Hobane ho na le mefuta e mengata ea lefu la pelo, e 'ngoe le e' ngoe e amang likarolo tse fapaneng tsa ts'ebetso ea pelo, e hloka liteko tsa betri ho etsa hore motho a hlahlobe hantle. Tse ling li sebelisetsoa ho khetholla ho se tloaelehang ka hare ho pelo kapa methapo ea mali. Ba bang ba ikemiselitse ho bona hore na litho tsa 'mele li sebetsa joang ho latela lilemo tsa hau, bophelo bo botle le litšobotsi tsa botho.
Bophelo bo Botle ba Pelo
Liteko tsena li atisa ho sebelisoa ho hlahloba lefu la pelo. Ka tloaelo li sebelisetsoa ho theha lintlha tsa motheo ho batho ba se nang lefu la pelo le tsejoang. Ha nako e ntse e feta-ka linako tse ling libeke, ka linako tse ling lilemo-liteko li ka pheta-pheta ho bona hore na ho na le ho senyeha kapa ho ntlafatsa ho hong ho tloha mosebetsing oa motheo.
Tse ling tsa mekhoa ea kemiso e kenyelletsa:
- Electrocardiogram (ECG) -Tlhahlobo e lekanyetsang tšebetso ea motlakase oa pelo ea hau le pina le matla a pelo ea hau.
- Echocardiogram -A mofuta oa ultrasound o sebelisang maqhubu a molumo ho etsa litšoantšo tsa likamore tsa pelo ea hau, li-valve, marako le methapo ea mali.
- Ho ipeha tlas'a khatello ea kelello -Ka tsejoa e le khatello ea kelello ea ECG, tlhahlobo ena e etsa hore ngaka ea hao e tsebe hore na pelo ea hau e arabela joang ha u ntse u tsamaea ka lebelo le itekanetseng holim'a treadmill.
Maloetse a Sekepe sa Coronary
Liteko tsena li atisa ho laeloa ha lingaka li belaelloa ke lefu lena la 'mele (CAD).
Li atisa ho etsoa hammoho le ECG le teko ea khatello ea kelello ho hlahloba hore na ho ka etsahala eng.
Mekhoa e meng ea ECG, mohlala, e bonahala ka pele ho lefu la pelo ea pelo ( infarction ) ea myocardial . Ka ho tšoanang, liteko tsa khatello ea kelello li ka sebelisoa ho lemoha matšoao a angina e bontšang lik'hamphani tsa CAD.
Ha e sebelisoa hammoho le liteko tse ling tsa ho hlahloba, theknoloji ena e ka thusa ho tšehetsa ho hlahlojoa le ho tsamaisa tsela ea phekolo.
Har'a bona ke:
- Thallium le ho hlahlojoa ha cardiolyte -Ka kenya mochine oa mahlaseli a kotsi moeeng ho hlahloba tšollo ea mali ka har'a pelo le tsamaiso ea potoloho.
- MUGA e hlahloba - E boetse e sebelisa moqapi oa li-radioactive ho nka litšoantšo tsa pelo ea hau ha e ntse e pumpa mali ka pelo eohle.
- Mahlaseli a Calcium -A sebelisa mokhoa o khethehileng oa X-ray o bitsoang computed tomography (CT) scan bakeng sa ho sheba khalsiamo e hahiloeng ka har'a marako a marako a maholo.
- MRI ea 'mele - E tsejoa hape e le litšoantšo tsa magnetic resonance, sena se sebelisa maqhubu a matla a khoheli ho etsa litšoantšo tsa pelo ea hau ho tloha lipapaling tse ngata.
- Catheterization ea pelo le angiography -Tlhalosa ho kenngoa ha tube e tšesaane e bitsoang catheter ka mothapo oa leoto kapa letsoho le feptjoang ke methapo e ka pelong. Nakong ea angiography, dae e kenngoa ka catheter ho etsa litšoantšo tsa X-ray tsa methapo ea mali e potolohileng.
- E-carchoogram e fetisisang e mengata -Ka ho fumana litšoantšo tse hlakileng tsa sebopeho sa pelo ka ho kenyelletsa ultrasound e feto-fetohang ka har'a sesepa sa ho fepa.
Mathata a Rhythm Heart
Liteko tsena li atisa ho sebelisoa ho lemoha le ho lemoha likhathatso tsa pelo tse tsejoang e le arrhythmia . Li ka boela tsa sebelisoa ho thusa ho fumana hore na sesosa sa syncope (ho ferekana) ke sefe.
Har'a bona ke:
- Tlhokomelo ea Holter-E tsejoang hape e le ho hlahloba ketsahalo, sena ke sesebelisoa se senyenyane sa ECG se ka jarisoang ke mokuli ho shebella pelo ea lihora tse 24 ho isa ho tse 48.
- Thuto ea Electrophysiology -Hape e tsejoa e le thuto ea EP, ena ke mokhoa o fokolang ka ho fetisisa oo ho oona ho nang le catheter e kenngoa kahare ho hlahloba tsamaiso ea motlakase oa pelo e sebelisa magnetics e kholo e behiloeng ka lehlakoreng le leng la mokuli.
- Ho hlahloba tefo ea tefo -Tlhahlobo eo u robalang ka eona holim'a tafole 'me u hlahlojoe ha e ntse e sekiselitsoe likhato tse 60 ho fumana mohloli oa ho nyahama. Nakong ea ts'ebetso, o tla ts'oaetsoa ho ECG ha khatello ea mali ea hau le litekanyetso tsa mali tsa oksijene li ntse li shebeloa.
> Mehloli:
> Chou. R. "Mosebetsi oa Boikarabelo bo Phahameng ba Bohlokoa ba Koleji ea Amerika ea Lingaka. Ho hlahloba Likokoana-hloko ka Electrocardiography, Khatello ea Kelello ea Litšoantšo, le Myocardial Perfusion Litšoantšo: Keletso ea Tlhokomelo e Phahameng ea Bohlokoa ho tswa ho American College of Physicians." Ann Intern Med. 2015; 162: 438-47. NA: 10.7326 / M14-1225.
> Moyer, V. "US Maiketsetso a Ts'ebetso ea Mesebetsi. Ho hlahlojoa ha Mafu a Heart Coronary le Electrocardiography: Tlhaloso ea Khothatso ea Basebetsi ba US Preventive Services." Ann Intern Med . 2012; 157: 512-8. DOI: 10.7326 / 0003-4819-157-7-201210020-00514.