Ufuna ukwazi kahle ukuthi inhliziyo yakho ishaya kanjani? Ake sixoxe nge-Holter Monitor!

Ingabe ngezinye izikhathi uzizwa into engavamile, njengokuduma esifubeni sakho? Noma uzizwa unesizungu ngokuzumayo noma unenkinga yokuphefumula? Mhlawumbe udokotela wakho ukutshelile ukuthi "ufake i-Holter Monitor." Ngakho-ke, iyini le Holter monitor? Ake sixoxe ngayo kalula, ngendlela ongayiqonda. Akukho okufanele uyesabe, kulula kakhulu.

Iyini le Holter Monitor?

Kalula nje, i-Holter monitor iyimshini omncane we-EKG ongawugqoka futhi uwuphathe. Ngokuvamile, i-EKG esiyithola esibhedlela ibheka kuphela ukusebenza kwenhliziyo yakho ngaleso sikhathi. Kodwa i-Holter monitor iqopha isigqi senhliziyo yakho kanye nokushaya kwenhliziyo yakho njalo amahora angama-24 noma angama-48. Lokhu kunikeza udokotela wakho ukuqonda okungcono ukuthi umsebenzi kagesi wenhliziyo yakho ushintsha kanjani njengoba uqhubeka nemisebenzi yakho yansuku zonke.

Cabanga ngakho njengedekhi encane yamakhadi okudlala, idivayisi encane, elula, esebenza ngebhethri. Inentambo enamathiselwe kuyo kanye nochungechunge lwama-electrode , njengezitika ezincane, ozinamathisela esikhumbeni sakho. Ungagqoka lesi sibonisi ngaphansi kwezingubo zakho bese wenza imisebenzi yakho yansuku zonke njengokujwayelekile.

Le divayisi encane ibizwa ngokuthi "iHolter" ngemuva kukaDkt. Norman J. Holter, owayisungula ngawo-1950.

Yini eyenziwa yi-monitor ye-Holter?

Njengoba sishilo ngaphambili, i-monitha ye-Holter iqoqa ulwazi mayelana nomsebenzi kagesi wenhliziyo yakho, njengokuhlolwa okuvamile kwe-EKG (electrocardiogram) . Umehluko ukuthi i-EKG yenziwa imizuzu embalwa kuphela, kodwa i-monitha ye-Holter igqokwa usuku olulodwa noma ezimbili, ngakho-ke kungenzeka kakhulu ukuthi ithole noma yimuphi umsebenzi wenhliziyo ongajwayelekile.

Uma i-EKG evamile inganikezi imiphumela ecacile, i-monitor ye-Holter ingasiza ekutholeni imbangela yezimo ezifana nalezi:

• Ukuphazamiseka kwesigqi senhliziyo, okungukuthi , i-arrhythmias .
• Ukushaya kwenhliziyo okusheshayo kuwumuzwa osheshayo wenhliziyo yakho ishaya, okusho ukushaya kwenhliziyo okusheshayo noma ubuhlungu besifuba.
• Isiyezi esingachazeki.

Ngaphezu kwalokho, udokotela wakho angasebenzisa lesi siqaphi se-Holter ukuze abone ukuthi imithi yakho isebenza kahle kangakanani uma uthatha imithi yesifo senhliziyo.

Isebenza kanjani i-monitor ye-Holter?

Kulula kakhulu. Ama-electrode (afana nezitikha ezincane) abekwa esifubeni sakho athola ukusebenza kukagesi kwenhliziyo yakho. Lolo lwazi luthunyelwa ngezintambo ezincane ku-monitor ye-Holter oyigqoka ephaketheni lakho noma kwenye indawo emzimbeni wakho. Lo mshini uqopha yonke leyo datha ukuze ubuyekezwe kamuva.

Into ebaluleke kakhulu ukuthi udokotela ngeke ahlale eqapha i-monitha ngenkathi uyigqokile. Imininingwane izotholakala futhi ihlaziywe kuphela ngemva kokubuyisela i-monitha.

Uzilungiselela kanjani ngaphambi kokugqoka i-Holter monitor?

Empeleni, awudingi ukwenza lutho olukhethekile ukuze ugqoke i-monitor ye-Holter. Kodwa kukhona into eyodwa. Njengoba kungewona umqondo omuhle ukumanzisa i-monitor ngemva kokuyifaka, kuwumqondo omuhle ukugeza kahle bese uhlanza umzimba wakho ngaphambi kokuyifaka. Khona-ke ukungakwazi ukugeza usuku olulodwa noma ezimbili ngeke kube yinkinga enkulu.

Yini ongayilindela uma ugqoke i-monitor ye-Holter?

Udokotela noma othile oqeqeshwe kulo mkhakha uzonamathisela lesi sibonisi kuwe. Ngemva kwalokho, ungaqala imisebenzi yakho evamile. Nakhu okwenzekayo:

• Ama-electrode azobekwa esifubeni sakho: Ngokuvamile, kuzobekwa okungenani ama-electrode amabili. Ngezinye izikhathi, kungadingeka ukuthi ugunde ezinye izinwele esifubeni sakho ukuze uqiniseke ukuthi ama-electrode anamathele kahle. Ungakhathazeki, lokhu kumane nje ukuqinisekisa ukuthi ama-electrode aqopha kahle izimpawu zenhliziyo.
• Kukusiza ukuthi ufake i-monitha: Ixhuma i-monitha kuma-electrode ngezintambo futhi ichaze ukuthi ungayinakekela kanjani.
• Thola indawo yokugcina i-monitor: Ungasiphatha lesi siqaphi senhliziyo ephaketheni, noma usifake ebhandeni elizungeze intamo yakho, okhalweni, noma ehlombe.
• Ikufundisa indlela yokurekhoda imisebenzi yakho kanye nezimpawu: Lokhu kubaluleke kakhulu. Uma uhlangabezana nezimpawu ezifana nokuphelelwa umoya, ukushaya kwenhliziyo okungajwayelekile noma ukushaya kwenhliziyo okungalingani, noma ubuhlungu besifuba , kufanele ubhale phansi ukuthi kwenzeke nini nokuthi wenzani ngaleso sikhathi.
• Ake sithi ubuphethe izingubo phezulu cishe ngo-10:30 ekuseni bese uzwa ubuhlungu esifubeni. Uma ubhala phansi, udokotela angabona ukuthi kwenzekani ku-EKG yakho ngaleso sikhathi. Le dayari iwusizo kakhulu ekuxilongweni okunembile.

Yiziphi ezinye izinto okungafanele uzenze uma ugqoke i-monitor ye-Holter?

Ungenza iningi lemisebenzi yakho evamile, okuhlanganisa nokulala, ngenkathi ugqoke i-monitor ye-Holter. Kodwa-ke, kufanele uzigweme lezi zinto ngenkathi ugqoke le-monitor yenhliziyo:

• Ukugeza, ukugeza, noma ukubhukuda.
• Ukuhlolwa kwe- X-ray .
• Ukusondela ezindaweni ezinama-voltage aphezulu, oma-magnet, noma izitholi zensimbi.
• Ukusetshenziswa kwezinto zikagesi ezithile (isibonelo, ama-microwave, amabhulashi amazinyo kagesi, ama-razor, noma izingubo zikagesi) kungaphazamisa ukusebenza kwesibonisi ngenxa yamaza kagesi.

Kwenzekani ngemva kokusebenzisa i-monitor ye-Holter?

Ngemva kokuba isikhathi samahora angu-24 noma angu-48 osinikeziwe sesiphelile:

• Udinga ukubuyela emuva bese unikeza i-monitor. Bese bezosusa ama-electrode bese bewafaka futhi.
• Ngemuva kwalokho, udokotela noma uchwepheshe uzoqoqa wonke amarekhodi akho e-EKG namanothi owabhalile, awahlaziye, bese ethumela umbiko kudokotela wakho wenhliziyo .

Khumbula, udokotela akaqapheli njalo ukusebenza kwenhliziyo yakho phakathi nalolu vivinyo. Ngakho-ke uma uhlangabezana nanoma yiziphi izimpawu ezingakhululekile ngenkathi ugqoke i-monitor noma ngemva kwalokho, funa iseluleko sezokwelapha ngokushesha.

Ingabe zikhona izingozi noma imiphumela emibi yesikrini se-Holter?

Azikho izingozi ezinkulu noma ubuhlungu obuhambisana nokugqoka i-Holter monitor. Abanye abantu bangase babe nokucasuka okuncane kwesikhumba noma ukubomvu okuvela kutheyiphu noma izinamathiseli ezisetshenziselwa ukunamathisela ama-electrode. Uma une-allergy kunoma yiluphi uhlobo lwetheyiphu noma isinamathiseli, qiniseka ukuthi utshela udokotela wakho kusengaphambili.

Injani imiphumela? Isitshelani?

Imiphumela yesikrini se-Holter ingabonisa uma une-rhythm yenhliziyo engajwayelekile, noma i-arrhythmia. Isibonelo:

• I-Atrial fibrillation (isimo lapho amakamelo aphezulu enhliziyo eshaya khona ngokungajwayelekile)
• I-Bradycardia (ukushaya kwenhliziyo okuhamba kancane)
• I-Tachycardia (ukwanda kwesilinganiso senhliziyo)
• Ukufinyela kwe-ventricular ngaphambi kwesikhathi (ama-PVC) (ukushaya kwangaphambi kwesikhathi okuvela emakamelweni aphansi enhliziyo)

Isikrini se-Holter siwusizo kakhulu ekuboneni izimo ezinjengalezi.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Udokotela wakho uzokwazisa imiphumela zingakapheli isonto noma amabili kusukela kuhlolwe. Kuzodingeka ubekezele, njengoba kuthatha isikhathi ukuhlaziya idatha.

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Uma kukhona okungajwayelekile emiphumeleni, udokotela wakho uzokhuluma nawe bese enquma ukuthi yini okufanele ayenze ngokulandelayo. Lokhu kungafaka:

• Ukwenza ukuhlolwa kwenhliziyo okwengeziwe.
• Ukuqala imithi yenhliziyo.
• Ukufakelwa kwe- pacemaker (ithuluzi elincane elisiza ukugcina ukushaya kwenhliziyo okuvamile).
• I-Cardioversion ( inqubo yokubuyisela isigqi senhliziyo esijwayelekile).
• Ukuhlanza ( ukwelashwa okusebenzisa amandla ashisayo noma abandayo ukudala isilonda esincane enhliziyweni ukwelapha izigqi zenhliziyo ezingavamile).

Ungesabi, noma yini oyenzayo iwukuzuzisa wena.

Kufanele ngishayele nini udokotela wami ucingo?

Shayela udokotela wakho uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo ngenkathi ugqoke i-Holter monitor:

• Uma kunenkinga ngesikrini se-Holter osisebenzisayo.
• Uma unombuzo mayelana nendlela yokusebenzisa i-monitor.
• Uma i-electrode iphuma.
• Uma uzwa noma yikuphi ukungakhululeki noma izimpawu ezikhathazayo ezihlobene nenhliziyo yakho.

Futhi, lokhu akulona ukuhlolwa okudinga ukubhekwa njalo kwezokwelapha. Ngakho-ke, uma uhlangabezana nanoma yiziphi izimpawu, funa iseluleko sezokwelapha.

Ingabe i-monitor ye-Holter ingakubona ukukhathazeka?

Yebo, ngezinye izikhathi ukukhathazeka kungabangela ukuba ube nokushaya kwenhliziyo okubuhlungu. Uma lokho kwenzeka, i-monitor ye-Holter ingakurekhoda. Kodwa ukuze azi ukuthi yini ebangele ukushaya kwenhliziyo okubuhlungu, udokotela wakho kuzodingeka ahlaziye umbiko ngokucophelela. Futhi, kubaluleke kakhulu ukurekhoda kudayari yakho lokho obukwenza nalokho owakuzwa lapho ukushaya kwenhliziyo okubuhlungu.

Uyini umehluko phakathi kwe-EKG ne-Holter monitor?

Kalula nje, i-EKG ilinganisa kuphela ukusebenza kwenhliziyo yakho ngesikhathi sokuhlolwa. Okusho ukuthi, kufana nokuthatha isithombe esisodwa. Kodwa isigqi senhliziyo yakho kanye nezimpawu zayo kungashintsha phakathi nosuku.

Udokotela wakho ufuna ukubona ukuthi isigqi senhliziyo yakho sishintsha kanjani njengoba uqhubeka nemisebenzi yakho yansuku zonke. I-Holter monitor inikeza udokotela wakho isithombe esiphelele sesigqi senhliziyo yakho, njengevidiyo ethathwe ngosuku olulodwa noma ezimbili.

Uyini umehluko phakathi kwe-monitor ye-Holter kanye ne-Event Monitor?

Lokhu okubili kungaba yinto edidayo kancane. I-Holter monitor iqopha isigqi senhliziyo yakho njalo amahora angama-24 noma angama-48. Lokho kusho ukuthi iqoshwa kungakhathaliseki ukuthi unezimpawu noma cha.

Kodwa-ke, i-event monitor ayiqophi njalo. Iqopha kuphela uma uzwa uphawu, uma usebenzisa i-monitor. Kunezinye izi-event monitor eziqopha ngokuzenzakalelayo lapho kwenzeka ukushaya kwenhliziyo okungavamile. Kodwa isetshenziswa kakhulu lapho kuvela izimpawu.

Okokugcina, izinto okufanele uzikhumbule

Kungakhungathekisa ukungazi kahle ukuthi yini ebangela ubuhlungu besifuba sakho, ukushaya kwenhliziyo, noma isiyezi. I-Holter monitor iyithuluzi eliwusizo elingakusiza ukuthola imbangela.

Nakuba ungase uzizwe ungakhululekile kancane ukugqoka lokhu izinsuku ezimbalwa, akubuhlungu futhi kudinga ukugqokwa usuku olulodwa noma ezimbili kuphela. Ngemva kwalokho, ususondele ekuhloleni isimo sakho ngokunembile futhi ube ngcono. Ngakho-ke, uma udokotela wakho ekuncoma, ungesabi ukwenza lokhu kuhlolwa.

Uma uneminye imibuzo mayelana nalokhu, zizwe ukhululekile ukukhuluma nodokotela wakho. Angasusa noma yikuphi ukungabaza ongase ube nakho.

Isiqaphi se -Holter, isifo senhliziyo, i-EKG, izinga lokushaya kwenhliziyo, ukungasebenzi kahle kwenhliziyo, ubuhlungu besifuba, isiyezi