Oyang'anira zochitika pamtima

Kuwunika zochitika pamtima ndi chida chomwe mumayang'anira kuti mulembe zochitika zamagetsi mumtima mwanu (ECG). Chida ichi chimakhala ngati kukula kwa pager. Ikulemba kugunda kwamtima kwanu komanso mayimbidwe anu.

Oyang'anira zochitika pamtima amagwiritsidwa ntchito mukafuna kuwunika kwa nthawi yayitali zizindikilo zomwe zimachitika ocheperako tsiku ndi tsiku.

Mtundu uliwonse wowunika ndiwosiyana pang'ono, koma onse ali ndi masensa (otchedwa maelekitirodi) ojambulira ECG yanu. Mu mitundu ina, izi zimadziphatika pakhungu pachifuwa pogwiritsa ntchito zigamba zomata. Masensa amafunika kulumikizana bwino ndi khungu lanu. Kukhudzana kosavomerezeka kumatha kubweretsa zotsatira zoyipa.

Muyenera kuteteza khungu lanu kukhala lopanda mafuta, mafuta, ndi thukuta (momwe zingathere). Katswiri yemwe amaika polojekitiyo achita izi kuti apeze kujambula bwino kwa ECG:

• Amuna adzadulidwa pachifuwa pomwe pamayikidwa ma elekitirodi.
• Malo akhungu pomwe ma elekitirodi aziphatikizidwa azitsukidwa ndi mowa asanafike pama sensa.

Mutha kunyamula kapena kuvala chowunikira pamtima mpaka masiku 30. Mumanyamula chipangizocho m'manja mwanu, kuvala m'manja mwanu, kapena kuchisunga m'thumba lanu. Oyang'anira zochitika amatha kuvala kwa milungu ingapo kapena mpaka zizindikilo zikuchitika.

Pali mitundu ingapo yoyang'anira zochitika pamtima.

• Chowunikira cha loop. Maelekitirodi amakhalabe omangika pachifuwa panu, ndipo chowunikira chimalemba nthawi zonse, koma sichimasunga, ECG yanu. Mukamva zizindikiro, mumasindikiza batani kuti mutsegule chipangizocho. Chipangizocho chimapulumutsa ECG kuyambira posachedwa, nthawi, komanso kwakanthawi pambuyo poti matenda anu ayambe. Oyang'anira zochitika zina amayamba okha ngati apeza zovuta zamtima.
• Kuwunika zochitika. Chipangizochi chimalemba ECG yanu pokhapokha pakachitika zizindikiro, osati zisanachitike. Mumanyamula chipangizochi m'thumba kapena mumachivala m'manja. Mukamva zizindikiro, mumayatsa chipangizocho ndikuyika maelekitirodi pachifuwa kuti mulembe ECG.
• Zojambula Patch. Kuwunika kumeneku sikugwiritsa ntchito mawaya kapena ma elekitirodi. Imayang'anitsitsa zochitika za ECG masiku 14 pogwiritsa ntchito chomata chomwe chimamatira pachifuwa.
• Zojambula zojambulidwa. Ichi ndi chowunikira chaching'ono chomwe chimayikidwa pansi pa khungu pachifuwa. Itha kusiyidwa m'malo kuti iwunikire mayendedwe amtima kwa zaka zitatu kapena kupitilira apo.

Mukuvala chipangizochi:

• Muyenera kupitiliza ntchito zanu zachilendo mutavala chowunika. Mutha kupemphedwa kuti muzichita masewera olimbitsa thupi kapena kusintha magwiridwe antchito anu panthawi yamayeso.
• Lembani zolemba zanu zomwe mumachita mukamavala chowunika, momwe mumamvera, ndi zisonyezo zomwe muli nazo. Izi zithandizira omwe amakuthandizani kuti azitha kufanana ndi zomwe mwapeza.
• Ogwira ntchito pasiteshoni yoyang'anira adzakuwuzani momwe mungasinthire deta pafoni.
• Wothandizira anu ayang'ana zomwe zawonedwazo ndikuwona ngati pakhala pali zovuta zina pamtima.
• Kampani yowunikira kapena wothandizira yemwe adalamula wowunikira atha kulumikizana nanu ngati nyimbo yokhudza nyimbo itapezeka.

Mukamavala chipangizocho, mungafunsidwe kuti mupewe zinthu zina zomwe zingasokoneze chizindikiro pakati pa masensa ndi chowunikira. Izi zingaphatikizepo:

• Mafoni am'manja
• Mabulangete amagetsi
• Mitsuko yamagetsi yamagetsi
• Malo okwera kwambiri
• Maginito
• Zitsulo zamagetsi

Funsani waluso yemwe amamangirira chipangizocho mndandanda wazinthu zomwe muyenera kupewa.

Uzani wothandizira wanu ngati mukugwirizana ndi tepi iliyonse kapena zomatira zina.

Uku ndiyeso yopweteka. Komabe, zomatira zamagulu amagetsi zamagetsi zimatha kukhumudwitsa khungu lanu. Izi zimachoka zokha mutachotsa zigamba.

Muyenera kuyang'anira polojekitiyo pafupi ndi thupi lanu.

Nthawi zambiri, mwa anthu omwe ali ndi zizindikilo pafupipafupi, mayeso omwe amatchedwa Holter Monitoring, omwe amatha masiku 1 mpaka 2, amayesedwa musanagwiritse ntchito zowunikira zamtima. Woyang'anira zochitika amalamulidwa pokhapokha atapanda kuzindikira. Kuwunikira zochitikazo kumagwiritsidwanso ntchito kwa anthu omwe ali ndi zizindikilo zomwe zimachitika pafupipafupi, monga sabata mpaka mwezi.

Kuwunika zochitika pamtima kungagwiritsidwe ntchito:

• Kuunika winawake wamapapo. Palpitations ndikumverera komwe mtima wanu ukugunda kapena kuthamanga kapena kumenya mosasinthasintha. Amatha kumveka pachifuwa, pakhosi, kapena m'khosi.
• Kuti mudziwe chifukwa chakukomoka kapena pafupi kukomoka.
• Kuzindikira kugunda kwamtima mwa anthu omwe ali pachiwopsezo cha arrhythmias.
• Kuwunika mtima wanu mutadwala matenda a mtima kapena poyambira kapena kuyimitsa mankhwala a mtima.
• Kuti muwone ngati pacemaker kapena implantable cardioverter-defibrillator ikugwira bwino ntchito.
• Kuyang'ana chifukwa cha sitiroko pomwe chifukwa sichingapezeke mosavuta ndi mayeso ena.

Kusiyanasiyana kwachilendo pamtima kumachitika ndi zochitika. Zotsatira zabwinobwino sizosintha pamitundumitundu ya mtima kapena kachitidwe.

Zotsatira zosazolowereka zimatha kuphatikiza ma arrhythmias osiyanasiyana. Zosintha zitha kutanthauza kuti mtima sukupeza mpweya wokwanira.

Itha kugwiritsidwa ntchito kuzindikira kuti:

• Matenda a Atrial kapena flutter
• Zambiri zamatenda tachycardia
• Paroxysmal supraventricular tachycardia
• Ventricular tachycardia
• Kugunda kwa mtima pang'ono (bradycardia)
• Mtima

Palibe zowopsa zomwe zimayesedwa, kupatula kukwiya pakhungu.

Ambulatory electrocardiography; Electrocardiography (ECG) - kuyendetsa; Ma electrocardiograms opitilira (EKGs); Oyang'anira a Holter; Oyang'anira zochitika za Transtelephonic

Krahn AD, Inde R, Skanes AC, Klein GJ. Kuwunika kwamtima: kujambula kwakanthawi kochepa komanso kwakanthawi. Mu: Zipes DP, Jalife J, Stevenson WG, olemba., Eds. Electrophysiology Yamtima: Kuchokera Pazipinda Kufikira Pogona. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 66.

Miller JM, Tomaselli GF, Zipes DP. Kuzindikira kwamatenda amtima. 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: chap 35.

Tomaselli GF, Zipes DP. Njira kwa wodwala ndi mtima arrhythmias. 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: mutu 32.