Ukucindezela i-echocardiography

I-Stress echocardiography isivivinyo esisebenzisa i-ultrasound imaging ukukhombisa ukuthi imisipha yenhliziyo yakho isebenza kanjani ukumpompa igazi emzimbeni wakho. Kuvame ukusetshenziselwa ukuthola ukwehla kokugeleza kwegazi kuye enhliziyweni kusuka ekunciphiseni kwemithambo yegazi.

Lokhu kuhlolwa kwenziwa esikhungweni sezokwelapha noma ehhovisi lomhlinzeki wezempilo.

I-echocardiogram yokuphumula izokwenziwa kuqala. Ngenkathi ulele ohlangothini lwesobunxele ukhiphe ingalo yesobunxele, kubanjwa umshini omncane obizwa ngokuthi i-transducer esifubeni sakho. Ijel ekhethekile isetshenziselwa ukusiza amagagasi e-ultrasound ukuthi afike enhliziyweni yakho.

Iningi labantu lizohamba ngetreadmill (noma i-pedal ngebhayisikili lokuzivocavoca). Kancane kancane (cishe njalo ngemizuzu emi-3), uzocelwa ukuba uhambe (noma unqamule) ngokushesha futhi uthambekele. Kufana nokucelwa ukuba uhambe ngejubane noma ugijime ukhuphuke intaba.

Ezimweni eziningi, kuzodingeka uhambe noma unqobe imizuzu engaba ngu-5 kuye kwengu-15, kuya ngezinga lakho lokuqina nobudala bakho. Umhlinzeki wakho uzokucela ukuthi ume:

• Lapho inhliziyo yakho ishaya ngezinga elihlosiwe
• Lapho usukhathele kakhulu ukuqhubeka
• Uma unezinhlungu esifubeni noma ushintsho kumfutho wegazi okhathaza umhlinzeki owenza isivivinyo

Uma ungakwazi ukuzivocavoca umzimba, uzothola umuthi, njenge-dobutamine, ngokusebenzisa umthambo (intambo efakwa emithanjeni). Lo muthi uzokwenza inhliziyo yakho ishaye ngokushesha nangaphezulu, kufane nalapho uzivocavoca umzimba.

Umfutho wegazi kanye nesigqi senhliziyo (ECG) sakho kuzobhekwa kuyo yonke inqubo.

Izithombe eziningi ze-echocardiogram zizothathwa ngenkathi izinga lokushaya kwenhliziyo yakho likhula, noma lapho lifinyelela phezulu. Izithombe zizokhombisa ukuthi kukhona yini izingxenye zemisipha yenhliziyo ezingasebenzi kahle lapho izinga lokushaya kwenhliziyo yakho lenyuka. Lokhu kuwuphawu lokuthi ingxenye yenhliziyo kungenzeka ukuthi ayitholi igazi elanele noma umoya-mpilo ngenxa yemithambo emincane noma evinjiwe.

Buza umhlinzeki wakho uma kufanele uthathe noma imiphi imithi yakho ejwayelekile ngosuku lokuhlolwa. Eminye imithi ingaphazamisa imiphumela yokuhlolwa. Ungalokothi uyeke ukuthatha noma imuphi umuthi ngaphandle kokukhuluma nodokotela wakho kuqala.

Kubalulekile ukutshela udokotela wakho uma ngabe uphuze noma imuphi wale mithi elandelayo emahoreni angama-24 edlule (usuku olungu-1):

• I-Sildenafil citrate (Viagra)
• I-Tadalafil (Cialis)
• I-Vardenafil (Levitra)

UNGADLI noma uphuze okungenani amahora amathathu ngaphambi kokuhlolwa.

Gqoka izingubo ezikhululekile. Uzocelwa ukuthi usayine ifomu lokuvuma ngaphambi kokuhlolwa.

Ama-electrode (ama-patches aqhubayo) azobekwa esifubeni sakho, ezingalweni, nasemilenzeni ukuqopha umsebenzi wenhliziyo.

Isigaxa somfutho wegazi engalweni yakho sizokhula njalo ngemizuzu embalwa, sikhiqize umuzwa ocindezelayo ongazizwa uqine.

Imvamisa, abantu bazizwa bengakhululekile esifubeni, ukushaya kwenhliziyo okwengeziwe noma ukweqa, isiyezi, ikhanda, isicanucanu noma ukuphefumula okuncane ngesikhathi sokuhlolwa.

Ukuhlolwa kwenziwa ukubona ukuthi ngabe imisipha yenhliziyo yakho ithola ukugeleza kwegazi okwanele ne-oxygen lapho isebenza kanzima (ngaphansi kwengcindezi).

Udokotela wakho angaku-oda lokhu kuhlolwa uma:

• Yiba nezimpawu ezintsha zobuhlungu be-angina noma besifuba
• Yiba ne-angina eqhubeka iba yimbi
• Usanda kuhlaselwa yisifo senhliziyo
• Uzohlinzwa noma uqale uhlelo lokuzivocavoca, uma usengozini enkulu yesifo senhliziyo
• Yiba nezinkinga ze-valve yenhliziyo

Imiphumela yalokhu kuhlolwa kwengcindezi ingasiza umhlinzeki wakho:

• Thola ukuthi ukwelashwa kwenhliziyo kusebenza kahle kangakanani futhi ushintshe indlela owelashwa ngayo, uma kudingeka
• Thola ukuthi inhliziyo yakho ishaya kahle kangakanani
• Thola isifo semithambo yenhliziyo
• Bona ukuthi inhliziyo yakho inkulu yini

Ukuhlolwa okujwayelekile kuzosho ukuthi ukwazi ukuzivocavoca isikhathi eside noma isikhathi eside kunabantu abaningi abalingana nawe nobulili bakho. Futhi awuzange ube nezimpawu noma maqondana nezinguquko kumfutho wegazi kanye ne-ECG yakho. Izithombe zakho zenhliziyo zibonisa ukuthi zonke izingxenye zenhliziyo yakho ziphendula ekucindezelekeni okwengeziwe ngokupompa kanzima.

Umphumela ojwayelekile usho ukuthi ukugeleza kwegazi ngemithambo yenhliziyo kungenzeka kujwayelekile.

Incazelo yemiphumela yakho yokuhlolwa incike kusizathu sokuhlolwa, iminyaka yakho, nomlando wakho wenhliziyo nezinye izinkinga zezokwelapha.

Imiphumela engajwayelekile ingabangelwa:

• Ukwehla kwegazi kuye engxenyeni yenhliziyo. Isizathu esikhulu kunazo zonke ukuncipha noma ukuvinjelwa kwemithambo enikeza imisipha yenhliziyo yakho.
• Ukugqashuka kwemisipha yenhliziyo ngenxa yesifo senhliziyo esedlule.

Ngemuva kokuhlolwa ongakudinga:

• Ukubekwa kwe-Angioplasty nokuqina
• Izinguquko emithini yenhliziyo yakho
• I-Coronary angiography
• Ukuhlinzwa kokudlula kwenhliziyo

Izingozi ziphansi kakhulu. Ochwepheshe bezokunakekelwa kwezempilo bazokuqapha phakathi nenqubo yonke.

Izinkinga ezijwayelekile zifaka:

• Isigqi senhliziyo esingajwayelekile
• Ukuquleka (i-syncope)
• Isifo senhliziyo

Isivivinyo se-Echocardiography stress; Ukuhlolwa kwengcindezi - i-echocardiography; I-CAD - i-echocardiography yokucindezela; Isifo semithambo yegazi - isifo se-echocardiography; Ubuhlungu besifuba - i-echocardiography yokucindezela; I-Angina - i-echocardiography yokucindezela; Isifo senhliziyo - i-echocardiography yokucindezela

• Inhliziyo - isigaba phakathi nendawo
• Inhliziyo - ukubuka kwangaphambili
• Inqubo yokuthuthukiswa kwe-atherosclerosis

Boden WE. I-Angina pectoris kanye nesifo senhliziyo esizinzile se-ischemic. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier; 2020: isahluko 71.

UFihn SD, uBlankenship JC, u-Alexander KP, et al. Isibuyekezo esigxile ku-2014 ACC / AHA / AATS / PCNA / SCAI / STS somhlahlandlela wokuxilongwa nokuphathwa kweziguli ezinesifo senhliziyo esisimeme: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice, kanye ne I-American Association for Thoracic Surgery, I-Preventive Cardiovascular Nurses Association, i-Society for Cardiovascular Angiography kanye nokungenelela, kanye ne-Society of Thoracic Odgeons. UJ Am Coll Cardiol. 2014; 64 (18): 1929-1949. I-PMID: 25077860 www.ncbi.nlm.nih.gov/pubmed/25077860.

UFowler GC, uSmith A. Ukucindezela i-echocardiography. Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 76.

USolomon SD, uWu JC, uGillam L, uBulwer B. Echocardiography. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 14.