Ingabe ngezinye izikhathi uzizwa sengathi isifuba sakho siyashaya, inhliziyo yakho iyashaya ngamandla, noma inhliziyo yakho ishaya ngokushesha okukhulu? Kodwa uma uya kudokotela bese uthola i-ECG, umbiko uthi akukho lutho olungalungile, ukuthi konke kuvamile. Ngezinye izikhathi ezinjengalezi udokotela ukutshela ngomshini omncane ongawuthatha uye nawo ekhaya uwusebenzise izinsuku ezimbalwa. Namuhla sikhuluma ngale divayisi ebizwa ngokuthi i-ambulatory monitor, eqapha isigqi senhliziyo yakho isikhathi eside.
Kalula nje, iyini i-ambulatory monitor?
Kulula kakhulu. Yidivayisi encane ongayithatha uye nayo ekhaya uyigqoke. Ifana nefoni encane. Iqopha umsebenzi kagesi wenhliziyo yakho njalo usuku, ezimbili, isonto, noma ngisho nangaphezulu.
Cabanga ngale ndlela: i-ECG (i-electrocardiogram) ethathwe esibhedlela ifana nesithombe senhliziyo yakho ngaleso sikhathi. Kodwa lesi sibuko sokuhamba sifana nevidiyo ethathwe izinsuku eziningana. Lokhu kubaluleke kakhulu ekubambeni izinguquko ezithile, okunzima ukuzibona esigqini senhliziyo.
Kungani sidinga lolu hlobo lokuhlolwa?
Isizathu esiyinhloko ukuthola ukuthi yini ngempela ukushaya kwenhliziyo okungajwayelekile, okungukuthi, ama-arrhythmia . Amanye ama-arrhythmia ayenzeka ngezikhathi ezithile kuphela. Angase angenzeki uma usesibhedlela. Khona-ke i-'ECG' evamile ayikwazi ukuwathola.
Ngalesi sibonisi,
- Ingabona ngisho nokungahambi kahle kwesigqi senhliziyo okungenzeka ukuthi awuqapheli .
- Ungaqopha ngokunembile izinkinga ezifikayo nezidlulayo ngezikhathi ezithile.
- Ungabona ukuthi inhliziyo yakho isebenza kanjani ezimweni ezahlukene, njengalapho ulele, usebenza, noma uzivocavoca.
Kunezinhlobo eziningana ze-arrhythmias ezivame ukubonakala.
| Uhlobo lwe-arrhythmia | Kalula nje... |
|---|---|
| I-Bradyarrhythmias | Ukushaya kwenhliziyo kwehla ngendlela engavamile. Kuzwakala sengathi kuyashaya. |
| I-Tachyarrhythmias | Ukushaya kwenhliziyo okuphezulu ngendlela engavamile. Isifuba siyashaya, futhi kuzwakala sengathi sizoqhuma. |
| I-Supraventricular arrhythmias | Lesi isigqi esingajwayelekile esenzeka emakamelweni amabili aphezulu enhliziyo (i-atria). |
| Ukuphazamiseka kwe-Ventricular | Lesi isigqi esingajwayelekile esenzeka emakamelweni amabili aphansi enhliziyo (ama-ventricle). |
Udokotela wenhliziyo noma i-electrophysiologist uzohlaziya idatha evela kulolu vivinyo bese enquma ukuthi isimo sakho siyini ngempela.
Isebenza kanjani le monitor?
Inhliziyo yethu inesimiso sayo sikagesi. Amakamelo amane enhliziyo ayafinyela ngendlela ehlelekile, enesigqi futhi ampompa igazi ngenxa yezibonakaliso ezivela kulolu hlelo lukagesi.
Lezi zimpawu zikagesi zinamandla ngokwanele ukufinyelela ebusweni besikhumba sethu. Ngakho-ke, izinzwa ezimbalwa ezincane, ezibizwa ngama-electrode , ozibeka esifubeni sakho zingabamba lezi zimpawu. Lezi zinzwa zixhunywe kusikrini esincane esinezintambo. Isikrini siqopha zonke lezi zimpawu.
Uma kukhona ushintsho ekusebenzeni kwengxenye ethile yenhliziyo, kukhona noshintsho ezimpawini zikagesi ezivela lapho. Ngokubheka lezo zinguquko udokotela angaqonda ukuthi inkinga iyini ngenhliziyo yakho.
Ingabe kunezinhlobo ezahlukene zalezi ziqaphi?
Yebo, udokotela wakho uzokhetha uhlobo lwesikrini olukufanele kakhulu ngokusekelwe ohlotsheni lwezimpawu zakho. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lwemonitha | Kwenzekani kulokho? |
|---|---|
| Izikrini ze-Holter | Lokhu kuvame ukugqokwa amahora angama-24 kuya kwangu-48 (usuku olulodwa noma amabili). Ngezinye izikhathi kungagqokwa isonto elilodwa noma amabili. Phakathi nalesi sikhathi, ukushaya kwenhliziyo ngakunye kuqoshwa njalo. |
| Abaqaphi bemicimbi | Lokhu kuqoshwa kuphela uma kukhona okusolakalayo kokuthi kukhona okungajwayelekile. Uma uzwa izimpawu (isib. ubuhlungu besifuba), ungacindezela inkinobho kule divayisi ukuze uziqophe. Amanye amadivayisi athola futhi aqophe ngokuzenzakalelayo ukuthi kukhona okungajwayelekile. |
| Izikrini zesikhathi sangempela | Lokhu kufana nokuqapha imicimbi, kodwa into ekhethekile ukuthi ngokushesha nje lapho kuqoshwa into engavamile, idatha ithunyelwa ngokushesha esikhungweni sokuqapha. Lokhu kubaluleke kakhulu kubantu abanezimo ezibucayi. |
| Amarekhoda e-patch | Lena idivayisi encane ongayinamathisela esifubeni sakho njengeplasta. Azikho izintambo. Ungayifaka cishe amasonto amabili ngesikhathi. Kulula kakhulu. |
| Amarekhoda e-loop afakwayo | Lena idivayisi encane kakhulu. Ifakwa ngaphansi kwesikhumba sesifuba sakho ngokuhlinzwa okuncane. Ingashiywa endaweni yayo iminyaka emibili kuya kwemithathu. Akukho nkinga lapho ugeza noma ubhukuda. Lokhu kuwusizo kakhulu kubantu abangavamile ukuzwa izimpawu. |
Kwenzekani ngaphambi kokuhlolwa nangosuku lokuhlolwa?
Ukulungiselela ngaphambi kokuhlolwa
Udokotela wakho uzokhetha uhlobo lwesikrini olukufanele futhi akuchazele lona.
- Kungumqondo omuhle ukugeza kahle ngaphambi kokufaka i-monitor, njengoba ezinye izinhlobo zama-monitor zingakuvimbela ukuthi ugeze usuku olulodwa noma ezimbili.
- Okubaluleke kakhulu: Ungafaki noma yiluphi uhlobo lwamafutha, ukhilimu, noma iloshini esikhumbeni sesifuba sakho. Ukwenza kanjalo kuzovimbela izinzwa (ama-electrode) ukuthi zinamathele kahle esikhumbeni futhi izimpawu zingaqoshwa kahle.
- Gqoka izingubo okulula ukuzigqoka nokuzikhumula.
Ngosuku okwafakwa ngalo i-monitor
Ilungu labasebenzi bezokwelapha (njengochwepheshe) lizokuchazela lezi zinto:
- Indlela yokusebenzisa idivayisi, indlela yokuyisebenzisa.
- Uma udinga ukususa nokufaka kabusha inzwa, njengalapho ugeza, nansi indlela yokukwenza.
- Ikutshela ngezinto okungafanele uzisondele ngoba zingase ziphazamise i-monitor (isib. omaginethi, amanye amadivayisi kagesi).
- Izindawo lapho inzwa izonamathiselwa khona zihlanzwa ngotshwala futhi, uma kudingeka, noma yiluphi uboya luyasuswa. Lokhu kuqinisekisa ukuthi inzwa ixhunywe kahle futhi izimpawu ziqoshwa ngokucacile.
Ingabe zikhona izingozi zokusebenzisa le mishini?
Lezi zivivinyo ziphephile kakhulu. Azibuhlungu. Kodwa-ke, kungase kube nemiphumela emibi emincane.
- Kwabaqaphi bangaphandle: Umphumela ovame kakhulu ohlangothini olubi ukuba bomvu nokulunywa lapho kufakwa khona inzwa. Abanye abantu bangase babe nomuzwa wokunamathela okusetshenziselwa ukunamathisela inzwa. Uma une-allergies, tshela udokotela wakho kusenesikhathi. Lokhu kuvame ukuphela zingakapheli izinsuku ezimbalwa ngemva kokuba inzwa isusiwe.
- Kwabaqophi abafakelwa: Izinkinga ezingaba khona ziphansi kakhulu.
- Kungase kube nobuhlungu noma ukungakhululeki lapho idivayisi ifakwe khona. Lokhu kuvame ukuzixazulula ngokwako.
- Akuvamile kakhulu ukuthi inxeba lingatheleleka. Lokhu kwelashwa ngama-antibiotic.
- Futhi akuvamile kakhulu ukuba nokusabela komzimba entweni equkethwe kudivayisi.
- Ngezinye izikhathi izimpawu zenhliziyo zingase zingamukelwa ngokucacile ukuthi idivayisi ikuphi, bese kungase kudingeke ithuthelwe kwenye indawo.
Kwenzekani ngemva kokuthola umbiko wokuhlolwa?
Ngemva kokubuyisela i-monitor esibhedlela, idatha evela kuyo iyalandwa bese ithunyelwa kuchwepheshe. Udokotela uhlola ngokucophelela yonke leyo datha bese efika esiphethweni ngesimo sakho sezokwelapha.
Ngemva kwalokho, isibhedlela sizokushayela ucingo sichaze imiphumela. Uma kudingeka, sizokwazisa nokuthi yini okufanele uyenze ngokulandelayo, yiziphi izindlela zokwelapha okufanele uziqale, noma uma udinga ukubona omunye uchwepheshe.
Ngingashayela nini udokotela wami ucingo?
Bazokutshela kusengaphambili ukuthi ubani okufanele umshayele ucingo nokuthi iyiphi inombolo okufanele uyishayele uma unezinkinga ngedivayisi.
Ikakhulukazi uma une -loop recorder engafakelwa , tshela udokotela wakho noma isibhedlela ngokushesha uma unezinye zezimpawu ezilandelayo. Lezi zingase zibe izimpawu zokutheleleka.
- Uma uzizwa ushisa noma unesifo somkhuhlane.
- Uma uzwa ukufudumala uma uthinta isikhumba esizungeze indawo yokufaka.
- Uma indawo ivuvukele noma ibomvu.
- Uma uketshezi olufana nobomvu noma igazi luphuma enxebeni.
Isikhathi esithathayo ukuthola imiphumela yokuhlolwa singahluka kuye ngohlobo lwe-monitor, isikhathi sokuhlolwa, kanye nomsebenzi wesibhedlela. Ungabuza abasebenzi ngalokhu ngosuku lokubekwa kwe-monitor yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-monitor yokuzulazula iyithuluzi elincane, eliphephile, neligqokwayo eliqapha isigqi senhliziyo yakho izinsuku eziningana.
- Lokhu kubaluleke kakhulu ekutholeni ukungahambi kahle kwesigqi senhliziyo ngezikhathi ezithile okungabonwa yi-ECG evamile.
- Landela imiyalelo kadokotela wakho ngqo. Qaphela indlela oyisebenzisa ngayo idivayisi nokuthi yini okufanele uyigweme.
- Umphumela ovame kakhulu ukulunywa okuncane kanye nokubomvu kwesikhumba lapho inzwa inamathele khona.
- Uma unenkinga nganoma iyiphi idivayisi noma uma unezimpawu zokutheleleka ngedivayisi efakwe ngaphansi kwesikhumba, funa iseluleko sezokwelapha ngokushesha.
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