Ua noi ʻia anei ʻoe e loaʻa kahi Holter Monitor? (Holter Monitor) E ʻike kākou e pili ana i kēia me ka maʻalahi!

Ke manaʻo nei ʻoe i kekahi manawa e kuʻi nui ana kou umauma, a i ʻole e holo wikiwiki ana kou puʻuwai? Ke manaʻo nei ʻoe i ka poniuniu a i ʻole ka nāwaliwali i kekahi manawa? Ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kahi "Holter Monitor" e kōkua i ka ʻike ʻana i ke kumu o kēia mau hōʻailona. No laila, mai makaʻu i kou lohe ʻana i ka inoa. He hoʻāʻo maʻalahi loa ia, ʻaʻohe ʻeha. E nānā kākou i ke ʻano o ia mea, pehea e hana ai, a me nā mea āu e pono ai e ʻike i ka wā e kau ai.

He aha ke ʻano o ka Holter Monitor?

I ka ʻōlelo maʻalahi, he mea liʻiliʻi ka Holter Monitor āu e ʻaʻahu ai. He mīkini māmā ia e hoʻohana ana i ka pila e like me ka nui o kahi papa kāleka. He mīkini ECG maoli nō ia e hoʻopaʻa ana i ka hana a kou puʻuwai i kou wā e hele wāwae ana. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he "ambulatory electrocardiogram".

ʻO kahi ECG, kahi āu e loaʻa mau ai i loko o ka haukapila, e hoʻopaʻa wale i ka hana uila o kou puʻuwai i kēlā manawa. Akā, hoʻopaʻa mau kahi Holter Monitor i ka rhythm a me ka helu o kou puʻuwai no kahi manawa lōʻihi, e like me 24 a 48 mau hola . Hāʻawi kēia i kāu kauka i kahi kiʻi piha o ke ʻano o ka hana a kou puʻuwai i kou hele ʻana i kāu mau hana o kēlā me kēia lā.

Hoʻopili ʻia kēia mea hana i nā uea a me nā kāpili liʻiliʻi āu e hoʻopili ai ma kou umauma (nā electrodes). Hiki iā ʻoe ke komo iā ia ma lalo o kou lole a hana i kāu mau hana maʻamau o kēlā me kēia lā.

Pehea e hana ai kēia mīkini liʻiliʻi?

Hana like ka mīkini nānā Holter me ka mīkini ECG. ʻO ia hoʻi, ke ana nei ia i ka hana uila o ka puʻuwai. Eia nō naʻe, ʻoiai ua kaupalena ʻia ka ECG i kekahi mau minuke, no ka mea, ʻo ʻoe ke kau nei iā ia no hoʻokahi a ʻelua paha lā, ʻoi aku ka nui o ka "hopu" ʻana i nā kūlana maʻamau ʻole i loko o ka puʻuwai ʻaʻole i hana mau ʻia.

E noʻonoʻo ʻoe hoʻokahi a ʻelua paha manawa o ka lā e loaʻa ai iā ʻoe ka hōʻeha puʻuwai. Inā ʻaʻole ʻoe i loaʻa i kēlā hōʻeha puʻuwai ke loaʻa iā ʻoe kahi ECG, ʻaʻole e hōʻike ka hōʻike ECG i kekahi ʻokoʻa. Akā ke kau ʻoe i kahi monitor Holter, hoʻopaʻa ʻia ka manawa pololei o ka hōʻeha puʻuwai.

No ke aha e hoʻohana ai i kahi monitor Holter?

• E huli i ke kumu o ka puʻuwai kūpono ʻole (arrhythmias), nā ʻeha o ka umauma, a me ka poniuniu wehewehe ʻole ʻia.
• E ʻike i ka maikaʻi o kekahi mau lāʻau lapaʻau no nā maʻi puʻuwai.

ʻEkolu mau ʻāpana nui o kēia hāmeʻa:

1. Nā ʻElekoda:He mau pepili liʻiliʻi kēia āu e hoʻopili ai i ka ʻili ma kou umauma. Hopu lākou i nā hōʻailona uila o kou puʻuwai.

2. Nā Uea: Lawe ʻia ka ʻike i loaʻa mai nā electrodes i ka hāmeʻa nui ma o kēia mau uea.

3. Holter Monitor: He pahu liʻiliʻi kēia, e hoʻohana ana i ka pila e hoʻopaʻa ana i ka ʻike. Hiki iā ʻoe ke lawe iā ia i loko o kāu ʻeke, a i ʻole e kau iā ia ma ke kāʻei a puni kou ʻāʻī a i ʻole kou pūhaka.

He aha kāu e pono ai e ʻike i ka wā e hoʻokomo ai i ka Holter Monitor?

ʻAʻole pono kēia i ka hoʻomākaukau nui. Eia nō naʻe, he mea naʻauao ke ʻauʻau maikaʻi ma mua o ke kau ʻana i ka hāmeʻa. ʻAʻole ia he manaʻo maikaʻi ke ʻauʻau a hoʻomaʻū paha i ka hāmeʻa i ka wā e hoʻokomo ana.

Ke hele ʻoe i ka haukapila a i ʻole ke keʻena lapaʻau, e kōkua kekahi kahu maʻi a limahana lapaʻau paha iā ʻoe e kau i kēia.

• Ke kau ʻana o ka electrode: E kau lākou i ʻelua a ʻoi aku paha nā electrodes ma kou umauma ma nā wahi kikoʻī. Inā he kāne ʻoe, pono paha ʻoe e kahi i kekahi o kou lauoho umauma e hōʻoia i ka pili pono ʻana o nā electrodes.
• Ke hoʻohui ʻana i ka monitor: A laila e hoʻopili ʻia ʻoe i nā electrodes a me ka monitor me ka hoʻohana ʻana i nā uaea a wehewehe ʻia pehea e mālama ai.
• Kahi e mālama ai i ka monitor: Hiki iā ʻoe ke waiho i loko o kahi ʻeke, a i ʻole hiki iā ʻoe ke waiho i loko o ka ʻeke liʻiliʻi e hele mai me ia a kau a puni kou ʻāʻī a i ʻole kou pūhaka.
• Ke hoʻopaʻa ʻana i nā hana a me nā hōʻailona (ʻo kēia ka ʻāpana koʻikoʻi loa): E hāʻawi ʻia ʻoe i kahi puke liʻiliʻi a i ʻole kahi ʻāpana pepa a e noi ʻia e hoʻopaʻa i kāu mau hana o kēlā me kēia lā a me nā hōʻailona āu e ʻike ai (e like me ka pōkole o ka hanu, ka paʻa o ka umauma, ka ʻeha o ka umauma) me ka manawa. Eia kekahi laʻana, hiki iā ʻoe ke kākau, "Ke hāpai nei au i nā lole holoi i luna ma kahi o 10:30 a.m. i ka wā i manaʻo ai au i ka paʻa o koʻu umauma." E kōkua kēia i ke kauka e hoʻohālikelike i nā loli ma kāu ECG i ka wā i hoʻomaka ai kāu mau hōʻailona.

He aha kekahi mau mea pono ʻole ʻoe e hana i kou wā e komo ai i kēia?

ʻOiai e hoʻokomo ana i ka Holter Monitor, he mea nui e noho mamao aku mai nā mea e hiki ke hoʻopilikia i kāna hana kūpono.

He aha ka mea e hana ʻia ke pau nā hola 24/48?

Ma hope o ka manawa i hāʻawi ʻia, pono ʻoe e hoʻi i ka haukapila a hāʻawi i ka monitor a me ka puke liʻiliʻi āu i kākau ai. Ma laila, e wehe pono lākou a hoʻololi i nā electrodes. Ma hope o kēlā, e nānā kahi loea i kāu ECG a me kāu mau memo a hoʻouna i kahi hōʻike piha i kāu cardiologist.

Aia kekahi pilikia i loko o kēia?

ʻAʻole loa. ʻAʻole ia e hōʻeha a pilikia paha i ke kau ʻana i kahi Holter Monitor. Hiki i kekahi poʻe ke ʻike i ka ʻili iki a i ʻole ka ʻulaʻula ma muli o ke kaula ma nā electrodes. Inā he maʻi ʻoe i nā plasters a i ʻole ka lipine hoʻopili, e hōʻoia e haʻi i nā limahana ma mua o ke kau ʻana i ka monitor.

He aha ka ʻōlelo a ka hōʻike?

Ke loaʻa iā ʻoe ka hōʻike, e nānā hou kāu kauka a hāʻawi iā ʻoe i nā kikoʻī. E loaʻa pinepine iā ʻoe nā hopena i loko o hoʻokahi a ʻelua paha pule. Hiki i ka hōʻike ke nānā i kekahi mau ʻano puʻuwai ʻē aʻe (arrhythmias). ʻO kekahi mau laʻana:

• ʻO ka fibrillation atrial: He kuʻi wikiwiki a kūpono ʻole o nā keʻena o luna o ka puʻuwai (atria).
• Bradycardia: ʻO ka wikiwiki o ka puʻuwai ma mua o ka maʻamau (palpitations).
• Tachycardia: ʻO ka puʻuwai wikiwiki (ka puʻuwai wikiwiki) he kiʻekiʻe aʻe ia ma mua o ka maʻamau.
• ʻO nā ʻūlū ventricular mua loa (PVCs): Nā puʻuwai puʻuwai keu, mua loa e hana ʻia ma nā keʻena haʻahaʻa (ventricles) o ka puʻuwai.

He aha kāu e hana ai ma hope inā he pilikia me ka hōʻike?

Inā he pilikia me kāu hōʻike, e kamaʻilio ke kauka me ʻoe e pili ana i ka mea e hana ai ma hope. Hiki i kēia ke komo pū me:

• Ke hana nei i kekahi mau hoʻokolohua puʻuwai hou aʻe.
• Ke hoʻomaka nei i nā lāʻau lapaʻau a i ʻole ke hoʻololi ʻana i nā lāʻau lapaʻau o kēia manawa.
• Ke hoʻokomo ʻana o kahi hāmeʻa, e like me ka pacemaker, e kaohi i ka helu o ka puʻuwai.
• Ke paipai nei i nā lāʻau lapaʻau e like me "Cardioversion" a i ʻole "Ablation" e hoʻihoʻi i ka mele o ka puʻuwai.

Āhea wau e kāhea aku ai i ke kauka?

Inā loaʻa iā ʻoe kekahi pilikia i kou wā e kau ana i ka monitor, e kāhea i kāu kauka a i ʻole ka haukapila.

• Inā he hewa kekahi mea me ka Holter Monitor 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 i hoʻopaʻa ʻia i ka umauma.
• Inā ʻoe e ʻike nei i kekahi mau hōʻailona puʻuwai ʻoluʻolu ʻole a kānalua paha.

Hiki i kēia ke kōkua i ka ʻike ʻana i ka hopohopo?

ʻAʻole, ʻaʻole hiki i kahi Holter Monitor ke ʻike pololei i ka hopohopo. Eia nō naʻe, inā ʻo kou hopohopo ke kumu o kou palpitations, e hoʻopaʻa ka monitor i kēlā mau palpitations. ʻO ia ke kumu he mea nui kāu puke pai. Inā ʻoe e kākau i lalo "Ua hopohopo/kaumaha wau" i ka wā e palpitations ai ʻoe, hiki i kāu kauka ke hoʻomaopopo i ka pilina.

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

He "kiʻi paʻi" ka ECG o ke kūlana o kou puʻuwai i kēia manawa. Hōʻike wale ia iā ʻoe i kekahi mau minuke.

Ua like ka Holter Monitor me kahi "wikiō" o ka hana a kou puʻuwai i ka lā holoʻokoʻa. Hāʻawi ia i kāu kauka i kahi ʻike maikaʻi loa i ke ʻano o ka hana a kou puʻuwai i ka lā holoʻokoʻa.