Kodi nthawi zina mumamva ngati chifuwa chanu chikugunda kwambiri, kapena mtima wanu ukugunda? Kodi nthawi zina mumamva chizungulire kapena kukomoka? Dokotala wanu mwina anakuuzani za "Holter Monitor" kuti akuthandizeni kupeza chomwe chimayambitsa zizindikirozi. Choncho musachite mantha mukamva dzinalo. Ndi mayeso osavuta komanso osapweteka. Tiyeni tiwone chomwe chili, momwe chimagwirira ntchito, komanso zomwe muyenera kudziwa mukamavala.
Measure kidney function based on creatinine value
Kodi Holter Monitor ndi chiyani kwenikweni?
Mwachidule, Holter Monitor ndi chipangizo chaching'ono chomwe mumavala. Ndi makina opepuka, oyendetsedwa ndi batri ofanana ndi bolodi la makadi. Ndi makina a ECG omwe amalemba zomwe mtima wanu ukuchita mukamayendayenda. M'mawu azachipatala, timatcha izi kuti ambulatory electrocardiogram.
ECG, yomwe nthawi zambiri mumalandira kuchipatala, imalemba momwe magetsi a mtima wanu amagwirira ntchito panthawiyo. Koma Holter Monitor imalemba momwe mtima wanu umagwirira ntchito ndipo imathamanga mosalekeza kwa nthawi yayitali, monga maola 24 kapena 48. Izi zimapatsa dokotala wanu chithunzi chonse cha momwe mtima wanu ukuchitira pamene mukuchita ntchito zanu za tsiku ndi tsiku.
Chipangizochi chimalumikizidwa ndi mawaya ndi zomata zazing'ono zomwe mumayika pachifuwa chanu (ma electrode). Mutha kuvala pansi pa zovala zanu ndikuchita ntchito zanu zatsiku ndi tsiku.
Koma izi ndizofunikira kwambiri: Holter Monitor situmiza uthenga kwa dokotala nthawi yomweyo. Izi zikutanthauza kuti si kuyang'anira 'nthawi yeniyeni'. Ngati mukukumana ndi zizindikiro zoopsa (monga kupweteka pachifuwa, kupuma movutikira), muyenera kupita ku Dipatimenti Yodzidzimutsa yapafupi (ETU) nthawi yomweyo.
Kodi makina ang'onoang'ono awa amagwira ntchito bwanji?
Chowunikira cha Holter chimagwira ntchito mofanana ndi makina a ECG. Izi zikutanthauza kuti, chimayesa ntchito yamagetsi ya mtima. Komabe, ngakhale kuti ECG imangokhala mphindi zochepa, chifukwa mumavala kwa tsiku limodzi kapena awiri, nthawi zambiri "imatha" matenda osazolowereka mumtima omwe samachitika nthawi zonse.
Tangoganizani kuti mukudwala matenda a mtima kamodzi kapena kawiri patsiku. Ngati simukudwala matenda a mtima mukalandira ECG, lipoti la ECG silidzasonyeza kusiyana kulikonse. Koma mukamavala chowunikira cha Holter, nthawi yeniyeni ya matenda a mtima imalembedwa.
N'chifukwa chiyani muyenera kugwiritsa ntchito Holter Monitor?
- Pezani chomwe chimayambitsa kugunda kwa mtima kosakhazikika (arrhythmias), kupweteka pachifuwa, ndi chizungulire chosadziwika.
- Onani momwe mankhwala ena amagwirira ntchito pochiza matenda a mtima.
Chipangizochi chili ndi magawo atatu akuluakulu:
1. Ma electrode:Izi ndi zomata zazing'ono zomwe mumamatira pakhungu pachifuwa chanu. Zimajambula zizindikiro zamagetsi za mtima wanu.
2. Mawaya: Chidziwitso chochokera ku ma electrode chimapita ku chipangizo chachikulu kudzera mu mawaya awa.
3. Chowunikira cha Holter: Ichi ndi bokosi laling'ono, logwiritsidwa ntchito ndi batire lomwe limalemba zambiri. Mutha kulinyamula m'thumba mwanu, kapena kulivala ndi lamba pakhosi kapena m'chiuno mwanu.
Kodi muyenera kudziwa chiyani mukamavala Holter Monitor?
Izi sizikufuna kukonzekera kwambiri. Komabe, ndi bwino kusamba bwino musanagwiritse ntchito chipangizochi. Si bwino kusamba kapena kunyowetsa chipangizocho mukamachivala.
Mukapita kuchipatala kapena ku chipatala, namwino kapena wogwira ntchito zachipatala adzakuthandizani kuvala izi.
- Kuika ma electrode: Adzaika ma electrode awiri kapena angapo pachifuwa panu pamalo enaake. Ngati ndinu mwamuna, mungafunike kumeta tsitsi lanu pachifuwa kuti ma electrodewo agwire bwino ntchito.
- Kulumikiza chowunikira: Kenako mudzalumikizidwa ku ma electrode ndi chowunikira pogwiritsa ntchito mawaya ndipo mudzafotokozedwa momwe mungachisamalire.
- Komwe mungasungire chowunikira: Mungathe kuchiyika m'thumba, kapena mungachiyike m'thumba laling'ono lomwe limabwera nalo ndikuchipachika pakhosi kapena m'chiuno mwanu.
- Kulemba zochitika ndi zizindikiro (iyi ndi gawo lofunika kwambiri): Mudzapatsidwa kabuku kakang'ono kapena pepala ndipo mudzapemphedwa kuti mulembe zochita zanu za tsiku ndi tsiku ndi zizindikiro zilizonse zomwe mumakumana nazo (monga kupuma movutikira, kulimba pachifuwa, kupweteka pachifuwa) pamodzi ndi nthawi. Mwachitsanzo, mungalembe kuti, "Ndinali kunyamula zovala pamwamba pafupifupi 10:30 a.m. pamene ndinamva kulimba pachifuwa panga." Izi zithandiza dokotala kuyerekeza kusintha komwe kunali pa ECG yanu pamene zizindikiro zanu zinayamba.
Ndi zinthu ziti zomwe simuyenera kuchita mukamavala izi?
Mukamavala Holter Monitor, ndikofunikira kupewa zinthu zomwe zingasokoneze magwiridwe antchito ake.
| Zoyenera kupewa | Kufotokozera |
|---|---|
| Pewani kunyowa. | Musasambe, musambe, kapena kusambira. Madzi angawononge chipangizocho. |
| Mayeso ena azachipatala | Pewani kuyesedwa kwa X-ray. |
| Mphamvu zamagetsi ndi maginito | Pewani kuyandikira mawaya amphamvu, maginito amphamvu, ndi zowunikira zitsulo (zomwe zimapezeka m'mabwalo a ndege ndi m'masitolo ena). |
| Zipangizo zina zamagetsi | Pewani kugwiritsa ntchito zinthu monga ma uvuni a microwave, maburashi a mano amagetsi, malezala, ndi mabulangeti amagetsi pafupi kwambiri ndi chowunikira. |
Kodi chimachitika n’chiyani maola 24/48 akatha?
Pambuyo pa nthawi yomwe mwapatsidwa, muyenera kubwerera kuchipatala ndikupereka chowunikira ndi notebook yomwe mudalembamo. Kumeneko, adzachotsa mosamala ndikusintha ma electrode. Pambuyo pake, katswiri adzafufuza ECG yanu ndi zolemba zanu ndikutumiza lipoti lonse kwa dokotala wanu wa mtima.
Kodi pali chiopsezo chilichonse pa izi?
Ayi ndithu. Kuvala Holter Monitor sikubweretsa ululu kapena chiopsezo chilichonse. Anthu ena akhoza kuyabwa pang'ono kapena kufiira pakhungu chifukwa cha tepi yomwe ili pa ma electrodes. Ngati muli ndi vuto lililonse ndi ma plaster kapena tepi yomatira, onetsetsani kuti mwadziwitsa antchito musanavale chowunikiracho.
Kodi lipotilo likuti chiyani?
Mukalandira lipotilo, dokotala wanu adzaliwunikanso ndikukupatsani tsatanetsatane. Nthawi zambiri mudzapeza zotsatira zake mkati mwa sabata imodzi kapena ziwiri. Lipotilo likhozanso kuyang'ana kugunda kwa mtima kosazolowereka (arrhythmias). Zitsanzo zina ndi izi:
- Kugunda kwa mtima kosakhazikika komanso kofulumira kwambiri (atria).
- Bradycardia: Kugunda kwa mtima komwe kumakhala kocheperako kuposa kwachibadwa (kugunda kwa mtima).
- Tachycardia: Kugunda kwa mtima komwe kuli kokwera kuposa kwachibadwa (kugunda kwa mtima mwachangu).
- Kuchepa kwa mtima msanga (PVCs): Kugunda kwa mtima kosakwanira, komwe kumachitika m'zipinda zapansi (ma ventricles) za mtima.
Kodi muchita chiyani kenako ngati pali vuto ndi lipotilo?
Ngati pali vuto ndi lipoti lanu, dokotala adzakuuzani zomwe mungachite kenako. Izi zingaphatikizepo:
- Kuchita mayeso ena a mtima.
- Kuyambitsa mankhwala kapena kusintha mankhwala omwe alipo.
- Kuyika chipangizo, monga pacemaker, kuti chiwongolere kugunda kwa mtima.
- Kupereka chithandizo monga Cardioversion'' kapena Ablation'' kuti abwezeretse kagwiridwe ka mtima.
Kodi ndiyenera kuyimbira dokotala liti?
Ngati mukukumana ndi vuto lililonse mukuvala chowunikira, imbani dokotala wanu kapena kuchipatala.
- Ngati pali vuto ndi Holter Monitor yomwe mukugwiritsa ntchito.
- Ngati muli ndi funso lokhudza momwe mungagwiritsire ntchito chowunikiracho.
- Ngati electrode yolumikizidwa pachifuwa yatuluka.
- Ngati mukukumana ndi zizindikiro zilizonse zosasangalatsa kapena zokayikitsa za mtima.
Kumbukirani, iyi ndi mayeso chabe. Ngati mwakumana ndi vuto ladzidzidzi, monga kupweteka pachifuwa kapena kupuma movutikira, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) nthawi yomweyo.
Kodi izi zingathandize kuzindikira nkhawa?
Ayi, Holter Monitor singathe kuzindikira nkhawa mwachindunji. Komabe, ngati nkhawa yanu ikukupangitsani kuti mukhale ndi kugunda kwa mtima, chowunikiracho chidzalemba kugunda kwa mtima kumeneko. Ndicho chifukwa chake buku lanu la zolemba ndilofunika. Ngati mulemba kuti "Ndinamva kuda nkhawa/kupsinjika maganizo" mukakhala ndi kugunda kwa mtima, dokotala wanu angamvetse kugwirizana kwake.
Kodi kusiyana pakati pa ECG ndi Holter Monitor ndi kotani?
ECG ili ngati chithunzi cha momwe mtima wanu ulili panopa. Imangokuwonetsani mphindi zochepa chabe.
Chowunikira cha Holter chili ngati "kanema" wa ntchito ya mtima wanu tsiku lonse. Chimapatsa dokotala wanu chidziwitso chabwino cha momwe mtima wanu umachitira tsiku lonse.
Uthenga Wopita Nawo Kunyumba
- Holter Monitor ndi njira yoyesera yopanda ululu komanso yotetezeka yomwe imayesa kugunda kwa mtima wanu kwa tsiku limodzi kapena awiri.
- Izi zimathandiza kwambiri kupeza chomwe chimayambitsa zizindikiro monga kupweteka pachifuwa ndi kukomoka.
- Mukamavala chipangizochi, ndikofunikira kwambiri kulemba zizindikiro zanu ndi zochita zanu pakapita nthawi.
- Musalole chipangizocho kunyowa. Komanso, chisungeni kutali ndi mphamvu zamagetsi ndi maginito amphamvu.
- Ichi ndi chida chongodziwira matenda. Ngati mukumva zizindikiro zadzidzidzi komanso zoopsa, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) nthawi yomweyo.
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