I-myocardial scintigraphy: ukulungiswa kunye nomngcipheko onokubakho

Umxholo

• Luqhutywa njani uviwo
• Indlela yokulungiselela
• 1. Ngawaphi amayeza ekufuneka uwaphephe
• 2. Kufanele ukuba njani ukutya
• Umngcipheko onokubakho kunye nezimo

Ukulungiselela i-myocardial scintigraphy, ekwabizwa ngokuba yi-myocardial perfusion scintigraphy okanye nge-myocardial scintigraphy ene-mibi, kuyacetyiswa ukuba uphephe ukutya okunje ngekofu kunye neebhanana kunye nokumisa, njengoko kuyalelwe ngugqirha, amayeza okuthintela i-beta (atenolol, propranolol, metoprolol, bisoprolol), iintsuku ezi-1 okanye ezi-2 phambi kwenkqubo. Kwizigulana ezingakwaziyo ukuyeka la mayeza, kukho indlela yokudibanisa amayeza kwitreadmill.

I-myocardial scintigraphy inexabiso eliphakathi kwe-1200 kunye ne-1400 reais kwaye isebenza ukuvavanya ukuhamba kwegazi kwimithambo yentliziyo, isetyenziselwa ukuvavanya ubukho be-infarction kwizigulana ezinentlungu esifubeni, emngciphekweni omkhulu wokuba neengxaki zentliziyo okanye kwimeko zentliziyo ukusilela, ukufakelwa kwentliziyo kunye nesifo sevalvu sentliziyo.

Jonga iimpawu ezili-12 ezinokubonisa iingxaki zentliziyo.

Luqhutywa njani uviwo

Ekuqaleni, umntu ufumana inaliti enento eqhumayo, eyimfuneko yokwenza imifanekiso kwisixhobo, evavanya ukuba igazi lifikelela njani entliziyweni. Emva koko, kuya kufuneka usele malunga neiglasi ezi-3 zamanzi, utye kwaye uhambe kancinci, ukunceda into ukuba iqokelele kwingingqi yentliziyo, ukuphucula imifanekiso efunyenwe kuvavanyo.

Uviwo lunamanyathelo amabini:

1. Inqanaba lokuphumla: umntu uthatha imifanekiso kumatshini, ehleli okanye elele phantsi;
2. Isigaba soxinzelelo: imifanekiso ithathwa emva koxinzelelo lwentliziyo olunokuthi lwenziwe nomntu ngexesha lokuzilolonga, ixesha elininzi, kwitreadmill, okanye kusetyenziswa iyeza elilinganisa ukuba intliziyo isebenza.

Kwesi sigaba sokugqibela, kukwakho nemo yokudityaniswa, apho kukho indibaniselwano yamayeza kunye nomzamo womzimba. Isigqibo malunga nokuba siza kwenziwa njani esi sigaba soxinzelelo kufuneka senziwe ngugqirha owenza uvavanyo, emva kovavanyo lwangaphambili lwesigulana.

Uvavanyo lwentliziyo luqala kwimizuzu engama-30 ukuya kwengama-90 emva kwenaliti yento enemitha ye-radioactive, kwaye imifanekiso yenziwa ngesixhobo esijikeleza esiswini somguli malunga nemizuzu emi-5.

Rhoqo, uvavanyo lwenziwa ngokuphumla nangaphantsi koxinzelelo, kungathabatha iintsuku ezimbini ukwenza uvavanyo. Kodwa ukuba zenziwe ngemini enye, uviwo luhlala luqala kwinqanaba lokuphumla.

Indlela yokulungiselela

Ukulungiselela uviwo kubandakanya ukunyamekela amayeza kunye nokutya:

1. Ngawaphi amayeza ekufuneka uwaphephe

Kuya kufuneka uthethe nogqirha ukuze ufumane isikhokelo, njengoko kufuneka uphephe ukusebenzisa, iiyure ezingama-48, amayeza oxinzelelo lwegazi oluphezulu, njengeVerapamil kunye neDiltiazem kunye ne-beta-blockers ezigcina zinciphisa ukubetha kwentliziyo, kunye nesifuba kunye ne-bronchitis, enje Aminophylline.

Ukongeza, iziyobisi zokuphucula ukujikeleza ngokusekwe kwii-nitrate, ezinje ngeIsosorbide neMonocordil, kufuneka zinqunyanyiswe kwiiyure ezili-12 phambi kovavanyo, ukuba ugqirha ucinga ukuba kuya kubakho isibonelelo esingaphezulu komngcipheko ekunqunyanyisweni.

2. Kufanele ukuba njani ukutya

Kwiiyure ezingama-24 phambi koviwo, ukungeniswa:

• Kofu;
• Ikofu etyiwayo
• Iti;
• Ukutya kwetshokholethi okanye itshokholethi;
• Ibhanana;
• Isiselo esithambile.

Ukongeza, kuya kufuneka uphephe nakuphi na okunye ukutya okanye amayeza aqukethe icaffeine, iziselo ezinxilisayo kunye neziselo ezihlwahlwazayo.

Nangona abanye oogqirha banokubonisa ukuzila ukutya phambi kovavanyo, uninzi bacebisa ngokutya okulula kwiiyure ezingama-2 ngaphambi kwescrafigraphy.

Umngcipheko onokubakho kunye nezimo

Umngcipheko we-myocardial scintigraphy kulindeleke ngakumbi kwi-myocardial scintigraphy ngoxinzelelo lwe-pharmacological ngenxa yeziphumo ebezingalindelekanga zonyango.

• Imvakalelo ubushushu entloko;
• Iintlungu zesifuba;
• Migraine;
• Isiyezi;
• Nciphisa uxinzelelo lwegazi;
• Ukuphefumla okufutshane;
• Isicaphucaphu.

Nangona kunjalo, i-myocardial scintigraphy ihlala ingabangeli ziphumo zempilo kwaye akukho mfuneko yokuba uhlale esibhedlele.

Ukongeza, kubalulekile ukukhumbula ukuba i-myocardial scintigraphy iyaphikiswa kwabasetyhini abakhulelweyo okanye abancancisayo.