Abaqaphi bemicimbi yenhliziyo

Ukuqapha umcimbi womzimba kuyithuluzi olilawulayo ukuqopha umsebenzi kagesi wenhliziyo yakho (ECG). Le divayisi icishe ilingane nepheja. Kuqopha ukushaya kwenhliziyo nesigqi sakho.

Abaqaphi bemicimbi yenhliziyo bayasetshenziswa uma udinga ukuqapha isikhathi eside kwezimpawu ezenzeka ngaphansi kosuku.

Uhlobo ngalunye lokuqapha luhlukile kancane, kepha onke anezinzwa (ezibizwa ngama-electrode) ukuqopha i-ECG yakho. Kwezinye izinhlobo, lezi zinamathisela esikhunjeni esifubeni sakho zisebenzisa iziqinti ezinamathelayo. Izinzwa zidinga ukuxhumana okuhle nesikhumba sakho. Ukuthintana okungalungile kungadala imiphumela emibi.

Kufanele ugcine isikhumba sakho singenawo uwoyela, okhilimu, nomjuluko (ngangokunokwenzeka). Uchwepheshe obeka umqaphi uzokwenza okulandelayo ukuthola ukuqoshwa okuhle kwe-ECG:

• Abesilisa bayoba nale ndawo esifubeni sabo egundiwe lapho kuzobekwa khona ama-electrode patches.
• Indawo yesikhumba lapho kuzofakwa khona ama-electrode izohlanzwa ngotshwala ngaphambi kokuthi kufakwe izinzwa.

Ungaphatha noma ugqoke umcimbi womqaphi wenhliziyo kufika ezinsukwini ezingama-30. Uphatha le nto ngesandla, gqoka esihlakaleni noma uyigcine ephaketheni lakho. Abaqaphi bomcimbi bangagqokwa amasonto noma kuze kuvele izimpawu.

Kunezinhlobo eziningana zabaqaphi bomcimbi wenhliziyo.

• Ukuqapha imemori yeLoop. Ama-electrode ahlala enamathele esifubeni sakho, futhi umqaphi uyarekhoda njalo, kepha angagcini, i-ECG yakho. Uma uzwa izimpawu, ucindezela inkinobho ukwenza idivayisi isebenze. Idivayisi izobe isindisa i-ECG kusuka ngaphambi nje, ngesikhathi, nangesikhathi esithile ngemuva kokuqala kwezimpawu zakho. Abanye abaqaphi bemicimbi baqala bodwa uma bethola isigqi senhliziyo esingajwayelekile.
• Ukuqapha umcimbi wezimpawu. Le divayisi iqopha i-ECG yakho kuphela lapho kuvela izimpawu, hhayi ngaphambi kokuba zivele. Uphatha le divayisi ephaketheni noma uyigqoke esihlakaleni sakho. Uma uzwa izimpawu, uvula ifoni bese ubeka ama-electrode esifubeni sakho ukuqopha i-ECG.
• Ama-patch recorders. Leli qapha alisebenzisi izintambo noma ama-electrode. Iqhubeka ngokuqapha umsebenzi we-ECG izinsuku eziyi-14 isebenzisa isichibi sokunamathela esinamathela esifubeni.
• Ama-loop rekhoda afakiwe. Leli qapha elincane elifakwa ngaphansi kwesikhumba esifubeni. Kungashiywa endaweni ukuqapha isigqi senhliziyo iminyaka emithathu noma ngaphezulu.

Ngenkathi ugqoka le divayisi:

• Kufanele uqhubeke nemisebenzi yakho ejwayelekile ngenkathi ugqoke imonitha. Ungacelwa ukuthi usebenzise umzimba noma ulungise izinga lomsebenzi wakho ngesikhathi sokuhlolwa.
• Gcina idayari yokuthi yiziphi izinto ozenzayo ngenkathi ugqoke imonitha, ukuthi uzizwa kanjani, nanoma yiziphi izimpawu onazo. Lokhu kuzosiza umhlinzeki wakho wezokunakekelwa kwezempilo ukufanisa izimpawu nokuthola kwakho kokuqapha.
• Abasebenzi besiteshi sokuqapha bazokutshela ukuthi ungayidlulisa kanjani imininingwane ngocingo.
• Umhlinzeki wakho uzobheka imininingwane futhi abone ukuthi ngabe kube khona yini izigqi zenhliziyo ezingavamile.
• Inkampani yokuqapha noma umhlinzeki oyi-oda lelo qapha angaxhumana nawe uma kutholakala isigqi esiphathelene nesigqi.

Ngenkathi ugqoka le divayisi, ungacelwa ukuthi uvikele izinto ezithile ezingaphazamisa isignali phakathi kwezinzwa nezinhloli. Lokhu kungafaka:

• Omakhalekhukhwini
• Izingubo zokulala zikagesi
• Amabhulashi amazinyo kagesi
• Izindawo ezinamandla amakhulu
• Omazibuthe
• Imitshina yensimbi

Buza uchwepheshe onamathisela idivayisi uhlu lwezinto okufanele uzigweme.

Tshela umhlinzeki wakho uma uxabana nanoma iyiphi i-tape noma ezinye izinto zokunamathisela.

Lokhu ukuhlolwa okungenabuhlungu. Kodwa-ke, ukunamathiselwa kwamachashazi e-electrode kungasicasula isikhumba sakho. Lokhu kuyahamba kukodwa uma ususususile amabala.

Kufanele ugcine i-qapha eduze komzimba wakho.

Imvamisa, kubantu abanezimpawu ezivamile, ukuhlolwa okubizwa nge-Holter Monitoring, okuhlala izinsuku ezi-1 kuye kwezi-2, kuzokwenziwa ngaphambi kokusebenzisa i-monitor yomcimbi wenhliziyo. Ukuqapha umcimbi kuyalwa kuphela uma kungatholakali ukuxilongwa. Ukuqapha umcimbi kusetshenziselwa nabantu abanezimpawu ezenzeka kaningi, njengeviki kuya enyangeni.

Ukuqapha umcimbi we-Cardiac kungasetshenziswa:

• Ukuhlola umuntu oshayekile. Ukushaywa kwemizwa yimizwa yokuthi inhliziyo yakho ishaya ngamandla noma igijima noma ishaya ngokungafanele. Zizwakala esifubeni sakho, emphinjeni, noma entanyeni.
• Ukukhomba isizathu sesiqephu sokuquleka noma esiseduze kokuquleka.
• Ukuhlonza ukushaya kwenhliziyo kubantu abanezinto eziyingozi kuma-arrhythmias.
• Ukuqapha inhliziyo yakho ngemuva kokuhlaselwa yinhliziyo noma lapho uqala noma umisa umuthi wenhliziyo.
• Ukuhlola ukuthi ngabe i-pacemaker noma i-cardioverter-defibrillator efakwe ngaphakathi isebenza kahle.
• Ukubheka imbangela yesifo sohlangothi lapho imbangela ingatholakali kalula ngokunye ukuhlolwa.

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

Imiphumela engajwayelekile ingafaka ama-arrhythmias ahlukahlukene. Izinguquko zingasho ukuthi inhliziyo ayitholi i-oxygen eyanele.

Ingasetshenziselwa ukuxilonga:

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

Azikho izingozi ezihambisana nokuhlolwa, ngaphandle kokucasuka kwesikhumba okungenzeka.

I-electrocardiography ehambisanayo; I-Electrocardiography (ECG) - isibhedlela; Ama-electrocardiograms aqhubekayo (EKGs); Abaqaphi bakaHolter; Abaqaphi bomcimbi we-Transtelephonic

UKrahn AD, Yee R, Skanes AC, uKlein GJ. Ukuqapha inhliziyo: ukuqoshwa kwesikhashana nesikhathi eside. Ku: Zipes DP, Jalife J, Stevenson WG, ama-eds. I-Cardiac Electrophysiology: Kusuka Eseli Kuya Kombhede. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 66.

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.

UTomaselli GF, uZipes DP. Sondela esigulini ngama-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 32.