Momma yensua afiri ketewaa a ɛhwɛ wo koma bɔ wɔ kokoam no ho ade! (Loop Kyerɛwtohɔ)?

So ɛtɔ mmere bi a wote nka sɛ biribi a ɛyɛ nwonwa wɔ wo koma a ɛrebɔ no ho? Anaasɛ wowɔ mmere bi a mpofirim ara w’adwene mu yɛ wo naa? Nnipa binom tumi nya saa nneɛma yi a wɔn koko nte yaw. Ɛtɔ mmere bi a, sɛ wubehu nea ɛde saa nneɛma yi ba a, ebetumi ayɛ den kakra. Efisɛ sɛ wokɔ oduruyɛfo nkyɛn a, ebia worenhu saa sɛnkyerɛnne ahorow no ntɛm ara. Ɛno na saa mfiri ketewa yi a mɛka ho asɛm yi a wɔfrɛ no Loop Recorder no betumi aboa yɛn. Momma yɛnka eyi ho asɛm nkɔ akyiri, ɛyɛ?

Dɛn ne Loop Recorder?

Sɛ yɛbɛka no tiawa a, Loop Recorder yɛ afiri ketewaa bi a wɔde hyɛ wo moma so were ase. Ɛkyerɛw nsɛm a ɛfa sɛnea wo koma bɔ ne sɛnea ɛbɔ ho . Fa no sɛ ɔsraani ketewaa bi a obetumi ahwɛ wo koma anyinam ahoɔden dwumadi so nnɔnhwerew 24 da biara, akosi mfe abiɛsa. Nneɛma afoforo wɔ hɔ a wɔde hwɛ koma a ɛhwɛ wo koma bere tiaa bi pɛ. Nanso eyi yɛ soronko.

Saa Loop Recorder yi kyerɛw data no ankasa na ɛde kɔma wo koma ho ɔyaresafo. Sɛ wɔkɔ so hwɛ koma no so a, ebetumi aboa ma wɔahu nneɛma a ɛnteɛ wɔ koma no mu, a wɔfrɛ no arrhythmias , te sɛ atrial fibrillation . Ɛtɔ mmere bi a, saa nnyigyei a ɛnyɛ den yi betumi ayɛ nea asiane wom. Wobetumi de nsɛnnennen te sɛ ɔyare a ɛma obi hwe ase anaa koma a ɛtwetwe mpofirim aba . Ɛno nti na ɛho hia sɛ wuhu wɔn na wosa wɔn yare ntɛm no.

Wɔsan frɛ saa Loop Recorder yi sɛ:

• Loop Recorder (ILR) a Wɔde Hyehyɛ Mu .
• Koma Ho Nhwehwɛmu a Wɔde Hyehyɛ Mu (ICM) .

Wɔde saa mfiri ketewaa yi ahyɛ wo koko a ɛwɔ benkum atifi no honam ani.

Eyi te dɛn?

Saa Loop Recorder yi yɛ afiri ketewaa bi a ɛyɛ ahinanan . Ɛte sɛ pen drive ketewaa bi a wode di dwuma. Ɛyɛ bɛyɛ nsateakwaa 1-2 tenten. Wɔde dade na ɛyɛe, ɛwɔ ɛlɛtrɔnik kwan ketewaa bi wɔ mu, na batere a ɛtra hɔ kyɛ.

Wɔde saa afiri yi si honam ani , honam ani. Ebia ɛkame ayɛ sɛ wuntumi nhu sɛnea ɛte wɔ honam ani, nanso worente ɛyaw anaa wo ho nyɛ wo dɛ biara.

Nea ɛka saa afiri yi a ɛwɔ wo moma so no ho no, wo duruyɛfo bɛma wo ade ketewaa bi a ɛma woyɛ adwuma a wubetumi akura mu wɔ wo nsam . Eyi ne afiri no yɛ sync. Ɛbɛma wo koma abɔ.Sɛ wuhu sɛnkyerɛnne ahorow te sɛ koma a ɛbɔ a, nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛmia bɔtn bi a ɛwɔ saa activator yi so. Afei Loop Recorder no bɛkyerɛw wo koma dwumadi saa bere no.

Dɛn ankasa na ebefi eyi mu aba?

Loop Recorder no hwɛ sɛnea wo koma bɔ ntɛmntɛm ne sɛnea ɛyɛ adwuma. Sɛ anyinam ahoɔden dwumadi biara a ɛnyɛ ne kwan so wɔ hɔ a, ɛno ara na ɛkyere gu kasɛt so na ɛde data no sie memory mu (te sɛ memory chip). Afei wɔde saa nsɛm yi kɔma wo koma ho ɔyaresafo mpɛn pii da biara.

Afei nso, sɛ wote sɛnkyerɛnne biara nka a, wubetumi nso aka akyerɛ saa afiri yi sɛ "nkyerɛw mprempren" a activator no wɔ wo nsam. Fa no sɛ, bere a woanya yare no ho sɛnkyerɛnne no na akɔ akyi mpo no, saa mfiri yi betumi asan akɔ akyi na akyerɛw koma no dwumadi wɔ simma kakraa a etwa to no mu.

Enti, saa afiri yi betumi akyerɛw dwumadi biara a ɛnteɛ, sɛ́ wowɔ sɛnkyerɛnne anaasɛ wunni bi, bere mpo a wonte biribiara nka. Sɛ wo duruyɛfo de saa nsɛm yi di dwuma a, obetumi ahu dwumadi a ɛnteɛ a wo koma reyɛ ne sɛnkyerɛnne ahorow a ɛde reba no pɛpɛɛpɛ.

Bere bɛn na anka mehia biribi a ɛte sɛɛ?

Sɛ wotaa bɔ wo koma anaasɛ wo ho yɛ wo yaw, nanso nhwehwɛmu ahorow a atwam no nhuu koma no mu ɔhaw biara ( arrhythmias ) a, ebia wubehia loop recorder. Eyi betumi aboa wo duruyɛfo ma wahu na wasa koma a ɛyɛ den biara a ɛnyɛ ne kwan so, na asiw nsɛnnennen a asiane wom ano. Ebetumi aboa nso ma woahwɛ ahu sɛ ɛnyɛ koma mu haw bi na ɛde wo totɔ piti anaa sɛnkyerɛnne afoforo.

Nneɛma atitiriw a koma ho animdefo de Loop Recorders di dwuma no bi ni:

• Hwehwɛ nea enti a wototɔ piti anaasɛ wohwe ase kɛkɛ a ntease biara nnim.
• Hwɛ koma a ɛbɔ a ɛkɔ so yɛ den a wontumi nkyerɛkyerɛ mu .
• Hwɛ koma dwumadi so wɔ nnipa a wɔwɔ atiridiinini mu (mpɛn pii no na aboa ma wɔadi ayaresa ho dwuma).
• Kyerɛ koma bɔ ne nnyigyei a ɛyɛ den ho haw ahorow wɔ mpanyimfo a wɔwɔ komayare a wɔde awo wɔn mu.
• Kyerɛ koma a ɛnyɛ ne kwan so a ɛba bere a obi anya akisikuru akyi .
• Ansa na wode afiri a ɛma koma bɔ brɛoo (bradycardia) bɛhyɛ wɔn a wɔn koma bɔ brɛoo (bradycardia) no mu.
• Koma a ƐyareHwɛ sɛnea koma no anyinam ahoɔden yɛ adwuma wɔ emu biara akyi.

Hena na ɔreyɛ instɔlehyɛn no?

Electrophysiologist na ɔde loop recorder no ahyɛ wo mu . Ɔyɛ komayare ho ɔbenfo, nanso wɔatete no titiriw wɔ wo koma mu anyinam ahoɔden nhyehyɛe mu. Fa no sɛ anyinam ahoɔden ho nimdefo ma koma no.

Dɛn na ɛba ansa na wɔasiesie eyi?

Wo koma ho ɔyaresafo no bedi kan ahu sɛ ebia loop recorder fata wo yiye anaa. Ɔbɛhwɛ w’aduruyɛ ho abakɔsɛm nyinaa mu na wayɛ wo nipadua mu nhwehwɛmu. Wobetumi nso ahyɛ sɛ wɔnyɛ sɔhwɛ afoforo kakraa bi te sɛ:

• Electrocardiogram ( ECG /EKG) .
• Echocardiogram a wɔde kyerɛw nsɛm
• Apɔw-mu -teɛteɛ mu Adwennwen Sɔhwɛ
• Tilt Table Sɔhwɛ

Sɛ nhwehwɛmu ahorow yi nkyerɛ koma mu haw kɛse biara mpo a, sɛ wokɔ so nya sɛnkyerɛnne te sɛ nea woatɔ piti a, ebia wubehia loop recorder.

Mɛyɛ dɛn asiesie me ho ama eyi?

Wo duruyɛfo bɛkyerɛ wo sɛnea wusiesie wo ho. Mpɛn pii no, ma nneɛma yi ntra w’adwenem:

• Ebia wo duruyɛfo bebisa wo nnuru a worenom no ho asɛm na ebia ɔhyɛ nyansa sɛ yɛ nsakrae bi ansa na da a wode bɛhyɛ wo nipadua mu no adu. Nnyae anaa nnsesa nnuru biara gye sɛ wo duruyɛfo ka kyerɛ wo.
• Wubehia obi a ɔde kar bɛka wo akɔ fie bere a wɔayɛ eyi awie no. Nea enti a ɛte saa ne sɛ wɔbɛma wo nnuru a ɛbɛma wo ho ayɛ wo yaw kakra, na ɛnyɛ nea asiane biara nni ho sɛ wobɛka kar nnɔnhwerew 24 wɔ ɛno akyi.

Ɔkwan bɛn so na wobɛhyehyɛ loop recorder?

Eyi nyɛ oprehyɛn kɛse , na mpɛn pii no ɛyɛ oprehyɛn a wɔde kɔ ayaresabea a wubetumi akɔ fie da koro no ara a ɛho nhia sɛ wotra ayaresabea. Wɔremfa wo nna ( general anesthesia ). Wobɛkɔ so ada, nanso wɔbɛma wo nnuru a ɛbɛboa wo ma woagye w’ahome.

Fa loop recorder no bata ho, na electrophysiologist no bɛyɛ anammɔn yi:

1. Wɔbɛma wo aduru bi a ɛbɛma wo ho adwo wo na wɔbɛma wo aduru a ɛma wo ho dwo wo wɔ mpɔtam hɔ a ɛbɛma beae no ayɛ mmerɛw. Afei worente ɛyaw biara nka.

2. Wɔbɛtwa wo koko benkum so were no mu ketewaa bi . Ebia saa ntwitwiridii yi bɛyɛ ketewaa te sɛ nsateakwaa anan mu biako.

3. Wɔyɛ kotoku ketewaa bi wɔ honam ani de kura afiri no mu.

4. Afei fa loop recorder no to saa space no mu.

5. Wɔde nhama anaa oprehyɛn gluu soronko bi to honam ani a wɔatwa no mu.

6. Awiei koraa no, wode biribi te sɛ magnet a wobɛkura wɔ wo moma so no na ɛma afiri no yɛ adwuma.

Saa adeyɛ ketewaa yi gye bɛyɛ simma 10 kosi 15 .

Dɛn na ɛba akyi?

Nnipa dodow no ara kɔ fie ntɛm ara wɔ eyi akyi na wotumi yɛ wɔn da biara da dwumadi ahorow. Wo duruyɛfo bɛkyerɛ wo sɛnea wobɛhwɛ kuru no wɔ fie ne sɛnea wobɛma ɛho atew.

Ebia ɛyaw bi bɛtwa kuru no ho, na ebetumi ayɛ bruu mpo. Eyi yɛ ade a ɛfata, na ɔhaw no befi hɔ wɔ nna kakraa bi mu.

Ansa na wobɛkɔ fie no, oduruyɛfo no bɛkyerɛ wo sɛnea wode nneɛma afoforo a ɛne mfiri no yɛ adwuma no bedi dwuma. Ɛyɛ:

• Activator a wode button bi kura mu wɔ wo nsam a wode bɛmia so bere a wowɔ sɛnkyerɛnne bi no.
• Ɛlektrɔnik afiri a ɛde nsɛm kɔma nkurɔfo a wode sie wo mpa ho. Eyi ne nea ɛde data kɔma wo duruyɛfo bere nyinaa .

Asiane bɛn na ɛwɔ mu?

Eyi yɛ adeyɛ a asiane nnim koraa , nanso wɔ nnipa kakraa bi pɛ mu no, nea edidi so yi betumi asi:

• Nyarewa : Sɛ ɔyare mmoawa bi ba baabi a wɔde afiri no wɔ a, ebia ɛho behia sɛ wɔde nnuru a ekum ɔyare mmoawa . Ɛtɔ da bi a, ebia ɛho behia sɛ wɔde afiri no kɔ baabi foforo wɔ koko no mu.
• Allergic reaction : Ebia wo ho yɛ wo hyew wɔ ade bi a ɛwɔ afiri no mu ho. Sɛ eyi ba a, ebia ebehia sɛ wode afiri foforo a wɔde hwɛ nneɛma so di dwuma.
• Nsɛnkyerɛnne a enye : Ɛtɔ mmere bi a, ebia afiri no rentumi nnye anyinam ahoɔden nsɛnkyerɛnne a efi koma no mu ba no yiye. Sɛ ɛba saa a , ebia ɛsɛ sɛ oduruyɛfo no de afiri no kɔ baabi foforo wɔ koko no so.

So eyi betumi apira koma no?

Dabi, Loop Recorder no yɛ afiri a ahobammɔ wom yiye , ɛrempira wo koma ɔkwan biara so. Ɛrensesa sɛnea wo koma bɔ ntɛmntɛm, ɛremma wo ho popo, anaasɛ ɛrenyɛ biribiara a ɛbɛka wo koma dwumadi. Ɛhwɛ sɛnea wo koma no anyinam ahoɔden yɛ adwuma ara kwa na ɛkyerɛw biribiara a ɛnteɛ.

Meyɛ dɛn hu nea efi mu ba?

Wo Loop Recorder no bɛma wo data akɔma wo duruyɛfo no ankasa , na ɔbɛma woahu bere a ɛsɛ sɛ wosan ba bɛka nea ebefi mu aba no ho asɛm.

Bere tenten ahe na ɛsɛ sɛ wɔde eyi sie?

Ɛho behia sɛ wode saa afiri yi si hɔ kosi sɛ wo duruyɛfo betumi ahu sɛ wowɔ yare no. Saa bere yi gu ahorow wɔ onipa biara mu. Sɛ nea afi mu aba no kyerɛ sɛ wuhia afiri a ɛma wo koma yɛ den anaasɛ afiri a wɔde siw koma no mu a wɔde hyɛ nipadua mu (ICD) a, wo duruyɛfo no beyi loop recorder no bere a wode afiri foforo no ahyɛ mu no.

The battery in these loop recorders lasts about three years , enti bere pii wɔ hɔ a wɔde behu nnyigyei a ɛyɛ soronko a ebia ɛba pɛnkoro pɛ ɔsram biara anaa mpɛn kakraa bi afe biara, a saa bere tiaa mu monitors no ntumi nkyere.

Bere bɛn na ɛsɛ sɛ mefrɛ oduruyɛfo no ?

Sɛ wowɔ saa sɛnkyerɛnne yi bi wɔ baabi a wotwitwaa wo no a , frɛ wo duruyɛfo ntɛm ara :

• Sɛ ɛdan kɔkɔɔ a
• Sɛ ɛho ahonhon a
• Sɛ mogya tu a
• Sɛ akisikuru anaa nsu foforo bi repue a

Eyinom betumi ayɛ ɔhaw bi a ehia sɛ wɔsa no ntɛm ara ho sɛnkyerɛnne.

Dɛn ne mfaso ne ɔhaw ahorow a ɛwɔ loop recorder so?

Mfaso pii wɔ loop recorder so. Wɔne:

• Bere tenten a wɔde hwɛ koma no so : Eyi betumi akyerɛw koma no anyinam ahoɔden dwumadi akosi mfe abiɛsa. Monitor afoforo nyɛ eyi bere tenten saa. Sɛ nhwɛso no, Holter monitor kyerɛw dwumadi ahorow nnɔnhwerew 24 pɛ. Afei nso, mfiri a wɔde hwɛ nneɛma so wɔ hɔ a wobetumi de adi dwuma akosi adapɛn abien. Ɛno som bo, nanso ebia ɛno renyɛ bere a ɛdɔɔso a wode bɛkyere nnyigyei a ɛnyɛ ne kwan so a ɛba bɛyɛ pɛnkoro ɔsram biara. Nhwehwɛmu ada no adi sɛ saa bere tenten a wɔde hwɛ nneɛma so yi yɛ mfaso kɛse.
• Automatic recording : Sɛ wo werɛ fi sɛ wobɛmia button no bere a wowɔ sɛnkyerɛnne ahorow mpo a, eyi bɛkyerɛw koma no dwumadi a ɛnteɛ no ara kwa. Eyi betumi ahu nneɛma a ɛnteɛ bere mpo a wunni yare no ho sɛnkyerɛnne biara no. Eyi ho wɔ mfaso sɛ wunnim hwee na wonkae mpo a. Nhwehwɛmu bi ada no adi sɛ saa mfiri yi tumi hu atiridiinini a enni sɛnkyerɛnne biara.
• Nea ɛyɛ mmerɛw : Sɛ wode Loop Recorder no di dwuma a, wubetumi aguare, asuguare, na woayɛ wo da biara da dwumadi ahorow sɛnea wotaa yɛ. Wɔde asie wo ntade ase, enti obiara renhu. Ɛnyɛ nea ɛtwetwe adwene te sɛ monitor afoforo binom. Eyi yɛ nea ɛfata yiye sɛ wowɔ adwuma a ɛyɛ nnam anaa asetra kwan a ɛyɛ nnam a.

Nanso ebia ɔhaw nketenkete kakraa bi wɔ hɔ:

• Ɛho hia sɛ wɔyɛ oprehyɛn ketewaa bi : Ɛsɛ sɛ wɔde saa mfiri yi hyɛ honam ani, enti ɛho hia sɛ wɔyɛ oprehyɛn ketewaa bi. Sɛ ɛyɛ adeyɛ ketewaa bi mpo a, asiane ketewaa bi wɔ oprehyɛn biara mu.
• Atoro nsɛm a ɛyɛ papa: Ɛtɔ da bi a, ebetumi ama ayɛ te sɛ nea wowɔ atrial fibrillation bere a wunni bi no. Nanso ɛho behia sɛ wo duruyɛfo yɛ nhwehwɛmu afoforo de si so dua sɛ woahu yare no.

Nsonsonoe bɛn na ɛwɔ Loop Recorder ne Pacemaker ntam?

Afei ebia worebisa sɛ, so Loop Recorder yi ne saa Pacemaker a wɔde ahyɛ koma no mu no yɛ ade koro? Dabi, wɔyɛ soronko kakra.

Loop recorder nsakra anyinam ahoɔden a ɛwɔ wo koma mu no. Ɛhwɛ na ɛkyere kɛkɛ sɛ biribi soronko bi wɔ wo koma bɔ a ɛyɛ dɛ anaa ahoɔhare mu a. Ɛte sɛ nea ɔyɛ detective.

Nanso pacemaker yɛ afiri a ɛde ne ho gye mu de siesie koma a ɛnyɛ ne kwan so, titiriw bere a ɛbɔ brɛoo dodo (bradycardia). Ɛde anyinam ahoɔden nsɛnkyerɛnne nketenkete kɔ koma no mu, na ɛka kyerɛ no sɛ ɔmmɔ saa.

Ebia nsɛm a efi Loop Recorder no mu bɛkyerɛ sɛ wuhia sɛ wode afiri a ɛtra hɔ daa te sɛ nea ɛma wo koma yɛ den sa wo yare bere tenten.

So eyi betumi aboa ma wɔahu komayare?

Wɔannwene Loop Recorder no sɛnea ɛbɛyɛ a ebetumi ahu komayare. Nanso, etumi hu arrythmias, a ɛyɛ nsɛnnennen a efi komayare mu ba.

Komayare yɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Sɛ wo koko yɛ wo yaw anaa komayare ho sɛnkyerɛnne afoforo a, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ mmoa. Frɛ 911 ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo.

So wubetumi anom nsa bere a wohyɛ loop recorder?

Di wo duruyɛfo afotu a ɛfa nsa a wɔnom ne asetra mu nsakrae afoforo ho no akyi. Nhwehwɛmu bi ada no adi sɛ nsa a wɔnom betumi ama koma no ayɛ adwuma yiye. Eyi betumi aba sɛ ebia wonom nsa pii anaasɛ wonom kakra (nom biako anaa abien da biara).

Wɔda so ara reyɛ eyi ho nhwehwɛmu, enti ɛho hia sɛ wo ne wo duruyɛfo kasa fa sɛnea nsa ka asiane a ɛwɔ hɔ sɛ wubenya koma a ɛbɔ ho haw no ho.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Sɛnea wubetumi ahu no, saa Implantable Loop Recorder yi yɛ adwinnade a ɛsom bo yiye a ɛma wo ne wo duruyɛfo tumi sua sɛnea wo koma yɛ adwuma da biara da. Nsɛm a ɛde ma no betumi aboa ma wɔahu komayare (arrhythmias) na wɔasa ansa na abɛyɛ nsɛnnennen a asiane wom.

Ebia wobɛte ehu nka kakra bere a wote sɛ ɛsɛ sɛ woyɛ oprehyɛn ketewaa bi na ama wɔde saa mfiri yi ahyɛ mu no. Ɛno yɛ ade a ɛfata. Nanso kae sɛ eyi yɛ adeyɛ a asiane nnim koraa. Wo ne wo duruyɛfo nkasa mfa nsɛmmisa anaa nsɛm biara a ɛhaw wo ho. Obetumi ama w’adwene adwo na wakyerɛkyerɛ biribiara mu akyerɛ wo. Nya anigye sɛ mfiridwuma a ɛte sɛɛ betumi aboa ma wo koma atra apɔw!

` Koma a ɛbɔ, loop recorder, arrhythmia, komayare, koma a wɔhwɛ so, akwahosan, aduruyɛ nnwinnade