Ngaba ngamanye amaxesha uziva into engaqhelekanga, njengokudubuleka esifubeni sakho? Okanye ngaba ngequbuliso uziva unesizungu okanye unengxaki yokuphefumla? Mhlawumbi ugqirha wakho ukuxelele ukuba "ufake iHolter Monitor." Ngoko ke, yintoni le Holter monitor? Masithethe ngayo ngokulula, ngendlela onokuyiqonda. Akukho nto yokoyika, ilula kakhulu.
Yintoni le Holter Monitor?
Ngamafutshane, i-Holter monitor ngumatshini omncinci we-EKG onokuwunxiba nowuphatha. Ngokwesiqhelo, i-EKG esiyifumana esibhedlele ijonga kuphela umsebenzi wentliziyo yakho ngelo xesha. Kodwa i-Holter monitor irekhoda isigqi sentliziyo yakho kunye nesantya sentliziyo yakho ngokuqhubekayo kangangeeyure ezingama-24 okanye ezingama-48. Oku kunika ugqirha wakho ukuqonda ngcono indlela umsebenzi wombane wentliziyo yakho otshintsha ngayo njengoko uqhubeka nemisebenzi yakho yemihla ngemihla.
Cinga ngayo njengedekhi encinci yamakhadi okudlala, isixhobo esincinci, esikhaphukhaphu, esisebenza ngebhetri. Inentambo eqhotyoshelwe kuyo kunye nothotho lwee-electrodes , njengezitikha ezincinci, ozincamathisela eluswini lwakho. Ungayinxiba le monitor phantsi kweempahla zakho kwaye uqhubeke nemisebenzi yakho yemihla ngemihla njengesiqhelo.
Esi sixhobo sincinci sibizwa ngokuba yi "Holter" emva koGqr. Norman J. Holter, owasisungula ngeminyaka yoo-1950.
Yintoni eyenziwa yi-monitor yeHolter?
Njengoko besitshilo ngaphambili, isixhobo sokubona umbane seHolter siqokelela ulwazi malunga nomsebenzi wombane wentliziyo yakho, njengovavanyo oluqhelekileyo lwe-EKG (electrocardiogram) . Umahluko kukuba i-EKG yenziwa imizuzu embalwa kuphela, kodwa isixhobo sokubona umbane seHolter sinxitywa usuku olunye okanye ezimbini, ngoko ke kunokwenzeka ukuba sifumane nawuphi na umsebenzi ongaqhelekanga wentliziyo.
Ukuba i-EKG eqhelekileyo ayiboneleli ngeziphumo ezicacileyo, i-monitor yeHolter inokunceda ekufumaneni unobangela weemeko ezifana nezi:
- Ukuphazamiseka kwesingqisho sentliziyo, oko kukuthi , i-arrhythmias .
- Ukubetha kwentliziyo kukuziva ngequbuliso kwentliziyo yakho ibetha, oko kuthetha ukubetha kwentliziyo ngokukhawuleza okanye intlungu yesifuba.
- Isiyezi esingachazekiyo.
Ukongeza, ugqirha wakho angasebenzisa esi sixhobo sokubona ukuba amayeza akho asebenza kangakanani na ukuba uthatha amayeza esifo sentliziyo.
Isebenza njani i-monitor yeHolter?
Kulula kakhulu. Ii-electrode (zifana nezitikha ezincinci) ezibekwe esifubeni sakho zibona umsebenzi wombane wentliziyo yakho. Olu lwazi luthunyelwa ngeengcingo ezincinci kwi-monitor ye-Holter oyinxiba epokothweni yakho okanye kwenye indawo emzimbeni wakho. Le monitor irekhoda yonke loo datha ukuze ihlolwe kamva.
Eyona nto ibalulekileyo kukuba ugqirha akayi kuhlala ejonga isikrini ngelixa usinxibile. Idatha iya kufunyanwa kwaye ihlalutywe kuphela emva kokuba usibuyisele isikrini.
Uzilungiselela njani ngaphambi kokuba unxibe i-monitor yeHolter?
Enyanisweni, akufuneki wenze nantoni na ekhethekileyo ukuze unxibe i-monitor yeHolter. Kodwa kukho into enye. Ekubeni kungengombono ulungileyo ukumanzisa i-monitor emva kokuyifaka, yingcamango elungileyo ukuhlamba kakuhle kwaye ucoce umzimba wakho ngaphambi kokuyifaka. Emva koko ukungakwazi ukuhlamba usuku okanye ezimbini akuyi kuba yingxaki enkulu.
Yintoni onokuyilindela xa unxibe i-monitor yeHolter?
Ugqirha okanye umntu oqeqeshwe kweli candelo uza kuncamathisela esi sikrini kuwe. Emva koko, ungaqhubeka nemisebenzi yakho yesiqhelo. Nantsi into eyenzekayo:
- Ii-electrode ziya kufakwa esifubeni sakho: Ngokwesiqhelo, kuya kufakwa ubuncinane ii-electrode ezimbini. Ngamanye amaxesha, kunokufuneka uchebe ezinye zeenwele esifubeni sakho ukuqinisekisa ukuba ii-electrode zinamathele ngokufanelekileyo. Ungakhathazeki, oku kukuqinisekisa ukuba ii-electrode zirekhoda ngokufanelekileyo imiqondiso yentliziyo.
- Ikunceda ukuba ufake imonitha: Iqhagamshela imonitha kwii-electrode ngeengcingo kwaye ichaze indlela yokuyinyamekela.
- Fumana indawo yokugcina isixhobo sokujonga: Ungayiphatha le nkqubo yokujonga intliziyo epokothweni, okanye uyinxibe ngebhanti entanyeni, esinqeni, okanye egxalabeni lakho.
- Ikufundisa indlela yokurekhoda imisebenzi yakho kunye neempawu: Oku kubaluleke kakhulu. Ukuba ufumana iimpawu ezinje ngokuphefumla kancinci, ukubetha kwentliziyo okungalinganiyo okanye ukutsiba, okanye iintlungu zesifuba , kufuneka ubhale phantsi ukuba kwenzeke nini kwaye wenza ntoni ngelo xesha.
- Khawuthelekelele ukuba ubuphethe impahla phezulu malunga nentsimbi ye-10:30 kusasa uze uzive iintlungu esifubeni. Ukuba uyibhalile phantsi, ugqirha angabona ukuba kwenzeka ntoni kwi-EKG yakho ngelo xesha. Le dayari ibaluleke kakhulu ekufumaneni uxilongo oluchanekileyo.
Zeziphi ezinye izinto ongafanele uzenze xa unxibe i-monitor yeHolter?
Ungenza uninzi lwemisebenzi yakho eqhelekileyo, kuquka ukulala, ngelixa unxibe isixhobo sokubona iintliziyo i-Holter. Nangona kunjalo, kufuneka uziphephe ezi zinto xa unxibe esi sixhobo sokubona iintliziyo:
- Ukuhlamba, ukuhlamba, okanye ukudada.
- Ndivavanywa nge- X-ray .
- Ukusondela kwiindawo ezine-voltage ephezulu, iimagnethi, okanye izixhobo zokubona isinyithi.
- Ukusetyenziswa kwezixhobo ezithile zombane (umzekelo, ii-microwave, iibrashi zamazinyo zombane, iirazors, okanye iingubo zombane) kunokuphazamisa ukusebenza kwemonitha ngenxa yamaza e-electromagnetic.
Kwenzeka ntoni emva kokusebenzisa i-monitor yeHolter?
Emva kokuba ixesha leeyure ezingama-24 okanye ezingama-48 olinikiweyo liphelile:
- Kufuneka ubuyele umva uze unike imonitha. Emva koko baya kususa ii-electrode baze bazifake kwakhona.
- Emva koko, ugqirha okanye ingcali iza kuqokelela zonke iirekhodi zakho ze-EKG kunye namanqaku owabhalileyo, iwahlalutye, kwaye ithumele ingxelo kwingcali yakho yentliziyo .
Khumbula, ugqirha akasoloko ejonga ukusebenza kwentliziyo yakho ngeli xesha lovavanyo. Ngoko ke ukuba ufumana naziphi na iimpawu ezingathandekiyo ngelixa unxibe isixhobo sokujonga okanye emva koko, funa ingcebiso kagqirha ngoko nangoko.
Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga zesikrini seHolter?
Akukho mingcipheko mikhulu okanye iintlungu ezinxulumene nokunxiba i-monitor yeHolter. Abanye abantu banokufumana ukurhawuzelelwa kancinci kwesikhumba okanye ukuba bomvu ngenxa yeteyipu okanye izincamathelisi ezisetyenziselwa ukuncamathisela ii-electrodes. Ukuba une-allergy kuyo nayiphi na uhlobo lweteyipu okanye isincamathelisi, qiniseka ukuba uxelele ugqirha wakho kwangaphambili.
Zinjani iziphumo? Zisixelela ntoni?
Iziphumo zesixhobo sokujonga iHolter zingabonisa ukuba une-rhythm yentliziyo engaqhelekanga, okanye i-arrhythmia. Umzekelo:
- I-Atrial fibrillation (imeko apho amagumbi aphezulu entliziyo ebetha ngokungacwangciswanga)
- I-Bradycardia (isantya sentliziyo esicothayo)
- I-Tachycardia (ukwanda kwesantya sentliziyo)
- Ukuncitshiswa kwe-ventricular ngaphambi kwexesha (ii-PVC) (ukubetha kwangaphambi kwexesha ukusuka kumagumbi asezantsi entliziyo)
Isikrini seHolter siluncedo kakhulu ekuchongeni iimeko ezinje.
Kuthatha ixesha elingakanani ukwazi iziphumo?
Ugqirha wakho uhlala ekwazisa iziphumo kwiveki enye okanye ezimbini emva kovavanyo. Kuya kufuneka ube nomonde, kuba kuthatha ixesha ukuhlalutya idatha.
Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?
Ukuba kukho naziphi na izinto ezingaqhelekanga kwiziphumo, ugqirha wakho uza kuthetha nawe aze agqibe ngento omawuyenze ngokulandelayo. Oku kungabandakanya:
- Ukwenza uvavanyo lwentliziyo olongezelelekileyo.
- Ukuqala amayeza entliziyo.
- Ukufakelwa kwesixhobo sokuncedisa ukubetha kwentliziyo (isixhobo esincinci esinceda ukugcina ukubetha kwentliziyo kubetha rhoqo).
- I-Cardioversion ( inkqubo yokubuyisela isigqi sentliziyo esiqhelekileyo).
- Ukukhupha isisu ( unyango olusebenzisa amandla ashushu okanye abandayo ukwenza isilonda esincinci entliziyweni ukunyanga izingqisho zentliziyo ezingaqhelekanga).
Musa ukoyika, nantoni na oyenzayo yenzelwe impilo-ntle yakho.
Ndifanele ndibize ugqirha wam nini?
Fowunela ugqirha wakho ukuba ufumana nayiphi na kwezi zilandelayo ngelixa unxibe i-Holter monitor:
- Ukuba kukho ingxaki ngesikrini seHolter osisebenzisayo.
- Ukuba unombuzo malunga nendlela yokusebenzisa imonitha.
- Ukuba i-electrode iphuma ikhululekile.
- Ukuba ufumana naluphi na usizi okanye iimpawu ezixhalabisayo ezinxulumene nentliziyo yakho.
Kwakhona, olu ayilovavanyo olufuna ukubekwa esweni rhoqo kwezonyango. Ke ngoko, ukuba ufumana naziphi na iimpawu, funa ingcebiso yezonyango.
Ngaba isixhobo sokubona inkxalabo sikaHolter singayibona ingxaki?
Ewe, ngamanye amaxesha ixhala linokubangela ukuba ube neentlungu ezibukhali. Ukuba oko kuyenzeka, isixhobo sokubona i-Holter singayibhala phantsi. Kodwa ukuze wazi ukuba yintoni ebangele iintlungu ezibukhali, ugqirha wakho kuya kufuneka ayihlalutye ngononophelo ingxelo. Kwakhona, kubaluleke kakhulu ukubhala phantsi kwidayari yakho oko ubukwenza noko ukuvileyo xa wawuneentlungu ezibukhali.
Yintoni umahluko phakathi kwe-EKG kunye ne-Holter monitor?
Ngamafutshane, i-EKG ilinganisa kuphela ukusebenza kwentliziyo yakho ngexesha uvavanyo lwenziwe ngalo. Oko kukuthi, kufana nokuthatha umfanekiso omnye. Kodwa isingqisho sentliziyo yakho kunye neempawu zayo zinokutshintsha imini yonke.
Ugqirha wakho ufuna ukubona indlela esitshintsha ngayo isingqisho sentliziyo yakho njengoko uqhubeka nemisebenzi yakho yemihla ngemihla. Isixhobo sokubona i-Holter sinika ugqirha wakho umfanekiso opheleleyo wesingqisho sentliziyo yakho, njengevidiyo eboniswa ngosuku olunye okanye ezimbini.
Yintoni umahluko phakathi kweHolter monitor kunye neEvent Monitor?
Ezi zimbini zinokuba zidida kancinci. Isixhobo sokubona i-Holter sirekhoda isingqisho sentliziyo yakho rhoqo kangangeeyure ezingama-24 okanye ezingama-48. Oko kuthetha ukuba sirekhodwa nokuba unazo naziphi na iimpawu okanye awunazo.
Nangona kunjalo, isixhobo sokujonga iziganeko asirekhodi rhoqo. Sirekhoda kuphela xa uziva uphawu, ukuba uvula isixhobo sokujonga. Kukho ezinye izixhobo zokujonga iziganeko ezirekhoda ngokuzenzekelayo xa ukubetha kwentliziyo okungaqhelekanga kwenzeka. Kodwa sisetyenziswa kakhulu xa kuvela iimpawu.
Okokugqibela, izinto ekufuneka uzikhumbule
Kunokukukhathaza ukungazi kakuhle ukuba yintoni ebangela iintlungu esifubeni sakho, ukubetha kwentliziyo, okanye isiyezi. Isixhobo sokubona iHolter sisixhobo esibalulekileyo esinokukunceda ufumane unobangela.
Nangona ungaziva ungakhululekanga ukunxiba oku kangangeentsuku ezimbalwa, akukho buhlungu kwaye kufuneka unxibe usuku olunye okanye ezimbini kuphela. Emva koko, usondele ekuxilongeni ngokuchanekileyo imeko yakho kwaye ube ngcono. Ngoko ke, ukuba ugqirha wakho uyacebisa, ungoyiki ukwenza olu vavanyo.
Ukuba unemibuzo engaphezulu malunga noku, zive ukhululekile ukuthetha nogqirha wakho. Yena angasusa nawaphi na amathandabuzo onokuba nawo.
Isixhobo sokujonga iHolter , isifo sentliziyo, i-EKG, izinga lentliziyo, i-arrhythmia, iintlungu zesifuba, isiyezi











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