I-myocardial scintigraphy: ukulungiselela kanye nezingozi ezingaba khona

-Delile

• Kwenziwa kanjani ukuhlolwa
• Ukulungiselela kanjani
• 1. Imiphi imithi okufanele uyigweme
• 2. Kufanele kube kanjani ukudla
• Izingozi ezingenzeka nokuphikisana

Ukulungiselela i-myocardial scintigraphy, ebizwa nangokuthi i-myocardial perfusion scintigraphy noma i-myocardial scintigraphy ene-mibi, kungakuhle ukuthi ugweme okunye ukudla okufana nekhofi nobhanana futhi umise, njengoba kuyalelwe ngudokotela wakho, imithi yokuvimba i-beta (atenolol, propranolol, metoprolol, bisoprolol), izinsuku ezi-1 noma ezi-2 ngaphambi kwenqubo. Ezigulini ezingakwazi ukuyeka le mithi, kunendlela yokuhlanganisa umuthi ne-treadmill.

I-myocardial scintigraphy inenani eliphakathi kwe-1200 ne-1400 reais futhi isebenza ukuhlola ukuhamba kwegazi emithanjeni yenhliziyo, isetshenziselwa ukuhlola ukutholakala kwe-infarction ezigulini ezinobuhlungu besifuba, engcupheni enkulu yokuba nezinkinga zenhliziyo noma ezimeni zenhliziyo ukwehluleka, ukufakelwa inhliziyo nesifo se-valve senhliziyo.

Bheka izimpawu eziyi-12 ezingakhombisa izinkinga zenhliziyo.

Kwenziwa kanjani ukuhlolwa

Ekuqaleni, umuntu uthola umjovo ngento enemisebe, edingekayo ukwakha izithombe kudivayisi, ehlola ukuthi igazi lifinyelela kanjani enhliziyweni. Ngemuva kwalokho, kufanele uphuze cishe izingilazi ezi-3 zamanzi, udle futhi uhambe kancane, ukusiza into ukuthi iqoqane esifundeni senhliziyo, ithuthukise izithombe ezitholwe ekuhlolweni.

Ukuhlolwa kunezinyathelo ezimbili:

1. Isigaba sokuphumula: umuntu uthatha izithombe emshinini, ehleli noma elele phansi;
2. Ukucindezeleka isigaba: izithombe zithathwa ngemuva kwengcindezi yenhliziyo engenziwa nomuntu ngesikhathi sokuzivocavoca, isikhathi esiningi, kutreadmill, noma ngokusebenzisa umuthi ofanisa ukuthi inhliziyo iyavivinya.

Kulesi sigaba sokugcina, kukhona nesimo esihlanganisiwe, lapho kukhona inhlanganisela yemithi nokuzikhandla komzimba. Isinqumo sokuthi lesi sigaba sokucindezelwa sizokwenziwa kanjani kufanele senziwe ngudokotela owenza ukuhlolwa, ngemuva kokuhlolwa kwesiguli kwangaphambilini.

Ukuhlolwa kwenhliziyo kuqala imizuzu engama-30 kuye kwengu-90 ngemuva kokujova ngento enemisebe, futhi izithombe zenziwa ngedivayisi ejikeleza esiswini sesiguli cishe imizuzu emihlanu.

Imvamisa, ukuhlolwa kwenziwa kokubili ekuphumuleni nangaphansi kwengcindezi, ngakho-ke kungathatha izinsuku ezimbili ukwenza isivivinyo. Kepha uma kwenziwa ngosuku olufanayo, ukuhlolwa kuvame ukuqala esigabeni sokuphumula.

Ukulungiselela kanjani

Ukulungiselela ukuhlolwa kufaka ukunakekela imithi nokudla:

1. Imiphi imithi okufanele uyigweme

Kufanele ukhulume nodokotela ukuthola ukwelulekwa, njengoba kufanele ugweme ukusebenzisa, amahora angama-48, imishanguzo yomfutho wegazi ophakeme, njengeVerapamil neDiltiazem kanye ne-beta-blockers egcina inciphise izinga lokushaya kwenhliziyo, nesifuba somoya nesifuba, njenge I-Aminophylline.

Ngaphezu kwalokho, imishanguzo yokwenza ngcono ukusakazeka okususelwa kuma-nitrate, njenge-Isosorbide neMonocordil, kufanele imiswe emahoreni ayi-12 ngaphambi kokuhlolwa, uma udokotela ebheka ukuthi kuzoba nenzuzo ethe xaxa kunengozi ekumisweni.

2. Kufanele kube kanjani ukudla

Emahoreni angama-24 ngaphambi kokuhlolwa, ukufakwa kwe:

• Ikhofi;
• Ikhofi le-Decaf;
• Amathi;
• Ukudla kukashokoledi noma ushokoledi;
• Ibhanana;
• Iziphuzo ezibandayo.

Ngaphezu kwalokho, kufanele futhi ugweme noma ikuphi okunye ukudla noma imishanguzo equkethe i-caffeine, iziphuzo ezidakayo neziphuzo ezine-carbonated.

Yize abanye odokotela bengakhombisa ukuzila ukudla ngaphambi kokuhlolwa, iningi leluleka ngokudla okulula amahora ama-2 ngaphambi kwe-scintigraphy.

Izingozi ezingenzeka nokuphikisana

Izingozi ze-myocardial scintigraphy zilindelwe kakhulu ku-myocardial scintigraphy nge-stress pharmacological ngenxa yemiphumela emibi yomuthi, ongaba:

• Ukuzwa kokushisa ekhanda;
• Ubuhlungu besifuba;
• Migraine;
• Isiyezi;
• Ukwehla komfutho wegazi;
• Ukuphefumula okufishane;
• Isicanucanu.

Kodwa-ke, i-myocardial scintigraphy imvamisa ayibangeli imiphumela yezempilo futhi akudingeki ukuthi uhlale esibhedlela.

Ngaphezu kwalokho, kubalulekile ukukhumbula ukuthi i-myocardial scintigraphy iyaphikiswa kwabesifazane abakhulelwe noma abancelisayo.