Reka twige ku gikoresho gito gikurikirana mu ibanga umuvuduko w'umutima wawe! (Loop Recorder)?

Ese hari igihe wumva ikintu kidasanzwe ku mutima wawe utera? Cyangwa hari igihe uhita utakaza ubwenge? Hari abantu bashobora kugira ibi bintu batababara mu gatuza. Kubona impamvu y'ibi bintu rimwe na rimwe bishobora kugorana gato. Kuko iyo ugiye kwa muganga, ushobora kutagaragaza ibyo bimenyetso ako kanya. Ni bwo aka gakoresho gato ngiye kuvugaho, kitwa Loop Recorder, kadufasha. Reka tubiganireho birambuye, sibyo?

Umuvuduko wo gufata amashusho (Loop Recorder) ni iki?

Mu magambo make, Loop Recorder ni igikoresho gito gishyirwa munsi y'uruhu rw'igituza cyawe. Gifata amakuru yerekeye umuvuduko n'umuvuduko w'umutima wawe. Tekereza nk'umupolisi muto ushobora gukurikirana imikorere y'amashanyarazi y'umutima wawe amasaha 24 ku munsi, kugeza ku myaka itatu. Hari izindi mashini zigenzura umutima zireba umutima wawe igihe gito gusa. Ariko iki kiratandukanye.

Iyi Loop Recorder ifata amakuru mu buryo bwikora ikayoherereza muganga w’indwara z’umutima. Gukurikirana buri gihe bishobora gufasha kumenya ibitagenda neza mu mikorere y’umutima, byitwa arrhythmias , nka atrial fibrillation . Izi arrhythmias rimwe na rimwe zishobora kuba mbi. Zishobora gutera ingorane nko guhagarara k’umutima cyangwa guhagarara k’umutima mu buryo butunguranye . Niyo mpamvu ari ngombwa kubimenya no kubivura vuba.

Iyi Loop Recorder yitwa kandi:

• Ifatabuguzi ry'Umurongo Ushobora Guterwa (ILR)
• Imashini ipima umutima ishobora gushyirwamo (ICM)

Aka gakoresho gato gashyirwa munsi y'uruhu ku ruhande rwo hejuru ibumoso rw'igituza cyawe.

Ibi bisa bite?

Iyi Loop Recorder ni igikoresho gito cyane, gifite ishusho kare . Ni nk'ikaramu nto ukoresha. Ifite uburebure bwa santimetero 1-2. Ikozwe mu cyuma, ifite umuyoboro muto w'amashanyarazi imbere, na bateri imara igihe kirekire.

Iki gikoresho gishyirwa munsi y'uruhu . Ushobora kuba utabona neza imiterere yacyo munsi y'uruhu, ariko ntuzumva ububabare cyangwa ngo ugire ikibazo.

Hamwe n'iki gikoresho kiri mu gituza cyawe, muganga wawe azaguha akantu gato gatuma umutima wawe utera neza . Ibi bihuzwa n'icyo gikoresho. Bizaguha umuvuduko w'umutima.Niba ugize ibimenyetso nko gutera k'umutima, icyo ugomba gukora ni ugukanda buto kuri iyi activator. Icyo gihe Loop Recorder izafata amajwi y'ibikorwa by'umutima wawe muri icyo gihe.

Ni iki mu by'ukuri kizava muri ibi?

Loop Recorder igenzura umuvuduko n'umuvuduko w'umutima wawe. Iyo hari imikorere idasanzwe y'amashanyarazi, ihita iyandika hanyuma ikabika amakuru mu bubiko (nk'uko bimeze kuri chip yo kwibuka). Aya makuru yoherezwa kwa muganga w'indwara z'umutima inshuro nyinshi ku munsi.

Nanone, niba wumva ibimenyetso, ushobora no kubwira iki gikoresho "gufata amajwi ubu ngubu" ufite icyo gikoresho mu ntoki zawe. Tekereza, nubwo waba ufite ibimenyetso kandi bikagenda, iki gikoresho gishobora gusubira inyuma kikandika ibikorwa by'umutima mu minota mike ya nyuma.

Rero, iki gikoresho gishobora gufata amakuru ku bikorwa bidasanzwe, waba ufite ibimenyetso cyangwa utabifite, ndetse n'igihe ntacyo wumva. Hamwe n'aya makuru, muganga wawe ashobora kubona neza ubwoko bw'ibikorwa bidasanzwe umutima wawe ufite n'ibimenyetso bitera.

Ni ryari nakenera ikintu nk'iki?

Niba ukunze kugira umutima utera cyane cyangwa ukagira uburyaryate bwo kwishimagura, ariko ibizamini byabanje ntibigaragaze ikibazo cy’umutima ( arrhythmias ), ushobora gukenera icyuma gifata amashusho. Ibi bishobora gufasha muganga wawe kumenya no kuvura imivugire y’umutima idasanzwe, bikakurinda ingorane zikomeye. Bishobora kandi gufasha kwemeza ko gucika intege cyangwa ibindi bimenyetso bidaterwa n’ikibazo cy’umutima.

Dore zimwe mu nzira z'ingenzi abaganga b'indwara z'umutima bakoresha Loop Recorders:

• Shaka impamvu yo gucika intege cyangwa kugwa gusa nta mpamvu igaragara.
• Suzuma uko umutima utera cyane kandi udasobanutse.
• Kugenzura imikorere y'umutima ku bantu bafite ikibazo cyo kubabara mu mutima (akenshi kugira ngo bifashe mu kuvura).
• Kumenya ibibazo by'umuvuduko w'umutima n'imitsi ku bantu bakuru barwaye indwara z'umutima bavukanye.
• Menya imivuduko idasanzwe y'umutima ibaho nyuma yo gucika intege mu bwonko .
• Mbere yo gushyiramo imashini ikora pacemaker ihoraho, suzuma abafite umuvuduko ukabije w'umutima (bradycardia).
• Indwara y'umutimaGenzura imikorere y'amashanyarazi y'umutima nyuma ya buri kimwe.

Ni nde ukora igikorwa cyo gushyiraho porogaramu?

Akamashini gafata amashusho gashyirwa kuri wewe n'umuhanga mu by'amashanyarazi . Ni inzobere mu by'umutima, ariko yatojwe by'umwihariko ibijyanye n'amashanyarazi y'umutima wawe. Tekereza nk'umuhanga mu by'amashanyarazi ku mutima.

Ni iki kibaho mbere yuko ibi bikosorwa?

Umuganga w’indwara z’umutima azabanza arebe niba icyuma gifata amaraso kigukwiriye. Azasuzuma amateka yawe yose y’ubuzima kandi akore isuzuma ry’umubiri. Ashobora kandi gutegeka ko hakorwa ibindi bipimo, nka:

• Electrocardiogram ( ECG / EKG)
• Echocardiogram
• Ikizamini cy'Imihangayiko mu myitozo ngororamubiri
• Ikizamini cyo Kunyeganyega ku Meza

Nubwo ibi bizamini bitagaragaza ibibazo bikomeye by'umutima, niba ukomeje kugira ibimenyetso nko gucika intege, ushobora gukenera icyuma gifata amashusho.

Ni gute nakwitegura ibi?

Muganga wawe azakubwira uko wakwitegura. Muri rusange, zirikana ibi bintu:

• Muganga wawe ashobora kukubaza ibijyanye n'imiti ufata kandi ashobora kukugira inama yo guhindura ibintu mbere y'umunsi wo gutera intanga. Ntugahagarike cyangwa ngo uhindure imiti iyo ari yo yose keretse muganga wawe abikubwiye.
• Uzakenera umuntu uzagutwara mu modoka nyuma yo kurangiza ibi. Ibi biterwa nuko uzahabwa imiti yo gutuma wumva umeze nk'ufite umutwe, kandi ntabwo ari byiza gutwara imodoka amasaha 24 nyuma yaho.

Ni gute washyiraho icyuma gifata amashusho (loop recorder)?

Ubu si ukubagwa gukomeye , kandi ubusanzwe ni igikorwa cyo kwa muganga aho ushobora gutaha uwo munsi utagombye kuguma mu bitaro. Ntuzasinzira ( anesthesia rusange ). Uzakomeza kuba maso, ariko uzahabwa imiti igufasha kuruhuka.

Shyiraho agakoresho gafata amashusho, hanyuma umuhanga mu by'amashanyarazi azakora ibi bikurikira:

1. Uzahabwa umuti wo kuruhuka hamwe n'umuti wo kugabanya ububabare aho hantu. Icyo gihe ntuzumva ububabare ubwo aribwo bwose.

2. Hazakorwa agace gato cyane ku ruhu ku ruhande rw'ibumoso rw'igituza cyawe. Uku gukata gushobora kuba guto cyane kugeza kuri kimwe cya kane cya santimetero.

3. Hakorwa agapfunyika gato munsi y'uruhu kugira ngo gafate igikoresho.

4. Hanyuma shyira agakoresho gafata amakuru muri ako gace.

5. Icagaguye ku ruhu gifunze hakoreshejwe imidozi cyangwa kole yihariye yo kubaga.

6. Amaherezo, ukoresha igikoresho ugifashe ku gituza cyawe ikintu kimeze nk'ingufu.

Iyi gahunda ntoya ifata iminota 10 kugeza kuri 15 .

Ni iki gikurikiraho?

Abantu benshi bahita basubira mu rugo nyuma y’ibi kandi bashobora gukora imirimo yabo ya buri munsi. Muganga wawe azakubwira uburyo bwo kwita ku gikomere mu rugo n’uko wagikomeza kugisukura.

Hashobora kubaho ububabare hafi y'igikomere, ndetse gishobora no kugaragara nk'ubururu. Ibi ni ibisanzwe, kandi ububabare buzashira mu minsi mike.

Mbere yo gutaha, muganga azakwereka uburyo bwo gukoresha ibindi bintu bikora kuri icyo gikoresho. Ni ukuvuga:

• Akamaro ufata mu ntoki zawe hamwe n'akabuto ko gukanda iyo ufite ikimenyetso.
• Kohereza amakuru mu buryo bw'ikoranabuhanga ubika hafi y'igitanda cyawe. Ibi nibyo bihora byoherereza muganga wawe amakuru.

Ni izihe ngaruka zishobora guterwa n'ibyo?

Ubu buryo ni bwo bufite ingaruka nke cyane , ariko ku bantu bake cyane, ibi bikurikira bishobora kubaho:

• Kwandura : Iyo habayeho ubwandu aho igikoresho cyakorewe, hashobora kuba hakenewe imiti yica udukoko . Hari igihe igikoresho gishobora kwimurirwa ahandi mu gituza.
• Uburyo bwo kurwara indwara ya allergie : Ushobora kuba ufite allergie ku kintu kiri mu gikoresho. Ibi bibaye, ushobora gukoresha ubundi bwoko bw'igikoresho cyo kugenzura.
• Ibimenyetso bibi : Hari igihe igikoresho gishobora kutabasha gufata neza ibimenyetso by'amashanyarazi biva mu mutima. Muri icyo gihe , muganga ashobora kwimura igikoresho ahandi hantu ku gituza.

Ese ibi bishobora kwangiza umutima?

Oya, Loop Recorder ni igikoresho cyizewe cyane , ntabwo cyangiza umutima wawe na gato. Ntabwo kizahindura umuvuduko w'umutima wawe, ntikizagutera ubwoba, cyangwa ngo kigire icyo gikora ku mikorere y'umutima wawe. Ikurikirana gusa imikorere y'amashanyarazi y'umutima wawe kandi ikandika ibitagenda neza.

Namenya nte ibisubizo?

Loop Recorder yawe izohereza amakuru kuri muganga wawe mu buryo bwikora , azakubwira igihe ukeneye kugaruka kugira ngo muganire ku bisubizo.

Ibi bigomba kubikwa igihe kingana iki?

Uzakenera kugumana iki gikoresho mu mwanya wacyo kugeza igihe muganga wawe azasuzuma indwara. Iki gihe kiratandukanye bitewe n'umuntu ku wundi. Niba ibisubizo bigaragaza ko ukeneye pacemaker cyangwa implantable cardioverter defibrillator (ICD), muganga wawe azakuraho loop recorder iyo igikoresho gishya gishyizwemo.

Bateri iri muri izi mashini zifata amashusho (loop recorders) imara imyaka itatu , bityo hari igihe gihagije cyo kumenya imivugire idasanzwe ishobora kubaho rimwe mu kwezi cyangwa inshuro nke mu mwaka, iyo izo mashini zitwara amashusho z'igihe gito zitabasha kubona.

Ni ryari ngomba guhamagara muganga ?

Hamagara muganga wawe vuba niba ufite kimwe muri ibi bimenyetso aho wakorewe inshinge:

• Iyo bihindutse umutuku
• Iyo bibyimbye
• Niba hari amaraso
• Niba hari amabyi cyangwa andi mazi asohoka

Ibi bishobora kuba ibimenyetso by'ingorane isaba kuvurwa vuba.

Ni izihe nyungu n'ibibi bya "loop recorder"?

Hari ibyiza byinshi byo gufata amashusho ya loop. Ibyo ni ibi bikurikira:

• Gukurikirana igihe kirekire : Ibi bishobora kwandika imikorere y'amashanyarazi y'umutima mu gihe cy'imyaka itatu. Izindi moniteur ntizibikora igihe kirekire. Urugero, moniteur ya Holter yandika ibikorwa mu gihe cy'amasaha 24 gusa. Hariho kandi moniteur zishobora gukoreshwa mu gihe cy'ibyumweru bibiri. Ibyo ni ingirakamaro, ariko icyo gihe gishobora kuba kidahagije kugira ngo gifate umuvuduko udasanzwe uba rimwe mu kwezi. Ubushakashatsi bwagaragaje ko iri genzura ry'igihe kirekire ari inyungu nini.
• Gufata amashusho mu buryo bwikora : Nubwo waba wibagiwe gukanda buto iyo ufite ibimenyetso, ibi bizahita bifata amashusho y’imikorere idasanzwe y’umutima. Ibi bishobora kumenya ibitagenda neza nubwo nta bimenyetso ufite. Ibi ni ingirakamaro nubwo waba utazi kandi ntubyibuke. Ubushakashatsi bumwe bwagaragaje ko iki gikoresho gishobora kumenya ibimenyetso by’indwara ya atrial fibrillation.
• Uburyo bworoshye : Ukoresheje Loop Recorder, ushobora koga, koga, no gukora imirimo yawe ya buri munsi nk'uko bisanzwe. Ihishe munsi y'imyenda yawe, bityo ntawe uzayibona. Ntabwo ibangamira cyane nk'izindi monitors. Ibi biroroshye cyane niba ufite akazi gakomeye cyangwa ubuzima busanzwe.

Ariko hashobora kubaho ibintu bike bito bibi:

• Gukenera kubagwa gato : Iki gikoresho kigomba gushyirwa munsi y'uruhu, bityo kubagwa gato birakenewe. Nubwo byaba ari igikorwa gito cyane, hari ingaruka nke ku kubagwa uko ari ko kose.
• Ibinyoma bidafite ishingiro: Hari igihe bishobora gutuma usa n'aho ufite atrial fibrillation mugihe utabifite. Ariko muganga wawe azakenera gukora ibindi bipimo kugira ngo yemeze ko arwaye.

Ni irihe tandukaniro riri hagati ya Loop Recorder na Pacemaker?

Noneho ushobora kwibaza uti, ese iyi Loop Recorder n'iyo Pacemaker yashyizwe mu mutima ni kimwe? Oya, biratandukanye gato.

Imashini ifata amashusho mu buryo bwa "loop recorder" ntabwo ihindura imikorere y'amashanyarazi y'umutima wawe. Ireba gusa kandi igafata amajwi niba hari ikintu kidasanzwe mu muvuduko cyangwa umuvuduko w'umutima wawe. Ni nk'umupolisi w'iperereza.

Ariko pacemaker ni igikoresho gifasha mu gukosora umuvuduko udasanzwe w'umutima, cyane cyane iyo utera buhoro cyane (bradycardia). Yohereza ibimenyetso bito by'amashanyarazi ku mutima, ikawubwira gutera gutya.

Amakuru aturuka muri Loop Recorder ashobora kugaragaza ko ukeneye kuvurwa igihe kirekire ukoresheje igikoresho gihoraho, nka pacemaker.

Ese ibi bishobora gufasha kumenya indwara y'umutima?

Icyo cyuma cyitwa Loop Recorder nticyagenewe kumenya indwara y'umutima. Ariko gishobora kumenya indwara zifata umutima, zikaba ari ingorane ziterwa n'indwara y'umutima.

Indwara y'umutima ni ikibazo cyihutirwa cy'ubuvuzi. Niba ubabara mu gatuza cyangwa ibindi bimenyetso by'indwara y'umutima, ntutinde gushaka ubufasha. Hamagara 911 ako kanya cyangwa ujye ku bitaro biri hafi yawe.

Ese ushobora kunywa inzoga wambaye agakoresho ko gufata amashusho?

Kurikiza inama za muganga wawe ku bijyanye no kunywa inzoga n'izindi mpinduka mu mibereho. Ubushakashatsi bumwe bwagaragaje ko kunywa inzoga bishobora gutera imitsi y'umutima idakora neza. Ibi bishobora kubaho waba unywa inzoga nyinshi cyangwa ziciriritse (inzoga imwe cyangwa ebyiri ku munsi).

Ibi biracyakorerwa ubushakashatsi, bityo ni ngombwa kuganira na muganga wawe ku kuntu inzoga zigira ingaruka ku byago byawe byo kugira ibibazo by'umutima.

Amaherezo, ibintu byo kwibuka

Nkuko mubibona, iyi Implantable Loop Recorder ni igikoresho cy'agaciro gakomeye gifasha wowe na muganga wawe kumenya imikorere ya buri munsi y'umutima wawe. Amakuru itanga ashobora gufasha kumenya no kuvura indwara z'umutima (arrhythmias) mbere yuko ziba ingorane zikomeye.

Ushobora kumva ufite ubwoba gato iyo wumvise ko ugomba kubagwa gato kugira ngo iki gikoresho gishyirwemo. Ibyo ni ibisanzwe. Ariko ibuka ko iki ari igikorwa gito cyane. Vugana na muganga wawe ku bibazo cyangwa impungenge ufite. Ashobora kuguhumuriza no kugusobanurira byose. Ishimire ko ikoranabuhanga nk'iri rishobora kugufasha kugira umutima wawe umeze neza!

` Igipimo cy'umutima, icyuma gifata umuvuduko w'amaraso, arrhythmia, indwara z'umutima, gukurikirana umutima, ubuzima, ibikoresho by'ubuvuzi