Iyini i-Holter Monitor? Inhloso, Inqubo & Nemiphumela

I-Holter monitor iyithuluzi elincane, eliphathwayo eliqopha imisebenzi kagesi yenhliziyo yakho ngokuqhubekayo amahora angama-24 kuya kwangama-48 ngenkathi uqhubeka nemisebenzi yakho yansuku zonke. Cabanga ngayo njengomphenyi wenhliziyo obamba konke ukushaya kwenhliziyo, izinguquko zesigqi, kanye nezimpawu zikagesi ezikhiqizwa yinhliziyo yakho ngesikhathi semisebenzi ejwayelekile efana nokulala, ukusebenza, noma ukuzivocavoca.

Lolu vivinyo olungabuhlungu lusiza odokotela ukuthi baqonde ukuthi inhliziyo yakho yenzani uma ungasahlali ehhovisi labo. Ngokungafani ne-EKG ejwayelekile ethatha imizuzu embalwa nje yomsebenzi wenhliziyo, i-Holter monitor idala isithombe esiphelele sokuziphatha kwenhliziyo yakho isikhathi eside.

Yini i-Holter Monitor?

I-Holter monitor empeleni ngumshini we-EKG ongagqokwa ohanjiswa nawe izinsuku eziyodwa kuya kwezimbili. Le divayisi iqukethe ibhokisi elincane lokuqopha elingangosayizi we-smartphone kanye nama-electrode patches amaningana anamathelayo aqinisekisa esifubeni sakho.

Le monitor iqopha ngokuqhubekayo izimpawu zikagesi zenhliziyo yakho ngala ma-electrode, idala irekhodi elinemininingwane yokushaya kwenhliziyo ngakunye. Lolu lwazi lugcinwa enkumbulweni yedivayisi, okuzohlaziywa udokotela wakho ngemuva kokuthi ubuyisele imishini.

Ama-Holter monitors anamuhla alula futhi aklanyelwe ukuba angaphazamisi ngangokunokwenzeka. Ungawagqoka ngaphansi kwezingubo zakho, futhi abantu abaningi bawathola ekhululekile ngokwanele ukulala nawo.

Kungani kwenziwa i-Holter Monitor?

Udokotela wakho angase ancome i-Holter monitor uma unezimpawu ezingase zibonise izinkinga zesigqi senhliziyo, ikakhulukazi uma lezi zimpawu ziza futhi zihambe ngokungaqondakali. Lolu vivinyo lusiza ukubamba ukushaya kwenhliziyo okungajwayelekile okungenzeka kungaveli ngesikhathi sokuvakasha okufushane ehhovisi.

I-monitor ilusizo ikakhulukazi ekuphenyeni izimpawu ezinjengokushaya kwenhliziyo okusheshayo, isiyezi, ubuhlungu besifuba, noma ukuquleka okubonakala kwenzeka ngokungahleliwe. Njengoba lezi ziqephu zingaba nzima ukuzibikezela, ukuqapha okuqhubekayo kwandisa amathuba okuqopha okwenzekayo ngesikhathi sokubonakaliswa kwezimpawu.

Umhlinzeki wakho wezempilo angase futhi asebenzise lo mzamo ukuhlola ukuthi imithi yakho yenhliziyo isebenza kahle kangakanani noma ukuqapha ukululama kwenhliziyo yakho ngemva kokuhlaselwa yinhliziyo noma inqubo yenhliziyo. Ngezinye izikhathi, odokotela ba-oda ukuqapha kwe-Holter njengesinyathelo sokuvikela uma unezici eziyingozi zokuphazamiseka kwesigqi senhliziyo.

Izizathu Ezivamile Zokuqapha Kwe-Holter

Nazi izimo ezivame kakhulu lapho udokotela wakho angase asikisela lo mzamo, ngamunye owenzelwe ukuthwebula amaphethini athile enhliziyo angachaza izimpawu zakho:

• Ukushaya kwenhliziyo okusheshayo noma umuzwa wokuthi inhliziyo yakho iyagijima, iyaxhuma, noma igxuma ukushaya
• Isiyezi esingachazeki noma ukukhathala, ikakhulukazi uma kwenzeka ngesikhathi somsebenzi womzimba
• Ubuhlungu besifuba noma ukungakhululeki okuzayo futhi okuhambayo ngaphandle kwesici esisobala
• Iziqephu zokuquleka noma izipelingi ezicishe ziquleke ezibonakala zihlobene nomsebenzi wenhliziyo
• Ukuqapha ukusebenza kahle kwemithi yesigqi senhliziyo noma umsebenzi we-pacemaker
• Ukuhlola izinkinga zesigqi senhliziyo ezingabonakali kubantu abanezici eziyingozi ezinjengesifo sikashukela noma umfutho wegazi ophezulu

Lezi zimpawu zingakhathaza, kodwa khumbula ukuthi ukungahambi kahle kwesigqi senhliziyo okuningi kulawuleka uma sekuhlonzwe kahle. I-monitor ye-Holter imane nje isiza udokotela wakho ukuqoqa ulwazi oludingekayo ukuze anikeze ukunakekelwa okungcono kakhulu.

Izizathu Ezingavamile Kodwa Ezibalulekile

Kwezinye izimo, odokotela bangase bancomise ukuqapha kwe-Holter ngezimo zezokwelapha eziqondile ezidinga ukuhlaziywa okuningiliziwe kwesigqi senhliziyo:

• Ukwahlulela ukushaywa yisifo esingachazeki okungenzeka ukuthi kubangelwa ukushaya kwenhliziyo okungajwayelekile
• Ukuqapha abantu abanezifo zenhliziyo ezigadlayo ezingabangela izinguquko eziyingozi zokushaya kwenhliziyo
• Ukwahlulela ukusebenza kwenhliziyo ezigulini ezinokuphefumula okungajwayelekile noma ezinye izifo zokulala
• Ukuhlola izinguquko zokushaya kwenhliziyo kubantu abathatha imithi engathinta inhliziyo
• Ukuphenya izinkinga zokushaya kwenhliziyo okusolwayo kubasubathi noma abantu abanendlela yokuphila esebenzayo kakhulu

Ngenkathi lezi zimo zingavamile, zigqamisa ukuthi leli thuluzi lokuqapha lingaba yini elinothando ezindaweni ezahlukene zezokwelapha. Udokotela wakho uzochaza ngqo ukuthi kungani bencoma lolu vivinyo ngokusekelwe esimweni sakho esithile.

Yini Inqubo ye-Holter Monitor?

Ukwenziwa nge-Holter monitor kuyinqubo eqondile ethatha cishe imizuzu eyi-15 kuya kwengama-20 ehhovisi likadokotela wakho noma esikhungweni sokuhlola inhliziyo. Uchwepheshe oqeqeshiwe uzoqhubeka nokunamathisela i-monitor futhi achaze konke okudingeka ukwazi ngokuyigqoka.

Uchwepheshe uzohlanza kuqala izindawo eziningana esifubeni sakho ngotshwala ukuze aqinisekise ukuxhumana okuhle phakathi kwama-electrode nesikhumba sakho. Bese bezonamathisela iziqeshana ezincane, ezinamathelayo ze-electrode kulezi zindawo ezihlanzekile, ngokuvamile zizibeka ngendlela efanele esifubeni sakho futhi ngezinye izikhathi emhlane wakho.

Lawa ma-electrode axhumeka ezingcingweni ezincane eziholela kudivayisi yokuqopha, ozoyithwala esikhwameni esincane noma uqhubeke nebhande lakho. Ukusethwa konke kwenzelwe ukuba kukhululeke futhi kuvikeleke ngokwanele ukuze uzungeze ngokujwayelekile.

Ngesikhathi Sokuqapha

Uma uhlomile nge-monitor, uzoqhubeka nemisebenzi yakho yansuku zonke ngenkathi idivayisi iqhubeka nokuqopha umsebenzi wenhliziyo yakho. Lokhu kufaka konke kusukela ekusebenzeni nasekudleni kuya ekulaleni nasekuzivoceni okulula.

Uzothola idayari noma incwadi yokubhala ukuze urekhode imisebenzi yakho nanoma yiziphi izimpawu ozitholayo, kanye nesikhathi ezenzeka ngaso. Lolu lwazi lusiza udokotela wakho ukuthi ahlobanise izimpawu zakho nalokho okurekhodwe yisiqaphi ngaleso sikhathi esithile.

Isikhathi sokuqapha ngokuvamile sithatha amahora angu-24 kuya kwangu-48, nakuba amanye amadivaysi amasha engaqapha isikhathi esingafika emasontweni amabili. Ithimba lakho lezempilo lizocacisa ukuthi udinga ukugqoka isisetshenziswa isikhathi esingakanani ngokusekelwe esimweni sakho esithile.

Okulindelekile Ngesikhathi Sokuqapha

Abantu abaningi bathola ukuthi ukugqoka i-Holter monitor kulula kakhulu kunalokho ababekulindele ekuqaleni, nakuba kunezinto ezimbalwa okufanele uzikhumbule ngesikhathi sokuqapha:

• Ungenza imisebenzi eminingi ejwayelekile, okuhlanganisa umsebenzi, ukuzivocavoca okulula, kanye nemisebenzi yasekhaya
• Kufanele ugweme ukumanzisa i-monitor, okusho ukuthi akukho ukushawa, ukugeza, noma ukubhukuda ngesikhathi sokuqapha
• Ungalala ngokujwayelekile, nakuba kungase kudingeke ulungise indlela yakho yokulala kancane ukuze uhlale ukhululekile
• Ama-electrode angase abangele ukucasuka kwesikhumba okuncane kwabanye abantu, kodwa lokhu ngokuvamile kulungiswa ngokushesha ngemva kokususwa
• Kufanele ugweme ukuzivocavoca okukhulu noma imisebenzi engase ibangele ukujuluka ngokweqile, njengoba lokhu kungase kukhulule ama-electrode

Khumbula ukugcina idayari yakho yomsebenzi ibuyekezwa ngesikhathi sokuqapha, njengoba lolu lwazi lubalulekile ekuhumusheni imiphumela yakho ngokunembile. Abantu abaningi bajwayela ukugqoka i-monitor kungakapheli amahora ambalwa futhi bathola ukuthi ayithinti kakhulu umsebenzi wabo wansuku zonke.

Ungalungiselela Kanjani I-Holter Monitor Yakho?

Ukulungiselela ukuhlolwa kwe-Holter monitor kulula kakhulu, kodwa izinyathelo ezimbalwa zingasiza ukuqinisekisa ukuthi uthola imiphumela enembile ngangokunokwenzeka. Ukulungiselela okubaluleke kakhulu kuhilela isikhumba sakho nokukhetha izingubo.

Ngosuku lokuqokwa kwakho, geza ngeshawa noma ugeze ngoba ngeke ukwazi ukuthola imonitha imanzi uma isinamathele. Sebenzisa insipho ukuze uhlanze indawo yesifuba sakho ngokucophelela, kodwa gwema ukusebenzisa ama-lotion, amafutha, noma ama-powder esifubeni sakho, ngoba lokhu kungaphazamisa ukunamathela kwama-electrode.

Khetha izingubo ezikhululekile, ezixekile ezenza kube lula ukufihla imonitha nezintambo. Ihembe elinamazinyo noma iblawuzi lisebenza kahle ngoba linikeza ukufinyelela okulula kubuchwepheshe ngesikhathi sokusetha nokukhipha.

Okufanele Ukulethe Nokukugwema

Nakhu okunye okucatshangelwayo okusebenzayo ukusiza isikhathi sakho sokuqapha sihambe kahle:

• Letha uhlu lwazo zonke izidakamizwa ozithathayo njengamanje, okuhlanganisa nemithi etholakala ngaphandle kwe-oda kanye nezithasiselo
• Gqoka izingubo ezikhululekile, ezixekile ezinamazinyo ngaphambili ukuze zifinyeleleke kalula
• Gwema ukugqoka ubucwebe entanyeni yakho noma endaweni yesifuba esingaphazamisa ama-electrode
• Ungasebenzisi ama-lotion omzimba, amafutha, noma ama-powder esifubeni sakho ngaphambi kokuqokwa
• Hlela ukugwema imisebenzi ebandakanya amanzi, njengokubhukuda noma ukugeza, ngesikhathi sokuqapha

Ithimba lakho lezempilo lizohlinzeka ngemiyalelo ethile ngokusekelwe esimweni sakho, kodwa lezi ziqondiso ezijwayelekile zisebenza ezivivinyweni eziningi ze-Holter monitor. Unganqikazi ukubuza imibuzo nganoma yini ongaqiniseki ngayo.

Ukulungiselela Ngokwengqondo Nangokwenza

Ngaphandle kokulungiselela ngokomzimba, kuyasiza ukulungiselela ngokwengqondo isikhathi sokuqapha ngokucabanga ngomsebenzi wakho wansuku zonke ojwayelekile nanoma yiziphi izinguquko okungenzeka udinga ukuzenza:

• Hlela ezinye izindlela zokuhlanzeka njengoba ngeke ukwazi ukushawa ngendlela ejwayelekile
• Cabanga ukuthi uzolala kanjani ngokunethezeka ngedivayisi enamathiselwe
• Cabanga ngomsebenzi noma imisebenzi yomphakathi engase idinge izinguquko ezincane
• Lungiselela ukuthwala idayari yomsebenzi nawe futhi ukhumbule ukuyigcwalisa njalo
• Hlela uhlelo lwakho lokubuyisela imonitha ngokushesha lapho isikhathi sokuqapha siphela

Abantu abaningi bathola ukuthi ukuhlela kusengaphambili kancane kwenza isikhathi sokuqapha sikhululeke kakhulu futhi kusiza ekuqinisekiseni ukuthi bathola imininingwane ewusizo kakhulu ukuze udokotela wabo ayihlaziye.

Ungawafunda Kanjani Imiphumela Yakho Ye-Holter Monitor?

Imiphumela yakho ye-Holter monitor izohlaziywa ochwepheshe bezinhliziyo abaqeqeshwe ukuhumusha izinkulungwane zokushaya kwenhliziyo okuqoshwe ngesikhathi sokuqapha kwakho. Umbiko ngokuvamile uhlanganisa ulwazi mayelana namaphethini akho wokushaya kwenhliziyo, ukungahambi kahle kwesigqi, nanoma yikuphi ukuhlobana phakathi kwezimpawu zakho nomsebenzi wenhliziyo oqoshiwe.

Imiphumela ngokuvamile ikhombisa isilinganiso sokushaya kwenhliziyo, amazinga aphezulu naphansi okushaya kwenhliziyo, nanoma yiziphi iziqephu zesigqi esingajwayelekile. Udokotela wakho uzobuyekeza lezi zinto ngokuya ngezimpawu zakho nomlando wezokwelapha ukuze anqume ukuthi ngabe ngabe kudingeka yini ukwelashwa.

Imibiko eminingi ye-Holter monitor itholakala phakathi nezinsuku ezimbalwa kuya evikini ngemuva kokuthi ubuyisele idivayisi, yize izinto eziphuthumayo zivame ukuxhunyaniswa ngokushesha okukhulu uma kunesidingo.

Ukuqonda Okujwayelekile vs. Okungajwayelekile Okutholakele

Imiphumela ejwayelekile ye-Holter monitor ngokuvamile ikhombisa ukuthi izinga lokushaya kwenhliziyo yakho liyahlukahluka ngendlela efanele usuku lonke nobusuku, ngamazinga aphezulu ngesikhathi somsebenzi namazinga aphansi ngesikhathi sokuphumula nokulala. Ukushaya okuncane, okungajwayelekile ngezikhathi ezithile kuvame ukujwayelekile futhi akudingi ukwelashwa.

Ukutholakala okungajwayelekile kungabandakanya izikhathi eziqhubekayo zezinga lokushaya kwenhliziyo elisheshayo noma elihamba kancane, ukushaya okungajwayelekile okuvamile, noma ukuma kokushaya kwenhliziyo yakho. Ukubaluleka kwalokhu okutholakele kuncike ezintweni eziningi, okuhlanganisa izimpawu zakho, impilo yonke, nezinye izinto eziyingozi.

Udokotela wakho uzochaza ukuthi imiphumela yakho ethile isho ukuthini empilweni yakho nokuthi ngabe kukhona yini ukuhlolwa okulandelayo noma ukwelashwa okunconyiwe. Khumbula ukuthi ukuba nomphumela ongajwayelekile akusho ngaso sonke isikhathi ukuthi unezinkinga ezinzima, njengoba ukungajwayeleki okuningi kwesigqi senhliziyo kuyelapheka.

Izinhlobo Ezivamile Zokutholakele

Nawa amanye amabanga ajwayelekile okutholakele okungavela embikweni wakho we-Holter monitor, kusukela kokujwayelekile ngokuphelele kuya ekudingeni ukunakekelwa kwezokwelapha:

• Isigqi esijwayelekile se-sinus esinokuhlukahluka okufanele kwesilinganiso usuku lonke nobusuku
• Ukushaya okungaphambi kwesikhathi ngezikhathi ezithile (PACs noma PVCs) okuvame ukungalimazi futhi okungadingi ukwelashwa
• Iziqephu ze-atrial fibrillation noma ezinye izigqi ezingajwayelekile ezingadinga ukuphathwa ngemithi
• Izikhathi zesilinganiso senhliziyo esihamba kancane kakhulu (bradycardia) ezingachaza izimpawu ezinjengokuphathwa yisiyezi noma ukukhathala
• Iziqephu zesilinganiso senhliziyo esisheshayo kakhulu (tachycardia) ezingahlobana nokushaya kwenhliziyo noma ukungakhululeki esifubeni
• Ushintsho lwesigqi senhliziyo oluhambisana nezimpawu ezirekhodwe kuyidiyasi yakho yomsebenzi

Okubalulekile ukuthi lokhu okutholakele kuhlobene kanjani nezimpawu zakho kanye nesithombe sempilo yonke. Umhlinzeki wakho wokunakekelwa kwezempilo uzokusiza ukuthi uqonde ukuthi imiphumela yakho ethile isho ukuthini nokuthi yiziphi izinyathelo, uma zikhona, okufanele uzithathe ngokulandelayo.

Ziyini Izinto Eziyingozi Zokutholakele Okungajwayelekile Kwe-Holter Monitor?

Izinto eziningana zingakhuphula amathuba akho okuba nesigqi senhliziyo esingajwayelekile esitholwe ku-Holter monitor. Ubudala buyinye yezinto eziyingozi ezivamile, njengoba ukungajwayeleki kwesigqi senhliziyo kuvama ukwenzeka njengoba sikhula, ngisho nakubantu abanempilo.

Isifo senhliziyo, okuhlanganisa isifo semithambo yenhliziyo, ukuhluleka kwenhliziyo, noma ukuhlaselwa yinhliziyo kwangaphambilini, kwandisa kakhulu ingozi yokungajwayeleki kwesigqi. Umfutho wegazi ophezulu, isifo sikashukela, kanye nezifo ze-thyroid nazo zingathinta isigqi senhliziyo futhi zibe nomthelela ekutholakaleni okungajwayelekile.

Izici zokuphila nazo zidlala indima ebalulekile. Ukuthatha i-caffeine ngokweqile, ukusetshenziswa kotshwala, ukubhema, kanye namazinga okucindezeleka aphezulu konke kungabangela ukungajwayeleki kwesigqi senhliziyo okungase kuvele kumonitha yakho.

Izimo Zezokwelapha Eziqeda Ingozi

Ezinye izimo zezokwelapha zenza kube nokwenzeka ukuthi imonitha yakho ye-Holter izothola ukungajwayeleki kwesigqi senhliziyo, nakuba ukuba nalezi zimo akuqinisekisi imiphumela engajwayelekile:

• Isifo semithambo yenhliziyo noma ukuhlaselwa yinhliziyo kwangaphambilini okungadala ukuphazamiseka kukagesi
• Ukuhluleka kwenhliziyo noma ezinye izinkinga zenhliziyo ezingokwesakhiwo ezithinta isigqi esijwayelekile
• Umfutho wegazi ophezulu ongase uqede inhliziyo futhi uthinte uhlelo lwayo lukagesi
• Isifo sikashukela, esingase silimaze imithambo yegazi nemizwa elawula isigqi senhliziyo
• Izifo ze-thyroid ezingase zisheshe noma zehlise izinga lenhliziyo
• I-Sleep apnea, engase ibangele ukungajwayeleki kwesigqi senhliziyo ngesikhathi sokulala
• Ukungalingani kwe-Electrolyte okuthinta ukuqhutshwa kukagesi kwenhliziyo

Uma unezinye zalezi zimo, udokotela wakho angase abe nethuba elikhulu lokuncoma ukuqapha kwe-Holter njengengxenye yokunakekelwa kwakho okuvamile, ngisho noma ungenazo izimpawu ezisobala.

Izici Zokuphila Nezemvelo

Imikhuba yakho yansuku zonke kanye nemvelo nakho kungathinta isigqi senhliziyo yakho futhi kungase kuthinte imiphumela yakho ye-Holter monitor:

• Ukunywa kwe-caffeine eningi evela ekhofini, itiye, iziphuzo ezinamandla, noma imithi ethile
• Ukunywa kotshwala, ikakhulukazi ukuphuza ngokweqile noma ukusetshenziswa okuningi okuqhubekayo
• Ukubhema noma ukusebenzisa ugwayi, okungase kubangele ukushaya kwenhliziyo okungajwayelekile
• Amazinga aphezulu okucindezeleka noma ukukhathazeka, okungase kuthinte isigqi senhliziyo ngezinguquko ze-hormonal
• Ukuqwasha noma ikhwalithi yokulala embi okungase kuphazamise amaphethini ajwayelekile esigqi senhliziyo
• Imithi ethile, okuhlanganisa ezinye iziphefumulo ze-asthma, ama-decongestants, kanye nama-antidepressants
• Ukuzivocavoca okukhulu ngokomzimba noma ukwanda okungazelelwe ezingeni lomsebenzi

Izindaba ezinhle ukuthi eziningi zalezi zinto zokuphila ziyashintsheka, okusho ukuthi ungase ukwazi ukuthuthukisa impilo yakho yesigqi senhliziyo ngezinguquko emikhubeni yakho yansuku zonke.

Ziyini Izinkinga Ezingase Zibe Khona Zeziphumo Ezingajwayelekile Zokuqapha i-Holter?

Iningi lokungajwayeleki kwesigqi senhliziyo okutholwe kuma-Holter monitors kulawuleka futhi akuholeli ezinkingeni ezinzima, ikakhulukazi uma kwelashwa kahle. Kodwa-ke, ezinye izinhlobo zesigqi esingajwayelekile zingase zibangele izinkinga uma zingelashwa.

Into ejwayelekile kakhulu ngesigqi esingajwayelekile esithile yithuba labo lokuthinta ukugeleza kwegazi ezingxenyeni ezibalulekile zomzimba, okuhlanganisa ubuchopho nenhliziyo ngokwayo. Lokhu kungenzeka uma inhliziyo ishaya ngokushesha kakhulu, kancane kakhulu, noma ngokungajwayelekile isikhathi eside.

Kubalulekile ukukhumbula ukuthi ukuthola isigqi esingajwayelekile akusho ukuthi izinkinga ngeke zenzeke. Abantu abaningi baphila impilo ejwayelekile, enempilo ngezinkinga zesigqi senhliziyo eziqashwe kahle futhi zilawulwe.

Izinkinga Ezivamile Ezivela Ezinkingeni Zesigqi Ezingelashwanga

Nawa amanye amathuba okuthi izinkinga ezingase zenzeke uma ezinye izinkinga zesigqi senhliziyo ezitholwe ekuhlolweni kwe-Holter zingelashwa:

• Ingozi yesifo sohlangothi evela emazingeni athile angajwayelekile njenge-atrial fibrillation engavumela ukuthi kwakheke amahlule egazi
• Ukwehluleka kwenhliziyo uma amazinga ashesha kakhulu noma alambisa kakhulu evimbela inhliziyo ukuthi ipompe ngempumelelo
• Ukuquleka noma ukuwa ngenxa yokunganele kwegazi ebuchosheni ngesikhathi seziqephu zomgqigqo
• Ukuncipha kwamandla okuzivocavoca nokukhathala okuvela ekupompeni kwenhliziyo okungasebenzi kahle
• Ukukhathazeka nokuncipha kwekhwalithi yempilo evela ezimpawini ezingaqinisekile
• Izimo eziphuthumayo uma amazinga ayingozi engabonwa futhi engelashwa

Lezi zinkinga zigqamisa ukuthi kungani udokotela wakho ethatha imiphumela ye-Holter monitor ngokungathí sina nokuthi kungani ukulandela imiphumela engajwayelekile kubaluleke kakhulu empilweni yakho yesikhathi eside.

Izinkinga ezingavamile kodwa eziyingozi

Noma kungavamile, ezinye izinkinga zomgqigqo wenhliziyo zingaholela ezinkingeni ezingathi sína ezidinga ukunakekelwa kwezokwelapha ngokushesha:

• Ukuboshwa kwenhliziyo okungazelelwe okuvela kumaphethini athile ayingozi omgqigqo njenge-ventricular tachycardia noma i-ventricular fibrillation
• Ukwehluleka kwenhliziyo okukhulu okuvela emazingeni aqhubekayo, ashesha kakhulu aqeda imisipha yenhliziyo
• Isifo sohlangothi se-Embolic esivela emahuleni egazi akheka ngesikhathi sezinga elide elingajwayelekile
• I-Cardiomyopathy, ukubuthaka kwemisipha yenhliziyo evela ezinkingeni ezingamahlala-khona zomgqigqo
• Ukuvinjelwa okuphelele kwenhliziyo okudinga ukufakwa kwe-pacemaker ngokushesha

Noma lezi zinkinga zizwakala zethusa, zivame ukungavamile futhi zivame ukuvikeleka ngokunakekelwa kwezokwelapha okufanele. Ithimba lakho lokunakekelwa kwezempilo lizohlola izici zakho eziyingozi futhi lincoma ukuqapha nokwelashwa okufanele uma kudingeka.

Kufanele ngibone nini udokotela ngemva kwe-Holter Monitor yami?

Kufanele uhlele ukulandela udokotela wakho njengoba kuhleliwe ngemva kokuhlolwa kwakho kwe-Holter monitor, ngokuvamile kungakapheli isonto elilodwa noma amabili ngemva kokubuyisa idivayisi. Lokhu kuqokwa kuvumela umhlinzeki wakho wokunakekelwa kwezempilo ukuthi abuyekeze imiphumela nawe futhi axoxe nganoma yiziphi izinyathelo ezidingekayo ezilandelayo.

Noma kunjalo, kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezikhathazayo ngesikhathi noma ngemva kwesikhathi sokuqapha, njengobuhlungu besifuba, isiyezi esikhulu, ukuquleka, noma ukushaya kwenhliziyo okuzizwa kuhluke ezimpawini zakho ezivamile.

Uma kwadingeka ukuthi ususe imonitha ngaphambi kwesikhathi ngenxa yokucasuka kwesikhumba noma izinkinga zemishini, yazisa ithimba lakho lezempilo ukuze likwazi ukuthola ukuthi ngabe ukuhlolwa kudingeka kuphindwe noma ngabe ezinye izindlela zokuqapha kufanele zicatshangelwe.

Izimpawu Ezidinga Ukunakekelwa Kwezokwelapha Ngokushesha

Ngenkathi ugqoke imonitha yakho ye-Holter noma ulinde imiphumela, lezi zimpawu zidinga ukuhlolwa kwezokwelapha ngokushesha:

• Ubuhlungu besifuba, ikakhulukazi uma bunzima, buchoboza, noma buhambisana nokuphefumula okuncane
• Ukuquleka noma izigameko ezicishe ziquleke ezintsha noma ezinzima kakhulu kunokujwayelekile
• Isiyezi esikhulu noma ukukhathala okungathuthuki ngokuphumula
• Ukushaya kwenhliziyo okuzizwa kuhluke kakhulu ezimpawini zakho ezivamile noma okuthatha isikhathi eside
• Ukuphefumula okuncane okusha noma okubi kakhulu kunangaphambili
• Noma yiziphi izimpawu ezenza uzizwe sengathi udinga ukunakekelwa okuphuthumayo

Themba imizwa yakho ngomzimba wakho. Uma kukhona okuzizwa kungahambi kahle ngempela, ungalindi ukuqokwa kwakho okulandelayo ukuze ufune ukunakekelwa kwezokwelapha.

Ukuhlela Ukunakekelwa Kwakho Okulandelayo

Ngemuva kokuthola imiphumela yakho ye-Holter monitor, ukunakekelwa kwakho okulandelayo kuzoncika kulokho okwembulwe ukuhlolwa kanye nesithombe sakho sonke sempilo:

• Imiphumela ejwayelekile ngokuvamile isho ukuthi akukho ukwelashwa okudingekayo ngokushesha, nakuba udokotela wakho engase ancome izinguquko zokuphila noma ukuqapha ngezikhathi ezithile
• Ukuphazamiseka okuncane kungase kudingeke ukuthi kulungiswe imithi noma ukuhlolwa okwengeziwe ukuze kutholwe indlela engcono kakhulu yokwelapha
• Izinkinga ezinkulu zesigqi zingaholela ekudluliselweni kudokotela wezinhliziyo noma i-electrophysiologist ukuze athole ukunakekelwa okukhethekile
• Ezinye izinto eziqashelwayo zingase zidinge izivivinyo ezengeziwe njenge-echocardiograms, izivivinyo zokucindezeleka, noma ukuqapha isikhathi eside
• Ezinye izinto eziqashelwayo zingase zibangele izingxoxo mayelana nemithi, izinqubo, noma ukwelashwa kwamadivayisi njengama-pacemakers

Khumbula ukuthi ukuba nemiphumela engajwayelekile akusho ngaso sonke isikhathi ukuthi udinga ukwelashwa okuyinkimbinkimbi. Izinkinga eziningi zesigqi senhliziyo zingalawulwa ngempumelelo ngemisebenzi elula noma izinguquko zokuphila.

Imibuzo Evame Ukubuzwa Mayelana ne-Holter Monitor

Q.1 Ingabe ukuhlolwa kwe-Holter monitor kulungile ekutholeni izinkinga zenhliziyo?

Yebo, ama-Holter monitors alungele ukuthola izinkinga zesigqi senhliziyo eza futhi zihambe ngokungaqondakali. Zisebenza kahle ikakhulukazi ekutholeni ukushaya kwenhliziyo okungajwayelekile, iziqephu zokushaya kwenhliziyo okusheshayo noma okuhambayo, kanye nokuhlobanisa izimpawu nezinguquko zesigqi senhliziyo zangempela.

Uvivinyo luyigugu kakhulu ezinkingeni eziphakathi nendawo ezingase zingaveli ngesikhathi sokuvakasha okufushane ehhovisi. Nokho, kufanelekile ukuqaphela ukuthi uma izimpawu zakho zivame kakhulu, zingase zingenzeki ngesikhathi sokuqapha.

Q.2 Ingabe ukugqoka i-Holter monitor kubuhlungu?

Cha, ukugqoka i-Holter monitor akubuhlungu. Ukuphatheka kabi okuvame kakhulu ukucasuka kwesikhumba okuncane okuvela ku-adhesive ye-electrode, okufana nalokho ongase ukuzwe nge-bandage.

Abanye abantu bathola ukuthi izintambo zinzima kancane ekuqaleni, kodwa iningi lilungisa ngokushesha. Idivayisi yakhelwe ukuba ikhululeke ngangokunokwenzeka ngenkathi isahlinzeka ngokuqapha okunembile.

Q.3 Ngingakwazi yini ukuzivocavoca ngenkathi ngigqoke i-Holter monitor?

Ungenza ukuzivivinya okulula kuya kokulingene ngenkathi ugqoke i-Holter monitor, futhi empeleni, udokotela wakho uvame ukufuna ukubona ukuthi inhliziyo yakho isabela kanjani emisebenzini ejwayelekile. Kodwa-ke, kufanele ugweme ukuzivivinya okukhulu okubangela ukujuluka ngokweqile, ngoba lokhu kungase kukhulule ama-electrode.

Imisebenzi efana nokuhamba, ukugijima okulula, noma imisebenzi yasekhaya ejwayelekile ivame ukulunga. Ithimba lakho lokunakekelwa kwezempilo lizohlinzeka ngemihlahlandlela ethile esekelwe esimweni sakho nesizathu sokugadwa.

Q.4 Kwenzekani uma i-Holter monitor iyeka ukusebenza?

Uma i-Holter monitor yakho iyeka ukusebenza noma kufanele uyisuse ngaphambi kwesikhathi, xhumana nomhlinzeki wakho wezempilo ngokushesha. Bazonquma ukuthi ngabe idatha eyanele yaqoqwa noma ngabe ukuhlolwa kudingeka kuphindwe.

Ama-monitor anamuhla athembeke kakhulu, kodwa izinkinga zobuchwepheshe zingenzeka ngezikhathi ezithile. Ithimba lakho lokunakekelwa kwezempilo lizosebenza nawe ukuqinisekisa ukuthi uthola ukuqapha okudingayo, noma ngabe kusho ukusebenzisa idivayisi ehlukile noma indlela ehlukile.

Q.5 Ziqonde kangakanani imiphumela ye-Holter monitor?

Ama-Holter monitor aqonde kakhulu ekutholeni ukungahambi kahle kwenhliziyo lapho kunamathiselwe futhi kugqokwa kahle. Ubuchwepheshe buye bahlanzwa emashumini eminyaka futhi bunikeza imininingwane ethembekile ngomsebenzi kagesi wenhliziyo yakho.

Ukunemba kuncike kancane ekuxhumaneni okuhle kwe-electrode nesikhumba sakho nokulandela imiyalelo yokugqoka nokunakekela idivayisi. Idiyari yakho yomsebenzi nayo isiza ukuthuthukisa ukunemba ngokuhlinzeka ngomongo wamarejista aqoshiwe.