Ama-Echocardiograms awawona ama-invasive (isikhumba asigwazwa) amasu asetshenziselwa ukuhlola ukwakheka nokusebenza kwenhliziyo. Amaza omsindo athunyelwa nge-transducer (umbhobho) ngefrikhwensi engezwakali ngesikhathi senqubo. Ama-transducer abekwe ukuze kuhlolwe i-2D ne-3D echo esifubeni kuma-engeli nasezindaweni ezihlukahlukene, okwenza amaza omsindo ahambe esikhumbeni nakwezinye izicubu zomzimba aye ezicutshini zenhliziyo, lapho egxuma esuka ezakhiweni zenhliziyo. Amaza omsindo adluliselwa kukhompyutha engakha isithombe esinyakazayo sezindonga namavalvu enhliziyweni. Izibhedlela ze-CARE zisebenza ngokuhlolwa kwe-Echocardiogram eHyderabad.
I-2-D (i-two-dimensional) i-echocardiography: Ngokusebenzisa le nqubo, izakhiwo zenhliziyo zibonakala zihamba. Isithombe senhliziyo esinezinhlangothi ezimbili siboniswa kumonitha esithombeni esimise okwekhoni, esibonisa ukunyakaza kwezakhiwo zayo ngesikhathi sangempela. Odokotela bangabona futhi bahlole isakhiwo senhliziyo ngasinye sisebenza ngokwenza ukuhlolwa kwe-2D echo.
I-3-D (i-three-dimensional) i-echocardiography: I-echo enezinhlangothi ezintathu inikeza umbono onemininingwane eminingi yezakhiwo zenhliziyo kune-echo enezinhlangothi ezimbili. Uma usebenzisa isithombe senhliziyo esibukhoma noma "sesikhathi sangempela", izilinganiso zingathathwa ngokushaya kwenhliziyo ukuze kuhlinzekwe ukuhlola okunembe kakhulu kokusebenza kwenhliziyo. Umuntu onesifo senhliziyo angasebenzisa i-3D echo ukuze anqume ukuthi uhlelo lwakhe lokwelapha lufanelekile yini ngokusekelwe kukwakheka kwenhliziyo.
Ubude besikhathi se-2D noma i-3D echocardiogram (i-echo) bungahluka kuye ngezinto ezimbalwa, okuhlanganisa uhlobo oluthile lwe-echo eyenziwa, isimo sesiguli, kanye nesimo somtholampilo. Nayi eminye imihlahlandlela ejwayelekile:
Ama-echocardiogram ezinhlangothi ezimbili (2D) ukuhlolwa kokuxilonga okukhiqiza izithombe zenhliziyo, izakhiwo ze-para-cardiac, kanye nemithambo yegazi ngaphakathi kwenhliziyo. Idlula esikhumbeni, ifinyelele ezithweni ezingaphakathi, futhi yakha izithombe ezicacile ngaphandle kokudala umonakalo.
Ikhomba amahlule egazi enhliziyweni.
Ithola noma yiluphi uketshezi esakeni elizungeze inhliziyo.
Inquma ukuthi i-artery ivinjwe yini ukunqwabelana kwamafutha, i-atherosclerosis, noma i-aneurysm.
Ikhomba izinkinga nge-aorta (umthambo oyinhloko oxhuma inhliziyo kuwo wonke umzimba).
Inikeza umbono wokusebenza kwenhliziyo ngaphambili ukuhlinzwa kwe-valve yenhliziyo.
Ngokuvamile, kuthatha isikhathi esingaphansi kwehora ukuqedela inqubo, esheshayo futhi engenabuhlungu.
Okulandelayo kwenzeka ngesikhathi sokuhlolwa kwe-2D echo:
Ukusebenza kukagesi kwenhliziyo kugadwa ngokubeka amabala athambile, anamathelayo esifubeni sakho abizwa ngokuthi ama-electrode.
Enye ijeli isetshenziswa ukuze wenze i-echo engu-2d esifubeni sakho. Ngenxa yalokho, amaza e-sonar akwazi ukufinyelela inhliziyo yakho ngokuphumelelayo.
Ukuze uthole isithombe esicacile senhliziyo yakho esikrinini, idivayisi ephathwa ngesandla ebizwa ngokuthi i-transducer ibe isihanjiswa phezu kwendawo lapho ijeli ifakwe khona.
Ikhompyutha ibonisa isithombe senhliziyo yakho esikrinini ngokusekelwe emazwini avela ku-transducer.
Ngemva kokuhlolwa sekuqediwe, ijeli iyasulwa futhi usulungele ukuhamba.
Le mibiko izobe isihlolwa udokotela noma udokotela wenhliziyo ukuze abone ukuthi akukho yini okungavamile ekusebenzeni kwenhliziyo yakho.
Ngaphambi kwe-2D echo, udokotela wakho angase akucele ukuthi uyeke ukudla amahora ambalwa.
Qinisekisa ukuthi ubuza udokotela wakho ukuthi ukuhlolwa kwe-treadmill kuzokwenziwa ngokuhambisana ne-2D echo. Qinisekisa ukuthi unezicathulo zokugijima ezikhululekile esandleni.
I-echocardiogram enezinhlangothi ezintathu (3-D) idala isithombe esingu-3-D senhliziyo yakho ngokusebenzisa i-transoesophageal (i-probe ethunyelwe kumphimbo wakho) noma i-transthoracic (i-probe ibekwa esifubeni noma esiswini) umzila. Inqubo ibandakanya izithombe eziningi ezithathwe kuma-engeli ahlukahlukene. Ezinganeni, i-echocardiography yenziwa ukuxilonga noma ukukhipha isifo senhliziyo.
Ngezinye izikhathi, udokotela uzosebenzisa i-ejenti ehlukile ukuze abone kangcono inhliziyo. I-ejenti yokuqhathanisa izojovwa esigulini ngesikhathi sokuskena.
I-echocardiogram enezinhlangothi ezintathu (3D echo) yenziwa ngale ndlela elandelayo:
Lena inhlanganisela egayiwe yezindiza eziningi ze-2D.
Amapuleti e-echo e-2D ahlanganisiwe ahlanganiswa idivayisi yekhompyutha ukuze akhe isakhiwo se-3D.
Isithombe esinezilinganiso zobude nokujula sikhiqizwa ngokunikeza indawo isibalo esihlanganisiwe.
Ukuboniswa okuthuthukisiwe kwezakhiwo zenhliziyo ezindizeni ezihlukene neziyingqayizivele
Inquma ukusebenza kwenhliziyo ngokunembile
Ukuhlolwa kwe-3-D echo kufana nekhamera ekhethekile yenhliziyo yakho. Kuthatha izithombe zenhliziyo yakho ezinhlangothini ezahlukene ukuhlola ukuthi yonke into isebenza kahle yini, njengeminyango (amavalvu) nokuthi iphampa kanjani. Lezi zithombe zisiza odokotela ukuthi babone ukuthi azikho yini izinkinga enhliziyweni yakho nokuthi yakhiwe kanjani.
Izazi zezenhliziyo kanye nodokotela abahlinzayo bakhathazekile ngemiphumela yokuhlolwa ngalezi zindlela ezilandelayo:
Isiqondiso sinikezwa kumalebhu ethu. Lapho utadisha inhliziyo futhi uzama ngamavalvu amasha, ukuhlolwa kwe-3D echo kusiza kakhulu.
Ngaphambi kokuba kwenzeke noma yikuphi ukuhlinzwa, udokotela ohlinzayo unikezwa umbono oyingqayizivele we-mitral obasiza ukuthi banqume ukuthi isifo se-valve sikhona ukuze kuncishiswe indlela yokuhlinzwa.
Ngokuhlangene, lezi zindlela ezimbili zisiza ukuhlanganisa izindlela ezihlukene zibe isifundo esilula, futhi ngezilinganiso ezihlukene zenhliziyo, kusiza odokotela benhliziyo nodokotela abahlinzayo ukuba bazi isimo sesiguli.
Thina ezibhedlela ze-CARE sihlinzeka ngokuhlolwa kwe-2D/3D ECHO e-Hyderabad futhi siyaqonda ukubaluleka kokuhlolwa kokuxilonga nokuqapha, kanye nokucindezeleka kwengqondo iziguli ezibhekana nazo ngaphambi nangesikhathi salokhu kuhlolwa. Sinobuchwepheshe obungcono kakhulu nobuthuthuke kakhulu bokwenza ukuhlolwa kwe-2D echo kanye ne-fetus echo e-Hyderabad nakwamanye amayunithi Ezibhedlela ze-CARE, ukwenza inqubo ibe lula, isheshe, futhi yenze inzuzo kakhudlwana kuzo zonke iziguli zethu. Sinengqalasizinda esezingeni eliphezulu nemishini ngokubambisana nochwepheshe abanolwazi kakhulu nabaqeqeshwe kakhulu.
Ukuze uthole ulwazi olwengeziwe mayelana nezindleko zalokhu kwelashwa Chofoza lapha.