Kei te pēhia tō uma e te kaha rawa, kei te tere rānei tō ngākau? Kei te pōuri koe, kei te ngoikore rānei i ētahi wā? Tērā pea kua kōrero atu tō tākuta ki a koe mō te "Holter Monitor" hei āwhina i te kimi i te pūtake o ēnei tohu. Nō reira, kaua e mataku ina rongo koe i te ingoa. He whakamātautau tino māmā, kāore he mamae. Me titiro tātou ki te aha, me pēhea te mahi, me ngā mea me mōhio koe i a koe e mau ana.
He aha rawa te Aroturuki Holter?
He kupu ngāwari noa iho, he taputapu iti te Aroturuki Holter ka mau koe. He mīhini mama, he pākahiko te rahi, he rite te rahi ki te kete kāri. He mīhini ECG tēnei e hopu ana i te mahi a tō ngākau i a koe e hikoi ana. I roto i ngā kupu hauora, ka kiia tēnei he "hiko hiko ā-roto".
Ko te ECG, e kitea ana i te hōhipera, ka hopukina noa te mahi hiko o tō ngākau i taua wā tonu. Engari ko te Holter Monitor ka hopukina tonutia te manawataki me te tere o tō ngākau mō te wā roa, pērā i te 24, 48 rānei hāora . Mā tēnei ka hoatu he tirohanga whānui ki tō tākuta mō te whanonga o tō ngākau i a koe e mahi ana i ō mahi o ia rā.
Ka honoa tēnei taputapu ki ngā waea me ngā tapanga iti ka whakapirihia ki tō uma (ngā hikohiko). Ka taea e koe te mau i raro i ō kākahu me te mahi i ō mahi o ia rā.
Engari he mea tino nui tēnei: Kāore te Aroturuki Holter e tuku mōhiohio tonu ki te tākuta. Ko te tikanga ehara i te aroturuki 'wā-tūturu'. Mena ka pāngia koe e ngā tohu kino (pēnei i te mamae o te uma, te uaua ki te manawa), me haere tonu koe ki te Tari Ohotata (ETU) tata.
Me pēhea te mahi a tēnei mīhini iti?
He rite tonu te mahi a te aroturuki Holter ki te mīhini ECG. Arā, ka ine i te ngohe hiko o te ngākau. Heoi, ahakoa he torutoru meneti noa iho te roa o te ECG, nā te mea ka mau koe mō te rā kotahi, e rua rānei, he nui ake te tūponotanga ka "hopu" i ngā āhuatanga rerekē o te ngākau kāore e puta i ngā wā katoa.
Whakaarohia kotahi, e rua rānei ngā wā ka pāngia koe e te mate manawa i te rā. Ki te kore koe e pāngia e taua mate manawa i te wā e whiwhi ana koe i te ECG, kāore te pūrongo ECG e whakaatu i tētahi rerekētanga. Engari ki te mau koe i te aroturuki Holter, ka tuhia te wā tika o te mate manawa.
He aha te take e whakamahia ai te Aroturuki Holter?
- Kimihia te pūtake o te ngakau pākiki koretake (arrhythmias), te mamae o te uma, me te whanoke kāore e taea te whakamārama.
- Tirohia te whai huatanga o ētahi rongoā mō te mate ngakau.
E toru ngā wāhanga matua o tēnei taputapu:
1. Ngā hikohiko:He tapanga iti ēnei ka whakapirihia ki te kiri o tō uma. Ka hopukina e ēnei ngā tohu hiko o tō ngākau.
2. Waea: Ka haria ngā mōhiohio e whiwhihia ana mai i ngā irahiko ki te pūrere matua mā roto i ēnei waea.
3. Aroturuki Holter: He pouaka iti tēnei, e whakahaerehia ana e te pākahiko, e tuhi ana i ngā mōhiohio. Ka taea e koe te kawe i roto i tō pēke, te whitiki rānei i tō kaki, i tō hope rānei.
He aha ngā mea me mōhio koe ina mau ana koe i te Aroturuki Holter?
Kāore e nui te whakarite e hiahiatia ana mō tēnei. Heoi, he mea whakaaro nui kia kaukau pai i mua i te whakamau i te taputapu. Ehara i te mea pai kia kaukau, kia mākū rānei te taputapu i a koe e mau ana.
Ina haere koe ki te hōhipera, ki te whare hauora rānei, mā te nēhi, mā te kaimahi hauora rānei koe e āwhina ki te whakakakahu i tēnei.
- Te whakatakotoranga hiko: Ka whakatakotoria e rātou kia rua, neke atu rānei ngā hiko ki tō uma i ngā wāhi kua tohua. Mena he tāne koe, me heu pea ētahi o ngā huruhuru o tō uma kia piri pai ai ngā hiko.
- Te hono i te mata tirotiro: Kātahi ka honoa koe ki ngā irahiko me te mata tirotiro mā te whakamahi i ngā waea, ā, ka whakamāramahia hoki me pēhea te tiaki.
- Te wāhi hei pupuri i te aroturuki: Ka taea e koe te whaowhina ki roto i te pōke, ka taea rānei e koe te whaowhina ki roto i te pēke iti e haere tahi mai ana me te mea nei, ka whakairi ki tō kaki, ki tō hope rānei.
- Te tuhi i ngā mahi me ngā tohu (koinei te wāhanga tino nui): Ka hoatu he pukapuka iti, he pepa rānei ki a koe, ā, ka tonoa koe kia tuhi i ō mahi o ia rā me ngā tohu katoa e pā ana ki a koe (pēnei i te poto o te manawa, te kikī o te uma, te mamae o te uma) me te wā. Hei tauira, ka taea e koe te tuhi, "I te kawe kakahu ahau i runga i te papa i te 10:30 i te ata pea ka rongo ahau i te kikī o taku uma." Mā tēnei ka āwhina i te tākuta ki te whakataurite i ngā huringa i runga i tō ECG i te wā i tīmata ai ō tohu.
He aha ētahi mea kāore e tika ana kia mahia e koe i a koe e mau ana i tēnei?
I a koe e mau ana i te Holter Monitor, he mea nui kia matara atu i ngā mea ka whakararuraru i tana mahi tika.
| Ngā mea hei karo | Whakaahuatanga |
|---|---|
| Kaua e mākū. | Kaua e kaukau, kaua e kaukau, kaua hoki e horoi i te tinana. Tērā pea ka pakaru te taputapu i te wai. |
| Ētahi whakamātautau hauora | Kaua e whakamātauria ngā hihi-X. |
| Ngā papa hiko me ngā papa aukume | Kaua e whakatata ki ngā waea hiko-tiketike, ki ngā aukume kaha, me ngā taputapu kimi whakarewa (kei ngā taunga rererangi me ētahi toa). |
| Ētahi atu taputapu hiko | Āta karohia te whakamahi i ngā mea pēnei i ngā oumu ngaruiti, ngā paraihe niho hiko, ngā heu, me ngā paraikete hiko kia tata rawa ki te mata tirotiro. |
Ka aha ina pau ngā hāora 24/48?
I muri i te wā kua whakaritea, me hoki koe ki te hōhipera ka tuku mai i te aroturuki me te pukatuhi i tuhia e koe. I reira, ka tangohia marietia e rātou ngā hikohiko ka whakahokia anō. Whai muri i tēnā, ka tātarihia e te tohunga hangarau tō ECG me ō tuhipoka, ka tukuna atu he pūrongo katoa ki tō tākuta ngakau.
He mōrearea kei roto i tēnei?
Kāore rawa. Kāore he mamae, he mōrearea rānei o te mau i te Holter Monitor. Tērā pea ka pāngia ētahi tāngata e te mākūkū, te whero rānei o te kiri nā te rīpene kei runga i ngā irahiko. Mena he mate pāwera koe ki ngā pāreti, ki te rīpene piri rānei, me whakamōhio atu ki te kaimahi i mua i te mau i te monitor.
He aha te kōrero a te pūrongo?
Kia tae atu te pūrongo ki a koe, ka arotakehia e tō tākuta, ka hoatu hoki ngā taipitopito ki a koe. I te nuinga o te wā ka puta ngā hua i roto i te wiki, i ngā wiki e rua rānei. Tērā pea ka rapua e te pūrongo ngā manawataki o te ngākau rerekē (arrhythmias). Ko ētahi tauira ko:
- Te fibrillation atrial: He pā tere, he koretake hoki te mahi a ngā rūma o runga o te ngākau (atria).
- Bradycardia: He tere ake te tere o te ngakau i te mea noa (palpitations).
- Tachycardia: He tere o te manawa (he tere ake te manawa) i te mea noa.
- Ngā whakahekenga o te ventricle o mua (PVC): Ngā whakahekenga o te ngakau o mua rawa atu e puta ana i ngā rūma o raro (ventricles) o te ngākau.
He aha tāu e mahi ai i muri mai mēnā he raruraru kei roto i te pūrongo?
Mena he raruraru kei roto i tō pūrongo, ka kōrero te tākuta ki a koe mō te mea hei mahi i muri mai. Kei roto pea i tēnei:
- Kei te mahi i ētahi atu whakamātautau ngākau.
- Te tīmata rongoā, te whakawhiti rānei i ngā rongoā o nāianei.
- Te whakaurunga o tētahi taputapu, pērā i te taputapu whakatere manawa, hei whakahaere i te tere o te manawa.
- Te taunaki i ngā maimoatanga pēnei i te "Cardioversion" me te "Ablation" hei whakaora i te manawataki o te ngakau.
Āhea ahau me waea atu ki te tākuta?
Mena ka pā mai ētahi raruraru i a koe e mau ana i te aroturuki, waea atu ki tō tākuta, ki te hōhipera rānei.
- Mena he hapa kei te Aroturuki Holter e whakamahia ana e koe.
- Mena he pātai āu mō te whakamahi i te aroturuki.
- Mena ka wetekina tetahi hiko e piri ana ki te uma.
- Mena kei te pāngia koe e ētahi tohu mamae o te ngākau, e whakapae ana rānei.
Kia maumahara, he whakamātautau noa iho tēnei. Mēnā ka pāngia koe e tētahi āhuatanga ohorere, pērā i te mamae nui o te uma, te poto rānei o te manawa, haere tonu ki te Tari Ohorere (ETU).
Ka taea e tēnei te āwhina ki te kite i te manukanuka?
Kāo, kāore e taea e te Aroturuki Holter te kite tika i te manukanuka. Heoi, ki te mea ka pāngia koe e te manukanuka, ka tuhia e te aroturuki aua pāngia. Koia te hiranga o tō rātaka. Ki te tuhia e koe "I pāngia ahau e te manukanuka/te ahotea" ina pāngia koe e te pāngia, ka mārama tō tākuta ki te hononga.
He aha te rerekētanga i waenga i te ECG me te Holter Monitor?
He "whakaahua poto" te ECG o te āhua o tō ngākau i tēnei wā. He torutoru meneti noa iho e whakaatu ana.
He rite te Aroturuki Holter ki tētahi "ataata" o ngā mahi a tō ngākau i te roanga o te rā. Mā tēnei ka mārama ake tō tākuta ki te whanonga o tō ngākau i te roanga o te rā.
Karere Tangohia ki te Kāinga
- He whakamātautau haumaru, kore mamae te Aroturuki Holter e tirotiro ana i te manawataki o tō ngakau mō te rā kotahi, e rua rānei.
- He tino āwhina tēnei mō te kimi i te pūtake o ngā tohu pēnei i te mamae o te uma me te hemonga.
- I a koe e mau ana i te taputapu, he mea tino nui kia tuhia ō tohu me ō mahi i roto i te wā.
- Kaua e tukua te taputapu kia mākū. Me pupuri hoki kia matara atu i ngā papa hiko me ngā papa aukume kaha.
- He taputapu tātaritanga noa iho tēnei. Mēnā ka puta he tohu ohorere, kino hoki, haere tonu ki te Tari Urupare (ETU).
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