Ukuhlolwa Kokucindezeleka

-Delile

• Kuyini ukuhlolwa kwengcindezi?
• Zisetshenziselwani?
• Kungani ngidinga ukuhlolwa kwengcindezi?
• Kwenzekani ngesikhathi sokuhlolwa kwengcindezi?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Izinkomba

Kuyini ukuhlolwa kwengcindezi?

Ukuhlolwa kwengcindezi kukhombisa ukuthi inhliziyo yakho iphatha kahle kangakanani umsebenzi womzimba. Inhliziyo yakho ishaya ngamandla futhi ngokushesha uma uzivocavoca. Ezinye izinkinga zenhliziyo kulula ukuzithola lapho inhliziyo yakho isebenza kanzima. Ngesikhathi sokuhlolwa kwengcindezi, inhliziyo yakho izobhekwa ngenkathi uvivinya umshini wokunyathela noma ibhayisikili elimile. Uma ungaphilile ngokwanele ukuzivocavoca umzimba, uzonikezwa umuthi owenza inhliziyo yakho ishaye ngokushesha nangaphezulu, kube sengathi ubuzivocavoca empeleni.

Uma unenkinga yokuqedela ukuhlolwa kwengcindezi esikhathini esinqunyiwe, kungasho ukuthi kunciphise ukugeleza kwegazi kuye enhliziyweni yakho. Ukuncipha kwegazi kungadalwa yizimo zenhliziyo ezahlukahlukene, ezinye zazo ezibucayi kakhulu.

Amanye amagama: ukuhlolwa kwengcindezi yokuzivocavoca, ukuhlolwa kwe-treadmill, ukucindezela kwe-EKG, i-ECG yokucindezela, ukuhlolwa kwengcindezi yenuzi, i-echocardiogram

Zisetshenziselwani?

Ukuhlolwa kwengcindezi kuvame ukusetshenziselwa:

• Xilonga isifo semithambo yegazi, isimo esidala into eketshezi ebizwa ngokuthi i-plaque ukuba yakhe emithanjeni. Kungadala ukuvinjelwa okuyingozi ekugelezeni kwegazi kuye enhliziyweni.
• Xilonga i-arrhythmia, isimo esidala ukushaya kwenhliziyo okungajwayelekile
• Thola ukuthi yiliphi izinga lokuzivocavoca okuphephile kuwe
• Thola ukuthi umuthi wakho usebenza kahle kanjani uma usuvele utholakale unesifo senhliziyo
• Khombisa ukuthi usengozini yokuhlaselwa yisifo senhliziyo noma esinye isimo esibi senhliziyo

Kungani ngidinga ukuhlolwa kwengcindezi?

Ungadinga ukuhlolwa kwengcindezi uma unezimpawu zokwehla kwegazi okulinganiselwe enhliziyweni yakho. Lokhu kufaka phakathi:

• I-Angina, uhlobo lobuhlungu besifuba noma ukungaphatheki kahle okubangelwa ukungahambi kahle kwegazi liye enhliziyweni
• Ukuphelelwa umoya
• Ukushaya kwenhliziyo okusheshayo
• Ukushaya kwenhliziyo okungajwayelekile (arrhythmia). Lokhu kungazwakala njengokushayeka esifubeni sakho.

Ungadinga futhi ukuhlolwa kwengcindezi ukuhlola impilo yenhliziyo yakho uma:

• Bahlela ukuqala uhlelo lokuzivocavoca umzimba
• Ngibe nokuhlinzwa kwenhliziyo kwakamuva
• Balashelwa isifo senhliziyo. Ukuhlolwa kungakhombisa ukuthi umuthi wakho usebenza kahle kangakanani.
• Uke wahlaselwa yisifo senhliziyo esikhathini esedlule
• Basengozini enkulu yesifo senhliziyo ngenxa yezinkinga zempilo ezinjengesifo sikashukela, umlando womndeni wesifo senhliziyo, kanye / noma nezinkinga zenhliziyo ezedlule

Kwenzekani ngesikhathi sokuhlolwa kwengcindezi?

Kunezinhlobo ezintathu eziyinhloko zokuhlolwa kwengcindezi: izivivinyo zokuxineka kokuzivocavoca, izivivinyo zenuzi, kanye nama-echocardiograms okucindezela. Zonke izinhlobo zokuhlolwa kwengcindezi zingenziwa ehhovisi lomhlinzeki wezokunakekelwa kwempilo, emtholampilo wabalaliswa ngaphandle, noma esibhedlela.

Ngesikhathi sokuhlolwa kokuvivinya umzimba:

• Umhlinzeki wezempilo uzobeka ama-electrode amaningana (izinzwa ezincane ezinamathela esikhunjeni) ezingalweni, emilenzeni nasesifubeni. Umhlinzeki angahle adinge ukushefa izinwele ezeqile ngaphambi kokufaka ama-electrode.
• Ama-electrode ahlanganiswe nezintambo emshinini we-electrocardiogram (EKG), oqopha umsebenzi kagesi wenhliziyo yakho.
• Uzobe usuhamba esitayeleni noma ugibele ibhayisikili elimile, uqale kancane.
• Ngemuva kwalokho, uzohamba noma unyathele ngokushesha, ukuthambekela nokumelana kukhuphuke njengoba uhamba.
• Uzoqhubeka uhambe noma ugibele uze ufinyelele isilinganiso senhliziyo eqondiwe esethwe umhlinzeki wakho. Kungadingeka ukuthi ume ngokushesha uma uba nezimpawu ezifana nobuhlungu besifuba, ukuphefumula okuncane, isiyezi, noma ukukhathala. Ukuhlolwa kungabuye kumiswe uma i-EKG ikhombisa inkinga ngenhliziyo yakho.
• Ngemuva kokuhlolwa, uzobhekwa imizuzu engu-10-15 noma kuze kube yilapho isilinganiso senhliziyo yakho sibuyela kokujwayelekile.

Kokubili ukuhlolwa kwengcindezi yenuzi kanye nama-echocardiograms okucindezela ukuhlolwa kwe-imaging. Lokho kusho ukuthi izithombe zizothathwa ngenhliziyo yakho ngesikhathi sokuhlolwa.

Ngesikhathi sokuhlolwa kwengcindezi yenuzi:

• Uzolala etafuleni lezivivinyo.
• Umhlinzeki wezokunakekelwa kwempilo uzofaka ulayini we-intravenous (IV) engalweni yakho. I-IV iqukethe idayi enemisebe. Idayi yenza ukuthi umhlinzeki wezokunakekelwa kwezempilo akwazi ukubuka izithombe zenhliziyo yakho. Kuthatha phakathi kwemizuzu engu-15-40 ukuze inhliziyo imunce udayi.
• Ikhamera ekhethekile izoskena inhliziyo yakho ukudala izithombe, ezibonisa inhliziyo yakho ukuphumula.
• Konke okunye ukuhlolwa kufana nokuhlolwa kokuzivocavoca umzimba. Uzoxhunywa emshinini we-EKG, bese uhamba esitimeleni noma ugibele ibhayisikili elimile.
• Uma ungaphilile ngokwanele ukuzivocavoca umzimba, uzothola umuthi owenza inhliziyo yakho ishaye ngokushesha nangaphezulu.
• Lapho inhliziyo yakho isebenza kanzima kakhulu, uzothola omunye umjovo wedayi enemisebe.
• Uzolinda cishe imizuzu engu-15-40 ukuze inhliziyo yakho imunce udayi.
• Uzoqhubeka nokuzivocavoca futhi ikhamera ekhethekile izothatha izithombe eziningi zenhliziyo yakho.
• Umhlinzeki wakho uzoqhathanisa amasethi amabili ezithombe: enye yenhliziyo yakho iphumule; enye ngenkathi isebenza kanzima.
• Ngemuva kokuhlolwa, uzobhekwa imizuzu eyi-10-15 noma kuze kubuyele izinga lokushaya kwenhliziyo yakho kokujwayelekile.
• Idayi enemisebe izoshiya ngokwemvelo umzimba wakho ngomchamo wakho. Ukuphuza amanzi amaningi kuzosiza ukuwasusa ngokushesha.

Ngesikhathi se-echocardiogram yokucindezeleka:

• Uzolala etafuleni lezivivinyo.
• Umhlinzeki uzogcoba i-gel ekhethekile kudivayisi efana ne-wand ebizwa ngokuthi i-transducer. Uzobamba i-transducer esifubeni sakho.
• Le divayisi yenza amaza omsindo, akha izithombe ezihambayo zenhliziyo yakho.
• Ngemuva kokuthi lezi zithombe zithathiwe, uzozivocavoca nge-treadmill noma ngebhayisikili, njengakwezinye izinhlobo zokuhlolwa kwengcindezi.
• Uma ungaphilile ngokwanele ukuzivocavoca umzimba, uzothola umuthi owenza inhliziyo yakho ishaye ngokushesha nangaphezulu.
• Izithombe eziningi zizothathwa lapho isilinganiso senhliziyo yakho sikhula noma lapho sisebenza kanzima kakhulu.
• Umhlinzeki wakho uzoqhathanisa amasethi amabili ezithombe; enye yenhliziyo yakho iphumule; enye ngenkathi isebenza kanzima.
• Ngemuva kokuhlolwa, uzobhekwa imizuzu engu-10-15 noma kuze kube yilapho isilinganiso senhliziyo yakho sibuyela kokujwayelekile.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Kufanele ugqoke izicathulo ezintofontofo nezingubo ezikhululekile ukuze kube lula ukuzivocavoca umzimba. Umhlinzeki wakho angakucela ukuthi ungadli noma uphuze amahora ambalwa ngaphambi kokuhlolwa. Uma unemibuzo mayelana nokuthi ungalungiselela kanjani, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Ingabe zikhona izingozi esivivinyweni?

Ukuhlolwa kwengcindezi kuvame ukuphepha. Kwesinye isikhathi ukuzivocavoca umzimba noma umuthi okwandisa ukushaya kwenhliziyo yakho kungadala izimpawu ezifana nobuhlungu besifuba, isiyezi, noma isicanucanu. Uzobhekwa eduze kulo lonke uvivinyo ukunciphisa ubungozi bezinkinga noma ukwelapha ngokushesha noma yiziphi izinkinga zempilo. Idayi enemisebe esetshenziswa ekuvivinyweni kwengcindezi yenuzi iphephile kubantu abaningi. Ezimweni ezingavamile, kungadala ukusabela okweqile. Futhi, ukuhlolwa kwengcindezi yenuzi akunconyelwe abesifazane abakhulelwe, ngoba idayi ingaba yingozi enganeni engakazalwa.

Isho ukuthini imiphumela?

Umphumela ojwayelekile wokuhlolwa usho ukuthi azikho izinkinga zokuhamba kwegazi ezitholakele. Uma imiphumela yakho yokuhlolwa ibingajwayelekile, kungasho ukuthi kunciphise ukugeleza kwegazi kuye enhliziyweni yakho. Izizathu zokwehla kwegazi zihlanganisa:

• Isifo semithambo yegazi
• Ukuqhamuka ekuhlaselweni yinhliziyo kwangaphambilini
• Ukwelashwa kwakho kwenhliziyo njengamanje akusebenzi kahle
• Ukuqina ngokomzimba

Uma imiphumela yokuhlolwa kwengcindezi yakho ibingejwayelekile, umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ukuhlolwa kokucindezelwa kwenuzi noma i-echocardiogram yokucindezeleka. Lezi zivivinyo zinembe kakhulu kunezivivinyo zokuxineka kokuzivocavoca umzimba, kepha futhi zibiza kakhulu. Uma lokhu kuhlolwa kwe-imaging kukhombisa inkinga ngenhliziyo yakho, umhlinzeki wakho angancoma ukuhlolwa okwengeziwe kanye / noma ukwelashwa.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Izinkomba

1. I-Advanced Cardiology nokunakekelwa okuyisisekelo [i-Intanethi]. I-Advanced Cardiology kanye ne-Primary Care LLC; c2020. Ukuhlolwa Kokucindezeleka; [kucashunwe ngo-2020 Jul 14]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.advancedcardioprimary.com/cardiology-services/stress-testing
2. I-American Heart Association [i-Inthanethi]. IDallas (TX): I-American Heart Association Inc .; c2018. Ukuvivinya Ukucindezeleka Ukuvivinya; [kucashunwe ngo-2018 Nov 9]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.heart.org/en/health-topics/heart-attack/diagnosing-a-heart-attack/exercise-stress-test
3. I-American Heart Association [i-Inthanethi]. IDallas (TX): I-American Heart Association Inc .; c2018. Ukuhlolwa Nezinqubo Ezingahlaseliyo; [kucashunwe ngo-2018 Nov 9]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.heart.org/en/health-topics/heart-attack/diagnosing-a-heart-attack/noninvasive-tests-and-procedures
4. Isikhungo Sokunakekela Inhliziyo saseNorthwest Houston [i-Intanethi]. IHouston (TX): Isikhungo Sokunakekelwa Kwenhliziyo, Izazi Zezinhliziyo Eziqinisekisiwe zeBhodi; c2015. Kuyini Ukuhlolwa Kokucindezeleka Kwama-Treadmill; [icashunwe ngo-2020 Jul l4]; [cishe izikrini ezi-3]. Kutholakala kusuka: http://www.theheartcarecenter.com/northwest-houston-treadmill-stress-test.html
5. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2018. I-Echocardiogram: Ukubuka konke; 2018 Oct 4 [kucashunwe 2018 Nov 9]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/tests-procedures/echocardiogram/about/pac-20393856
6. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2018. I-Electrocardiogram (ECG noma i-EKG): Ukubuka konke; I-2018 Meyi 19 [icashunwe ngo-2018 Nov 9]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/tests-procedures/ekg/about/pac-20384983
7. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2018. Ukuhlolwa kwengcindezi: Ukubuka konke; I-2018 Mar 29 [icashunwe 2018 Nov 9]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/tests-procedures/stress-test/about/pac-20385234
8. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2018. Ukuhlolwa kwengcindezi yeNyukliya: Ukubuka konke; 2017 Dec 28 [kucashunwe 2018 Nov 9]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/tests-procedures/nuclear-stress-test/about/pac-20385231
9. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co, Inc .; c2018. Ukuhlolwa Kokucindezeleka; [kucashunwe ngo-2018 Nov 9]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/diagnosis-of-heart-and-blood-vessel-disorders/stress-testing
10. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Isifo Senhliziyo; [kucashunwe ngo-2018 Nov 9]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/coronary-heart-disease
11. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. I-Echocardiography; [kucashunwe ngo-2018 Nov 9]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/echocardiography
12. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kokucindezeleka; [kucashunwe ngo-2018 Nov 9]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/stress-testing
13. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2018. Ukuzivocavoca ukuhlolwa kokucindezeleka: Ukubuka konke; [kubuyekezwe i-2018 Nov 8; kucashunwe 2018 Nov 9]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/exercise-stress-test
14. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2018. Ukuhlolwa kwengcindezi yeNyukliya: Ukubuka konke [kubuyekezwe ngo-2018 Nov 8; kucashunwe 2018 Nov 9]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/nuclear-stress-test
15. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2018. Ukucindezelwa kwe-echocardiography: Ukubuka konke; [kubuyekezwe i-2018 Nov 8; kucashunwe 2018 Nov 9]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/stress-echocardiography
16. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2018. I-URMC Cardiology: Ukuhlolwa Kokucindezeleka Kokuzivocavoca; [kucashunwe ngo-2018 Nov 9]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.urmc.rochester.edu/cardiology/patient-care/diagnostic-tests/exercise-stress-tests.aspx
17. Imithi ye-UR: Isibhedlela saseHighland [i-Intanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2018. I-Cardiology: Ukuhlolwa Kwengcindezi Yenhliziyo; [kucashunwe ngo-2018 Nov 9]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.urmc.rochester.edu/highland/departments-centers/cardiology/tests-procedures/stress-tests.aspx
18. Imithi ye-UR: Isibhedlela saseHighland [i-Intanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2018. I-Cardiology: Ukuhlolwa Kwengcindezi Yenuzi; [kucashunwe ngo-2018 Nov 9]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.urmc.rochester.edu/highland/departments-centers/cardiology/tests-procedures/stress-tests/nuclear-stress-test.aspx

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.