Khatello ea Kelello echocardiography: molebo bakeng sa

Morao-rao mekhoa ea diagnosing lefu la pelo ba finyeletse bokgoni ikhethang. Ho phaella ho tekanyetso ECG, ho na le lethathamo la mekhoa ea ho lemoha tsela e sa tloaelehang. E mong oa mekhoa e atlehang ka ho fetisisa morao-rao mabapi le ho imeloa kelellong echocardiography le ho ikoetlisa 'meleng. Sena se bontša fumanoe joang? ke eng batlehang le teng bakeng sa ho buuoa? Sepheo sa khatello ea kelello echocardiography ke eng? Re tla leka ho araba tsena le tse ling lipotso.

ke eng khatello ea kelello e echocardiography?

Khatello ea Kelello ECG - Modern mokhoa ho etsa lipatlisiso ischemic mafu e tšoauoa ka ho etsa bakeng sa pōpo ea mojaro 'mele oa mokuli, e leng e isa e leng keketseho ea maqhubu a ya pelehi pelo mesifa.

meferefere ea moo ea contractility dikarolo tsa motho ya dinama tse nyenyane tse ke letšoao e tobileng ea bolwetse. Maemong a mangata, ho lokisa ho kheloha bonyane tsa mesifa pelo nakong ECG tloaelehile phomotse ke feela ke ke ha khoneha. Ho fapana le moo, khatello ea kelello echocardiography lumella u ho ka tsela e nepahetseng beha ho ba teng ha pathologies ischemic ka mekhahlelo ea pele ea ntlafatso.

A histori e khutšoanyane

Melao-motheo ea ea mekhoa ea tlhahlobo ea bongaka ba 'nile ba hlalosoa ka lingoliloeng tsa bongaka ke bafuputsi American ea ischemic lefu la pelo R. kgolo le L. Vann ka 1979. Lilemo tse seng kae hamorao ba pele historing ea khatello ea kelello echocardiography ka tshekaletseng potoloho ergometer ile a etsa. Tse latelang sebedisana bangodi ba treatises saense Erbel L. le C. Berthet, ea ileng a ikopanya le mosebetsi oo, o lohothwang ho nka sebaka sa ho ikoetlisa le ho sebelisa mekhoa e diokobatsi electrostimulating litla ka tsamaiso ea pelo le methapo ea mokuli ka mokhoa oa ho etsa lipatlisiso.

Ikatisetsa tse ruuoang, le ntlafatso ea mokhoa oa ho hlahloba lefu nka Alekhin. "Khatello ea Kelello echocardiography" (PDF thalong) Hona joale ka taolo ya tlhokeho. Ka holimo mosebetsi saense mofuputsi e mong o bontša phihlelo lohle la tlhathoba e, bokeletseng ho theosa le lilemo tse ngata. Mona, setsebi sa ile ka khona ho bontša bopaki bo botlaaseng, eo e tiisa hore molemo oa Tsamaiso le hore ba ithute lintho cardiac ischemia, mafu a tse ling tsa tsamaiso ea pelo le methapo.

Molao-motheo oa ho hlahloba lefu

Khatello ea Kelello echocardiography e thehiloe tlhagisa ntlha ea hore ho thehoe oa myocardium ka ischemia cardiac mpefala le letšehali ventricular contractility bokhoni ba ka mothapo ho gogoga. E le hore u ntshetsopele ya bolwetse ke ditlolo tsa phallo venous mali.

Khatello ea Kelello echocardiography dumella ho ngolisa ka libaka itsoara joang ka motho ka mong ka ho le letšehali ventricular myocardium matlafatsoa, mejaro ea tšohanyetso e hlaha ka 'mele oa mokuli. Ntle ho tsamaiso ea pelo le methapo ho mmuso ha ikutloe ba etsa lipatlisiso tse etsoang ka tshebetso e tšoanang le ho nka litšoantšo tsa mesifa pelo ka mokgwa wa Grafiken, e leng se etsang mokhoa tsela e atlehang ea ho ea tsamaisa tepelletse maikutlong akaretsang.

itokisa Survey

Ka ho lokisetsa bakeng sa fumanoe ba le mamello e behiloeng litokisetso sa baeti ba fihlelang ho meriana e nang le nitrates, e leng lumella ho fokotsa sekgahla sa pelo, fokotsa khatello ea mali. Ka tsela eo ho itšireletsa ka ho pelo mesifa ke generating a sebetsang a adrenaline tlas'a meroalo e tlas'a khatello ea kelello, e leng ho ka etsa hore ho senyeha la boemo bo akaretsang ba le mamello.

Ka letsatsi la ho ithuta ho ba le mamello e lumelloa ho sebelisa nitroglycerin ho le eo cropped probable angina. Leha ho le joalo, ho kenoa ho bolela nang ntho e le mokuli e lokela ho thibelwa pele cardiologist.

Likhothaletso bakeng sa khatello ea kelello echocardiography kenyeletsa ho hloleha ha lijo ka lihora tse ka bang 6 pele tepelletse maikutlong ka. ho etsa lipatlisiso pele hape o ile a amohela ka e fokolang mokelikeli ho noa. Ka letsatsi le leng pele ho fumanoe ba le mamello ke ho hlokahala hore ho fana ka ho fihlela caffeine ka lebaka la phello ea oona tonic 'mele e ka ama ho nepahala ha liphello. Hang-hang pele ka mokhoa o sa e thibetsoe ho tsuba.

Bontšang bakeng sa ho phetha tlhathoba

Maemong a mang, e le phumano ea mofuta ona? Khatello ea Kelello echocardiography o abetsoe ho bakuli:

• Haeba u belaella hore tsoelo-pele ea ischemia myocardial;
• ho hlokahala hore a hlahloba boemo ba methapo gogoga;
• ithuta solofetsa ea dinama tse nyenyane tse myocardial;
• mahlomola le cardiac, mefuta e meng ea sa foleng lefu gogoga pelo ;
• lokela ho phetha ho kenella ho buoa ho buuoa kgaoleditse, stenting, angioplasty tsa methapo gogoga;
• ho hlokahala hore a hlahloba liphello tsa phekolo ka tšebeliso ea lithethefatsi;
• eaba ba etsa le itse'ng tsa lefu cardiac;
• lekola monyetla oa mathata a ka mora kalafo ea lefu la pelo;
• ho lokisetsa tshebetso rarahaneng ka pelo, matšoafo, aorta;
• ho hlokahala hore a khetholla tsela e sa tloaelehang congenital ya di-valve pelo;
• tlhlahlobo ikemiseditse ho lekola le matla a le mamello ea ho sebetsa.

Contraindications

Ke mathata a bophelo bo botle, ho ba teng ha tseo a ka se hatisa echocardiography ka Vladimir, le metseng e meng, ke tsoelo-pele ea infarction myocardial ka sethaleng a hlobaetsang. Ha ba lumelloa ho ithuta le ho bakuli ba aneurysm aortic, haholo ea bohlokoa stenosis, congestive ha pelo, ka likoli congenital pelo. Ka lebaka la kotsi ya clogging ea di-valve tsa clots mali pelo mesifa, khatello ea kelello echocardiography le ho ikoetlisa e contraindicated bakuli ba tšoeroeng ke thrombophlebitis ka mokgwa matla. Lebaka la ho hlōleha ha Tsamaiso e boetse eo sebeletsa idiosyncrasy dikarolo tsa mahlahana diokobatsi hore compulsorily hlahiswa ka 'mele o lokisetsa thuto.

contraindications a lekanyelitsoeng

Ha khatello ea kelello e teko ya tshohanyetso ka 'na ba ho ya:

• bakhachane;
• batho ba nang le mafu a sa reng letho a kelello;
• Bakuli ba le bothata ba ho botenya;
• batho ba nang le leeme pancreatic mosebetsi boloetse;
• Diabetics, ea ileng a hlokomela decompensation liponahatso tse khōlō tsa lefu lena.

qeto ea ho tsamaisa tepelletse maikutlong le ka dihlopha tsena tsa bakuli ba fumana ngaka.

play loading teko

Khatello ea Kelello echocardiography (N. Novgorod kapa motseng o mong - ho sa tsotellehe hore moo e phethahatsoa) ka finyelloa ka ho sebelisa liteko tse fapa-fapaneng loading. Mofuta wa teko e laolwang ke mesebetsi 'me sepheo sa boemo bo litleleniki tsa. Ka mohlala, ho fumana hore na mamello ea mokuli hore mejaro phahameng, hammoho le belaela, probable re ntshetsopeleng infarct resorted ho disampole matla. Tabeng ena, ho ithuta ho se atlehe ho sebelisa treadmill kapa baesekele ergometer.

More tolerable bakeng sa bakuli ba hōlileng sebetsang sebakeng sa hae mojaro oa ka treadmill ka. Ka ho khetheha, mokhoa ona ho se tsamaisa qholotsa tekotshupo bohloko radicular hore a ka hlahisa ha ba sebelisa ergometer oo mokuli o lokela ho lula ka boemo ba ba sa phutholoha. The bozangi litomba o ka sehloohong oa treadmill e sebeletsa na le monyetla bakeng sa generating kerafo liphello tsa ho ithuta le ka ho toba nakong eo teko ena. Ntlha e ka eona e bontšang bohlokoa ba ho ipolaea khatello ea kelello e teko e ka holimo sekhahla tloaelehile pelo.

diokobatsi teko

Ka bang 40% ea bakuli ba hlokang ho imeloa kelellong echocardiography ka Yekaterinburg le metseng e meng ke sa khone ho ho lekaneng fetisetsa eketsehileng mojaro 'meleng. bakuli ba joalo balletsweng diokobatsi teko bolaoa.

E hona joale ho pharaletseng a sebelisa khatello ea kelello echocardiography "dobutamine". Taolo ntho e etsa hore ho ka khoneha ho etsisa maemo eo etsahala nakong ikoetlisa. Tshebediso ya a re ditharollo ka eketsa khatello ea mali, eketsa contractility tsa mesifa pelo. Kgolo ya ditlhoko dinama tse nyenyane tse oksijene ha ba sebelisa lithethefatsi baka matšoao a hore ke motheo o motle bakeng sa matshwao a ischemia myocardial.

Ho seng jwalo, "dobutamine" atisa ho sebelisoa "Dipyridamole". tekong e thehilwe hodima ba ntse ba eketseha butle-butle ka lethal dose ea la ntho ka 'mele. Ha e mong le e mohato re fuputsa ho ba teng ha contractility cardiac. Ha laolwa melao etelletsa pele "Dipyridamole" pontshi phelang ka lebelo leo pelo e otla 120 ka motsotso, ka ho eketsehileng a sebelisa lethal dose "Atropine" ka chelete ea 1 mg,. Ka teko phethoeng entoe laolwa 240 mg, ea "Aminophylline" - lithethefatsi tseo nka khato pheko ea "Dipyridamole".

ho hlahloba sephetho

Le ka lebaka la khatello ea kelello e echocardiography sebeletsa ho fumana peli tlhakore Grafiken. Ea bobeli fana ka le monyetla ho hlwaya hlōleha ka contractility tsa letšehali pelo ventricle. Ha ho toloka sephetho sa hlokomele thickening le motility la dinama tse nyenyane tse myocardial ka libaka le batho ka bomong.

Selelekela ho hlahloba kerafo, setsebi hang-hang ka mor'a ho amohela ho bona. Ka phethoa tekotshupo cardiologist ka nka video ka lithuto tsa tshisinyo lieha. Ba bang ba likhechana tsa Tsamaiso ea e atisa ho bolokwa ka disks ya khomphuta ya hao le ho fana ka e ntle lesedi botlaaseng tsa mekgwa ya tshebetso morago ga moo e tekotshupo.

Moo etsa khatello ea kelello echocardiography?

Ho khanna thuto ea ho sebelisa mojaro teko kapa liteko diokobatsi, ho lekaneng ho e sebetsa ho se haufi setsi cardiography. Khona ho hlahloba litlelase khethehileng ya ditheo tsa sechaba tsa bongaka. A kgetho theko e phahameng ho feta bakeng sa ho kenya tshebetsong ka mokhoa o ka 'na ba ya kopano ka Tleliniki poraefete, e leng o na le thepa ea ho hlokahala hore ho tsamaisa liteko' me o na litsebi ba tšoanelehang.

Menyetla phumano ya ischemia myocardial sebelisa khatello ea kelello echocardiography

Har'a menyetla tse khōlō tsa mokhoa le ke e latelang:

• E lethathamo tsotehang ea litšobotsi tsa ho ithuta tsa tshebetso tsa mesifa pelo.
• Portability echocardiographic thepa le khonang ho phetha liteko kantle sepetlele.
• The theko e batlang e tlaase ea tepelletse maikutlong.
• Monyetla oa ho fa tekolo ya boleng ba mofuta wa thickening ya myocardium ena.
• mekgwa ya tshebetso ya tshireletso ya mokuli.

mefokolo

Ha re bua ka go tlhoka mesola oa khatello ea kelello echocardiography, ho ke ke habohlokoa ho hlokomela pele mathata tsohle tse ho lekola sephetho ditirisanommogo tsa disampole. Ka lebaka lena, boikemisetso ba diphetho nepahetse ke khoneha feela ka nako ya tepelletse maikutlong le phihlelo, bafuputsi haholo nang le tsebo.

Har'a lintho tse ling, ka nako ya liteko hangata ho na le mathata a botekgeniki. Kgonego ya ponahalo ea bona ka bohareng ba ka taelo ea 5-10%.

Qetellong

Khatello ea Kelello echocardiography ntse e emela mokhoa tlhamosea haholo ea ho etsa lipatlisiso tsa lefu gogoga pelo. Phetha hlahloba joalo abetsoe haholo-holo ho bakuli ba ba ile ba leka tekanyetso disampole electrocardiographic hore ba ne ba sa fana ka lesedi lekaneng ho khetholla pathologies. Qetellong, khatello ea kelello echocardiography nolofalletsa ho lemoha stenosis tsa methapo gogoga, setšoantšong ntse ke se se sa mora angiography ena.