Holter monitor (24h)

ʻO kahi mīkini Holter kahi mīkini e hoʻopaʻa mau i nā mele o ka puʻuwai. Hoʻokomo ʻia ka mea nānā no 24 a 48 mau hola i ka hana maʻamau.

Paʻa nā uila uila (nā pākuʻi liʻiliʻi e hana ana) i kou umauma. Hoʻopili ʻia kēia mau mea e nā kaula i kahi nānā leo liʻiliʻi. Hāpai ʻoe i ka mea nānā iā Holter i loko o ka ʻeke a i ʻole ʻeke ʻeʻe ma kou ʻāʻī a i ʻole pūhaka. Holo ka mea nānā i nā paila.

ʻOiai ʻoe e hoʻokomo i ka nānā, hoʻopaʻa ia i ka hana uila o kou puʻuwai.

• E mālama i kahi diary o nā hana āu e hana ai ke kau nei ʻoe i ka monitor, a pehea kou manaʻo.
• Ma hope o 24 a 48 mau hola, e hoʻihoʻi ʻoe i ka mea nānā i kāu keʻena ʻoihana olakino.
• E nānā ka mea hāʻawi i nā moʻolelo a ʻike inā aia kekahi mau puʻuwai puʻuwai maʻamau.

He mea nui ia e hoʻopaʻa pololei i kāu mau ʻōuli a me nā hana i hiki i ka mea hāʻawi ke hoʻokūkū iā lākou me kāu ʻike o Holter monitor.

Pono paʻa paʻa pono nā uila i ka pahu a loaʻa ka mīkini i kahi hoʻopaʻa pololei o ka hana o ka puʻuwai.

ʻOiai ke kau nei i ka hāmeʻa, pale i:

• Nā pale uila
• Nā wahi uila kiʻekiʻe
• Nā Mākēneki
• Nā mea ʻike ʻike hao

E hoʻomau i kāu mau hana maʻamau i ka wā e kau ana i ka nānā. E noi paha ʻoe e hoʻoikaika kino i ka wā e nānā ʻia inā ua loaʻa kāu mau ʻōuli i ka wā ma mua i kou wā e hoʻomaʻamaʻa ana.

ʻAʻole pono ʻoe e hoʻomākaukau no ka hōʻike.

E hoʻomaka kāu mea hoʻolako i ka nānā. E haʻi ʻia ʻoe pehea e pani ai i nā electrodes inā hāʻule lākou a wehe paha.

E haʻi i kāu mea hāʻawi inā maʻi ʻoe i kekahi lipine a i ʻole nā ​​mea hoʻopili ʻē aʻe.E hōʻoia e ʻauʻau a ʻauʻau paha ma mua o ka hoʻomaka ʻana o ka hoʻāʻo. ʻAʻole hiki iā ʻoe ke hana pēlā ʻoiai ʻoe e ʻaʻahu ana i kahi monitor Holter.

He hōʻike hōʻeha ʻole kēia. Eia nō naʻe, pono paha e kahi i kahi poʻe e kahi i ko lākou umauma i hiki i nā uila uila ke pili.

Pono ʻoe e mālama i ka māka ma kahi kokoke i kou kino. E paʻakikī paha kēia iā ʻoe e hiamoe.

ʻO ka loaʻa ʻana o kahi ʻili ʻoluʻolu ʻole i ka hopena o nā uila. Pono ʻoe e kāhea i ke keʻena o ka mea hāʻawi kahi i kau ʻia ai e haʻi iā lākou e pili ana i ia.

Hoʻohana ʻia ka nānā ʻana Holter e hoʻoholo pehea e pane ai ka puʻuwai i ka hana maʻamau. Hoʻohana pū ʻia ka mea nānā:

• Ma hope o ka hōʻeha puʻuwai
• No ke kuhi ʻana i nā pilikia o ka puʻuwai puʻuwai i hiki ke hoʻokumu ʻia i nā ʻōuli e like me palpitations a i ʻole syncope (hele i waho / maʻule)
• Ke hoʻomaka nei i kahi lāʻau naʻau hou

Pākuʻi ʻia nā puʻuwai puʻuwai e hoʻopaʻa ʻia:

• Aibrial fibrillation a i ʻole flutter
• Tachycardia atrial multifocal
• ʻO ka tachycardia supraventricular Paroxysmal
• Kuhi puʻuwai lohi (bradycardia)
• Tachycardia hāhā

Hana ʻia nā ʻano maʻamau o ka helu naʻau me nā hana. ʻO kahi hopena maʻamau ʻaʻohe hoʻololi nui i nā mele o ka puʻuwai a i ʻole kumu.

Hiki i nā hopena maʻamau ke hoʻopili i nā arrhythmia like ʻole e like me nā mea i helu ʻia ma luna. Kuhi paha kekahi mau loli i ka loaʻa ʻole o ka oxygen i ka puʻuwai.

Ma waho aʻe o ka hopena o ka ʻili maʻamau, ʻaʻohe pilikia e pili ana i ka hoʻāʻo. Eia naʻe, e ʻike pono ʻoe ʻaʻole e waiho mākū i ka mea nānā.

Uila electrocardiography; Electrocardiography - hoʻokele; Aibrial fibrillation - Holter; Flutter - Holter; Kāleka Tachycardia - Holter; Rhythm puʻuwai maʻamau - Holter; Arrythmia - Holter; Syncope - Holter; ʻO Arrhythmia - Holter

• Holter puʻuwai nānā
• Puʻuwai - ʻāpana ma waena o ka waena
• Puʻuwai - ʻike mua
• Pāʻani puʻuwai maʻamau
• ʻŌnaehana hoʻoneʻe o ka puʻuwai

ʻO Miller JM, ʻo Tomaselli GF, ʻo Zipe DP. ʻIke i nā arrhythmia naʻau. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 35.

ʻO Olgin JE. Hele i ka mea maʻi me ka arrhythmia i manaʻo ʻia. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 56.