Nānā hanana Cardiac

ʻO kahi mea nānā hanana puʻuwai kahi mea āu e kaohi ai e hoʻopaʻa i ka hana uila o kou puʻuwai (ECG). ʻO kēia hāmeʻa e pili ana i ka nui o kahi pager. Hoʻopaʻa ia i ka helu o kou puʻuwai a me kāu mele.

Hoʻohana ʻia nā mea nānā hanana Cardiac ke pono ʻoe i ka nānā lōʻihi ʻana o nā ʻōuli i hana ʻia ma lalo o kēlā me kēia lā.

ʻOkoʻa kēlā me kēia ʻano monitor, akā he ʻikepili nā lākou āpau (i kapa ʻia nā electrodes) e hoʻopaʻa i kāu ECG. I kekahi mau hiʻohiʻona, hoʻopili kēia mau mea i ka ʻili ma kou umauma e hoʻohana ana i nā patch sticky. Pono nā mea ʻike i ka pilina maikaʻi me kou ʻili. Hiki i ka launa ʻole ke hana i nā hopena maikaʻi ʻole.

E mālama ʻoe i kou ʻili mai nā aila, nā kalima a me ka hou (e like me ka hiki). ʻO ka ʻenehana nāna e hoʻonoho i ka mea nānā e hana i kēia mau mea e loaʻa kahi hoʻopaʻa ECG maikaʻi:

• E kahi ʻia nā kāne i ka ʻāpana ma ko lākou umauma kahi kahi e kahi ai nā uila uila.
• E hoʻomaʻemaʻe ʻia kahi o ka ʻili kahi e hoʻopili ai nā electrodes me ka wai ʻona ma mua o ka hoʻopili ʻana o nā mea ʻike.

Hiki iā ʻoe ke hāpai a ʻaihue i kahi hanana hanana puʻuwai a i nā lā he 30. Hāpai ʻoe i ka hāmeʻa i kou lima, komo i kou lima, a i ʻole mālama i loko o kāu ʻeke. Hiki ke hoʻokomo i nā mea nānā hanana no nā pule a i ʻole a kū nā hōʻailona.

Aia kekahi mau ʻano o nā mea nānā hanana hanana naʻau.

• Loop memo hoʻomanaʻo. Hoʻopili mau nā uila i kou umauma, a hoʻopaʻa mau ka mea nānā, akā ʻaʻole mālama, kāu ECG. Ke ʻike ʻoe i nā ʻōuli, kaomi ʻoe i ke pihi e hoʻoheheʻe ai i ka hāmeʻa. Mālama ka hāmeʻa i ka ECG mai ka wā ma mua, i ka manawa, a no kekahi manawa ma hope o ka hoʻomaka ʻana o kāu mau ʻōuli. Hoʻomaka kekahi mau mea nānā hanana hanana iā lākou iho inā ʻike lākou i nā puʻuwai puʻuwai maʻamau.
• Luna kia hanana hanana hōʻailona. Kākau kēia hāmeʻa i kāu ECG wale nō ke kū nā ʻōuli, ʻaʻole ma mua o ka hiki ʻana mai. Hāpai ʻoe i kēia hāmeʻa i loko o ka ʻeke a komo paha i kou lima. Ke ʻike ʻoe i nā ʻōuli, huli ʻoe i ka hāmeʻa a kau i nā uila i kou umauma e hoʻopaʻa i ka ECG.
• Patch recorders. ʻAʻole hoʻohana kēia nānā i nā uea a i ʻole nā ​​uila. Nānā mau ia i ka hana ECG no 14 mau lā me ka hoʻohana ʻana i kahi patch adhesive e pili ana i ka umauma.
• Nā mea hoʻopaʻa leo loop implanted. ʻO kēia kahi māka liʻiliʻi i hoʻokomo ʻia ma lalo o ka ʻili ma ka umauma. Hiki iā ia ke waiho ma kahi e nānā ai i nā mele puʻuwai no 3 a ʻoi paha mau makahiki.

ʻOiai ke kau nei i ka hāmeʻa:

• Pono ʻoe e hoʻomau i kāu mau hana maʻamau ke kau nei i ka nānā. Noi paha ʻoe e hoʻoikaika a hoʻomaʻa i kāu pae hana i ka wā o ka hoʻokolohua.
• E mālama i kahi diary o nā hana āu e hana ai ke kau nei ʻoe i ka monitor, pehea kou manaʻo, a me nā hōʻailona āu. E kōkua kēia i kāu kauka olakino e hoʻokūkū i nā ʻōuli me kāu ʻike monitor.
• E haʻi nā limahana kiaʻi iā ʻoe pehea e hoʻololi ai i ka ʻike ma o ke kelepona.
• E nānā kāu mea hāʻawi i ka ʻikepili a ʻike inā aia kekahi mau puʻuwai naʻau maʻamau.
• ʻO ka hui mākaʻi a mea lawelawe paha nāna i kauoha i ka mākaʻi e kāhea iā ʻoe inā ʻike ʻia kahi pili.

ʻOiai ke kau nei i ka hāmeʻa, e noi ʻia paha ʻoe e hōʻalo i kekahi mau mea i hiki ke hoʻohaunaele i ka hōʻailona ma waena o nā mea ʻike a me ka monitor. Pākuʻi ʻia kēia mau mea:

• Kelepona kelepona
• Nā pale uila
• Nā puliki niho uila
• Nā wahi uila kiʻekiʻe
• Nā Mākēneki
• Nā mea ʻike ʻike hao

E noi i ka ʻenehana nāna e hoʻopili i ka hāmeʻa no ka papa inoa o nā mea e hōʻalo ai.

E haʻi i kāu mea hāʻawi inā maʻi ʻoe i kekahi lipine a i ʻole nā ​​mea hoʻopili ʻē aʻe.

He hōʻike hōʻeha ʻole kēia. Eia nō naʻe, hoʻonāukiuki paha ka lina o nā patch electrode i kou ʻili. Hele aku kēia iā ia iho ke lawe aku ʻoe i nā lāʻau.

Pono ʻoe e mālama i ka māka ma kahi kokoke i kou kino.

ʻO ka hapanui pinepine, i ka poʻe me nā ʻōuli pinepine, kahi hōʻike i kapa ʻia ʻo Holter monitoring, ka mea i hala he 1 a 2 mau lā, e hoʻokō ʻia ai ma mua o ka hoʻohana ʻana i kahi nānā hanana hanana puʻuwai. Kauoha ʻia ka mea nānā hanana inā ʻaʻole i loaʻa kahi ʻike. Hoʻohana pū ʻia ka mea nānā hanana no nā poʻe i loaʻa nā ʻōuli e hana pinepine ʻole ʻia, e like me kēlā me kēia pule a i kēlā me kēia mahina.

Hiki ke hoʻohana ʻia ka nānā ʻana i ka hanana Cardiac:

• E Loiloi i kekahi me ka palpitations. Palpitations nā manaʻo e kuʻi ana kou puʻuwai a i ʻole heihei ʻana a i ʻole kūʻē maʻamau. Hiki iā lākou ke ʻike ʻia i kou umauma, ʻāʻī, a i ʻole ʻāʻī.
• E ʻike i ke kumu o ka maule ʻana a ma kahi kokoke paha i ka hopena poni.
• E hōʻoia i nā puʻuwai puʻuwai i ka poʻe me nā kumu pilikia no arrhythmia.
• E kiaʻi ai i kou puʻuwai ma hope o ka puʻuwai puʻuwai a i ʻole ke hoʻomaka a paʻa paha i kahi lāʻau naʻau.
• E nānā inā he pacemaker a i ʻole implantable cardioverter-defibrillator e hana pono nei.
• E nānā i ke kumu o ka hahau ʻana ke hiki ʻole ke loaʻa maʻalahi ke kumu me nā hoʻokolohua ʻē aʻe.

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. Hiki paha i nā loli ke loaʻa ʻole ka oxygen i ka puʻuwai.

Hiki ke hoʻohana ʻia e ʻike pono ai:

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

ʻAʻohe pilikia e pili ana i ka hoʻāʻo, ʻē aʻe ma mua o ka huhū o ka ʻili.

Uila electrocardiography; Electrocardiography (ECG) - hoʻopulapula; Nā electrocardiograms hoʻomau (EKGs); Nānā Holter; Nānā hanana Transtelephonic

Krahn AD, Yee R, Skanes AC, Klein GJ. Nānā i ka Cardiac: hoʻopaʻa leo pōkole a me ka wā lōʻihi. I: Zipe DP, Jalife J, Stevenson WG, eds. Cardiac Electrophysiology: Mai Cell a i kahi moe. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 66.

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 Tomaselli GF, Zipe DP. E hoʻokokoke i ka mea maʻi me 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 32.