Created at:1/13/2025
Question on this topic? Get an instant answer from August.
He pūrere iti, kawe te Holter monitor e rekoata ana i ngā mahi hiko o tō ngākau mō te 24 ki te 48 hāora i a koe e haere ana i tō rā mahi. Whakaarohia he kaitirotiro ngākau e hopu ana i ngā patupatu ngākau katoa, ngā huringa manawataki, me ngā tohu hiko e whakaputaina ana e tō ngākau i ngā mahi noa pēnei i te moe, te mahi, te whakakori tinana rānei.
Ka āwhina tēnei whakamātautau kore mamae i ngā tākuta ki te mārama ki ngā mahi a tō ngākau i te wā e kore koe e noho ana i roto i tā rātou tari. Kāore i rite ki te EKG paerewa e hopu ana i ētahi meneti noa o ngā mahi ngākau, ka hangaia e te Holter monitor tētahi pikitia oti o te whanonga o tō ngākau i roto i tētahi wā roa.
Ko te Holter monitor he mīhini EKG ka mau koe mō te kotahi ki te rua rā. Ko te pūrere he pouaka rekoata iti e pā ana ki te rahi o te waea atamai me ētahi papaki hiko piri e piri ana ki tō uma.
Ka rekoata tonu te monitor i ngā tohu hiko o tō ngākau mā ēnei hiko, ka hangaia he rākau taipitopito o ia patupatu ngākau. Ka penapena tēnei mōhiohio ki te mahara o te pūrere, ka tātarihia e tō tākuta i muri i tō whakahoki i ngā taputapu.
He māmā ngā Holter monitor o nāianei, ā, i hangaia kia kore e kitea. Ka taea e koe te mau i raro i ō kākahu, ā, he maha ngā tāngata e kite ana he pai ki te moe.
Ka tūtohu pea tō tākuta i tētahi Holter monitor mēnā kei te pā koe i ngā tohu ka tohu i ngā raruraru manawataki ngākau, ina koa ka puta mai ēnei tohu, ka ngaro i te kore e matapaehia. Ka āwhina te whakamātautau ki te hopu i ngā patupatu ngākau koretake e kore e puta i te wā o te haerenga poto ki te tari.
He tino whai hua te mātakitaki mō te tūhura i ngā tohumate pēnei i te pāpā o te ngākau, te whanoke, te mamae o te uma, te ngaro rānei o te mahara e puta ohorere ana. I te mea he uaua te matapae i ēnei wā, ka whakanuia e te mātakitaki tonu te tūponotanga ki te rēhita i ngā mea e pā ana i ngā wā e puta ana ngā tohumate.
Ka whakamahi pea tō tākuta i tēnei whakamātautau ki te tirotiro i te pai o te mahi a ngā rongoā mō te ngākau, ki te mātakitaki rānei i te whakaora o tō ngākau i muri i te whakaeke ngākau, i te mahi rānei i te ngākau. I ētahi wā, ka tono ngā tākuta i te mātakitaki Holter hei ārai i te tūponotanga mēnā he āhuatanga tūpono tōu mō ngā raruraru o te manawataki o te ngākau.
Koinei ngā āhuatanga e tino kitea ana ka whakaaro pea tō tākuta i tēnei whakamātautau, i hangaia ia ki te hopu i ngā tauira ngākau motuhake ka whakamārama i ō tohumate:
He mea āwangawanga pea ēnei tohumate, engari kia mahara he maha ngā raruraru manawataki o te ngākau ka taea te whakahaere ina tika te tautuhi. Ka āwhina noa te mātakitaki Holter i tō tākuta ki te kohikohi i ngā mōhiohio e hiahiatia ana hei whakarato i te manaakitanga pai.
I ētahi wā, ka tūtohu pea ngā tākuta i te mātakitaki Holter mō ngā āhuatanga rongoā motuhake e hiahia ana ki te tātaritanga taipitopito o te manawataki o te ngākau:
Ahakoa he iti noa iho ēnei āhuatanga, e whakaatu ana i te whaihua o tēnei taputapu aroturuki i roto i ngā horopaki rongoā rerekē. Mā tō tākuta e whakamārama tika ai te take i tūtohu ai rātou i te whakamātautau i runga i tō āhuatanga motuhake.
Ko te whakanoho i te aroturuki Holter he tukanga tika, ā, tata ki te 15 ki te 20 meneti te roa i roto i te tari o tō tākuta, i te pokapū whakamātautau ngakau rānei. Mā tētahi tohunga whakangungu e whakapiri te aroturuki, ā, e whakamārama ana i ngā mea katoa e hiahia ana koe ki te mōhio mō te mau i te mea.
Ka horoi te tohunga i ētahi wāhi i runga i tō uma ki te waipiro, kia pai ai te whakapā atu i waenga i ngā hiko me tō kiri. Ka whakapiri rātou i ngā papaki hiko iti, piri tonu ki ēnei wāhi kua horoia, te tikanga ka whakatakoto i a rātou ki te taha o tō uma, i ētahi wā i tō tuara.
E hono ana ēnei hiko ki ngā waea angiangi e ārahi ana ki te pūrere rekoata, ka mau koe i roto i tētahi pōkahu iti, ka whakairi rānei ki tō whitiki. Kua hangaia te katoa kia pai, kia haumaru hoki kia taea ai e koe te neke noa.
Kia whakanohohia koe ki te aroturuki, ka haere koe i ō mahi o ia rā, i te wā e rekoata tonu ana te pūrere i te mahi o tō ngakau. Kei roto i tēnei ngā mea katoa mai i te mahi me te kai ki te moe me te whakakori tinana māmā.
Ka whiwhi koe i te rārangi mahi, i te pukapuka rānei hei tuhi i ō mahi me ngā tohu e pā ana ki a koe, me te wā i puta ai. Mā ēnei pārongo e āwhina tō tākuta ki te whakatau i ngā tohu e pā ana ki a koe me ngā mea i tuhia e te mātakitaki i aua wā.
Ko te wā mātakitaki e 24 ki te 48 hāora te roa, ahakoa ka taea e ētahi pūrere hou te mātakitaki mō te rua wiki. Ka whakatau tō rōpū hauora te roa e tika ana kia mau koe i te pūrere i runga i tō āhuatanga.
He māmā ake te mau i te mātakitaki Holter i te mea i whakaaro tuatahi ai te nuinga o te tangata, ahakoa he torutoru ngā mea hei whakaaro i te wā mātakitaki:
Kia mahara ki te whakahou i tō rārangi mahi i te wā mātakitaki, nā te mea he mea nui ēnei pārongo mō te whakamārama tika i ō hua. Ka urutau te nuinga o te tangata ki te mau i te mātakitaki i roto i ngā hāora ruarua, ā, kāore i te nui te pānga ki ā rātou mahi o ia rā.
He māmā te whakarite mō te whakamātautau mātakitaki Holter, engari mā ētahi mahi ka āwhina koe ki te whiwhi i ngā hua tika rawa atu. Ko te whakarite nui rawa atu e pā ana ki tō kiri me ngā kākahu e whiriwhiria ana e koe.
I te rā o tō whakaritenga, horoia te ua, te kaukau rānei, nā te mea e kore e taea e koe te whakamākū i te aroturuki ina piri ana. Whakamahia te hopi hei horoi i tō uma kia tino pai, engari kaua e whakamahi i ngā hinu, i ngā paura rānei ki tō uma, nā te mea ka raru pea tēnei i te piri o te hiko.
Kōwhiria ngā kākahu pai, whānui hoki, māna e māmā ai te huna i te aroturuki me ngā waea. He pai te hāte pātene, te pōtae rānei, nā te mea e māmā ana te uru atu mō te tohunga i te wā o te whakarite me te tango.
Anei ētahi whakaaro whai hua hei āwhina i tō wā aroturuki kia pai:
Ka hoatu e tō rōpū hauora ngā tohutohu motuhake i runga i tō āhuatanga, engari e pā ana ēnei aratohu whānui ki te nuinga o ngā whakamātautau aroturuki Holter. Kaua e whakaroa ki te pātai pātai mō ngā mea kāore koe i te mōhio.
I tua atu i ngā whakaritenga tinana, he pai ki te whakarite hinengaro mō te wā aroturuki mā te whakaaro mō tō rā mahi o ia rā, me ngā whakarerekētanga pea e hiahia ana koe ki te mahi:
E kitea ana e te nuinga o te tangata, mā te whakamahere i mua ka pai ake te wā aroturuki, ā, ka āwhina i te hopu i ngā kōrero whai hua mō te tātari a te tākuta.
Ka tātarihia ngā hua o tō aroturuki Holter e ngā tohunga ngākau e whakangungua ana ki te whakamāori i ngā mano o ngā patupā o te ngākau i rekotia i te wā o tō aroturuki. Ko te pūrongo te tikanga ka uru mai ngā kōrero mō ngā tauira o te tere o tō ngākau, ngā hē o te manawataki, me ngā hononga i waenga i ō tohumate me te mahi o te ngākau i rekotia.
Ko te tikanga ka whakaatu ngā hua i te tere toharite o tō ngākau, te tere mōrahi me te iti rawa o te ngākau, me ngā wā o ngā manawataki hē. Ka arotakehia e tō tākuta ēnei kitenga i roto i te horopaki o ō tohumate me te hītori rongoā hei whakatau mēnā e hiahiatia ana he rongoā.
Ko te nuinga o ngā pūrongo aroturuki Holter e wātea ana i roto i ngā rā torutoru ki te wiki i muri i te whakahokinga atu o te pūrere, ahakoa ka kōrerohia ngā kitenga ohorere i te wā tere ake, ki te tika.
Ko ngā hua noa o te aroturuki Holter te tikanga e whakaatu ana i te rerekētanga o te tere o tō ngākau i te roa o te rā me te pō, me te tere teitei ake i te wā o te mahi, me te tere iti ake i te wā o te okiokinga me te moe. He mea noa ngā patupā hē iti, i etahi wā, ā, kāore e hiahiatia he rongoā.
Ka uru pea ngā kitenga hē ki ngā wā roa o te tere o te ngākau, te puhoi rānei, ngā manawataki hē auau, te okiokinga rānei i tō manawa. Ko te hiranga o ēnei kitenga e whakawhirinaki ana ki te maha o ngā āhuatanga, tae atu ki ō tohu, te hauora whānui, me ētahi atu āhuatanga tūpono.
Ka whakamāramahia e tō tākuta te tikanga o ō hua motuhake mō tō hauora, me te mea ka tūtohutia he whakamātautau whai muri, he rongoā rānei. Kia mahara, ko te whai hua hē, kāore i te kī he raru nui tō, he maha ngā hē o te manawataki o te ngākau ka taea te rongoā.
Anei ētahi momo kitenga e puta ana i roto i tō pūrongo Holter monitor, mai i te tino noa ki te hiahia āwhina hauora:
Ko te mea nui ko te pānga o ēnei kitenga ki ō tohu me te pikitia hauora whānui. Mā tō kaiwhakarato hauora koe e āwhina ki te mārama ki te tikanga o ō hua motuhake, me ngā mahi, ki te mea he, me mahi e koe i muri mai.
He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whai manawataki hē i kitea i runga i te Holter monitor. Ko te pakeke tētahi o ngā āhuatanga tūpono tino noa, i te mea ka nui ake te auau o ngā hē o te manawataki o te ngākau i te wā e pakeke haere ana tātou, ahakoa i roto i ngā tāngata hauora.
Ko te mate ngakau, tae atu ki te mate i roto i nga uaua o te ngakau, te korenga o te ngakau, nga whakaeke ngakau o mua ranei, ka nui ake te tupono o nga raruraru o te manawataki. Ko te toto tiketike, te mate huka, me nga mate thyroid ka pa ano ki te manawataki o te ngakau me te whai waahi ki nga kitenga rereke.
He mea nui ano nga mea e pa ana ki te oranga. Ko te nui o te kawhe, te inu waipiro, te kai paipa, me te taumata teitei o te ahotea ka puta katoa nga raruraru o te manawataki o te ngakau ka puta pea i runga i to aroturuki.
Ko etahi tikanga hauora ka nui ake te tupono ka kitea e to aroturuki Holter nga raruraru o te manawataki o te ngakau, ahakoa ko te whai i enei tikanga kaore e taurangi i nga hua rereke:
Mena kei a koe etahi o enei tikanga, tera pea ka tohutohu to taakuta ki te aroturuki Holter hei waahanga o to tiaki i nga wa katoa, ahakoa kaore koe i nga tohu marama.
Ka taea hoki e o tikanga o ia ra me to taiao te awe i to manawataki o te ngakau me te pa ki nga hua o to aroturuki Holter:
Ko te rongo pai ko te nuinga o ēnei āhuatanga o te oranga ka taea te whakarerekē, te tikanga ka taea e koe te whakapai ake i tō hauora manawataki o te ngākau mā ngā huringa i roto i ō tikanga o ia rā.
Ko te nuinga o ngā kōaro manawataki o te ngākau i kitea i runga i ngā mātakitaki Holter ka taea te whakahaere, ā, kāore e puta he raruraru nui, ina koa ka tika te rongoā. Heoi anō, ētahi momo manawataki kāore i te pai ka raru pea ki te kore e rongoā.
Ko te āwangawanga nui ki ētahi manawataki kōaro ko te pānga ki te rere o te toto ki ngā okana nui, tae atu ki te roro me te ngākau tonu. Ka pēnei pea ki te tere rawa te patu o te ngākau, te puhoi rawa, te kōaro rānei mō te wā roa.
He mea nui kia mahara ko te kite i te manawataki kōaro kāore i te kī ka puta he raruraru. He maha ngā tāngata e noho ana i te oranga noa, i te oranga hauora me ngā kōaro manawataki o te ngākau e tika ana te aroturuki me te whakahaere.
Anei ētahi raruraru ka puta mai ki te kore e rongoā ētahi raruraru manawataki o te ngākau i kitea i runga i te aroturuki Holter:
E whakaatu ana ēnei raruraru te take e whai pūmau ana tō tākuta i ngā hua o te mātakitaki Holter, me te take he mea nui te whai i ngā kitenga koretake mō tō hauora wā roa.
Ahakoa kāore i te pūnoa, ka taea e ētahi hē o te manawataki ngākau te arahi ki ngā raruraru nui ake e hiahia ana kia aro mai i te taha hauora:
Ahakoa he whakamataku ēnei raruraru, he mea kāore i te pūnoa, ā, he maha ngā wā ka taea te ārai mā te manaaki hauora tika. Ka arotakehia e tō rōpū hauora ō āhuatanga tūpono motuhake, ā, ka tūtohu i te mātakitaki me te rongoā e tika ana mēnā e tika ana.
Me whakamahere koe ki te whai i tō tākuta i te wā i whakaritea i muri i tō whakamātautau mātakitaki Holter, te tikanga i roto i te kotahi ki te rua wiki i muri i te whakahoki i te pūrere. Mā tēnei tūpono ka taea e tō kaiwhakarato hauora te arotake i ngā hua ki a koe, me te kōrero mō ngā mahi e whai ake nei e tika ana.
Heoi anō, me whakapā atu koe ki tō tākuta i te wā tonu mena ka pā ki a koe ētahi tohumate e pā ana i te wā, i muri rānei i te wā tirotiro, pērā i te mamae o te uma, te whanoke nui, te ngaro o te mahara, te pā o te ngākau e rerekē ana i ō tohumate o mua.
Mēnā i tangohia wawe te mātakitaki i te mea he riri kiri, he raruraru rānei ki ngā taputapu, whakamōhio atu ki tō rōpū hauora kia taea e rātou te whakatau mēnā me whakahoki anō te whakamātautau, mēnā rānei me whakaaro ki ētahi atu tikanga mātakitaki.
I te wā e mau ana i tō mātakitaki Holter, e tatari ana rānei koe i ngā hua, e tika ana ēnei tohumate kia arotakehia e te rōpū hauora i te wā tonu:
Whakapono ki ō pūngao mō tō tinana. Mēnā he mea tino he, kaua e tatari ki tō whakaritenga whai-muri ki te rapu āwhina hauora.
I muri i te whiwhinga i ō hua mātakitaki Holter, ka whakawhirinaki tō āwhina whai-muri ki te mea i whakaaturia e te whakamātautau me tō pikitia hauora whānui:
Kia mahara, ko te whai hua hē, kāore i te tikanga ka hiahia koe ki te rongoā uaua. He maha ngā take o te manawataki ngākau ka taea te whakahaere pai mā ngā wawaotanga ngāwari, i ngā whakarerekētanga o te noho rānei.
Āe, he pai rawa ngā Holter monitors mō te kite i ngā raruraru o te manawataki ngākau e puta ana, e ngaro ana i te kore e kitea. He tino whai hua rātou ki te hopu i ngā manawataki ngākau kōaro, ngā wā o te tere, te puhoi rānei o te manawataki, me te whakatau i ngā tohu ki ngā huringa tūturu o te manawataki ngākau.
Ko te whakamātautau te mea tino whai hua mō ngā raruraru wā-wā, kāore pea e puta i te wā o te haerenga poto ki te tari. Heoi anō, he mea tika kia mōhio, ki te kore auau ō tohu, kāore pea e puta i te wā o te aroturuki.
Kāore, kāore te mau i te Holter monitor e mamae. Ko te mamae tino noa, he riri kiri ngawari mai i te piri o te hiko, he rite ki tōna wheako ki te takai.
E kite ana ētahi tāngata i ngā waea he paku uaua i te tuatahi, engari ka tere te urutau te nuinga. Kua hangaia te taputapu kia pai ai te noho, i te wā e whakarato ana i te aroturuki tika.
Ka taea e koe te mahi i te korikori tinana ngawari ki te ngawari i te wa e mau ana koe i te Holter monitor, a, i te mea, e hiahia ana tō tākuta kia kite me pēhea te urupare o tō ngākau ki ngā mahi noa. Heoi, me karo koe i te korikori tinana kaha e nui ai te werawera, nā te mea ka wewete tēnei i ngā hiko.
Ko ngā mahi pēnei i te hīkoi, te omaoma ngawari, ngā mahi o te whare rānei he pai tonu. Ka whakawhiwhia e tō rōpū hauora ngā aratohu motuhake i runga i tō āhuatanga me te take mō te aroturuki.
Mēnā ka mutu te mahi a tō Holter monitor, me tango wawe rānei, whakapā atu ki tō kaiwhakarato hauora tonu. Mā rātou e whakatau mēnā kua nui ngā raraunga i kohia, mehemea rānei me whakahoki anō te whakamātautau.
He tino pono ngā mātakitaki o nāianei, engari ka puta ngā take hangarau i ētahi wā. Ka mahi tō rōpū hauora ki a koe kia mōhio ai koe kei te whiwhi koe i te aroturuki e hiahia ana koe, ahakoa me whakamahi i tētahi pūrere rerekē, i tētahi huarahi rerekē rānei.
He tino tika ngā Holter monitor mō te kite i ngā hē o te manawataki o te ngākau ina tika te piri me te mau. Kua pai ake te hangarau i ngā tau tekau, ā, e whakarato ana i ngā mōhiohio pono mō te mahi hiko o tō ngākau.
Ko te tika e whakawhirinaki ana ki te whakapā pai o te hiko ki tō kiri me te whai i ngā tohutohu mō te mau me te tiaki i te pūrere. Ka āwhina hoki tāu rārangi mahi ki te whakapai ake i te tika mā te whakarato i te horopaki mō ngā manawataki kua rēhitatia.