Kwiiyeza, aHolter esweniluhlobo lwe-ambulensii-electrocardiographyisixhobo, isixhobo esiphathwayo seesweni intliziyo(iukubeka esweniyeumsebenzi wombane we-cardiovascular system) ubuncinane kwiiyure ezingama-24 ukuya kwezingama-48 (ngokufuthi kangangeeveki ezimbini ngexesha).
Eyona ndlela iqhelekileyo yokusetyenziswa kweHolter kukubeka ilisoIECG intliziyoumsebenzi (i-electrocardiographyokanye iECG).Ixesha lokurekhoda elandisiweyo ngamanye amaxesha luncedo ekuqwalaseleni ngamaxesha athilearrhythmias sentliziyokuya kuba nzima ukuchonga ngexesha elifutshane.Kwizigulane ezineempawu ezidlulayo, aesweni isiganeko sentliziyoenokunxitywa inyanga okanye ngaphezulu ingasetyenziswa.[1]
Xa isetyenziselwa ukufunda intliziyo, njenge-electrocardiography eqhelekileyo, iHolter monitor irekhoda imiqondiso yombane esuka entliziyweni ngothotho lweii-electrodesiqhotyoshelwe esifubeni.I-Electrodes ibekwe phezu kwamathambo ukuze kuncitshiswe izinto zakudala ezivela kumsebenzi we-muscular.Inani kunye nendawo yee-electrode iyahluka ngokwemodeli, kodwa uninzi lwabahloli beHolter baqesha phakathi kwesithathu nesibhozo.Ezi electrode ziqhagamshelwe kwisixhobo esincinane esidityaniswe kwibhanti lesigulana okanye esixhonywe entanyeni, sigcina ingxelo yomsebenzi wombane wentliziyo ngalo lonke ixesha lokurekhoda.Inkqubo yeHolter eyi-12 ekhokelayo nayo iyafumaneka xa ichanekileIECGulwazi lomqondiso luyafuneka ukuhlalutya uhlobo oluchanekileyo kunye nemvelaphi yomqondiso wesingqisho.
Umshicileli
Ubungakanani besishicileli buyahluka ngokuxhomekeke kumvelisi wesixhobo.Imilinganiselo ye-avareji yeemonitha zeHolter zanamhlanje zimalunga ne-110x70x30 mm kodwa ezinye ziyi-61x46x20 mm kuphela kwaye zinobunzima obungama-99 g.[6]Uninzi lwezixhobo zisebenza ngezimbiniiibhetri AA.Kwimeko apho iibhetri ziphelile, ezinye iiHolters zivumela ukutshintshwa kwazo nangexesha lokubekwa esweni.
Uninzi lweeHolters zibeka iliso kwi-ECG ngokusebenzisa amajelo amabini okanye amathathu kuphela (Qaphela: kuxhomekeke kumenzi, amanani ahlukeneyo okukhokela kunye neenkqubo zokukhokela zisetyenziswa).Umkhwa wanamhlanje kukunciphisa inani leekhokelo zokuqinisekisa ukuthuthuzelwa kwesigulana ngexesha lokurekhoda.Nangona ukurekhoda kwesiteshi ezimbini / ezintathu kusetyenziswe ixesha elide kwimbali yokubeka iliso yeHolter, njengoko kukhankanyiwe ngasentla, i-12 channel Holters isanda kuvela.Ezi nkqubo zisebenzisa i-classical Mason-Likar lead system, okt ukuvelisa umqondiso ngendlela efanayo ngexesha le-ECG eqhelekileyo kunye/okanye.uvavanyo loxinzeleloumlinganiselo.Ezi Holters ngamanye amaxesha zinokubonelela ngolwazi olufana nolo lweIECGuvavanyo lovavanyo loxinzelelo.Zikwafanelekile xa zihlalutya izigulane emvaimyocardial infarction.Ukurekhodwa kwezi gadi ze-12-ekhokelayo zisisombululo esisezantsi kakhulu kunezo zivela kwi-ECG ye-12-lead ekhokelayo kwaye kwezinye iimeko zibonakaliswe ukubonelela ngokumela kwecandelo le-ST elahlekisayo, nangona ezinye izixhobo zivumela ukuseta i-sampling frequency ukuya kwi-1000 Hz iimviwo ezinenjongo eyodwa ezifana nokubhaqwa “kokunokwenzeka kade”.
Olunye ulutsha lubandakanya i-sensor yentshukumo ye-triaxial, erekhoda umsebenzi womzimba wesigulane, kunye nokuhlolwa kunye nokucutshungulwa kwesoftware, ikhupha amanani amathathu okunyakaza: ukulala, ukuma, okanye ukuhamba.Ezinye izixhobo zanamhlanje nazo zikwazi ukurekhoda i-vocal isigulane kwidayari yokungena enokuthi iphulaphule kamva ngugqirha.Ezi nkcukacha zinceda i-cardiologist ukuba ibone kakuhle iziganeko ngokumalunga nomsebenzi wesigulane kunye nedayari.
Ixesha lokuposa: Dec-13-2018