwa ukuze kuvavanywe umngcipheko wesifo sentliziyo, njengokulinganisa iswekile kunye ne-cholesterol iyonke kunye namaqhezu.

Xa ezi mvavanyo zibonisa utshintsho kwisifo sentliziyo, ugqirha unokuzincedisa kolunye uvavanyo oluthe kratya, njenge-doppler echocardiography, i-myocardial scintigraphy, iiyure ezingama-24 iHolter okanye i-24 yeeyure ze-ABPM, umzekelo. Yazi iimviwo eziphambili zentliziyo.