Rashin zuciya - gwaje-gwaje

Ganewar rashin nasarar zuciya ana yin sa ne sosai akan alamun mutum da kuma gwajin jiki. Koyaya, akwai gwaje-gwaje da yawa waɗanda zasu iya taimakawa ba da ƙarin bayani game da yanayin.

Echocardiogram (echo) gwaji ne wanda yake amfani da raƙuman sauti don ƙirƙirar hoto mai motsi na zuciya. Hoton ya fi cikakken bayanin hoto mai haske.

Wannan gwajin yana taimaka wa mai ba da lafiyar ku ƙarin koyo game da yadda zuciyar ku ke kwangila da shakatawa. Hakanan yana ba da bayani game da girman zuciyar ku da kuma yadda kwalliyar zuciya ke aiki.

Echocardiogram shine mafi kyawun gwaji ga:

• Gano wane irin gazawar zuciya (systolic, diastolic, valvular)
• Lura da gazawar zuciyarka kuma ka jagoranci maganin ka

Ana iya bincikar gazawar zuciya idan kwayar ido ta nuna cewa aikin famfo na zuciya yayi ƙasa ƙwarai. Wannan shi ake kira ejection fraction. Fraarin ƙaura na al'ada yana kusan 55% zuwa 65%.

Idan kawai wasu sassan zuciya ba sa aiki daidai, to yana iya nufin cewa akwai toshewar jijiyar zuciya da ke ba da jini zuwa wannan yankin.

Ana amfani da wasu gwaje-gwajen hotunan da yawa don duba yadda zuciyar ku zata iya harba jini da kuma yawan lalacewar tsokar zuciya.

Kuna iya yin x-ray na kirji a cikin ofishin mai ba da sabis idan alamunku ba zato ba tsammani ya zama mafi muni. Koyaya, x-ray na kirji ba zai iya bincikar gazawar zuciya ba.

Ventriculography wani gwaji ne wanda yake auna karfin ƙarfin zuciya (ɓangaren fitarwa). Kamar echocardiogram, yana iya nuna sassan ɓangarorin ƙwayar zuciya waɗanda ba sa motsi da kyau. Wannan gwajin yana amfani da ruwa mai banbancin x-ray don cike ɗakin famfo na zuciya da kimanta aikinsa. Ana yin hakan sau ɗaya a lokaci ɗaya kamar sauran gwaje-gwaje, kamar su ciwon jijiyar zuciya.

Ana iya yin binciken MRI, CT, ko PET na zuciya don bincika yadda lalacewar tsoka da zuciya ta kasance. Hakanan zai iya taimakawa gano dalilin rashin ƙarfin zuciya na mai haƙuri.

Ana yin gwaje-gwajen danniya dan ganin ko tsokar zuciya na samun isasshen jini da iskar oxygen lokacin da take aiki tukuru (a cikin damuwa). Nau'in gwajin damuwa sun hada da:

• Gwajin gwajin nukiliya
• Motsa jiki gwajin gwaji
• Ressarfafa echocardiogram

Mai ba da sabis ɗinku na iya yin odar bugun zuciya idan duk wani gwajin hoto ya nuna cewa kun sami raguwa a ɗayan jijiyoyin ku, ko kuma idan kuna jin ciwon kirji (angina) ko kuma gwajin gwaji mafi mahimmanci.

Za a iya amfani da gwaje-gwaje daban-daban na jini don ƙarin koyo game da yanayinku. Ana yin gwaje-gwaje don:

• Taimaka gano asali da kuma lura da gazawar zuciya.
• Gano abubuwan haɗari ga cututtukan zuciya.
• Bincika abubuwan da zasu iya haifar da gazawar zuciya ko matsalolin da zasu iya sa rashin nasarar zuciyar ku ya zama mafi muni.
• Kula da illolin magungunan da zaku iya sha.

Jinin urea nitrogen (BUN) da gwaje-gwajen sinadarin halitta suna taimaka wajan lura da yadda kododinku suke aiki. Kuna buƙatar waɗannan gwaje-gwaje a kai a kai idan:

• Kuna shan magunguna da ake kira ACE inhibitors ko ARBs (angiotensin receptor blockers)
• Mai ba ku sabis yana yin canje-canje a kan magungunan magungunan ku
• Kuna da raunin zuciya mafi tsanani

Matakan sodium da na potassium a cikin jininka zasu buƙaci auna su akai-akai idan akwai canje-canje da aka yiwa wasu magunguna gami da:

• ACE masu hanawa, ARBs, ko wasu nau'in kwayoyi na ruwa (amiloride, spironolactone, da triamterene) da sauran magunguna waɗanda zasu iya sa matakan potassium ku yi yawa
• Yawancin sauran nau'in kwayoyi na ruwa, wanda zai iya sa sodium ɗinka ya yi ƙasa kaɗan ko potassium ɗinka ya yi yawa

Anaemia, ko ƙarancin ƙanƙan jinin jini, na iya sa gazawar zuciyarka ta zama mafi muni. Mai ba da sabis ɗinku zai bincika CBC ɗinku ko cikakken ƙidayar jini akai-akai ko lokacin da alamunku suka daɗa lalacewa.

CHF - gwaje-gwaje; Ciwon zuciya mai narkewa - gwaje-gwaje; Cardiomyopathy - gwaje-gwaje; HF - gwaje-gwaje

Greenberg B, Kim PJ, Kahn AM. Gwajin asibiti na rashin cin nasara zuciya. A cikin: Felker GM, Mann DL, eds. Rashin Ciwon Zuciya: Abokin Cutar Braunwald na Cutar Zuciya. 4th ed. Philadelphia, PA: Elsevier, 2020: babi na 31.

Mann DL. Gudanar da marasa lafiya tare da raunin zuciya tare da rage ɓangaren fitarwa. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier Saunders; 2019: sura 25.

Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC / AHA / HFSA ta ƙaddamar da sabuntawa na jagorancin 2013 ACCF / AHA don kula da rashin nasarar zuciya: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Associationungiyar Heartungiyar Zuciya ta Amurka game da Sharuɗɗan Ayyukan Clinical da Faungiyar Rashin Ciwon Zuciya ta Amurka. J Rashin Karfin zuciya. 2017; 23 (8): 628-651. PMID: 28461259 www.ncbi.nlm.nih.gov/pubmed/28461259.

Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA jagora don gudanar da rashin cin nasara zuciya: rahoto na Kwalejin Kwalejin Kwakwar Kwakiyar Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan Ka'idodin Aiki. Kewaya. 2013; 128 (16): e240-e327. PMID: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

• Rushewar Zuciya