ECG ahotea: he aha whakaatu nga hua noa?

Kei te maha ki te tautuhi i ngā abnormalities ngakau whakaritea te hiko-. Ko mau te tikanga tino māmā. Heoi, kei te whakaaro ia tetahi o te kōrero tino. Ki te kore e te tikanga whakaatu hua mārama, faaterehia te manawanui ko te hiko-ki te kawenga. taea te tikanga ki te whakakitea te māuiuitanga huna, ka whakahau tika maimoatanga.

whakaahuatanga General o te tikanga

Tata i te iti rawa kotahi katoa ki te tika i te tukanga i huaina electrocardiography (ECG). Ko reira he tuhi o ponana hiko (ngā) ka te kirimana ngakau. Haumaru raraunga me te whakaatu i te reira i runga i te kauwhata taea te pūrere motuhake - he ine hilo-. rite te ānau matatini titiro ana tēnei hua. Wetemuna e te nuinga o nga uara riro whai wāhi i roto i te taha o te tākuta.

tikanga tino māmā o te tātaritanga o te mate ngakau ki te tiki hua tika. He hiko-Ko tetahi o nga ara na'ina'i me utu. taea hoki te huaina te painga kahore maumaui o tapatahi o te kiri.

Electrocardiography ki mahi tinana

He maha ngā tikanga o electrocardiography, tetahi o nei ko te kawenga EKG. Ko te tukanga mua, ka ko te manawanui i okiokinga, e kore e whakaatu i nga wa katoa ine katoa i roto i te ngakau. he pini ngakau rēhita i roto i mahi taea ki a koe te whakatau i te take tangohia o te mate e tika ana ki te mahi kaha o te uaua ngakau me te rauropi katoa.

tikanga

Te whakaatu i electrocardiography ki te kawenga i roto i te maha o ngā huarahi. Ko tētahi o nga tikanga noa, he assays mahi. e kore te No taputapu motuhake whakamahia, coma stopwatch me cardiograph. E ui tūroro ki te mahi i mahi ohie. E nehenehe te reira squats ranei manga i runga i te turanga taahiraa.

whakaaro Veloergometry tetahi o nga tikanga tino kōrero o te tātaritanga tōtika o te uaua ngakau. Hoki tona whakamahi o te pahikara mahi rawa ki pūoko motuhake, me te rorohiko kaha. A, no te ka kia whakawhitia te ECG mahi nga raraunga katoa ki te rorohiko mō te hopu me te tātari.

He tikanga rite o Tātaritia he whakamātautau wīra, anake whakamahia hoki mahi wīra. Ki te tīmata te manawanui ki te ite kino, tātaritanga oti a ka whakarato i te tiaki e tika ana hauora.

Tuhinga mō te whakamahi

Ko te tukanga e āhei te kite wawe o ngā raruraru tīariari ki te manawanui uaua ngakau, a whakaturia te taumata mo ia manawanui. He hiko-Ko tetahi o nga tikanga tātaritanga faufaa mō te iwi e mahi i roto i ngā āhuatanga kino.

Vahe ki tukanga taea i roto i te wā i reira kihai i whakaatu i te paerewa ECG tetahi pīari, engari ki te amuamu te manawanui o te ahua wā o tohu kino. tohu tika mo te whawhe irava ki te kawenga āta whakanui ake e te whai ake pathologies:

• te hiahia ki te whakatau i te momo, me te whānuitanga o te mate te AVC;
• fibrillation Atrial ;
• amuamu auau o te mamae i roto i te ngakau;
• takawhita;
• mate ngakau congenital me riro;
• arrhythmia, tachycardia;
• te ahua o te cyanosis kiri ngoikore ohorere ranei.

Ki te kōrero te tātaritanga tuatahi i runga i te ine hilo-te aroaro o te mate ngakau, ka kawe i te whakamātautau ki te kawenga e kore e hanga tikanga.

contraindications

Me whakarite mātanga e reira e kore-tohu contra i mua i te manawanui e tango he ECG ki te kawenga. No te mea i roto i ētahi wā, tenei momo o te tātaritanga e taea e te ora-te whakawehi. I roto i te mahi hauora, i reira he contraindications tino, me te whanaunga mō te whawhe. Ko te rōpū tuatahi ngā māuiuitanga taimaha:

• āhua i muri i infarction myocardial (mau tukanga kore e taea e mua atu i te 14 nga ra i muri i te whakaeke);
• arrhythmia, e kore Nireaha ki te rongo hauora;
• mate hopuhopu nui;
• pericarditis, myocarditis, endocarditis;
• kore ngakau congestive;
• Embolism pūkahukahu ;
• stenosis te pūtahi o roto i te puka nui;
• māharahara o te aneurysm i roto i te paihere oko.

Ki te he contraindications whanaunga manawanui kia whakatau i te tākuta te hiahia mō te electrocardiography ki mahi.

Kei te nuinga o te wā hoatu tātaritanga anake rite te parepare whakamutunga, ina kua rahua ētahi atu tikanga. Tenei kāwai ngā taua tikanga pathological pērā i te kore o te konupora me te konupūmā, tohu nui o te mate huka, mate ngakau ki stenosis āhua, arrythmia ventricular, hypothyroidism, aneurysm ventricular maui, whanau materoto.

Kia pehea te Ko te tukanga?

Ki te hanga i tētahi whakaahua hiko-ki te kawenga, he mea e tika ana ki te kōrero i te mafatu, me te amohia e te whakamātautau tuatahi. Ki te kahore he contraindications te manawanui, e taea te tautapa i te reira whakamātautau i runga i te pahikara tū (pahikara ergometry) wīra ranei. Ko te tino kōrero, me te noa whakamahia ko te whakatinanatanga tuatahi.

I mua i te tīmatanga o te tātaritanga ki te kiri o te manawanui piri te mātanga pūoko. Ka te tukanga e kawea i roto i tukutahi ki te warea i roto i te pēhanga toto. Kua eke te pūoko i te rohe o te paewai, matatahi pokohiwi, me te raro hoki. I roto i te meneti tuatahi e toru he mea e tika ana ki te hanga i te simulator 180 rpm (60 huringa i te meneti). I muri i nga meneti e toru ra ano ka nui ake te kawenga tae noa kahore puta rohirohi, whanoke mamae ranei.

kia whakamōhio i te manawanui e pā ana ki to ratou mau mana'o, me te rata oti tukanga ECG. I muri te tuhia te raraunga kawenga mo te 10 meneti atu. Ko te nuinga o te wā rawaka ki te whakarite i hoki te auau ngakau ki noa tenei wa. Kua tonoa e te hua ki te tākuta mō te tātaritanga.

Tika whakamārama nga hua

ECG ki te kawenga whakarato te mōhiohio tino pono i runga i te mana o te uaua ngakau me oko toto. Opaniraa kei te tohu e whai ake nei:

1. mahi (J) i hanga e te manawanui.
2. Te mana paepae (W).
3. Ngā take mō te whakamutunga wawe o te ako.
4. Mutunga i runga i te mahinga.
5. Ko te akiaki a te auau ngakau, me te pēhanga toto.
6. Ko te wa ka mau te reira ki te haerenga, reiti ngakau, me te pēhanga toto.
7. Ko te rahi o te pēhanga toto i mahi tihi.
8. arrhythmias cardiac (kore e tikanga e te reira).
9. disorders coronary (mo te whakamārama taipitopito o te momo o te ofatiraa, te wa o tona tupu).
10. piha CHD i runga i te taumata mana o te mahi i roto i nei ki reira ine rānei.

Anake rave i roto i te tikanga motuhake o hua ECG ki te uta. He rerekē Norma mahi i runga i te tau, me te takoto o te manawanui rānei. Te ine iti i te tikanga whakaaetia ano e kore e kōrero e pā ana ki te aroaro o te huru pathological. Ki te tika, e taea te tukurua i te tukanga etahi wa i muri.

whakamātautau mutunga

whakaatu ahua kino kakama tiketike, me te kore o te huringa ECG ki te kawenga. He tauira whakaaro pāhekeheke ki te whakaritea wāhanga wāhikē ST (huringa i roto i te wā kauwhata i waenganui i niho S me T). Ka taea te hipoki te take mo tenei āhuatanga i roto i nui haere ventilation pūkahukahu, ahotea auau, roa maimoatanga ki taero antiarrhythmic, pāhare pāporo hē i roto i te tinana.

Ki te tauira pai i te manawanui he Atrial Fibrillation, auau ngā patu taimi halá, ST wāhanga neke atu i te 2 mm o. I roto i tenei take, he mea nui ki te mōhio i te wa ka i reira nga tohu ōrite, te kawenga mōrahi, te auau ngakau.

He aha e te kawenga i runga i te marae matau?

tuhia te ECG tini o nga mate o te uaua ngakau. Ko tētahi o te syndrome kino ko te hypertrophy o te marae tika. Kei te maha kitea tēnei māuiuitanga i mate o nga whekau romahā, no te mea tenei wahi o te ngakau fetu'utaki reira ki te pūnaha pūkahukahu. Tūroro ki congenital iatuku pūkahukahu, me te tika itehia kikī Atrial.

Ka taea te kite piha māuiuitanga i roto i te hiko-. Kei te huri te tohu o te ine ka tukua P. poipoi tātaritanga wā ki te timata therapy e hāngai ana te whakakore i tenei āhuatanga.

Te faaineineraa mo te tukanga

Hei whiwhi hua pono, he mea e tika ana ki te te faaineine no te ECG e mau i te kawenga. I mua i ki te whakamātautau tutakina te ahotea aronganui me te tinana, whakarerea te whakamahi o te ava. He torutoru nga ra i Hātepengia tango rongoa e pā te uaua ngakau. A ani i te pānga kino i runga i te hua tauira kia kai taimaha.