Nzira dzinoshandiswa navanachiremba kuongorora chirwere chemoyo chinogona kusiyanisa zvishoma, zvichienderana nerudzi rupi rwechirwere chemwoyo chatinenge tichitaura. Zvisinei, zvinogoneka kurondedzera nzira yakawanda iyo vanachiremba vakawanda vanoshandisa kuita kuti vaongororwe pavanofungidzira kuti unogona kuva nechirwere chemwoyo. Zvinoratidzika seizvi:
- Chokutanga, tora nhoroondo yekurapa yakangwara.
- Chechipiri, ita chiitiko chekuongorora.
- Pakupedzisira, sarudza kuti zvipi zvirongwa zvekurapa zvinogona kubatsira kubhadhara kuongorora.
History Medical
"Kutora mishonga yezvokurapa" zvinongoreva kuti chiremba wako achakubvunzurudza iwe kuti udzidze kuti ndezvipi zviratidzo kana kuti kunyunyuta kwezvokurapa iwe ungave (kana pane) uye kunyoresa chero zvinhu zvinosangana nezviratidzo izvo zvinogona kutarisana nezvinokonzera.
Zvichienderana nezviratidzo zvaunotsanangura, chiremba wako angakukumbira mibvunzo yakawanda inoratidza zviratidzo izvo-zvinoita sezviri kuunza kwavari, chii chinoita kuti vasiye, vanoita nguva yakareba sei, pavanenge vaitika, uye chero mamwe maitiro akabatanidzwa. Nokuti dzimwe nguva inogona kuve yakakosha zviratidzo zvemuviri - kurwadziwa kwepfupa uye syncope kuva mienzaniso miviri yakanaka-kutora nhoroondo yekurapa yakangwara inowanzotora danho rinokosha pakuita kuti kuongororwa.
Kuongorora Kwepanyama
Kuongorora kwepfungwa kunogona kupawo mamwe mazano anokosha maererano nekuvapo, kusavapo, kana rudzi rwehutano hwemwoyo munhu angave.
Cardiac arrhythmias , chirwere chemwoyo , congestive heart failure , aortic aneurysm , uye postural orthostatic tachycardia syndrome (POTS) , inongova maitiro mashomanana ematambudziko emwoyo ayo kuongorora mumuviri kunowanzopa mazano anokosha, kana kuti zvechokwadi, kuongorora.
Specialized Cardiovascular Testing
Pane miedzo yakawanda yakasiyana-siyana yakagadzirirwa kuongorora zvinetso zvemoyo. Kunyange zvazvo kuongororwa kwepfungwa dzemwoyo kunowanzowanzo "yegoridhe" yekugadzira kana kusimbisa chirwere chepfungwa, kazhinji iyo inonyanya kukosha kana chiremba wako atova nemafungiro akanaka-kubva pakuita nhoroondo uye kuongorora muviri-izvo izvo zvakakodzera kuongororwa .
Iyi miedzo inogona kudhura, yakaoma kuita, nguva yekudya, uye mune dzimwe nguva inowedzera. Saka, kuongororwa kwepfungwa dzemumwoyo kunofanira kushandiswa, kana zvichibvira, mumutambo wakarongedzwa kuti uone kuti unofungidzirwa kuongororwa kwete kungoita miedzo yakawanda, mufomu yemapuraneti, kuti uone kuti chii chinoshanduka.
Mune mamwe mazwi, vanachiremba vanofanira kuvimba nemashoko avanowana panguva yavo yekuongorora chikwata chekuongorora kuti chii chavanonyanya kutarisa, iyo miedzo kana miedzo inofanirwa kuitarisa, uye kana pane imwe yero muedzo inoda, iyo inorayira inofanira kuitwa mukati. Nzira iyi, kana uine dambudziko remwoyo chiremba wako anogona kuwana mhinduro yakarurama sekukurumidza sezvinobvira, pasina kukuratidza kuzvinhu zvisina kufanira kana pangozi.
Electrocardiogram (ECG)
IEGG inorondedzera basa remagetsi emwoyo uye inogona kuzarura ruzivo pamusoro pemwoyo rhythm uye zvinonyanya kukosha pamusoro pechirwere chemwoyo chinogona kuvapo (zvakadai sepakutanga kwepfungwa , kana kuti ventricular hypertrophy .
IEGG inowanzoitwa kakawanda zvokuti vanachiremba vakawanda vanoona kuti iyo inowanzotora chikamu chekubvunzurudzwa kwegore zvakanaka.
Ambulatory Monitoring
Nzira dzakasiyana-siyana dziripo dzinobvumira kutora kwe electrocardiogram kwemazuva kana masvondo panguva, kuitira kuti inyore mwoyo rhythm kwenguva yakareba. Aya maitiro anobvumira vanachiremba kuti vaongorore chironga chemwoyo chinokanganisa chete uye chisingaiti.
Echocardiogram, kana Cardiac Ultrasound
Chidzidzo cheEchocardiogram chirwere chisingaitiki chinoshandisa mazai ezwi kuti aite chifananidzo chemoyo unorova. Chidzidzo chekunyora kunobatsira zvikuru pakuona kuwedzerwa kwemakamuri emwoyo, chirwere chemwoyo , uye matambudziko emumuviri wepfungwa zvakadai sechirwere chekushaya mwoyo kana kuvhara chirwere chemoyo .
Icho chidzidzo chekukurumidza kuti chiite, chisingaiti, uye hachidi miviri. Izvi zvinoita kuti echocardiogram ive inenge yakanaka yekuongorora zvishandiso kana zvipfungwa zvisina kuchena zvemoyo zvichifungidzirwa. Ichowo chiyero chinogona kuitwa kakawanda, nekufamba kwenguva, kutarisa mamiriro echinetso chepfungwa.
Cardiac CT Scan
Chirwere chetachiona cheCC , semhando ipi neipi yeC CT, inoshandisa makombiyuta e-ray-ray kuti igadzire mufananidzo wemwoyo. Nzira iyi inogona kushandiswawo kutarisa calcium inowanikwa mumaketari e coronary , iyo inoratidza kuti atherosclerosis iripo. Iyo CT scan inoshandisa yakawanda yemashonga emhepo, saka inofanira kungoitwa chete kana ruzivo rwunopa rukanyanya kuve ruchibatsira.
Cardiac MRI Study
Chirwere chemwoyo cheMRI chinoshandisa maginiti masimiro ekugadzira mufananidzo wemwoyo uye zvivako zvakapoteredza. Uyu muedzo unogona kuratidza zvinoshamisa zvematomic, uye mune mamwe mamiriro ezvinhu zvinogona kubatsira zvikuru pakuongorora uye kuratidza chimiro chepfungwa yemwoyo.
Kutambudzika Kunetseka
Kushushikana kwepfungwa kunetseka kunogona kushandiswa kakawanda, asi inoshandiswa kunyanya kubatsira kubatsira kuongorora kana chirwere chetachiona chinokonzera chirwere chemwoyo chinonzi chinina chinokanganisa , uye kana zvakadaro, kubatsira kuongorora kusanyanya kwedambudziko racho.
Kuedzwa kwepfungwa kunowanzobatanidzwa ne thallium scan , iyo inoshandisa kadha kadiki yezvinhu zvinoshandiswa ne-radioactive kuti ibudise chimiro chemwoyo chinoratidza kana musikana wemwoyo uri kuwedzerwa ropa rinodikanwa. Kushungurudzika kunetseka kunogonawo kubatsira zvikuru pakucherechedza kubudirira kwe -anti-anginal therapy .
Cardiac Catheterization
Nechiedzo ichi chisingaoneki , catheters maduku akaiswa mumidziyo yeropa ndokupinda mumwoyo uye / kana coronary arterium. Zvinetso zvinogona kuyerwa mukati memwoyo, uye dhayi rinogona kuiswa mumidziyo yeropa nemakamuri emwoyo kuti iite chimiro chema x-ray chekubuda ropa.
Chidzidzo chekuchechechedza kune zvakawanda zvinogona kushandiswa asi zvinoshandiswa kunyanya kufungidzira maronary aronic muvanhu vane kuzivikanwa kana kuti vanofungidzirwa nekoroniyari chirwere chirwere. Cardiac catheterization inoshandiswawo kupa chirwere, kazhinji, kuburikidza nekuita angioplasty uye kuisa maronda kune vanhu vane zvirwere zvinoputika.
Electrophysiology Study
Ichi ndicho chimwe chimiro chekushaya catheterization, asi munyaya iyi makateti ari masheya akaomeswa panzvimbo yehuni. Uyu muedzo unoshandiswa kudzidza chimiro chemagetsi ehurumende kuti uone kuvepo kana kusavapo, uye nzira, yemhando dzakasiyana dzemaridythmias. Nzira iyi inoshandiswawo kupa chirongwa chekubvumira kuitira kuti pave nemhando dzakasiyana dzedhythmias.
Tilt Table Table
Itafura yekudzidzira yakafuridzirwa inoitwa nekusunga munhu kune tafura ine chitsiko chebhobho pairi, zvino kumutsa tafura kune nzvimbo yakarurama. Nehumwe hutano hwemwoyo hunotenderera mberi kwemaminitsi makumi maviri kana kupfuura inogona kubereka mamwe marudzi ehupenyu husina kusimba, kunyanya kune vanhu vanofungidzirwa kuti vane vasovagal syncope . Chidzidzo chekudzidzira chinogona kubatsira kusimbisa kuongororwa.
> Sources:
> Lang RM, Badano LP, Mor-Avi V, et al. Zvinyorwa zveCardiac Chamber Quantification NeEchocardiography MuVakuru: Chimwe Chinyorwa Kubva kuAmerican Society Of Echocardiography Uye European Association Of Cardiovascular Imaging. J Am Soc Echocardiogr 2015; 28: 1.
> Nishimura RA, Carabello BA. Hemodynamics MuCardiac Catheterization Laboratory yeZvondo rechi21. Circulation 2012; 125: 2138.
> Tracy CM, Akhtar M, Dimarco JP, et al. American College Of Cardiology / American Heart Association 2006 Chirongwa cheChipical Competence Statement On Invasive Electrophysiology Studies, Catheterablation, Uye Cardioversion: Mharidzo YaAmerican College Of Cardiology / American Heart Association / American College Of Physicians Task Force On Clinical Competence And Training Developed Mukubatana Ne Moyo Rhythm Society. J Am Coll Cardiol 2006; 48: 1503.