Uke wacelwa ukuthi ube ne-Holter Monitor? (Holter Monitor) Ake sithole ngalokhu kalula!

Ingabe ngezinye izikhathi uzizwa sengathi isifuba sakho sishaya kakhulu, noma inhliziyo yakho iyashaya ngamandla? Ingabe ngezinye izikhathi uzizwa unesiyezi noma uphelelwa amandla? Udokotela wakho kungenzeka ukuthi ukutshelile nge-"Holter Monitor" ukusiza ekutholeni imbangela yalezi zimpawu. Ngakho ungesabi uma uzwa igama. Kuyisivivinyo esilula kakhulu, esingenabuhlungu. Ake sibheke ukuthi siyini, sisebenza kanjani, nokuthi yini okudingeka ukwazi ngenkathi usigqoka.

Iyini ngempela i-Holter Monitor?

Kalula nje, i-Holter Monitor iyithuluzi elincane oligqokayo. Liwumshini olula, osebenza ngebhethri olingana nedekhi lamakhadi. Empeleni liwumshini we-ECG oqopha ukusebenza kwenhliziyo yakho ngenkathi uhambahamba. Ngokwezokwelapha, lokhu sikubiza ngokuthi "i-electrocardiogram yokuhambahamba".

I-ECG, ovame ukuyithola esibhedlela, iqopha kuphela umsebenzi kagesi wenhliziyo yakho ngaleso sikhathi. Kodwa i-Holter Monitor iqopha isigqi senhliziyo yakho futhi ishaye njalo isikhathi eside, njengamahora angu-24 noma angu-48 . Lokhu kunikeza udokotela wakho isithombe esiphelele sendlela inhliziyo yakho eziphatha ngayo njengoba uqhubeka nemisebenzi yakho yansuku zonke.

Le divayisi ixhunywe ezintanjeni nasezintikeni ezincane ozinamathisela esifubeni sakho (ama-electrode). Ungayigqoka ngaphansi kwezingubo zakho bese wenza imisebenzi yakho yansuku zonke evamile.

Lo mshini omncane usebenza kanjani?

Isikrini se-Holter sisebenza kahle njengomshini we-ECG. Okusho ukuthi, silinganisa umsebenzi kagesi wenhliziyo. Kodwa-ke, yize i-ECG inqunyelwe imizuzu embalwa, ngoba uyigqoka usuku olulodwa noma ezimbili, kungenzeka kakhulu ukuthi "ibambe" izimo ezingavamile enhliziyweni ezingenzeki njalo.

Cabanga ukuthi uhlaselwa yinhliziyo kanye noma kabili ngosuku. Uma ungenaso leso sifo senhliziyo uma uthola i-ECG, umbiko we-ECG ngeke ubonise mehluko. Kodwa uma ugqoka i-Holter monitor, isikhathi esiqondile sokuhlaselwa yinhliziyo siyaqoshwa.

Kungani usebenzisa i-Holter Monitor?

• Thola imbangela yokushaya kwenhliziyo okungajwayelekile (i-arrhythmias), izinhlungu zesifuba, kanye nesiyezi esingachazeki.
• Bona ukuthi eminye imithi yesifo senhliziyo isebenza kahle kangakanani.

Le divayisi inezingxenye ezintathu eziyinhloko:

1. Ama-electrode:Lezi izitikha ezincane ozinamathisela esikhumbeni esifubeni sakho. Zibamba izimpawu zikagesi zenhliziyo yakho.

2. Izintambo: Ulwazi olutholakala kuma-electrode luyiswa kudivayisi eyinhloko ngalezi zintambo.

3. I-Holter Monitor: Leli ibhokisi elincane, elisebenza ngebhethri eliqopha ulwazi. Ungaliphatha ephaketheni lakho, noma uligqoke ngebhande elisentanyeni noma okhalweni lwakho.

Yini okudingeka uyazi uma ugqoka i-Holter Monitor?

Lokhu akudingi ukulungiselela okuningi. Kodwa-ke, kuwukuhlakanipha ukugeza kahle ngaphambi kokufaka idivayisi. Akuyona into enhle ukugeza noma ukumanzisa idivayisi ngenkathi uyigqokile.

Uma uya esibhedlela noma emtholampilo, umhlengikazi noma ilungu labasebenzi bezokwelapha lizokusiza ukuthi ugqoke lokhu.

• Ukubekwa kwama-electrode: Bazobeka ama-electrode amabili noma ngaphezulu esifubeni sakho ezindaweni ezithile. Uma ungumuntu wesilisa, kungadingeka ukuthi ugunde ezinye zezinwele zesifuba sakho ukuqinisekisa ukuthi ama-electrode anamathela kahle.
• Ukuxhuma i-monitha: Uzobe usuxhunywe kuma-electrode kanye ne-monitha usebenzisa izintambo bese uchazelwa ukuthi ungayinakekela kanjani.
• Indawo yokugcina i-monitor: Ungayifaka ephaketheni, noma ungayifaka esikhwameni esincane esiza nayo bese uyilenga entanyeni noma okhalweni lwakho.
• Ukuqopha imisebenzi nezimpawu (lena yingxenye ebaluleke kakhulu): Uzonikezwa incwadi encane noma iphepha bese ucelwa ukuthi uqophe imisebenzi yakho yansuku zonke kanye nanoma yiziphi izimpawu ozizwayo (njengokuphelelwa umoya, ukuqina kwesifuba, ubuhlungu besifuba) kanye nesikhathi. Isibonelo, ungabhala ukuthi, "Ngangiphethe izingubo phezulu cishe ngo-10:30 ekuseni lapho ngizwa ukuqina kwesifuba sami." Lokhu kuzosiza udokotela ukuthi aqhathanise ukuthi yiziphi izinguquko ezaziku-ECG yakho lapho izimpawu zakho ziqala.

Yiziphi ezinye izinto okungafanele uzenze ngenkathi ugqoka lokhu?

Ngesikhathi ugqoka i-Holter Monitor, kubalulekile ukugwema izinto ezingaphazamisa ukusebenza kwayo kahle.

Kwenzekani uma amahora angu-24/48 esephelile?

Ngemva kwesikhathi esibekiwe, kuzodingeka ubuyele esibhedlela bese uletha i-monitor kanye ne-notebook oyibhalile. Lapho, bazosusa ngokucophelela futhi bashintshe ama-electrode. Ngemva kwalokho, uchwepheshe uzohlaziya i-ECG yakho kanye namanothi akho bese ethumela umbiko ophelele kudokotela wakho wenhliziyo.

Ingabe kukhona ingozi kulokhu?

Lutho neze. Ukugqoka i-Holter Monitor akubangeli ubuhlungu noma ingozi. Abanye abantu bangase babe nokulunywa okuncane noma ukubomvu esikhumbeni ngenxa yetheyiphu kuma-electrode. Uma une-allergies kuma-plaster noma i-adhesive tape, qiniseka ukuthi utshela abasebenzi ngaphambi kokugqoka i-monitor.

Uthini umbiko?

Uma usuwutholile umbiko, udokotela wakho uzowubukeza futhi akunike imininingwane. Ngokuvamile uzothola imiphumela zingakapheli isonto noma amabili. Umbiko ungase futhi ubheke noma yimiphi imigqi yenhliziyo engavamile (ama-arrhythmia). Ezinye izibonelo zifaka:

• I-Atrial fibrillation: Ukushaya okungajwayelekile nokushesha kakhulu kwamakamelo aphezulu enhliziyo (i-atria).
• I-Bradycardia: Ukushaya kwenhliziyo okuhamba kancane kunokujwayelekile (ukushaya kwenhliziyo).
• I-Tachycardia: Isilinganiso senhliziyo esiphezulu kunesivamile (ukushaya kwenhliziyo okusheshayo).
• Ukufinyela kwe-ventricular ngaphambi kwesikhathi (ama-PVC): Ukushaya kwenhliziyo okungeziwe, okungakafiki isikhathi okwenzeka emakamelweni aphansi (ama-ventricle) enhliziyo.

Yini oyenzayo ngokulandelayo uma kunenkinga ngombiko?

Uma kunenkinga ngombiko wakho, udokotela uzokhuluma nawe ngalokho okufanele ukwenze ngokulandelayo. Lokhu kungafaka:

• Ukwenza ezinye izivivinyo zenhliziyo.
• Ukuqala imithi noma ukushintsha imithi ekhona.
• Ukufakelwa kwedivayisi, njenge-pacemaker, ukulawula ukushaya kwenhliziyo.
• Kunconywa ukwelashwa okufana nokuthi "i-Cardioversion" noma "i-Ablation" ukuze kubuyiselwe isigqi senhliziyo.

Kufanele ngimshayele nini udokotela?

Uma uhlangabezana nanoma yiziphi izinkinga ngenkathi ugqoke i-monitor, shayela udokotela wakho noma isibhedlela.

• Uma kukhona okungahambi kahle nge-Holter Monitor oyisebenzisayo.
• Uma unombuzo mayelana nendlela yokusebenzisa i-monitor.
• Uma i-electrode exhunywe esifubeni iphuma.
• Uma ubhekene nanoma yiziphi izimpawu zenhliziyo ezingakhululekile noma ezisolisayo.

Ingabe lokhu kungasiza ekuboneni ukukhathazeka?

Cha, i-Holter Monitor ayikwazi ukubona ngqo ukukhathazeka. Kodwa-ke, uma ukukhathazeka kwakho kukwenza ube nokushaya kwenhliziyo, i-monitor izoqopha lokho kushaya kwenhliziyo. Yingakho idayari yakho ibalulekile. Uma ubhala phansi ukuthi "Ngizizwe ngikhathazekile/ngicindezelekile" lapho ukushaya kwenhliziyo, udokotela wakho angakuqonda ukuxhumana.

Uyini umehluko phakathi kwe-ECG ne-Holter Monitor?

I-ECG "isithombe esifingqiwe" sesimo samanje senhliziyo yakho. Ikukhombisa imizuzu embalwa kuphela.

I-Holter Monitor ifana "nevidiyo" yomsebenzi wenhliziyo yakho usuku lonke. Inikeza udokotela wakho ukuqonda okuhle ngendlela inhliziyo yakho eziphatha ngayo usuku lonke.