Ukuhlolwa kwe-TMT

Ukuhlolwa kwe-treadmill, okwaziwa nangokuthi ukuhlolwa kwe-TMT noma ukuhlolwa kokucindezeleka kokuzivocavoca, kuhlanganisa ukuhamba noma ukugijima ku-treadmill. Lokhu kuhlola kusetshenziselwa ukuhlola ukuthi inhliziyo isabela kanjani ngempumelelo lapho isebenza kanzima kunalapho iphumule. Ukuhlolwa kwe-TMT kusebenza njengethuluzi lokuxilonga ngezokwelapha, okusiza ekuhloleni ukusebenza kwenhliziyo kubantu abanezimo ezihlukahlukene zempilo ezingase zibabeke phambili ekuphakameni okukhulu. ingozi yezifo zenhliziyo.

Kuyini Ukuhlolwa kwe-TMT?

Ukuhlolwa kwe-TMT kuyinqubo yokuhlola yokuhlola impilo yenhliziyo iyonke. Phakathi nalokhu kuhlolwa, iziguli zihlolwa ngokusekelwe ekutheni zingagijima ibanga elingakanani ku-treadmill ngaphambi kokuba zithole isigqi senhliziyo esingavamile noma ukuncipha kokunikezwa kwegazi enhliziyweni.

Kungani kudingeka ukuhlolwa kwe-TMT kwenhliziyo?

Ukuhlolwa kwenhliziyo kwe-TMT kungase kunconywe ngenxa yezizathu ezihlukahlukene, kuhlanganise nokuhlolwa kokusebenza kwenhliziyo. Kuvame ukuphakanyiswa ezigulini ezinesifo sikashukela okungenzeka zibe sengozini yokuthuthukiswa izinkinga zenhliziyo. Ukwengeza, abantu abanomlando wezifo zenhliziyo noma labo abaye belashwa inhliziyo bangabuye belulekwe ukuthi bahlole i-TMT.

Okunye ukusetshenziswa okuvamile kokuhlolwa kwe-TMT kungase kuhlanganise okulandelayo:

• Ukuhlonza izinkinga zemisipha yenhliziyo noma i-valve
• Ukuhlola ukwanela kokunikezwa kwegazi enhliziyweni
• Ukuhlola ukusebenza kahle kokumpompa igazi ngenhliziyo
• Ukuxilongwa kwezimpawu zezifo ze-coronary artery

Ukuhlolwa kwe-TMT kungase futhi kunconywe ezigulini ukuze zisize ukunquma izinga lempilo yesiguli ngaphambi kokuba ziqale isimiso esisha sokuzivocavoca. Lokhu kusiza ukuhlola ukuthi bangakwazi yini ukuphatha ngokuphephile izinga lokuzivocavoca. 

Izingozi zokuhlolwa kwe-TMT

Ukuhlolwa kokucindezeleka kwe-TMT ngokuvamile kubhekwa njengokuphephile njengoba kwenziwa endaweni elawulwayo ngaphansi kokuqondisa kochwepheshe. Nokho, ubungozi obuthile, nakuba bungavamile, buphawuliwe obungase buhlanganise:

• ubuhlungu besifuba
• Ukushaya kwenhliziyo okungavamile
• Ukuphelelwa amandla
• Ukugoqa
• Isifo senhliziyo 

Amathuba okuthola lezi zingozi aphansi kakhulu, njengoba uchwepheshe evame ukuqapha isiguli njalo.

Inqubo yokuhlolwa kwe-TMT

Inqubo yokuhlola ye-TMT yenziwa ngaphansi kwezimo ezilawulwayo, futhi iziguli zinganikezwa iziqondiso ezithile okufanele zilandelwe. Ubude besikhathi sokuhlolwa kwe-TMT bungase bunqunywe kusengaphambili udokotela owelaphayo ukuze kuzuzwe izenzakalo ezibalulekile phakathi nokuhlolwa kokucindezeleka kokuzivivinya. Ngaphambi kwenqubo, isiguli kungase kudingeke sihlolwe isikhashana somzimba.

Inqubo ngokuvamile iqala ngokuthi isiguli sihambe kancane ku-treadmill. Ijubane le-treadmill liyakhuphuka kancane kancane ngokuhamba kwesikhathi, futhi ama-milestone azuziwe ayarekhodwa ukuze asetshenziswe esikhathini esizayo. Uma isiguli sihlangabezana nanoma yibuphi ubunzima, udokotela angase asinikeze usizo futhi angase anqume ukukumisa ukuhlola uma kubonakala kunesidingo.

Ngemva kokuphothula ukuhlolwa, udokotela angase aqhubeke nokuqapha ukushaya kwenhliziyo yesiguli nokuphefumula isikhathi esifushane.

Ngemuva kokuhlolwa kwe-TMT

Ngemva kokuhlolwa kokucindezeleka kwe-TMT, isiguli singathola usizo lokusisiza sehlise umoya ngenkathi sihlala sibhekwe njalo. Uma isiguli sinezinkinga zomfutho wegazi ophezulu, ochwepheshe bezokwelapha bazozinakekela.

Imiphumela yokuhlolwa kwe-TMT

Imiphumela yokuhlolwa kwe-TMT ngokuvamile inikezwa ezinsukwini ezimbalwa ngemva kokuhlolwa. Le miphumela ingase iveze ubufakazi besigqi senhliziyo esingavamile noma ezinye izimo zenhliziyo, njengezifo zenhliziyo.

Amazinga okuhlola we-TMT ajwayelekile

Uma inhliziyo isebenza ngendlela evamile futhi kunokugeleza kwegazi okwanele, isiguli kufanele sifinyelele izilinganiso ezifanele ngesikhathi sokuhlolwa. Lokhu kubonisa ukuthi isiguli asinayo ingozi engase ibe nesifo senhliziyo. Izinga lokushaya kwenhliziyo elijwayelekile lingahluka ngokweminyaka futhi lingaba ngaphansi kunokuvamile kubasubathi. Izinga eliphezulu lokushaya kwenhliziyo elilindelekile kubantu abadala libalwa ngokushaya ngomzuzu ngokukhipha ubudala besiguli kusukela ku-220 (220 inombolo okungatholwa kuyo ukushaya kwenhliziyo okukhulu kwesiguli). 

Imiphumela engavamile ingase ibonise ukuba khona kokungahambi kahle kwenhliziyo.

Izinyathelo Okufanele Uzithathe Ngaphambi Kokwenza I-TMT

Odokotela bangase batuse izinyathelo ezithile zokuphepha okufanele zithathwe ngaphambi kokuhlolwa kwe-TMT.

• Iziguli zingase zelulekwe ukuthi zingadli ukudla okunzima kungakapheli amahora ama-2 ngaphambi kokuhlolwa. 
• Bangase bakhuthazwe ukuthi bahlanganyele ekuhambeni ngokushesha izinsuku ezimbalwa ngaphambi kokuhlolwa. 
• Bangase bayalwe ukuthi bagweme itiye, ikhofi, nanoma yiziphi iziphuzo ezidakayo ngaphambi kokuhlolwa kwe-TMT. 
• Iziguli ezinesifuba somoya zingase zelulekwe ukuthi zisebenzise ama-inhalers ngaphambi kokuhlolwa.

Ukuhlolwa Okuhle kwe-TMT

Ukuhlolwa kwe-TMT kusho ukuthi kwesiguli i-echocardiogram (ECG) phakathi nale nqubo ibonise izinguquko ezihlobene ne-angina ngemva kokuzikhandla. Lokhu kubonisa ukutholakala kwegazi okwanele enhliziyweni futhi kubonisa ukuba khona kwesifo senhliziyo ye-ischemic.

Ukuhlolwa Kwe-TMT Engalungile

Ukuhlolwa kwe-TMT kusho ukuthi ngisho nangesikhathi somthwalo olinganiselwe noma ophezulu, isiguli sigcina igazi elanele enhliziyweni, futhi azikho izimpawu zenhliziyo ye-ischemic.

Isiphetho

I-TMT, noma i-treadmill test, isebenza njengokuhlola impilo yenhliziyo kanye nethuluzi lokuxilonga lezimo ezithile zenhliziyo. Le nqubo ihilela ukuhamba noma ukugijima ku-treadmill kuyilapho isigqi senhliziyo yesiguli nokuphefumula kuhlala kuqashwe ngeso lokhozi.

Imibuzo Evame Ukubuzwa 

1. Ukuhlolwa kwe-TMT kuthatha isikhathi esingakanani?

Izimpendulo. Ukuhlolwa okujwayelekile kwe-TMT kuthatha imizuzu eyi-10 kuye kweyi-15 ukuqeda.

2. Singadla ngaphambi kokuhlolwa kwe-TMT?

Izimpendulo. Iziqondiso mayelana nokudla kanye nemithi zizonikezwa udokotela. Iziguli zingase zituswe ukuba ziyeke ukusebenzisa imithi ethile, zilungise umthamo wazo, noma ziyeke ukudla ukudla neziphuzo ezithile.

3. Kwenzekani uma ngifeyila iStress Test?

Izimpendulo. Asikho isidingo sokukhathazeka uma isiguli sihluleka ukufeza imiphumela edingekayo ngesikhathi sokuhlolwa kokucindezeleka kwe-TMT. Lo mphumela ungase ubangelwe izimo ezingahlobene ngokuphelele nenhliziyo. Udokotela angase atuse okunye ukuhlolwa kokucindezeleka ukuze athole ukuhlolwa okungcono kwesimo sesiguli.

4. Ubani okungafanele ayohlolwa i-TMT?

Izimpendulo. Labo abake bamelwa yinhliziyo phakathi namahora angu-48 ngaphambi kokuhlolwa, abantu abanomfutho wegazi ongalawuleki noma abanezinkinga zenhliziyo, noma labo abagula kakhulu ngenxa yezinye izimo zempilo, bangase bangatuswa ukuba bahlole i-TMT.