Ebe ọ bụ na e nwere ọtụtụ ụdị ọrịa obi, onye nke ọ bụla na-emetụta akụkụ dị iche iche na ọrụ nke usoro obi, anyị chọrọ batrị nke ule iji mee nchọpụta ziri ezi. A na-eji ụfọdụ eme ihe iji chọpụta ọdịiche dị n'ime obi ma ọ bụ arịa ọbara. Ndị ọzọ na-achọ ịhụ otú akụkụ ahụ si arụ ọrụ nke ọma maka oge gị, ahụike, na njirimara onwe gị.
Obi Obi Nile
A na-ejikarị ọtụtụ ule a eme ihe dị ka nyocha zuru ezu maka ọrịa obi. A na-ejikarị ha emepụta usoro ntinye na ndị mmadụ na-enweghị ọrịa obi ha maara. N'ime izu-mgbe ụfọdụ, mgbe ụfọdụ, mgbe ụfọdụ, enwere ike ịmeghachi ule ahụ ma ọ bụrụ na ọ dị njọ ma ọ bụ mmezi site na ọrụ ntọala.
Ụfọdụ n'ime usoro ndị a gụnyere:
- Electrocardiogram (ECG) - Nnwale nke na-arụ ọrụ eletriki nke obi gị na ụda na ume nke obi gị.
- Echocardiogram- Ụdị ultrasound nke na-eji ebili mmiri na-eme ihe osise nke ime ụlọ obi gị, valves, mgbidi, na arịa ọbara.
- Nlegide nrụgide -Ndị amara dịka nchekasị ECG, ule a na - eme ka dọkịta gị mara otú obi gị si emeghachi omume dị ka ị na - eje ije n'ụzọ dị oke nro na mgbatị.
Ọrịa Coronary Artery Disease
A na-enyekarị ntụziaka ndị a iwu mgbe ndị dọkịta na-enyo enyo ọrịa nkwonkwo akwara (CAD).
A na-emekarị ha na ECG na nyocha nrụgide iji chọpụta ihe kpatara ya.
Dị ka ihe atụ, ụfọdụ ebumnuche na ECG, dịka ọmụmaatụ, na-ahụ nke ọma n'ihu nkwụsị nke myocardial (mgbu obi). N'otu aka ahụ, a pụrụ iji ule nrụgide mee ihe iji chọpụta ihe ịrịba ama nke angina na- egosi CAD.
Mgbe eji ya na nyocha ndị ọzọ na-eme nchọpụta, teknụzụ ndị a nwere ike inye aka kwado nyocha ma dezie usoro ọgwụgwọ.
N'ime ha bụ:
- Thallium na ule cardiolyte - Na-eme ka onye na-ese redio na-abanye n'ime ọbara iji nyochaa ọbara site na obi na usoro ọbara.
- MUGA na-enyocha ya -Ya na-ejikwa onye nyocha redioakpo na-ese foto nke obi gị ka ọ na-awụnye ọbara na obi ọ bụla.
- Calcium na-enyocha - Na- achọta ihe ngosi X-ray pụrụ iche nke a na-akpọ kọmpụta (calculation calculation) (CT) iji nyochaa maka ịmepụta calcium na mpempe mgbidi.
- MRI Cardiac - A makwaara ya dị ka ihe osise imaịnụ magnetik, nke a na-eji ụda magneti mepụta foto nke obi gị site n'ọtụtụ akụkụ.
- Igwe na-eme ka cardiac na angiography -Dịnye ntinye ihe dị mkpa, nke na-eme ka akpụkpụ na-eme ka ọkpụkpụ dị n'ime ụkwụ ma ọ bụ ogwe aka nke a na-enye ya na akwara. N'oge ihe omimi, a na-agbanye mmiri na-egbuke egbuke iji mepụta ihe ngosi X-ray nke gburugburu ọbara.
- Echocardiofị nke transesophageal- Ọ pụtara inweta ihe osise doro anya nke usoro ihe owuwu site na ịtinye ultrasound na-atụgharị n'ime esophagus (nri tube).
Nsogbu Mgbu Obi
A na-ejikarị ọtụtụ ule a chọpụta ma chọpụta ihe mgbagwoju anya nke obi a maara dika arrhythmia . A pụkwara iji ha mee ihe iji nyere aka chọpụta ihe kpatara syncope (iwepu).
N'ime ha bụ:
- Nlekota nlekota nke ọma - A makwaara dịka nlekota oru, nke a bụ obere ngwaọrụ ECG nke nwere ike ịwe ka onye ahụ nwee ike nyochaa mkpịsị obi maka awa 24 ruo 48.
- Ọmụmụ nchọpụta nke electrophysiology -Ndị a makwaara dịka nkuzi nke EP, nke a bụ usoro nkwụsịtụ dị ntakịrị nke a na-etinye ihe na-eme ka a na-atụnye otu catheter n'ime ikuku iji nyochaa usoro eletriki nke obi site na iji nnukwu magnetics abụọ n'akụkụ ọ bụla nke onye ọrịa ahụ.
- Ntụle nyocha nke okpokoro-ule nke ị na-edina na tebụl ma na-enyocha ya ka ọ na-eji nwayọ wee ruo 60 degrees iji chọpụta ihe kpatara ịme ka ọ ghara ịmị. N'oge usoro ahụ, ị ga-etinye aka na ECG ka a na-enyochakwa mgbali ọbara gị na ọbara oxygen.
> Isi mmalite:
> Họrọ. Nke a bụ "Ụlọ Ọrụ Na-ahụ Maka Ọrụ Nlekọta Dị Elu nke American College of Physicians. Nyocha nke Cardiac na Electrocardiography, Echocardiography Nchegbu, na Perfusion Myocardial Imaging: Ndụmọdụ maka Nlekọta dị elu nke American College of Physicians." Ann Intern Med. 2015; 162: 438-47. DOI: 10.7326 / M14-1225.
> Moyer, V. "Ngalaba Na-ahụ Maka Ndochi Ndị Na-ahụ Maka Ntachi Obi na United States. Nkọwa maka Ọrịa Aka Ọkpụkpụ Ọrịa na Electrocardiography: Nkwupụta Nkwupụta Ngwá Ọrụ nke United States." Ann Intern Med . 2012; 157: 512-8. DOI: 10.7326 / 0003-4819-157-7-201210020-00514.