Kushungurudzika echocardiography

Kushungurudzika echocardiography muyedzo unoshandisa imaging ye ultrasound kuratidza kuti musuru wemwoyo wako uri kushanda kupomba ropa kumuviri wako. Iyo inowanzo shandiswa kuona kudzikira kweropa kuyerera kusvika pamoyo kubva pakuderera mumaronari etsinga.

Bvunzo iyi inoitwa kuchipatara kana kuhofisi yemupi wezvehutano.

Echocardiogram yekuzorora ichaitwa kutanga. Paunenge wakarara nerutivi rwako rweruboshwe ruoko rwako rweruboshwe ruri panze, kamwe kamudziyo kanonzi transducer kanobatirirwa pachipfuva chako. Iyo yakakosha gel inoshandiswa kubatsira iwo masaisai e ultrasound kusvika pamwoyo wako.

Vanhu vazhinji vanofamba pamusoro pechitsiko (kana chitiviri pabhasikoro rekurovedza muviri). Zvishoma nezvishoma (ingangoita maminetsi matatu ega ega), iwe unozokumbirwa kufamba (kana kufambisa) nekukurumidza uye pane chinokombamira. Zvakafanana nekukumbirwa kufamba nekukasira kana kumhanya uchikwira chikomo.

Muzviitiko zvakawanda, iwe unozofanirwa kufamba kana kukwirisa kwemaminetsi mashanu kusvika gumi nemashanu, zvinoenderana nezera rako rekusimba uye zera rako. Wako mupi anokukumbira kuti umire:

• Kana moyo wako uchirova pachinhanho chakanangwa
• Paunenge wakanyanya kuneta kuti uenderere mberi
• Kana iwe uchirwadziwa pachipfuva kana shanduko muropa rako zvinoshungurudza mupi ari kupa bvunzo

Kana iwe usingakwanise kuita maekisesaizi, iwe unowana mushonga, senge dobutamine, kuburikidza nemutsinga (intravenous line). Mushonga uyu unozoita kuti moyo wako urove nekukurumidza uye zvakanyanya, zvakafanana neapo iwe uchirovedza muviri.

Ropa rako uye moyo wemutinhimira (ECG) unozotariswa munzira yese.

Mazhinji echocardiogram mifananidzo inozotorwa ukuwo moyo wako uchikura, kana kana wasvika pakakwirira. Mifananidzo yacho inoratidza kana paine chero chikamu chetsandanyama yemoyo chisinga shande zvakare kana moyo wako uchinge wedzera. Ichi chiratidzo chekuti chikamu chemoyo chinogona kunge chisiri kuwana ropa rakakwana kana oxygen nekuda kweakadzika kana akavharika tsinga.

Kumbira mupiki wako kana iwe uchifanira kutora chero eako echajaira mishonga pazuva rekuyedzwa. Mimwe mishonga inogona kukanganisa mhedzisiro yekuedzwa. Usamborega kutora chero mushonga usati watanga kutaura nachiremba wako.

Zvakakosha kuudza chiremba wako kana wakanwa chero wemishonga inotevera mumaawa makumi maviri nemana apfuura (1 zuva):

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

Usadye kana kunwa kweanenge maawa matatu pamberi pebvunzo.

Pfeka mbatya dzakasununguka, dzakanaka. Iwe unozobvunzwa kusaina fomu rekubvuma usati waedzwa.

Electrodes (conductive patches) ichaiswa pachifuva chako, maoko, uye makumbo kuti utore zvinoitwa nemoyo.

Ropa rekumanikidza cuff paruoko rwako richafemerwa maminetsi mashoma mashoma, kuburitsa kunanzva kwekunzwa kunogona kunzwa kusimba.

Kazhinji, vanhu vanonzwa kusagadzikana pachifuva, kuwedzerwa kana kurova kurova kwemoyo, dzungu, kurwadziwa nemusoro, kuda kurutsa kana kufema kwekufema panguva yekuyedzwa.

Chiyero chinoitwa kuti uone kana moyo wako mhasuru iri kuwana yakakwana kuyerera kweropa uye oxygen kana iri kushanda nesimba (pasi pekunetseka).

Chiremba wako anogona kuraira iyi bvunzo kana iwe:

• Iva nezviratidzo zvitsva zveangina kana kurwadziwa pachipfuva
• Iva angina iyo iri kuwedzera kuipa
• Uchangobva kuve nekurwadziwa kwemoyo
• Uri kuzovhiyiwa kana kutanga chirongwa chekurovedza muviri, kana uri panjodzi huru yechirwere chemwoyo
• Iva nezvinetso zvemagetsi vharuvhu

Mhedzisiro yeiyi bvunzo yekushushikana inogona kubatsira mupi wako:

• Sarudza kuti kurapa kwemoyo kuri kushanda sei uye shandura marapirwo ako, kana zvichidikanwa
• Sarudza kuti moyo wako uri kupomba zvakadii
• Tsvaga chirwere checoronary artery
• Tarisa uone kana moyo wako wakanyanya kukura

Chiyero chakajairika chinowanzoreva kuti iwe wakakwanisa kurovedza muviri sekureba kana kureba kupfuura vanhu vazhinji vezera rako uye bonde. Iwe zvakare hauna zviratidzo kana zvine chekuita neshanduko yeropa uye neECG yako. Mifananidzo yako yemoyo inoratidza kuti zvikamu zvese zvemoyo wako zvinopindura kuwedzerwa kushushikana nekupomba zvakanyanya.

Mhedzisiro mhedzisiro zvinoreva kuti kuyerera kweropa kuburikidza nemakondoni etsinga pamwe kwakajairika.

Zvinorehwa nemuyedzo wako zvinoenderana nechikonzero cheyedzo, zera rako, uye nhoroondo yako yemoyo nemamwe matambudziko ekurapa.

Mhedzisiro isina kujairika inogona kunge iri nekuda kwe:

• Kuderedza kuyerera kweropa kune chikamu chemwoyo. Chikonzero chingangokonzeresa kudzikira kana kuvharika kwetsinga dzinopa mhasuru yemoyo wako.
• Kupenga kwemhasuru yemoyo nekuda kwekurwadziwa kwemoyo kwakapfuura.

Mushure mekuyedza iwe ungangoda:

• Angioplasty uye stent kuiswa
• Shanduko mumoyo mako mishonga
• Coronary angiography
• Moyo unopfuura kuvhiya

Njodzi dzakadzika kwazvo. Vashandi vezvehutano vanozokutarisa panguva yese maitiro.

Kazhinji matambudziko anosanganisira:

• Abnormal moyo mutinhimira
• Kufenda (syncope)
• Kumira kurova kwemoyo

Echocardiography kunetseka bvunzo; Kushungurudzika bvunzo - echocardiography; CAD - kushushikana echocardiography; Coronary arteri chirwere - kushushikana echocardiography; Kurwadziwa pachifuva - kushushikana echocardiography; Angina - kushushikana echocardiography; Chirwere chemwoyo - kushushikana echocardiography

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa
• Kuvandudza maitiro e atherosclerosis

Boden WE. Angina pectoris uye yakagadzikana ischemic chirwere chemoyo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier; 2020: chits. 71.

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS yakanangana nekudzidziswa kweiyo gwara rekuongororwa uye manejimendi evarwere vane yakatsiga ischemic moyo chirwere: mushumo weAmerican College yeCardiology / American Heart Association Task Force pane Dzidzira Maitiro, uye iyo American Association for Thoracic Kuvhiya, Kudzivirira Cardiovascular Nurses Association, Sosaiti yeCardiovascular Angiography uye Kupindira, uye Sosaiti yeTracic Surgeons. J Ndiri Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 www.ncbi.nlm.nih.gov/pubmed/25077860.

Fowler GC, Smith A. Kushungurudzika echocardiography. Mu: Fowler GC, rakanyorwa. Pfenninger uye Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chits. 76.

Soromoni SD, Wu JC, Gillam L, Bulwer B. Echocardiography. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 14.