Kwenzekani ngesigqi senhliziyo yakho? Ake sikuhlole ekhaya! (Konke mayelana nama-Ambulatory Monitors)!

Ingabe ngezinye izikhathi uzizwa sengathi kukhona okungahambi kahle ngenhliziyo yakho? Mhlawumbe udokotela ukuhlolile wathi udinga ukuqapha ukusebenza kwenhliziyo yakho izinsuku ezimbalwa. Yilapho-ke lawa madivayisi amancane abizwa ngokuthi ``Ambulatory Monitors'' ewusizo khona. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe, kalula, namuhla.

Kuyini i-Ambulatory Monitor? Kalula nje...

Kalula nje, i-ambulatory monitor iyithuluzi elincane eliqopha ukusebenza kukagesi kwenhliziyo yakho, noma isigqi senhliziyo, isikhathi eside, ngenkathi usekhaya noma wenza imisebenzi yakho yansuku zonke. Cabanga ngakho njenge-ECG lapho ufika esibhedlela, kodwa ihlala nawe izinsuku eziningi, ngezinye izikhathi amasonto. Lokhu kubalulekile ngoba ezinye izimo zenhliziyo azibonisi izimpawu ngaso sonke isikhathi. Lokho kusho ukuthi zingase zingabi khona lapho ubona udokotela. Kuyindlela enhle yokubona izinkinga ezivele ngokuzumayo nangaphandle kwesibhedlela .

Yiziphi izinhlobo zezimo zenhliziyo ezingatholakala ngalesi sibonisi?

Lesi `siqaphi sokuhamba` sisetshenziswa kakhulu ukuthola `(Arrhythmia)` noma ukushaya kwenhliziyo okungajwayelekile. Nakuba okunye ukungahambi kahle kungatholakala kalula nge-`(ECG)` eyenziwa esibhedlela, lesi siqaphi singaqoqa ububanzi obubanzi kanye nedatha eyengeziwe. Ngakho-ke, kusiza ukuthola ukungahambi kahle okungenzeka ungakuqapheli, okwenzeka ngokuzumayo, noma okuhlala isikhathi esifushane kakhulu .

Nazi ezinye zezinhlobo ezivame kakhulu ze-arrhythmia:

• `(Bradyarrhythmia)` (Bradycardia): Lokhu ukushaya kwenhliziyo okuhamba kancane ngendlela engavamile. Uma sikhuluma iqiniso, kuzwakala sengathi inhliziyo ishaya ngokushesha kakhulu.
• I-Tachyarrhythmia: Yilapho inhliziyo ishaya ngokushesha okungajwayelekile. Cabanga ngenhliziyo yakho ishaya njengokushaya kwenhliziyo okugijimayo.
• I-Supraventricular arrhythmia: Igama elithi "Supra" lisho okungenhla. Igama elithi "Ventricle" lisho amakamelo amabili aphansi enhliziyo. Lokhu kubhekisela ekungalungi kwamakamelo amabili aphezulu enhliziyo, i-atrium yesobunxele kanye ne-atrium yesokudla.
• Ukuphazamiseka kwe-Ventricular: Lokhu kungukuphazamiseka okwenzeka emakamelweni amabili aphansi enhliziyo.

Ubani ozobandakanyeka kulolu phenyo? Ubani ozokusiza?

Ochwepheshe bezokwelapha abaningana bahilelekile kule nqubo yokuhlola. Isibonelo, ochwepheshe, abahlengikazi, nodokotela. Kodwa-ke, cishe njalo uchwepheshe ohlaziya idatha eqoqwe futhi enze ukuxilongwa. Lokhu kungaba udokotela wenhliziyo noma isazi se-electrophysiology.

Isebenza kanjani le monitor ejikelezayo? Kuyamangalisa, akunjalo?

Zonke lezi ziqaphi zokuzulazula zisebenza ngoba inhliziyo yethu inesimiso sayo sikagesi. Cabanga nje, ukushaya kwenhliziyo kulawulwa izimpawu ezivela kulesi simiso sikagesi. Lezi zimpawu zikagesi yizo ezibangela ukuba amakamelo amane enhliziyo anciphe ngendlela ehlelekile neqhubekayo. Yilokhu okuvumela inhliziyo ukuthi ipompe igazi ngendlela ehlelekile nephumelelayo.

Akumangalisi yini? Lo msebenzi kagesi enhliziyweni yethu unamandla kangangokuthi ungabonakala kalula ngamadivayisi afakwe ngaphezulu noma ngaphansi kwesikhumba.

Lokhu yilokho esikwaziyo ngokuvamile ngokuthi `(ECG)`, okuqopha lo msebenzi kagesi. Kodwa kungokwesikhashana. Uma kunenkinga engxenyeni ethile yenhliziyo, umsebenzi kagesi kuleyo ngxenye uyashintsha. Kungokubheka lezo zinguquko lapho udokotela oqeqeshiwe angatshela khona ukuthi izingxenye ezahlukene zenhliziyo zisebenza kanjani. `(ECG)` ivame ukwenziwa esibhedlela noma emtholampilo, kungakapheli imizuzu embalwa.

Ama-ambulatory monitors asebenza ngendlela efanayo. Kodwa-ke, lawa aqapha ukusebenza kwenhliziyo yakho izinsuku, amasonto, futhi ngezinye izikhathi iminyaka . Angaqopha ukusebenza kwenhliziyo yakho ngenkathi ulele, usebenza, noma wenza imisebenzi yakho yansuku zonke.

Yiziphi izinhlobo zeziqaphi ze-ambulatory ezikhona? Yisiphi esifanele wena?

Iningi lama-monitha okuhamba ngezinyawo ngamadivayisi aphathekayo ongawaphatha. Alinganisa ukushaya kwenhliziyo yakho esebenzisa izinzwa ezibizwa ngokuthi ama-electrode. Lawa ma-electrode anamathiselwe esikhumbeni sakho nge-glue ekhethekile. Iningi lala ma-monitha lilingana nosayizi nesisindo sefoni ejwayelekile.

### Amamonitha Angaphandle

• `(Isiqaphi se-Holter): Lokhu kuvame ukusetshenziswa kakhulu ukuqopha umsebenzi wenhliziyo usuku olulodwa noma ezimbili. Kodwa-ke, ezinye iziqaphi zalolu hlobo zingaqopha idatha yesonto elilodwa noma amabili.
• Isiqaphi semicimbi: Lawa madivayisi aqopha umsebenzi wenhliziyo kuphela uma kunethuba elikhulu lokushaya kwenhliziyo okungajwayelekile. Amanye ama-monitor angasetshenziswa uma uzizwa izimpawu. Amanye "alalela" isigqi senhliziyo yakho bese eqala ukurekhoda ngokuzenzakalelayo lapho ethola ukushaya kwenhliziyo okungajwayelekile. Kunezinhlobo ezimbili eziyinhloko:
• `(Ukuvula)`: Lawa madivayisi ane-`memory loop`. Okusho ukuthi, imizuzu embalwa esikhathini esidlule kanye nemizuzu embalwa esikhathini esizayo kugcinwa kule memori. Uma `ivuliwe` ingasetshenziswa, idatha endala iyasulwa njengoba kufakwa idatha entsha. Uma `uvula`, imizuzu embalwa esikhathini esidlule kanye nemizuzu embalwa ngemva `kokuvula` kugcinwa ukuze kubukwe kamuva.
• `(Akudingi ukujiya)`: Lokhu kurekhoda isikhathi esithile kuphela ngemva kokuthi `kusebenze`. Amanye ala mamonitha akuvumela ukuthi ushiye `ama-electrode` evuliwe. Uma kuvela izimpawu, unganamathisela ama-`electrode` bese `uvuselela` imonitha ukuze uqophe isigqi senhliziyo.
• `(Isiqaphi sesikhathi sangempela)` (Isiqaphi sesikhathi sangempela): Lezi zifana kakhulu ne-`(Isiqaphi semicimbi)`. Kodwa-ke, lezi zingathumela idatha mayelana nomsebenzi wenhliziyo esikhungweni sokuqapha ukuze udokotela akwazi ukuyibona ngokushesha. Lezi zingathumela idatha ngokuzenzakalelayo lapho zibona into engajwayelekile, noma zingase zisebenze ukuze zithumele idatha uma uzizwa izimpawu. Lezi ziwusizo kakhulu ezimweni lapho kukhona khona ukukhubazeka okukhulu futhi kudingeka iseluleko esiphuthumayo sezokwelapha.

### Ezinye izinhlobo zemonitha ekhethekile

Kunezinye izinhlobo ezimbili zamamonitha asebenza ngendlela efanayo nalawo okukhulunywe ngawo ngenhla, kodwa anomehluko omncane:

• Isiqophi se-patch: Lezi zifana nesiqeshana osinamathisela esikhumbeni sakho. Kodwa-ke, zinakho konke okudingayo ukuze ubone, uqophe, futhi ugcine umsebenzi wenhliziyo yakho. Zingagqokwa cishe amasonto amabili. Zincane ngokwanele ukuba zingabonakali kahle ngaphansi kwe-T-shirt.
• Ama-recorder e-loop afakwayo: Lawa amadivayisi amancane kakhulu angafakwa ngaphansi kwesikhumba. Angaqapha ukusebenza kwenhliziyo isikhathi eside kakhulu, mhlawumbe kuze kube yiminyaka emibili. Angaqopha ngokuzenzakalelayo noma lapho umuntu ogqokile ewasebenzisa. Idatha ingalandwa ngaphandle kwentambo emtholampilo noma ehhovisi likadokotela. Inzuzo enkulu yalokhu ukuthi akudingeki ukhathazeke ngokuyisebenzisa, futhi ayibangeli izinkinga lapho ugeza noma ubhukuda.

Yini ongayilindela ngaphambi kokuhlolwa? Ungalungiselela kanjani?

Udokotela, ngokuvamile onguchwepheshe, uzochaza izinketho zakho zokuhlola futhi ancome uhlobo lwesikrini olufanelana kahle nezidingo zakho. Lokhu kuzocabangela izici ezifana nomsebenzi wakho kanye nezintandokazi zakho.

### Indlela yokulungiselela ukuhlolwa

Kungumqondo omuhle ukugeza ngaphambi kokuhlolwa. Kuye ngokuthi usebenzisa ini, kungathatha usuku noma ezimbili ngaphambi kokuthi ugeze futhi ngemva kokususa ama-electrode. Noma kunjalo, kubalulekile ukugcina isikhumba esifubeni sakho sihlanzekile.

• Ungafaki noma yiliphi i-oyili, i-lotion, noma ukhilimu esikhumbeni sesifuba. Lokhu kungavimbela ama-electrode ukuthi anamathele kahle esikhumbeni futhi kungavimbela inhliziyo ukuthi isebenze kahle.
• Futhi, gqoka ihembe okulula ukuligqoka nokulikhumula. Ngaleyo ndlela, kuzoba lula ukunamathisela ama-electrode.

Kwenzekani ngosuku olufakwa ngalo i-monitor?

Uchwepheshe noma omunye uchwepheshe wezempilo uzokuchazela ukuthi ungayisebenzisa kanjani idivayisi, ukuthi ungayisebenzisa kanjani, nokuthi ungasusa kanjani futhi unamathisele kanjani ama-electrode, kuye ngokuthi idivayisi ikuphi, ngemva kokugeza noma ukubhukuda.

Bazokutshela nokuthi ungakugwema kanjani izinto ezingase ziphazamise i-monitha, njengamadivayisi athile kagesi namadivayisi anama-magnet. Bangakunikeza uhlu lwamadivayisi anjalo, noma ungacela elilodwa.

Kumamonitha asebenzisa ama-electrode, izindawo lapho ama-electrode enamathiselwe khona zihlanzwa ngotshwala. Uma kukhona izinwele kuleyo ndawo, ziyasuswa. Kulapho kuphela lapho ama-electrode anganamathela khona kahle futhi kutholakale isignali ecacile.

Kunjani uma ugqoke i-monitor? Yini okufanele ngiyiqaphele?

Ukuhlolwa kwemonitha yokuqapha okuhambahambayo kuphephile kakhulu futhi akubuhlungu . Ngokuvamile, okudingeka ukwenze nje ukugqoka nokusebenzisa imonitha njengoba kuyalelwe. Abahlinzeki bakho bezempilo, okuhlanganisa ochwepheshe nabahlengikazi, bazokutshela konke okudingeka ukwazi ngenkathi ugqoke imonitha.

Wenzani uma isikhathi sokuhlolwa sesiphelile?

Uma isivivinyo sesiphelile, ungasusa ama-electrode (uma idivayisi inayo) bese ubuyisela idivayisi. Ngama-monitor angaphandle, ungase uzwe ukulunywa okuncane noma ukubomvu (ukucasuka kwesikhumba) izinsuku ezimbalwa lapho ama-electrode esetshenziswa khona. Lokhu kuvame ukuphela ezinsukwini ezimbalwa. Uma lokhu kwenzeka, ungabuza udokotela wakho ukuthi kukhona yini ongakwenza ukuze usize ukuthi iphole ngokushesha.

Ingabe zikhona izingozi ngala madivayisi? Ake siqaphele kancane.

Ngokuvamile, umphumela ovame kakhulu weziqaphi zokuzulazula ukucasuka kwesikhumba noma ukubomvu . Lokhu kuvame ukubangelwa yi-glue esetshenziselwa ukunamathisela ama-electrode esikhumbeni. Uma unesikhumba esibucayi noma wazi (noma usola) ukuthi une-allergy kuma-glue, kufanele utshele udokotela wakho ngaphambi kokusebenzisa ama-electrode.

Ngama-loop recorder afakwayo, imiphumela emibi noma izinkinga zingavela - kodwa eziningi zincane:

• Ubuhlungu noma ukungakhululeki endaweni yokufaka: Lokhu kuvame ukuba ngcono ngokwako ezinsukwini ezimbalwa.
• Ukutheleleka: Akuvamile kakhulu ukuthi ukutheleleka kuvele endaweni lapho idivayisi itholakala khona. Lokhu kuvame ukwelashwa ngama-antibiotic. Kodwa-ke, ngezinye izikhathi idivayisi ingadinga ukuthuthelwa kwenye indawo.
• Ukusabela kokungezwani komzimba: Esinye isenzakalo esingavamile ukusabela kokungezwani komzimba nezinto ezisetshenziswa kudivayisi. Uma lokhu kwenzeka, idivayisi kuzodingeka isuswe bese kudingeka kusetshenziswe uhlobo oluhlukile lwesikrini.
• Isignali engeyinhle: Ngezinye izikhathi lawa madivayisi awakwazi ukubona umsebenzi kagesi ezingxenyeni ezithile zenhliziyo ngendlela efanele. Uma lokho kwenzeka, idivayisi ingadinga ukuthuthelwa kwenye indawo lapho ingathola khona isignali ecacile.

Imiphumela itholakala kanjani? Isitshelani?

Ngemva kokubuyisela i-monitor, ochwepheshe kanye nabanye abasebenzi bezokwelapha bazolanda idatha bese beyifaka efayeleni lakho lezokwelapha ukuze udokotela wakho ayihlole. Ngemva kokuba udokotela ebukeze idatha, uzokwazi ukuthola ukuthi unesifo yini. Ngemuva kwalokho, kuye ngezifiso zakho kanye nezinqubo zomtholampilo, uzokwaziswa ngocingo noma ngenye indlela. Ngaleso sikhathi, udokotela uzochaza ukuthi imiphumela ikhombisile ini nokuthi yini okudingeka uyenze ngokulandelayo. Kwezinye izimo, ungase ucelwe ukuthi ubuye uzobona udokotela noma, uma kudingeka, udluliselwe komunye uchwepheshe.

Kufanele umshayele nini udokotela? Qaphela lezi zinto.

Udokotela wakho kanye nabasebenzi bakhe bazokutshela ukuthi kufanele ushayele nini ihhovisi labo. Bangase bakunike nenombolo yocingo ekhethekile yamahora angama-24 ongayishayela uma unemibuzo mayelana nesikrini.

Uma une-implantable loop recorder (ILR) futhi unezinye zezimpawu ezilandelayo zokutheleleka , kufanele ushayele udokotela wakho ucingo ngokushesha:

• Ukuthola umkhuhlane, ukuzizwa ubanda futhi uqhaqhazela.
• Ukuzwa umuzwa ofudumele lapho uthinta indawo lapho kufakwe khona idivayisi.
• Kukhona ukuvuvukala noma ukubomvu kuleyo ndawo.
• Uketshezi olufana nobomvu noma igazi eliphuma endaweni yokusikwa.

Kuthatha isikhathi esingakanani ukwazi imiphumela yokuhlolwa?

Isikhathi esithathwayo ukubona imiphumela siyahlukahluka. Kuya ngohlobo lwesikrini esisetshenziswayo, isikhathi sokuqapha, kanye nezinhlelo zomtholampilo nodokotela. Ungababuza ukuthi kuzothatha isikhathi esingakanani ukuthola imiphumela.

Umlayezo Wokuya Nawe Ekhaya

Ngakho-ke, lesi "siqaphi sokuzulazula" siyisivivinyo esibaluleke kakhulu nesiphephile. Ikakhulukazi, siwusizo kakhulu ekuboneni ukungalingani kwe-heart rhythm okwenzeka ngokuzumayo futhi okwenzeka empilweni yansuku zonke kuphela. Uma udokotela wakho ekucela ukuthi wenze lesi sivivinyo, asikho isizathu sokukwesaba. Ngiyethemba ukuthi lesi sihloko sikunike ukuqonda okungcono ngaso. Uma unemibuzo, khuluma nodokotela wakho bese uthola okwengeziwe. Hlala uphilile!

Isifo senhliziyo, isiqaphi sokuhamba, izinga lokushaya kwenhliziyo, ukungasebenzi kahle kwenhliziyo, isiqaphi se-Holter, ukuhlolwa kwenhliziyo, i-ECG