Ngaba ngamanye amaxesha uziva ngathi isifuba sakho siyabetha ngamandla, intliziyo yakho iyabetha ngamandla, okanye intliziyo yakho ibetha ngamandla kakhulu? Kodwa xa usiya kugqirha uze ufumane i-ECG, ingxelo ithi akukho nto imbi, ukuba yonke into iqhelekile. Ngamaxesha anje apho ugqirha ekuxelela ngomatshini omncinci onokuwuthatha uye nawo ekhaya uwusebenzise iintsuku ezimbalwa. Namhlanje sithetha ngesi sixhobo sibizwa ngokuba yi-ambulatory monitor, esijonga isingqisho sentliziyo yakho ixesha elide.
Ngamafutshane, yintoni i-ambulatory monitor?
Kulula kakhulu. Sisixhobo esincinci onokusithatha uye naso ekhaya usinxibe. Sifana nefowuni encinci. Sirekhoda umsebenzi wombane wentliziyo yakho rhoqo kangangeentsuku, ezimbini, iveki, okanye nangaphezulu.
Cinga ngale ndlela: i-ECG (i-electrocardiogram) ethathwe esibhedlele ifana nefoto yentliziyo yakho ngelo xesha. Kodwa le monitor ifana nevidiyo ethathwe iintsuku ezininzi. Oku kubaluleke kakhulu ekubambeni utshintsho olunzima ukubonwa kwisantya sentliziyo ngamanye amaxesha.
Kutheni siludinga olu hlobo lovavanyo?
Eyona sizathu siphambili kukufumanisa ukuba zeziphi na iintliziyo ezingaqhelekanga, oko kukuthi, ii-arrhythmias . Ezinye ii-arrhythmias zenzeka ngamaxesha athile kuphela. Zisenokungenzeki xa ukwigqirha. Emva koko i-'ECG' eqhelekileyo ayinakuzifumana.
Ngale monitor,
- Ingabona nokungahambi kakuhle kwesantya sentliziyo onokuthi ungazazi .
- Ungazibhala ngokuchanekileyo iingxaki ezifika zize zidlule ngamanye amaxesha.
- Ungayibona indlela intliziyo yakho esebenza ngayo kwiimeko ezahlukeneyo, njengaxa ulele, usebenza, okanye uzilolonga.
Kukho iintlobo ezininzi ze-arrhythmias ezibonakala rhoqo.
| Uhlobo lwe-arrhythmia | Kalula nje... |
|---|---|
| I-Bradyarrhythmias | Isantya sentliziyo siyehla ngendlela engaqhelekanga. Kuvakala ngathi kuyabetha ngamandla. |
| I-Tachyarrhythmias | Intliziyo ibetha ngamandla ngendlela engaqhelekanga. Isifuba siyabetha ngamandla, kwaye kuvakala ngathi siza kuqhuma. |
| Ii-arrhythmias ze-Supraventricular | Esi sisingqisho esingahambelaniyo esenzeka kumagumbi amabini aphezulu entliziyo (i-atria). |
| Iingxaki zentliziyo | Esi sisingqisho esingahambelaniyo esenzeka kumagumbi amabini asezantsi entliziyo (ii-ventricles). |
Ingcali yentliziyo okanye i-electrophysiologist iya kuhlalutya idatha evela kolu vavanyo ize ibone ukuba imeko yakho injani kanye kanye.
Isebenza njani le monitor?
Intliziyo yethu inenkqubo yayo yombane. Amagumbi amane entliziyo ayafinyela ngendlela ehlelekileyo, enesingqisho kwaye ampompa igazi ngenxa yemiqondiso evela kule nkqubo yombane.
Ezi signali zombane zinamandla ngokwaneleyo ukufikelela kumphezulu wolusu lwethu. Ngoko ke, ii-sensors ezimbalwa ezincinci, ezibizwa ngokuba zii-electrodes , ozibeka esifubeni sakho zinokuthatha ezi signali. Ezi sensors ziqhagamshelwe kwi-monitor encinci ngeengcingo. I-monitor irekhoda zonke ezi signali.
Ukuba kukho utshintsho ekusebenzeni kwenxalenye ethile yentliziyo, kukwakho notshintsho kwiimpawu zombane ezivela apho. Kungokujonga ezo nguqu apho ugqirha anokuqonda ukuba yintoni ingxaki ngentliziyo yakho.
Ngaba kukho iintlobo ezahlukeneyo zezi monitors?
Ewe, ugqirha wakho uza kukhetha uhlobo lwesixhobo sokujonga esifanelekileyo kuwe ngokusekelwe kuhlobo lweempawu zakho. Makhe sijonge iintlobo eziphambili.
| Uhlobo lweMonitor | Kwenzeka ntoni kuloo nto? |
|---|---|
| Iimonitha zeHolter | Oku kudla ngokunxitywa iiyure ezingama-24 ukuya kwezingama-48 (usuku olunye okanye ezimbini). Ngamanye amaxesha kunokunxitywa iveki enye okanye ezimbini. Ngeli xesha, ukubetha kwentliziyo nganye kubhalwa phantsi rhoqo. |
| Abahloli beziganeko | Oku kubhalwa kuphela xa kukho ukurhanelwa kwento engaqhelekanga. Xa uziva iimpawu (umz., iintlungu zesifuba), ungacinezela iqhosha kwesi sixhobo ukuze uzirekhode. Ezinye izixhobo ziyazibona ngokuzenzekelayo kwaye zirekhode into engaqhelekanga. |
| Iimonitha zexesha langempela | Oku kufana nokujonga iziganeko, kodwa into ekhethekileyo kukuba kwangoko nje ukuba into engaqhelekanga irekhodwe, idatha ithunyelwa kwiziko lokujonga ngoko nangoko. Oku kubaluleke kakhulu kubantu abaneengxaki ezinzulu. |
| Iirekhoda zepetshi | Esi sisixhobo esincinci onokusincamathisela esifubeni sakho njengeplasta. Akukho zintambo. Ungayinxiba kangangeeveki ezimbini ngexesha. Kulula kakhulu. |
| Iirekhoda zeluphu ezinokufakelwa | Esi sisixhobo esincinci kakhulu. Sifakwa phantsi kwesikhumba sesifuba sakho ngotyando oluncinci. Singashiywa endaweni yaso iminyaka emibini ukuya kwemithathu. Akukho ngxaki xa uhlamba okanye udada. Oku kuluncedo kakhulu kubantu abangaqhelekanga ukuba neempawu. |
Kwenzeka ntoni ngaphambi kovavanyo nangosuku lovavanyo?
Ukulungiselela ngaphambi kovavanyo
Ugqirha wakho uza kukhetha uhlobo lwesikrini esifanelekileyo kuwe aze akuchazele lona.
- Kungcono ukuhlamba kakuhle ngaphambi kokuba ufake imonitha, kuba ezinye iintlobo zeemonitha zinokukuthintela ekuhlambeni usuku olunye okanye ezimbini.
- Eyona nto ibalulekileyo: Musa ukuthambisa naluphi na uhlobo lweoyile, ukhilimu, okanye iloshini eluswini lwesifuba sakho. Ukwenza njalo kuya kuthintela iisensors (ii-electrodes) ekunamatheleni ngokufanelekileyo eluswini kwaye imiqondiso ingarekhodwa ngokufanelekileyo.
- Nxiba iimpahla ezilula ukuzinxiba nokuzikhulula.
Ngomhla wokufakwa kwemonitha
Ilungu labasebenzi bezonyango (njengochwephesha) liza kukuchazela ezi zinto:
- Indlela yokusebenzisa isixhobo, indlela yokusisebenzisa.
- Ukuba ufuna ukususa nokufaka kwakhona i-sensor, njengaxa uhlamba, nantsi indlela yokwenza oko.
- Ikuxelela ngezinto ekungafanele ukusondela kuzo kuba zinokuphazamisana nesikrini (umz. iimagnethi, ezinye izixhobo ze-elektroniki).
- Iindawo apho i-sensor iza kuncamathiselwa khona zicocwa ngotywala kwaye, ukuba kuyimfuneko, naluphi na unwele luyasuswa. Oku kuqinisekisa ukuba i-sensor incamathiselwe ngokufanelekileyo kwaye imiqondiso irekhodwa ngokucacileyo.
Ngaba kukho naziphi na iingozi ekusebenziseni ezi zixhobo?
Olu vavanyo lukhuselekile kakhulu. Alunabuhlungu. Nangona kunjalo, iziphumo ebezingalindelekanga ezincinci zinokubakho.
- Kwimonitha zangaphandle: Eyona miphumo ixhaphakileyo kukuba bomvu kunye nokurhawuzelela apho kusetyenziswa khona isensa. Abanye abantu banokuba novelwano kwiglu esetyenziselwa ukuncamathisela isensa. Ukuba unayo nayiphi na i-allergies, xelela ugqirha wakho kwangaphambili. Oku kudla ngokunyamalala kwiintsuku ezimbalwa emva kokuba isensa isusiwe.
- Kwizixhobo zokurekhoda ezifakelwayo: Iingxaki ezinokubakho ziphantsi kakhulu.
- Kusenokubakho iintlungu okanye ukungakhululeki apho isixhobo sifakwe khona. Oku kudla ngokuziphelela.
- Amaxesha amaninzi, inxeba linokosuleleka. Oku kunyangwa ngamayeza okubulala iintsholongwane.
- Kwakhona kunqabile kakhulu ukuba ne-allergy kwinto ekwisixhobo.
- Ngamanye amaxesha imiqondiso yentliziyo isenokungafumaneki ngokucacileyo apho isixhobo sikhoyo, kwaye emva koko kusenokufuneka sithuthelwe kwenye indawo.
Kwenzeka ntoni emva kokufumana ingxelo yovavanyo?
Emva kokuba ubuyisele imonitha esibhedlele, idatha evela kuyo iyakhutshelwa ize ithunyelwe kwingcali. Ugqirha uhlola ngononophelo yonke loo datha aze afikelele kwisigqibo malunga nemeko yakho yempilo.
Emva koko, isibhedlele siza kukufowunela size sikuchazele iziphumo. Ukuba kuyimfuneko, baza kukwazisa ngento omawuyenze ngokulandelayo, unyango omawuluqale, okanye ukuba ufuna ukubona enye ingcali.
Ndifanele ndibize ugqirha wam nini?
Baza kukuxelela kwangaphambili ukuba ngubani omele umfowunele kwaye nombolo yiphi omele uyifowunele ukuba uneengxaki ngesixhobo.
Ingakumbi ukuba unesixhobo sokurekhoda iluphu esifakelwayo , xelela ugqirha wakho okanye isibhedlele ngokukhawuleza ukuba unezinye zezi mpawu zilandelayo. Ezi zisenokuba ziimpawu zosulelo.
- Ukuba uziva umkhuhlane okanye umkhuhlane.
- Ukuba uziva ubushushu xa uchukumisa ulusu olujikeleze indawo yokufaka.
- Ukuba indawo idumbile okanye ibomvu.
- Ukuba ulwelo olufana nobovu okanye igazi luphuma enxebeni.
Ixesha elithathwayo ukufumana iziphumo zovavanyo linokwahluka ngokuxhomekeke kuhlobo lwemonitha, ixesha lovavanyo, kunye nomsebenzi wesibhedlele. Ungabuza abasebenzi malunga noku ngomhla wokubekwa kwemonitha yakho.
Umyalezo Wokuya Ekhaya
- Isixhobo sokuhamba sisixhobo esincinci, esikhuselekileyo nesinokunxitywa esijonga isingqisho sentliziyo yakho kangangeentsuku ezininzi.
- Oku kubaluleke kakhulu ekufumaneni iingxaki zesingqisho sentliziyo ngamanye amaxesha ezingabanjwa yi-ECG eqhelekileyo.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo. Lumka ngendlela oyisebenzisa ngayo le sixhobo kunye noko ungafanele ukwenze kufutshane naso.
- Isiphumo esiqhelekileyo esibi kukurhawuzelela okuncinci kunye nokuba bomvu kwesikhumba apho inzwa incamathiselwe khona.
- Ukuba unenkxalabo malunga nesixhobo okanye ukuba uneempawu zosulelo oluvela kwisixhobo esifakwe phantsi kwesikhumba, funa ingcebiso kagqirha ngokukhawuleza.
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