Chii chinonzi Coronary Angiogram? Chinangwa, Maitiro & Mhedzisiro

Coronary angiogram ndiyo bvunzo yakakosha yeX-ray inoratidza kuti ropa rinoyerera sei nemutsipa wemoyo wako. Funga nezvayo semepu inobatsira chiremba wako kuona kana paine zvipingamupinyi kana nzvimbo dzakamanana mumidzi yeropa inopa tsandanyama yemoyo wako. Bvunzo iyi inoshandisa dhayi yakakosha uye tekinoroji yeX-ray kugadzira mifananidzo yakadzama yemitsipa yako ye coronary, ichipa timu yako yekurapa ruzivo rwakakosha nezvehutano hwemoyo wako.

Chii chinonzi coronary angiogram?

Coronary angiogram inzira yekuongorora inogadzira mifananidzo yakadzama yemidzi yeropa yemoyo wako. Munguva yebvunzo iyi, chubhu yakatetepa, inochinjika inonzi catheter inoiswa zvinyoro-nyoro mumidzi yeropa, kazhinji muruoko rwako kana nzvimbo yegroin. Dhayi inopesana inobva yajekeswa kuburikidza necatheter iyi, iyo inoita kuti coronary arteries yako ionekwe pamifananidzo yeX-ray.

Maitiro acho ndeechikwata chebvunzo dzinonzi cardiac catheterization. Inoonekwa seyegoridhe standard yekuongorora coronary artery disease nekuti inopa yakajeka, yakadzama maonero ekupa ropa kwemoyo wako. Mifananidzo inobatsira vanachiremba kuona chaizvo kwakagadzirwa zvipingamupinyi uye kuti zvakakomba sei.

Bvunzo iyi yakasiyana nemamwe bvunzo dzemoyo nekuti inoratidza kuyerera kweropa munguva chaiyo kuburikidza nemitsipa yako. Nepo mamwe bvunzo senge bvunzo dzekushushikana kana CT scans inogona kuratidza matambudziko, angiography inopa chiremba wako kutarisa zvakananga zviri kuitika mukati memitsipa yako ye coronary.

Nei coronary angiogram ichiitwa?

Chiremba wako angakurudzira coronary angiogram kana vachida kuwana mufananidzo wakajeka wemidzi yeropa yemoyo wako. Izvi zvinowanzoitika kana mamwe bvunzo achiratidza kuti unogona kunge uine coronary artery disease, kana paunenge uchiona zviratidzo zvinogona kuratidza matambudziko emoyo.

Chikonzero chakajairika chekuedzwa uku ndechokuongorora kurwadziwa muchipfuva kana kusagadzikana kungave kwakabatana nemoyo wako. Kana wanga uine kurwadziwa muchipfuva panguva yebasa remuviri, kufema kwemhepo, kana zvimwe zviratidzo zvinonetsa, chiremba wako anoda kuona kana tsinga dzakavharika dziri kukonzera.

Dzimwe nguva vanachiremba vanokurudzira bvunzo iyi mushure mekunge wava nekurwisa kwemoyo. Mumamiriro ezvinhu aya ekukurumidzira, angiogram inovabatsira kuti vacherechedze nekukurumidza kuti tsinga ipi yakavharika kuitira kuti vadzore kuyerera kweropa kumhasuru dzemoyo wako nekukurumidza sezvinobvira.

Heano zvikonzero zvikuru nei chiremba wako angakurudzira coronary angiogram:

• Kurwadziwa muchipfuva kana kumanikidzwa kunowedzera nekuita
• Mhedzisiro isina kujairika pakuongorora kushushikana kana mamwe mafoto emoyo
• Kurwisa kwemoyo kana kufungidzirwa kurwisa kwemoyo
• Kufema kwemhepo kungave kwakabatana nemoyo
• Kuronga kuvhiyiwa kwemoyo kana mamwe maitiro
• Kutarisa zvakavharika zvakambobatwa
• Kuongorora matambudziko emavharuvhu emoyo
• Kutarisa basa remoyo pamberi pekuvhiyiwa kukuru

Chiremba wako angashandisawo bvunzo iyi kuronga kurapwa senge angioplasty kana kuvhiyiwa kwebypass. Mifananidzo yakadzama inovabatsira kusarudza kuti ndeipi nzira ingashanda zvakanyanya kumamiriro ako chaiwo.

Ndeipi nzira ye coronary angiogram?

Nzira ye coronary angiogram inowanzo tora maminitsi makumi matatu kusvika makumi matanhatu uye inoitwa mukamuri rakakosha rinonzi cardiac catheterization laboratory. Ucharamba wakamuka panguva yekuedzwa, asi uchagamuchira mushonga wekukubatsira kuzorora uye anesthesia yemuno kuti inyaradze nzvimbo iyo catheter inopinda mumuviri wako.

Nzira isati yatanga, timu yako yezvokurapa ichachenesa uye kuuraya nzvimbo yekupinza, kazhinji ruoko rwako kana groin. Vachabva vaita puncture diki mutsinga yako uye vopinza chubhu yakatetepa, inochinjika inonzi catheter. Iyi catheter inotungamirirwa zvakanyatsonaka kuburikidza nemidziyo yako yeropa kuti isvike kumoyo wako.

Kana katheta yaiswa panzvimbo, chiremba wako achabaya ruvara rwekupesvedzera kuburikidza nayo. Ruvara urwu runoita kuti tsinga dzako dzemoyo dzioneke pamifananidzo yeX-ray, zvichibvumira chiremba wako kuti aone kuti ropa rinoyerera sei kuburikidza nadzo. Unganzwa kunzwa kudziya kana ruvara rwebayiwa, asi izvi zvakajairika zvachose.

Hezvino zvinoitika panguva yekuita matanho anotevera:

1. Ucharara patafura yakakosha yeX-ray uye uchapiwa mushonga wekudzikamisa
2. Nzvimbo yekuisa inocheneswa uye inodzikiswa nemushonga weanesthesia
3. Kuchekwa kudiki kunoitwa uye katheta inoiswa
4. Katheta inotungamirirwa kumoyo wako uchishandisa gwara reX-ray
5. Ruvara rwekupesvedzera runobayiwa kuti tsinga dzione
6. Mifananidzo yeX-ray inotorwa kubva kumakona akasiyana
7. Katheta inobviswa zvakanyatsonaka
8. Kumanikidzwa kunoshandiswa kudzivirira kubuda ropa panzvimbo yekuisa

Munguva yekuita, rhythm yemoyo wako uye BP inoramba ichiongororwa. Chikwata chako chekurapa chichakutaurira matanho ese, uye unogona kubvunza mibvunzo kana kuratidza chero zvaunonetseka nazvo chero nguva.

Maitiro ekugadzirira angiogram yako yemoyo?

Kugadzirira angiogram yako yemoyo kunosanganisira matanho akati wandei anokosha anobatsira kuona kuti maitiro acho anoenda zvakanaka uye zvakachengeteka. Chiremba wako achakupa mirairo chaiyo zvichienderana nemamiriro ako ehutano, asi pane mamwe matanho akajairika anoshanda kune vazhinji varwere.

Unowanzo kuda kudzivisa kudya kana kunwa kwemaawa 6 kusvika ku8 usati waita. Iyi nguva yekutsanya inobatsira kudzivirira matambudziko kana iwe uchida kurapwa kwechimbichimbi panguva yekuedzwa. Chiremba wako achakuudza chaizvo kuti ungamira riini kudya nekunwa zvichienderana nenguva yako yakarongwa yekuita.

Zvakakosha kuti ukurukure mishonga yako yese nachiremba wako pachine nguva. Dzimwe mishonga dzinogona kuda kumiswa kwenguva pfupi, nepo dzimwe dzichifanira kuenderera mberi. Usambomira kutora mishonga yakarairwa usina mvumo yachiremba wako, kunyanya mishonga yemoyo.

Hezvino matanho makuru ekugadzirira aunofanira kutevera:

• Tsanya kwemaawa 6-8 usati waita maitiro
• Tora mishonga yakabvumidzwa chete nemvura shoma shoma
• Ronga kuti mumwe munhu akutyairire kumba mushure
• Bvisa zvishongo, mazino ekugadzira, uye magirazi ekuona
• Pfeka mbatya dzakasununguka, dzakakura
• Udza chiremba wako nezve allergy chero ipi zvayo, kunyanya kune ruvara rwekupesana
• Udza chiremba wako kana ungave une pamuviri
• Uya ne runyorwa rwemishonga yese uye zvinowedzera

Kana uine chirwere cheshuga, chiremba wako achakupa mirairo yakakosha yekutarisira shuga yako yeropa nemishonga yeshuga. Vanhu vane matambudziko eitsvo vangangoda kugadzirira kwakawedzerwa kuchengetedza itsvo dzavo kubva muruvara rwekupesana.

Ungaverenga sei mhedzisiro yako ye coronary angiogram?

Mhedzisiro yako ye coronary angiogram inoratidza kuti ropa rinoyerera sei nemitsipa yemoyo wako uye kana paine chero zvipingamupinyi kana kusvava. Chiremba wako achakutsanangurira mhedzisiro iyi zvakadzama, asi kunzwisisa zvakakosha kunogona kukubatsira kuti unzwe wakagadzirira hurukuro iyoyo.

Mhedzisiro yakajairika zvinoreva kuti tsinga dzako dzemoyo dzakajeka uye ropa rinoyerera zvakasununguka kumhasuru dzemoyo wako. Uchaona tsinga dzemuviri dzakatsetseka, dzakaenzana pasina chero kusvava kwakakosha kana zvipingamupinyi. Iyi inhau huru uye zvinoreva kuti njodzi yako yekurwisa kwemoyo kubva kuchirwere che coronary artery yakaderera.

Mhedzisiro isina kujairika inoratidza zvipingamupinyi kana kusvava mune imwe kana kupfuura tsinga dzako dzemoyo. Zvipingamupinyi izvi zvinowanzoitika nekuda kwekuvaka kwe plaque, iyo ine cholesterol, mafuta, nezvimwe zvinhu. Kuoma kwezvipingamupinyi kunoyerwa sechikamu chekuti tsinga yakasvava zvakadii.

Hezvino kuti vanachiremba vanowanzoisa sei zvipingamupinyi:

• Kuvharika kudiki: Kuderera kwevanopfuura 50%
• Kuvharika kwepakati: 50-70% kuderera
• Kuvharika kwakanyanya: 70-90% kuderera
• Kuvharika kwakanyanya: Kupfuura 90% kuderera
• Kuvharika kwakakwana: 100% kuderera (kuvharika kwakazara)

Mhedzisiro yako icharatidzawo kuti tsinga dzeropa dzakakanganiswa ndeapi. Tatu huru tsinga dzeropa dzemoyo ndedzinoti left anterior descending (LAD), the right coronary artery (RCA), uye left circumflex artery. Imwe neimwe inopa ropa kumativi akasiyana emhasuru dzemoyo wako.

Muzviitiko zvisingawanzoitiki, unogona kuva necoronary artery spasm, uko tsinga dzeropa dzinongovharika kwenguva pfupi, kana coronary artery dissection, uko rusvingo rwet singa dzeropa runobvaruka. Mamiriro aya anoda kutariswa nekukurumidza uye nzira dzekurapa dzakakosha.

Nzira yekugadzirisa kuvharika kwetsinga dzeropa dzemoyo yako?

Kurapa kuvharika kwetsinga dzeropa dzemoyo kunoenderana nezvinhu zvakawanda, kusanganisira nzvimbo nekukomba kwekuvharika, hutano hwako hwese, uye zviratidzo zvako. Chiremba wako achashanda newe kuti agadzire chirongwa chekurapa chakakunakira iwe.

Paku kuvharika kudiki, shanduko yehupenyu nemishonga zvinogona kukwana. Iyi nzira inotarisa pakudzivirira kuvharika kuti kusaipa uye kuderedza njodzi yako yekurwara nemoyo. Chiremba wako anogona kukupa mishonga yekuderedza cholesterol, kudzora BP, kana kudzivirira ropa kuumbana.

Kuvharika kwakakura kazhinji kunoda maitiro ekudzosa kuyerera kweropa kumoyo wako. Sarudzo mbiri huru ndeye angioplasty ine stent placement kana coronary artery bypass surgery. Chiremba wako achakurudzira nzira yakanakisa zvichienderana nemaitiro ako ekuvharika uye hutano hwako hwese.

Heano mamwe maitiro ekurapa kuvharika kwetsinga dzeropa dzemoyo:

• Kuchinja mararamiro (kudya, kurovedza muviri, kusiya fodya)
• Mishonga (statins, mishonga yekutapudza ropa, mishonga yekudzikisa ropa)
• Angioplasty nekumisikidzwa kwe stent
• Kuvhiyiwa kwemitsipa yeropa yemoyo
• Enhanced external counterpulsation (mune zviitiko zvisingawanzoitiki)
• Transmyocardial laser revascularization (isingawanzoitiki)

Angioplasty inosanganisira kuisa bhururu diki mumutsipa weropa wakavharika uye kuifutisa kuti ivhure kuvharika. Stent, iyo iri chubhu diki remesh, inowanzoiswa kuti ichengetedze mutsipa weropa wakavhurika. Iyi nzira inogona kuitwa nekukasira mushure meangiogram yako kana kuvharika kukuru kwawanikwa.

Kune kuvharika kwakaoma kunosanganisira akawanda emitsipa yeropa, kuvhiyiwa kunogona kurairwa. Iyi nzira inogadzira nzira itsva dzeropa kuti riyerere richipfuura nemumitsipa yeropa yakavharika richishandisa midzi yeropa kubva kune dzimwe nzvimbo dzemuviri wako.

Chii chakanakisa mhedzisiro ye coronary angiogram?

Mhedzisiro yakanakisa ye coronary angiogram inoratidza yakajeka, yakatsetseka coronary arteries isina kuvharika kana kudzikira. Izvi zvinoreva kuti ropa rinoyerera zvakasununguka kunhengo dzese dzemhasuru dzemoyo wako, uye njodzi yako yekurwara nemoyo kubva kune coronary artery disease yakaderera kwazvo.

Mumhedzisiro yakanaka, ese matatu makuru coronary arteries nemapazi avo anoita seakavhurika uye akatsetseka. Ruvara rwemvura runoyerera nekukurumidza uye zvakaenzana kuburikidza nemidzi yese, kusvika kunhengo dzese dzemhasuru dzemoyo wako. Hapana nzvimbo dzekudzikira, kuunganidzwa kwepaque, kana maitiro emidzi yeropa asingawanzoitiki.

Zvisinei, zvakakosha kunzwisisa kuti kuva nezvimwe zvisina kujairika hazvirevi kuti uri mungozi yekukasira. Vanhu vazhinji vane kuunganidzwa kudiki kwepaque kusinganyanyi kukanganisa kuyerera kweropa. Chiremba wako achakubatsira kunzwisisa zvinoreva mhedzisiro yako chaiyo kuhutano hwako.

Kunyange angiogram yako ikaratidza zvimwe zvivhariso, ruzivo urwu runokosha nekuti runobvumira chiremba wako kuti agadzire chirongwa chekurapa kuchengetedza moyo wako. Kuongororwa nekukurumidza uye kurapwa kwechirwere chemitsipa yeropa kunogona kudzivirira kurwisa kwemoyo uye kukubatsira kuchengetedza hupenyu hune hutano, hunoshingaira.

Ndezvipi zvinhu zvinowedzera njodzi yechirwere chemitsipa yeropa?

Zvimwe zvinhu zvinogona kuwedzera njodzi yako yekuva nechirwere chemitsipa yeropa, icho chiri chinangwa cheangiograms yemitsipa yeropa. Zvimwe zvinhu zvinowedzera njodzi zvaunogona kudzora, nepo zvimwe zvisingadzoreki. Kunzwisisa izvi zvinhu zvinokubatsira kuita zvisarudzo zvine ruzivo nezvehutano hwemoyo wako.

Zvimwe zvinhu zvinowedzera njodzi zvaunogona kudzora zvinosanganisira sarudzo dzehupenyu uye mamiriro ezvinhu emishonga. Kuita shanduko kune izvi zvinhu zvinogona kuchinjwa zvinogona kuderedza zvakanyanya mikana yako yekuva nechirwere chemitsipa yeropa kana kudzivirira zvivhariso zviripo kuti zviwedzere kuipa.

Zvimwe zvinhu zvinowedzera njodzi zvausingagoni kuchinja zvinosanganisira zera rako, bonde, uye nhoroondo yemhuri. Kunyange iwe usingakwanise kuchinja izvi zvinhu, kuziva nezvazvo kunokubatsira iwe nachiremba wako kunzwisisa huwandu hwenjodzi yako uye kuronga nzira dzakakodzera dzekuongorora nekudzivirira.

Heano zvinhu zvikuru zvinowedzera njodzi yechirwere chemitsipa yeropa:

• Kuvhiringidzika kweropa (hypertension)
• Mazinga akakwirira echolesterol
• Kusvuta kana kushandisa fodya
• Chirwere cheshuga kana prediabetes
• Kufutisa, kunyanya kufutisa mudumbu
• Kusashanda kwemuviri
• Kudya kusina hutano kwakanyanya mumafuta akazara
• Kushushikana kusingaperi
• Nhoroondo yemhuri yechirwere chemoyo
• Zera (varume vanopfuura makore 45, vakadzi vanopfuura makore 55)
• Nhoroondo yapfuura yechirwere chemoyo

Zvimwe zvinhu zvisingawanzoitiki zvinowedzera njodzi zvinosanganisira chirwere cheitsvo chisingaperi, mamiriro ekuzvimba senge rheumatoid arthritis, uye kurara apnea. Vanhu vane HIV kana avo vakagamuchira mamwe marudzi echemotherapy kana radiation therapy vanogonawo kuve nenjodzi yakawedzerwa.

Kuve nezvinhu zvakawanda zvinokonzera njodzi kunowedzera njodzi yako yese kupfuura kuva nechinhu chimwe chete. Ichi ndicho chikonzero chiremba wako achifunga nezve hutano hwako hwese paanoongorora kudiwa kwako kwecoronary angiogram nemamwe bvunzo dzemoyo.

Zvirinani kuva nekuvharika kwepamusoro kana kwakaderera kwemitsipa yemoyo?

Mazinga akaderera ekuvharika kwemitsipa yemoyo anogara ari nani kupfuura mazinga epamusoro. Zvakanaka, haudi chero kuvharika zvachose, asi kana kuvharika kuripo, kuderedzwa kwakanyanya kunosarudzwa zvakanyanya pane kuvharika kukuru.

Kuvharika kwakapfava (kuderedzwa kweanopfuura 50%) kazhinji hakukonzere zviratidzo uye zvinogona kusada maitiro ekukurumidza. Izvi zvinogona kugadziriswa nekuchinja mararamiro nemishonga kudzivirira kufambira mberi. Moyo wako unogona kushanda zvakanaka nekavharika kapfava, kunyanya kana achikura zvishoma nezvishoma.

Kuvharika kwakanyanya (70% kana kupfuura kuderedzwa) kunonetesa zvakanyanya nekuti kunodzivirira zvakanyanya kuyerera kweropa kumhasuru dzemoyo wako. Kuvharika uku kunogona kukonzera kurwadziwa muchipfuva, kufema nekukurumidza, uye kuwedzera njodzi yako yekurwisa kwemoyo. Kazhinji vanoda kurapwa kwakanyanya senge angioplasty kana kuvhiyiwa kwebypass.

Kunyangwe nekuvharika kwakanyanya, kuonekwa kwekutanga kuburikidza necoronary angiogram kunobatsira nekuti kunobvumira kurapwa nekukurumidza. Vanhu vazhinji vane kuvharika kukuru vanorarama hupenyu hune hutano, hunoshingaira mushure mekurapa kwakakodzera uye shanduko dzemararamiro.

Ndezvipi zvinogona kuitika zvecoronary angiogram?

Nepo coronary angiogram ichiita seyakachengeteka, senge chero maitiro ekurapa, inotakura njodzi. Ruzhinji rwevanhu havawani matambudziko, asi zvakakosha kunzwisisa njodzi dzinogona kuitika kuitira kuti ugone kuita sarudzo ine ruzivo nezvekuchengetwa kwako.

Matambudziko mazhinji madiki uye enguva pfupi. Nyaya dzakajairika dzinosanganisira kupwanya kana kubuda ropa panzvimbo yekuiswa catheter, izvo zvinowanzo gadzirisa zvega mukati memazuva mashoma. Vamwe vanhu vanonzwa kurwadziwa kwenguva pfupi kana kusagadzikana panzvimbo yakaiswa catheter.

Matambudziko akakomba akawandisa asi anogona kuitika. Izvi zvinogona kusanganisira kukuvadzwa kwetsinga apo catheter yakaiswa, kusagadzikana kwemoyo panguva yekuita, kana maitiro ekuita kune ruvara rwekusiyana. Chikwata chako chekurapa chakagadzirira kubata nemamiriro ezvinhu aya kana akamuka.

Heano matambudziko anogona kuitika, akanyorwa kubva kune akajairika kusvika kune asingawanzoitiki:

• Kupwanya kana kubuda ropa panzvimbo yekuiswa
• Kusagadzikana kwenguva pfupi kana kurwadziwa
• Kuita allergic kune ruvara rwekusiyana (kazhinji nyoro)
• Kusagadzikana kwemoyo panguva yekuita
• Kukuvadzwa kwemadziro etsinga
• Kuumbwa kweropa
• Matambudziko eitsvo kubva kurudzi rwekusiyana (isingawanzoitiki)
• Sitroko (isingawanzoitiki)
• Kurwisa kwemoyo panguva yekuita (isingawanzoitiki)
• Kuita allergic kwakanyanya kunoda kurapwa kwechimbichimbi (isingawanzoitiki)

Vanhu vane mamiriro akati, senge chirwere cheitsvo kana chirwere cheshuga, vanogona kuve nenjodzi yakakwira zvishoma. Chiremba wako achakurukura njodzi dzako dzega usati waita maitiro uye achatora matanho ekuderedza chero matambudziko anogona kuitika.

Njodzi yese yematambudziko akakomba isingasviki 1%. Zvakanakira kuwana kuongororwa kwakaringana zvinowanzo pfuura njodzi diki dzine chekuita nemaitiro.

Ndingatarisira riini chiremba kuti nditevere coronary angiogram?

Unofanira kuona chiremba wako kuti utarisirwe zvichibva pamigumisiro yako chaiyo uye chirongwa chekurapa. Kana angiogram yako yakanga yakajairika, unogona kusada kugara uchienda kumisangano yekutevera, asi chiremba wako achiri kuda kutarisa hutano hwemoyo wako nekufamba kwenguva.

Mushure mekuvhiyiwa, kazhinji muchava nekugadzwa kwekuongorora mukati mevhiki kana maviri kuti mukurukure mhedzisiro yenyu zvakadzama uye kuronga chero kurapwa kunodiwa. Kugadzwa uku kwakakosha kunzwisisa zvinoreva mhedzisiro yenyu uye matanho aungafanira kutora anotevera.

Kana makagamuchira kurapwa senge angioplasty kana stent placement panguva yeangiogram yenyu, muchada kushanya kwekuongorora kakawanda. Chiremba wenyu achada kuongorora kuti kurapwa kuri kushanda sei uye kuona kuti kupora kwenyu kuri kufamba zvakanaka.

Munofanira kubata chiremba wenyu nekukasira kana muchiona chero zviratidzo zvinonetesa mushure meangiogram yenyu:

• Kurwadziwa muchipfuva kana kumanikidzwa
• Kufema kusina simba
• Kubuda ropa kwakanyanya kana kuzvimba panzvimbo yekuisa
• Zviratidzo zveutachiona (fivha, kutsvuka, kudziya)
• Kusanzwa kana shanduko yemavara muruoko rwenyu kana gumbo
• Dizziness kana kufenda
• Kurwadziwa kwemusoro kwakanyanya

Kutevera kwenguva refu kunoenderana nemhedzisiro yenyu uye kurapwa. Vamwe vanhu vanoda angiograms dzinoitwa zvakare mune ramangwana kuti vaongorore mamiriro avo, nepo vamwe vangangoda chete kuongororwa nguva dzose nemiedzo isingapindi zvakanyanya.

Mibvunzo inowanzo bvunzwa nezve coronary angiogram

Q.1 Ko coronary angiogram bvunzo yakanaka pakuona mabhuroki emoyo here?

Hongu, coronary angiogram inoonekwa seyakajairika yegoridhe pakuona mabhuroki emoyo. Inopa mifananidzo yakanyatsojeka uye yakadzama yemitsipa yenyu ye coronary, ichibvumira vanachiremba kuti vaone chaizvo kwakavharika uye kuti kwakakura sei. Bvunzo iyi inogona kuona mabhuroki anogona kusaratidza pamamwe marudzi emiedzo yemoyo.

Bvunzo iyi yakanyatsojeka zvekuti inogona kuziva mabhuroki madiki se10-20% kudzikira, kunyangwe kurapwa kazhinji hakudiwi kusvikira mabhuroki asvika 70% kana kupfuura. Iyi kurongeka inoita kuti ive nzira yakavimbika yekuziva coronary artery disease uye kuronga kurapwa kwakakodzera.

Q.2 Ko high coronary artery blockage inokonzera kurwadziwa muchipfuva here?

Mazinga akakwira ekuvharika kwetsinga dzeropa mumoyo anogona kukonzera kurwadziwa muchipfuva, asi havasi vese vane kuvharika kukuru vanowana zviratidzo. Kana kuvharika kwasvika pa70% kana kupfuura, kazhinji kunokonzera kurwadziwa muchipfuva kana kumanikidzwa, kunyanya panguva yekurovedza muviri apo moyo wako unoda kuyerera kweropa kwakawanda.

Zvisinei, vamwe vanhu vanokudziridza kuvharika zvishoma nezvishoma nekufamba kwenguva, uye moyo wavo unogadzira midziyo midiki yekupfuura zvakasikwa. Vanhu ava vanogona kunge vaine kuvharika kwakanyanya vasina zviratidzo zvinooneka. Ichi ndicho chikonzero nei coronary angiogram ichikosha zvakanyanya - inogona kuona kuvharika kunotyisa kunyangwe zviratidzo zvisipo.

Mubvunzo 3. Zvinotora nguva yakareba sei kupora kubva ku coronary angiogram?

Kupora kubva ku coronary angiogram kazhinji kunokurumidza. Vanhu vazhinji vanogona kudzokera kuzviitwa zvavo zvenguva dzose mukati me24-48 maawa mushure mekuvhiyiwa. Unozofanira kudzivisa kusimudza zvinhu zvinorema kana kurovedza muviri zvakanyanya kwemazuva mashoma kuti upe nzvimbo yekuiswa mukana wekupora zvakanaka.

Kana iwe wakaisa catheter kuburikidza neruoko rwako, kupora kunowanzo kukurumidza kupfuura kana yakaiswa kuburikidza neguropa rako. Nzvimbo yekuiswa inogona kunge ichirwadza kwemazuva mashoma, asi izvi zvakajairika uye zvinofanirwa kuvandudza zvishoma nezvishoma.

Mubvunzo 4. Ndingagona here kutyaira mushure me coronary angiogram?

Haufanire kutyaira zvakananga mushure me coronary angiogram nekuti unogona kugamuchira sedation panguva yekuvhiyiwa. Vanachiremba vazhinji vanokurudzira kumirira angangoita maawa makumi maviri nemana usati watyaira, uye unozoda mumwe munhu kuti akutyire kumba mushure mekuvhiyiwa.

Kana mhedzisiro ye sedation yapera uye iwe uchinzwa zvakajairika zvachose, kutyaira kazhinji kwakachengeteka. Zvisinei, kana iwe wakagamuchira kurapwa senge angioplasty panguva yeangiogram yako, chiremba wako angakurudzira kumirira zvishoma usati watyaira.

Mubvunzo 5. Ndingadyirei mushure me coronary angiogram?

Mushure me coronary angiogram, unogona kazhinji kutangazve kudya kwako kwenguva dzose kana uchinzwa zvakanaka. Zvakakosha kunwa mvura yakawanda kuti ubatsire itsvo dzako kugadzirisa ruvara rinoshandiswa panguva yekuvhiyiwa.

Kana angiogram yako yakaratidza zvivhariso, chiremba wako anogona kukurudzira shanduko dzekudya dzakanaka kumoyo. Izvi zvinowanzo sanganisira kudya michero nemiriwo yakawanda, kusarudza zviyo zvizere, kuderedza mafuta akazara, uye kuderedza sodium. Shanduko idzi dzinogona kubatsira kudzivirira zvivhariso zviripo kuti zviwedzere kuipa.