Created at:1/13/2025
I-Thallous Chloride TL-201 iyithuluzi lokuhlola elinomsakazo elisetshenziselwa ukusiza odokotela ukuthi babone ukuthi igazi ligijima kahle kangakanani emsipheni wenhliziyo yakho. Lo muthi okhethekile uqukethe inani elincane lezinto ezinomsakazo ezisebenza njengomkhondo, okuvumela ochwepheshe bezokwelapha ukuthi bakhe izithombe ezinemininingwane yenhliziyo yakho besebenzisa ikhamera ekhethekile.
Ungase uzibuze ngalo muthi uma udokotela wakho encoma ukuhlolwa kwenhliziyo. Kuyinto ejwayelekile ukuba nemibuzo mayelana nanoma iyiphi inqubo yezokwelapha, ikakhulukazi leyo ebandakanya izinto ezinomsakazo. Ake sihambe kukho konke okudingeka ukwazi ngamazwi alula.
I-Thallous Chloride TL-201 ngumuthi wokuxilonga osiza odokotela ukuthi bahlole ukusebenza kwenhliziyo yakho. Elithi "TL-201" libhekisela ku-thallium-201, uhlobo olu-radioactive lwe-elementi thallium ekhishwa inani elincane lemisebe.
Cabanga ngayo njengodayi okhethekile oqashwa yimicu yomzimba wenhliziyo yakho. Lapho imicu yomzimba yenhliziyo enempilo ithola ukujikeleza okuhle kwegazi, ithatha lo muthi kalula. Izindawo ezinokujikeleza okubi kwegazi noma izicubu ezilimele ngeke ziwuthathe kahle, okudala isithombe esicacile eqenjini lakho lezokwelapha.
Ingxenye enomsakazo ithambile kakhulu futhi yakhelwe ngqo ukuthwebula izithombe zezokwelapha. Inani lemisebe ozolithola lifana nezinye izivivinyo ezivamile zezokwelapha njengama-CT scan.
Lo muthi usiza odokotela ukuthi baxilongwe futhi baqaphe izimo ezihlukahlukene zenhliziyo ngokubonisa ukuthi igazi ligijima kanjani ngemicu yomzimba wenhliziyo yakho. Udokotela wakho angase ancome lolu vivinyo uma uhlangabezana nobuhlungu besifuba, ukuphefumula kanzima, noma ezinye izimpawu ezisikisela izinkinga zenhliziyo.
Nawa amakhono amakhulu lokhu kuhlolwa kwezithombe okungasiza ukukhomba:
Udokotela wakho usebenzisa izithombe ezivela kulolu vivinyo ukwenza izinqumo ezibalulekile mayelana nokunakekelwa kwenhliziyo yakho. Kuyasiza ikakhulukazi ngoba akukhombisi nje ukwakheka kwenhliziyo yakho, kodwa nokuthi isebenza kahle kangakanani.
Lo muthi usebenza ngokulingisa i-potassium, amaminerali amaseli emisipha yenhliziyo enempilo awamuncayo ngokwemvelo. Uma ifakwe emithanjeni yakho yegazi, iya enhliziyweni yakho futhi ithathwe ngamaseli emisipha athola ukugeleza kwegazi okwanele.
Le nqubo ithambile emzimbeni wakho. I-radioactive thallium ikhipha imisebe ye-gamma engabonwa yikhamera ekhethekile ngaphandle komzimba wakho. Izindawo zenhliziyo yakho ezinokugeleza kwegazi okuhle zizovela zikhanye ezithombeni, kuyilapho izindawo ezinokujikeleza okubi noma umonakalo zizovela zifiphele.
Lokhu kuthathwa njengensiza yokuxilonga enamandla amaphakathi. Ayinzima njengezinye izinqubo zenhliziyo, kodwa inikeza imininingwane enemininingwane kunezivivinyo eziyisisekelo ezinjenge-EKGs. Ukuvezwa kwemisebe okwesikhashana futhi kuyaphuma emzimbeni wakho ngokwemvelo ezinsukwini ezimbalwa.
Ngeke 'uthathwe' lo muthi ngomqondo ovamile. Kunalokho, uchwepheshe wezempilo oqeqeshiwe uzowufaka ngqo emthanjeni engalweni yakho, okufana nokuthatha igazi noma ukuthola i-IV.
Ngaphambi kokuqokwa kwakho, ngokuvamile uzodinga ukugwema ukudla amahora angu-3-4. Udokotela wakho angase futhi akucele ukuthi uyeke imithi yenhliziyo ethile okwesikhashana. Njalo landela imiyalelo yakho ethile yangaphambi kokuhlolwa njengoba inikeziwe.
Umjovo ngokwawo uthatha imizuzwana embalwa nje. Ungase uzwe ukuchwaza okuncane ngensingo, kodwa abantu abaningi bakuthola kulula ukukubekezelela. Ngemuva komjovo, uzodinga ukulinda buthule imizuzu engaba ngu-10-15 ngaphambi kokuba kuqale ukuthwebula izithombe.
Ngesikhathi sokulinda, zama ukuhlala uzolile futhi ukhululekile. Ezinye izikhungo zingase zikucele ukuthi ulale phansi noma uhlale ngokunethezeka ngenkathi umuthi ujikeleza ngemithambo yakho yegazi futhi ufinyelela emsipheni wenhliziyo yakho.
Lena inqubo yokuxilonga eyenziwa kanye, hhayi ukwelashwa okuqhubekayo. Uzothola umjovo owodwa ngesikhathi sokuqokwa kwakho kokuthwebula izithombe.
Izinto ezinomsakazo zizohlala emzimbeni wakho izinsuku ezimbalwa, kodwa ziba ngaphansi komsebenzi ngokuhamba kwesikhathi. Okuningi kwazo kuzosuswa ngomchamo wakho phakathi namahora okuqala angu-24-48 ngemuva kokuhlolwa kwakho.
Uma udokotela wakho edinga ukuthwebula izithombe ezengeziwe zenhliziyo esikhathini esizayo, angase ancome ukuphinda lokhu kuhlolwa. Kodwa-ke, ngokuvamile kunesikhathi sokulinda phakathi kokuhlolwa ukuqinisekisa ukuthi umzimba wakho usususe ngokuphelele umthamo wangaphambilini.
Abantu abaningi ababi nemiphumela emibi kulo muthi. Umthamo onomsakazo mncane kakhulu futhi wenzelwe ngokukhethekile ukuphepha ekuthwebuleni izithombe zezokwelapha.
Lapho imiphumela emibi yenzeka, ivamise ukuba mnene futhi yesikhashana. Nawa amanye amaphendulo avamile ongase uwahlangabezane nawo:
Le miphumela ngokuvamile ixazululeka emahoreni ambalwa. Uma uhlangabezana nokungakhululeki okuqhubekayo noma unezinkathazo nganoma yiziphi izimpawu, unganqikazi ukuxhumana nomhlinzeki wakho wezempilo.
Ukuphendula okukhulu komzimba emithini kuyivelakancane kodwa kungenzeka. Izimpawu zingabandakanya ukushona komoya, ukuvuvukala okukhulu, noma ukuqubuka okukhulu. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa usizo lwezokwelapha ngokushesha.
Ngenkathi le mithi ivikelekile ngokujwayelekile kubantu abaningi, abanye abantu kufanele bayigweme noma baxoxe ngezindlela ezingezinye nodokotela babo.
Kufanele wazise umhlinzeki wakho wezempilo uma ukhulelwe noma ungase ukhulelwe. Izinto ezinomsakazo zingase zithinte ingane esakhulayo, ngakho odokotela bavame ukuncoma ukuhlehlisa lolu vivinyo kuze kube ngemva kokubeletha uma kungenzeka.
Uma uncelisa, udokotela wakho angase ancome ukuyeka ukuncelisa okwesikhashana izinsuku eziyi-2-3 ngemva kokuhlolwa. Lokhu kuvumela izinto ezinomsakazo ukuthi zinyamalale ohlelweni lwakho ngaphambi kokuqala kabusha ukuncelisa.
Abantu abanezifo ezinzima zezinso bangase badinge ukucatshangelwa okukhethekile njengoba imithi ikhishwa ngezinso. Udokotela wakho uzohlola ukuthi izinzuzo zidlula yini noma yiziphi izingozi ezingaba khona esimweni sakho esithile.
Le mithi ivame ukutholakala ngaphansi kwegama elivamile elithi Thallous Chloride TL-201. Abakhiqizi abahlukene bangayikhiqiza, kodwa isithako esisebenzayo sihlala singashintshi.
Isibhedlela sakho noma isikhungo sokuthwebula izithombe sizosebenzisa noma yiluphi uhlobo abanalo. Umkhiqizi othile akuthinti izinga noma ukuphepha kokuhlolwa kwakho, njengoba zonke izinhlobo kumele zihlangabezane nezindinganiso eziqinile zokulawula.
Ezinye izikhungo zingase zibhekisele kuyo ngokuthi
Izithako ezisekelwe ku-Technetium-99m zivame ukusetshenziswa njengezinye izindlela. Lokhu kuhlanganisa imithi efana ne-Sestamibi noma i-Tetrofosmin, nayo esiza ukubonisa ukuhamba kwegazi emsipheni wenhliziyo yakho kodwa isebenzisa izinto ezihlukene ze-radioactive.
Kwabanye iziguli, odokotela bangase batusa ezinye izindlela ezingezona ze-radioactive njenge-cardiac MRI noma i-echocardiography. Lezi zivivinyo azisebenzisi imisebe kodwa zingase zingahlinzeki ngezinga elifanayo lemininingwane ngezimo ezithile zenhliziyo.
Umhlinzeki wakho wokunakekelwa kwezempilo uzokhetha indlela engcono kakhulu yokuthwebula izithombe ngokusekelwe ezimpawini zakho, umlando wezokwelapha, kanye nolwazi oluthile abaludingayo ngenhliziyo yakho.
Kokubili i-Thallous Chloride TL-201 kanye nezithako ze-Technetium-99m ziyizinqumo ezinhle kakhulu zokuthwebula izithombe zenhliziyo, ngasinye sinenzuzo yaso. Inketho
Noma kunjalo, kufanele uqhubeke nokuthatha imithi yakho yesifo sikashukela njengoba kunqunywe ngaphandle kokuthi udokotela wakho akutshele ngokuqondile ngenye indlela. Isikhathi sokuzila ukudla ngaphambi kokuhlolwa kwakho singase sithinte ushukela wakho wegazi, ngakho-ke xoxa nganoma yiziphi izinkathazo nomhlinzeki wakho wezempilo ngaphambi kwesikhathi.
Ukweqisa imithi ngale mithi akuvamile kakhulu ngoba inikezwa ochwepheshe abaqeqeshwe ezindaweni zokunakekelwa kwezempilo ezilawulwayo. Umthamo ubhalwa ngokucophelela ngokusekelwe esisindweni somzimba wakho kanye nezidingo zokuhlolwa ezithile.
Uma ukhathazekile ngobuningi obutholile, khuluma nomhlinzeki wakho wezempilo ngokushesha. Bangahlola isimo sakho futhi banikeze isiqondiso esifanele noma ukuqapha uma kudingeka.
Xhumana nomhlinzeki wakho wezempilo noma isikhungo sokuthwebula ngokushesha ngangokunokwenzeka ukuze uhlele kabusha. Njengoba lokhu kuyisivivinyo sokuxilonga kunokwelashwa okuqhubekayo, ukuphuthelwa i-aphoyintimenti eyodwa akudali izingozi zezempilo ngokushesha.
Noma kunjalo, uma udokotela wakho e-oda lolu vivinyo ngenxa yezimpawu ezikhathazayo, kubalulekile ukuhlela kabusha ngokushesha. Ukuxilongwa okubambezelekile kwezinkinga zenhliziyo ngezinye izikhathi kungaholela ezinkingeni, ngakho-ke ungalibazisi ukuhlela kabusha.
Ngokuvamile ungaqala kabusha imisebenzi ejwayelekile ngokushesha ngemva kokuthi ukuhlolwa kwakho kokuthwebula sekuqediwe. Umuthi awubangeli ukozela noma ulimaze ikhono lakho lokushayela noma ukusebenza.
Ezinsukwini ezimbalwa zokuqala ngemva kokuhlolwa kwakho, uzobe uqeda izinto ezinomsakazo ngomchamo wakho. Ezinye izindawo zincoma ukuphuza uketshezi olwengeziwe ukusiza ukusheshisa le nqubo, kodwa lokhu akudingeki ngaso sonke isikhathi.
Yebo, ungaba seduze nabesifazane abakhulelwe nezingane ngemva kokuhlolwa kwakho. Inani lemisebe oyikhiphayo lincane kakhulu futhi liyehle ngokushesha ngokuhamba kwesikhathi.
Ezinye izikhungo zezokwelapha zinikeza imihlahlandlela ethile mayelana nokuxhumana okuseduze emahoreni okuqala angu-24-48, kodwa lokhu kuvame ukuba yizinyathelo zokuphepha eziqaphele kakhulu. Uma unokukhathazeka ngokuba seduze nabantu abasengozini, xoxa ngalokhu nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole isiqondiso esiqondene nawe.