ʻO ka moʻolelo o kou puʻuwai puʻuwai - ʻO nā mea āpau e pili ana i ka hoʻāʻo ECG (Electrocardiogram)!

Ua loaʻa iā ʻoe kahi ECG? A i ʻole ua noi aku kāu kauka a kahu maʻi paha iā ʻoe e loaʻa i hoʻokahi? Malia paha he mea weliweli iki kēia a he mea nui iā ʻoe. Akā, he hoʻāʻo maʻalahi loa ka ECG, ʻaʻohe ʻeha , akā he mea nui loa. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o ka ECG, kāna hana, a me kāna mea e haʻi mai ai iā mākou ma ke ʻano maʻalahi a maopopo hoʻi.

He aha ka ECG (Electrocardiogram)?

I ka ʻōlelo maʻalahi, he hoʻāʻo ka ECG (electrocardiogram) e hoʻopaʻa i ka hana uila o kou puʻuwai . ʻOi aku ka pololei, ana ia i nā nalu uila liʻiliʻi i hana ʻia i ka wā e paʻi ai kou puʻuwai. Hoʻohana nā kauka iā ia no nā mea he nui, e like me ka nānā ʻana i nā pilikia o ka puʻuwai a i ʻole e ʻike pehea e hoʻopilikia ai kekahi lāʻau i kou puʻuwai.

He hoʻāʻo wikiwiki loa kēia, ʻaʻohe invasive. Hiki iā ʻoe ke hana iā ʻoe e moe ana ma kahi moe. I kekahi manawa lawe ʻia kahi ECG ma ke ʻano he ʻāpana o ka "hoʻāʻo koʻikoʻi" i ka wā hoʻoikaika kino. Ua lohe paha ʻoe hiki i kekahi mau "wati akamai" ke lawe i kahi ECG. Eia naʻe, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke hana i kahi ECG kūpono i ke kauka a nānā i ka hōʻike .

Ua lohe paha ʻoe iā ia i kapa ʻia ʻo ECG a me EKG. Mai hopohopo, ua like lāua . Loaʻa ka huaʻōlelo EKG mai ka ʻōlelo Kelemania mai, kahi i hoʻohana ʻia ai ka leka 'k' ma kahi o ka leka 'c'.

He mea nui: He ʻokoʻa anei ka ECG (Electrocardiogram) mai ka "Echocardiogram"? ʻO ka "Echocardiogram" he "Ultrasound scan" o ka puʻuwai. Hōʻike ia i nā kiʻi o ke ʻano o ka puʻuwai e kuʻi ana. Nānā ka ECG i ka hana uila o ka puʻuwai.

Aia kekahi mau ʻano ECG?

ʻAe, aia kekahi mau ʻano mīkini ECG. Hoʻohana nā kauka iā lākou ma muli o ka lōʻihi o kā lākou nānā ʻana i kou puʻuwai. Hana ʻia kahi ECG maʻamau ma kahi haukapila a i ʻole ke keʻena o ke kauka. Hoʻopaʻa ia i ka hana uila o ka puʻuwai no kahi manawa pōkole loa (ma kahi o 10 kekona) . No laila, e noʻonoʻo inā loaʻa iā ʻoe kahi hōʻeha puʻuwai ʻaʻole i hana mau ʻia, akā i kekahi manawa wale nō, e poina paha ʻoe inā ʻaʻole ʻoe e loaʻa koke i kahi ECG. Me he mea lā e hāʻule ana kā mākou pūnaewele home a ke hana maikaʻi nei a hiki i ka hiki ʻana mai o kekahi e hoʻoponopono.

No laila, aia kekahi mau ʻano ECG ʻē aʻe i hiki ke hoʻohana ʻia i nā manawa e like me kēia:

• ʻEKG maʻamau 12-alakaʻi: ʻO kēia ke ʻano maʻamau āu e loaʻa ai ke hele ʻoe e ʻike i ke kauka. ʻAʻole ʻoe e ʻae ʻia e lawe i kēia mea hana i ka home.
• Nānā pōkole, hiki ke komo - e.g. Nānā Holter: He mea liʻiliʻi kēia. Hoʻokomo ʻoe ia no 24 a i ʻole 48 mau hola . Hoʻopaʻa mau ia i ka hana uila o kou puʻuwai ʻoiai ʻoe e hana ana i kāu mau hana maʻamau o kēlā me kēia lā.
• Nānā hanana: ʻO kēia hāmeʻaPono e ʻaʻahu ʻia no hoʻokahi pule a ʻoi aku paha. Ke loaʻa iā ʻoe kahi hōʻailona (e laʻa me ka hōʻeha puʻuwai), hiki iā ʻoe ke kaomi i kahi pihi a hoʻopaʻa i kou helu puʻuwai i kēlā manawa.
• Mea hoʻopaʻa leo i hoʻokomo ʻia: He mea liʻiliʻi loa kēia a ke kauka e hoʻokomo ai ma lalo o kou ʻili . Hiki ke waiho ʻia ma kahi no kekahi mau makahiki.
• Hoʻomaʻamaʻa ECG (Stress test ECG): Ma kēia, ua hoʻopili ʻia ʻoe i kahi mīkini ECG a lawe ʻia ka ECG i kou wā e hele ana ma luna o kahi "Treadmill". Hana ʻia kēia e ʻike i ke ʻano o ka pane ʻana o kou puʻuwai ke kaumaha ʻoe.

I ka manawa hea e hana ʻia ai kahi ECG?

Hiki i ke kauka ke hoʻoholo e hana i kahi hoʻāʻo ECG no nā kumu like ʻole. ʻO nā mea nui e ʻike a hōʻoia paha i kekahi mau kūlana olakino:

• ʻO nā mele puʻuwai kūpono ʻole (Arrhythmia) a i ʻole nā ​​​​​​kūlana ʻē i ka hoʻoili ʻana o nā hōʻailona uila.
• Hoʻemi ʻia ke kahe koko i ka ʻiʻo o ka puʻuwai (ischemia) - Hiki ke hana ʻia kēia e ka maʻi ʻaʻa coronary.
• He pilikia me nā kiwikā o kou puʻuwai.
• Maʻi puʻuwai hānau - maʻi puʻuwai i loaʻa i ka wā hānau.
• E nānā inā ua loaʻa iā ʻoe kahi hāʻule puʻuwai a i ʻole ua loaʻa mua iā ʻoe.
• E nānā inā ua hoʻonui ʻia nā keʻena puʻuwai.
• E nānā inā ua hōʻino ʻia ka puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai.

Eia kekahi, hoʻohana nā kauka i kahi ECG i:

• Ma mua o kou hana ʻana i ke ʻoki kino nui, e hōʻoia ua mākaukau kou puʻuwai no ia.
• Inā he kiʻekiʻe kou pilikia no ka maʻi puʻuwai, e nānā i ke olakino o kou puʻuwai.
• Inā he pacemaker kāu, e ʻike pehea e hana ai.
• E ʻike pehea e hana ai kahi lāʻau hou no ka maʻi puʻuwai.
• E nānā i ke ʻano o ka puʻuwai ma hope o ka hāʻule ʻana o ka puʻuwai.

Hiki i ke kauka ke kauoha i kahi ECG inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• ʻEha umauma
• Pōkole o ka hanu
• Inā manaʻo ʻoe ua luhi loa (Luhi)
• Pōʻino
• ʻO ka syncope / ka hiolo ʻana
• Cyanosis / polū o nā lima a me nā wāwae
• He lele a lele paha i loko o kou puʻuwai
• Inā manaʻo ʻoe e kuʻi wikiwiki ana kou puʻuwai (He puʻuwai wikiwiki)
• ʻO ka hiki ʻole ke hoʻonui i ke kahe koko i ka puʻuwai e like me ka mea e pono ai i ka wā o ka hoʻoikaika kino (Chronotropic incompetence)

Pehea e hana ai ka hoʻāʻo ECG?

Loaʻa i kou puʻuwai kahi pacemaker kūlohelohe. Hoʻouna ia i ka hōʻailona uila e hoʻomaka ai i kou puʻuwai e kuʻi. Hoʻopaʻa ka mīkini ECG i kēia hōʻailona uila a hoʻopaʻa i ke ʻano o kona hele ʻana ma loko o kou puʻuwai, pehea e ʻaelike ai a hoʻomaha ai nā ʻiʻo o ka puʻuwai, me kēlā me kēia puʻuwai. Hōʻike ʻia kēia ʻike ma ke kamepiula ma ke ʻano he nalu (ma ka pepa kiʻi a i ʻole ma kahi pale) . Hiki i nā kauka ke haʻi i ke kūlana o kou puʻuwai ma ka nānā ʻana iā ia.

Hoʻomaʻamaʻa pinepine ʻia kahi ECG a hana ʻia paha e kahi kauka puʻuwai. Eia nō naʻe, hiki ke hana ʻia i loko o kahi kaʻa kaʻa, lumi pilikia, a i ʻole ke kipa aku ʻoe i kahi kauka maʻamau. Hiki iā ʻoe ke hana i kahi ECG ma ke keʻena o ke kauka, haukapila, a i ʻole ke keʻena lapaʻau ma waho.

Pehea ʻoe e hoʻomākaukau ai no kahi ECG?

Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau ma mua o kahi ECG. Akā e hoʻomanaʻo i kēia mau mea ma mua o ke komo ʻana i ka lā o kāu ECG:

• Mai hoʻopili i nā huahana ʻili ʻaila a ʻaila paha (nā kirīmi, nā lotion) no ka mea, ʻaʻole e pili pono nā electrodes i ka ʻili.
• Mai komo i ka hosiery lōʻihi, no ka mea, e pono ai ke hoʻopili ʻia nā electrodes i nā wāwae.
• E ʻaʻahu i kahi pālule e maʻalahi ke wehe, no ka mea e hoʻopili ʻia nā electrodes i kou umauma.

He aha ka mea e hana ʻia ke hana ʻia kahi ECG?

E hoʻopili kekahi kōkua lapaʻau a kahu maʻi paha i kahi 12 mau "electrodes" me nā pads pipili liʻiliʻi i kou umauma, nā lima, a me nā wāwae. ʻO ka maʻamau, ʻeono mau "electrodes" i hoʻopili ʻia i kou umauma a ʻeono i kou mau lima a me nā wāwae. Hoʻouna ʻia ka ʻike mai kēia mau "sensors" i ka mīkini ma o nā "wires" a i ʻole nā ​​"leads." ʻO ia ke kumu i kapa ʻia ai he "12-lead ECG."

I mea e loaʻa ai kahi pilina maikaʻi, pono paha ʻoe e kahi i kekahi o ka lauoho ma ia mau wahi. Ma kahi o 10 mau minuke e hoʻopili ai i nā electrodes a hoʻopau i kahi hoʻāʻo ECG. Eia nō naʻe, ua hoʻopaʻa ʻia ka hana o ka puʻuwai i loko o kahi manawa pōkole loa, ma kahi o 10 kekona.

Inā loaʻa iā ʻoe kahi "ECG hoʻomaha", pono ʻoe e moe i lalo ma kahi moe a hoʻomaha. Inā loaʻa iā ʻoe kahi "hoʻāʻo koʻikoʻi", pono ʻoe e hele ma luna o kahi "treadmill".

Hoʻokumu ke kamepiula i kahi kiʻi (ma ka pepa kiʻi a i ʻole kahi pale) o nā nalu uila e hele ana ma kou puʻuwai. ʻAʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha i ka wā e hoʻouna ʻia ai ka ʻike i ke kamepiula mai nā electrodes.

E noho nā electrodes ma kou ʻili a hiki i ka pau ʻana o ka hoʻāʻo ECG.

He aha ka mea e hana ma hope o ka ECG?

A pau ka hoʻāʻo ʻana, e wehe ke kauka a kahu maʻi paha i nā ʻāpana electrode a pau. Ma hope o kēlā, hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau. He maʻalahi loa, ʻeā?

He aha ka mea e hōʻike ai ka ECG?

I ka nānā ʻana i kahi ECG, nānā nui ke kauka i ka nui o ka hana uila i laila, pehea kona ikaika, a me ka nui o ka manawa e hala ma waena o nā ʻāpana like ʻole o nā nalu uila ('nā nalu a i ʻole nā ​​​​piko').

ʻO nā ʻāpana nui o kahi ECG a me kā lākou heluhelu ʻana penei:

• ʻO nā keʻena ʻelua o luna o kou puʻuwai (ka ʻAtria) - kahi e hoʻomaka ai ka puʻuwai - e hana i ka nalu mua, ka nalu P.
• ʻO nā keʻena ʻelua ma lalo o kou puʻuwai (nā 'ventricles') nā mea e hana ai i ka puʻu nui aʻe, ka 'QRS complex' .
• ʻO ke kolu o ka nalu, ka 'nalu T', e hōʻike ana i ke ʻano o ka hoʻomaha ʻana o ka puʻuwai, a i ʻole 'e hoʻōla ana', ma hope o kona kuʻi ʻana.

Aia kekahi mau pilikia i kēia hoʻāʻo?

He hoʻāʻo haʻahaʻa loa ka ECG. ʻAʻole ia e pili ana i kekahi radiation a i ʻole uila e hoʻouna ʻia i loko o kou kino. Hiki iā ʻoe ke ʻike i ka ʻulaʻula a me ka maneʻo ke wehe ʻia nā ʻāpana pipili. Ma waho aʻe o kēlā, ʻaʻohe mea koʻikoʻi. No laila, ʻaʻohe pono e hopohopo.

Pehea e loaʻa ai nā hopena? He aha ka mea i ʻōlelo ʻia?

Pono i kahi ECG maʻamau a olakino ke loaʻa kahi ʻano mau o nā nalu. He puʻupuʻu liʻiliʻi (ka `nalu P`), a laila he spike (ka `paʻakikī QRS`), a laila kekahi puʻupuʻu liʻiliʻi (ka `nalu T`), ma ke ʻano like a me nā manawa like. ʻO ke ʻano kēia e kuʻi mau ana kou puʻuwai a me ke ʻano rhythmically.

ʻO nā ʻano nalu maʻamau ʻole ke ala wale nō e ʻike ai i kahi pilikia. Ma ka nānā ʻana i nā loli i ka ECG, hiki i ke kauka ke ʻike i ka ʻāpana o ka puʻuwai e hana hewa ana a i ʻole ke ʻano o ke kūlana. He paʻakikī loa ke kaʻina hana o ka puʻuwai e kuʻi ana, a he nui nā ʻāpana o ka puʻuwai e pili ana.

ʻEhia ka lōʻihi e ʻike ai i nā hopena?

Inā loaʻa koke kāu mau hopena ECG, hiki i kāu kauka ke haʻi koke aku iā ʻoe e pili ana iā lākou, ʻoiai inā pono ʻoe i ka mālama wikiwiki. Eia nō naʻe, inā ua hana ʻia kāu ECG ma ke ʻano he hoʻāʻo maʻamau a i ʻole ma ke ʻano he ʻāpana o kahi moʻo o nā hoʻāʻo ma mua o kahi ʻoki kino ʻaʻole pili i ka puʻuwai, hiki ke hala i kekahi mau lā e loaʻa ai nā hopena.

E mālama pū kāu kauka i kāu mau moʻolelo ECG e hoʻohālikelike me nā ECG e hiki mai ana.

Inā he ʻano ʻē nā hopena, he aha kāu e hana ai ma hope?

ʻO ka mea e hana ai ma hope e pili ana i ke kumu o ka ECG.

• E noʻonoʻo he pacemaker kāu, a inā hōʻike ka ECG ʻaʻole ia e hana pono, e hoʻololi paha ke kauka i kāna mau hoʻonohonoho.
• Inā hāpai ka ECG i nā kānalua e pili ana i kahi maʻi, hiki i kāu kauka ke noi iā ʻoe e hana i nā hoʻokolohua hou aʻe (e laʻa, echocardiogram, hoʻāʻo koʻikoʻi, nā hoʻāʻo koko) e hōʻoia iā ia.
• Inā hōʻoia ka ECG he maʻi puʻuwai kou, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau kūpono, nā lāʻau lapaʻau ʻē aʻe, a i ʻole ke ʻoki kino.

Pono anei au e ʻike hou i ke kauka?

Pono ʻoe e ʻike hou i kāu kauka i kēia mau hihia:

• He aha inā ua hala kekahi mau lā mai ka hana ʻana o ka ECG a ʻaʻole ʻoe i lohe i kekahi mea e pili ana i nā hopena?
• Inā ʻoi aku ka ʻino o kāu mau hōʻailona (e like me ka ʻeha o ka umauma, ka pōkole o ka hanu) ma mua o ka wā ma mua o ka ECG.
• Inā he mau nīnau hou aku kāu e pili ana i ka mea a ke kauka i ʻōlelo ai, ka mea e hana ai ma hope, a inā he mea āu e pono ai e wehewehe.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe mākou e pili ana i nā hoʻokolohua puʻuwai. Akā, ua ʻike ʻoe i kēia manawa he hoʻokolohua wikiwiki loa ka ECG (Electrocardiogram), ʻeha ʻole, a he mea nui loa . Hiki i ka ʻike e hāʻawi ai ke haʻi i kāu kauka i nā mea he nui e pili ana i kou puʻuwai a me ke olakino o kou puʻuwai.

Ma muli o nā hopena o ka ECG, hiki iā ʻoe ke hoʻomaka i ka lāʻau lapaʻau āu e pono ai ma mua o ka manawa, e kōkua iā ʻoe e noho olakino a kūpono hoʻi. No laila, mai makaʻu e nīnau i kāu kauka i nā nīnau āu e pili ana i ka ECG, ʻaʻohe mea liʻiliʻi. Aia lākou ma laila e kōkua iā ʻoe.

` ECG, EKG, electrocardiogram, hoʻāʻo puʻuwai, maʻi puʻuwai, ʻōlinolino puʻuwai, olakino puʻuwai