Ukuqapha kweHolter (24h)

Ukuqapha kweHolter kungumshini oqhubeka ngokuqopha isigqi senhliziyo. Ukuqapha kugqoke amahora angama-24 kuye kwangama-48 ngesikhathi somsebenzi ojwayelekile.

Ama-electrode (amabala amancane wokuqhuba) anamathele esifubeni sakho. Lezi zinamathiselwa ngezintambo kusiqaphi esincane sokuqopha. Uphatha i-Holter qapha ephaketheni noma esikhwameni esigqokwa entanyeni noma okhalweni. Ukuqapha kusebenza ngamabhethri.

Ngenkathi ugqoka i-monitor, iqopha umsebenzi kagesi wenhliziyo yakho.

• Gcina idayari yezinto ozenzayo ngenkathi ugqoke i-monitor, nokuthi uzizwa kanjani.
• Ngemuva kwamahora angama-24 kuye kwangama-48, uzobuyisela umqaphi ehhovisi lomhlinzeki wakho wezokunakekelwa kwempilo.
• Umhlinzeki uzobheka amarekhodi futhi abone ukuthi ngabe kube khona yini izigqi zenhliziyo ezingavamile.

Kubaluleke kakhulu ukuthi urekhode ngokunembile izimpawu zakho nemisebenzi ukuze umhlinzeki akwazi ukuzifanisa nokutholwe yimonitha yakho yeHolter.

Ama-electrode kufanele anamathele ngokuqinile esifubeni ukuze umshini uthole ukuqoshwa okunembile komsebenzi wenhliziyo.

Ngenkathi ugqoka le divayisi, gwema:

• Izingubo zokulala zikagesi
• Izindawo ezinamandla amakhulu
• Omazibuthe
• Imitshina yensimbi

Qhubeka nemisebenzi yakho ejwayelekile ngenkathi ugqoke imonitha. Ungacelwa ukuthi usebenzise umzimba ngenkathi ubhekiwe uma izimpawu zakho zike zenzeka esikhathini esedlule ngenkathi uzivocavoca.

Awudingi ukulungiselela isivivinyo.

Umhlinzeki wakho uzoqala ukuqapha. Uzotshelwa ukuthi ungawashintsha kanjani ama-electrode uma ewa noma ekhululeka.

Tshela umhlinzeki wakho uma uxabana nanoma iyiphi i-tape noma ezinye izinto zokunamathisela.Qiniseka ukuthi uyageza noma ugeze ngaphambi kokuqala ukuhlolwa. Ngeke ukwazi ukwenza kanjalo ngenkathi ugqoke i-Holter monitor.

Lokhu ukuhlolwa okungenabuhlungu. Kodwa-ke, abanye abantu bangahle badinge ukuthi isifuba sabo sigundwe ukuze ama-electrode akwazi ukunamathela.

Kufanele ugcine i-qapha eduze komzimba wakho. Lokhu kungenza kube nzima kuwe ukulala.

Ngezikhathi ezithile kungaba nokuphendula okungathandeki kwesikhumba kuma-electrode anamathelayo. Kufanele ushayele ihhovisi lomhlinzeki lapho lalibekwe khona ukuze ubatshele ngalo.

Ukuqapha kweHolter kusetshenziselwa ukuthola ukuthi inhliziyo isabela kanjani emsebenzini ojwayelekile. Ukuqapha kungasetshenziswa futhi:

• Ngemuva kokuhlaselwa yisifo senhliziyo
• Ukuhlonza izinkinga zesigqi senhliziyo ezingadala izimpawu ezifana nokushaywa ngamandla noma i-syncope (ukudlula / ukuquleka)
• Lapho uqala umuthi omusha wenhliziyo

Izigqi zenhliziyo ezingarekhodwa zifaka:

• I-Atrial fibrillation noma i-flutter
• I-tachycardia ye-atrial eminingi
• I-paroxysmal supraventricular tachycardia
• Ukushaya kwenhliziyo okuhamba kancane (bradycardia)
• I-tachycardia evundlile

Ukwehluka okujwayelekile kokushaya kwenhliziyo kwenzeka ngemisebenzi. Umphumela ojwayelekile awukho ushintsho oluphawulekayo kwizigqi zenhliziyo noma iphethini.

Imiphumela engajwayelekile ingafaka ama-arrhythmias ahlukahlukene njengalawo abhalwe ngenhla. Ezinye izinguquko zingasho ukuthi inhliziyo ayitholi i-oxygen eyanele.

Ngaphandle kokuphendula kwesikhumba okungavamile, azikho izingozi ezihambisana nokuhlolwa. Kodwa-ke, kufanele uqiniseke ukuthi ungavumeli umonitha abe manzi.

I-electrocardiography ehambisanayo; Electrocardiography - isibhedlela; I-Atrial fibrillation - uHolter; I-Flutter - Holter; ITachycardia - iHolter; Isigqi senhliziyo esingajwayelekile - uHolter; I-Arrythmia - uHolter; I-Syncope - uHolter; I-Arrhythmia - uHolter

• Ukuqapha kwenhliziyo kaHolter
• Inhliziyo - isigaba phakathi nendawo
• Inhliziyo - ukubuka kwangaphambili
• Isigqi senhliziyo esijwayelekile
• Uhlelo lokuqhuba kwenhliziyo

UMiller JM, uTomaselli GF, uZipes DP. Ukuxilongwa kwama-arrhythmias enhliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 35.

Olgin JE. Sondela esigulini nge-arrhythmia esolwayo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 56.