Mukufuna kudziwa bwino momwe mtima wanu umagwirira ntchito? Ndiye tiyeni tikambirane za Holter Monitor!

Kodi nthawi zina mumamva chinthu chachilendo, ngati thud m'chifuwa mwanu? Kapena mwadzidzidzi mumamva chizungulire kapena kuvutika kupuma? Mwina dokotala wanu wakuuzani kuti "muvale Holter Monitor." Ndiye, kodi Holter Monitor iyi ndi chiyani? Tiyeni tikambirane mwachidule, mwanjira yomwe mungamvetse. Palibe choopa, ndi chosavuta.

Kodi Holter Monitor iyi ndi chiyani?

Mwachidule, Holter monitor ndi makina ang'onoang'ono a EKG omwe mungathe kuvala ndi kunyamula. Nthawi zambiri, EKG yomwe timalandira kuchipatala imangoyang'ana momwe mtima wanu ukugwirira ntchito panthawiyo. Koma Holter monitor imalemba kugunda kwa mtima wanu ndi kugunda kwa mtima wanu mosalekeza kwa maola 24 kapena 48. Izi zimapatsa dokotala wanu kumvetsetsa bwino momwe magetsi a mtima wanu amasinthira pamene mukuchita ntchito zanu za tsiku ndi tsiku.

Taganizirani ngati kabokosi kakang'ono ka makadi osewerera, chipangizo chaching'ono, chopepuka, chogwiritsa ntchito batire. Chili ndi waya womangiriridwa ndi ma electrode angapo , monga zomata zazing'ono, zomwe mumamatira pakhungu lanu. Mutha kuvala chowunikira ichi pansi pa zovala zanu ndikuchita ntchito zanu zatsiku ndi tsiku monga mwachizolowezi.

Chipangizo chaching'ono ichi chimatchedwa "Holter" potengera dzina la Dr. Norman J. Holter, yemwe adachipanga m'ma 1950.

Kodi chowunikira cha Holter chimagwira ntchito bwanji?

Monga tanenera kale, chowunikira cha Holter chimasonkhanitsa zambiri zokhudza momwe mtima wanu umagwirira ntchito, monga momwe zimachitikira nthawi zonse pa EKG (electrocardiogram) . Kusiyana kwake ndikuti EKG imangochitika kwa mphindi zochepa, koma chowunikira cha Holter chimavalidwa kwa tsiku limodzi kapena awiri, kotero nthawi zambiri chimapezeka ndi vuto lililonse la mtima.

Ngati EKG yokhazikika sipereka zotsatira zomveka bwino, chowunikira cha Holter chingathandize kudziwa chomwe chimayambitsa matenda monga:

• Matenda a mtima, ndiko kuti , arrhythmias .
• Kugunda kwa mtima ndi kumva mwadzidzidzi kwa mtima wanu kugunda, kutanthauza kugunda kwa mtima mofulumira kapena kupweteka pachifuwa.
• Chizungulire chosamveka bwino.

Kuphatikiza apo, dokotala wanu angagwiritse ntchito chowunikira cha Holter ichi kuti awone momwe mankhwala anu alili othandiza ngati mukumwa mankhwala a matenda a mtima.

Kodi chowunikira cha Holter chimagwira ntchito bwanji?

Ndi zophweka kwambiri. Ma electrode (ali ngati zomata zazing'ono) zomwe zimayikidwa pachifuwa panu zimazindikira momwe magetsi a mtima wanu akuyendera. Kenako chidziwitsocho chimatumizidwa kudzera pa waya zazing'ono kupita ku chowunikira cha Holter chomwe mumavala m'thumba mwanu kapena kwina kulikonse pathupi lanu. Chowunikirachi chimalemba zonsezo kuti chiwunikidwenso mtsogolo.

Chofunika kwambiri ndichakuti dokotala asamayang'anire chowunikiracho nthawi zonse pamene mukuvala. Detayo idzapezeka ndi kufufuzidwa pokhapokha mutabweza chowunikiracho.

Kodi mumakonzekera bwanji musanavale chowunikira cha Holter?

Ndipotu, simukuyenera kuchita chilichonse chapadera kuti muvale chowunikira cha Holter. Koma pali chinthu chimodzi. Popeza si bwino kunyowetsa chowunikiracho mutachiyika, ndi bwino kusamba bwino ndikutsuka thupi lanu musanachiyike. Ndiye kusasamba kwa tsiku limodzi kapena awiri sikudzakhala vuto lalikulu.

Kodi mungayembekezere chiyani mukamavala chowunikira cha Holter?

Dokotala kapena munthu wophunzitsidwa bwino ntchito imeneyi adzakulumikizani chowunikira ichi. Mukatero, mutha kuchita zinthu zanu zachizolowezi. Izi ndi zomwe zimachitika:

• Ma electrode adzaikidwa pachifuwa panu: Nthawi zambiri, ma electrode awiri kapena kuposerapo adzaikidwa. Nthawi zina, mungafunike kumeta tsitsi lina pachifuwa panu kuti muwonetsetse kuti ma electrodewo alumikizidwa bwino. Musadandaule, izi zimangochitika kuti ma electrodewo alembe bwino zizindikiro za mtima.
• Zimakuthandizani kuyika chowunikira: Zimalumikiza chowunikiracho ku ma electrode pogwiritsa ntchito mawaya ndikufotokozera momwe mungachisamalire.
• Pezani malo osungira chowunikira: Mutha kunyamula chowunikira mtima ichi m'thumba, kapena kuchivala pa lamba wozungulira khosi, m'chiuno, kapena paphewa panu.
• Zimakuphunzitsani momwe mungalembere zochita zanu ndi zizindikiro zanu: Izi ndizofunikira kwambiri. Ngati mukukumana ndi zizindikiro monga kupuma movutikira, kugunda kwa mtima kosasinthasintha kapena kusafanana, kapena kupweteka pachifuwa , muyenera kulemba nthawi yomwe zinachitika komanso zomwe munkachita panthawiyo.
• Tangoganizani kuti munanyamula zovala m'mwamba pafupifupi 10:30 m'mawa ndipo munamva kupweteka pachifuwa. Ngati munalemba, dokotalayo akanatha kuona zomwe zinachitika pa EKG yanu panthawiyo. Bukuli ndi lofunika kwambiri pakupeza matenda olondola.

Kodi ndi zinthu ziti zomwe simuyenera kuchita mukamavala chowunikira cha Holter?

Mukhoza kuchita zambiri zomwe mumachita nthawi zonse, kuphatikizapo kugona, mukuvala chowunikira cha Holter. Komabe, muyenera kupewa zinthu izi mukuvala chowunikira cha mtima ichi:

• Kusamba, kusamba, kapena kusambira.
• Kuyesedwa ndi X-ray .
• Kuyandikira malo okhala ndi magetsi ambiri, maginito, kapena zowunikira zitsulo.
• Kugwiritsa ntchito zipangizo zina zamagetsi (monga ma microwave, ma burashi a mano amagetsi, ma leza, kapena mabulangeti amagetsi) kungasokoneze magwiridwe antchito a chowunikiracho chifukwa cha mafunde amagetsi.

Kodi chimachitika ndi chiyani mukatha kugwiritsa ntchito chowunikira cha Holter?

Pambuyo poti nthawi ya maola 24 kapena 48 yomwe mudapatsidwa yatha:

• Muyenera kubwerera mmbuyo ndikupereka chowunikira. Kenako adzachotsa ma electrode ndikuwayikanso.
• Kenako, dokotala kapena katswiri adzasonkhanitsa zolemba zanu zonse za EKG ndi zolemba zomwe mudalemba, kuzisanthula, ndikutumiza lipoti kwa dokotala wanu wa mtima.

Kumbukirani, dokotala samayang'anira ntchito ya mtima wanu nthawi zonse panthawi yoyezetsayi. Chifukwa chake ngati mukumva zizindikiro zilizonse zosasangalatsa mukuvala chowunikira kapena mutachigwiritsa ntchito, funsani upangiri wa dokotala nthawi yomweyo.

Kodi pali zoopsa kapena zotsatirapo zilizonse za Holter monitor?

Palibe zoopsa zazikulu kapena ululu wokhudzana ndi kuvala chowunikira cha Holter. Anthu ena amatha kukwiya pang'ono pakhungu kapena kufiira chifukwa cha tepi kapena zomatira zomwe zimagwiritsidwa ntchito polumikiza ma electrode. Ngati muli ndi vuto la mtundu uliwonse wa tepi kapena zomatira, onetsetsani kuti mwadziwitsa dokotala wanu pasadakhale.

Kodi zotsatira zake zimakhala bwanji? Kodi zikutiuza chiyani?

Zotsatira za Holter monitor zitha kuwonetsa ngati muli ndi kugunda kwa mtima kosakhazikika, kapena arrhythmia. Mwachitsanzo:

• Kugunda kwa mtima (atrial fibrillation ) (vuto lomwe zipinda zapamwamba za mtima zimagunda molakwika)
• Bradycardia (kugunda pang'onopang'ono kwa mtima)
• Tachycardia (kugunda kwa mtima kowonjezeka)
• Kuchepa kwa mitsempha yamagazi isanakwane (PVCs) (kugunda msanga kuchokera m'zipinda zapansi pa mtima)

Chowunikira cha Holter n'chothandiza kwambiri pozindikira mikhalidwe ngati iyi.

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Dokotala wanu nthawi zambiri amakuuzani zotsatira zake mkati mwa sabata imodzi kapena ziwiri kuchokera pamene mwayesedwa. Muyenera kukhala oleza mtima, chifukwa zimatenga nthawi kuti mufufuze zomwe zapezeka.

Ngati zotsatira zake sizili bwino, kodi muchita chiyani kenako?

Ngati pali zolakwika zilizonse mu zotsatira zake, dokotala wanu adzakulankhulani ndikusankha choti muchite kenako. Izi zingaphatikizepo:

• Kuchita mayeso ambiri a mtima.
• Kuyambitsa mankhwala a mtima.
• Kuika pacemaker (chipangizo chaching'ono chomwe chimathandiza kuti kugunda kwa mtima kukhale kokhazikika).
• Kusinthasintha kwa mtima ( njira yobwezeretsa kayimbidwe ka mtima).
• Kuchotsa ( mankhwala omwe amagwiritsa ntchito mphamvu yotentha kapena yozizira kuti apange chilonda chaching'ono mumtima pochiza kayimbidwe ka mtima kosazolowereka).

Musachite mantha, chilichonse chimene mungachite ndi cha ubwino wanu.

Kodi ndiyenera kuyimbira dokotala wanga liti?

Imbani dokotala wanu ngati mwakumana ndi zotsatirazi mukuvala Holter monitor:

• Ngati pali vuto ndi chowunikira cha Holter chomwe mukugwiritsa ntchito.
• Ngati muli ndi funso lokhudza momwe mungagwiritsire ntchito chowunikiracho.
• Ngati electrode yatuluka.
• Ngati mukukumana ndi vuto lililonse kapena zizindikiro zodetsa nkhawa zokhudzana ndi mtima wanu.

Apanso, iyi si mayeso omwe amafunika kuyang'aniridwa ndi dokotala nthawi zonse. Chifukwa chake, ngati mukuwona zizindikiro zilizonse, funsani upangiri kwa dokotala.

Kodi chowunikira cha Holter chingathe kuzindikira nkhawa?

Inde, nthawi zina nkhawa ingayambitse kugunda kwa mtima. Ngati zimenezo zitachitika, Holter monitor imatha kulemba. Koma kuti adziwe chomwe chinayambitsa kugunda kwa mtima, dokotala wanu ayenera kusanthula lipotilo mosamala. Komanso, ndikofunikira kwambiri kulemba mu dayalo lanu zomwe munkachita komanso zomwe munamva mutakhala ndi kugunda kwa mtima.

Kodi pali kusiyana kotani pakati pa EKG ndi Holter monitor?

Mwachidule, EKG imangoyesa momwe mtima wanu ukugwirira ntchito panthawi yomwe mayesowo achitika. Izi zikutanthauza kuti, zili ngati kujambula chithunzi chimodzi. Koma kagwiridwe ka mtima wanu ndi zizindikiro zake zimatha kusintha tsiku lonse.

Dokotala wanu akufuna kuona momwe kamvekedwe ka mtima wanu kamasinthira pamene mukuchita ntchito zanu za tsiku ndi tsiku. Chowunikira cha Holter chimapatsa dokotala wanu chithunzi chokwanira cha kamvekedwe ka mtima wanu, monga kanema kwa tsiku limodzi kapena awiri.

Kodi pali kusiyana kotani pakati pa Holter monitor ndi Event Monitor?

Zinthu ziwirizi zingakhale zosokoneza pang'ono. Chowunikira cha Holter chimalemba kugunda kwa mtima wanu mosalekeza kwa maola 24 kapena 48. Izi zikutanthauza kuti chimajambulidwa kaya muli ndi zizindikiro zilizonse kapena ayi.

Komabe, chowunikira zochitika sichimalemba nthawi zonse. Chimangolemba pamene mukumva chizindikiro, ngati mutsegula chowunikiracho. Pali zowunikira zochitika zina zomwe zimalemba zokha pamene kugunda kwa mtima kwachitika molakwika. Koma zimagwiritsidwa ntchito makamaka pamene zizindikiro zachitika.

Pomaliza, zinthu zoti muzikumbukira

Zingakhale zokhumudwitsa kusadziwa chomwe chikukupangitsani kupweteka pachifuwa, kugunda kwa mtima, kapena chizungulire. Chowunikira cha Holter ndi chida chamtengo wapatali chomwe chingakuthandizeni kupeza chomwe chikuyambitsa.

Ngakhale kuti mungamve kusasangalala kuvala izi kwa masiku angapo, sizipweteka ndipo zimangofunika kuvala kwa tsiku limodzi kapena awiri okha. Pambuyo pake, muli pafupi kupeza matenda anu molondola ndikukhala bwino. Chifukwa chake, ngati dokotala wanu akulangizani, musaope kuyesaku.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kulankhula ndi dokotala wanu. Iye akhoza kuthetsa kukayikira kulikonse komwe mungakhale nako.

Chowunikira cha Holter , matenda a mtima, EKG, kugunda kwa mtima, kusakhazikika kwa mtima, kupweteka pachifuwa, chizungulire