Nkhani ya kugunda kwa mtima wanu - Zonse zokhudza mayeso a ECG (Electrocardiogram)!

Kodi munayamba mwachitidwapo ECG? Kapena kodi dokotala kapena namwino wanu anakupemphanipo kuti muyesedwe? Mwina izi zikumveka zoopsa komanso zazikulu kwa inu. Koma ECG kwenikweni ndi mayeso osavuta, osapweteka , koma ofunikira kwambiri. Lero, tikambirana za ECG, zomwe imachita, komanso zomwe ingatiuze m'njira yosavuta komanso yomveka bwino.

Kodi ECG (Electrocardiogram) ndi chiyani?

Mwachidule, ECG (electrocardiogram) ndi mayeso omwe amalemba momwe magetsi a mtima wanu amagwirira ntchito . Makamaka, imayesa mafunde ang'onoang'ono amagetsi omwe amapangidwa mtima wanu ukagunda. Madokotala amagwiritsa ntchito izi pazinthu zambiri, monga kuwona mavuto a kugunda kwa mtima kapena kuwona momwe chithandizo china chikukhudzira mtima wanu.

Iyi ndi mayeso achangu kwambiri komanso osavulaza. Mutha kuchita izi muli pabedi. Nthawi zina ECG imatengedwanso ngati gawo la "mayeso opsinjika maganizo" panthawi yochita masewera olimbitsa thupi. Mwina mudamvapo kuti "mawotchi anzeru" ena tsopano amatha kutenga ECG. Komabe, chinthu chabwino kwambiri kuchita ndikupempha dokotala kuti achite ECG yoyenera ndikuwunikanso lipotilo .

Mwina munamvapo kuti amatchedwa ECG ndi EKG. Musadandaule, ndi chinthu chimodzi . Mawu akuti EKG amachokera ku chilankhulo cha Chijeremani, komwe chilembo 'k' chimagwiritsidwa ntchito m'malo mwa chilembo 'c'.

Chofunika: Kodi ECG (Electrocardiogram) ndi yosiyana ndi ``Echocardiogram''? ``Echocardiogram'' ndi ``Ultrasound scan'' ya mtima. Imawonetsa zithunzi za momwe mtima ukugunda. ECG imayang'ana momwe magetsi a mtima amagwirira ntchito.

Kodi pali mitundu ina ya ECG?

Inde, pali mitundu ingapo ya makina a ECG. Madokotala amagwiritsa ntchito makinawa kutengera nthawi yomwe amafunika kuyang'anira kugunda kwa mtima wanu. ECG yachizolowezi imachitika kuchipatala kapena ku ofesi ya dokotala. Imalemba zochitika zamagetsi za mtima kwa nthawi yochepa kwambiri (nthawi zambiri masekondi 10) . Ndiye, taganizirani ngati muli ndi vuto la mtima lomwe silichitika nthawi zonse, koma nthawi zina, mungaphonye ngati simulandira ECG nthawi yomweyo. Zili ngati intaneti yathu yakunyumba yatha ndipo ikugwira ntchito bwino mpaka wina atabwera kudzakonza.

Choncho, palinso mitundu ina ya ECG yomwe ingagwiritsidwe ntchito nthawi ngati izi:

• ECG yokhazikika ya 12-lead: Iyi ndi mtundu womwe nthawi zambiri mumalandira mukapita kukaonana ndi dokotala. Simudzaloledwa kutenga chipangizochi kupita nacho kunyumba.
• Chowunikira cha nthawi yochepa chomwe chimavalidwa - mwachitsanzo chowunikira cha Holter: Ichi ndi chipangizo chaching'ono. Mumachivala kwa maola 24 kapena 48. Chimalemba nthawi zonse momwe magetsi a mtima wanu amagwirira ntchito zanu zatsiku ndi tsiku.
• Chowunikira chochitika: ChipangizochiIyenera kuvalidwa kwa sabata imodzi kapena kuposerapo. Mukakhala ndi chizindikiro (monga matenda a mtima), mutha kudina batani ndikulemba kugunda kwa mtima wanu panthawiyo.
• Chojambulira cha loop choikidwa: Ichi ndi chipangizo chaching'ono kwambiri chomwe dokotala amachiyika pansi pa khungu lanu . Chingasiyidwe pamalo pake kwa zaka zingapo.
• Kuchita ECG (Kuyesa Kupsinjika): Mu izi, mumalumikizidwa ku makina a ECG ndipo ECG imatengedwa mukamayenda pa ``(Treadmill). Izi zimachitika kuti muwone momwe mtima wanu umayankhira mukapanikizika.

Kodi ECG imachitika liti?

Dokotala angasankhe kuchita mayeso a ECG pazifukwa zosiyanasiyana. Zofunikira kwambiri ndi kuzindikira kapena kutsimikizira matenda ena:

• Kusakhazikika kwa kayimbidwe ka mtima (Arrhythmia) kapena kusayenda bwino kwa zizindikiro zamagetsi.
• Kuchepa kwa magazi kupita ku minofu ya mtima (ischemia) - Izi zitha kuchitika chifukwa cha matenda a mitsempha ya mtima.
• Vuto ndi ma valve a mtima wanu.
• Matenda a mtima obadwa nawo - matenda a mtima omwe amapezeka pobadwa.
• Fufuzani ngati munadwalapo matenda a mtima kapena munadwalapo kale.
• Yang'anani ngati zipinda za mtima zakula.
• Yang'anani ngati mtima wawonongeka kapena ngati mtima walephera kugwira ntchito.

Komanso, madokotala amagwiritsa ntchito ECG kuti:

• Musanachite opaleshoni yaikulu, onetsetsani kuti mtima wanu wakonzeka.
• Ngati muli pachiopsezo chachikulu cha matenda a mtima, yang'anani thanzi la mtima wanu.
• Ngati muli ndi pacemaker, onani momwe imagwirira ntchito.
• Onani momwe mankhwala atsopano a matenda a mtima amagwirira ntchito.
• Yang'anani momwe mtima umagwirira ntchito mukadwala matenda a mtima.

Dokotala akhoza kulamula ECG ngati muli ndi zizindikiro izi:

• Kupweteka pachifuwa
• Kupuma movutikira
• Ngati mukumva kutopa kwambiri (Kutopa)
• Chizungulire
• Kukomoka / kukomoka
• Cyanosis / manja ndi mapazi abuluu
• Kugunda kapena kugwedezeka mumtima mwanu
• Ngati mukumva ngati mtima wanu ukugunda mofulumira (kugunda kwa mtima mwachangu)
• Kulephera kuwonjezera magazi kupita kumtima ngati pakufunika panthawi yochita masewera olimbitsa thupi (Chronotropic incompetence)

Kodi mayeso a ECG amagwira ntchito bwanji?

Mtima wanu uli ndi chipangizo chachilengedwe chothandizira pacemaker. Chimatumiza chizindikiro chamagetsi chomwe chimayambitsa kugunda kwa mtima wanu. Makina a ECG amalemba chizindikiro chamagetsi ichi ndikulemba momwe chimayendera mumtima mwanu, momwe minofu ya mtima imagwirira ntchito ndikupumula, ndi kugunda kulikonse kwa mtima. Chidziwitsochi chimawonetsedwa pa kompyuta ngati mawonekedwe a mafunde (kaya pa pepala la graph kapena pazenera) . Madokotala amatha kudziwa momwe mtima wanu ulili powuyang'ana.

ECG nthawi zambiri imayitanidwa kapena kuchitidwa ndi dokotala wa mtima. Komabe, ingathenso kuchitika mu ambulansi, chipinda chadzidzidzi, kapena mukapita kwa dokotala wamba. Mutha kuchitidwa ECG mu ofesi ya dokotala, kuchipatala, kapena kuchipatala chakunja.

Kodi mumakonzekera bwanji ECG?

Mukhoza kudya ndi kumwa bwino musanachite ECG. Koma kumbukirani zinthu izi musanavale tsiku la ECG yanu:

• Musamapaka mafuta kapena mafuta pakhungu (ma kirimu, mafuta odzola) chifukwa ma electrode sangalumikizane bwino ndi khungu.
• Musamavale zovala zoyera zazitali, chifukwa izi zidzafuna kuti ma electrode azilumikizidwa ku miyendo.
• Valani shati yosavuta kuchotsa, chifukwa ma electrode adzalumikizidwa pachifuwa chanu.

Kodi chimachitika ndi chiyani ECG ikachitika?

Wothandizira zachipatala kapena namwino adzalumikiza "ma electrode" pafupifupi 12 ndi mapepala ang'onoang'ono omatira pachifuwa panu, m'manja, ndi m'miyendo. Kawirikawiri, "ma electrode" asanu ndi limodzi amamangiriridwa pachifuwa panu ndipo asanu ndi limodzi amamangiriridwa m'manja ndi m'miyendo panu. Chidziwitso chochokera ku "masensa" awa chimatumizidwa ku makina kudzera mu "mawaya" kapena "ma leads." Ndicho chifukwa chake chimatchedwa "12-lead ECG."

Kuti mulumikizane bwino, mungafunike kumeta tsitsi lina m'malo amenewo. Zimatenga mphindi 10 kuti mulumikize ma electrode ndikumaliza mayeso a ECG. Komabe, ntchito ya mtima imalembedwa m'kanthawi kochepa kwambiri, pafupifupi masekondi 10.

Ngati muli ndi "ECG yopumula", muyenera kugona pabedi ndikupumula. Ngati muli ndi "mayeso opsinjika maganizo", muyenera kuyenda pa "treadmill".

Kompyuta imapanga chithunzi (kaya pa pepala la graph kapena pazenera) cha mafunde amagetsi akudutsa mumtima mwanu. Simudzamva kupweteka kapena kusasangalala pamene chidziwitsocho chikutumizidwa ku kompyuta kuchokera ku ma electrode.

Ma electrode adzakhalabe pakhungu lanu mpaka mayeso a ECG atatha.

Kodi chimachitika ndi chiyani pambuyo pa ECG?

Mayeso akatha, dokotala kapena namwino adzachotsa ma electrode patches onse. Pambuyo pake, mutha kuchita ntchito zanu zachizolowezi. Zosavuta kwambiri, eti?

Kodi ECG imasonyeza chiyani?

Poyang'ana ECG, dokotala amaona makamaka kuchuluka kwa ntchito zamagetsi zomwe zilipo, mphamvu yake, komanso nthawi yomwe imadutsa pakati pa magawo osiyanasiyana a mafunde amagetsi ('mafunde kapena ma peaks').

Zigawo zazikulu za ECG ndi zomwe zimawerengedwa ndi izi:

• Zipinda ziwiri zapamwamba za mtima wanu ('Atria') - komwe kugunda kwa mtima kumayambira - zimapanga mafunde oyamba, 'P wave' .
• Zipinda ziwiri pansi pa mtima wanu ('Ventricles') ndi zomwe zimapanga phiri lalikulu lotsatira, QRS complex .
• Mafunde achitatu, 'T wave', amasonyeza momwe mtima ukupumira, kapena 'kuchira', ukagunda.

Kodi pali zoopsa zilizonse pa mayesowa?

ECG ndi mayeso osavuta kwambiri. Sikutanthauza kuti pali kuwala kapena magetsi omwe amatumizidwa m'thupi lanu. Mutha kumva kufiira ndi kuyabwa pamene mabala omata achotsedwa. Kupatula apo, si vuto lalikulu. Choncho palibe chifukwa chodera nkhawa.

Kodi zotsatira zake zimapezeka bwanji? Kodi zimati chiyani?

ECG yabwinobwino komanso yathanzi iyenera kukhala ndi mawonekedwe ofanana a mafunde obwerezabwereza. Kugunda pang'ono ('P wave'), kenako kukwera ('QRS complex'), kenako kugunda kwina kakang'ono ('T wave'), zonse mu mawonekedwe omwewo komanso nthawi yomweyo. Izi zikutanthauza kuti mtima wanu ukugunda nthawi zonse komanso mozungulira.

Mafunde osazolowereka ndiyo njira yokhayo yodziwira vuto. Poyang'ana kusintha kwa ECG, dokotala amatha kudziwa gawo la mtima lomwe silikugwira ntchito bwino kapena mtundu wa vuto lomwe lili. Njira yogunda kwa mtima ndi yovuta kwambiri, ndipo mbali zambiri za mtima zimakhudzidwa.

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Ngati zotsatira za ECG yanu zikupezeka nthawi yomweyo, dokotala wanu adzatha kukuuzani zambiri za izo nthawi yomweyo, makamaka ngati mukufuna chithandizo chadzidzidzi. Komabe, ngati ECG yanu idachitidwa ngati mayeso achizolowezi kapena ngati gawo la mayeso angapo musanachite opaleshoni yosagwirizana ndi mtima, zingatenge masiku angapo kuti mupeze zotsatira.

Dokotala wanu adzasunganso zolemba zanu za ECG kuti aziziyerekeza ndi ma ECG amtsogolo.

Ngati zotsatira zake sizili bwino, kodi muchita chiyani kenako?

Chochita kenako chimadalira chifukwa cha ECG.

• Tangoganizirani kuti muli ndi pacemaker, ndipo ngati ECG ikuwonetsa kuti sikugwira ntchito bwino, dokotala angasinthe makonda ake.
• Ngati ECG ikupangitsa kuti munthu azikayikira za matenda, dokotala wanu angakupempheni kuti mupimidwenso (monga echocardiogram, stress test, magazi) kuti atsimikizire zimenezi.
• Ngati ECG ikutsimikizira kuti muli ndi vuto la mtima, dokotala wanu akhoza kukupatsani mankhwala oyenera, mankhwala ena, kapena opaleshoni.

Kodi ndiyenera kukaonananso ndi dokotala?

Muyenera kuwona dokotala wanu kachiwiri pazochitika izi:

• Nanga bwanji ngati papita masiku angapo kuchokera pamene ECG inachitidwa ndipo simunamve chilichonse chokhudza zotsatira zake?
• Ngati zizindikiro zanu (monga kupweteka pachifuwa, kupuma movutikira) zili zoipa kwambiri kuposa kale musanayambe ECG.
• Ngati muli ndi mafunso ena okhudza zomwe dokotala wanena, choti muchite kenako, kapena ngati pali chilichonse chomwe muyenera kufotokoza.

Pomaliza, kumbukirani izi.

Ndizachilendo kumva mantha pang'ono komanso mantha tikamva za mayeso a mtima. Koma tsopano mukudziwa kuti ECG (Electrocardiogram) ndi mayeso achangu, osapweteka, komanso ofunikira kwambiri . Chidziwitso chomwe chimapereka chingauze dokotala wanu zambiri zokhudza kugunda kwa mtima wanu komanso thanzi la mtima wanu.

Kutengera ndi zotsatira za ECG, mutha kuyamba chithandizo chomwe mukufuna mwachangu, zomwe zingakuthandizeni kukhala ndi thanzi labwino komanso thanzi labwino. Chifukwa chake, musaope kufunsa dokotala wanu mafunso aliwonse omwe muli nawo okhudza ECG, ngakhale atakhala ochepa bwanji. Alipo kuti akuthandizeni.

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