Ukuhlolwa Kwezempilo Yenhliziyo

-Delile

• Isifinyezo
• Ukubopha Inhliziyo Ngokuqina
• Ukuskena Kwenhliziyo
• I-MRI yezinhliziyo
• I-X-Ray yesifuba
• I-Coronary Angiography
• I-Echocardiography
• I-Electrocardiogram (EKG), (ECG)
• Ukuhlolwa Kokucindezeleka

Isifinyezo

Izifo zenhliziyo zingumbulali wokuqala e-U.S. Ziyimbangela enkulu yokukhubazeka. Uma unesifo senhliziyo, kubalulekile ukusithola kusenesikhathi, lapho kulula ukuselapha. Ukuhlolwa kwegazi nokuhlolwa kwezempilo yenhliziyo kungasiza ekutholeni izifo zenhliziyo noma ukukhomba izinkinga ezingaholela ezifweni zenhliziyo. Kunezinhlobo ezahlukahlukene zokuhlolwa kwezempilo yenhliziyo. Udokotela wakho uzonquma ukuthi yikuphi ukuhlolwa noma ukuhlolwa okudingayo, ngokuya ngezimpawu zakho (uma zikhona), izinto ezinobungozi, nomlando wezokwelapha.

Ukubopha Inhliziyo Ngokuqina

I-catheterization yenhliziyo yinqubo yezokwelapha esetshenziselwa ukuxilonga nokwelapha ezinye izimo zenhliziyo. Ngenqubo, udokotela wakho ubeka ipayipi (ishubhu elide, elincanyana, eliguquguqukayo) emthanjeni wegazi engalweni, emgodini, nasentanyeni, bese ulifaka enhliziyweni yakho. Udokotela angasebenzisa i-catheter ukwenza

• Yenza i-coronary angiography. Lokhu kuhilela ukufaka uhlobo olukhethekile lukadayi ku-catheter, ngakho-ke udayi ungangena egazini lakho uye enhliziyweni yakho. Ngemuva kwalokho udokotela wakho uthatha ama-x-ray enhliziyo yakho. Idayi ivumela udokotela wakho ukuthi abone imithambo yakho ye-coronary kwi-x-ray, futhi ahlole isifo semithambo yenhliziyo (i-plaque buildup emithanjeni).
• Thatha amasampula egazi nenhliziyo yemisipha
• Yenza izinqubo ezifana nokuhlinzwa okuncane kwenhliziyo noma i-angioplasty, uma udokotela wakho ethola ukuthi uyakudinga

Ukuskena Kwenhliziyo

Ukuskena kwe-cardiac CT (computed tomography) ukuhlola okungenabuhlungu okusebenzisa ama-x-ray ukuthatha izithombe eziningiliziwe zenhliziyo yakho nemithambo yegazi. Amakhompiyutha angahlanganisa lezi zithombe ukudala imodeli enamacala amathathu (3D) yenhliziyo yonke. Lokhu kuhlolwa kungasiza odokotela ukuthola noma ukuhlola

• Isifo semithambo yegazi
• Ukwakhiwa kwe-calcium emithanjeni ye-coronary
• Izinkinga nge-aorta
• Izinkinga ngokusebenza kwenhliziyo nama-valve
• Izifo ze-Pericardial

Ngaphambi kokuhlolwa, uthola umjovo wedayi wokuqhathanisa. Idayi igqamisa inhliziyo yakho nemithambo yegazi ezithombeni. Isithwebuli se-CT siwumshini omkhulu, ofana nomhubhe. Uhlala ulele etafuleni elikuslayida ungene kuskena, bese isithwebuli sithatha izithombe cishe imizuzu eyi-15.

I-MRI yezinhliziyo

I-Cardiac MRI (i-magnetic resonance imaging) isivivinyo esingenabuhlungu esisebenzisa amagagasi omsakazo, odonsa, kanye nekhompyutha ukudala izithombe eziningiliziwe zenhliziyo yakho. Kungasiza udokotela wakho ukuthola ukuthi unesifo senhliziyo, futhi uma kunjalo, sinzima kangakanani. I-MRI yenhliziyo ingasiza nodokotela wakho ukuthi anqume indlela engcono yokwelapha izinkinga zenhliziyo ezifana

• Isifo semithambo yegazi
• Izinkinga ze-valve yenhliziyo
• I-Pericarditis
• Izimila zenhliziyo
• Ukulimala kwesifo senhliziyo

I-MRI iwumshini omkhulu, ofana nomhubhe. Uhlala ulele etafuleni elikuslayida ungene emshinini we-MRI. Umshini wenza umsindo omkhulu njengoba uthatha izithombe zenhliziyo yakho. Imvamisa kuthatha imizuzu engama-30-90. Kwesinye isikhathi ngaphambi kokuhlolwa, ungathola umjovo wedayi wokuqhathanisa. Idayi igqamisa inhliziyo yakho nemithambo yegazi ezithombeni.

I-X-Ray yesifuba

I-x-ray yesifuba idala izithombe zezitho nezakhiwo ngaphakathi kwesifuba sakho, njengenhliziyo yakho, amaphaphu nemithambo yegazi. Kungaveza izimpawu zokwehluleka kwenhliziyo, kanye nokuphazamiseka kwamaphaphu nezinye izimbangela zezimpawu ezingahlobene nesifo senhliziyo.

I-Coronary Angiography

I-Coronary angiography (i-angiogram) inqubo esebenzisa udayi ongafani nezithombe ze-x-ray ukubuka ingaphakathi lemithambo yakho. Ingakhombisa ukuthi ngabe uqwembe luvimbela imithambo yakho yegazi nokuthi ukuvinjelwa kuqine kangakanani. Odokotela basebenzisa le nqubo ukuxilonga izifo zenhliziyo ngemuva kobuhlungu besifuba, ukuboshwa okungazelelwe kwenhliziyo (i-SCA), noma imiphumela engajwayelekile evela kwezinye izivivinyo zenhliziyo ezifana ne-EKG noma ukuhlolwa kwengcindezi.

Imvamisa une-catheterization yenhliziyo yokufaka udayi emithanjeni yakho ye-coronary. Ngemuva kwalokho une-x-ray ekhethekile ngenkathi idayi igeleza emithanjeni yakho ye-coronary. Idayi ivumela udokotela wakho ukuthi afunde ukugeleza kwegazi enhliziyweni yakho nasemithanjeni yegazi.

I-Echocardiography

I-Echocardiography, noma i-echo, isivivinyo esingenabuhlungu esisebenzisa amagagasi omsindo ukudala izithombe ezihambayo zenhliziyo yakho. Izithombe zikhombisa ubukhulu nokuma kwenhliziyo yakho. Zibonisa nokuthi amagumbi nama-valve enhliziyo yakho asebenza kahle kangakanani. Odokotela basebenzisa i-echo ukuthola izinkinga eziningi zenhliziyo, nokubheka ukuthi zinzima kangakanani.

Ekuhlolweni, uchwepheshe ugcoba ijeli esifubeni sakho. Ijeli isiza amaza omsindo afinyelele inhliziyo yakho. Uchwepheshe uhambisa i-transducer (into efana ne-wand) nxazonke esifubeni sakho. I-transducer ixhuma kukhompyutha. Idlulisela amagagasi e-ultrasound esifubeni sakho, futhi amagagasi abuyela emuva (echo) emuva. Ikhompyutha iguqula ama-echoe abe izithombe zenhliziyo yakho.

I-Electrocardiogram (EKG), (ECG)

I-electrocardiogram, ebizwa nangokuthi i-ECG noma i-EKG, isivivinyo esingenabuhlungu esithola futhi siqophe umsebenzi kagesi wenhliziyo yakho. Kukhombisa ukuthi inhliziyo yakho ishaya ngamandla kangakanani nokuthi isigqi sayo siqinile noma asijwayelekile.

I-EKG ingaba yingxenye yesivivinyo esijwayelekile sokuhlola isifo senhliziyo. Noma ungayithola ukuthola nokutadisha izinkinga zenhliziyo njengokuhlaselwa yinhliziyo, i-arrhythmia, nokuhluleka kwenhliziyo.

Ekuhlolweni, ulele unganyakazi phezu kwetafula kanti umhlengikazi noma uchwepheshe unamathisela ama-electrode (amabala anezinzwa) esikhumbeni esifubeni, ezingalweni nasemilenzeni. Izintambo zixhuma ama-electrode emshinini orekhoda umsebenzi kagesi wenhliziyo yakho.

Ukuhlolwa Kokucindezeleka

Ukuhlolwa kwengcindezi kubheka ukuthi inhliziyo yakho isebenza kanjani ngesikhathi sokuxineka emzimbeni. Kungasiza ukuxilonga isifo semithambo yegazi, nokubheka ukuthi sinzima kangakanani. Ingabheka nezinye izinkinga, kufaka phakathi isifo se-valve senhliziyo nokuhluleka kwenhliziyo.

Ekuhlolweni, uzivocavoca umzimba (noma unikezwa umuthi uma ungakwazi ukuzivocavoca) ukwenza inhliziyo yakho isebenze kanzima futhi ishaye ngokushesha. Ngenkathi lokhu kwenzeka, uthola i-EKG nokuqapha umfutho wegazi. Kwesinye isikhathi ungahle ube ne-echocardiogram, noma okunye ukuhlolwa kwe-imaging njengokuskena kwenuzi. Ngokuskena kwenuzi, uthola umjovo we-tracer (into enemisebe), ehambela inhliziyo yakho. Amakhamera akhethekile athola amandla avela kulandelwa ukwenza izithombe zenhliziyo yakho. Unezithombe ezithathwe ngemuva kokuzivocavoca, bese ngemuva kokuphumula.

I-NIH: I-National Heart, Lung, ne-Blood Institute