Chifukwa pali mitundu yambiri ya matenda a mtima, iliyonse imakhudza mbali zosiyanasiyana ndi ntchito za mtima wamtima, timayesedwa mayeso kuti tiwone bwinobwino. Zina zimagwiritsidwa ntchito kuzindikira zolakwika m'mtima kapena mitsempha. Ena amayesetsa kuona momwe ziwalo zikuchitira bwino zokhudzana ndi msinkhu wanu, thanzi lanu, ndi umunthu wanu.
Nthenda ya Moyo Wathunthu
Mayeserowa amagwiritsidwa ntchito mobwerezabwereza monga kuyang'ana kwa matenda a mtima. Amagwiritsidwa ntchito pofuna kukhazikitsa mzere mwa anthu omwe alibe matenda a mtima. Pakapita nthawi-nthawizina masabata, nthawi zina zaka-mayesero akhoza kubwerezedwa kuti awone ngati pali kuwonongeka kapena kusintha kuchokera ku ntchito yoyamba.
Zina mwazinthu zoyendetsera ntchito ndizo:
- Electrocardiogram (ECG) -Kuyesera komwe kumayesa ntchito ya magetsi ya mtima wanu komanso chiyero ndi mphamvu za mtima wanu.
- Echocardiogram -Maonekedwe a ultrasound omwe amagwiritsa ntchito mafunde amphamvu kuti apange zithunzi za zipinda za mtima wanu, valve, makoma, ndi mitsempha ya magazi.
- Kuyeza kupanikizika -Kodi kumadziwika kuti ECG, vutoli limapangitsa dokotala kudziwa momwe mtima wanu umayankhira pazomwe mukuchita pamene mukuyenda mofulumira pamtunda.
Matenda a Coronary Artery
Mayeserowa amavomerezedwa kawirikawiri pamene madokotala akukayikira za matenda a mitsempha yam'mimba (CAD).
Iwo amachitira limodzi ndi ECG ndi mayesero opsinjika kuti afufuze zomwe zingayambitse.
Zitsanzo zina za ECG, mwachitsanzo, zimawonekera mwapang'onopang'ono kumayambitsa matenda a mtima. Mofananamo, mayesero otha kupanikizika angagwiritsidwe ntchito kuti azindikire zizindikiro za angina zowonetsera za CAD.
Pogwiritsidwa ntchito pamodzi ndi mayesero ena opatsirana, matekinolojewa angathandize kuthandizira matendawa ndikuwongolera njira ya chithandizo.
Zina mwa izo ndi:
- Kuyeza Thallium ndi Cardiolyte - Kumayambitsa jekeseni wa radioactive mu magazi kuti awonetse magazi akuyenda pamtima ndi pang'onopang'ono.
- MUGA amawunika -Alinso amagwiritsa ntchito mafilimu kuti azitha kujambula zithunzi za mtima wanu pamene amapumpha magazi ndi mtima wonse.
- Kufufuza kwa calcium - Kumagwiritsa ntchito njira yapadera yotchedwa X-ray yotchedwa computed tomography (CT) scan pofuna kufufuza calcium yomwe imapangidwira m'kati mwa makoma ozungulira.
- MRI ya mtima -Kodi imadziwika kuti maginito imaging resonance, izi zimagwiritsa ntchito maginito mafunde kuti apange zithunzi za mtima wanu kuchokera kumapiko ambiri.
- Catheterization ya cardiac ndi angiography -Imafuna kulowetsa tiyi yaing'ono, yothamanga yomwe imatchedwa catheter mu mitsempha ya mwendo kapena mkono umene umadyetsedwa ku mitsempha mu mtima. Panthawi ya angiography, utoto umayikidwa kudzera mu catheter kuti uzipanga zithunzi za X-ray za mitsempha yowzungulira.
- Eticardiogram yotchedwa Transesophageal -A njira zopezera zithunzi zomveka bwino za momwe mtima umakhalira mwa kuika ultrasound yokhazikika mu kapu (kudyetsa chubu).
Mavuto a Mtima wa Mtima
Mayeserowa amagwiritsidwa ntchito kawirikawiri kuti azindikire ndikuzindikira kusokonezeka kwa mtima wamtima wotchedwa arrhythmia . Angagwiritsenso ntchito kuthandizira kudziwa chifukwa cha syncope (kutaya).
Zina mwa izo ndi:
- Kuwonetsetsa kwazitsulo-Kudziwikanso ngati kuyang'anira zochitika, ichi ndi chipangizo chochepa cha ECG chomwe chimatha kunyamula wodwala kuti ayang'ane kugunda kwa mtima kwa maola 24 mpaka 48.
- Kufufuza kwa Electrophysiology -Komwe kumadziwika kuti kuphunzira EP, ichi ndi njira yochepa yomwe amachititsa kuti kathetta idyidwe mu mitsempha kuti iwonetse kayendedwe ka magetsi pamtima pogwiritsa ntchito magneti akuluakulu mbali zonse za wodwalayo.
- Yesetsani kuyesa tebulo -Mayesero omwe mumagona pansi patebulo ndikuyang'anitsitsa pamene pang'onopang'ono akugwedezeka mpaka madigiri 60 kuti apeze chifukwa chofooka. Potsatira ndondomekoyi, mutha kulumikizidwa ku ECG pomwe kuthamanga kwanu kwa magazi ndi mazigawo a mpweya wa magazi zikuyang'aniridwa mosalekeza.
> Zotsatira:
> Chou. R. "Ntchito Yopindulitsa Yamtengo wapatali Gulu la American College of Physicians Kuyeza Kachilombo ndi Electrocardiography, Kupanikizika kwa Mafilimu Ojambula Mafilimu, ndi Mafilimu Opanga Mafilimu Ophiphiritsira: Malangizo Othandiza Kwambiri Kuchokera ku American College of Physicians." Ann Intern Med. 2015; 162: 438-47. DOI: 10.7326 / M14-1225.
> Moyer, V. "US Ntchito Yothandizira Ntchito Zowononga Matenda. Kuyeza Maganizo a Matenda a Kachilombo ndi Electrocardiography: Msonkhano Wopereka Mauthenga Ogwira Ntchito ku United States." Ann Intern Med . 2012; 157: 512-8. DOI: 10.7326 / 0003-4819-157-7-201210020-00514.