Ukujonga iHolter (24h)

Umvavanyi kaHolter ngumatshini oqhubeka ngokurekhoda izingqisho zentliziyo. Ukubeka iliso kunxitywa iiyure ezingama-24 ukuya kwezi-48 ngexesha lomsebenzi oqhelekileyo.

I-electrode (iindawo ezincinci zokuqhuba) zinamathele esifubeni sakho. Ezi ziqhotyoshelwe ziingcingo kwisilawuli esincinci sokurekhoda. Uthwala iliso leHolter epokothweni okanye kwingxowa enxitywe entanyeni okanye esinqeni. Imonitha isebenza kwiibhetri.

Ngelixa unxiba esweni, urekhoda umsebenzi wombane wentliziyo yakho.

• Gcina idayari yezinto ozenzayo ngelixa unxibe esweni, kunye nendlela oziva ngayo.
• Emva kweeyure ezingama-24 ukuya kuma-48, uya kubuyisela esweni iofisi yakho yomboneleli ngempilo.
• Umboneleli uya kujonga kwiirekhodi kwaye abone ukuba ngaba kukho naziphi na izingqi zentliziyo ezingaqhelekanga.

Kubaluleke kakhulu ukuba urekhode ngokuchanekileyo iimpawu kunye nemisebenzi ukuze umboneleli akwazi ukuzithelekisa neziphumo zakho zokujonga imeko kaHolter.

I-Electrodes kufuneka ziqhotyoshelwe ngokuqinileyo esifubeni ukuze umatshini afumane ukurekhodwa okuchanekileyo kwemisebenzi yentliziyo.

Ngelixa unxibe isixhobo, kuphephe:

• Iingubo zombane
• Iindawo ezinamandla ombane aphezulu
• Iimagnethi
• Izixhobo zetsimbi

Qhubeka nemisebenzi yakho yesiqhelo ngelixa unxibe esweni. Unokucelwa ukuba usebenzise umthambo ngelixa ujongiwe ukuba iimpawu zakho zenzeke kwixesha elidlulileyo ngelixa ubuzilolonga.

Awudingi ukulungiselela uvavanyo.

Umboneleli wakho uya kuqala ukubeka esweni. Uya kuxelelwa ukuba ungazitshintsha njani ii-electrode ukuba ziyawa okanye zikhululeke.

Xelela umboneleli wakho ukuba ngaba uxabana nayo nayiphi na itheyiphu okanye ezinye izinto zokuncamathelisa.Qiniseka ukuba uyahlamba okanye uhlambe phambi kokuba uqale uvavanyo. Awuyi kuba nakho ukwenza oko ngelixa unxibe esweni i-Holter.

Olu luvavanyo olungenabuhlungu. Nangona kunjalo, abanye abantu banokufuna ukuchetywa isifuba ukuze ii-electrode zinamathele.

Kuya kufuneka ubeke iliso kufutshane nomzimba wakho. Oku kunokuba nzima ukuba ulale.

Ngamaxesha athile kunokubakho ukungaphatheki kakuhle kolusu kwii-electrode ezincangathi. Kuya kufuneka ubize i-ofisi yomboneleli apho ibekwe khona ukubaxelela ngayo.

Ukubeka iliso kwiHolter kusetyenziselwa ukumisela indlela intliziyo esabela ngayo kwimisebenzi yesiqhelo. Ukubek'esweni kungasetyenziswa:

• Emva kokuhlaselwa yintliziyo
• Ukuchonga iingxaki zesingqisho sentliziyo ezinokubangela iimpawu ezinjengokubetha okanye ukuvumelanisa (ukudlula / ukuphelelwa ngamandla)
• Xa uqala iyeza elitsha lentliziyo

Iingoma zentliziyo ezinokurekhodwa zibandakanya:

• I-Atrial fibrillation okanye i-flutter
• I-tachycardia yemithambo emininzi
• I-Paroxysmal supraventricular tachycardia
• Izinga lentliziyo elicothayo (bradycardia)
• Tachycardia omoya

Umahluko oqhelekileyo kwinqanaba lentliziyo lwenzeka nemisebenzi. Iziphumo eziqhelekileyo akukho lutshintsho lubalulekileyo kwisingqi sentliziyo okanye ipateni.

Iziphumo ezingaqhelekanga zinokubandakanya ii-arrhythmias ezahlukeneyo ezinje ngezo zidweliswe apha ngasentla. Olunye utshintsho lunokuthetha ukuba intliziyo ayifumani ngokwaneleyo ioksijini.

Ngaphandle kwempendulo yolusu engaqhelekanga, akukho bungozi buhambelana novavanyo. Nangona kunjalo, kuya kufuneka uqiniseke ukuba ungavumeli esweni ukuba manzi.

I-ambulensi yombane; Electrocardiography - ezihamba; I-Atrial fibrillation - uHolter; Flutter - Holter; Itachycardia - iHolter; Isingqisho sentliziyo esingaqhelekanga - uHolter; Arrythmia - uHolter; ISyncope - Holter; Arrhythmia-Holter

• Imonitha yentliziyo kaHolter
• Icandelo lentliziyo phakathi embindini
• Intliziyo - umbono wangaphambili
• Isingqisho sentliziyo esiqhelekileyo
• Inkqubo yokuqhuba kwentliziyo

UMiller JM, uTomaselli GF, uZipes DP. Ukuchongwa kwe-arrhythmias yentliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 35.

U-Olgin JE. Indlela yesigulana esirhanelwa ukuba sisithintelo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 56.