Muaj dab tsi tshwm sim rau koj lub plawv dhia? Cia peb kuaj xyuas nws los ntawm tsev. Txhua yam hais txog (Cov Neeg Saib Xyuas Kev Ntshai)!

Puas muaj tej lub sij hawm koj xav tias koj lub plawv muaj teeb meem? Tej zaum tus kws kho mob yuav kuaj koj thiab hais tias nws yuav tsum saib xyuas koj lub plawv ua haujlwm li ob peb hnub. Thaum ntawd cov khoom siv me me no hu ua "Ambulatory Monitors" thiaj li siv tau. Yog li, cia peb tham txog qhov no kom meej, yooj yim heev, hnub no.

Lub Ambulatory Monitor yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, lub cuab yeej saib xyuas kev mob yog ib lub cuab yeej me me uas sau koj lub plawv lub zog hluav taws xob, lossis lub plawv dhia, ntev heev, thaum koj nyob hauv tsev lossis ua koj cov haujlwm txhua hnub. Xav txog nws zoo li ECG uas koj tau txais hauv tsev kho mob, tab sis nws nyob nrog koj tau ntau hnub, qee zaum ntau lub lis piam. Qhov no tseem ceeb vim tias qee yam mob plawv tsis tas li qhia cov tsos mob. Qhov ntawd txhais tau tias lawv yuav tsis muaj thaum koj mus ntsib kws kho mob. Nws yog ib txoj hauv kev zoo los txheeb xyuas cov teeb meem uas tshwm sim sai sai thiab sab nraum tsev kho mob .

Siv lub tshuab saib xyuas no yuav nrhiav tau hom mob plawv twg?

Lub 'kev saib xyuas kev tawm mus los' no feem ntau yog siv los ntes '(Arrhythmia)' lossis lub plawv dhia tsis xwm yeem. Txawm hais tias qee qhov tsis xwm yeem tuaj yeem pom yooj yim nrog '(ECG)' ua hauv tsev kho mob, lub monitor no tuaj yeem sau ntau yam thiab ntau cov ntaub ntawv. Yog li ntawd, nws pab ntes cov tsis xwm yeem uas koj yuav tsis paub txog, uas tshwm sim sai sai, lossis uas tsuas yog kav ntev heev .

Nov yog qee hom arrhythmia feem ntau:

• `(Bradyarrhythmia)` (Bradycardia): Qhov no yog lub plawv dhia qeeb heev. Yog hais kom meej, nws zoo li lub plawv dhia ceev dhau.
• Tachyarrhythmia: Qhov no yog thaum lub plawv dhia ceev tsis zoo. Xav txog koj lub plawv dhia zoo li lub plawv dhia ceev ceev.
• Kab mob plawv dhia tsis xwm yeem hauv lub plawv sab saud: "Supra" txhais tau tias nyob saum toj. "Ventricle" txhais tau tias ob lub plawv sab hauv qab. Qhov no txhais tau tias ob lub plawv sab saud tsis zoo, lub plawv sab laug thiab lub plawv sab xis.
• Kab mob plawv dhia tsis xwm yeem: Cov no yog cov teeb meem uas tshwm sim hauv ob lub plawv qis.

Leej twg yuav koom nrog qhov kev tshawb nrhiav no? Leej twg yuav pab koj?

Muaj ntau tus kws kho mob koom nrog rau hauv txoj kev kuaj mob no. Piv txwv li, cov kws kho tshuab, cov kws tu mob, thiab cov kws kho mob. Txawm li cas los xij, yuav luag txhua zaus yog tus kws tshwj xeeb uas tshuaj xyuas cov ntaub ntawv sau tau thiab ua qhov kev kuaj mob. Qhov no yuav yog tus kws kho mob plawv lossis tus kws kho mob hluav taws xob.

Lub tshuab saib xyuas kev taug kev no ua haujlwm li cas? Nws zoo kawg nkaus, puas yog?

Tag nrho cov cuab yeej saib xyuas kev taug kev no ua haujlwm vim peb lub plawv muaj nws lub zog hluav taws xob. Xav txog, lub plawv dhia yog tswj los ntawm cov cim los ntawm lub zog hluav taws xob no. Cov cim hluav taws xob no yog qhov ua rau plaub lub plawv sib zog ua ke thiab txuas ntxiv mus. Qhov no yog qhov uas ua rau lub plawv tso ntshav tau zoo thiab ua haujlwm tau zoo.

Puas yog qhov zoo kawg nkaus? Qhov kev ua haujlwm hluav taws xob no hauv peb lub siab muaj zog heev uas nws tuaj yeem pom tau yooj yim los ntawm cov khoom siv cog rau saum lossis hauv qab daim tawv nqaij.

Qhov no yog qhov peb feem ntau hu ua '(ECG)', uas sau cov haujlwm hluav taws xob no. Tab sis nws yog rau lub sijhawm luv luv. Yog tias muaj teeb meem hauv ib feem ntawm lub plawv, qhov kev ua haujlwm hluav taws xob hauv qhov ntawd hloov pauv. Nws yog los ntawm kev saib cov kev hloov pauv ntawd uas tus kws kho mob tau kawm tiav tuaj yeem qhia tias qhov sib txawv ntawm lub plawv ua haujlwm li cas. Ib qho '(ECG)' feem ntau ua tiav hauv tsev kho mob lossis chaw kho mob, hauv ob peb feeb.

Cov khoom siv saib xyuas kev mob nkeeg ua haujlwm zoo ib yam. Txawm li cas los xij, cov no saib xyuas koj lub plawv ua haujlwm tau ntau hnub, ntau lub lis piam, thiab qee zaum ntau xyoo . Lawv tuaj yeem sau koj lub plawv ua haujlwm thaum koj pw tsaug zog, ua haujlwm, lossis ua koj cov haujlwm txhua hnub.

Muaj hom kev saib xyuas kev taug kev twg? Hom twg yog qhov zoo rau koj?

Feem ntau cov khoom siv saib xyuas kev mob yog cov khoom siv uas koj tuaj yeem nqa mus los tau. Lawv ntsuas koj lub plawv dhia siv cov sensors hu ua electrodes. Cov electrodes no tau txuas rau koj daim tawv nqaij nrog cov nplaum tshwj xeeb. Feem ntau ntawm cov khoom siv saib xyuas no yog qhov loj thiab hnyav li lub xov tooj ntawm tes ib txwm muaj.

### Cov Saib Xyuas Sab Nraud

• `(Holter monitor): Qhov no feem ntau siv los sau cov haujlwm ntawm lub plawv rau ib lossis ob hnub. Txawm li cas los xij, qee cov monitors ntawm hom no tuaj yeem sau cov ntaub ntawv rau ib lossis ob lub lis piam.
• Kev saib xyuas xwm txheej: Cov khoom siv no tsuas yog sau cov haujlwm ntawm lub plawv thaum muaj feem ntau ntawm lub plawv dhia tsis xwm yeem. Qee cov khoom siv tuaj yeem qhib thaum koj hnov ​​​​​​cov tsos mob. Lwm tus tsuas yog "mloog" koj lub plawv dhia thiab pib sau cia thaum lawv pom lub plawv dhia tsis xwm yeem. Muaj ob hom tseem ceeb:
• `(Kev Ua Ib Lub Voj Voog): Cov khoom siv no muaj `lub voj voog nco`. Ntawd yog, ob peb feeb yav dhau los thiab ob peb feeb yav tom ntej raug khaws cia rau hauv lub cim xeeb no. Thaum `qhib` tsis siv, cov ntaub ntawv qub raug rho tawm thaum cov ntaub ntawv tshiab raug ntxiv. Yog tias koj `qhib`, ob peb feeb yav dhau los thiab ob peb feeb tom qab `qhib` raug khaws cia rau kev saib tom qab.
• `(Tsis-looping)`: Cov no tsuas yog kaw rau ib lub sijhawm tom qab `activation`. Qee cov monitors no tso cai rau koj tso cov `electrodes` qhib. Thaum muaj cov tsos mob tshwm sim, koj tuaj yeem txuas cov `electrodes` thiab `activate` lub monitor kom kaw lub plawv dhia.
• `(Lub sijhawm saib xyuas tiag tiag)` (Lub sijhawm saib xyuas tiag tiag): Cov no zoo ib yam li `(Lub sijhawm saib xyuas)`. Txawm li cas los xij, cov no tuaj yeem xa cov ntaub ntawv txog kev ua haujlwm ntawm lub plawv mus rau qhov chaw saib xyuas kom tus kws kho mob tuaj yeem pom nws tam sim ntawd. Cov no tuaj yeem xa cov ntaub ntawv thaum lawv pom qhov txawv txav, lossis lawv tuaj yeem 'qhib' kom xa cov ntaub ntawv thaum koj hnov ​​​​​​cov tsos mob. Cov no muaj txiaj ntsig zoo rau cov xwm txheej uas muaj qhov txawv txav loj heev thiab xav tau kev pab kho mob sai.

### Lwm hom saib xyuas tshwj xeeb

Muaj ob hom kev saib xyuas uas ua haujlwm zoo ib yam li cov uas tau hais los saum toj no, tab sis muaj qhov sib txawv me ntsis:

• Cov cuab yeej kaw suab paj nruag: Cov no zoo li daim ntaub nplaum uas koj lo rau ntawm koj daim tawv nqaij. Txawm li cas los xij, lawv muaj txhua yam koj xav tau los nrhiav, sau, thiab khaws cia koj lub plawv ua haujlwm. Lawv tuaj yeem hnav tau li ob lub lis piam. Lawv me me txaus kom pom tsis meej hauv qab lub tsho T-shirt.
• Cov cuab yeej kaw suab uas muab tso rau hauv qab daim tawv nqaij: Cov no yog cov khoom siv me me uas tuaj yeem muab tso rau hauv qab daim tawv nqaij. Lawv tuaj yeem saib xyuas kev ua haujlwm ntawm lub plawv tau ntev heev, tej zaum txog li ob xyoos. Lawv tuaj yeem kaw cia tau lossis thaum tus neeg hnav qhib lawv. Cov ntaub ntawv tuaj yeem rub tawm tau wirelessly ntawm chaw kho mob lossis chaw ua haujlwm ntawm kws kho mob. Qhov zoo tshaj plaws ntawm qhov no yog tias koj tsis tas yuav txhawj txog kev qhib nws, thiab nws tsis ua rau muaj teeb meem thaum da dej lossis ua luam dej.

Yuav tsum tau npaj li cas ua ntej qhov kev xeem?

Tus kws kho mob, feem ntau yog ib tug kws tshwj xeeb, yuav piav qhia koj cov kev xaiv kuaj mob thiab pom zoo hom kev saib xyuas uas haum rau koj cov kev xav tau. Qhov no yuav xav txog cov yam xws li koj txoj haujlwm thiab koj nyiam.

### Yuav npaj li cas rau qhov kev xeem

Nws yog ib lub tswv yim zoo kom da dej ua ntej qhov kev kuaj. Nyob ntawm lub monitor koj siv, nws yuav siv sijhawm ib lossis ob hnub ua ntej koj tuaj yeem da dej dua tom qab tshem cov electrodes. Txawm li cas los xij, nws yog ib qho tseem ceeb kom khaws daim tawv nqaij ntawm koj lub hauv siab kom huv.

• Tsis txhob siv roj, tshuaj pleev, lossis tshuaj pleev rau ntawm daim tawv nqaij ntawm lub hauv siab. Tej zaum yuav ua rau cov electrodes tsis lo rau daim tawv nqaij thiab ua rau lub plawv tsis ua haujlwm zoo.
• Tsis tas li ntawd, hnav ib lub tsho uas yooj yim rau hnav thiab tshem tawm. Ua li ntawd, nws yuav yooj yim dua rau kev txuas cov electrodes.

Muaj dab tsi tshwm sim rau hnub uas lub monitor raug teeb tsa?

Ib tug kws kho mob lossis lwm tus kws kho mob yuav piav qhia rau koj paub yuav siv lub cuab yeej li cas, yuav siv nws li cas, thiab yuav tshem tawm thiab rov txuas cov electrodes li cas, nyob ntawm lub cuab yeej, tom qab da dej lossis ua luam dej.

Lawv kuj tseem yuav qhia koj yuav ua li cas kom nyob deb ntawm tej yam uas yuav cuam tshuam rau lub monitor, xws li qee yam khoom siv hluav taws xob thiab cov khoom siv uas muaj hlau nplaum. Lawv tuaj yeem muab daim ntawv teev cov khoom siv zoo li no rau koj, lossis koj tuaj yeem thov ib qho.

Hauv cov saib uas siv cov electrodes, cov cheeb tsam uas cov electrodes tau txuas nrog raug ntxuav nrog cawv. Yog tias muaj cov plaub hau nyob rau hauv thaj chaw ntawd, lawv raug tshem tawm. Tsuas yog tom qab ntawd cov electrodes thiaj li tuaj yeem lo rau kom raug thiab tau txais lub teeb liab meej.

Thaum hnav lub monitor, nws zoo li cas? Kuv yuav tsum ceev faj txog dab tsi?

Kev kuaj mob uas koj taug kev tau yooj yim muaj kev nyab xeeb heev thiab tsis mob . Feem ntau, txhua yam koj yuav tsum ua yog hnav thiab siv lub monitor raws li cov lus qhia. Koj cov kws kho mob, suav nrog cov kws kho mob thiab cov kws tu mob, yuav qhia koj txhua yam koj xav paub thaum koj hnav lub monitor.

Thaum lub sijhawm xeem tas lawm, koj ua dab tsi?

Thaum qhov kev sim tiav lawm, koj tuaj yeem tshem cov electrodes (yog tias lub cuab yeej muaj lawv) thiab xa rov qab lub cuab yeej. Nrog cov saib sab nraud, koj yuav muaj qee qhov khaus me me lossis liab (mob tawv nqaij) rau ob peb hnub qhov twg cov electrodes tau siv. Qhov no feem ntau yuav ploj mus hauv ob peb hnub. Yog tias qhov no tshwm sim, koj tuaj yeem nug koj tus kws kho mob yog tias muaj dab tsi koj tuaj yeem ua los pab nws kho sai dua.

Puas muaj kev pheej hmoo nrog cov khoom siv no? Cia peb paub me ntsis.

Feem ntau, qhov tshwm sim tsis zoo ntawm cov cuab yeej saib xyuas kev taug kev yog khaus lossis liab ntawm daim tawv nqaij . Qhov no feem ntau yog tshwm sim los ntawm cov nplaum uas siv los txuas cov electrodes rau ntawm daim tawv nqaij. Yog tias koj muaj daim tawv nqaij rhiab heev lossis paub (lossis xav tias) tias koj muaj kev ua xua rau cov nplaum, koj yuav tsum qhia rau koj tus kws kho mob ua ntej siv cov electrodes.

Nrog rau cov cuab yeej kaw suab paj nruag uas muab tso rau hauv lub cev, tej zaum yuav muaj qee qhov kev phiv lossis teeb meem tshwm sim - tab sis feem ntau yog me me xwb:

• Mob lossis tsis xis nyob ntawm qhov chaw ntxig: Qhov no feem ntau yuav zoo dua hauv ob peb hnub.
• Kev Kab Mob: Tsis tshua muaj, kev kis kab mob tuaj yeem tshwm sim ntawm qhov chaw ntawm lub cuab yeej. Qhov no feem ntau kho nrog cov tshuaj tua kab mob. Txawm li cas los xij, qee zaum lub cuab yeej yuav tsum tau tsiv mus rau lwm qhov chaw.
• Kev ua xua: Lwm qhov tshwm sim tsawg tsawg yog kev ua xua rau cov khoom siv hauv lub cuab yeej. Yog tias qhov no tshwm sim, lub cuab yeej yuav tsum tau tshem tawm thiab yuav tsum tau siv lwm hom monitor.
• Teeb liab tsis zoo: Qee zaum cov khoom siv no tsis tuaj yeem ntes tau hluav taws xob hauv qee qhov ntawm lub plawv kom raug. Yog tias qhov ntawd tshwm sim, cov khoom siv yuav tsum tau tsiv mus rau lwm qhov chaw uas nws tuaj yeem tau txais teeb liab meej dua.

Cov txiaj ntsig tau los li cas? Lawv qhia peb li cas?

Tom qab koj xa rov qab lub monitor, cov kws kho mob thiab lwm cov neeg ua haujlwm kho mob yuav rub tawm cov ntaub ntawv thiab ntxiv rau hauv koj cov ntaub ntawv kho mob rau koj tus kws kho mob los tshuaj xyuas. Tom qab tus kws kho mob tshuaj xyuas cov ntaub ntawv, nws yuav muaj peev xwm kuaj mob. Tom qab ntawd, nyob ntawm koj qhov kev xav tau thiab cov txheej txheem ntawm lub tsev kho mob, koj yuav tau txais kev ceeb toom los ntawm xov tooj lossis lwm txoj hauv kev. Lub sijhawm ntawd, tus kws kho mob yuav piav qhia txog qhov tshwm sim qhia thiab koj yuav tsum ua dab tsi tom ntej. Qee zaum, koj yuav raug hais kom rov qab los ntsib kws kho mob lossis, yog tias tsim nyog, xa mus rau lwm tus kws tshwj xeeb.

Thaum twg koj yuav tsum hu rau kws kho mob? Yuav tsum paub txog tej no.

Koj tus kws kho mob thiab nws cov neeg ua haujlwm yuav qhia koj thaum twg yuav tsum hu rau lawv lub chaw ua haujlwm. Lawv kuj tseem yuav muab tus xov tooj tshwj xeeb 24 teev rau koj hu yog tias koj muaj lus nug txog lub monitor.

Yog tias koj muaj lub cuab yeej implantable loop recorder (ILR) thiab koj muaj ib qho ntawm cov tsos mob hauv qab no ntawm kev kis kab mob , koj yuav tsum hu rau koj tus kws kho mob lub chaw ua haujlwm tam sim ntawd:

• Kub taub hau, txias thiab tshee hnyo.
• Hnov qhov sov so thaum kov thaj chaw uas lub cuab yeej tau teeb tsa.
• Muaj qhov o los yog liab nyob rau thaj chaw ntawd.
• Ib qho kua dej zoo li kua qaub los yog ntshav tawm ntawm qhov phais.

Yuav siv sijhawm ntev npaum li cas thiaj paub cov txiaj ntsig ntawm qhov kev xeem?

Lub sijhawm siv los pom cov txiaj ntsig sib txawv. Nws nyob ntawm hom monitor siv, lub sijhawm ntawm kev saib xyuas, thiab lub sijhawm ntawm lub tsev kho mob thiab kws kho mob. Koj tuaj yeem nug lawv tias yuav siv sijhawm ntev npaum li cas thiaj li tau txais cov txiaj ntsig.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Yog li ntawd, qhov "ambulatory monitor" no yog ib qho kev kuaj mob tseem ceeb thiab muaj kev nyab xeeb heev. Tshwj xeeb, nws pab tau zoo heev rau kev txheeb xyuas qhov tsis sib xws ntawm lub plawv dhia uas tshwm sim sai sai thiab tsuas yog tshwm sim hauv lub neej txhua hnub. Yog tias koj tus kws kho mob hais kom koj ua qhov kev kuaj mob no, tsis muaj laj thawj yuav tsum ntshai nws. Kuv vam tias tsab xov xwm no tau muab kev nkag siab zoo dua rau koj txog nws. Yog tias koj muaj lus nug, nrog koj tus kws kho mob tham thiab nrhiav paub ntau ntxiv. Nyob zoo!

Kab mob plawv, kev ntsuas kev taug kev, lub plawv dhia ceev, arrhythmia, Holter monitor, kev kuaj plawv, ECG