Ni iki kirimo kuba ku muvuduko w'umutima wawe? Reka tubirebe uri mu rugo. Byose kuri (Ambulatory Monitors)!

Ese hari igihe wumva hari ikibazo mu mutima wawe? Ahari muganga yakusuzumye akakubwira ko agomba kureba imikorere y'umutima wawe mu minsi mike. Ni bwo utu dukoresho duto twitwa "Ambulatory Monitors" tuzagufasha. Reka tubiganireho mu buryo burambuye, mu buryo bworoshye, uyu munsi.

Ambulatory Monitor ni iki? Mu magambo make...

Mu magambo make, icyuma gipima umutima ni igikoresho gito gifata imikorere y'amashanyarazi y'umutima wawe, cyangwa umuvuduko w'umutima, mu gihe kirekire, mu gihe uri mu rugo cyangwa urimo gukora imirimo yawe ya buri munsi. Tekereza nk'igipimo cya ECG ugeze mu bitaro, ariko kigumana nawe iminsi, rimwe na rimwe ibyumweru. Ibi ni ingenzi kuko indwara zimwe na zimwe z'umutima ntizigaragaza ibimenyetso buri gihe. Ibyo bivuze ko zishobora kutaba zihari iyo ugiye kwa muganga. Ni uburyo bwiza bwo kumenya ibibazo bivuka mu buryo butunguranye kandi hanze y'ibitaro .

Ni ubuhe bwoko bw'indwara z'umutima bushobora kugaragara hifashishijwe iyi moniteur?

Iyi "ambulatory monitor" ikoreshwa cyane cyane mu kumenya "Arrhythmia" cyangwa gutera k'umutima ku buryo butari bwo. Nubwo hari ibitagenda neza bishobora kugaragara byoroshye hakoreshejwe "ECG" ikorerwa mu bitaro, iyi monitor ishobora gukusanya amakuru menshi. Kubwibyo, ifasha mu kumenya ibitagenda neza ushobora kuba utazi, bibaho mu buryo butunguranye, cyangwa bimara igihe gito cyane .

Dore bumwe mu bwoko bukunze kugaragara bwa arrhythmia:

• `(Bradyarrhythmia)` (Bradycardia): Uku ni ugutera k'umutima gahoro cyane. Mu by'ukuri, wumva umutima urimo gutera cyane.
• Tachyarrhythmia: Iki ni cyo gihe umutima utera vuba cyane. Tekereza umutima wawe utera nk'umutima utera cyane.
• Supraventricular arrhythmia: "Supra" bivuga hejuru. "Ventricle" bivuga ibyumba bibiri byo hasi by'umutima. Ibi bivuga ku buryo butari bwiza mu byumba bibiri byo hejuru by'umutima, atrium y'ibumoso n'atrium y'iburyo.
• Kudakora neza kw'imitsi yo mu mitsi: Ibi ni ibintu bidakora neza biba mu byumba bibiri byo hasi by'umutima.

Ni nde uzagira uruhare muri iri perereza? Ni nde uzagufasha?

Abaganga benshi bafite uruhare muri iki gikorwa cyo gupima. Urugero, abatekinisiye, abaforomo, n'abaganga. Ariko, hafi ya buri gihe ni inzobere isesengura amakuru yakusanyijwe igatanga isuzuma. Uyu ashobora kuba inzobere mu by'umutima cyangwa inzobere mu by'amashanyarazi.

Iyi moniteur ikora ite? Biratangaje, si byo se?

Izi moniteur zose zikora kuko umutima wacu ufite sisitemu yawo y'amashanyarazi. Tekereza, umutima utera ugenzurwa n'ibimenyetso biva muri iyi sisitemu y'amashanyarazi. Ibi bimenyetso by'amashanyarazi ni byo bituma ibyumba bine by'umutima bifungana mu buryo bunoze kandi buhoraho. Ibi nibyo bituma umutima utera amaraso mu buryo bunoze kandi bunoze.

Ese ntabwo bitangaje? Iki gikorwa cy'amashanyarazi mu mitima yacu kirakomeye cyane ku buryo gishobora kumenyekana byoroshye n'ibikoresho byashyizwe hejuru cyangwa munsi y'uruhu.

Ibi ni byo dukunze kumenya nka `(ECG)`, byandika iki gikorwa cy'amashanyarazi. Ariko ni iby'igihe gito. Iyo hari ikibazo mu gice runaka cy'umutima, imikorere y'amashanyarazi muri icyo gice irahinduka. Mu kureba izo mpinduka, umuganga wabyigiye ashobora kumenya uburyo ibice bitandukanye by'umutima bikora. `(ECG)` ikunze gukorerwa mu bitaro cyangwa kwa muganga, mu minota mike.

Ibikoresho bipima umutima wawe mu buryo nk'ubwo. Ariko, ibi bigenzura imikorere y'umutima wawe mu gihe cy'iminsi, ibyumweru, ndetse rimwe na rimwe n'imyaka . Bishobora kwandika imikorere y'umutima wawe mu gihe usinziriye, mu kazi, cyangwa mu gihe urimo gukora imirimo yawe ya buri munsi.

Ni ubuhe bwoko bw'ibikoresho byo kugenzura ubwikorezi bw'imodoka (ambulatory monitors) buriho? Ni ubuhe bukubereye?

Ibyuma byinshi byo kugenzura ikirere ni ibikoresho byo mu modoka ushobora gutwara. Bipima umuvuduko w'umutima wawe hakoreshejwe ibyuma byitwa electrodes. Ibi bikoresho bifatanye n'uruhu rwawe hakoreshejwe kole yihariye. Ibyinshi muri ibyo bikoresho bipima ingano n'uburemere bwa telefoni isanzwe.

### Ibikoresho byo hanze

• `(Holter monitor): Iyi ikoreshwa cyane mu kwandika ibikorwa by'umutima mu gihe cy'umunsi umwe cyangwa ibiri. Ariko, zimwe muri monitor z'ubu bwoko zishobora kwandika amakuru mu cyumweru kimwe cyangwa bibiri.
• Event monitor: Ibi bikoresho byandika ibikorwa by'umutima gusa iyo hari amahirwe menshi yo gutera umutima mu buryo butari bwiza. Hari bimwe mu bikoresho bishobora gukoreshwa iyo wumvise ibimenyetso. Ibindi "byumvira" umutima wawe hanyuma bigatangira gufata amajwi mu buryo bwikora iyo bibonye gutera umutima mu buryo butari bwiza. Hari ubwoko bubiri bw'ingenzi:
• `(Kurambura)`: Ibi bikoresho bifite `uruhererekane rw'ububiko`. Ni ukuvuga iminota mike mu gihe cyashize n'iminota mike mu gihe kizaza bibikwa muri ubu bubiko. Iyo `byakoreshejwe` bidakoreshejwe, amakuru ashaje arahanagurwa uko amakuru mashya yongerwamo. Iyo `wabikoze`, iminota mike mu gihe cyashize n'iminota mike nyuma ya `byakozwe` birabikwa kugira ngo bireberwe nyuma.
• `(Ntabwo bihindura imiterere y'amajwi)`: Izi bifata igihe runaka gusa nyuma yo gukora. Zimwe muri izi monitors zigufasha gusiga `electrodes` zifunguye. Iyo ibimenyetso bigaragaye, ushobora gushyiraho `electrodes` hanyuma ugakoresha monitors kugira ngo ufate umuvuduko w'umutima.
• `(Real-time monitor)` (Real-time monitor): Ibi bisa cyane na `(Event monitor)`. Ariko, ibi bishobora kohereza amakuru yerekeye imikorere y'umutima mu kigo gikurikirana kugira ngo umuganga ashobore kubibona ako kanya. Ibi bishobora kohereza amakuru ako kanya iyo bibonye ikintu kidasanzwe, cyangwa bishobora `activated` kugira ngo byohereze amakuru iyo wumvise ibimenyetso. Ibi ni ingirakamaro cyane mu gihe hari ibintu bikomeye kandi hakenewe inama zihutirwa za muganga.

### Ubundi bwoko bwihariye bwa moniteur

Hari ubundi bwoko bubiri bwa moniteurs bukora nk'ubwavuzwe haruguru, ariko bufite itandukaniro rito:

• Imashini ifata amashusho: Ibi ni nk'agapira ufata ku ruhu rwawe. Ariko, bifite byose ukeneye kugira ngo umenye, ufate amashusho, kandi ubike imikorere y'umutima wawe. Bishobora kwambarwa mu gihe cy'ibyumweru bibiri. Ni bito bihagije ku buryo bitagaragara neza munsi y'ishati.
• Udukoresho dufata amashusho y’umutima dushyirwa mu mubiri: Ibi ni ibikoresho bito cyane bishobora gushyirwa munsi y’uruhu. Bishobora gukurikirana imikorere y’umutima igihe kirekire cyane, wenda kugeza ku myaka ibiri. Bishobora gufata amashusho mu buryo bwikora cyangwa igihe uwambaye ayakoresheje. Amakuru ashobora gukururwa mu buryo butaziguye mu ivuriro cyangwa kwa muganga. Akamaro kanini k’ibi ni uko udakwiye guhangayikishwa no kuyakoresha, kandi nta kibazo biteza iyo wiyuhagiye cyangwa woga.

Ni iki wakwitega mbere y'ikizamini? Wakwitegura ute?

Umuganga, ubusanzwe inzobere, azagusobanurira uburyo bwo gupima kandi akugire inama ku bwoko bw'icyuma gipima gihuye neza n'ibyo ukeneye. Ibi bizashingira ku bintu nk'akazi kawe n'ibyo ukunda.

### Uburyo bwo kwitegura ikizamini

Ni byiza koga mbere yo gukora ikizamini. Bitewe n'icyuma ukoresha, bishobora gufata umunsi umwe cyangwa ibiri mbere yuko wongera kwiyuhagira nyuma yo gukuraho electrodes. Uko byagenda kose, ni ngombwa ko uruhu rwo mu gituza cyawe rugira isuku.

• Ntugashyire amavuta, amavuta yo kwisiga cyangwa amavuta ku ruhu rw'igituza. Ibi bishobora kubuza electrode gufata neza ku ruhu kandi bishobora kubuza umutima gukora neza.
• Nanone, ambara ishati yoroshye kwambara no gukuramo. Muri ubwo buryo, bizoroha gufatanya electrodes.

Ni iki kibaho umunsi moniteri ishyizwemo?

Umutekinisiye cyangwa undi muhanga mu by'ubuzima azagusobanurira uburyo bwo gukoresha igikoresho, uburyo bwo kugikoresha, n'uburyo bwo gukuramo no kongera gushyiramo electrodes, bitewe n'igikoresho, nyuma yo koga cyangwa koga.

Bazakubwira kandi uburyo bwo kwirinda ibintu bishobora kubangamira ecran, nk'ibikoresho bimwe na bimwe by'ikoranabuhanga n'ibikoresho bifite magnets. Bashobora kuguha urutonde rw'ibyo bikoresho, cyangwa se ukabisaba.

Mu byuma bikoresha electrode, aho electrode zifatanye hasukurwa na alukolo. Iyo hari umusatsi muri ako gace, urakurwaho. Icyo gihe ni bwo electrode zishobora gufata neza maze ikimenyetso kigaragara kikaboneka.

Bigenda bite iyo wambaye ecran? Ni iki nkwiye kwitondera?

Ibizamini bya moniteur bikoresha ambulatory ni byiza cyane kandi ntibibabaza . Ubusanzwe, icyo ugomba gukora ni ukwambara no gukoresha moniteur nk'uko byategetswe. Abashinzwe ubuvuzi, barimo abatekinisiye n'abaforomo, bazakubwira byose ukeneye kumenya mu gihe wambaye moniteur.

Ukora iki iyo igihe cyo gupima kirangiye?

Iyo ikizamini kirangiye, ushobora gukuraho electrode (niba igikoresho kizifite) hanyuma ugasubiza igikoresho. Ukoresheje moniteur zo hanze, ushobora kugira ubushye buto cyangwa umutuku (ubushye bw'uruhu) mu minsi mike aho electrode zakoreshejwe. Ibi bikunze kurangira mu minsi mike. Ibi nibibaho, ushobora kubaza muganga wawe niba hari icyo wakora kugira ngo gikire vuba.

Ese hari ingaruka zishobora guterwa n'ibi bikoresho? Reka tumenye gato.

Muri rusange, ingaruka mbi zikunze kugaragara ku bikoresho byo mu bwoko bwa ambulatory ni uburibwe bw'uruhu cyangwa gutukura . Ibi akenshi biterwa n'agakoresho gakoreshwa mu gufatanya electrodes ku ruhu. Niba ufite uruhu rworoshye cyangwa uzi (cyangwa ukeka) ko ufite ubwivumbure ku bikoresho byo mu bwoko bwa ambulatory, ugomba kubimenyesha muganga wawe mbere yo gukoresha electrodes.

Mu byuma bifata amashusho bishobora gushyirwa mu mubiri, hari ingaruka mbi cyangwa ingorane zishobora kubaho – ariko inyinshi muri zo ni nto:

• Ububabare cyangwa kubabara aho umuntu yinjiriye: Ibi bikunze kumera neza ubwabyo mu minsi mike.
• Kwandura: Ni gake cyane, indwara ishobora kugaragara aho igikoresho cyakorewe. Ibi bikunze kuvurwa na antibiyotike. Ariko, rimwe na rimwe igikoresho gishobora gukenera kwimurirwa ahandi.
• Uburyo bwo kurwara indwara ya allergie: Ikindi kintu kidasanzwe kibaho ni uburyo bwo kurwara indwara ya allergie ku kintu cyakoreshejwe muri icyo gikoresho. Ibi nibibaho, igikoresho kizakurwaho hanyuma hagakoreshwa ubundi bwoko bwa moniteur.
• Ibimenyetso bidahagije: Hari igihe ibi bikoresho bidashobora kubona imikorere y'amashanyarazi mu bice bimwe na bimwe by'umutima neza. Iyo bibaye, igikoresho gishobora kwimurirwa ahandi hantu gishobora kubona ikimenyetso gisobanutse neza.

Ibisubizo biboneka bite? Bitubwira iki?

Nyuma yo gusubiza umuganga, abatekinisiye n'abandi bakozi b'ubuvuzi bazakura amakuru bayashyire muri dosiye yawe y'ubuvuzi kugira ngo muganga wawe ayasuzume. Nyuma yo gusuzuma amakuru, azabasha gusuzuma. Hanyuma, bitewe n'ibyo wifuza n'imikorere y'ivuriro, uzabimenyeshwa kuri telefoni cyangwa mu bundi buryo. Icyo gihe, muganga azagusobanurira ibyavuye mu bushakashatsi n'icyo ugomba gukora ubutaha. Hari igihe ushobora gusabwa kugaruka kugira ngo ukurikirane cyangwa, nibiba ngombwa, koherezwa ku wundi muganga w'inzobere.

Ni ryari ukwiye guhamagara muganga? Menya ibi bintu.

Muganga wawe n'abakozi be bazakubwira igihe cyo guhamagara ibiro byabo. Bashobora kandi kuguha nimero ya telefoni yihariye yo guhamagara amasaha 24 niba ufite ikibazo kuri moniteur.

Niba ufite agakoresho gafata imiyoboro y'amaraso gashobora gushyirwa mu mubiri (ILR) kandi ukaba ufite kimwe mu bimenyetso bikurikira by'ubwandu , ugomba guhamagara muganga wawe ako kanya:

• Kurwara umuriro, kumva ubukonje no guhinda umushyitsi.
• Kumva ushyushye iyo ukoze ku gace gashyizwemo igikoresho.
• Hari kubyimba cyangwa gutukura muri ako gace.
• Amazi cyangwa amaraso ameze nk'ibibyimba biva mu icukurwa.

Bitwara igihe kingana iki kugira ngo umuntu amenye ibisubizo by'ikizamini?

Igihe bifata kugira ngo ubone ibisubizo kiratandukanye. Biterwa n'ubwoko bw'icyuma gipima gikoreshwa, igihe cyo gukurikirana, hamwe na gahunda z'ivuriro n'abaganga. Ushobora kubabaza igihe bizatwara kugira ngo babone ibisubizo.

Ubutumwa bwo kujyana mu rugo

Rero, iki "gipimo cy'ibizamini" ni ingenzi cyane kandi gifite umutekano. By'umwihariko, ni ingirakamaro cyane mu kumenya ibibazo by'umutima bibaho mu buryo butunguranye kandi bibaho mu buzima bwa buri munsi gusa. Niba muganga wawe agusabye gukora iki kizamini, nta mpamvu yo kugitinya. Ndizera ko iyi nkuru yagufashije gusobanukirwa neza. Niba ufite ikibazo, vugana na muganga wawe maze umenye byinshi. Komeza ugire ubuzima bwiza!

Indwara z'umutima , icyuma gipima umuvuduko w'umutima, umuvuduko w'umutima, arrhythmia, icyuma gipima Holter, ibizamini by'umutima, ECG