Pane chiremba wako akakurudzira kuti uwane kashidi yekodhi ye scan ? Iwe unogona kushamisika kana zvakakosha kana iwe uine zvimwe zvinetso zvemwoyo asi iwe wakambove nemuedzo wekutambudzika usina kuratidza dambudziko remwoyo.
Mutemo mukuru wehutano chero upi zvake hwehutano ndewekuti zvinonzwisisika kuzviita chero nguva iyo migumisiro yechipimo ichocho ichibatsira mukuita sarudzo pamusoro pekurapa kwako.
Muchiitiko chako, chiremba wako angashandisa zvikamu zve calcium scan kuti asarudze kana kwete kupa mutemo wemazuva ano. Dzidza zvakawanda nezve calcium scan uye kuti inoshandiswa sei.
Ko Calcium Inoverenga Inokuudzei Nezve Mwoyo Wako?
Mwoyo weCalidum scan ndiyo inonzi CT scan iyo inoona calcium inowanikwa mumakironi (arteri inopa ropa kumutsipa wemwoyo). Zvinyorwa zveCalcium zvinowanikwa mumishonga panguva yekuumbwa kwe atherosclerotic plaques . Saka, kuvapo kwe calcium deposits zvinoreva kuti chirwere chetachiona cheherosclerosis chiripo.
Chikonzero icho atherosclerotic plaques chakakosha ndechokuti aya mabhesi anotadza kuparara. Kuputika kwemavara kunowanzosangana nekukurumidza kwekugadzirisa ropa mukati meyeri panzvimbo yekuputika, zvichiita kuti kuve nekusvibiswa (kudzivirira) kwetari. Ichi chiitiko chinonzi acute coronary syndrome (ACS) . ACS kazhinji inokonzera angina isina kusimba , kana kuipa, myocardial infarction (kurwisa kwemoyo).
Kana uine calcium mumaketari ako emakoronary, iwe watova ne atherosclerosis, uye iwe uri pangozi yeAACS.
Calcium Score
Iyo calcium scan haina kungokuudza iwe kana (hongu kana kwete) iwe une calcium inowedzera, asi inotarisa kuenzana kwema calcium deposits uye inoratidza kuti yei coronary arteri inobatanidzwa.
Idzi ruzivo rwakapfupikiswa mumutsara we calcium:
- 0: hapana chirwere chinozivikanwa
- 1 kusvika 99: zvirwere zvishoma
- 100 kusvika ku399: zvirwere zvakaringana
- 400 kana kupfuura: chirwere chakakomba
Iyo yakakwirira ye calcium score, iyo yakawanda inonzi atherosclerosis inowanikwa mumakoroni, uye inowedzera dambudziko rekuwana ACS pamusoro pemakore akawanda akatevera. Asi, zvakakosha, chero purogiramu yakakwirira kudarika zero zvinoreva kuti chirwere chetachiona cheherosclerosis chave chiripo, uye kune imwe nzvimbo, inoshanda.
Chikamu cheCalcium Chaizvoizvo Chinorevei?
Apo chirwere chemwoyo chekare chinotanga kushambadzirwa uye chakatengeswa mumavambo ekutanga kwema2000, chakange chakakombwa nemakakatanwa. Iyo nharo yakanga yakabatana zvishoma nezvitengesi zvebasa zvakagadzirwa kuti zvizivise ivo asi zvakanyanya kufambidzana nekuti, panguva iyo, kukosha kwezvinhu izvi zvakanga zvisinganzwisisiki.
Mune nguva yakare-kare yapfuura, nyanzvi dzezvemapurisa dzaingova nehanya ne atherosclerotic plaques dzakanga dzakakura zvakakwana kukonzera kudzivirira kukuru mumaketari e coronary. Uye iyo calcium scans haisi yakanyanya kunaka pakuziva kuti ndezvipi zvirongwa zvinokonzera kutya "50 muzana mavhareji" ayo (aifungidzirwa) anofanira kutarisirwa ne stents . Kuedzwa kwepfungwa kwakatarwa kumashure ipapo sechiri nani kutarisa zvigadzirwa zve "blockages" dzakadaro.
Kubva panguva iyo, vatsvakurudzi vezvokurapa vakadzidza zvakawanda pamusoro pekuparara kwepara . Icho chinoitika kuti maitiro akawanda eAAC anoitika nekuparara kwe "zvisingaiti" mapepa-mapepa asina kuunza kuvhara kwakanyanya, uye angadai asina kubvumirwa kutsvaira. Izvi zvinoreva zvinhu zviviri. Kutanga, apo kuvhara zvibhakera zvakakosha zvinogona kubvisa chero ingina iri kubudiswa nekudzivirira uku, kazhinji haiiti kuderedza zvikuru njodzi yekutsvaira kwemoyo. Chechipiri, zvinowanzoitika kuti mungozi yenguva refu yenguva yakawanda inowirirana neyese "mutoro mutoro" (kureva, nhamba uye huwandu hwemavara emhando ipi zvayo mumatriconary artery), pane kuvepo kana kusavapo kwe zvakananga "zvakanyanya" mapepa.
Zviri pachena kuti, rimwe zita remutoro weplate ndiyo marashimu. Zvechokwadi, zvidzidzo zvino zvakaratidza zvakajeka kuti yakakwirira calcium score, yakasimudza njodzi yemwoyo inotevera, ingave kana kwete chero yemapapiti ayo ari kuita kuti zvibvumirwe zvikuru zvive.
Chii Chinofanira Kuitwa Nezvakanaka Calcium Scan?
Kutaura muchidimbu, calcium scan inokuudza kana iwe usina kana atherosclerosis mumakironary artery, uye kana zvakadaro, uwandu hwesherosclerosis. Kana iyo calcium yepamusoro yakakwirira kudarika zero (iyo, zvakare, inoreva kuti zvimwe zvinonzi atherosclerosis iripo), vamwe vane cardiologists vacharamba vachirumbidza kushungurudzika kwepfungwa, iyo ichavabatsira kuti vasarudze kana pane imwe yemapapu ari kukonzera kubviswa kukuru. Asi izvi, sezvatakaona, hachisi chokwadi chakanyanya zvakare.
Nheyo huru ndeyokuti kana kwete iwe ane atherosclerotic plaques. Uye kana iwe ukadaro-kana yako calcium mapepa yakakwirira kudarika zero-inova yakakosha kuita zvose zvaunogona kuderedza dambudziko, kwete chete yekuwedzera mamwe mapepa asiwo ekuputika kwemavara.
Zviri pachena, mararamiro emararamiro anobatsira kudzivisa kufambira mberi kwehutachiona hwezvematenda hunozobva hwashora . Kurema kwekudzivirira, kuwana kuwanda kwekurovedza muviri, kusasvuta, nekudzivirira kukanganiswa kweropa uye cholesterol maitiro, zvose zvinofanirwa kufungwa nezvimwe nyaya dzehupenyu nerufu pane zvingave zvave usati wamboziva kuti iwe uine atherosclerotic plaques.
Statins inoshandiswawo kana calcium scan yako yakanaka-kunyange kana cholesterol yako isiri yakakwirira. Ichi ndechokuti mitemo inobatsira kusimudzira mararamiro uye kubatsira kudzivirira kuti vasaparadzaniswa. Izvi, uye kwete simba ravo rekuderedza cholesterol, zvino rinoratidzika kuva mhando huru iyo mitemo inoderedza ngozi yemoyo. Kutora dose yakaderera aspirin zuva rimwe nerimwe kunogona kuvawo kufunga kana calcium scan yako yakanaka.
Shoko Rinobva
Kana chiremba wako achikurudzira mwoyo wekasiki scan, unofanira kunyatsofunga kuti wakaitwa. Inogona kupa ruzivo runobatsira kutungamirira kurapwa kwako kuderedza dambudziko rako rekushaya chirwere chemwoyo.
> Sources:
> Greenland P, Alpert JS, Beller GA, uye al.2010 ACCF / AHA mutungamiri wekuongorora kwehutano hwemwoyo muvanhu vakuru vasina kuongorora: mushumo weAmerican College of Cardiology Foundation / American Heart Association Task Force pamusoro Pemitemo Yezvokuita. J Am Coll Cardiol 2010; 56: e50.
> Neves PO, Andrade J, Monção H. Coronary artery calcium score: ikozvino. Radiologia Brasileira . 2017; 50 (3): 182-189. doi: 10.1590 / 0100-3984.2015.0235.