Ewarewar echocardiography

Echocardiography danniya jarabawa ce wacce take amfani da hoton duban dan tayi domin nuna yadda kwayar zuciyar ka take aiki don harba jini zuwa jikin ka. Mafi yawanci ana amfani dashi don gano raguwar gudan jini zuwa zuciya daga raguwa a jijiyoyin jijiyoyin jini.

Ana yin wannan gwajin a cibiyar kiwon lafiya ko ofishin mai ba da kiwon lafiya.

Za'a fara aiwatar da echocardiogram na hutawa. Yayin da kake kwance a gefen hagu tare da hannunka na hagu a waje, ana riƙe wata ƙaramar na'urar da ake kira transducer a ƙirjinka. Ana amfani da gel na musamman don taimakawa raƙuman ruwan tayi ta isa zuciyar ka.

Yawancin mutane za su yi tafiya a kan abin hawa (ko keken keke na motsa jiki). A hankali (kusan kowane minti 3), za a umarce ku da ku yi tafiya da sauri (ko ƙafa) a hanzari kuma a kan karkata. Yana kama da ana tambayarka don tafiya da sauri ko yin tsalle a kan dutse.

A mafi yawan lokuta, kuna buƙatar tafiya ko ƙafafu na kusan minti 5 zuwa 15, ya danganta da ƙwarewar lafiyarku da shekarunku. Mai ba ku sabis zai tambaye ku ku daina:

• Lokacin da zuciyarka ta buga a ƙimar manufa
• Lokacin da ka gaji da ci gaba
• Idan kana fama da ciwon kirji ko canji a hawan jininka wanda ke damun mai bayarda gwajin

Idan ba za ku iya motsa jiki ba, za ku sami magani, irin su dobutamine, ta jijiya (layin jijiya). Wannan maganin zai sanya zuciyar ka bugawa da sauri, kwatankwacin lokacin da kake motsa jiki.

Za a kula da hawan jininka da motsawar zuciya (ECG) a duk cikin aikin.

Imagesarin hotuna echocardiogram za'a ɗauka yayin bugun zuciyar ka na ƙaruwa, ko lokacin da ya kai kololuwa. Hotunan zasu nuna ko wani sashi na tsokar zuciya baya aiki sosai yayin da bugun zuciyar ka ya karu. Wannan alama ce da ke nuna cewa wani sashi na zuciya bazai iya samun isasshen jini ko oxygen ba saboda kunkuntar ko toshewar jijiyoyin jini.

Tambayi mai ba ku sabis ko ya kamata ku sha duk irin magungunan da kuka saba yi a ranar gwajin. Wasu magunguna na iya tsoma baki tare da sakamakon gwaji. Kada ka daina shan kowane magani ba tare da fara magana da likitanka ba.

Yana da mahimmanci a gaya wa likitanka idan ka sha ɗayan magunguna masu zuwa a cikin awanni 24 da suka gabata (kwana 1):

• Sildenafil Citrate (Viagra)
• Tadalafil (Cialis)
• Vardenafil (Levitra)

KADA KA ci ko sha akalla awanni 3 kafin gwajin.

Sanya sutura mara kyau. Za a umarce ku da ku rattaba hannu a kan takardar izinin kafin gwajin.

Za a sanya wayoyin lantarki (facin gudanarwa) a kirjinka, hannuwanku, da kafafu don yin rikodin ayyukan zuciya.

Za a kumbura ƙwanjin bugun jini a hannunka kowane minutesan mintina kaɗan, yana samar da abin da ake ji wanda zai iya matsewa.

Ba da daɗewa ba, mutane ke jin rashin jin daɗin kirji, ƙarin ko bugawa da bugun zuciya, jiri, ciwon kai, tashin zuciya ko ƙarancin numfashi yayin gwajin.

Ana yin gwajin ne don ganin ko tsokar zuciyarka tana samun isasshen jini da iskar oxygen lokacin da yake aiki tukuru (a cikin damuwa).

Likitanku na iya yin wannan gwajin idan kun:

• Samun sababbin alamun angina ko ciwon kirji
• Shin angina yana kara lalacewa
• Kwanan nan ya kamu da ciwon zuciya
• Shin za a yi muku tiyata ko ku fara shirin motsa jiki, idan kuna cikin haɗarin kamuwa da cututtukan zuciya
• Yi matsalolin bawul na zuciya

Sakamakon wannan gwajin damuwa zai iya taimaka wa mai ba ku:

• Ayyade yadda maganin zuciya ke aiki kuma canza magani, idan an buƙata
• Ayyade yadda zuciyarka take bugawa
• Binciko cutar jijiyoyin zuciya
• Duba ko zuciyar ka tayi yawa

Gwajin gwaji na al'ada galibi yana nufin cewa kun sami damar motsa jiki muddin ya fi yawancin shekarunku da jima'i ƙarfi. Hakanan baku da alamun cututtuka ko game da canje-canje a cikin jini da ECG. Hotunan zuciyarku suna nuna cewa duk sassan zuciyarku suna amsawa ga ƙarin damuwa ta hanyar yin famfo da ƙarfi.

Sakamakon yau da kullun yana nufin cewa jinin jini ta jijiyoyin jijiyoyin jini mai yiwuwa al'ada ce.

Ma'anar sakamakon gwajin ku ya dogara da dalilin gwajin, shekarun ku, da tarihin zuciyar ku da sauran matsalolin kiwon lafiya.

Sakamakon sakamako mara kyau na iya zama saboda:

• Rage gudan jini zuwa wani sashi na zuciya. Dalilin da ya fi dacewa shine taƙaitawa ko toshewar jijiyoyin da ke samar da tsokar zuciyarka.
• Raunin jijiyoyin zuciya saboda ciwon zuciya na baya.

Bayan gwajin zaka iya buƙatar:

• Angioplasty da stent sanyawa
• Canje-canje a magungunan zuciyar ku
• Magungunan jijiyoyin zuciya
• Yin aikin tiyata na zuciya

Haɗarin yana da ƙasa ƙwarai. Kwararrun likitocin kiwon lafiya za su sa ido a kanku yayin aikin gaba daya.

Rare rikitarwa sun hada da:

• Bugun zuciya mara kyau
• Suma (syncope)
• Ciwon zuciya

Echocardiography danniya gwajin; Gwajin damuwa - echocardiography; CAD - damuwa echocardiography; Ciwon jijiyoyin jijiyoyin jini - echocardiography danniya; Jin zafi na kirji - echocardiography danniya; Angina - gajiyar echocardiography; Ciwon zuciya - danniya echocardiography

• Zuciya - sashi ta tsakiya
• Zuciya - gaban gani
• Tsarin ci gaba na atherosclerosis

Boden MU. Maganin ƙwaƙwalwar angina da kwanciyar hankali cututtukan zuciya. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier; 2020: babi na 71.

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS sun ƙaddamar da sabuntawa game da jagora don ganewar asali da kula da marasa lafiya tare da kwanciyar hankali na cututtukan zuciya: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan Sharuɗɗan Aiki, da Americanungiyar (asar Amirka game da Tiyata Thoracic, Nungiyar Magunguna na Nakasassu na Jiji, Angungiyar Kula da Magungunan Zuciya da Ayyuka, da ofungiyar Likitocin Thoracic J Am Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 www.ncbi.nlm.nih.gov/pubmed/25077860.

Fowler GC, Smith A. resswarewar echocardiography. A cikin: Fowler GC, ed. Hanyoyin Pfenninger da Fowler don Kulawa da Firamare. 4th ed. Philadelphia, PA: Elsevier; 2020: babi na 76.

Solomon SD, Wu JC, Gillam L, Bulwer B. Echocardiography. 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; 2019: sura 14.