Gwaji 7 don tantance lafiyar zuciya

Wadatacce

• 1. Rigar kirji
• 2. Wutar lantarki
• 3. M.A.P.A
• 4. Mai riƙewa
• 5. Gwajin damuwa
• 6. Echocardiogram
• 7. Sintigraphy na cutar Myocardial
• Gwajin gwaje-gwaje don tantance zuciya

Ana iya tantance aikin zuciya ta hanyar gwaje-gwaje da yawa waɗanda dole ne likitan zuciya ko babban likita ya nuna su bisa ga tarihin asibiti na mutum.

Wasu gwaje-gwaje, kamar su electrocardiogram, kirjin X-ray, ana iya yin su a kai a kai don yin binciken zuciya, yayin da wasu gwaje-gwajen, kamar su scintigraphy na myocardial, gwajin damuwa, echocardiogram, MAP da holter, misali, su ne yi lokacin da ake zargin takamaiman cututtuka, kamar angina ko arrhythmias.

Don haka, manyan gwaje-gwaje don tantance zuciya sune:

1. Rigar kirji

X-ray ko kuma kirjin kirji wani bincike ne da ke tantance yanayin zuciyar da aorta, ban da tantancewa ko akwai alamun tarin ruwa a cikin huhu, wanda ke nuna yiwuwar faduwar zuciya. Wannan gwajin kuma yana nazarin zane na aorta, wanda shine jirgi wanda yake barin zuciya don ɗaukar jini zuwa sauran jiki. Ana yin wannan binciken ne tare da mai haƙuri a tsaye kuma tare da huhu cike da iska, don a sami hoton daidai.

Ana daukar X-ray a matsayin jarrabawa ta farko, kuma galibi likita ne ke ba da shawarar yin wasu gwaje-gwajen na zuciya da jijiyoyin jiki don inganta ƙwarewar tare da mahimmancin ma'ana.

Menene don: wanda aka nuna don kimanta shari'o'in faɗaɗa zuciya ko magudanar jini ko bincika idan akwai ajiyar alli a cikin aorta, wanda zai iya faruwa saboda tsufa. Bugu da ƙari, yana ba da damar tantance yanayin huhun, lura da kasancewar ruwaye da ɓoye-ɓoye.

Lokacin da yake contraindicated: bai kamata ayi a cikin mata masu ciki ba, musamman a farkon watanni uku saboda jujjuyawar da ake fitarwa yayin jarrabawar. Duk da haka, idan likita ya yi imanin cewa gwajin ba dole ba ne, yana da kyau mace mai ciki ta yi gwajin ta amfani da garkuwar gubar a ciki. Fahimci menene haɗarin x-ray a cikin ciki.

2. Wutar lantarki

Kwayar kwayar cutar zana jarabawa ce wacce take kimanta yanayin bugun zuciya kuma ana yin sa ne tare da mara lafiyan a kwance, sanya igiyoyi da kananan hulda da karfe a fatar kirjin. Don haka, kamar X-ray na kirji, ana ɗaukar electrocardiogram ɗayan gwaje-gwaje na farko wanda ke tantance aikin lantarki na zuciya, ana haɗa shi cikin binciken yau da kullun na shawarwari tare da likitan zuciya. Hakanan za'a iya amfani dashi don kimanta girman wasu ramuka na zuciya, don keɓance wasu nau'ikan cututtukan ciki da tantance arrhythmia.

Kayan lantarki yana da sauri kuma ba mai raɗaɗi ba, kuma galibi likitan zuciya ne yake yin sa da kansa a cikin ofishi. Gano yadda ake yin lantarki.

Menene don: an yi shi ne don gano bugun zuciya ko bugun zuciya mara kyau, kimanta canje-canje da ke nuna sabon ko tsohuwar cuta da kuma bayar da shawarar canje-canje na hydroelectrolytic kamar raguwa ko ƙaruwar potassium a cikin jini.

Lokacin da yake contraindicated: kowa na iya ƙaddamar da shi zuwa na'urar lantarki. Koyaya, za a iya samun tsangwama ko matsaloli yayin aiwatar da shi, a cikin mutanen da aka yanke hannu ko kuma tare da raunin fata, yawan gashi a kirji, mutanen da suka yi amfani da mayukan shafawa a jiki kafin gwajin, ko ma marasa lafiya waɗanda ba su da iya tsayawa cak a lokacin rikodin wutan lantarki.

3. M.A.P.A

Kulawa da bugun jini, wanda aka fi sani da MAPA, ana yin sa'o'i 24 tare da wata na'urar da za a auna hawan jini a hannu da kuma karamin rakoda mai rataye a kugu wanda ke daukar matakan da likitan zuciyar ya kayyade, ba tare da bukatar zama a asibiti ba. .

Duk sakamakon cutar hawan jini da aka yi rikitarwa likita ne yayi nazari, sabili da haka ana ba da shawarar a kula da ayyukan yau da kullun, tare da rubuta cikin abin da kuke yi a kowane lokacin da aka auna matsa lamba, kamar yadda ayyuka kamar cin abinci, tafiya ko hawa matakalai na iya canza matsin lamba. San farashin da kuma kula da yakamata a ɗauka don yin M.A.P.A.

Menene don: yana ba da damar bincika bambancin matsin lamba a cikin yini duka, lokacin da ake da shakku kan ko mai haƙuri yana da hawan jini, ko kuma idan ana zargin White Coat Syndrome, wanda matsa lamba ke ƙaruwa yayin tuntuɓar likita, amma ba a wasu yanayi ba . Bugu da ƙari, ana iya yin MAP.A tare da nufin tabbatar da cewa magungunan don sarrafa matsa lamba suna aiki sosai cikin yini.

Lokacin da yake contraindicated: ba za a iya yin hakan ba yayin da ba zai yuwu a daidaita marufin a hannun mai haƙuri ba, wanda zai iya faruwa a cikin mutane masu sirara ko masu kiba, kuma a cikin yanayin da ba zai yiwu a auna matsa lamba da tabbaci ba, wanda zai iya faruwa ga mutanen da ke da rawar jiki ko arrhythmias, alal misali.

4. Mai riƙewa

Gwajin shine jarrabawa don kimanta bugun zuciya a duk rana da daddare ta amfani da rekodi mai ɗaukewa wanda yake da irin wayoyin lantarki kamar na lantarki da kuma mai rikodin da ke haɗe a jiki, yana yin rikodin kowane bugun zuciyar lokacin.

Kodayake lokacin jarrabawa na awanni 24 ne, akwai wasu rikice-rikice masu rikitarwa waɗanda ke buƙatar awanni 48 ko ma sati 1 don yin bincike sosai game da yanayin zuciya. Yayin gudanar da aikin, ana nuna shi don rubuta ayyukan a cikin littafin rubutu, kamar ƙoƙari mafi girma, da kasancewar bayyanar cututtuka irin su bugun zuciya ko ciwon kirji, don a kimanta yanayin a waɗannan lokutan.

Menene don: wannan gwajin yana gano cututtukan zuciya na zuciya wanda zai iya bayyana a lokuta daban-daban na yini, yayi bincike kan alamomin rashin nutsuwa, bugun zuciya ko suma wanda ka iya haifar da gazawar zuciya, sannan kuma yayi nazarin tasirin bugun zuciya ko magunguna don magance arrhythmias.

Lokacin da yake contraindicated: ana iya yin sa akan kowa, amma ya kamata a guje shi cikin mutane masu larurar fata waɗanda ke canza gyaran lantarki. Kowane mutum mai horo ne zai iya shigar da shi, amma likitan zuciyar ne kawai zai iya yin nazarin sa.

5. Gwajin damuwa

Gwajin danniya, wanda aka fi sani da gwajin motsa jiki ko gwajin motsa jiki, ana yin shi da nufin lura da canje-canje a cikin jini ko bugun zuciya yayin aiwatar da wasu ƙoƙari. Baya ga na'urar motsa jiki, ana iya yin ta akan keke na motsa jiki.

Kimar gwajin damuwa yana kwaikwayon yanayin da jiki ke buƙata, kamar hawa matakala ko gangara, alal misali, waɗancan yanayi ne da kan iya haifar da rashin jin daɗi ko ƙarancin numfashi a cikin mutanen da ke cikin barazanar bugun zuciya. Gano ƙarin bayani game da gwajin damuwa.

Menene don: yana ba da damar kimanta aikin zuciya yayin ƙoƙari, gano gaban ciwon kirji, ƙarancin numfashi ko arrhythmias, wanda na iya nuna haɗari ga infarction ko gazawar zuciya.

Lokacin da yake contraindicated: wannan gwajin bai kamata mutanen da suke da gazawar jiki ba, kamar rashin yiwuwar tafiya ko keke, ko kuma wadanda suke da wata mummunar cuta, kamar cuta ko ciwon zuciya, saboda yana iya zama mafi muni yayin gwajin.

6. Echocardiogram

Echocardiogram, wanda kuma ake kira echocardiogram, wani nau'i ne na duban dan tayi na zuciya, wanda ke gano hotuna yayin aikin sa, kimanta girman sa, kaurin bangon sa, yawan jini da ake zubawa da kuma aikin bugun zuciya.

Wannan gwajin bashi da ciwo kuma baya amfani da hasken rana don samun hotonku, saboda haka ana yin sa sosai kuma yana samar da mahimman bayanai game da zuciya. Ana yin hakan sau da yawa don bincika mutanen da ke fama da ƙarancin numfashi da kumburi a ƙafafunsu, wanda na iya nuna gazawar zuciya. Dubi umarnin mataki-mataki don yin echocardiogram.

Menene don: yana taimakawa wajen tantance aikin zuciya, gano gazawar zuciya, gunaguni na zuciya, canje-canje a fasalin zuciya da tasoshin jirgi, ban da iya gano ciwace-ciwace a cikin zuciya.

Lokacin da yake contraindicated: babu wata takaddama ga jarrabawar, duk da haka aikinta kuma, sakamakon haka, sakamakon, na iya zama da wahala ga mutanen da ke da ƙwayar nono ko kiba, kuma a cikin marasa lafiya inda ba zai yiwu a kwance a gefe ba, kamar mutanen da ke da rauni a kafa ko waɗanda ke cikin mawuyacin hali ko damuwa, misali.

7. Sintigraphy na cutar Myocardial

Scintigraphy bincike ne da akeyi ta hanyar allurar wani magani na musamman a jijiya, wanda ke saukaka daukar hotuna daga bangon zuciya. Ana daukar hotunan tare da mutumin a hutawa da kuma bayan kokarin, don haka akwai kwatanci tsakanin su. Idan mutum ba zai iya yin ƙoƙari ba, ana maye gurbinsa da wani magani wanda yake kwaikwayon, a cikin jiki, yawo da ƙarfi, ba tare da mutumin ya bar wurin ba.

Menene don: kimanta canje-canje a cikin samar da jini zuwa ganuwar zuciya, kamar yadda zai iya faruwa tare da angina ko infarction, misali. Hakanan yana iya lura da aikin bugun zuciya a lokacin aikinsa.

Lokacin da yake contraindicated: ana hana tabin hankali na yanayin yanayin rashin lafiyan abu mai aiki wanda aka yi amfani da shi wajen gwajin, mutanen da suke fama da matsanancin ciwon iska ko kuma suke fama da matsalar koda, tunda kawar da bambancin ana yin ta ne da kodan.

Masanin ilimin likitan zuciya na iya yanke shawara ko za a yi wannan gwajin tare da ko ba tare da motsa magunguna ba wanda ke saurin bugun zuciya don yin kama da halin damuwa na mai haƙuri. Duba yadda aka tsara scintigraphy.

Gwajin gwaje-gwaje don tantance zuciya

Akwai wasu gwaje-gwajen jini da za a iya yi don tantance zuciya, kamar su Troponin, CPK ko CK-MB, alal misali, waɗanda alamomin jijiyoyi ne waɗanda za a iya amfani da su a cikin kimantawar mummunan ciwon zuciya.

Sauran gwaje-gwajen, kamar su glucose na jini, cholesterol da triglycerides, ana buƙata a binciken zuciya, alal misali, kodayake ba su keɓance takamaiman zuciya ba, suna nuna cewa idan babu wani iko da magani, motsa jiki da daidaitaccen abinci, akwai babban haɗarin kamuwa da cututtukan zuciya da na jijiyoyin jini. a nan gaba. Zai fi kyau fahimtar lokacin da za a duba lafiyar zuciya da jijiyoyin jini.