Chii chinonzi CT Coronary Angiogram? Chinangwa, Maitiro & Mhedzisiro

CT coronary angiogram imhando yekuongorora moyo isingapindi iyo inogadzira mifananidzo yakadzama yemitsipa yako yemoyo ichishandisa X-rays uye tekinoroji yemakomputa. Fungidzira sekamera yakakosha inogona kuona kuburikidza nechipfuva chako kuti iongorore midziyo yeropa inopa tsandanyama yemoyo wako. Iyi bvunzo yekufungidzira yepamusoro inobatsira vanachiremba kuona kuvharika, kudzikira, kana mamwe matambudziko mumitsipa iyi yakakosha pasina kudiwa kwekuisa machubhu mumuviri wako sezvinodiwa neangiograms yechinyakare.

Chii chinonzi CT coronary angiogram?

CT coronary angiogram inobatanidza computed tomography (CT) scanning ine contrast dye kugadzira mifananidzo yakajeka, ine matatu-dimensional yemidziyo yeropa yemoyo wako. Chikamu che

• Kuona zvipingamupinyi kana kudzikira mumitsipa yeropa yemoyo
• Kuongorora kurwadziwa muchipfuva kana chikonzero chisina kujeka
• Kutarisa chirwere chemitsipa yeropa yemoyo usati wava nezviratidzo
• Kuongorora mabypass grafts kana ma stents kubva kumaitiro apfuura
• Kuronga kurapwa kwezvirwere zvepfungwa zvinozivikanwa
• Kuongorora mhedzisiro isina kujairika kubva kumayesero ekuoma kana EKGs

Muedzo uyu unokosha zvikuru nokuti unogona kubata zviratidzo zvepakutanga zvechirwere chemoyo usati wava nezviratidzo zvakakomba. Chiremba wako anogona kukurudzira shanduko dzemararamiro kana kurapwa kudzivirira matambudziko emoyo emunguva yemberi.

Ndeipi nzira yeCT coronary angiogram?

Nzira yeCT coronary angiogram inoenderera mberi muchipatara kana nzvimbo yekuongorora uye inosanganisira matanho akati wandei akareruka. Uchashanda nemunyanzvi akadzidziswa uyo achakutungamirira kuburikidza nechikamu chimwe nechimwe chemaitiro uye kupindura chero mibvunzo yaungave uine.

Hezvino zvinoitika panguva yekutarisa kwako:

1. Uchapfeka nguo yechipatara uye kubvisa zvishongo kana zvinhu zvesimbi
2. Nyanzvi ichaisa mutsetse weIV muruoko rwako weruvara rwekupesana
3. Ucharara patafura inotsvedza muchikwanisi cheCT
4. Ma electrodes madiki anogona kuiswa pachipfuva chako kuti atarise rhythm yemoyo wako
5. Unogona kupiwa mushonga wekuderedza kumhanya kwemoyo wako kana zvichidikanwa
6. Ruvara rwekupesana ruchaiswa kuburikidza neIV yako panguva yekutarisa
7. Uchada kubata mweya wako kwenguva pfupi apo mifananidzo ichitorwa
8. Nzira yese yekutarisa inowanzo tora maminitsi gumi nemashanu

Panguva yekuiswa kweruvara rwekupesana, unogona kunzwa kunzwa kudziya kana kuravira kwesimbi mumuromo mako. Izvi zvinonzwa zvakajairika zvachose uye zvichapfuura nekukurumidza. Nyanzvi ichave iri mukutaurirana nguva dzose newe panguva yese yemaitiro.

Maitiro ekugadzirira CT coronary angiogram yako?

Kugadzirira kwakanaka kunobatsira kuona kuti mifananidzo inobuda zvakanaka uye kunoderedza mukana wekuoma. Chikwata chako chekuchengetedza hutano chichapa mirairo yakatarwa zvichienderana nemamiriro ako, asi matanho mazhinji ekugadzirira akareruka uye akarurama.

Heano matanho akajairika ekugadzirira aunozofanira kutevera:

• Dzivisa caffeine kwemaawa gumi nemaviri kusvika makumi maviri nemana usati waita bvunzo yako
• Usadya chikafu chakasimba kwemaawa mana usati waita maitiro
• Tora mishonga yako yenguva dzose kunze kwekunge wapiwa mamwe mirairo
• Zivisa chiremba wako nezve allergy, kunyanya kune contrast dye kana iodine
• Udza chikwata chako kana wakazvitakura kana uchigona kuzvitakura
• Kurukura matambudziko eitsvo kana mishonga yechirwere cheshuga nachiremba wako
• Ronga kutakura kana uchizogamuchira sedation

Kana iwe uchitora mishonga yechirwere cheshuga, kunyanya metformin, chiremba wako angakukumbira kuti urege kuitora kwenguva pfupi. Izvi zvinodzivirira matambudziko eitsvo asingawanzoitiki asi akakomba kana akabatanidzwa ne contrast dye.

Unofanirwawo kutaura chero nhoroondo yechirwere cheitsvo, sezvo chiremba wako angada kutarisa kushanda kweitsvo yako usati waita bvunzo. Vamwe vanhu vangada hydration yakawedzerwa kana mishonga yakakosha yekudzivirira itsvo dzavo panguva yemaitiro.

Maitiro ekuverenga CT coronary angiogram yako?

Mhedzisiro yako yeCT coronary angiogram ichadudzirwa ne radiologist uye cardiologist vanonyanya kuverenga mifananidzo iyi yakaoma. Vachatsvaga chero zviratidzo zvekudzikira, kuvharika, kana zvimwe zvisina kujairika mumitsipa yako yemoyo uye vopa mushumo wakadzama kuchiremba wako.

Mushumo wacho unowanzo sanganisira ruzivo nezve chiyero chekudzikira mumutsipa mukuru wega wega wemoyo. Vanachiremba vanowanzo tsanangura kuvharika semapresenti, senge 25%, 50%, kana 75% kudzikira. Kazhinji, kuvharika kwe70% kana kupfuura mumitsipa mikuru kunoonekwa sekukosha uye kunogona kuda kurapwa.

Mhedzisiro yako inogona kusanganisirawo chiyero che calcium, chinoyera huwandu hwe calcium buildup mumitsipa yako yemoyo. Zviyero zve calcium zvakakwirira zvinogona kuratidza njodzi yakakura yematambudziko emoyo, kunyangwe usati wava nekuvharika kwakakura. Ruzivo urwu runobatsira chiremba wako kuongorora njodzi yako yese yemoyo.

Mune dzimwe nguva, scan inogona kuratidza tsinga dzemoyo dzakajairika dzisina kuvharika kwakakura. Izvi zvinogona kuva zvinonyaradza zvikuru kana wanga uchinzwa kurwadziwa muchipfuva, sezvo zvichiratidza kuti zviratidzo zvako hazviiti zvichikonzerwa nechirwere che coronary artery.

Nzira yekuvandudza hutano hwako hwemoyo?

Kunyangwe CT coronary angiogram yako ichiratidza tsinga dzakajairika kana imwe dhigirii yekumanikidza, unogona kutora matanho ekuvandudza nekuchengetedza hutano hwemoyo wako. Mashoko akanaka ndechokuti mazhinji ematanho anobudirira ndiyo shanduko yehupenyu yaunogona kutanga kuita ipapo.

Heano nzira dzakaratidzwa dzekutsigira hutano hwako hwemoyo:

• Tevedza kudya kunovaka mwoyo kwakapfuma mumichero, miriwo, uye zviyo zvizere
• Batanidzwa mumabasa enguva dzose ekurovedza muviri sezvinokurudzirwa nachiremba wako
• Siya kusvuta uye dzivisa kusangana ne second-hand smoke
• Chengetedza uremu hune hutano hwemuviri wako
• Gadzirisa kushushikana kuburikidza nemaitiro ekuzorora kana kutaurirana
• Tora mishonga yakarairwa nguva dzose sezvakarairwa
• Tarisa uye dzora BP uye cholesterol mazinga
• Gadzirisa chirwere cheshuga zvinobudirira kana uine mamiriro aya

Kana scan yako ikaratidza kuvharika kwakakura, chiremba wako angakurudzira mishonga yekubatsira kudzivirira ropa, kuderedza cholesterol, kana kudzora BP. Mune dzimwe nguva, maitiro akadai se angioplasty kana bypass surgery angave akakosha kuti adzorere kuyerera kweropa kwakakodzera.

Rangarira kuti chirwere chemitsipa yeropa yemoyo chinowanzoitika zvishoma nezvishoma kwemakore mazhinji. Kunyangwe kana scan yako ikaratidza kumwe kutetepa, kuita shanduko dzakanaka dzemararamiro kunogona kubatsira kudzivirira kufambira mberi uye kuderedza njodzi yako yekurwara nemoyo.

Chii chiri chakanakisa chemitsipa yeropa yemoyo?

Mamiriro akanakisa emitsipa yeropa yemoyo ndeyekuva nemitsipa yakajeka zvachose, inochinjika isina kutetepa kana kuvharika. Mumashoko ekurapa, izvi zvinoreva kuva nemadziro emitsipa akatsetseka pasina plaque buildup uye kuyerera kweropa kwakajairika kunzvimbo dzese dzemhasuru yemoyo wako.

Zvisinei, sezvatinokwegura, zvakajairika kukudziridza imwe degree ye atherosclerosis, iyo ndiyo inononoka kuvaka kwe plaque mumitsipa yedu. Chinhu chakakosha ndechichengeta maitiro aya ari madiki uye kuadzivirira kubva pakufambira mberi kusvika padanho rekuti rinodzivisa zvakanyanya kuyerera kweropa kumoyo wako.

Vanachiremba vanowanzoona mitsetse yeropa yemoyo iine hutano kana kuvharika kuri pasi pe50% mune chero chero chero chikuru. Padanho iri, kuyerera kweropa kunowanzoita zvakakwana kupa mhasuru yemoyo wako neoksijeni uye zvinovaka muviri zvaanoda panguva yezviitiko zvakajairika uye maekisesaizi akati wandei.

Chiyero chako che calcium chinogona zvakare kupa ruzivo muhutano hwemitsipa yeropa yemoyo wako. Chiyero che zero chakakodzera uye chinoratidza njodzi yakaderera yematambudziko emoyo munguva pfupi iri kutevera. Zvikoro zviri pamusoro pe100 zvinoratidza njodzi yepakati, nepo zvikoro zviri pamusoro pe400 zvinoratidza njodzi yepamusoro inogona kuda manejimendi akanyanya.

Ndezvipi zvinhu zvine njodzi yechirwere chemitsipa yeropa yemoyo?

Kunzwisisa zvinhu zvako zvine njodzi yechirwere chemitsipa yeropa yemoyo kunogona kukubatsira iwe nachiremba wako kududzira mhedzisiro yako ye CT coronary angiogram uye kuronga matanho akakodzera ekudzivirira. Zvimwe zvinhu zvine njodzi zvaunogona kudzora, nepo vamwe vari chikamu chekuumbwa kwako kwemajini kana maitiro ekukwegura echisikigo.

Zvikonzero zvinogona kuchinjwa zvinosanganisira:

• Kuputa kana kushandisa zvigadzirwa zvefodya
• Kuvhunduka kweropa (hypertension)
• Mazinga epamusoro echolesterol
• Chirwere cheshuga kana prediabetes
• Kufutisa kana uremu hwakanyanya
• Kusaita basa remuviri kana mararamiro ekugara
• Kushushikana kusingaperi kana manejimendi asina kunaka ekushushikana
• Kudya kusina hutano kwakanyanya mumafuta akazara uye chikafu chakagadzirwa

Zvikonzero zvausingakwanise kuchinja zvinosanganisira zera rako, bonde, uye nhoroondo yemhuri yechirwere chemoyo. Varume vanowanzoita chirwere checoronary artery kare kupfuura vakadzi, kunyangwe njodzi yevakadzi ichiwedzera zvakanyanya mushure mekuenda kumwedzi. Kuva nevabereki kana hama dzine chirwere chemoyo kare kunowedzerawo njodzi yako.

Mamwe mamiriro ezvinhu ekurapa anogonawo kuwedzera njodzi yako, kusanganisira sleep apnea, chirwere cheitsvo chisingaperi, uye autoimmune disorders senge rheumatoid arthritis. Kana uine zvinhu zvakawanda zvinokonzera njodzi, chiremba wako angakurudzira kuongorora kakawanda kana kupindira kare.

Zvirinani kuva nemapoinzi mashoma kana akawanda ecalcium ecoronary?

Mapoinzi mashoma ecalcium ecoronary zvakanyanya kunaka kumoyo wako. Chiyero checalcium che zero chinoratidza kuti hapana calcium inowanikwa mumitsipa yako ye coronary, iyo inoratidza njodzi yakaderera yekuva nezvipingamupinyi zvakakosha kana kusangana nematambudziko emoyo munguva pfupi iri kutevera.

Mapoinzi eCalcium anowanzo dudzirwa mumhando dzinoenderana nemazinga akasiyana enjodzi yemoyo. Chiyero che1-10 chinoratidza kuvakwa kwepaque kushoma, nepo zvikoro zve11-100 zvinoratidza mild atherosclerosis. Zvikoro zve101-400 zvinoratidza mutoro wepakati we plaque, uye zvikoro zviri pamusoro pe400 zvinoratidza yakawanda atherosclerosis.

Zvisinei, zvakakosha kunzwisisa kuti calcium scores inoratidza huwandu hwese hwecalcified plaque mumitsipa yako, kwete zvakanyanya chiyero chekudzikira. Vamwe vanhu vanogona kuva nemapoinzi akakwirira ecalcium asi vachiri kuva neropa rakakwana, nepo vamwe vachigona kuva nezvipingamupinyi zvakakosha nemapoinzi ecalcium akaderera.

Chiremba wako achatarisa chiyero chako che calcium pamwe chete nezvimwe zvinhu zvakaita sezviratidzo zvako, njodzi, uye hutano hwako hwese paanenge achisarudza nzira yakanaka yekurapa. Kunyangwe uine chiyero che calcium chakakwira, mishonga yakakodzera uye shanduko dzemaitiro dzinogona kubatsira kudzivirira kufambira mberi.

Ndezvipi zvipingamupinyi zvinogona kuitika zvekudzivirirwa kwetsinga dzemoyo?

Kudzivirirwa kwetsinga dzemoyo kunogona kukonzera matambudziko akawanda akakomba kana akasiyiwa asina kurapwa, asi kunzwisisa zvingaitika izvi kunogona kukubatsira kuti utevedzere chirongwa chako chekurapa uye kuita sarudzo dzemaitiro ehutano hwemoyo. Mashoko akanaka ndewekuti nekutarisirwa kwemazuva ano kwekurapa, akawanda ematambudziko aya anogona kudzivirirwa kana kurapwa zvakanaka.

Matambudziko akakomba anogona kukura anosanganisira:

• Kurwisa kwemoyo (myocardial infarction) apo kuyerera kweropa kunovharirwa kamwe kamwe
• Kurwadziwa muchipfuva kusingaperi (angina) panguva yekushanda muviri kana kushushikana
• Kukundikana kwemoyo apo tsandanyama yemoyo inova isina simba nekufamba kwenguva
• Kusagadzikana kwemoyo (arrhythmias) nekuda kwekushaya ropa
• Rufu rwemoyo kamwe kamwe muzviitiko zvakakomba nekudzivirirwa kwakawanda

Kurwisa kwemoyo kunoitika apo kuvharirwa kunodzima zvachose kuyerera kweropa kune chikamu chetsandanyama yako yemoyo. Izvi zvinogona kuitika apo plaque iripo inoputika uye inogadzira ropa, kana apo kuvharirwa kunova kwakazara zvishoma nezvishoma. Kurapwa kwekurapa nekukurumidza kazhinji kunogona kudzorera kuyerera kweropa uye kuderedza kukuvadzwa kwetsandanyama yemoyo.

Matambudziko asingaperi akaita sekukundikana kwemoyo anokura zvishoma nezvishoma sezvo zviitiko zvakadzokororwa zvekushaya kuyerera kweropa zvinoshayisa simba tsandanyama yako yemoyo nekufamba kwenguva. Zvisinei, nekutarisirwa kwakakodzera kusanganisira mishonga, shanduko dzemaitiro, uye dzimwe nguva maitiro, vanhu vazhinji vane chirwere chetsinga dzemoyo vanorarama hupenyu hwakazara, hunoshingaira.

Chinhu chakakosha ndechokushanda pedyo nechikwata chako chekuchengetwa kwehutano kuti uongorore mamiriro ako uye kugadzirisa kurapwa sezvinodiwa. Kugadzwa nguva dzose uye kutevedzera chirongwa chako chekurapa kunogona kuderedza zvakanyanya njodzi yako yekuwana matambudziko aya.

Ndingatarisana rinhi nachiremba nekuda kwezve coronary artery?

Unofanira kubata chiremba wako nekukurumidza kana ukaona chero zviratidzo zvingaratidza matambudziko e coronary artery. Usamirira kuti uone kana zviratidzo zvichivandudza zvega, kunyanya kana uine njodzi yezvirwere zve mwoyo kana kana CT coronary angiogram yako yakaratidza chero kusagadzikana.

Tsvaga rubatsiro rwekurapa nekukurumidza kune izvi zviratidzo zvekuyambira:

• Kurwadziwa muchipfuva kana kumanikidzwa, kunyanya nekushanda
• Kufema zvishoma panguva yezviitiko zvenguva dzose
• Kurwadziwa kunopenya kumaoko ako, mutsipa, shaya, kana kumashure
• Kuneta kusinganzwisisiki kana kusava nesimba
• Dizziness kana lightheadedness nekusagadzikana kwechipfuva
• Nausea kana kutukwa pamwe chete nezviratidzo zvechipfuva

Fonera masevhisi ekukurumidza nekukurumidza kana ukaona kurwadziwa kwakanyanya muchipfuva, kunyanya kana kwakaperekedzwa nekutukwa, nausea, kana kufema zvishoma. Izvi zvinogona kuva zviratidzo zvekurohwa nemoyo, izvo zvinoda kurapwa nekukurumidza kudzivirira kukuvara kwemhasuru yemoyo zvachose.

Unofanirawo kuronga kugadzwa nguva dzose nachiremba wako kana CT coronary angiogram yako yakaratidza chero dhigirii yechirwere che coronary artery. Kunyangwe kuvharika kudiki kunoda kuongororwa kuti uve nechokwadi chekuti havafambiri mberi, uye chiremba wako anogona kuda kugadzirisa mishonga yako kana kukurudzira mamwe maedzo zvichienderana nekuti unonzwa sei.

Mibvunzo inowanzo bvunzwa nezve CT coronary angiogram

Q.1 Ko CT coronary angiogram bvunzo yakanaka pakuona chirwere chemoyo here?

Hongu, CT coronary angiogram yakanaka kwazvo pakuona chirwere chemitsipa yeropa yemoyo, kunyanya muvanhu vane njodzi yepakati nepakati yematambudziko emoyo. Muedzo uyu unogona kuona zvivharo zvakaita se50% uye unonyanya kubatsira pakubvisa chirwere chakakura chemitsipa yeropa yemoyo kana mhedzisiro iri yakanaka.

Muedzo uyu une chiyero chepamusoro chekururama pakuona zvivharo zvingada kurapwa. Zvisinei, unonyanya kubatsira vanhu vane zviratidzo zvinoratidza chirwere chemoyo asi vasina njodzi yakakwana yekuenda zvakananga kune nzira dzinopinda. Chiremba wako achasarudza kana muedzo uyu wakakodzera zvichienderana nemamiriro ako chaiwo uye zviratidzo.

Q.2 Ko huwandu hwepamusoro hwecalcium yemoyo zvinogara zvichireva kuti ndinoda kuvhiyiwa here?

Aihwa, huwandu hwepamusoro hwecalcium yemoyo hazvirevi otomatiki kuti unoda kuvhiyiwa kana nzira dzinopinda. Vanhu vazhinji vane huwandu hwakakwira hwecalcium vanogona kubatwa zvakanaka nemishonga uye shanduko dzemararamiro dzinobatsira kudzivirira kuenderera mberi kweplaque uye kuderedza njodzi yekurwisa kwemoyo.

Chiremba wako achafunga nezvehuwandu hwako hwecalcium pamwe chete nezviratidzo zvako, mamwe mhedzisiro yemiedzo, uye hutano hwako hwese pakusarudza nzira yakanakisisa yekurapa. Kuvhiyiwa kana nzira dzakaita seangioplasty dzinowanzo kurudzirwa chete kana uine zvivharo zvakakomba zvinokonzera zviratidzo kana njodzi yakanyanya yekurwisa kwemoyo.

Q.3 Ndingave neCT coronary angiogram yakajairika asi ndichine matambudziko emoyo here?

Nepo CT coronary angiogram yakajairika ichinyaradza zvikuru uye inoratidza njodzi shoma yekurwisa kwemoyo kubva kuchirwere chemitsipa yeropa yemoyo, haibvisi zvachose matambudziko ese emoyo. Unogona kunge uine nyaya dzakaita sechirwere chemoyo, matambudziko emavharuvhu emoyo, kana zvirwere zvemuscular yemoyo izvo muedzo uyu usingaongorori.

Mukuwedzera, zvivharo zviduku zvikuru kana plaque yakapfava isina kuoma dzimwe nguva inogona kupotswa. Zvisinei, kana CT coronary angiogram yako yakajairika, njodzi yako yekuva nekurwisa kwemoyo kubva kuchirwere chemitsipa yeropa yemoyo mumakore mashoma anotevera yakaderera zvikuru.

Mubvunzo 4: Ndingadzokorora kangani angiogram yeCT coronary?

Kuwanda kwekudzokorora angiogram yeCT coronary kunoenderana nemhedzisiro yako yekutanga uye njodzi. Kana scan yako yekutanga yaive yakajairika zvachose uye uine njodzi shoma, unogona kusada imwe scan kwemakore mazhinji, kana zvachose.

Kana scan yako yakaratidza kuvharika kudiki kusvika pakati nepakati, chiremba wako angakurudzira kudzokorora imaging muma3-5 years kuti aongorore kufambira mberi. Vanhu vane njodzi yepamusoro kana zvakawanikwa zvakakosha vanogona kuda kutevedzera kakawanda nekuongorora kweCT kana mamwe marudzi ekuyedzwa kwemoyo.

Mubvunzo 5: Pane njodzi here yekuva neCT coronary angiogram?

CT coronary angiogram inowanzo chengeteka, asi senge chero bvunzo yekurapa, inotakura njodzi diki. Zvinhu zvikuru zvinonetesa ndezvekuratidzwa kune radiation uye zvingangoitika zvekupindura kune contrast dye, kunyangwe matambudziko akakomba asingawanzoitiki.

Kuratidzwa kweradiation kwakaenzana ne1-2 makore eiyo radiation yechisikigo, iyo inoonekwa seyakagamuchirwa yeruzivo rwakakosha rwakawanikwa. Contrast dye reactions hazviwanzoitiki uye zvinowanzoita zvinyoro, zvine kusvotwa kana rash. Serious allergic reactions dzinoitika muvanhu vanopfuura 1% uye dzinogona kurapwa zvakanaka kana dzikaitika.