Ibali lesingqisho sentliziyo yakho - Yonke into malunga novavanyo lwe-ECG (Electrocardiogram)!

Ngaba wakha wayenza i-ECG? Okanye ngaba ugqirha okanye umongikazi wakho wakha wakucela ukuba uyenze? Mhlawumbi oku kuvakala kuyoyikisa kwaye kukhulu kuwe. Kodwa i-ECG ngokwenene luvavanyo olulula kakhulu, olungenabuhlungu , kodwa olubaluleke kakhulu. Namhlanje, siza kuthetha ngokuba yintoni i-ECG, yintoni eyenzayo, kunye nento enokusixelela yona ngendlela elula kakhulu neqondakalayo.

Yintoni i-ECG (i-Electrocardiogram)?

Ngamafutshane, i-ECG (i-electrocardiogram) luvavanyo olurekhoda umsebenzi wombane wentliziyo yakho . Ngokukodwa, ilinganisa amaza ombane amancinci aveliswa xa intliziyo yakho ibetha. Oogqirha bayisebenzisela izinto ezininzi, njengokujonga iingxaki zesingqisho sentliziyo okanye ukubona ukuba unyango oluthile luyichaphazela njani intliziyo yakho.

Olu luvavanyo olukhawulezileyo nolungangenisi gazi. Ungakwenza oko ngelixa ulele ebhedini. Ngamanye amaxesha i-ECG ithathwa njengenxalenye "yovavanyo loxinzelelo" ngexesha lokuzilolonga. Usenokuba uvile ukuba ezinye "ii-smartwatches" ngoku zinokuthatha i-ECG. Nangona kunjalo, eyona nto ingcono kukucela ugqirha ukuba enze i-ECG efanelekileyo aze ahlole ingxelo .

Mhlawumbi ukhe weva kuthiwa yi-ECG kunye ne-EKG. Ungakhathazeki, ziyafana . Igama elithi EKG livela kulwimi lwesiJamani, apho unobumba u-'k' usetyenziswa endaweni yonobumba u-'c'.

Kubalulekile: Ingaba i-ECG (i-Electrocardiogram) yahlukile kwi-"Echocardiogram"? I-"Echocardiogram" yi-"ultrasound scan" yentliziyo. Ibonisa imifanekiso yendlela intliziyo ebetha ngayo. I-ECG ijonga umsebenzi wombane wentliziyo.

Ngaba kukho naziphi na iintlobo ze-ECG?

Ewe, kukho iintlobo ngeentlobo zeemashini ze-ECG. Oogqirha bayazisebenzisa kuxhomekeke ekubeni zingakanani ixesha ekufuneka balisebenzise ukuze bajonge isigqi sentliziyo yakho. I-ECG eqhelekileyo yenziwa esibhedlele okanye eofisini kagqirha. Irekhoda umsebenzi wombane wentliziyo ixesha elifutshane kakhulu (ngesiqhelo malunga nemizuzwana eli-10) . Ngoko ke, khawucinge ukuba unesifo sentliziyo esingenzeki rhoqo, kodwa ngamanye amaxesha, usenokusiphosa ukuba awufumani i-ECG ngoko nangoko. Kufana nokuba i-intanethi yethu yasekhaya iyawa kwaye isebenza kakuhle de kufike umntu oza kuyilungisa.

Ngoko ke, kukho ezinye iintlobo ze-ECG ezingasetyenziswa ngamaxesha anje:

• I-ECG esemgangathweni ene-12-lead: Olu luhlobo oqhele ukulufumana xa usiya kugqirha. Awuyi kuvunyelwa ukuba uthabathe esi sixhobo uye naso ekhaya.
• Isikrini esinxitywayo sexesha elifutshane - umz. Isikrini seHolter: Esi sisixhobo esincinci. Usinxiba iiyure ezingama-24 okanye ezingama-48 . Sihlala sirekhoda umsebenzi wombane wentliziyo yakho ngelixa usenza imisebenzi yakho yemihla ngemihla.
• Ukujonga iziganeko: Esi sixhoboKufuneka inxitywe kangangeveki okanye nangaphezulu. Xa unempawu (umz., isifo sentliziyo), ungacinezela iqhosha uze urekhode isantya sentliziyo yakho ngelo xesha.
• Irekhoda yeluphu efakelweyo: Esi sisixhobo esincinci kakhulu esifakelwa ngugqirha phantsi kolusu lwakho . Singashiywa endaweni yaso iminyaka eliqela.
• Ukuzilolonga i-ECG (Uvavanyo loxinzelelo lwe-ECG): Kule nto, uqhagamshelwe kumatshini we-ECG kwaye i-ECG ithathwa ngelixa uhamba kwi-``(Treadmill). Oku kwenzelwa ukubona indlela intliziyo yakho esabela ngayo xa uxinezelekile.

I-ECG yenziwa nini?

Ugqirha unokugqiba ekubeni enze uvavanyo lwe-ECG ngezizathu ezahlukeneyo. Ezona ziphambili kukufumanisa okanye ukuqinisekisa iimeko ezithile zempilo:

• Ukungahambelani kakuhle kwentliziyo (i-Arrhythmia) okanye ukungaqheleki kokudluliselwa kwemiqondiso yombane.
• Ukuncipha kokuhamba kwegazi ukuya kwimisipha yentliziyo (ischemia) - Oku kunokubangelwa sisifo semithambo yegazi yentliziyo.
• Ingxaki ngeevalvu zentliziyo yakho.
• Isifo sentliziyo esizalwa naso - isifo sentliziyo esibakho xa umntu ezalwa.
• Jonga ukuba ukhe wahlaselwa yintliziyo okanye wakha wahlaselwa yiyo ngaphambili.
• Jonga ukuba amagumbi entliziyo akhulisiwe na.
• Jonga ukuba intliziyo yonakele okanye ayisebenzi kakuhle na.

Kwakhona, oogqirha basebenzisa i-ECG ukuze:

• Ngaphambi kokuba wenze utyando olukhulu, qiniseka ukuba intliziyo yakho ikulungele.
• Ukuba usengozini enkulu yokuba nesifo sentliziyo, jonga impilo yentliziyo yakho.
• Ukuba une-pacemaker, jonga indlela esebenza ngayo.
• Jonga indlela elisebenza ngayo iyeza elitsha lesifo sentliziyo.
• Jonga isingqisho sentliziyo emva kokuhlaselwa yintliziyo.

Ugqirha angayalela i-ECG ukuba unayo nayiphi na kwezi mpawu:

• Iintlungu zesifuba
• Ukuqhawukelwa ngumphefumlo
• Ukuba uziva udiniwe kakhulu (Ukudinwa)
• Isiyezi
• Ukungakwazi ukunxibelelana/ukuphelelwa ngamandla
• Izandla neenyawo eziluhlaza okwesibhakabhaka / i-cyanosis
• Ukuphaphazela okanye ukutsiba kwentliziyo yakho
• Ukuba uziva ngathi intliziyo yakho ibetha ngokukhawuleza (Ukubetha kwentliziyo okukhawulezayo)
• Ukungakwazi ukwandisa ukuhanjiswa kwegazi entliziyweni njengoko kufuneka ngexesha lokuzilolonga (ukungakwazi ukwenza izinto ngexesha le-Chronotropic)

Uvavanyo lwe-ECG lusebenza njani?

Intliziyo yakho inesixhobo sokulinganisa isantya sentliziyo sendalo. Sithumela isignali yombane eqala ukubetha kwentliziyo yakho. Umatshini we-ECG urekhoda esi signali yombane kwaye urekhoda indlela ehamba ngayo entliziyweni yakho, indlela izihlunu zentliziyo ezifinyela ngayo kwaye ziphumla ngayo, ngentliziyo nganye. Olu lwazi luboniswa kwikhompyutha njenge-waveform (nokuba kukwiphepha legrafu okanye kwisikrini) . Oogqirha banokuchaza imeko yentliziyo yakho ngokuyijonga.

I-ECG idla ngoku-odolwa okanye yenziwe ngugqirha wentliziyo. Nangona kunjalo, ingenziwa nakwi-ambulensi, kwigumbi likaxakeka, okanye xa undwendwela ugqirha oqhelekileyo. Ungenza i-ECG eofisini kagqirha, esibhedlele, okanye kwikliniki yangaphandle.

Ulungiselela njani i-ECG?

Ungatya kwaye usele ngokuqhelekileyo ngaphambi kokuba wenze i-ECG. Kodwa khumbula ezi zinto ngaphambi kokuba unxibe ngomhla we-ECG yakho:

• Musa ukuthambisa iimveliso zesikhumba ezinamafutha okanye ezinamafutha (iikhrimu, iiloshini) kuba ii-electrode aziyi kudibana kakuhle nolusu.
• Musa ukunxiba ihosiery epheleleyo, kuba oku kuya kufuna ukuba ii-electrode zinamathele emilenzeni.
• Nxiba ihempe elula ukuyisusa, njengoko ii-electrode ziya kuncamathiselwa esifubeni sakho.

Kwenzeka ntoni xa i-ECG yenziwe?

Umncedisi wezonyango okanye umongikazi uza kuncamathisela malunga ne-"electrodes" ezili-12 kunye nee-sticky pads ezincinci esifubeni sakho, ezingalweni, nasemilenzeni. Ngokwesiqhelo, "ii-electrodes" ezintandathu zincamathiselwa esifubeni sakho kwaye ezintandathu zincamathiselwa ezingalweni nasemilenzeni yakho. Ulwazi oluvela kwezi "sensors" luthunyelwa kumatshini nge-"wires" okanye "leads." Yiyo loo nto ibizwa ngokuba yi-"12-lead ECG."

Ukuze ufumane unxibelelwano oluhle, kunokufuneka uchebe ezinye zeenwele kwezo ndawo. Kuthatha malunga nemizuzu eli-10 ukuncamathisela ii-electrode kunye nokugqiba uvavanyo lwe-ECG. Nangona kunjalo, umsebenzi wentliziyo urekhodwa ngexesha elifutshane kakhulu, malunga nemizuzwana eli-10.

Ukuba une "ECG yokuphumla", kufuneka ulale ebhedini uphumle. Ukuba une "stress test", kufuneka uhambe kwi "treadmill".

Ikhompyutha idala umfanekiso (nokuba usephepheni legrafu okanye kwisikrini) wamaza ombane adlula entliziyweni yakho. Awuyi kuva ntlungu okanye ukungakhululeki njengoko ulwazi luthunyelwa kwikhompyutha luvela kwii-electrodes.

Ii-electrode ziya kuhlala eluswini lwakho de uvavanyo lwe-ECG lugqitywe.

Kwenzeka ntoni emva kwe-ECG?

Xa uvavanyo luphelile, ugqirha okanye umongikazi uza kususa zonke ii-electrode patches. Emva koko, ungaqhubeka nemisebenzi yakho yesiqhelo. Kulula kakhulu, akunjalo?

Ibonisa ntoni i-ECG?

Xa ejonga i-ECG, ugqirha ujonga kakhulu ukuba ingakanani imisebenzi yombane ekhoyo, ukuba inamandla kangakanani, kwaye ingakanani ixesha elidlulayo phakathi kweendawo ezahlukeneyo zamaza ombane ('amaza okanye iincopho').

Iindawo eziphambili ze-ECG kunye noko bakufundayo zezi zilandelayo:

• Amagumbi amabini aphezulu entliziyo yakho (i-'Atria') - apho kuqala khona ukubetha kwentliziyo - avelisa igagasi lokuqala, i-'P wave' .
• Amagumbi amabini asezantsi kwentliziyo yakho ('iiVentricles') zezona zidala induli enkulu elandelayo, iQRS complex .
• Igagasi lesithathu, 'igagasi le-T', libonisa indlela intliziyo ephumle ngayo, okanye 'ebuya iphilile', emva kokuba ibethe.

Ngaba kukho naziphi na iingozi kolu vavanyo?

I-ECG luvavanyo olungenamngcipheko mkhulu. Ayibandakanyi naluphi na umbane okanye imitha ethunyelwa emzimbeni wakho. Usenokuba bomvu kwaye urhawuzelelwe xa kususwe amabala anamathelayo. Ngaphandle koko, akukho nto imbi kangako. Ngoko ke akukho mfuneko yokukhathazeka.

Zifunyanwa njani iziphumo? Ithini?

I-ECG eqhelekileyo nesempilweni kufuneka ibe nepatheni yamaza ephindaphindayo neqhubekayo. Iqhuma elincinci (i-'P wave'), emva koko kube yi-spike (i-'QRS complex'), kuze kube liqhuma elincinci (i-'T wave'), zonke zikwipatheni efanayo nangamaxesha afanayo. Oku kuthetha ukuba intliziyo yakho ibetha rhoqo kwaye ngokwesingqi.

Iipateni zamaza ezingaqhelekanga zezona ndlela zokubona ingxaki. Ngokujonga utshintsho kwi-ECG, ugqirha unokwazi ukubona ukuba leliphi icala lentliziyo elingasebenzi kakuhle okanye uhlobo luni lwemeko. Inkqubo yokubetha kwentliziyo inzima kakhulu, kwaye iindawo ezininzi zentliziyo ziyabandakanyeka.

Kuthatha ixesha elingakanani ukwazi iziphumo?

Ukuba iziphumo zakho ze-ECG zifumaneka ngoko nangoko, ugqirha wakho uya kukwazi ukukuxelela okungakumbi ngazo ngoko nangoko, ingakumbi ukuba ufuna unyango olukhawulezileyo. Nangona kunjalo, ukuba i-ECG yakho yenziwe njengovavanyo oluqhelekileyo okanye njengenxalenye yothotho lweemvavanyo ngaphambi kotyando olungenanto yakwenza nentliziyo, kungathatha iintsuku ezimbalwa ukufumana iziphumo.

Ugqirha wakho uza kugcina iirekhodi zakho ze-ECG ukuze zithelekiswe nee-ECG zexesha elizayo.

Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?

Okulandelayo, into ekufuneka yenziwe ixhomekeke kwisizathu seECG.

• Khawuthelekelele ukuba une-pacemaker, kwaye ukuba i-ECG ibonisa ukuba ayisebenzi kakuhle, ugqirha usenokutshintsha useto lwayo.
• Ukuba i-ECG iphakamisa amathandabuzo malunga nesifo, ugqirha wakho angakucela ukuba wenze uvavanyo olongezelelweyo (umz., i-echocardiogram, uvavanyo loxinzelelo, uvavanyo lwegazi) ukuqinisekisa oko.
• Ukuba i-ECG iqinisekisa ukuba unesifo sentliziyo, ugqirha wakho unokukunika amayeza afanelekileyo, ezinye iindlela zonyango, okanye notyando.

Ngaba kufuneka ndiphinde ndibone ugqirha?

Ngokuqinisekileyo kuya kufuneka uphinde ubonane nogqirha wakho kwezi meko zilandelayo:

• Kuthekani ukuba sele kudlule iintsuku ezimbalwa ukususela oko kwenziwa i-ECG kwaye awuvanga nto ngeziphumo?
• Ukuba iimpawu zakho (umz. iintlungu zesifuba, ukuphefumla kancinci) zimbi kakhulu kunangaphambili kwe-ECG.
• Ukuba unemibuzo engaphezulu malunga noko kuthethwe ngugqirha, into omawuyenze ngokulandelayo, okanye ukuba kukho into ekufuneka uyicacise.

Okokugqibela, khumbula oku.

Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva ngovavanyo lwentliziyo. Kodwa, ngoku uyazi ukuba i-ECG (i-Electrocardiogram) luvavanyo olukhawulezayo, olungenabuhlungu, nolubaluleke kakhulu . Ulwazi olunika lona lunokuxelela ugqirha wakho okuninzi malunga nesingqisho sentliziyo yakho kunye nempilo yentliziyo yakho.

Ngokuxhomekeke kwiziphumo ze-ECG, ungaqala unyango olufunayo kwangethuba, olukunceda uhlale usempilweni kwaye usempilweni. Ngoko ke, ungoyiki ukubuza ugqirha wakho nayiphi na imibuzo onayo malunga ne-ECG, nokuba incinci kangakanani na. Bakho ukuze bakuncede.

I- ECG, i-EKG, i-electrocardiogram, uvavanyo lwentliziyo, isifo sentliziyo, isingqisho sentliziyo, impilo yentliziyo