Cadaadiska echocardiography

Echocardiography Stress waa baaritaan adeegsada sawirka Ultrasound si loo muujiyo sida wanaagsan ee muruqa wadnahaagu u shaqeynayo si dhiig loogu shubo jirkaaga. Badanaa waxaa loo isticmaalaa in lagu ogaado hoos u dhaca qulqulka dhiigga ee wadnaha markuu ka yaraado halbowlayaasha wadnaha.

Tijaabadani waxaa lagu sameeyaa xarun caafimaad ama xafiiska bixiyaha daryeelka caafimaadka.

Echocardiogram nasasho ayaa la sameyn doonaa marka hore. Intaad u jiifsato dhinaca bidix adigoo gacanta bidix ka baxsan, qalab yar oo la yiraahdo transducer ayaa laga qabtaa laabtaada. Jel gaar ah ayaa loo isticmaalaa inuu ka caawiyo hirarka ultrasound inay soo gaadhaan wadnahaaga.

Dadka badankood waxay ku dul socon doonaan treadmill (ama baaskiil jimicsi). Si tartiib ah (qiyaastii 3dii daqiiqo ee kasta), waxaa lagaa codsan doonaa inaad si dhakhso leh u socoto (oo aad baydalka) Waxay u egtahay in lagaa codsaday inaad si dhakhso ah u socoto ama aad orod ku korto.

Xaaladaha badankood, waxaad u baahan doontaa inaad socotid ama aad baydal fuulaysid illaa 5 illaa 15 daqiiqo, iyadoo kuxiran heerka caafimaad ahaantaada iyo da'daada. Bixiyahaaga ayaa ku weydiin doona inaad joojiso:

• Markuu wadnahaagu garaacayo heerka bartilmaameedka
• Marka aad daalan tahay inaad sii wado
• Haddii aad leedahay xabad xanuun ama isbeddel ku yimaad cadaadiska dhiiggaaga oo walwal gelinaya adeeg bixiyaha baaritaanka sameynaya

Haddii aadan awoodin inaad jimicsi sameyso, waxaad ka heli doontaa daawo, sida dobutamine, xididka (xididka xididka). Dawadani waxay wadnahaaga ka dhigaysaa mid dhakhso badan oo adag, oo la mid ah markaad jimicsiga samaynayso.

Cadaadiska dhiiggaaga iyo garaaca wadnahaaga (ECG) waa lala socon doonaa inta hawshu socoto.

Sawirro badan oo 'echocardiogram' ah ayaa la qaadi doonaa inta garaaca wadnahaagu uu kordhayo, ama marka uu gaaro heerkiisa ugu sarreeya. Sawirradu waxay muujinayaan in qaybo ka mid ah muruqyada wadnuhu aysan u shaqeynaynin sidoo kale marka garaaca wadnahaagu uu kordho. Tani waa calaamad muujinaysa in qayb ka mid ah wadnaha laga yaabo inaysan helin dhiig ku filan ama oksijiin sababo la xiriira xididdada dhiigga oo yaraada ama xirmay.

Weydii dhakhtarkaaga haddii aad qaadato wax ka mid ah dawooyinkaaga caadiga ah maalinta baaritaanka. Daawooyinka qaarkood ayaa laga yaabaa inay farageliyaan natiijooyinka baaritaanka. Marnaba ha joojin qaadashada wax daawo ah adiga oo aan marka hore la hadlin dhakhtarkaaga.

Waa muhiim inaad u sheegto dhakhtarkaaga haddii aad qaadatay mid ka mid ah daawooyinka soo socda 24-kii saac ee la soo dhaafay (1 maalmood):

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

HA cunin ama ha cabbin ugu yaraan 3 saacadood baaritaanka ka hor.

Xiro dhar dabacsan, raaxo leh. Waxaa lagu weydiin doonaa inaad saxeexdo foom oggolaansho baaritaanka ka hor.

Electrodes (balastarro tabinta) ayaa lagaa saari doonaa laabtaada, gacmaha, iyo lugaha si loo duubo dhaqdhaqaaqa wadnaha.

Cadaadiska cadaadiska dhiigga ee gacantaada ayaa la buufin doonaa daqiiqado kasta, isagoo soo saaraya dareen isku ururin ah oo laga yaabo inuu dareemo cidhiidhi.

Marar dhif ah, dadku waxay dareemaan raaxo-darro laabta ah, garaac wadno dheeraad ah ama laga booday, dawakhaad, madax-xanuun, lallabbo ama neef-qabad la'aan muddada baaritaanka.

Baadhitaanka waxaa loo sameeyaa si loo arko in muruqa wadnahaagu helayo socodka dhiigga oo ku filan iyo oksijiin marka uu si adag u shaqeynayo (walaac buuran).

Dhakhtarkaaga ayaa amri kara baaritaankaan haddii aad:

• Yeelo calaamado cusub oo ah angina ama xabad xanuun
• Hayso angina taas oo kasii daraysa
• Dhawaan ayaa wadno xanuun qabay
• Miyaad qalliin samaynaysaa ama aad jimicsi bilaabi doontaa, haddii aad khatar sare ugu jirto cudurrada wadnaha
• Dhibaatooyin wadnaha wadnaha ah

Natiijooyinka baaritaanka culeyska fekerka ayaa caawin kara bixiyahaaga:

• Go'aamso sida ugu fiican ee daaweynta wadnaha u shaqeyneyso oo beddel daaweyntaada, haddii loo baahdo
• Go'aamso sida ugu wanaagsan ee wadnahaagu u garaacayo
• Baadhitaanka cudurka halbowlayaasha wadnaha
• Fiiri in qalbigaagu aad u ballaaran yahay

Tijaabada caadiga ah waxay badanaa micnaheedu noqon doontaa inaad awood u laheyd inaad jimicsi sameysid sida ugu dheer ama ka dheer dadka da'da iyo jinsigaaga badankood. Sidoo kale ma aadan lahayn calaamado ama ku saabsan isbeddelada cadaadiska dhiiggaaga iyo ECG-gaaga. Sawirada wadnahaaga waxay muujinayaan in dhamaan qeybaha wadnahaaga ay kajawaabayaan walaaca sii kordhaya iyagoo si xoog leh u bamgareynaya.

Natiijo caadi ah waxay ka dhigan tahay qulqulka dhiigga ee halbowlayaasha wadnaha inuu caadi yahay.

Macnaha natiijooyinka baaritaankaaga waxay kuxirantahay sababta baaritaanka, da'daada, iyo taariikhda wadnahaaga iyo dhibaatooyinka caafimaad ee kale.

Natiijooyinka aan caadiga ahayn waxaa laga yaabaa inay u sabab yihiin:

• Hoos u socodka socodka dhiigga qayb ka mid ah wadnaha. Sababta ugu badan ee suurtagalka ah waa ciriiriga ama xiridda xididdada dhiigga siiya muruqa wadnahaaga.
• Nabar ku ah muruqa wadnaha wadno qabad hore.

Baaritaanka ka dib waxaad u baahan kartaa:

• Angioplasty iyo meelayn adag
• Isbedelada dawooyinka wadnahaaga
• Xinjirowga wadnaha
• Qalliinka wadnaha

Khataraha ayaa aad u hooseeya. Xirfadlayaasha daryeelka caafimaad ayaa kula socon doona inta hawsha socoto oo dhan.

Dhibaatooyinka dhifka ah waxaa ka mid ah:

• Wadna garaac aan caadi ahayn
• Suuxdin (syncope)
• Wadne qabad

Imtixaanka culeyska Echocardiography; Tijaabada walbahaarka - echocardiography; CAD - culeyska fekerka 'echocardiography'; Cudurka halbowlayaasha wadnaha - echocardiography stress; Laabta xanuun - echocardiography stress; Angina - culeyska fekerka 'echocardiography'; Cudurka wadnaha - isku buuqida maskaxda

• Wadnaha - qaybta dhexe
• Wadnaha - aragtida hore
• Nidaamka koritaanka ee atherosclerosis

Boden WE. Cudurka 'angina pectoris' iyo xasilloonida cudurka wadnaha. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier; 2020: cutubka 71.

Fihn SD, Blankenship JC, Alexander KP, iyo al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS cusbooneysiin diiradda lagu saaray ee tilmaamaha loogu talagalay ogaanshaha iyo maaraynta bukaannada qaba cudur wadnaha oo xasilloon: Warbixinta Kulliyadda Caafimaadka Wadnaha ee Mareykanka / Ururka Wadnaha ee Mareykanka ee Tilmaamaha Tababarka, iyo Ururka Mareykanka ee Qalliinka 'Thoracic Surgery', Kahortagga Kalkaaliyeyaasha Wadnaha ee Wadnaha, Bulshada Wadnaha iyo Waxqabadyada Wadnaha, iyo Bulshada Dhakhaatiirta Qalliinka 'Thoracic Surgeons'. J Am Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 www.ncbi.nlm.nih.gov/pubmed/25077860.

Fowler GC, Smith A. Echocardiography cadaadiska. Gudaha: Fowler GC, ed. Nidaamka Pfenninger iyo Fowler ee Daryeelka Aasaasiga ah. 4aad. Philadelphia, PA: Elsevier; 2020: baab 76.

Solomon SD, Wu JC, Gillam L, Bulwer B. Echocardiography. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 14.