Kwenzeka ntoni kwisingqisho sentliziyo yakho? Masiyijonge ekhaya. Yonke into malunga (neeMonitor ze-Ambulatory)!

Ngaba ngamanye amaxesha ukhe uzive ngathi kukho into engalunganga entliziyweni yakho? Mhlawumbi ugqirha ukuhlolile wathi kufuneka ajonge ukusebenza kwentliziyo yakho kangangeentsuku ezimbalwa. Kulapho ke ezi zixhobo zincinci ezibizwa ngokuba yi-"Ambulatory Monitors" ziluncedo khona. Ngoko ke, masithethe ngale nto ngokweenkcukacha, ngokulula, namhlanje.

Yintoni i-Ambulatory Monitor? Ngamafutshane...

Ngamafutshane, isixhobo sokumamela sisixhobo esincinci esirekhoda umsebenzi wombane wentliziyo yakho, okanye isingqisho sentliziyo, ixesha elide, ngelixa usekhaya okanye usenza imisebenzi yakho yemihla ngemihla. Cinga ngayo njenge-ECG xa ufika esibhedlele, kodwa ihlala nawe iintsuku, ngamanye amaxesha iiveki. Oku kubalulekile kuba ezinye izifo zentliziyo azibonisi zimpawu rhoqo. Oko kuthetha ukuba zisenokungabikho xa ubona ugqirha. Yindlela entle yokuchonga iingxaki ezivela ngequbuliso nangaphandle kwesibhedlele .

Zeziphi iintlobo zeengxaki zentliziyo ezinokubonwa ngesi sikrini?

Le `ambulatory monitor` isetyenziselwa kakhulu ukubona `(Arrhythmia)` okanye ukubetha kwentliziyo okungahambelaniyo. Nangona ezinye iziphazamiso zinokubonwa ngokulula nge `(ECG)` eyenziwe esibhedlele, le monitor inokuqokelela uluhlu olubanzi kunye nedatha engaphezulu. Ke ngoko, inceda ukubona iziphazamiso onokuthi ungazazi, ezenzeka ngequbuliso, okanye ezihlala ixesha elifutshane kakhulu .

Nazi ezinye zezona ntlobo zixhaphakileyo ze-arrhythmia:

• `(Bradyarrhythmia)` (Bradycardia): Le yintliziyo ebetha kancinci ngendlela engaqhelekanga. Ukuchaneka, kuvakala ngathi intliziyo ibetha ngokukhawuleza kakhulu.
• I-Tachyarrhythmia: Kulapho intliziyo ibetha ngokukhawuleza ngendlela engaqhelekanga. Khawuthelekelele intliziyo yakho ibetha njengentliziyo ebetha ngamandla.
• I-Supraventricular arrhythmia: Igama elithi "Supra" lithetha okungentla. Igama elithi "Ventricle" libhekisa kumagumbi amabini asezantsi entliziyo. Oku kubhekisa kukungalingani kwamagumbi amabini aphezulu entliziyo, i-atrium yasekhohlo kunye ne-atrium yasekunene.
• I-Ventricular arrhythmia: Ezi zizinto ezingaqhelekanga ezenzeka kumagumbi amabini asezantsi entliziyo.

Ngubani oza kubandakanyeka kolu phando? Ngubani oza kukunceda?

Iingcali zonyango ezininzi zibandakanyeka kule nkqubo yovavanyo. Umzekelo, iingcali, abahlengikazi, kunye noogqirha. Nangona kunjalo, phantse rhoqo yingcali ehlalutya idatha eqokelelweyo ize yenze uxilongo. Lo unokuba yingcali yentliziyo okanye ingcali ye-electrophysiologist.

Isebenza njani le monitor ejikelezayo? Iyamangalisa, akunjalo?

Zonke ezi monitors ze-ambulatory ziyasebenza kuba intliziyo yethu inenkqubo yayo yombane. Khawuthelekelele, ukubetha kwentliziyo kulawulwa ziimpawu ezivela kule nkqubo yombane. Ezi zimpawu zombane zezona zibangela ukuba amagumbi amane entliziyo anciphe ngendlela ehlelekileyo neqhubekayo. Oku kuvumela intliziyo ukuba ipompe igazi ngendlela ehlelekileyo nesebenzayo.

Ayimangalisi na le nto? Lo msebenzi wombane entliziyweni yethu unamandla kangangokuba unokubonwa lula zizixhobo ezifakwe ngaphezulu okanye ngaphantsi kolusu.

Oku yinto esiyazi njenge-`(ECG)`, erekhoda lo msebenzi wombane. Kodwa lixesha elifutshane. Ukuba kukho ingxaki kwindawo ethile yentliziyo, umsebenzi wombane kuloo ndawo uyatshintsha. Kungokujonga olo tshintsho apho ugqirha oqeqeshiweyo anokuxelela indlela asebenza ngayo amacandelo ahlukeneyo entliziyo. I-`(ECG)` idla ngokwenziwa esibhedlele okanye ekliniki, kwimizuzu embalwa.

Iimonitha ze-ambulatory zisebenza ngendlela efanayo. Nangona kunjalo, ezi zijonga ukusebenza kwentliziyo yakho kangangeentsuku, iiveki, kwaye ngamanye amaxesha iminyaka . Zinokurekhoda ukusebenza kwentliziyo yakho ngelixa ulele, usebenza, okanye usenza imisebenzi yakho yemihla ngemihla.

Zeziphi iintlobo zeemonitha ze-ambulatory ezikhoyo? Zeziphi ezifanelekileyo kuwe?

Uninzi lweemonitha ezihambahambayo zizixhobo eziphathwayo onokuzithwala. Zilinganisa izinga lokubetha kwentliziyo yakho zisebenzisa iisensa ezibizwa ngokuba zii-electrodes. Ezi electrodes zincamathiselwe eluswini lwakho ngeglue ekhethekileyo. Uninzi lwezi monitha zilingana nobukhulu kunye nobunzima befowuni eqhelekileyo.

### Iimonitha zangaphandle

• `(Isixhobo sokujonga i-Holter): Esi sisetyenziswa kakhulu ukurekhoda umsebenzi wentliziyo usuku olunye okanye ezimbini. Nangona kunjalo, ezinye izixhobo zokujongisisa ezinje zinokurekhoda idatha kangangeveki okanye ezimbini.
• Isixhobo sokujonga iziganeko: Ezi zixhobo zirekhoda umsebenzi wentliziyo kuphela xa kukho ithuba elikhulu lokubetha kwentliziyo ngendlela engaqhelekanga. Ezinye izixhobo zokujonga zinokusebenza xa uziva iimpawu. Ezinye "zimamela" nje isingqisho sentliziyo yakho kwaye ziqale ukurekhoda ngokuzenzekelayo xa zibona ukubetha kwentliziyo ngendlela engaqhelekanga. Kukho iintlobo ezimbini eziphambili:
• `(Ukuvula)`: Ezi zixhobo zine-`memory loop`. Oko kukuthi, imizuzu embalwa edlulileyo kunye nemizuzu embalwa kwixesha elizayo zigcinwa kule memori. Xa `ivuliwe` ingasetyenziswa, idatha endala iyacinywa njengoko idatha entsha yongezwa. Ukuba `uyenza isebenze`, imizuzu embalwa edlulileyo kunye nemizuzu embalwa emva `iyenza isebenze` zigcinwa ukuze zijongwe kamva.
• `(Ayitshintshi)`: Ezi zirekhoda ixesha elithile kuphela emva kokuba `ivuliwe`. Ezinye zezi monitors zikuvumela ukuba ushiye `ii-electrodes` zivuliwe. Xa kuvela iimpawu, ungazincamathisela `ii-electrodes` kwaye `usebenze` imonitha ukuze urekhode isingqisho sentliziyo.
• `(Isijongi sexesha langempela)` (Isijongi sexesha langempela): Ezi zifana kakhulu ne `(Isijongi seziganeko)`. Nangona kunjalo, ezi zinokuthumela idatha malunga nomsebenzi wentliziyo kwiziko lokujonga ukuze ugqirha ayibone ngoko nangoko. Ezi zinokuthumela idatha ngokuzenzekelayo xa zibona into engaqhelekanga, okanye zingasetyenziswa ukuba zithumele idatha xa uziva iimpawu. Ezi ziluncedo kakhulu kwiimeko apho kukho izinto ezingaqhelekanga kwaye kufuneka iingcebiso zonyango ezingxamisekileyo.

### Ezinye iintlobo zemonitha ezikhethekileyo

Kukho ezinye iintlobo ezimbini zeemonitha ezisebenza ngendlela efanayo nezo zikhankanyiweyo apha ngasentla, kodwa zinomahluko omncinci:

• Isishicileli seepetshi: Ezi zifana nesipetshi osincamathisela eluswini lwakho. Nangona kunjalo, zinayo yonke into oyifunayo ukuze ubone, urekhode, kwaye ugcine umsebenzi wentliziyo yakho. Zinokunxitywa malunga neeveki ezimbini. Zincinci ngokwaneleyo ukuba zingabonakali lula phantsi kwe-T-shirt.
• Iirekhoda zeluphu ezifakelwayo: Ezi zizixhobo ezincinci kakhulu ezinokufakelwa phantsi kwesikhumba. Zinokujonga ukusebenza kwentliziyo ixesha elide kakhulu, mhlawumbi ukuya kuthi ga kwiminyaka emibini. Zinokurekhoda ngokuzenzekelayo okanye xa umntu ozinxibileyo ezivula. Idatha ingakhutshelwa ngaphandle kwentambo kwikliniki okanye kwiofisi kagqirha. Eyona nzuzo inkulu yoku kukuba akufuneki ukhathazeke ngokuyivula, kwaye ayibangeli ngxaki xa uhlamba okanye uqubha.

Yintoni omawuyilindele ngaphambi kovavanyo? Ungazilungiselela njani?

Ugqirha, odla ngokuba yingcali, uya kuchaza iindlela onokukhetha kuzo uvavanyo aze acebise uhlobo lwesikrini esifanelana neemfuno zakho. Oku kuya kuqwalasela izinto ezifana nomsebenzi wakho kunye nezinto ozithandayo.

### Indlela yokulungiselela uvavanyo

Kungcono ukuhlamba ngaphambi kovavanyo. Ngokuxhomekeke kwisikrini osisebenzisayo, kungathatha usuku okanye ezimbini ngaphambi kokuba uphinde uhlambe emva kokususa ii-electrode. Nokuba kunjalo, kubalulekile ukugcina ulusu esifubeni sakho lucocekile.

• Musa ukuthambisa ioyile, iloshini, okanye ikhrimu eluswini lwesifuba. Ezi zinto zinokuthintela ii-electrode ukuba zinganamatheli kakuhle eluswini kwaye zithintele intliziyo ekusebenzeni kakuhle.
• Kwakhona, nxiba ihempe ekulula ukuyinxiba nokuyikhulula. Ngale ndlela, kuya kuba lula ukuncamathisela ii-electrode.

Kwenzeka ntoni ngomhla wokufakwa kwemonitha?

Ingcali okanye enye ingcali yezempilo iya kukuchazela indlela yokusebenzisa isixhobo, indlela yokusisebenzisa, kunye nendlela yokususa nokudibanisa kwakhona ii-electrode, kuxhomekeke kwisixhobo, emva kokuhlamba okanye ukuqubha.

Baza kukuxelela nendlela yokuhlala kude nezinto ezinokuphazamisana nesikrini, njengezixhobo ezithile ze-elektroniki kunye nezixhobo ezinemagnethi. Banokukunika uluhlu lwezo zixhobo, okanye ungacela esinye.

Kwiimonitha ezisebenzisa ii-electrode, iindawo apho ii-electrode zincamathiselwe khona zicocwa ngotywala. Ukuba kukho iinwele kuloo ndawo, ziyasuswa. Kulapho ke kuphela apho ii-electrode zinokunamathela ngokufanelekileyo kwaye kufumaneke isignali ecacileyo.

Kunjani xa unxibe imonitha? Yintoni endifanele ndiyilumkele?

Uvavanyo lwemonitha oluhambahambayo lukhuselekile kakhulu kwaye alunantlungu . Ngokwesiqhelo, okufuneka ukwenze kukunxiba nokusebenzisa imonitha njengoko kuyalelwe. Ababoneleli bakho bezempilo, kuquka iingcali kunye nabahlengikazi, baya kukuxelela yonke into ekufuneka uyazi ngelixa unxibe imonitha.

Wenza ntoni xa ixesha lovavanyo liphelile?

Xa uvavanyo luphelile, ungazisusa ii-electrode (ukuba isixhobo sinazo) uze ubuyisele isixhobo. Ngeemonitha zangaphandle, unokufumana ukurhawuzelelwa okuncinci okanye ukubomvu (ukurhawuzelelwa kwesikhumba) kangangeentsuku ezimbalwa apho ii-electrode zifakwe khona. Oku kudla ngokuphela emva kweentsuku ezimbalwa. Ukuba oku kuyenzeka, ungabuza ugqirha wakho ukuba kukho nantoni na onokuyenza ukunceda ukuba iphole ngokukhawuleza.

Ngaba kukho naziphi na iingozi ngezi zixhobo? Masiqaphele kancinci.

Ngokubanzi, eyona miphumo ixhaphakileyo yeemonitha ezisebenzisa i-ambulatory kukurhawuzelelwa lusu okanye ukuba bomvu . Oku kudla ngokubangelwa yiglu esetyenziselwa ukuncamathisela ii-electrode eluswini. Ukuba unesikhumba esibuthathaka okanye uyazi (okanye urhanela) ukuba une-allergy kwiiglue, kufuneka uxelele ugqirha wakho ngaphambi kokuba usebenzise ii-electrode.

Ngee-loop recorders ezifakelwayo, ezinye iziphumo ebezingalindelekanga okanye iingxaki zinokwenzeka - kodwa uninzi lwazo zincinci:

• Intlungu okanye ukungakhululeki kwindawo yokufaka: Oku kudla ngokuba ngcono ngokwako kwiintsuku ezimbalwa.
• Usulelo: Kunqabile kakhulu ukuba usulelo luvele kwindawo yesixhobo. Oku kudla ngokuphathwa ngee-antibiotics. Nangona kunjalo, ngamanye amaxesha isixhobo sinokufuneka sifuduselwe kwenye indawo.
• I-Allergic reaction: Enye into engaqhelekanga kukuba i-allergic reaction ivele kwizinto ezisetyenzisiweyo kwisixhobo. Ukuba oku kuyenzeka, isixhobo kuya kufuneka sisuswe kwaye kuya kufuneka kusetyenziswe uhlobo olwahlukileyo lwesikrini.
• Isignali engalunganga: Ngamanye amaxesha ezi zixhobo azikwazi ukubona umsebenzi wombane kwiindawo ezithile zentliziyo ngokufanelekileyo. Ukuba oko kuyenzeka, isixhobo sinokufuna ukufuduselwa kwenye indawo apho sinokufumana khona isignali ecacileyo.

Zifumaneka njani iziphumo? Zisixelela ntoni?

Emva kokuba ubuyisele imonitha, iingcali kunye nabanye abasebenzi bezonyango baza kukhuphela idatha baze bayongeze kwifayile yakho yezonyango ukuze ugqirha wakho ayihlole. Emva kokuba ugqirha ehlolisise idatha, uya kukwazi ukwenza uxilongo. Emva koko, ngokuxhomekeke kwiminqweno yakho kunye neenkqubo zeklinikhi, uya kwaziswa ngefowuni okanye ngenye indlela. Ngelo xesha, ugqirha uya kuchaza ukuba iziphumo zibonise ntoni kunye nento ekufuneka uyenze ngokulandelayo. Kwezinye iimeko, unokucelwa ukuba ubuye ukuze undwendwele ugqirha okanye, ukuba kuyimfuneko, uthunyelwe kwenye ingcali.

Ufanele ubize ugqirha nini? Ziqaphele ezi zinto.

Ugqirha wakho kunye nabasebenzi bakhe baza kukuxelela ukuba ufowunele nini eofisini yabo. Banokukunika nenombolo yefowuni ekhethekileyo esebenza iiyure ezingama-24 ukuba unemibuzo malunga nesikrini.

Ukuba une-implantable loop recorder (ILR) kwaye unezinye zeempawu ezilandelayo zosulelo , kufuneka utsalele umnxeba ugqirha wakho ngoko nangoko:

• Uba nomkhuhlane, uzive ubanda kwaye uqhaqhazela.
• Ukuziva ufudumele xa uchukumisa indawo apho isixhobo sifakwe khona.
• Kukho ukudumba okanye ukubomvu kuloo ndawo.
• Ulwelo okanye igazi elifana nobovu eliphuma kwindawo etyumkileyo.

Kuthatha ixesha elingakanani ukwazi iziphumo zovavanyo?

Ixesha elithathwayo ukubona iziphumo liyahluka. Kuxhomekeke kuhlobo lwesikrini esisetyenzisiweyo, ubude bexesha lokujonga, kunye neeshedyuli zeklinikhi kunye noogqirha. Ungababuza ukuba kuza kuthatha ixesha elingakanani ukufumana iziphumo.

Umyalezo Wokuya Ekhaya

Ngoko ke, le "ambulatory monitor" luvavanyo olubaluleke kakhulu nolukhuselekileyo. Ngokukodwa, iluncedo kakhulu ekuchongeni ukungalingani kwesantya sentliziyo okwenzeka ngequbuliso kwaye kwenzeka kuphela kubomi bemihla ngemihla. Ukuba ugqirha wakho ucela ukuba wenze olu vavanyo, akukho sizathu sokukoyika. Ndiyathemba ukuba eli nqaku likunike ukuqonda okungcono ngalo. Ukuba unemibuzo, thetha nogqirha wakho kwaye ufumane okungakumbi. Hlala usempilweni!

Isifo sentliziyo , isixhobo sokujonga ukuhambahamba, izinga lentliziyo, ukungasebenzi kakuhle kwentliziyo, isixhobo sokujonga iHolter, uvavanyo lwentliziyo, i-ECG