Ngenxa yokuba zininzi iintlobo zesifo senhliziyo, ngasinye sichaphazela iindawo ezihlukeneyo nemisebenzi yesistim senhliziyo, sidinga ibhetri yeemvavanyo ukwenzela ukuxilongwa ngokuchanekileyo. Ezinye zisetyenziselwa ukuchonga okungaqhelekanga ngaphakathi kwentliziyo okanye emithanjeni yegazi. Abanye bajolise ekuboneni ukuba iziphathamandla ziqhuba njani ngokumalunga nobudala bakho, impilo kunye neempawu zakho.
Impilo Yengqondo Yonke
Ezi zivavanyo zisetyenziselwa ukuhlola ngokuqhelekileyo isifo senhliziyo. Ziqhelekileyo zisetyenziselwa ukuseka isiseko esintwini kubantu abangenazo izifo zesifo senhliziyo. Kwixesha-ngezinye iiveki, ngamanye amaxesha-iimvavanyo ziyakwazi ukuphinda ziphindwe ukuze zibone ukuba kukho na ukuphazamiseka okanye ukuphuculwa komsebenzi wesiseko.
Ezinye zeenkqubo zenkqubo ziquka:
- I-Electrocardiogram (ECG) -Uvavanyo olulinganisa umbane wentliziyo yakho kunye nesiginci kunye namandla enhliziyo yakho.
- I-Echocardiogram -Ifom ye-ultrasound esebenzisa amaza omsindo ukudala imifanekiso yamagumbi enhliziyo yakho, iiguvi, iindonga kunye nemithambo yegazi.
- Ukuxilongwa kwengcinezelo -Kwaziwa ngokuba ngu-ECG yoxinzelelo, lo vavanyo luvumela ugqirha wakho ukuba uyazi kakuhle indlela intliziyo yakho isabela ngayo kwimisebenzi njengoko uhamba ngezinga elimodareyithwayo kwisiteyimu.
KwiCoronary Artery Disease
Ezi zivivinyana ziyalwa ngokuqhelekileyo xa oogqirha bekrokreza i-coronary artery disease (CAD).
Ziye zenziwa kunye ne-ECG kunye novavanyo lokunyamezela ukuphanda izizathu ezikhoyo.
Iipatheni ezithile kwi-ECG, umzekelo, zibonwa ngokuphawulekayo phambi kwe-infarction ye-myocardial (ukuhlaselwa kwintliziyo). Ngokufanayo, iimvavanyo zoxinzelelo zingasetyenziselwa ukufumana iimpawu ze- angina ezibonisa i-CAD.
Xa zisetyenziselwa kunye nezinye iimvavanyo zokuxilonga, ezo teknoloji zinokukunceda ukuxhasa ukuxilongwa kunye nokukhokela inkqubo yokonyango.
Phakathi kwazo:
- Uvavanyo lwe-Thallium kunye ne-cardiolyte -Usebenzisa i-traceeractiveactive injected into egazini ukuhlola ukuhamba kwegazi entliziyweni kunye ne-circulatory system.
- I-MUGA i-scans -Iye isebenzisa i-traceeractiveactive tracer ukuthatha imifanekiso yentliziyo yakho njengoko ipheputha igazi kunye nayo yonke intliziyo.
- I-Calcium i-scans -Usebenzisa iindlela ezikhethekileyo ze-X-ray ezibizwa ngokuba yi-computed tomography (CT) ukukhangela ukujonga i-calcium ekwakheni iindonga zobomi.
- I-MRI ye-Cardiac -Kwaziwa nangokuthi i-imagination magnetic imagination, le ndlela isebenzisa amagagasi amakhulu ukudala imifanekiso yentliziyo yakho kwiindawo ezininzi.
- I-catheterization ye-cardiac kunye ne-angiography -Ixubusha ukufakelwa kwiphubhu elincinci, eguquguqukayo ebizwa ngokuthi i-catheter kwisixhobo somlenze okanye ingalo esondliwa kwimibhobho entliziyweni. Ngethuba le-angiography, idayi ifakwe kwi-catheter ukudala imifanekiso ye-X yemizila yegazi ejikelezileyo.
- I-echocardiogram ye-Transesophageal -Iendlela zokufumana imifanekiso ecacileyo yesakhiwo senhliziyo ngokufaka i-ultrasound eguquguqukayo kwisitope (ityhubhu yokutya).
Iingxaki zeRhythm Heart
Ezi mvavanyo zisetyenziselwa ukufumanisa kunye nokuxilonga ukuphazamiseka kwentliziyo esaziwa njenge- arrhythmia . Zingasetyenziselwa ukuncedisa imbangela ye syncope (ukuphelelwa amandla).
Phakathi kwazo:
- Ukubeka iliso kwi-Holter-Eyaziwa nangokuthi iliso lenkqubo yokubeka iliso, le yinkqubo encinci yeECG ephathekayo enokugqunywa isigulane ukubeka iliso lentliziyo yamahora angama-24 ukuya kuma-48.
- Ucwaningo lwe-Electrophysiology -Kwabizwa nangokuthi i-EP yophando, le nkqubo iyimimandla encinci eyenziwa yinkqubo yamandla kagesi esebenzisa umthambo ukuze ihlolisise inkqubo yombane yentliziyo isebenzisa iimbane ezimbini ezinkulu ezibekwe kwicala lomguli.
- Ukuhlolwa kwetafile okutyebileyo -Uvavanyo apho ulala khona etafileni kwaye uhlolwe njengoko kuqhutyelwa kwinqanaba ukuya kuma-60 ukuya kutsho isizathu sokudangala. Ngethuba le nkqubo, uya kuqhutyelwa kwi-ECG ngelixa uxinzelelo lwegazi kunye negazi le-oksigen level lihlala lihlolwe.
> Imithombo:
> Chou. R. "IQela eliPhakamileyo loKhathalelo lweeNkcazo ze-American College of Physicians. Ukuhlolwa kweCardiac nge-Electrocardiography, ukunyaniseka kwe-Echocardiography, kunye ne-Myocardial Perfusion Ukucingela: Iseluleko soKhathalelo oluPhezulu oluvela kwi-American College of Physicians." Ann Intern Med. 2015; 162: 438-47. INGXELO: 10.7326 / M14-1225.
> I-Moyer, V. "I-US Preventive Services Task Force. Ukuhlola iCoronary Heart Disease nge-Electrocardiography: I-US Preventive Services Task Force Statement Statement." Ann Intern Med . 2012; 157: 512-8. INGXELO: 10.7326 / 0003-4819-157-7-201210020-00514.