Nyukireya kunetseka bvunzo

Nyukireya kushushikana bvunzo inzira yekufungidzira iyo inoshandisa radioactive zvinhu kuratidza kuti ropa rinoyerera sei kupinda mumoyo mhasuru, zvese pazororo uye panguva yechiitiko.

Bvunzo iyi inoitwa kuchipatara kana kuhofisi yemupi wezvehutano. Inoitwa mumatanho:

Iwe unenge uine mutsinga (IV) mutsetse watanga.

• Chinhu chine mwaranzi, senge thallium kana sestamibi, ichaiswa jekiseni mune imwe tsinga dzako.
• Iwe ucharara pasi uye wakamirira pakati pemaminitsi gumi nemashanu kusvika makumi mashanu.
• Iyo yakakosha kamera inoongorora moyo wako uye kugadzira mapikicha kuratidza mafambiro ezvinhu zvacho kuburikidza neropa rako uye mukati memwoyo wako.

Vanhu vazhinji vanozobva vafamba pane yekutsika-tsika (kana chiuno pamushini wekurovedza muviri).

• Mushure mokunge treadmill yatanga kufamba zvishoma nezvishoma, iwe unozokumbirwa kufamba (kana kufambisa) nekukurumidza uye pane kukotama.
• Kana usiri kugona kurovedza muviri, unogona kupihwa mushonga unonzi vasodilator (senge adenosine kana persantine). Mushonga uyu unowedzera (unowedzera) moyo wako arteri.
• Mune zvimwe zviitiko, unogona kuwana mushonga (dobutamine) unozoita kuti moyo wako urove nekukurumidza uye zvakanyanya, zvakafanana neapo uchiita maekisesaizi.

Ropa rako uye moyo wemutinhimira (ECG) unozoonekwa mukati mese bvunzo.

Kana moyo wako uchinge uchishanda nesimba sezvazvinogona, chinhu chine mwenje chinobayiwa zvakare kuiswa jekiseni remumwe mutsinga dzako.

• Iwe unomirira maminetsi gumi nemashanu kusvika makumi mashanu.
• Zvekare, yakakosha kamera inoongorora moyo wako uye igadzire mifananidzo.
• Iwe unogona kubvumidzwa kusimuka kubva patafura kana chigaro uye uve nechikafu kana chinwiwa.

Wako mupi achaenzanisa yekutanga uye yechipiri seti yemifananidzo uchishandisa komputa. Izvi zvinogona kubatsira kuona kana uine chirwere chemwoyo kana kana chirwere chemoyo chiri kuramba chichiwedzera.

Iwe unofanirwa kupfeka mbatya dzakasununguka neshangu dzine isina-skid soles. Iwe unogona kukumbirwa kuti usadya kana kunwa mushure mehusiku. Iwe unozobvumidzwa kuve uine sips shoma emvura kana iwe uchida kutora mishonga.

Iwe unozofanirwa kudzivirira caffeine kwemaawa makumi maviri nemana usati waedzwa. Izvi zvinosanganisira:

• Tea nekofi
• Sodas ese, kunyangwe iwo akanyorwa kuti caffeine-yemahara
• Chocolates, uye mamwe marwadzo anoderedza ayo ane caffeine

Mishonga yakawanda inogona kukanganisa mitezo yeropa.

• Mubatsiri wako anokuudza kana uchifanira kurega kutora chero mishonga usati waedzwa.
• Usamise kana kushandura mishonga yako usati wataura nachiremba wako kutanga.

Munguva yekuyedzwa, vamwe vanhu vanonzwa:

• Kurwadziwa pachifuva
• Kuneta
• Tsandanyama dzinorwadza mumakumbo kana mutsoka
• Kufema kwekufema

Kana iwe ukapihwa mushonga wevasodilator, unogona kunzwa kubaya sezvo mushonga unobayiwa. Izvi zvinoteverwa nekunzwa kudziya. Vamwe vanhu vanewo musoro, kusuruvara, uye kunzwa kuti mwoyo yavo iri kumhanya.

Kana iwe ukapihwa mushonga wekuita kuti moyo wako urove zvine simba uye nekukurumidza (dobutamine), unogona kunge uchirwadziwa nemusoro, kusvotwa, kana moyo wako ungarova nekukurumidza uye zvakanyanya kusimba.

Kazhinji, panguva yekuyedzwa vanhu vanoona:

• Chifuva kusagadzikana
• Dzungu
• Palpitations
• Kufema kwekufema

Kana chimwe chezviratidzo izvi chikaitika panguva yekuedzwa kwako, udza munhu ari kuita bvunzo ipapo ipapo.

Muedzo unoitwa kuti uone kana moyo wako mhasuru iri kuwana kuyerera kwakaringana kweropa uye oxygen kana iri kushanda nesimba (pasi pekunetseka).

Wako mupi anogona kuraira iyi bvunzo kuti uzive:

• Kurapa kwakadii (mishonga, angioplasty, kana kuvhiyiwa kwemoyo) kuri kushanda.
• Kana iwe uri panjodzi huru yechirwere chemwoyo kana matambudziko.
• Kana iwe uri kuronga kutanga chirongwa chekurovedza muviri kana kuvhiyiwa.
• Chikonzero chekurwadziwa kwechipfuva chitsva kana kuwedzera angina.
• Izvo zvaunogona kutarisira mushure mekunge iwe warwara nemoyo.

Mhedzisiro yenyukireya kunetseka bvunzo inogona kubatsira:

• Sarudza kuti moyo wako uri kupomba zvakadii
• Sarudza kurapwa kwakakodzera kwechirwere chemwoyo
• Tsvaga chirwere checoronary artery
• Tarisa uone kana moyo wako wakanyanya kukura

Chiyero chakajairika kazhinji chinoreva kuti iwe wakakwanisa kurovedza muviri sekureba kana kureba kupfuura vanhu vazhinji vezera rako uye bonde. Iwe zvakare wanga usina zviratidzo kana shanduko muropa, ECG yako kana mifananidzo yemoyo wako yakakonzera kunetsekana.

Mhedzisiro mhedzisiro inoreva kuti kuyerera kweropa kuburikidza nemakoroni arteri kungangoitika.

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 kweimwe kana yakawanda tsinga dzinopa moyo wako mhasuru.
• Kuora kweiyo mhasuru yemoyo nekuda kwekurwadziwa kwemoyo kwakapfuura.

Mushure mekuyedza iwe ungangoda:

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

Zvinetso hazviwanzo, asi zvinogona kusanganisira:

• Arrhythmias
• Kuwedzera kurwadziwa kweangina panguva yekuedzwa
• Matambudziko ekufema kana asthma-senge maitiro
• Kunyanyisa kunochinja muropa
• Kuputika kweganda

Wako mupi achatsanangura njodzi pamberi pekuedzwa.

Mune zvimwe zviitiko, dzimwe nhengo uye zvimiro zvinogona kukonzera manyepo-akanaka mhedzisiro. Nekudaro, matanho akakosha anogona kutorwa kunzvenga dambudziko iri.

Iwe ungangoda mimwe bvunzo, senge moyo catheterization, zvinoenderana neyako bvunzo mhedzisiro.

Sestamibi kunetseka bvunzo; MIBI kunetseka bvunzo; Myocardial perfusion scintigraphy; Dobutamine kunetseka bvunzo; Persantine kushushikana bvunzo; Thallium kunetseka bvunzo; Kushungurudzika bvunzo - nyukireya; Adenosine kunetseka bvunzo; Regadenoson kunetseka bvunzo; CAD - kushushikana kwenyukireya; Coronary arteri chirwere - nyukireya kushushikana; Angina - kushushikana kwenyukireya; Kurwadziwa pachifuva - kushushikana kwenyukireya

• Nyukireya scan
• Anterior moyo arteri

Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA / ACC nhungamiro yevatungamiriri vevarwere vane isiri-ST-kukwirira kwakanyanya coronary syndromes: mushumo weAmerican College yeCardiology / American Heart Association Task Force pane Maitiro Ekudzidzira. J Ndiri Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

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 pubmed.ncbi.nlm.nih.gov/25077860/.

Flink L, Phillips L. Nyukiliya cardiology. Mune: Levine GN, ed. Cardiology Zvakavanzika. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 8.

Udelson JE, Dilsizian V, Bonow RO. Nyukliya cardiology. 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 16.