Electrocardiogram

Electrocardiogram (ECG) ndi mayeso omwe amalemba zochitika zamagetsi pamtima.

Mudzafunsidwa kuti mugone pansi. Wothandizira zaumoyo amatsuka madera angapo m'manja mwanu, miyendo, ndi chifuwa, kenako nkumata zigamba zazing'ono zotchedwa maelekitirodi kumadera amenewo. Kungakhale kofunikira kumeta kapena kudulira tsitsi kuti zigamba zizimata pakhungu. Chiwerengero cha zigamba zomwe zimagwiritsidwa ntchito chimasiyana.

Zigawozi zimalumikizidwa ndi mawaya pamakina omwe amasintha zizindikiritso zamagetsi zamtima kukhala mizere ya wavy, yomwe nthawi zambiri imasindikizidwa papepala. Dokotala amaunikanso zotsatira zake.

Muyenera kukhala chete panthawiyi. Wothandizirayo amathanso kukupemphani kuti mupume mpweya kwa masekondi ochepa pomwe mayeso akuyesedwa.

Ndikofunikira kukhala omasuka komanso ofunda panthawi yolemba ECG chifukwa kuyenda kulikonse, kuphatikiza kunjenjemera, kumatha kusintha zotsatira.

Nthawi zina kuyesaku kumachitika mukamachita masewera olimbitsa thupi kapena mutapanikizika pang'ono kuti muwone zosintha mumtima. Mtundu uwu wa ECG nthawi zambiri umatchedwa kuyesa kupsinjika.

Onetsetsani kuti opereka chithandizo akudziwa za mankhwala omwe mukumwa. Mankhwala ena amatha kusokoneza zotsatira za mayeso.

Musamagwiritse ntchito kapena kumwa madzi ozizira nthawi yomweyo ECG isanakwane chifukwa izi zimatha kubweretsa zotsatira zabodza.

ECG siyopweteka. Palibe magetsi omwe amatumizidwa kudzera mthupi. Maelekitirodi amatha kumva kuzizira akagwiritsidwa ntchito koyamba. Nthawi zambiri, anthu ena amatha kupsa mtima kapena kukwiya pomwe pamayikidwapo.

ECG imagwiritsidwa ntchito kuyeza:

• Zowonongeka zilizonse pamtima
• Mtima wanu ukugunda mofulumira komanso ngati ukugunda bwinobwino
• Zotsatira za mankhwala osokoneza bongo kapena zida zomwe zimagwiritsidwa ntchito kuwongolera mtima (monga pacemaker)
• Kukula ndi malo azipinda zamtima wanu

ECG nthawi zambiri imakhala mayeso oyamba omwe amachitika kuti adziwe ngati munthu ali ndi matenda amtima. Wothandizira anu atha kuyitanitsa mayeso ngati:

• Mukumva kupweteka pachifuwa kapena kugundana
• Mukuyenera kuchitidwa opaleshoni
• Mwakhalapo ndi mavuto amtima m'mbuyomu
• Muli ndi mbiri yamphamvu yamatenda amtima m'banja

Zotsatira zodziwika bwino nthawi zambiri zimaphatikizapo:

• Kugunda kwa mtima: 60 mpaka 100 beats pamphindi
• Nyimbo yamtima: Yofanana komanso yofananira

Zotsatira zachilendo za ECG zitha kukhala chizindikiro cha:

• Kuwonongeka kapena kusintha kwa minofu ya mtima
• Zosintha kuchuluka kwa ma electrolyte (monga potaziyamu ndi calcium) m'magazi
• Kobadwa nako mtima chilema
• Kukula kwa mtima
• Chamadzimadzi kapena chotupa m'thumba mozungulira mtima
• Kutupa kwa mtima (myocarditis)
• Matenda amtima akale kapena apano
• Kuperewera kwamagazi pamitsempha yamtima
• Nyimbo zosazolowereka (arrhythmias)

Mavuto ena amtima omwe angayambitse kusintha pamayeso a ECG ndi awa:

• Matenda a Atrial / flutter
• Matenda amtima
• Mtima kulephera
• Zambiri zamatenda tachycardia
• Paroxysmal supraventricular tachycardia
• Matenda odwala sinus
• Matenda a Wolff-Parkinson-White

Palibe zowopsa.

Kulondola kwa ECG kumadalira momwe angayesedwere. Vuto la mtima mwina silingabwere pa ECG. Mikhalidwe ina yamtima sinatulutse kusintha kulikonse kwa ECG.

ECG; EKG

• ECG
• Atrioventricular block - Kufufuza kwa ECG
• Kuthamanga kwa magazi
• Electrocardiogram (ECG)
• Kuyika kwa ECG elekitirodi

Brady WJ, Harrigan RA, Chan TC. Njira zoyambira zamagetsi. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chaputala 14.

Ganz L, Lumikizani MS. Zithunzi zamagetsi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 48.

Mirvis DM, Goldberger AL. Zithunzi zamagetsi. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chaputala 12.