Makemake ʻoe e ʻike pono i ke ʻano o kou puʻuwai? A laila e kamaʻilio kākou e pili ana i ka Holter Monitor!

Ke manaʻo nei ʻoe i kekahi manawa i kahi mea ʻē, e like me ke kuʻi ʻana i loko o kou umauma? A i ʻole ke manaʻo koke nei ʻoe i ka poniuniu a i ʻole ka paʻakikī o ka hanu ʻana? Malia paha ua haʻi aku kāu kauka iā ʻoe e "kau i kahi Holter Monitor." No laila, he aha kēia Holter monitor? E kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo. ʻAʻohe mea e makaʻu ai, he maʻalahi loa ia.

He aha kēia Holter Monitor?

I ka ʻōlelo maʻalahi, he mīkini EKG liʻiliʻi kahi monitor Holter hiki iā ʻoe ke komo a lawe a puni. ʻO ka maʻamau, ʻo ka EKG a mākou e loaʻa ai i ka haukapila e nānā wale i ka hana o kou puʻuwai i kēlā manawa. Akā, hoʻopaʻa mau kahi monitor Holter i kou puʻuwai a me ka helu o ka puʻuwai no 24 a 48 mau hola. Hāʻawi kēia i kāu kauka i kahi ʻike maikaʻi aʻe i ke ʻano o ka loli ʻana o ka hana uila o kou puʻuwai i kou hele ʻana i kāu mau hana o kēlā me kēia lā.

E noʻonoʻo iā ia e like me kahi papa kāleka pāʻani liʻiliʻi, kahi mea liʻiliʻi, māmā, a hoʻohana ʻia e ka pila. Loaʻa iā ia kahi uea i hoʻopili ʻia iā ia a me kahi moʻo o nā electrodes , e like me nā stickers liʻiliʻi, āu e hoʻopili ai i kou ʻili. Hiki iā ʻoe ke komo i kēia monitor ma lalo o kou lole a hana i kāu mau hana o kēlā me kēia lā e like me ka maʻamau.

Ua kapa ʻia kēia mea liʻiliʻi ʻo "Holter" ma muli o Kauka Norman J. Holter, nāna i hana i nā makahiki 1950.

He aha ka hana a ka monitor Holter?

E like me kā mākou i ʻōlelo ai ma mua, hōʻiliʻili kahi monitor Holter i ka ʻike e pili ana i ka hana uila o kou puʻuwai, e like me ka hoʻāʻo EKG (electrocardiogram) maʻamau. ʻO ka ʻokoʻa, hana ʻia kahi EKG no kekahi mau minuke wale nō, akā ua hoʻokomo ʻia kahi monitor Holter no hoʻokahi a ʻelua paha lā, no laila ʻoi aku ka nui o ka hiki ke ʻike i kekahi hana puʻuwai ʻē.

Inā ʻaʻole hāʻawi kahi EKG maʻamau i nā hopena maopopo, hiki i kahi monitor Holter ke kōkua i ka hoʻoholo ʻana i ke kumu o nā kūlana e like me:

• Nā maʻi o ka ʻāʻī o ka puʻuwai, ʻo ia hoʻi , nā arrhythmias .
• ʻO ka palpitations o ka puʻuwai he manaʻo koke ia o ka paʻi ʻana o kou puʻuwai, ʻo ia hoʻi ka wikiwiki o ka puʻuwai a i ʻole ka ʻeha o ka umauma.
• Pōʻino i wehewehe ʻole ʻia.

Eia kekahi, hiki i kāu kauka ke hoʻohana i kēia monitor Holter e ʻike i ka maikaʻi o kāu lāʻau lapaʻau inā ʻoe e lawe nei i ka lāʻau lapaʻau no kahi maʻi puʻuwai.

Pehea e hana ai ka monitor Holter?

He mea maʻalahi loa ia. ʻIke nā electrodes (ua like lākou me nā pepili liʻiliʻi) i kau ʻia ma kou umauma i ka hana uila o kou puʻuwai. A laila hoʻouna ʻia kēlā ʻike ma o nā uea liʻiliʻi i kahi monitor Holter āu e ʻaʻahu ai i loko o kāu ʻeke a i ʻole ma kahi ʻē aʻe o kou kino. Hoʻopaʻa kēia monitor i kēlā ʻikepili āpau no ka loiloi ma hope.

ʻO ka mea nui loa, ʻaʻole e nānā mau ke kauka i ka monitor i kou wā e kau ana. E kiʻi ʻia a kālailai ʻia ka ʻikepili ma hope o kou hoʻihoʻi ʻana i ka monitor.

Pehea e hoʻomākaukau ai ma mua o ke kau ʻana i ka monitor Holter?

ʻOiaʻiʻo, ʻaʻole pono ʻoe e hana i kekahi mea kūikawā e kau ai i kahi monitor Holter. Akā hoʻokahi mea. ʻOiai ʻaʻole ia he manaʻo maikaʻi e hoʻomaʻū i ka monitor ma hope o ke kau ʻana, he manaʻo maikaʻi e ʻauʻau maikaʻi a hoʻomaʻemaʻe i kou kino ma mua o ke kau ʻana. A laila ʻaʻole ia he pilikia nui ka hiki ʻole ke ʻauʻau no hoʻokahi a ʻelua paha lā.

He aha kāu e manaʻo ai i ka wā e kau ai i kahi monitor Holter?

E hoʻopili ke kauka a i ʻole kekahi mea i aʻo ʻia ma kēia kahua i kēia monitor iā ʻoe. Ma hope o kēlā, hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau. Eia ka mea e hana ʻia:

• E kau ʻia nā electrodes ma kou umauma: ʻO ka maʻamau, e kau ʻia ma ka liʻiliʻi he ʻelua mau electrodes. I kekahi manawa, pono paha ʻoe e kahi i kekahi o ka lauoho ma kou umauma e hōʻoia i ka hoʻopili pono ʻia ʻana o nā electrodes. Mai hopohopo, ʻo kēia wale nō ka mea e hōʻoia ai e hoʻopaʻa pono ana nā electrodes i nā hōʻailona o ka puʻuwai.
• Kōkua iā ʻoe e kau i ka monitor: Hoʻohui i ka monitor i nā electrodes me nā uea a wehewehe pehea e mālama ai.
• E huli i kahi e mālama ai i ka mea nānā: Hiki iā ʻoe ke lawe i kēia mea nānā puʻuwai i loko o kahi ʻeke, a i ʻole e kau iā ia ma ke kaula a puni kou ʻāʻī, pūhaka, a poʻohiwi paha.
• Aʻo ia iā ʻoe pehea e hoʻopaʻa ai i kāu mau hana a me nā hōʻailona: He mea nui loa kēia. Inā ʻike ʻoe i nā hōʻailona e like me ka pōkole o ka hanu, ka puʻuwai lele a ʻaʻole like, a i ʻole ka ʻeha o ka umauma , pono ʻoe e kākau i lalo i ka wā i hana ʻia ai a me kāu mea e hana nei i kēlā manawa.
• E noʻonoʻo ʻoe e lawe ana i kahi lole holoi i luna ma kahi o ka hola 10:30 o ke kakahiaka a ua ʻeha kou umauma. Inā ʻoe e kākau i lalo, hiki i ke kauka ke ʻike i ka mea i hana ʻia ma kāu EKG i kēlā manawa. He mea waiwai nui kēia puke moʻolelo no ka ʻike pololei ʻana.

He aha nā mea pono ʻole e hana ʻia i ke kau ʻana i kahi monitor Holter?

Hiki iā ʻoe ke hana i ka hapa nui o kāu mau hana maʻamau, me ka hiamoe ʻana, ʻoiai ʻoe e kau ana i ka monitor Holter. Eia nō naʻe, pono ʻoe e noho mamao mai kēia mau mea i kou wā e kau ana i kēia monitor puʻuwai:

• ʻAuʻau ʻana, ʻauʻau ʻana, a ʻauʻau paha.
• Ke hana nei i kahi hoʻokolokolo X-ray .
• Ke hele kokoke ana i nā wahi uila kiʻekiʻe, nā magnet, a i ʻole nā ​​​​mea ʻike metala.
• ʻO ka hoʻohana ʻana i kekahi mau mea uila (no ka laʻana, nā microwave, nā palaki niho uila, nā ʻumiʻumi, a i ʻole nā ​​​​​​pale uila) hiki ke hoʻopilikia i ka hana o ka monitor ma muli o nā nalu electromagnetic.

He aha ka mea e hana ma hope o ka hoʻohana ʻana i ka monitor Holter?

Ma hope o ka pau ʻana o ka manawa he 24 a i ʻole 48 hola i hāʻawi ʻia iā ʻoe:

• Pono ʻoe e hoʻi a hāʻawi i ka monitor. A laila e wehe lākou i nā electrodes a hoʻokomo hou iā lākou.
• A laila, e hōʻiliʻili ke kauka a mea loea paha i kāu mau moʻolelo EKG a pau a me nā memo āu i kākau ai, e kālailai iā lākou, a hoʻouna i kahi hōʻike i kāu cardiologist .

E hoʻomanaʻo, ʻaʻole ke kauka e nānā mau nei i ka hana o kou puʻuwai i ka wā o kēia hoʻāʻo. No laila, inā ʻike ʻoe i kekahi mau hōʻailona ʻoluʻolu ʻole i kou wā e kau ana i ka monitor a ma hope paha, e ʻimi koke i ke kōkua lapaʻau.

Aia kekahi mau pilikia a i ʻole nā ​​​​hopena ʻaoʻao o ka monitor Holter?

ʻAʻohe pilikia nui a ʻeha paha e pili ana i ke kau ʻana i kahi monitor Holter. Hiki i kekahi poʻe ke ʻike i ka huhū iki o ka ʻili a i ʻole ka ʻulaʻula mai ka lipine a i ʻole nā ​​mea hoʻopili i hoʻohana ʻia e hoʻopili i nā electrodes. Inā he maʻi allergy kou i kekahi ʻano lipine a mea hoʻopili paha, e ʻoluʻolu e haʻi mua i kāu kauka.

Pehea nā hopena? He aha kā lākou e haʻi mai ai iā mākou?

Hiki i nā hopena o kahi monitor Holter ke hōʻike inā he ʻano puʻuwai kūpono ʻole kou, a i ʻole arrhythmia. Eia kekahi laʻana:

• ʻO ka fibrillation atrial (kahi kūlana e paʻi pinepine ai nā keʻena o luna o ka puʻuwai)
• Bradycardia (ka wikiwiki o ka puʻuwai)
• Tachycardia (hoʻonui ʻia ka helu o ka puʻuwai)
• ʻO nā ʻūlū ventricular mua loa (PVCs) (nā kuʻi mua mai nā keʻena haʻahaʻa o ka puʻuwai)

He mea pono loa ka monitor Holter no ke ʻike ʻana i nā kūlana e like me kēia.

ʻEhia ka lōʻihi e ʻike ai i nā hopena?

ʻO ka maʻamau, e hōʻike kāu kauka iā ʻoe i nā hopena i loko o hoʻokahi a ʻelua paha pule o ka hoʻāʻo. Pono ʻoe e hoʻomanawanui, no ka mea, he manawa iki ka nānā ʻana i ka ʻikepili.

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

Inā he mau mea ʻē aʻe i nā hopena, e kamaʻilio kāu kauka me ʻoe a hoʻoholo i ka mea e hana ai ma hope. Hiki i kēia ke komo pū me:

• Ke hana nei i nā hoʻokolohua cardiac hou aʻe.
• Hoʻomaka i nā lāʻau lapaʻau puʻuwai.
• Ke hoʻokomo ʻana o kahi pacemaker (kahi mea liʻiliʻi e kōkua ai i ka mālama ʻana i ka puʻuwai maʻamau).
• Cardioversion ( kahi hana e hoʻihoʻi i ka maʻamau o ka puʻuwai).
• ʻO ka Ablation ( kahi lāʻau e hoʻohana ai i ka ikehu wela a anu paha e hana i kahi ʻeha liʻiliʻi ma ka puʻuwai e mālama ai i nā ʻano puʻuwai maʻamau ʻole).

Mai makaʻu, ʻo nā mea āu e hana ai no kou pono ponoʻī nō ia.

Āhea wau e kāhea aku ai i kaʻu kauka?

E kāhea i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea i kou wā e kau ana i kahi monitor Holter:

• Inā he pilikia me ka monitor Holter āu e hoʻohana nei.
• Inā he nīnau kāu e pili ana i ke ʻano o ka hoʻohana ʻana i ka monitor.
• Inā hemo kahi electrode.
• Inā ʻike ʻoe i kekahi ʻeha a i ʻole nā ​​​​hōʻailona hopohopo e pili ana i kou puʻuwai.

ʻAʻole kēia he hoʻokolohua e pono ai ka nānā mau ʻana o ke kauka. No laila, inā ʻike ʻoe i kekahi mau hōʻailona, ​​​​e ʻimi i ke kōkua lapaʻau.

Hiki i ka monitor Holter ke ʻike i ka hopohopo?

ʻAe, i kekahi manawa hiki i ka hopohopo ke hoʻoulu iā ʻoe i nā palpitations. Inā hana ʻia kēlā, hiki i ka monitor Holter ke hoʻopaʻa iā ia. Akā no ka ʻike ʻana i ke kumu o nā palpitations, pono kāu kauka e kālailai pono i ka hōʻike. Eia kekahi, he mea nui loa e hoʻopaʻa i loko o kāu puke moʻolelo i kāu mea e hana nei a me kou manaʻo i ka wā i loaʻa ai iā ʻoe nā palpitations.

He aha ka ʻokoʻa ma waena o kahi monitor EKG a me kahi monitor Holter?

I ka ʻōlelo maʻalahi, ana wale ka EKG i ka hana o kou puʻuwai i ka manawa e hana ʻia ai ka hoʻāʻo. ʻO ia hoʻi, ua like ia me ke kiʻi ʻana i hoʻokahi kiʻi. Akā hiki ke loli ke ʻano o kou puʻuwai a me nā hōʻailona i ka lā a pau.

Makemake kāu kauka e ʻike pehea e loli ai kou puʻuwai i kou hele ʻana i kāu mau hana o kēlā me kēia lā. Hāʻawi kahi monitor Holter i kāu kauka i kahi kiʻi piha o kou puʻuwai, e like me ke wikiō ma luna o hoʻokahi a ʻelua paha lā.

He aha ka ʻokoʻa ma waena o kahi monitor Holter a me kahi Monitor Hanana?

Hiki i nā mea ʻelua ke huikau iki. Hoʻopaʻa mau kahi monitor Holter i kou puʻuwai no 24 a 48 mau hola. ʻO ia hoʻi, ua hoʻopaʻa ʻia inā loaʻa iā ʻoe kekahi mau hōʻailona a ʻaʻole paha.

Eia nō naʻe, ʻaʻole hoʻopaʻa mau kahi mea nānā hanana. Hoʻopaʻa wale ia i ka wā e ʻike ai ʻoe i kahi hōʻailona, ​​​​inā ʻoe e hoʻāla i ka mea nānā. Aia kekahi mau mea nānā hanana e hoʻopaʻa aunoa i ka wā e loaʻa ai kahi puʻuwai puʻuwai kūpono ʻole. Akā hoʻohana nui ʻia ia i ka wā e loaʻa ai nā hōʻailona.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Hiki ke hoʻonāukiuki ka ʻike ʻole i ke kumu o ka ʻeha o kou umauma, ka palpitations o ka puʻuwai, a i ʻole ka poniuniu. He mea hana waiwai nui ka monitor Holter e hiki ke kōkua iā ʻoe e ʻike i ke kumu.

ʻOiai paha e manaʻo iki ʻoe i ka ʻoluʻolu ʻole i ke komo ʻana i kēia no kekahi mau lā, ʻaʻohe ʻeha a pono e komo no hoʻokahi a ʻelua paha lā. Ma hope o kēlā, ua kokoke ʻoe i ka ʻike pololei ʻana i kou kūlana a me ka hoʻomaikaʻi ʻana. No laila, inā ʻōlelo kāu kauka, mai makaʻu e hana i kēia hoʻokolohua.

Inā he mau nīnau hou aku kāu e pili ana i kēia, e ʻoluʻolu e kamaʻilio me kāu kauka. Hiki iā ia ke hoʻomaopopo i nā kānalua āu e loaʻa ai.

Nānā Holter , maʻi puʻuwai, EKG, helu puʻuwai, arrhythmia, ʻeha umauma, poniuniu