Urashaka kumenya neza uko umutima wawe utera? Noneho reka tuvuge kuri Holter Monitor!

Ese hari igihe wumva ikintu kidasanzwe, nk'igikuba mu gituza cyawe? Cyangwa wumva uzumva umeze nk'uzumva cyangwa ukagira ikibazo cyo guhumeka? Ahari muganga wawe yakubwiye "gushyira Holter Monitor." None se, iyi Holter Monitor ni iki? Reka tubiganireho mu buryo bworoshye, mu buryo ushobora kumva. Nta cyo ugomba gutinya, ni ikintu cyoroshye cyane.

Iyi Holter Monitor ni iki?

Mu magambo make, Holter monitor ni icyuma gito cya EKG ushobora kwambara no gutwara. Ubusanzwe, EKG tujya mu bitaro ireba gusa imikorere y'umutima wawe muri ako kanya. Ariko Holter monitor yandika umuvuduko w'umutima wawe n'umuvuduko w'umutima wawe buri gihe mu masaha 24 cyangwa 48. Ibi biha muganga wawe gusobanukirwa neza uburyo imikorere y'amashanyarazi y'umutima wawe ihinduka mu gihe ukora imirimo yawe ya buri munsi.

Tekereza nk'agakarito gato k'amakarita yo gukina, igikoresho gito, cyoroshye kandi gikoresha bateri. Gifite insinga ifatanye nacyo hamwe n'uruhererekane rw'ama-electrode , nk'uduti duto, ufata ku ruhu rwawe. Ushobora kwambara iyi moniteur munsi y'imyenda yawe ugakora imirimo yawe ya buri munsi nk'uko bisanzwe.

Iki gikoresho gito cyitwa "Holter" gikomoka kuri Dr. Norman J. Holter, wagivumbuye mu myaka ya 1950.

Imashini ipima ikirere ya Holter ikora iki?

Nkuko twabivuze mbere, Holter monitor ikusanya amakuru yerekeye imikorere y'amashanyarazi y'umutima wawe, kimwe n'ikizamini gisanzwe cya EKG (electrocardiogram) . Itandukaniro ni uko EKG ikorwa mu minota mike gusa, ariko Holter monitor ikambarwa umunsi umwe cyangwa ibiri, bityo birashoboka cyane ko yahura n'imikorere idasanzwe y'umutima.

Iyo EKG isanzwe idatanga ibisubizo bisobanutse neza, Holter monitor ishobora gufasha kumenya impamvu y’indwara nka:

• Indwara z'umutima, ni ukuvuga arrhythmias .
• Gutera cyane k'umutima ni ukumva umutima wawe utera cyane, bivuze ko umutima wawe utera cyane cyangwa ububabare bwo mu gituza.
• Isereri idasobanutse.

Byongeye kandi, umuganga wawe ashobora gukoresha iyi monitor ya Holter kugira ngo arebe uburyo imiti yawe igira akamaro niba ufata imiti y’indwara y’umutima.

Imashini ya Holter ikora ite?

Biroroshye cyane. Ama-electrode (ameze nk'uduti duto) ashyirwa ku gituza cyawe amenya imikorere y'amashanyarazi y'umutima wawe. Ayo makuru yoherezwa binyuze mu nsinga nto kuri moniteur ya Holter wambara mu mufuka wawe cyangwa ahandi hantu ku mubiri wawe. Iyi moniteur yandika ayo makuru yose kugira ngo isubirwemo nyuma.

Igikuru ni uko umuganga atazajya akurikirana icyuma gipima umuriro igihe cyose ugifashe. Amakuru azaboneka gusa nyuma yo gusubiza icyuma gipima umuriro.

Witegura ute mbere yo kwambara moniteur ya Holter?

Mu by’ukuri, ntabwo ukeneye gukora ikintu kidasanzwe kugira ngo wambare moniteur ya Holter. Ariko hari ikintu kimwe. Kubera ko atari byiza ko utose moniteur nyuma yo kuyishyiraho, ni byiza koga neza no gusukura umubiri wawe mbere yo kuyishyiraho. Ubwo rero kuba utarashobora kwiyuhagira umunsi umwe cyangwa ibiri ntabwo bizaba ikibazo gikomeye.

Ni iki wakwitega iyo wambaye moniteur ya Holter?

Umuganga cyangwa umuntu wahuguwe muri uru rwego azagushyiraho iyi moniteur. Nyuma yibyo, ushobora gukora imirimo yawe isanzwe. Dore uko bigenda:

• Ama-electrode azashyirwa ku gituza cyawe: Ubusanzwe, nibura ama-electrode abiri azashyirwa. Hari igihe ushobora gukenera kogosha umusatsi wo ku gituza cyawe kugira ngo umenye neza ko ama-electrode afatanye neza. Ntugahangayike, ibi ni ukugira ngo umenye neza ko ama-electrode afashe neza ibimenyetso by'umutima.
• Igufasha gushyira kuri moniteur: Ihuza moniteur na electrodes ikoresheje insinga kandi igasobanura uburyo bwo kuyiyitaho.
• Shaka aho ubika moniteur: Ushobora gutwara iyi moniteur y'umutima mu mufuka, cyangwa ukayambara ku mushumi mu ijosi, mu rukenyerero, cyangwa ku rutugu.
• Ikwigisha uburyo bwo kwandika ibikorwa byawe n'ibimenyetso byawe: Ibi ni ingenzi cyane. Niba ubonye ibimenyetso nko kubura umwuka, gusimbuka cyangwa gutera umutima mu buryo butari bumwe, cyangwa kubabara mu gatuza , ugomba kwandika igihe byabereye n'icyo wakoraga icyo gihe.
• Tekereza ko wari utwaye imyenda yo kumesera hejuru ahagana saa yine n'igice za mu gitondo maze ukumva ububabare mu gatuza. Iyo uza kubyandika, muganga yashoboraga kubona ibyabaye kuri EKG yawe icyo gihe. Iyi kaye ni ingirakamaro cyane kugira ngo umenye neza indwara.

Ni ibihe bintu udakwiye gukora wambaye moniteur ya Holter?

Ushobora gukora ibikorwa byawe byinshi bisanzwe, harimo no gusinzira, wambaye moniteur ya Holter. Ariko, ugomba kwirinda ibi bintu mugihe wambaye moniteur y'umutima:

• Kwiyuhagira, kwiyuhagira, cyangwa koga.
• Gukorerwa isuzuma rya X-ray .
• Kugera hafi y'ahantu hafite amashanyarazi menshi, magneti, cyangwa ibyuma bipima amashanyarazi.
• Gukoresha ibikoresho bimwe na bimwe by'amashanyarazi (urugero, mikoroonde, uburoso bw'amenyo bw'amashanyarazi, imashini zogosha, cyangwa ibiringiti by'amashanyarazi) bishobora kubangamira imikorere ya moniteur bitewe n'imiraba ya elegitoroniki.

Ni iki kibaho nyuma yo gukoresha moniteur ya Holter?

Nyuma y'amasaha 24 cyangwa 48 wahawe arangiye:

• Ugomba gusubira inyuma ugatanga moniteur. Hanyuma bazakuraho electrodes hanyuma bazishyireho.
• Hanyuma, umuganga cyangwa umutekinisiye azakusanya inyandiko zawe zose za EKG n'inyandiko wanditse, azisesengure, hanyuma yoherereze raporo umuganga w'umutima wawe.

Wibuke ko umuganga adakurikirana imikorere y'umutima wawe mu gihe cy'iki kizamini. Rero niba ugize ibimenyetso bikubabaza mugihe wambaye ecran cyangwa nyuma yaho, shaka ubufasha bwa muganga ako kanya.

Ese hari ingaruka cyangwa ingaruka mbi za moniteur ya Holter?

Nta ngaruka zikomeye cyangwa ububabare buterwa no kwambara Holter monitor. Hari abantu bashobora kugira ububabare buke bw'uruhu cyangwa gutukura bitewe na kaseti cyangwa kole ikoreshwa mu gufatanya na electrodes. Niba ufite ubwivumbure ku bwoko ubwo aribwo bwose bwa kaseti cyangwa kole, menya neza ko wabibwiye muganga wawe mbere y'igihe.

Ibisubizo bimeze bite? Bitubwira iki?

Ibisubizo bya Holter monitor bishobora kugaragaza niba ufite umutima utari umeze neza, cyangwa arrhythmia. Urugero:

• Gutera imitsi mu mutima (indwara ituma icyumba cyo hejuru cy'umutima gitera ku buryo budasanzwe)
• Bradycardia (umutima utera buhoro buhoro)
• Tachycardia (umuvuduko w'umutima wiyongera)
• Kugabanuka kw'imitsi itaragera (PVCs) (gutera gucura vuba guturutse mu cyumba cyo hasi cy'umutima)

Moniteri ya Holter ni ingirakamaro cyane mu kumenya imiterere nk'iyi.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Muganga wawe asanzwe azakumenyesha ibisubizo mu cyumweru kimwe cyangwa bibiri nyuma y'ikizamini. Uzakenera kwihangana, kuko bifata igihe kugira ngo usesengure amakuru.

Niba ibisubizo bidasanzwe, ni iki ukurikizaho?

Niba hari ibitagenda neza mu bisubizo, muganga wawe azakubwira icyo wakora nyuma yaho. Ibi bishobora kuba birimo:

• Gukora ibizamini byinshi by'umutima.
• Gutangira imiti y'umutima.
• Gutera pacemaker (igikoresho gito gifasha mu kugumana umutima uhagaze neza).
• Indwara y'umutima ( uburyo bwo kugarura umuvuduko w'umutima usanzwe).
• Ablation ( uburyo bwo kuvura bukoresha imbaraga zishyushye cyangwa zikonje kugira ngo bukore inkovu nto mu mutima kugira ngo buvure imivuduko idasanzwe y'umutima).

Ntutinye, icyo ukora cyose ni ukugira ngo ugire imibereho myiza.

Ni ryari nkwiye guhamagara muganga wanjye?

Hamagara muganga wawe niba uhuye n'ibi bikurikira mugihe wambaye monitor ya Holter:

• Niba hari ikibazo kuri moniteur ya Holter ukoresha.
• Niba ufite ikibazo kijyanye n'uburyo bwo gukoresha moniteur.
• Iyo electrode ifunguye.
• Niba uhuye n'ingorane cyangwa ibimenyetso biguhangayikishije bifitanye isano n'umutima wawe.

Na none, iki si ikizamini gisaba gukurikiranwa n'abaganga buri gihe. Kubwibyo, niba ubonye ibimenyetso, shaka inama kwa muganga.

Ese Holter monitor ishobora kumenya impungenge?

Yego, rimwe na rimwe impungenge zishobora gutuma ugira palpitations. Iyo bibaye, Holter monitor irashobora kubyandika. Ariko kugira ngo amenye icyateye palpitations, muganga wawe agomba gusesengura raporo witonze. Nanone, ni ngombwa cyane kwandika mu ikaye yawe ibyo wakoraga n'ibyo wumvise igihe wagiraga palpitations.

Ni irihe tandukaniro riri hagati ya EKG na monitor ya Holter?

Mu magambo make, EKG ipima gusa imikorere y'umutima wawe mu gihe ikizamini kirangiye. Ni ukuvuga ko ari nko gufata ifoto imwe gusa. Ariko imivuduko y'umutima wawe n'ibimenyetso byawo bishobora guhinduka umunsi wose.

Muganga wawe arashaka kureba uko umutima wawe uhinduka mu gihe ukora imirimo yawe ya buri munsi. Ikimenyetso cya Holter giha muganga wawe ishusho yuzuye y'umutima wawe, nk'uko bigaragazwa na videwo mu gihe cy'umunsi umwe cyangwa ibiri.

Ni irihe tandukaniro riri hagati ya moniteri ya Holter na moniteri y'ibikorwa?

Ibyo byombi bishobora gutera urujijo. Imashini ya Holter ifata amajwi y'umutima wawe mu gihe cy'amasaha 24 cyangwa 48. Ibyo bivuze ko yafashwe amajwi yaba afite ibimenyetso cyangwa ntabyo afite.

Ariko, icyuma gipima ibyabaye ntigifata amajwi buri gihe. Gifata amajwi gusa iyo wumvise ikimenyetso, iyo ukoresheje icyuma gipima ibyabaye. Hari bimwe mu bipima ibyabaye bihita bifata amajwi iyo umutima utari mwiza ubayeho. Ariko ahanini bikoreshwa iyo ibimenyetso bibaye.

Amaherezo, ibintu byo kwibuka

Bishobora kugutera agahinda kutamenya neza icyagutera ububabare mu gituza, umutima utera cyane, cyangwa isereri. Holter monitor ni igikoresho cy'agaciro gishobora kugufasha kubona impamvu.

Nubwo ushobora kumva utameze neza kwambara ibi mu minsi mike, nta bubabare bibabaza kandi bigomba kwambarwa umunsi umwe cyangwa ibiri gusa. Nyuma y'ibyo, uba uri hafi yo gusuzuma neza indwara yawe no koroherwa. Niba rero muganga wawe abigusabye, ntutinye gukora iki kizamini.

Niba ufite ibindi bibazo kuri ibi, vugana na muganga wawe. Ashobora gukemura gushidikanya kose ushobora kuba ufite.

` Holter monitor, indwara z'umutima, EKG, umuvuduko w'umutima, arrhythmia, ububabare bwo mu gituza, isereri