Liyini i-Nuclear Stress Test? Inhloso, Amazinga/Inqubo & Imiphumela

I-nuclear stress test iyinqubo yokuthwebula izithombe zezokwelapha ekhombisa ukuthi igazi ligeleza kahle kangakanani emsipheni wenhliziyo yakho ngesikhathi sokuphumula nomsebenzi womzimba. Udokotela wakho usebenzisa inani elincane lezinto ezinomsakazo kanye namakhamera akhethekile ukudala izithombe ezinemininingwane yokuhlinzekwa kwegazi kwenhliziyo yakho.

Lolu vivinyo luhlanganisa izingxenye ezimbili ezibalulekile: i-stress test eyenza inhliziyo yakho isebenze kanzima, kanye nokuthwebula izithombe zenuzi okulandela ukuhamba kwegazi. I-tracer enomsakazo isebenza njenge-highlighter, okwenza izindawo ezinokugeleza okuhle kwegazi zibonakale ziqhakazile ezithombeni ngenkathi izindawo ezinokujikeleza okubi zibonakala zimnyama.

Liyini i-nuclear stress test?

I-nuclear stress test ihlola ukujikeleza kwegazi enhliziyweni yakho ngokuhlanganisa ukuzivocavoca noma imithi nokuthwebula izithombe ezinomsakazo. Lolu vivinyo luveza ukuthi ngabe imithambo yakho ye-coronary ingahlinzeka ngegazi elinothile nge-oxygen elanele ukuhlangabezana nezidingo zenhliziyo yakho ngesikhathi sokucindezeleka komzimba.

Ngesikhathi senqubo, uzothola inani elincane lezinto ezinomsakazo ezibizwa nge-tracer ngomugqa we-IV. Le tracer ihamba ngegazi lakho futhi iqoqane emsipheni wenhliziyo yakho, ivumela amakhamera akhethekile ukuthi athwebule izithombe ezinemininingwane yamaphethini okuhamba kwegazi.

Uvivinyo ngokuvamile luthatha amahora angu-3-4 ukuqedela, nakuba iningi lalelo thuba lihilela ukulinda phakathi kwezigaba ezihlukene. Uzothatha izithombe ngesikhathi sokuphumula, bese uzivocavoca ku-treadmill noma uthole imithi yokulingisa ukucindezeleka kokuzivocavoca, kulandelwe ukuthwebula izithombe okwengeziwe.

Kungani kwenziwa i-nuclear stress test?

Udokotela wakho angase ancome i-nuclear stress test ukuxilonga isifo semithambo ye-coronary noma ukuhlola izimpawu zobuhlungu besifuba. Lolu vivinyo luwusizo ikakhulukazi ngoba lungathola imithambo evaliwe engase ingabonisi izimpawu ngesikhathi semisebenzi yansuku zonke ejwayelekile.

Lolu vivinyo lusiza ukuthola ukuthi ubuhlungu besifuba sakho, ukuphefumula kanzima, noma ezinye izimpawu zihlobene yini nokuncipha kokugeleza kwegazi emsipheni wenhliziyo yakho. Lusebenza ikakhulukazi kubantu ababa nezimpawu kuphela ngesikhathi sokuzivivinya ngokomzimba noma ukucindezeleka.

Ngaphandle kokuxilongwa, izivivinyo zokucindezeleka zenuzi ziqapha ukusebenza kahle kokwelashwa kwenhliziyo njengokuhlinzwa kwe-bypass, i-angioplasty, noma imithi. Udokotela wakho angaqhathanisa izithombe zangaphambi nangemva ukuze abone ukuthi ukwelashwa kuthuthukise yini ukugeleza kwegazi ezindaweni ezithinteke ngaphambilini.

Ngezinye izikhathi odokotela basebenzisa lolu vivinyo ukuhlola isimo senhliziyo yakho ngaphambi kokuhlinzwa okukhulu noma ukuhlola ukukhathala okungachazeki nokungakwazi ukuzivivinya. Izithombe ezinemininingwane zisiza ekuqondiseni izinqumo zokwelapha nokuthola ingozi yakho yonke yenhliziyo nemithambo yegazi.

Yini inqubo yokuhlolwa kokucindezeleka kwenuzi?

Inqubo yokuhlolwa kokucindezeleka kwenuzi ihlanganisa izigaba eziningana ezisatshalaliswa emahoreni angu-3-4, ngamathuba okuphumula phakathi kweseshini ngayinye yokuthwebula izithombe. Uzoqala ngokuba nomugqa omncane we-IV obekwe engalweni yakho ukuze uthole umjovo we-radioactive tracer.

Okokuqala, uzothola umjovo we-tracer bese ulinda imizuzu engaba ngu-30-60 ukuze ujikeleze emzimbeni wakho. Ngesikhathi salokhu kulinda, ungaphumula esihlalweni esinethezekile futhi kungenzeka unikezwe ukudla okulula noma amanzi.

Okulandelayo kuza isigaba sezithombe zokuphumula, lapho uzoqamba amanga etafuleni ngenkathi ikhamera ekhethekile ijikeleza esifubeni sakho. Le khamera ithola amasignali e-radioactive avela enhliziyweni yakho futhi ithatha izithombe ezivela kuma-engeli amaningi ngaphezu kwemizuzu engu-15-20.

Ingxenye yokucindezeleka ilandelayo, lapho uzovivinya khona ku-treadmill noma uthole imithi nge-IV yakho uma ungenakwazi ukuzivivinya. Ngesikhathi sokuzivivinya kwe-treadmill, amandla anda kancane kancane njalo emizuzwini embalwa uze ufinyelele izinga lokushaya kwenhliziyo yakho eliqondiwe noma ube nezimpawu.

Uma uthola imithi esikhundleni sokuzivocavoca, imithi efana ne-dobutamine noma i-adenosine izokwenza inhliziyo yakho isebenze kanzima ngenkathi uphumule etafuleni. Ungase uzwe inhliziyo yakho igijima, ukungakhululeki okuncane esifubeni, noma ukuphefumula kanzima ngalesi sigaba.

Ngemuva kwesigaba sokucindezeleka, uzothola umjovo wesibili we-tracer bese ulinda eminye imizuzu engama-30-60 ngaphambi kweseshini yokugcina yokuthwebula izithombe. Lezi zithombe zokucindezeleka ziqhathaniswa nezithombe zakho zokuphumula ukuze kuhlolwe umehluko wokugeleza kwegazi.

Ungalungiselela kanjani ukuhlolwa kwakho kokucindezeleka kwenuzi?

Ukulungiselela ukuhlolwa kwakho kokucindezeleka kwenuzi kuqala amahora angama-24-48 ngaphambi kwenqubo ngokulungiswa okuthile kokudla nemithi. Udokotela wakho uzohlinzeka ngemiyalelo enemininingwane eyenzelwe isimo sakho sezempilo.

Kuzodingeka ukuthi ugweme i-caffeine ngokuphelele amahora angu-12-24 ngaphambi kokuhlolwa, okuhlanganisa ikhofi, itiye, ushokoledi, nemithi ethile. I-Caffeine ingaphazamisa imithi ethile yokucindezeleka futhi ithinte ukusabela kwenhliziyo yakho ngesikhathi sokuhlolwa.

Imithi eminingi yenhliziyo kufanele iyekwe amahora angu-24-48 ngaphambi kokuhlolwa, kodwa landela kuphela imiyalelo ethile kadokotela wakho mayelana nemithi okufanele uyibambe. Ungalokothi uyeke imithi ngaphandle kwesiqondiso esiqondile, njengoba eminye ibalulekile ekuphepheni kwakho.

Ngosuku lokuhlolwa kwakho, gqoka izingubo ezikhululekile nezicathulo zokuhamba ezifanele ukuzivocavoca ku-treadmill. Gwema ama-lotion, amafutha, noma izimpushana endaweni yesifuba sakho, njengoba lokhu kungaphazamisa imishini yokuthwebula izithombe.

Hlela ukudla ukudla okulula amahora angu-2-3 ngaphambi kokuqokwa kwakho, kodwa gwema ukudla okunzima noma okunamafutha okungase kubangele ukungakhululeki ngesikhathi sokuzivocavoca. Ezinye izindawo zikhetha ukuthi uzile ukudla amahora ambalwa, ngakho qinisekisa imihlahlandlela yokudla lapho uhlela ukuhlolwa kwakho.

Lungiselela ukuthi othile akuqhubele ekhaya ngemuva kokuhlolwa, ikakhulukazi uma uthola imithi yokucindezela inhliziyo yakho. Ngenkathi abantu abaningi bezizwa kahle ngemuva, abanye bahlangabezana nokukhathala kwesikhashana noma isiyezi.

Ungakufunda kanjani ukuhlolwa kwakho kokucindezeleka kwenuzi?

Imiphumela yokuhlolwa kwengcindezi yenuzi iqhathanisa ukugeleza kwegazi emsipheni wenhliziyo yakho ngesikhathi sokuphumula nezimo zokucindezeleka. Imiphumela ejwayelekile ikhombisa ukuthathwa kwe-tracer okufanayo kuyo yonke imisipha yenhliziyo yakho kuzo zombili izithombe zokuphumula nezokucindezeleka, okubonisa ukuthi ukugeleza kwegazi okwanele.

Imiphumela engajwayelekile iveza izindawo zokuncipha kokuthathwa kwe-tracer, okubizwa ngokuthi "amaphutha," okukhombisa ukuncipha kokugeleza kwegazi kulezo zindawo. Amaphutha alungisiwe avela kuzo zombili izithombe zokuphumula nezokucindezeleka asikisela ukulimala kwenhliziyo kwangaphambilini noma ukulimala ngenxa yokuhlaselwa yinhliziyo.

Amaphutha aguqukayo abonisa ukuthathwa kwe-tracer okujwayelekile ekuphumuleni kodwa ukuthathwa okuncishisiwe ngesikhathi sokucindezeleka, okukhombisa ukuvaleka kwemithambo ye-coronary okukhawulela ukugeleza kwegazi ngesikhathi sokwanda komsebenzi wenhliziyo. Lokhu okutholakele kusikisela ukuthi ungase ube nesifo semithambo ye-coronary esidinga ukuhlolwa okuqhubekayo noma ukwelashwa.

Udokotela wakho wenhliziyo uzochaza izithombe kanye nokusebenza kwakho kokuzivocavoca, izimpawu ngesikhathi sokuhlolwa, kanye nolunye ulwazi lomtholampilo. Umbiko uzofaka imininingwane mayelana nekhono lakho lokuzivocavoca, izinga lokushaya kwenhliziyo nokuphendula komfutho wegazi, kanye nanoma yiziphi izimpawu oye wazizwa.

Imiphumela ivame ukutholakala phakathi kwezinsuku eziyi-1-2, futhi udokotela wakho uzoxoxa ngalokho okushiwo ukutholakele ngesimo sakho esithile. Bazochaza ukuthi ngabe udinga ukuhlolwa okwengeziwe, izinguquko zokuphila, imithi, noma izinqubo ngokuya ngemiphumela yakho.

Ungayilungisa kanjani imiphumela yakho yokuhlolwa kwengcindezi yenuzi?

Imiphumela engajwayelekile yokuhlolwa kwengcindezi yenuzi akudingeki ngempela ukuthi "ilungiswe" kodwa kunalokho ukuphathwa kwezokwelapha okufanele ngokuya ngokutholakele kwakho okuthile. Uhlelo lwakho lokwelashwa luzoncika ekuqineni nasekundaweni yanoma yikuphi ukungajwayeleki kokugeleza kwegazi okutholakele.

Uma ukuhlolwa kwakho kubonisa ukungajwayeleki okuncane, udokotela wakho angase ancome izinguquko zokuphila kanye nemithi yokuthuthukisa impilo yenhliziyo. Lokhu kungabandakanya izinguquko zokudla ezinempilo enhliziyo, izinhlelo zokuzivocavoca njalo, ukuphathwa komfutho wegazi, kanye nemithi yokwehlisa i-cholesterol.

Ukuphambuka okukhulu kakhulu kungadinga ukuhlolwa okwengeziwe njengokufakwa kwe-catheter yezinhliziyo ukuze kubonwe imithambo yakho yegazi ngokuqondile. Le nqubo isiza ukuthola ukuthi ngabe udinga ukungenelela okufana ne-angioplasty enama-stents noma ukuhlinzwa kwe-bypass ukuze kubuyiselwe ukuhamba kwegazi.

Imithi idlala indima ebalulekile ekuphatheni isifo semithambo yegazi esitholakala ngokuhlolwa kokucindezeleka kwenyukliya. Udokotela wakho angase akwelule ukuthi uthathe izinciphisi zegazi, ama-beta-blockers, ama-ACE inhibitors, noma eminye imithi ukunciphisa umsebenzi wenhliziyo yakho futhi uthuthukise ukujikeleza kwegazi.

Ukunakekelwa okuqhubekayo njalo kubalulekile kungakhathaliseki imiphumela yakho yokuqala. Udokotela wakho uzoqapha izimpawu zakho, alungise imithi njengoba kudingeka, futhi mhlawumbe aphinde ukuhlolwa ukuze ahlulele intuthuko yakho futhi aqinisekise ukuthi uhlelo lwakho lokwelapha luhlala lusebenza.

Yini umphumela omuhle kakhulu wokuhlolwa kokucindezeleka kwenyukliya?

Umphumela omuhle kakhulu wokuhlolwa kokucindezeleka kwenyukliya ukhombisa ukujikeleza kwegazi okuvamile, okufanayo kuzo zonke izindawo zomzimba wakho wenhliziyo ngesikhathi sokuphumula nokucindezeleka. Lokhu kubonisa ukuthi imithambo yakho yegazi ivulekile futhi inikeza umoya-mpilo owanele emzimbeni wakho wenhliziyo.

Imiphumela ejwayelekile ihlanganisa nokubekezelelana okuhle kokuzivocavoca, izinga lenhliziyo elifanele kanye nokuphendula komfutho wegazi, futhi azikho izimpawu ezifana nobuhlungu besifuba noma ukuphefumula kanzima ngesikhathi sokucindezeleka. Lokhu okutholakele kuphakamisa ukuthi inhliziyo yakho isebenza kahle ngaphansi kwezidingo zomzimba.

Ngaphezu kwalokho, imiphumela emihle kakhulu ikhombisa ukuthi azikho izindawo zomonakalo wenhliziyo wangaphambilini noma ukulimala, okubonisa ukuthi umzimba wakho wenhliziyo unempilo yonke. Le nhlanganisela yokutholakele inikeza ukuqiniseka ngempilo yakho yenhliziyo nemithambo yegazi kanye nengozi ephansi yezinkinga zenhliziyo zesikhathi esizayo.

Noma ngemiphumela ejwayelekile, ukugcina imikhuba yokuphila enempilo yenhliziyo kubalulekile empilweni yenhliziyo nemithambo yegazi yesikhathi eside. Ukuzivocavoca njalo, ukudla okunempilo, ukuphatha ukucindezeleka, nokunakekelwa kwezokwelapha okuvamile kusiza ukugcina inhliziyo yakho isebenza kahle.

Yiziphi izici eziyingozi zokuhlolwa kokucindezeleka kwenyukliya okungajwayelekile?

Izinto eziningi eziyingozi zikhuphula amathuba okuthi ube nemiphumela engavamile yokuhlolwa kwengcindezi yenuzi, ngesifo semithambo yenhliziyo esiyinhloko. Ukuqonda lezi zinto kusiza wena nodokotela wakho ukuthi nihumushe imiphumela yakho ngokomongo.

Ubudala buyisici esibalulekile esiyingozi, njengoba imithambo yenhliziyo ngokwemvelo ithuthukisa i-atherosclerosis ngokuhamba kwesikhathi. Amadoda angaphezu kweminyaka engama-45 nabesifazane abangaphezu kweminyaka engama-55 banamathuba aphezulu emiphumeleni engavamile, nakuba isifo semithambo yenhliziyo singenzeka kunoma iyiphi iminyaka.

Nawa amanye ama-risk factors angaholela emiphumeleni engavamile yokuhlolwa kwengcindezi yenuzi:

• Umfutho wegazi ophezulu olimala izindonga zemithambo ngokuhamba kwesikhathi
• Amazinga e-cholesterol aphezulu anegalelo ekwakhekeni kwe-plaque
• Isifo sikashukela esisheshisa ukuthuthukiswa kwe-atherosclerosis
• Ukubhema okulimaza imithambo yegazi futhi kunciphisa ukulethwa komoya-mpilo
• Umlando womndeni wesifo senhliziyo, ikakhulukazi ezihlotsheni eziseduze
• Ukukhuluphala okwandisa umsebenzi wenhliziyo kanye nokucindezeleka kwemetabolic
• Ukuphila ngendlela yokunganyakazi okubuthakathisa ukuqina kwenhliziyo nemithambo yegazi
• Ukucindezeleka okungapheli okuthinta umfutho wegazi nomsebenzi wenhliziyo

Lezi zici eziyingozi zivame ukusebenza ndawonye, ​​zandisa amathuba akho okuthuthukisa isifo semithambo yenhliziyo. Izindaba ezinhle ukuthi eziningi zalezi zici zingashintshwa ngezinguquko zokuphila kanye nokwelashwa kwezokwelapha.

Ingabe kungcono ukuba nemiphumela ephezulu noma ephansi yokuhlolwa kwengcindezi yenuzi?

Imiphumela yokuhlolwa kwengcindezi yenuzi ayilinganiswa njenge "phezulu" noma "phansi" njengokuhlolwa kwegazi, kodwa kunalokho njengamaphethini ajwayelekile noma angavamile okuhamba kwegazi. Umgomo uwukuba nokuthathwa okujwayelekile, okufanayo kwe-tracer kuyo yonke imisipha yenhliziyo yakho ngesikhathi sokuphumula nokucindezeleka.

Imiphumela ejwayelekile ikhombisa ukuhamba kwegazi okuhle kakhulu kuzo zonke izindawo zenhliziyo yakho, okusho ukuthi imithambo yakho yenhliziyo ivulekile futhi isebenza kahle. Lokhu kuwumphumela ofanele okusikisela ingozi ephansi yokuhlaselwa yinhliziyo nempilo enhle yonke yenhliziyo nemithambo yegazi.

Imiphumela engavamile ikhombisa izindawo zokugeleza kwegazi okuncishisiwe, okungase kubonise ukuvaleka kwemithambo yegazi noma ukulimala kwenhliziyo kwangaphambilini. Nakuba kuyesabisa, lezi zitholakele zinikeza ulwazi olubalulekile olusiza udokotela wakho ukuthi akhe uhlelo lokwelapha olufanele.

Ubunzima bemiphumela engavamile buhlukahluka kakhulu, kusukela ekukhubazekeni okuncane okungase kulawulwe ngemithi kuya ekungavameni okukhulu okudinga izinqubo ezinjenge-angioplasty noma ukuhlinzwa kwe-bypass. Udokotela wakho uzokuchazela ukuthi imiphumela yakho ethile isho ukuthini futhi ancome izinyathelo ezilandelayo.

Ziyini izinkinga ezingase zibe khona zokuhlolwa kokucindezeleka kwenukliya okungavamile?

Imiphumela yokuhlolwa kokucindezeleka kwenukliya okungavamile ngokwazo ayibangeli izinkinga, kodwa ingase ikhombise isifo semithambo yenhliziyo esingaphansi esithwala izingozi ezinkulu zempilo. Ukuqonda lezi zinkinga ezingaba khona kusiza ukukhuthaza ukwelashwa okufanele kanye nezinguquko zokuphila.

Inkinga enkulu kakhulu yesifo semithambo yenhliziyo esingelashwa ukuhlaselwa yinhliziyo, okwenzeka lapho umthambo ovalekile unqamula ngokuphelele ukuhamba kwegazi engxenyeni yemisipha yenhliziyo yakho. Lokhu kungabangela ukulimala kwenhliziyo unomphela kanye nezinkinga ezingase zibe yingozi ekuphileni.

Nazi izinkinga eziyinhloko ezihambisana nokutholwa kokuhlolwa kokucindezeleka kwenukliya okungavamile:

• Ukuhlaselwa yinhliziyo ngenxa yokuvaleka okuphelele komthambo
• I-angina engazinzile enezigameko ezimbi kakhulu zobuhlungu besifuba
• Ukuhluleka kwenhliziyo ngenxa yemisipha yenhliziyo ebuthakathaka
• Ukuphazamiseka kwenhliziyo okungajwayelekile okungaba yingozi
• Ukufa kwenhliziyo okungazelelwe ezimweni ezinzima
• Isifo sohlangothi esivela emagazini egazi noma ukujikeleza okuncishisiwe
• Ukuncishiswa kwamandla okuzivocavoca kanye nekhwalithi yempilo

Ingozi yalezi zinkinga incike ekuqineni kwesifo sakho semithambo yenhliziyo nakwezinye izinto zempilo. Ukutholwa kwasekuqaleni ngokuhlolwa kokucindezeleka kwenukliya kuvumela ukwelashwa okusheshayo okunganciphisa kakhulu lezi zingozi.

Ziyini izinkinga ezingase zibe khona zokuhlolwa kokucindezeleka kwenukliya okuvamile?

Imiphumela ejwayelekile yokuhlolwa kwengcindezi yenuzi ithwala izingozi ezincane zempilo futhi ngokuvamile ikhombisa impilo enhle yenhliziyo nemithambo yegazi. Kodwa-ke, kubalulekile ukuqonda ukuthi akukho ukuhlolwa okuphelele, futhi imiphumela ejwayelekile ayiqinisekisi ukuthi ngeke nanini ube nezinkinga zenhliziyo.

Imiphumela ejwayelekile yamanga ingenzeka ngezikhathi ezithile, ikakhulukazi kubantu abanezifo zemithambo yegazi ezingeni eliphansi kakhulu noma labo abathatha imithi ethinta ukusabela kwenhliziyo. Yingakho udokotela wakho ecabangela izimpawu zakho, izici eziyingozi, nezinye izivivinyo kanye nemiphumela yakho yokuhlolwa kwengcindezi yenuzi.

Abanye abantu bangase bazizwe bephephile ngemiphumela ejwayelekile futhi bangazinaki izinguquko ezibalulekile zokuphila. Ukugcina imikhuba enempilo yenhliziyo kusebalulekile ngisho nangemiphumela ejwayelekile yokuhlolwa, njengoba isifo semithambo yegazi singathuthuka ngokuhamba kwesikhathi.

Imiphumela ejwayelekile ingase futhi ibambezele ukuxilongwa uma unezimbangela ezingezona ezinhliziyo zobuhlungu besifuba noma ukuphefumula kanzima. Udokotela wakho uzocabangela ezinye izincazelo ezingaba khona zezimpawu zakho uma ukuhlolwa kwakho kwengcindezi yenuzi kujwayelekile.

Ngezikhathi ezingavamile, abantu abanokuhlolwa kwengcindezi yenuzi okujwayelekile basengase babe nezinkinga zenhliziyo uma benesimo esifana ne-coronary artery spasm noma isifo semithambo emincane esingabonakali kulolu hlobo lokucabanga. Udokotela wakho uzoqapha izimpawu zakho eziqhubekayo nesimo sempilo.

Kufanele ngibone nini udokotela ukuze ngihlolwe ukuhlolwa kwengcindezi yenuzi?

Kufanele ubone udokotela ukuze uhlolwe ukuhlolwa kwengcindezi yenuzi uma unezinhlungu esifubeni, ukuphefumula kanzima, noma ezinye izimpawu ezingase zibonise izinkinga zenhliziyo. Lezi zimpawu zikhathaza ikakhulukazi uma zenzeka ngesikhathi somsebenzi womzimba noma ukucindezeleka ngokomzwelo.

Xhumana nodokotela wakho ngokushesha uma ungaqondakali esifubeni okuzizwa sengathi kucindezela, kucindezela, noma kushisa, ikakhulukazi uma kuqhubeka engalweni yakho, entanyeni, noma emhlathini. Lezi kungaba yizimpawu zesifo semithambo yegazi esidinga ukuhlolwa kwengcindezi yenuzi.

Nawa amaphuzu athile lapho kufanele uxoxe khona ngokuhlolwa kokucindezeleka kwenyukliya nodokotela wakho:

• Ubuhlungu obusha noma obuqinile besifuba ngesikhathi sokuzivocavoca noma ukucindezeleka
• Ukuphefumula okuncane okungachazeki ngomsebenzi womzimba
• Ukukhathala okungavamile noma ubuthakathaka ngesikhathi semisebenzi ejwayelekile
• Isiyezi noma ukukhanya ekhanda ngesikhathi sokuzikhandla
• Ukushaya kwenhliziyo okungavamile noma imizwa yokushaya kwenhliziyo okungajwayelekile
• Izici eziningi zengozi yesifo semithambo yenhliziyo
• Imiphumela ye-electrocardiogram engavamile
• Umlando womndeni wesifo senhliziyo esisheshayo

Udokotela wakho uzohlola izimpawu zakho, umlando wezokwelapha, nezici eziyingozi ukuze anqume ukuthi ukuhlolwa kokucindezeleka kwenyukliya kufanelekile yini esimweni sakho. Bangase futhi bacabangele ezinye izivivinyo noma ukwelashwa ngokusekelwe ezimweni zakho.

Imibuzo evame ukubuzwa mayelana nokuhlolwa kokucindezeleka kwenyukliya

Q.1 Ingabe ukuhlolwa kokucindezeleka kwenyukliya kulungile ekutholeni isifo semithambo yenhliziyo?

Yebo, ukuhlolwa kokucindezeleka kwenyukliya kuphumelela kakhulu ekutholeni isifo semithambo yenhliziyo, ngamazinga okunemba angama-85-90% ekuhlonzeni ukuvaleka okukhulu. Lolu vivinyo lubaluleke kakhulu ngoba lubonisa ukuthi inhliziyo yakho isebenza kanjani ngaphansi kwezimo zokucindezeleka ezilingisa izidingo zangempela zokuzivocavoca.

Ukuhlolwa kokucindezeleka kwenyukliya kungathola isifo semithambo yenhliziyo ngisho nalapho ama-electrocardiogram aphumuzayo ebonakala ejwayelekile. Inhlanganisela yokuhlolwa kokucindezeleka nokucabanga kwenyukliya inikeza imininingwane enemininingwane mayelana namaphethini okuhamba kwegazi asiza odokotela ukuthi bahlonze izindawo zokujikeleza okuncishisiwe.

Q.2 Ingabe imiphumela yokuhlolwa kokucindezeleka kwenyukliya engavamile ngaso sonke isikhathi isho isifo senhliziyo?

Akudingeki. Ngenkathi imiphumela yokuhlolwa kokucindezeleka kwenyukliya engavamile ivame ukukhombisa isifo semithambo yenhliziyo, ezinye izinto ngezinye izikhathi zingabangela ukutholwa okungavamile. Lokhu kungase kuhlanganise imithi ethile, izinkinga zobuchwepheshe ngesivivinyo, noma ezinye izimo zenhliziyo ngaphandle kwesifo semithambo yenhliziyo.

Udokotela wakho uzoqonda imiphumela yakho ngokubheka izimpawu zakho, umlando wakho wezokwelapha, kanye neminye imiphumela yokuhlolwa. Ngezinye izikhathi ukuhlolwa okwengeziwe okufana ne-cardiac catheterization kuyadingeka ukuqinisekisa ukuthi ngabe isifo semithambo yenhliziyo sikhona yini.

Umbuzo 3. Ingabe impahla enomoya esetshenziswa ekuhlolweni kokucindezeleka kwenyukliya iphephile kangakanani?

I-tracer enomoya esetshenziswa ekuhlolweni kokucindezeleka kwenyukliya iphephe kakhulu, ngokuvezwa kwemisebe okufana nokunye ukuhlolwa okuvamile kokucabanga ngezokwelapha. Inani lemisebe lincane futhi liyaphuma emzimbeni wakho ngokwemvelo ezinsukwini ezimbalwa ngezindlela ezijwayelekile zokuqeda.

Ukuphendula okukhulu komzimba emithini okubangelwa yi-tracer akuvamile kakhulu. Impahla enomoya isetshenziswe ngokuphepha ezigulini eziyizigidi emashumini eminyaka amaningi, futhi izinzuzo zokuxilongwa okunembile kwesifo senhliziyo zidlula kakhulu izingozi ezincane zemisebe.

Umbuzo 4. Ngingakwazi yini ukuzivocavoca ngokujwayelekile ngemuva kokuhlolwa kokucindezeleka kwenyukliya?

Abantu abaningi bangabuyela emisebenzini ejwayelekile ngokushesha ngemuva kokuhlolwa kokucindezeleka kwenyukliya, yize ungase uzizwe ukhathele amahora ambalwa. Uma uzivocavoce ku-treadmill ngesikhathi sokuhlolwa, ungase uhlangabezane nokukhathala okuvamile ngemuva kokuzivocavoca okufana nanoma yikuphi ukuzivocavoca.

Uma uthole imithi yokucindezela inhliziyo yakho esikhundleni sokuzivocavoca, ungase uzizwe ukozela kancane noma ube nemiphumela emincane esele amahora ambalwa. Ithimba lakho lezokwelapha lizokuqapha kuze kube yilapho le miphumela iphela ngaphambi kokuthi ushiye isikhungo.

Umbuzo 5. Kufanele ngihlolwe kaningi kangakanani ukucindezeleka kwenyukliya?

Ukuvama kokuhlolwa kokucindezeleka kwenyukliya kuncike ezingozini zakho ngazinye, izimpawu, kanye nemiphumela yokuhlolwa kwangaphambilini. Abantu abanemiphumela ejwayelekile kanye nezici eziphansi zengozi ngokuvamile abadingi ukuphinda ukuhlolwa iminyaka eminingana ngaphandle kokuthi kuvele izimpawu ezintsha.

Labo abanezifo zemithambo yenhliziyo noma izici eziyingozi eziphezulu bangase badinge ukuphindwa kokuhlolwa njalo eminyakeni engu-1-3 ukuqapha isimo sabo kanye nokusebenza kahle kokwelashwa. Udokotela wakho uzoqoka uhlelo olufanele lokuhlolwa ngokusekelwe esimweni sakho esithile sezokwelapha kanye nezimpawu eziqhubekayo.