Ngenxa yokuthi kunezinhlobo eziningi zesifo senhliziyo, ngasinye esithinta izingxenye nemisebenzi ehlukene yesimiso senhliziyo, sidinga ibhethri yokuhlola ukuze sithole ukuhlolwa okuqondile. Amanye asetshenziselwa ukukhomba okungavamile ngaphakathi kwenhliziyo noma emithanjeni yegazi. Abanye bahlose ukubona ukuthi izitho zisebenza kangakanani ngokuqondene nobudala bakho, impilo, kanye nezici zakho.
Impilo Yenhliziyo Yonke
Lezi zivivinyo zivame ukusetshenziswa njenge-screening jikelele yesifo senhliziyo. Zivame ukusetshenziselwa ukusungula isisekelo sokuqala kubantu abangenawo isifo senhliziyo esaziwayo. Ngokuhamba kwesikhathi-ngezinye izikhathi amasonto, ngezinye izikhathi iminyaka-ukuhlolwa kungabuyekezwa ukuze ubone ukuthi kukhona ukulimala noma ukuthuthukiswa komsebenzi osisekelo.
Ezinye zezinqubo ezijwayelekile zihlanganisa:
- I-Electrocardiogram (ECG) -Ukuhlolwa okulinganisa umsebenzi kagesi wenhliziyo yakho nesigqi namandla okushaya kwenhliziyo yakho.
- I-Echocardiogram -Uhlobo lwe-ultrasound olusebenzisa amagagasi omsindo ukudala izithombe zamakamelo enhliziyo yakho, ama-valve, izindonga, nemithambo yegazi.
- Ukucindezeleka kokucindezeleka -Kwaziwa nangokuthi i-ECG yokucindezeleka, lokhu kuvivinywa kwenza udokotela wakho azi ukuthi inhliziyo yakho isabela kanjani emisebenzini njengoba uhamba ngesivinini esilinganiselwe esitokisini.
Izifo ze-Aron Coronary
Lezi zivivinyo zivame ukulalelwa uma odokotela besolisa isifo se-coronary artery (CAD).
Zivame ukuqhutshwa eceleni kwe-ECG nokuhlolwa kokucindezeleka ukuze uphenye izimbangela ezikhona.
Amaphethini athile ku-ECG, isibonelo, abonakala ngokuphawulekayo ngaphambi kwe-infarction ye-myocardial (ukushaya kwenhliziyo). Ngokufanayo, ukuhlolwa kokucindezeleka kungasetshenziswa ukuthola izimpawu ze- angina ezibonisa i-CAD.
Uma isetshenziselwa ngokuhlanganyela nezinye izivivinyo zokuxilonga, lobu buchwepheshe bungasiza ukusekela ukuxilongwa nokuqondisa inkambo yokwelapha.
Phakathi kwabo kukhona:
- Ukuhlolwa kwe-Thallium kanye ne-cardiolyte -Usebenzisa i-tracer radioactive egayelwe egazini ukuhlola ukugeleza kwegazi ngaphakathi kwenhliziyo nesistimu yokujikeleza.
- I-MUGA ihlola - Ibuye isebenzise i-tracer radioactive ukuthatha izithombe zenhliziyo yakho njengoba iqhuma igazi ngezinhliziyo zonke.
- Ukuhlola kwe-calcium -Usebenzisa isisindo esikhethekile se-X-ray okuthiwa i-computed tomography (CT) ukuskena ukuthola i-calcium ekwakheni kwezindonga eziphethe.
- I-MRI ye-Cardiac -Kwaziwa nangokuthi i-imagination yama-magnetic resonance, lokhu isebenzisa amagagasi amakhulu ukudala izithombe zenhliziyo yakho emazwini amaningi.
- I-catheterization ye-cardiac kanye ne-angiography -Ihlose ukungena kwebhubhu elincane, eliguquguqukayo elibizwa ngokuthi i-catheter emthini womlenze noma ingalo edlalwa emithanjeni enhliziyweni. Ngesikhathi se-angiography, idayi ijojowe nge-catheter ukudala izithombe ze-X-ray yemikhumbi yegazi ezungezile.
- I-echocardiogram ye-Transesophageal -Izindlela zokuthola izithombe ezicacile zesakhiwo senhliziyo ngokufaka i-ultrasound eguquguqukayo engxenyeni (ithubhu yokudla).
Izinkinga ze-Heart Rhythm
Lezi zivivinyo zivame ukusetshenziselwa ukuthola futhi zihlolisise ukuphazamiseka kwengqondo yenhliziyo eyaziwa njenge- arrhythmia . Zingasetshenziswa futhi ukusiza ukunquma imbangela ye- syncope (ukuphelelwa amandla).
Phakathi kwabo kukhona:
- Ukuqapha kwe-Holter-Eyaziwa nangokuthi ukuqapha umcimbi, lokhu kuyiselula encane ephathekayo ye-ECG engagqunywa isiguli ukuqapha ukushaya kwenhliziyo kwamahora angu-24 kuya kwangu-48.
- Ucwaningo lwe-Electrophysiology -Kwaziwa nangokuthi i-EP yokutadisha, lokhu kuyindlela encane yokuhlasela lapho umcengezi udlalwa khona umthambo wokuhlola uhlelo lwegesi lwenhliziyo usebenzisa amagnetic amabili amakhulu abekwe ohlangothini lwesiguli.
- Ukuhlolwa kwetafula lokuthambekela -I-test lapho ulale khona etafuleni futhi uhlolwe njengoba kancane kancane ubhekwa ngamadrikhi angu-60 ukuze uthole isizathu sokuphelelwa amandla. Ngenkathi yenqubo, uzobe uboshelwe ku-ECG ngenkathi ukucindezeleka kwegazi kanye namazinga e-oxygen okwegazi ahlale eqapha.
> Imithombo:
> Chou. I-R. "I-High-Value Care Task Force ye-American College of Physicians. Ukuhlolwa Kwezinhliziyo nge-Electrocardiography, Ukucindezeleka Kwezinto Zokucindezeleka Ne-Myocardial Perfusion Ukufanekisa: Iseluleko Sokunakekelwa Okuphezulu Kwe-American College of Physicians." U-Ann Intern Med. 2015; 162: 438-47. I-DOI: 10.7326 / M14-1225.
> Moyer, V. "I-US Preventive Services Task Force. Ukuhlolwa Kwezifo Zezinhliziyo Ze-Coronary nge-Electrocardiography: Isitatimende Sokuncoma Sezinsizakalo Ze-US Preventive Services." U-Ann Intern Med . 2012; 157: 512-8. I-DOI: 10.7326 / 0003-4819-157-7-201210020-00514.