Indaba yesigqi senhliziyo yakho - Konke mayelana nokuhlolwa kwe-ECG (Electrocardiogram)!

Wake wayenza i-ECG? Noma ingabe udokotela wakho noma umhlengikazi wake wakucela ukuba uyenze? Mhlawumbe lokhu kuzwakala kuyesabeka futhi kukhulu kuwe. Kodwa i-ECG empeleni iyisivivinyo esilula kakhulu, esingenabuhlungu , kodwa esibaluleke kakhulu. Namuhla, sizoxoxa ngokuthi iyini i-ECG, ukuthi yenzani, nokuthi ingasitshelani ngendlela elula kakhulu neqondakalayo.

Kuyini i-ECG (i-Electrocardiogram)?

Kalula nje, i-ECG (i-electrocardiogram) ukuhlolwa okuqopha umsebenzi kagesi wenhliziyo yakho . Ngokuqondile, ilinganisa amaza kagesi amancane akhiqizwa lapho inhliziyo yakho ishaya. Odokotela bayisebenzisela izinto eziningi, njengokuhlola izinkinga zesigqi senhliziyo noma ukubona ukuthi ukwelashwa okuthile kuyithinta kanjani inhliziyo yakho.

Lokhu ukuhlolwa okusheshayo kakhulu, okungahlaseli. Ungakwenza ngenkathi ulele embhedeni. Ngezinye izikhathi i-ECG nayo ithathwa njengengxenye "yokuhlolwa kokucindezeleka" ngesikhathi sokuzivocavoca. Kungenzeka ukuthi uke wezwa ukuthi amanye "amawashi ahlakaniphile" manje angathatha i-ECG. Kodwa-ke, into engcono kakhulu ongayenza ukuba udokotela enze i-ECG efanele futhi abukeze umbiko .

Cishe uke wezwa kuthiwa yi-ECG kanye ne-EKG. Ungakhathazeki, ziyafana . Igama elithi EKG livela olimini lwesiJalimane, lapho kusetshenziswa khona uhlamvu 'k' esikhundleni sehlamvu 'c'.

Okubalulekile: Ingabe i-ECG (i-Electrocardiogram) ihlukile ku-"Echocardiogram"? I-"Echocardiogram" iyi-"ultrasound scan" yenhliziyo. Ikhombisa izithombe zendlela inhliziyo eshaya ngayo. I-ECG ibheka umsebenzi kagesi wenhliziyo.

Ingabe kukhona izinhlobo ze-ECG?

Yebo, kunezinhlobo eziningana zemishini ye-ECG. Odokotela bayayisebenzisa kuye ngokuthi badinga isikhathi esingakanani ukuqapha isigqi senhliziyo yakho. I-ECG ejwayelekile yenziwa esibhedlela noma ehhovisi likadokotela. Iqopha umsebenzi kagesi wenhliziyo isikhathi esifushane kakhulu (ngokuvamile cishe imizuzwana eyi-10) . Ngakho-ke, cabanga uma unesifo senhliziyo esingenzeki ngaso sonke isikhathi, kodwa ngezikhathi ezithile kuphela, ungase uphuthelwe uma ungasitholi i-ECG ngokushesha. Kufana nokuthi i-inthanethi yethu yasekhaya iyawa futhi isebenza kahle kuze kube yilapho othile efika ezokulungisa.

Ngakho-ke, kunezinye izinhlobo ze-ECG ezingasetshenziswa ngezikhathi ezinjengalezi:

• I-ECG ejwayelekile enama-lead angu-12: Lolu uhlobo ovame ukuluthola uma uya kudokotela. Ngeke uvunyelwe ukuthatha le divayisi uye nayo ekhaya.
• Isikrini esigqokwayo sesikhathi esifushane - isibonelo i-Holter monitor: Lesi yisisetshenziswa esincane. Usigqoka amahora angama-24 noma angama-48 . Siqopha njalo umsebenzi kagesi wenhliziyo yakho ngenkathi uqhubeka nemisebenzi yakho evamile yansuku zonke.
• Isiqaphi semicimbi: Le divayisiKufanele igqokwe isonto noma ngaphezulu. Uma unezimpawu (isib., ukuhlaselwa yinhliziyo), ungacindezela inkinobho bese uqopha ukushaya kwenhliziyo yakho ngaleso sikhathi.
• Irekhoda yeluphu efakwe: Lena idivayisi encane kakhulu efakwa udokotela ngaphansi kwesikhumba sakho . Ingashiywa endaweni yayo iminyaka eminingana.
• Ukuzivocavoca i-ECG (i-ECG yokuhlolwa kokucindezeleka): Kulokhu, uxhunywe emshinini we-ECG futhi i-ECG ithathwa ngenkathi uhamba ku-``(Treadmill). Lokhu kwenziwa ukuze kubonwe ukuthi inhliziyo yakho isabela kanjani uma ucindezelekile.

I-ECG yenziwa nini?

Udokotela angase anqume ukwenza isivivinyo se-ECG ngezizathu ezahlukahlukene. Eziyinhloko ukuxilonga noma ukuqinisekisa izimo ezithile zezokwelapha:

• Ukungajwayelekile kwenhliziyo (i-Arrhythmia) noma ukungasebenzi kahle ekudlulisweni kwezimpawu zikagesi.
• Ukwehla kokugeleza kwegazi kuya emisipheni yenhliziyo (ischemia) - Lokhu kungabangelwa yisifo semithambo yenhliziyo.
• Inkinga ngama-valve enhliziyo yakho.
• Isifo senhliziyo esizalwa naso - isifo senhliziyo esikhona lapho umuntu ezalwa.
• Hlola ukuthi uke waba nokuhlaselwa yinhliziyo noma uke waba nakho ngaphambili.
• Hlola ukuthi amagumbi enhliziyo akhulisiwe yini.
• Hlola umonakalo wenhliziyo noma ukwehluleka kwenhliziyo.

Futhi, odokotela basebenzisa i-ECG ukuze:

• Ngaphambi kokuba wenze ukuhlinzwa okukhulu, qiniseka ukuthi inhliziyo yakho isikulungele.
• Uma usengozini enkulu yesifo senhliziyo, hlola impilo yenhliziyo yakho.
• Uma une-pacemaker, bheka ukuthi isebenza kanjani.
• Bona ukuthi umuthi omusha wesifo senhliziyo usebenza kanjani.
• Hlola isigqi senhliziyo ngemva kokuhlaselwa yinhliziyo.

Udokotela angakuyalela i-ECG uma unezinye zalezi zimpawu:

• Ubuhlungu besifuba
• Ukuphelelwa umoya
• Uma uzizwa ukhathele kakhulu (Ukukhathala)
• Isiyezi
• Ukuquleka/ukuphelelwa amandla
• Izandla nezinyawo eziluhlaza okwesibhakabhaka
• Ukuphaphazela noma ukweqa kwenhliziyo yakho
• Uma uzizwa sengathi inhliziyo yakho ishaya ngokushesha (Ukushaya kwenhliziyo okusheshayo)
• Ukungakwazi ukwandisa ukuphakelwa kwegazi enhliziyweni njengoba kudingeka ngesikhathi sokuzivocavoca (ukungakwazi ukusebenza isikhathi eside)

Ukuhlolwa kwe-ECG kusebenza kanjani?

Inhliziyo yakho ine-pacemaker yemvelo. Ithumela isignali kagesi eqala ukushaya kwenhliziyo yakho. Umshini we-ECG uqopha lesi signali kagesi futhi uqopha ukuthi sihamba kanjani enhliziyweni yakho, ukuthi imisipha yenhliziyo ifinyela kanjani futhi iphumule, ngokushaya kwenhliziyo ngakunye. Lolu lwazi luboniswa kukhompyutha njenge-waveform (kungaba ephepheni legrafu noma esikrinini) . Odokotela bangatshela isimo senhliziyo yakho ngokuyibuka.

I-ECG ivame uku-odwa noma ukwenziwa udokotela wenhliziyo. Kodwa-ke, ingenziwa futhi e-ambulensini, egumbini lezimo eziphuthumayo, noma uma uvakashela udokotela ojwayelekile. Ungenza i-ECG ehhovisi likadokotela, esibhedlela, noma emtholampilo weziguli ezingalaliswa esibhedlela.

Ulungiselela kanjani i-ECG?

Ungadla futhi uphuze ngendlela evamile ngaphambi kwe-ECG. Kodwa khumbula lezi zinto ngaphambi kokugqoka ngosuku lwe-ECG yakho:

• Ungayifaki imikhiqizo yesikhumba enamafutha noma enamafutha (okhilimu, ama-lotion) ngoba ama-electrode ngeke axhumane kahle nesikhumba.
• Ungagqoki i-hosiery ende, njengoba lokhu kuzodinga ukuthi ama-electrode anamathiselwe emilenzeni.
• Gqoka ihembe okulula ukulikhipha, njengoba ama-electrode azonamathela esifubeni sakho.

Kwenzekani uma kwenziwa i-ECG?

Umsizi wezokwelapha noma umhlengikazi uzonamathisela cishe ama-"electrode" angu-12 anama-pad amancane okunamathela esifubeni sakho, ezingalweni nasemilenzeni. Ngokuvamile, ama-"electrode" ayisithupha anamathiselwa esifubeni sakho kanye nayisithupha ezingalweni nasemilenzeni yakho. Ulwazi oluvela kulawa "sensors" luthunyelwa emshinini nge-"wires" noma "leads." Yingakho ibizwa ngokuthi i-"12-lead ECG."

Ukuze uthole ukuxhumana okuhle, kungadingeka ukuthi ugunde ezinye zezinwele kulezo zindawo. Kuthatha cishe imizuzu eyi-10 ukunamathisela ama-electrode nokuqedela ukuhlolwa kwe-ECG. Kodwa-ke, umsebenzi wenhliziyo empeleni uqoshwa ngesikhathi esifushane kakhulu, cishe imizuzwana eyi-10.

Uma une-"ECG yokuphumula", kufanele ulale embhedeni uphumule. Uma une-"stress test", kufanele uhambe "emshinini wokunyathela izinyawo".

Ikhompyutha idala isithombe (kungaba ephepheni legrafu noma esikrinini) samagagasi kagesi adlula enhliziyweni yakho. Ngeke uzwe ubuhlungu noma ukungakhululeki njengoba ulwazi luthunyelwa kukhompyutha luvela kuma-electrode.

Ama-electrode azohlala esikhumbeni sakho kuze kube yilapho ukuhlolwa kwe-ECG kuqediwe.

Kwenzekani ngemva kwe-ECG?

Uma ukuhlolwa sekuphelile, udokotela noma umhlengikazi uzosusa wonke ama-electrode patches. Ngemva kwalokho, ungenza imisebenzi yakho evamile. Kulula kakhulu, akunjalo?

Ibonisani i-ECG?

Uma ebheka i-ECG, udokotela ubheka kakhulu ukuthi kungakanani ukusebenza kukagesi okukhona, ukuthi kunamandla kangakanani, nokuthi kudlula isikhathi esingakanani phakathi kwezingxenye ezahlukene zamagagasi kagesi ('amagagasi noma iziqongo').

Izingxenye eziyinhloko ze-ECG kanye nalokho ezikufundayo yilezi ezilandelayo:

• Amakamelo amabili aphezulu enhliziyo yakho (i-'Atria') - lapho kuqala khona ukushaya kwenhliziyo - akhiqiza igagasi lokuqala, i-'P wave' .
• Amakamelo amabili angaphansi kwenhliziyo yakho (`amaVentricle`) yiwo akha igquma elikhulu elilandelayo, i-QRS complex .
• Igagasi lesithathu, i-'T wave', libonisa ukuthi inhliziyo iphumula kanjani, noma 'iyalulama', ngemva kokushaya kwayo.

Ingabe zikhona izingozi zalolu vivinyo?

I-ECG iyisivivinyo esinobungozi obuphansi kakhulu. Ayibandakanyi imisebe noma ugesi othunyelwa emzimbeni wakho. Ungase uzwe ukubomvu nokulunywa lapho kususwa amabala anamathelayo. Ngaphandle kwalokho, akuyona into embi kangako. Ngakho-ke asikho isidingo sokukhathazeka.

Imiphumela itholakala kanjani? Ithini?

I-ECG evamile nephilile kufanele ibe nephethini yamagagasi ephindaphindayo neqhubekayo. Iqhubu elincane (i-'wave P'), bese kuba yi-spike (i-'QRS complex'), bese kuba elinye iqhubu elincane (i-'wave T'), konke kuphethini elifanayo nangezikhathi ezifanayo. Lokhu kusho ukuthi inhliziyo yakho ishaya njalo futhi ngendlela enesigqi.

Amaphethini amagagasi angajwayelekile ayindlela kuphela yokuthola inkinga. Ngokubheka izinguquko ku-ECG, udokotela angabona ukuthi iyiphi ingxenye yenhliziyo engasebenzi kahle noma ukuthi iluhlobo luni lwesimo. Inqubo yokushaya kwenhliziyo iyinkimbinkimbi kakhulu, futhi izingxenye eziningi zenhliziyo ziyabandakanyeka.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Uma imiphumela yakho ye-ECG itholakala ngokushesha, udokotela wakho uzokwazi ukukutshela okwengeziwe ngayo ngokushesha, ikakhulukazi uma udinga ukwelashwa okuphuthumayo. Kodwa-ke, uma i-ECG yakho yenziwe njengokuhlolwa okuvamile noma njengengxenye yochungechunge lokuhlolwa ngaphambi kokuhlinzwa okungahlobene nenhliziyo, kungathatha izinsuku ezimbalwa ukuthola imiphumela.

Udokotela wakho uzogcina namarekhodi akho e-ECG ukuze aqhathaniswe nama-ECG esikhathi esizayo.

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Okufanele ukwenze ngokulandelayo kuncike esizathwini se-ECG.

• Ake sithi une-pacemaker, futhi uma i-ECG ibonisa ukuthi ayisebenzi kahle, udokotela angase ashintshe izilungiselelo zayo.
• Uma i-ECG iphakamisa izinsolo ngesifo, udokotela wakho angase akucele ukuthi wenze ezinye izivivinyo (isib. i-echocardiogram, ukuhlolwa kokucindezeleka, ukuhlolwa kwegazi) ukuze kuqinisekiswe lokho.
• Uma i-ECG iqinisekisa ukuthi unesifo senhliziyo, udokotela wakho angakunikeza imithi efanele, ezinye izindlela zokwelapha, noma ngisho nokuhlinzwa.

Ingabe ngidinga ukubona udokotela futhi?

Kufanele nakanjani ubone udokotela wakho futhi kulezi zimo:

• Kuthiwani uma sekuphele izinsuku ezimbalwa kwenziwa i-ECG futhi ungakazwa lutho ngemiphumela?
• Uma izimpawu zakho (isib. ubuhlungu besifuba, ukuphelelwa umoya) zimbi kakhulu kunangaphambi kwe-ECG.
• Uma uneminye imibuzo mayelana nalokho okushiwo udokotela, okufanele ukwenze ngokulandelayo, noma uma kukhona okudingeka ukucacise.

Ekugcineni, khumbula lokhu.

Kuvamile ukuzizwa wesaba futhi wethukile kancane uma sizwa ngokuhlolwa kwenhliziyo. Kodwa, manje usuyazi ukuthi i-ECG (i-Electrocardiogram) iyisivivinyo esisheshayo, esingenabuhlungu, futhi esibaluleke kakhulu . Ulwazi olunikezayo lungatshela udokotela wakho okuningi ngesigqi senhliziyo yakho kanye nempilo yenhliziyo yakho.

Kuye ngemiphumela ye-ECG, ungaqala ukwelashwa okudingayo ngokushesha, okukusiza ukuthi uhlale uphilile futhi uphilile. Ngakho-ke, ungesabi ukubuza udokotela wakho noma yimiphi imibuzo onayo mayelana ne-ECG, kungakhathaliseki ukuthi incane kangakanani. Bakhona ukukusiza.

I- ECG, i-EKG, i-electrocardiogram, ukuhlolwa kwenhliziyo, isifo senhliziyo, isigqi senhliziyo, impilo yenhliziyo