Iimvavanyo ezisi-7 zokuvavanya impilo yentliziyo

Umxholo

• 1. X-ray yesifuba
• 2. Electrocardiogram
• 3.MAPA
• 4. IHolter
• 5. Uvavanyo loxinzelelo
• 6. I-Echocardiogram
• 7. I-scyografi ye-myocardial
• Iimvavanyo zaselebhu ukuvavanya intliziyo

Ukusebenza kwentliziyo kunokuvavanywa kuvavanyo oluninzi ekufuneka luboniswe ngugqirha wezifo zentliziyo okanye ugqirha jikelele ngokwembali yezonyango yomntu.

Olunye uvavanyo, olufana ne-electrocardiogram, i-X-ray yesifuba, lungenziwa rhoqo ukwenza uhlolo lwentliziyo, ngelixa ezinye iimvavanyo, ezinje nge-myocardial scintigraphy, uvavanyo loxinzelelo, i-echocardiogram, i-MAP kunye ne-holter, umzekelo, kwenziwa xa kurhanelwa izifo ezithile, ezinje nge-angina okanye i-arrhythmias.

Ke, ezona mviwo ziphambili zokuvavanya intliziyo zezi:

1. X-ray yesifuba

IX-reyi okanye isifuba esibonisa imitha luvavanyo oluvavanya intaba yentliziyo kunye ne-aorta, ukongeza kuvavanyo lokuba ngaba kukho imiqondiso yokufumba kolwelo emiphungeni, ebonisa ukuba kunokwenzeka ukusilela kwentliziyo. Olu vavanyo lukwavavanya ulwandlalo lwe-aorta, esisisitya esishiya intliziyo ukuba ithwale igazi liye kuwo wonke umzimba. Olu vavanyo luhlala lwenziwa ngokuma kwesigulana kunye nemiphunga ezaliswe ngumoya, ukuze umfanekiso ufumaneke ngokuchanekileyo.

IX-reyi ithathwa njengoluvavanyo lokuqala, kwaye ihlala icetyiswa ngugqirha ukwenza ezinye iimvavanyo zentliziyo ukuvavanya ngcono intliziyo kunye nenkcazo ebanzi.

Yenzelwe ntoni: ibonakalisiwe ukuphonononga iimeko zentliziyo eyandisiweyo okanye imithambo yegazi okanye ukujonga ukuba kukho ukubekwa kwecalcium kwi-aorta, enokwenzeka ngenxa yobudala. Ukongeza, ivumela ukuvavanya imeko yemiphunga, ibone ubukho bencindi kunye nencindi.

Xa ichasene: akufuneki yenziwe kwabasetyhini abakhulelweyo, ngakumbi kwikota yokuqala yokuqala ngenxa yemitha ekhutshwe ngexesha loviwo. Nangona kunjalo, ukuba ugqirha ukholelwa ukuba uviwo lubalulekile, kuyacetyiswa ukuba owasetyhini okhulelweyo enze uvavanyo esebenzisa ikhaka elikhokelayo esiswini. Qonda ukuba yeyiphi ingozi yeX-reyi xa ukhulelwe.

2. Electrocardiogram

I-electrocardiogram luvavanyo oluvavanya isingqisho sentliziyo kwaye senziwa ngesigulana esilele phantsi, sibeka iintambo kunye nonxibelelwano oluncinci lwesinyithi kulusu lwesifuba. Ke, njenge-X-ray yesifuba, i-electrocardiogram ithathwa njengenye yeemvavanyo zokuqala ezithi zivavanye ukusebenza kombane wentliziyo, zibandakanyiwe kwiimviwo eziqhelekileyo zokubonisana nogqirha wentliziyo. Ingasetyenziselwa ukuvavanya ubungakanani bezinye iintliziyo zentliziyo, ukungabandakanyi ezinye iintlobo ze-infarction kunye nokuvavanya i-arrhythmia.

I-electrocardiogram iyakhawuleza kwaye ayibuhlungu, kwaye ihlala yenziwe ngugqirha wezentliziyo ngokwakhe eofisini. Fumanisa ukuba yenziwa njani i-electrocardiogram.

Yenzelwe ntoni: yenzelwe ukufumanisa i-arrhythmias okanye ukubetha kwentliziyo okungaqhelekanga, kuvavanya utshintsho olucebisayo lwe-infarction entsha okanye endala kwaye iphakamise utshintsho lwe-hydroelectrolytic njengokuncipha okanye ukunyuka kwepotassium egazini.

Xa ichasene: nabani na angangeniswa kwi-electrocardiogram. Nangona kunjalo, kunokubakho uphazamiseko okanye ubunzima ekuyenzeni, kubantu abanelungu elinqunyulwe umzimba okanye abanezilonda kulusu, iinwele ezigqithileyo esifubeni, abantu abasebenzise amafutha okuthambisa emzimbeni phambi koviwo, okanye nakwizigulana ezingakhange uyakwazi ukuma ngxi ngexesha lokurekhoda i-electrocardiogram.

3.MAPA

Uvavanyo lwe-Ambulatory Pressure Monitoring, eyaziwa ngokuba yi-MAPA, lwenziwa iiyure ezingama-24 ngesixhobo sokulinganisa uxinzelelo lwegazi engalweni kunye nesishicileli esincinci esincamathele esinqeni esilinganisela kumanqanaba amiselwe ngugqirha wezentliziyo, ngaphandle kwesidingo sokuhlala esibhedlele .

Zonke iziphumo zoxinzelelo lwegazi ezirekhodiweyo ziyahlalutywa ngugqirha, ke ngoko kuyacetyiswa ukuba kugcinwe imisebenzi yesiqhelo yemihla ngemihla, kunye nokubhala kwidayari into obuyenza ngalo lonke ixesha uxinzelelo belulinganiswa, njengoko imisebenzi enjengokutya, ukuhamba okanye ukunyuka izitepsi kunokutshintsha uxinzelelo. Yazi ixabiso kunye nokhathalelo ekufuneka luthathelwe ukwenza iMPA

Yenzelwe ntoni: kuvumela ukuphanda ukwahluka koxinzelelo imini yonke, xa kukho amathandabuzo malunga nokuba ngaba isigulana sinoxinzelelo lwegazi oluphezulu, okanye kwimeko yokurhanela i-White Coat Syndrome, apho uxinzelelo lonyuka ngexesha lokubonisana kwezonyango, kodwa hayi kwezinye iimeko . Ukongeza, iMAPA inokwenziwa ngenjongo yokuqinisekisa ukuba amachiza okulawula uxinzelelo asebenza kakuhle imini yonke.

Xa ichasene: ayinakwenziwa xa kungenakwenzeka ukulungelelanisa ikhafu engalweni yesigulana, enokwenzeka kubantu ababhityileyo okanye abatyebe kakhulu, kwaye nakwiimeko apho kungenakwenzeka ukulinganisa uxinzelelo ngokuthembekileyo, olunokwenzeka kubantu abanonyikimo okanye ii-arrhythmias, umzekelo.

4. IHolter

Iholter luvavanyo lokuvavanya isingqisho sentliziyo imini yonke nasebusuku kusetyenziswa isishicileli esiphathwayo esinee-electrode ezifanayo ne-electrocardiogram kunye nesishicileli esiqhotyoshelwe emzimbeni, ukurekhoda ukubetha kwentliziyo nganye kwelo xesha.

Nangona ixesha loviwo luziiyure ezingama-24, kukho iimeko ezinzima ngakumbi ezifuna iiyure ezingama-48 okanye kwiveki e-1 ukuphanda ngokufanelekileyo isingqisho sentliziyo. Ngexesha lokusebenza kwe holter, kukwaboniswa ukuba ubhale phantsi imisebenzi kwidayari, ezinje ngemizamo emikhulu, kunye nobukho beempawu ezinje ngokutswina okanye iintlungu esifubeni, ukuze isingqisho kula maxesha sivavanywe.

Yenzelwe ntoni: Olu vavanyo lufumanisa i-arrhythmias yentliziyo enokuthi ivele ngamaxesha ahlukeneyo emini, iphande ngeempawu zokuba nesiyezi, ukubetha ngamandla okanye ukuphelelwa ngamandla ezinokubangelwa kukusilela kwentliziyo, kwaye iphinde ivavanye isiphumo se-pacemaker okanye amayeza okunyanga ii-arrhythmias.

Xa ichasene: inokwenziwa nakubani na, kodwa kufuneka ithintelwe kubantu abanolusu olucaphukisayo oluguqula ukulungiswa kwe-electrode. Inokufakwa nangubani na umntu oqeqeshiweyo, kodwa inokuhlaziywa kuphela ngugqirha wezentliziyo.

5. Uvavanyo loxinzelelo

Uvavanyo loxinzelelo, olukwabizwa ngokuba luvavanyo lwethayile okanye uvavanyo lokuzilolonga, lwenziwa ngenjongo yokujonga utshintsho kuxinzelelo lwegazi okanye ukubetha kwentliziyo ngexesha lokusebenza komzamo othile. Ukongeza kwi-treadmill, inokwenziwa kwibhayisikile yokuzilolonga.

Uvavanyo lovavanyo loxinzelelo luxelisa iimeko ezifunwa ngumzimba, ezinje ngokunyuka kwezinyuko okanye ithambeka, umzekelo, zizinto ezinokubangela ukungonwabi okanye ukuphefumla kancinci kubantu abasemngciphekweni wokuhlaselwa sisifo sentliziyo. Fumana ezinye iinkcukacha malunga nokuvavanywa koxinzelelo.

Yenzelwe ntoni: ivumela ukuvavanya ukusebenza kwentliziyo ngexesha lomzamo, ukubona ubukho beentlungu zesifuba, ukuphefumla kancinci okanye i-arrhythmias, enokuthi ibonakalise umngcipheko we-infarction okanye ukusilela kwentliziyo.

Xa ichasene: olu vavanyo akufuneki lwenziwe ngabantu abanesithintelo emzimbeni, njengokungakwazi ukuhamba okanye ukuhamba ngebhayisikile, okanye abagula kakhulu, njengosulelo okanye ukusilela kwentliziyo, njengoko kunokuba kubi kakhulu ngexesha loviwo.

6. I-Echocardiogram

I-echocardiogram, ekwabizwa ngokuba yi-echocardiogram, luhlobo lwe-ultrasound yentliziyo, efumana imifanekiso ngexesha lomsebenzi wayo, ukuvavanya ubungakanani bayo, ukutyeba kweendonga zayo, inani legazi elimpontshwayo kunye nokusebenza kwezivalo zentliziyo.

Olu vavanyo alunantlungu kwaye alusebenzisi i-x-reyi ukufumana umfanekiso wakho, ke lwenziwa kakhulu kwaye lubonelela ngolwazi oluninzi malunga nentliziyo. Ihlala isenziwa ukuphanda abantu abafumana ukuphefumla kancinci kunye nokudumba emilenzeni, okunokubonisa ukusilela kwentliziyo. Jonga imiyalelo yenyathelo ngenyathelo yokwenza i-echocardiogram.

Yenzelwe ntoni: inceda ukuvavanya ukusebenza kwentliziyo, ukubona ukungaphumeleli kwentliziyo, ukukrokra kwentliziyo, utshintsho kubume bentliziyo kunye neenqanawa, ukongeza ekubeni nakho ukubona ubukho bamathumba ngaphakathi kwentliziyo.

Xa ichasene: Akukho zingqinisiso zoviwo, nangona kunjalo ukusebenza kwayo kwaye, ngenxa yoko, isiphumo, kunokuba nzima kakhulu kubantu abanezifuba okanye izitho ezigqithisileyo, kunye nezigulane apho kungenakwenzeka ukuba zilale ecaleni, njengabantu abaneziphene emlenzeni okanye abakwimeko embi okanye abafudumeleyo, umzekelo.

7. I-scyografi ye-myocardial

I-Scintigraphy luvavanyo olwenziwa ngenaliti ekhethekileyo kumthambo, oququzelela ukubanjwa kwemifanekiso kwiindonga zentliziyo. Imifanekiso ithathwa kunye nomntu ephumle nasemva komzamo, ukuze kubekho uthelekiso phakathi kwabo. Ukuba umntu akakwazi ukwenza iinzame, indawo yakhe iyeza elilingisayo, emzimbeni, ukuhamba ngenkani, ngaphandle kokuba umntu emke kuloo ndawo.

Yenzelwe ntoni: kuvavanye utshintsho ekunikezelweni kwegazi kwiindonga zentliziyo, njengoko kunokwenzeka nge-angina okanye infarction, umzekelo. Iyakwazi nokujonga ukusebenza kwentliziyo ekubetheni kwayo kwinqanaba layo lokuzikhandla.

Xa ichasene: I-myocardial scintigraphy iyaphikiswa kwimeko yokungabikho komzimba kwisithako esisebenzayo sokwenza uvavanyo, abantu abane-arrhythmias eqatha okanye abaneengxaki zezintso, kuba ukupheliswa kokungafani kwenziwa zizintso.

I-cardiologist nayo inokugqiba ukuba ngaba olu vavanyo luya kwenziwa kunye okanye ngaphandle kokukhuthaza amayeza akhawulezisa ukubetha kwentliziyo ukulinganisa imeko yoxinzelelo yesigulana. Jonga indlela i-scintigraphy elungiselelwe ngayo.

Iimvavanyo zaselebhu ukuvavanya intliziyo

Kukho iimvavanyo zegazi ezinokuthi zenziwe ukuvavanya intliziyo, njengeTroponin, i-CPK okanye i-CK-MB, umzekelo, ezimakishi zemisipha ezinokusetyenziswa kuvavanyo lwe-infyoction ye-myocardial.

Olunye uvavanyo, olunjenge-glucose yegazi, i-cholesterol kunye ne-triglycerides, eziceliwe kuhlolo lwe-cardiovascular check, umzekelo, nangona zingangqinelani nentliziyo, zibonisa ukuba akukho lawulo ngamayeza, ukwenza imisebenzi yomzimba kunye nokutya okulinganayo umngcipheko omkhulu wokuhlaselwa sisifo sentliziyo. Ukuqonda ngcono ukuba uza kuvavanywa nini kwintliziyo.