Ese hari igihe wumva igituza cyawe kirimo gutera cyane, umutima wawe uri gutera cyane, cyangwa umutima wawe uri gutera cyane? Ariko iyo ugiye kwa muganga ukabona ECG, raporo ivuga ko nta kibazo kirimo, ko ibintu byose ari ibisanzwe. Hari igihe nk'ibi muganga akubwira imashini nto ushobora kujyana mu rugo ukayikoresha iminsi mike. Uyu munsi turimo kuvuga kuri iki gikoresho cyitwa ambulatory monitor, gikurikirana umuvuduko w'umutima wawe mu gihe kirekire.
Mu magambo make, icyuma gipima ikirere ni iki?
Biroroshye cyane. Ni agakoresho gato ushobora kujyana mu rugo ukakambara. Ni nk'terefone ntoya. Ifata amajwi y'imikorere y'amashanyarazi y'umutima wawe mu gihe cy'umunsi umwe, ibiri, icyumweru, cyangwa ndetse n'igihe kirenze icyo.
Tekereza kuri ubu buryo: ECG (electrocardiogram) yafatiwe mu bitaro ni nk'ifoto y'umutima wawe muri ako kanya. Ariko iyi moniteur igenda imeze nk'amashusho yafashwe iminsi myinshi. Ibi ni ingenzi cyane kugira ngo umuntu amenye impinduka zimwe na zimwe mu mikorere y'umutima, kandi bigoye kubona.
Kuki dukeneye ubwoko bw'ikizamini nk'iki?
Impamvu nyamukuru ni ukumenya neza indwara z'umutima zitera ku buryo budasanzwe, ni ukuvuga arrhythmia . Arrhythmia zimwe na zimwe zibaho rimwe na rimwe gusa. Zishobora kutabaho igihe uri kwa muganga. Hanyuma 'ECG' isanzwe ntishobora kuzifata.
Hamwe n'iyi moniteur,
- Ishobora no kumenya amakosa y'umutima ushobora kuba utazi .
- Ushobora kwandika neza ibibazo biza bikanagenda rimwe na rimwe.
- Ushobora kubona uko umutima wawe ukora mu bihe bitandukanye, nko mu gihe usinziriye, mu kazi, cyangwa mu gihe ukora imyitozo ngororamubiri.
Hari ubwoko butandukanye bwa arrhythmia bukunze kugaragara.
| Ubwoko bwa arrhythmia | Mu magambo make ... |
|---|---|
| Bradyarrhythmias | Umutima utera cyane ku buryo budasanzwe. Ukumva urimo gutera cyane. |
| Tachyarrhythmias | Umutima utera cyane ku buryo budasanzwe. Igituza kirimo gutera cyane, kandi wumva gisa n'aho kigiye guturika. |
| Indwara zo mu mutwe zifata imitsi yo mu mutwe (Supraventricular arrhythmias) | Iyi ni injyana idahwitse ibaho mu byumba bibiri byo hejuru by'umutima (atria). |
| Kudakora neza kw'imitsi yo mu miyoboro y'amaraso | Iyi ni injyana idahwitse ibaho mu byumba bibiri byo hasi by'umutima (ventricles). |
Inzobere mu by'umutima cyangwa electrophysiologist azasesengura amakuru yavuye muri iki kizamini maze amenye neza uko indwara yawe imeze.
Iyi moniteur ikora ite?
Umutima wacu ufite sisitemu yawo y'amashanyarazi. Ibyumba bine by'umutima bihuza neza kandi bitanga amaraso bitewe n'ibimenyetso biva muri iyi sisitemu y'amashanyarazi.
Izi bimenyetso by'amashanyarazi birakomeye bihagije kugira ngo bigere ku ruhu rwacu. Rero, utuntu duto duto twitwa electrodes , ushyira ku gituza cyawe dushobora gufata izi bimenyetso. Izi bimenyetso bihujwe na moniteur ntoya ikoresheje insinga. Moniteur yandika izi bimenyetso byose.
Iyo habayeho impinduka mu mikorere y'igice runaka cy'umutima, hari n'impinduka mu bimenyetso by'amashanyarazi bituruka aho. Mu kureba izo mpinduka, ni bwo muganga ashobora gusobanukirwa ikibazo kiri ku mutima wawe.
Ese hari ubwoko butandukanye bw'izi monitors?
Yego, muganga wawe azaguhitiramo ubwoko bw'icyuma gipima indwara kikubereye cyane bitewe n'imiterere y'ibimenyetso byawe. Reka turebe ubwoko bw'ingenzi.
| Ubwoko bwa ecran | Ni iki kibaho muri ibyo? |
|---|---|
| Ibikoresho bya Holter | Ibi akenshi byambarwa amasaha 24 kugeza kuri 48 (umunsi umwe cyangwa abiri). Hari igihe byambarwa mu cyumweru kimwe cyangwa bibiri. Muri icyo gihe, buri gutera k'umutima kw'umutima kugaragara buri gihe. |
| Abakurikirana ibikorwa | Ibi bifatwa gusa iyo hari ikintu gikekwaho kidasanzwe. Iyo wumvise ibimenyetso (urugero: kubabara mu gatuza), ushobora gukanda buto kuri iki gikoresho kugira ngo ubyandike. Hari ibikoresho bimwe na bimwe bihita bibimenya kandi bigafata ikindi kintu kidasanzwe. |
| Ibikoresho bigenzura ibintu mu gihe nyacyo | Ibi bisa n'icyuma gikurikirana ibikorwa, ariko ikintu cyihariye ni uko iyo ikibazo kimaze kwandikwa, amakuru ako kanya yoherezwa mu kigo gikurikirana ibikorwa. Ibi ni ingenzi cyane ku bantu bafite indwara zikomeye. |
| Amafoto y'amakuru | Iki ni igikoresho gito ushobora gushyira ku gituza cyawe nk'igisipa. Nta nsinga zihari. Ushobora kucyambara mu gihe cy'ibyumweru bibiri icyarimwe. Biragoye cyane. |
| Imashini zifata amashusho y'urukiramende zishobora guterwa | Iki ni igikoresho gito cyane. Gishyirwa munsi y'uruhu rw'igituza cyawe nyuma yo kubagwa gato. Gishobora gusigara mu mwanya wacyo imyaka ibiri cyangwa itatu. Nta kibazo gihari mu gihe cyo koga cyangwa koga. Ibi ni ingirakamaro cyane ku bantu badakunze kugira ibimenyetso. |
Ni iki kibaho mbere y'ikizamini no ku munsi w'ikizamini?
Kwitegura mbere y'ikizamini
Muganga wawe azaguhitiramo ubwoko bw'icyuma gipima imiterere ikubereye kandi akagusobanurira.
- Ni byiza ko wiyuhagira neza mbere yo gushyiraho ecran, kuko hari ubwoko bumwe na bumwe bwa ecran bushobora kukubuza kwiyuhagira umunsi umwe cyangwa ibiri.
- Icy'ingenzi kurushaho: Ntugashyire amavuta, amavuta cyangwa amavuta yo kwisiga ku ruhu rw'igituza cyawe. Kubikora bizakumira ibyuma bipima (electrodes) gufata neza uruhu n'ibimenyetso bifatwa neza.
- Ambara imyenda yoroshye kwambara no gukuramo.
Ku munsi moniteri yashyizwemo
Umwe mu bakozi b'ubuvuzi (nk'umutekinisiye) azagusobanurira ibi bintu:
- Uburyo bwo gukoresha igikoresho, uburyo bwo kugikoresha.
- Niba ukeneye gukuramo no kongera gushyiramo sensor, nko mu gihe woga, dore uko wabikora.
- Ikubwira ibintu udakwiye kwegera kuko bishobora kubangamira moniteur (urugero: rukuruzi, bimwe mu bikoresho by'ikoranabuhanga).
- Ahantu ho gushyira sensor hagomba gusukurwa na alukolo, kandi nibiba ngombwa, umusatsi wose urakurwaho. Ibi bituma sensor ifata neza kandi ibimenyetso bikandikwa neza.
Ese hari ingaruka zishobora guterwa no gukoresha ibi bikoresho?
Ibi bizamini ni byiza cyane. Ntabwo bibabaza. Ariko, ingaruka mbi nke zishobora kubaho.
- Ku bapima hanze: Ingaruka mbi zikunze kugaragara ni ugutukura no kwishima aho sensor ishyirwa. Hari abantu bashobora kuba batewe ubwoba n'agakoresho gakoreshwa mu gufata sensor. Niba ufite allergie, menyesha muganga wawe hakiri kare. Ibi bikunze kurangira mu minsi mike sensor imaze gukurwaho.
- Ku byuma bifatwa nk'amajwi: Ingorane zishobora kubaho ni nke cyane.
- Hashobora kubaho ububabare cyangwa kutamererwa neza aho igikoresho cyashyizwe. Ibi akenshi bikemura ubwabyo.
- Ni gake cyane, igikomere gishobora kwandura. Ibi bivurwa n'imiti yica udukoko.
- Nanone ni gake cyane kugira allergie ku kintu kiri muri icyo gikoresho.
- Hari igihe ibimenyetso by'umutima bishobora kutakirwa neza aho igikoresho giherereye, hanyuma bikaba ngombwa ko cyimurirwa ahandi hantu.
Bigenda bite nyuma yo kwakira raporo y'ikizamini?
Umaze gusubiza icyuma gipima uburwayi mu bitaro, amakuru aturukamo arakurwa kuri interineti akohererezwa inzobere. Muganga asuzuma neza ayo makuru yose maze agafata umwanzuro ku bijyanye n'uburwayi bwawe.
Nyuma y'ibyo, ibitaro bizaguhamagara bigusobanurire ibisubizo. Nibiba ngombwa, bazakubwira n'icyo ugomba gukora nyuma, uburyo bwo gutangira kuvurwa, cyangwa niba ukeneye kubonana n'undi muganga w'inzobere.
Ni ryari nkwiye guhamagara muganga wanjye?
Bazakubwira mbere y'igihe uwo ugomba guhamagara n'inomero yo guhamagara niba ufite ikibazo kuri terefone.
Cyane cyane niba ufite agakoresho gafata imiyoboro y'amaraso gashobora gushyirwa mu mubiri , bwira muganga wawe cyangwa ibitaro ako kanya niba ufite kimwe muri ibi bimenyetso bikurikira. Ibi bishobora kuba ibimenyetso by'ubwandu.
- Niba wumva ufite umuriro cyangwa ufite ibicurane.
- Niba wumva ubushyuhe iyo ukoze ku ruhu hafi y'aho ushyizemo.
- Iyo agace kabyimbye cyangwa gatukura.
- Niba hari amazi nk'amabyi cyangwa amaraso arimo kuva mu gikomere.
Igihe bifata kugira ngo ubone ibisubizo by'ibizamini gishobora gutandukana bitewe n'ubwoko bw'icyuma gipima, igihe cyo gupima, n'umukoro w'ibitaro. Ushobora kubaza abakozi ibi ku munsi wo gushyiramo icyuma gipima.
Ubutumwa bwo kujyana mu rugo
- Igikoresho cyo kureba aho umutima wawe uhagaze ni igikoresho gito, cyizewe kandi gishobora kwambarwa gikurikirana umuvuduko w'umutima wawe mu minsi myinshi.
- Ibi ni ingenzi cyane mu kumenya imikorere mibi y'umutima rimwe na rimwe idafatwa na ECG isanzwe.
- Kurikiza amabwiriza ya muganga wawe neza. Witondere uburyo ukoresha igikoresho n'ibyo ugomba kwirinda.
- Ingaruka mbi zikunze kugaragara ni ukuryana guke no gutukura k'uruhu aho sensor ifatanye.
- Niba ufite impungenge ku gikoresho cyangwa niba ufite ibimenyetso by'ubwandu buturutse ku gikoresho cyashyizwe munsi y'uruhu, shaka ubufasha kwa muganga byihutirwa.
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