Monitor

Muriubuvuzi, aMonitorni ubwoko bwa ambulatoryamashanyaraziigikoresho, igikoresho kigendanwa cyagukurikirana umutima(igukurikiranaBya iibikorwa by'amashanyarazi ya sisitemu y'umutima) byibuze amasaha 24 kugeza 48 (akenshi ibyumweru bibiri icyarimwe).

Holter ikoreshwa cyane ni ugukurikiranaECG umutimaibikorwa (amashanyarazicyangwa ECG).Igihe cyagutse cyo gufata amajwi rimwe na rimwe ni ingirakamaro mu kwitegereza rimwe na rimweumutima utera umutimabikaba bigoye kumenya mugihe gito.Ku barwayi bafite ibimenyetso byigihe gito, aikurikirana ry'umutimazishobora kwambarwa ukwezi cyangwa kurenga zirashobora gukoreshwa.^[1]

Iyo ikoreshwa mu kwiga umutima, kimwe na electrocardiografi isanzwe, monitor ya Holter yandika ibimenyetso byamashanyarazi bivuye kumutima ikoresheje urukurikirane rwaelectrodebifatanye mu gatuza.Electrode ishyirwa hejuru yamagufa kugirango igabanye ibihangano biva mumitsi.Umubare n'umwanya wa electrode biratandukana bitewe nicyitegererezo, ariko benshi mubakurikirana Holter bakoresha hagati ya batatu na munani.Izi electrode zahujwe nigice gito cyibikoresho bifatanye n'umukandara wumurwayi cyangwa bikamanikwa mu ijosi, bikabika urutonde rwibikorwa byamashanyarazi yumutima mugihe cyo gufata amajwi.Sisitemu 12 ya sisitemu ya Holter nayo iraboneka mugihe cyuzuyeECGamakuru yikimenyetso arasabwa gusesengura imiterere ninkomoko yikimenyetso.

Kwandika

Ingano ya majwi iratandukanye bitewe nuwakoze igikoresho.Impuzandengo yikigereranyo cya Holter uyumunsi ni mm 110x70x30 mm ariko zimwe ni mm 61x46x20 gusa kandi ipima 99 g.^[6]Ibyinshi mubikoresho bikora hamwe na bibiriAA bateri.Mugihe bateri zashize, Holters zimwe zemerera gusimburwa no mugihe cyo gukurikirana.

Hafi ya Holters ikurikirana ECG ikoresheje imiyoboro ibiri cyangwa itatu gusa (Icyitonderwa: ukurikije uwabikoze, imibare itandukanye ya sisitemu na sisitemu ikoreshwa).Icyerekezo cyuyu munsi ni ukugabanya umubare wibiyobora kugirango umurwayi ahumurize mugihe cyo gufata amajwi.Nubwo amajwi abiri / atatu yafashwe amajwi yakoreshejwe mugihe kinini mumateka yo gukurikirana Holter, nkuko byavuzwe haruguru, umuyoboro wa Holters 12 uherutse kugaragara.Sisitemu ikoresha sisitemu ya Mason-Likar iyobora sisitemu, ni ukuvuga gutanga ikimenyetso muburyo bumwe nko mugihe cyo kuruhuka bisanzwe ECG na / cyangwaikizaminigupima.Holters irashobora rimwe na rimwe gutanga amakuru asa naya aECGikizamini cyikizamini.Birakwiye kandi mugihe cyo gusesengura abarwayi nyumainfarction myocardial.Amajwi yavuye muri izi monitor 12-ayoboye afite ibyemezo biri hasi cyane ugereranije nibisanzwe 12-bayobora ECG kandi rimwe na rimwe byagaragaye ko bitanga ibice byerekana ST, nubwo ibikoresho bimwe byemerera gushiraho inshuro zigera kuri 1000 Hz kuri ibizamini byihariye-bigamije nko kumenya "ubushobozi bwatinze".

Ikindi gishya ni ugushyiramo sensor ya triaxial, yandika ibikorwa byumubiri wumurwayi, no mugupima no gutunganya software, ikuramo ibintu bitatu byimikorere: gusinzira, guhaguruka, cyangwa kugenda.Bimwe mubikoresho bigezweho nabyo bifite ubushobozi bwo kwandika amajwi yumurwayi wijwi ryinjira nyuma ashobora gutega amatwi muganga.Aya makuru afasha umuganga wumutima kumenya neza ibyabaye bijyanye nibikorwa byumurwayi na diary.