ECG mupfungwa: chii migumisiro kuratidza chakaipa?

Kuziva siyana mwoyo abnormalities kazhinji ushandiswe kwemwoyo unonzi, electrocardiograph. Nzira chaizvoizvo nyore chaizvo. Zvisinei, iye anonzi imwe yenzvimbo dzawo. Kana nzira haaratidzi zvakajeka migumisiro, murwere chinotarisirwa unonzi, electrocardiograph ane mutoro. Nzira kunoita kuzivisa zvokurwara zvakavanzika uye taurira yakakwana kurapwa.

tsananguro mukuru nzira

Anenge munhu wose akanga kanenge kamwe zvakaitika muitiro inonzi electrocardiography (ECG). Zviri zvokurekodhwa nemagetsi nomunhu (dzenzvimbo) apo mwoyo zvibvumirano. Kuchengeteka date uye kuuratidza pamusoro girafu kunoita rinokosha mudziyo - imwe electrocardiograph. mugumisiro ichi sokunge kunzwisisa munyonga. Decoding kuti akagamuchira tsika zvinowa- mubasa nachiremba.

nzira nechirwere chemwoyo Pretty nyore kuwana mhinduro yakarurama. Unonzi, electrocardiograph ndechimwe yakachipa pashiri oornag nzira. Kunakisa zvinogonawo kunzi hapana kutyorwa kuvimbika ganda.

Electrocardiography chaiwo basa

Kune nzira dzakawanda electrocardiography, mumwe inova EKG mutoro. Zvavaisiita nzira apo murwere yozorora, hapasi kuratidza zvarakasiya zvose zviri mumwoyo. Registration mwoyo kupomba panguva yechiitwa unokubvumira kuona chaiyo kukonzera chirwere nokuda yezviri basa mwoyo tsandanyama uye yose muviri.

unyanzvi

Kuita electrocardiography pamwe mutoro nenzira dzakawanda. Mumwe nevakawanda dzinoshandiswa dzichipfekeka assays. No midziyo inokosha haina kushandiswa, pakoma stopwatch uye cardiograph. Varwere vari akakumbira kuita nyore kurovedza. Zvinogona kuva squats kana vanotsika pamusoro danho papuratifomu.

Veloergometry vaiona chimwe chezvinhu anodzidzisa nzira Diagnostics kunyatsoshanda mwoyo tsandanyama. Nokuti kushandisa ake ane muviri bhasikoro vakapakata inokosha sensors uye kombiyuta simba. Kana ECG muviri vose Data vachaparadzwa kune imwe kombiyuta kuti anokunda uye ongororo.

Kumwe nzira diagnosing wekusimbisa muviri bvunzo, chete kushandiswa muviri wekusimbisa muviri. Kana murwere anotanga unonetsekerei, Diagnostics kwakakwana uye achapa zvakafanira kurapwa.

Zvairatidza yokushandisa

The nzira unobvumidza mangwanani vasabatwa matambudziko yaivapo nemwoyo tsandanyama kutsungirira uye akaisa pamwero mumwe murwere. Unonzi, electrocardiograph ndechimwe zvinokosha chirwere nzira kuti vanhu vanoshanda mune utsinye ezvinhu.

Ipa nzira anogona muzviitiko apo mureza ECG Haana abnormality, asi kana murwere anonyunyuta kuti nguva nenguva chitarisiko zvisingafadzi zviratidzo. Direct chiratidzo kuti zvitinakire ndima ine zvishoma nezvishoma kuwedzera mutoro ndedzinotevera pathologies:

• kudikanwa kuziva rudzi uye kukura coronary tsinga chirwere;
• atrial fibrillation ;
• kakawanda kunyunyuta kurwadziwa mumwoyo;
• neBP;
• vachiberekwa uye vawana mwoyo chirwere;
• arrhythmia, tachycardia;
• pakuonekwa ganda cyanosis kana kamwe simba.

Kana rokutanga zvokuongorora pamusoro electrocardiograph kunoratidza kuvapo chemwoyo, ipapo basa muedzo ane mutoro hazvina musoro.

Contraindications

Nyanzvi anofanira nechokwadi kuti hapana contra-zvairatidza murwere asati anopiwa ECG ane mutoro. Nokuti dzimwe nguva, kwakadai nechirwere kunogona kuva upenyu pangozi. In okurapa, pane Mhedziso uye hama contraindications kuti evanhu. Boka rokutanga unosanganisira rinorema zvokurwara:

• mamiriro pashure myocardial infarction (akabata nzira asingagoni mazuva adarika pane 14 pashure kurwisa);
• arrhythmia, kwete amenable kuti yokurapwa ekisiposha;
• chakakomba zvirwere;
• pericarditis, myocarditis, endocarditis;
• congestive mwoyo kutadza;
• pulmonary embolism ;
• kutsemuka stenosis mune zvikuru chimiro;
• nokufungirana ane aneurysm mumudziyo masumbu.

Kana murwere hama contraindications chiremba anofanira kuona kudiwa electrocardiography pamwe muviri.

Chirwere inowanzopiwa chete sezvo chokupedzisira kana dzimwe nzira vakakundikana. chikamu ichi zvinosanganisira zvinhu zvakadai pathological akadai kushaya magnesium uye calcium, zvikuru mwero cheshuga, chemwoyo pamwe mwero stenosis, ventricular arrythmia, hypothyroidism, kuruboshwe ventricular aneurysm, nokuberekwa pamuviri.

Sei muitiro?

Kuti unonzi, electrocardiograph ine mutoro, zvinokosha kuona cardiologist uye rakagara rokutanga kuzviongorora. Kana murwere asina contraindications, rinogona basa bvunzo pamusoro mira bhasikoro (bhasikoro ergometry) kana wekusimbisa muviri. Kupfuura zvakwo uye raiwanzoshandiswa ndiyo yokutanga musimboti.

Pamberi pakutanga nechirwere kuti ganda murwere kwakunoitwa yacho Switch nyanzvi. The nzira chichaitwa panguva imwe chete Kuda kutamba BP. The sensors vari hwavapo munzvimbo yacho bondo, pamafudzi mashizha uye tikarega shure. Mumwedzi maminitsi matatu okutanga zvakafanira kuti Simulator 180 RPM (nokumukirana 60 paminiti). Mushure ose maminitsi matatu kusvikira mutoro kuchawedzera kusvikira kuzviratidza kurukutika, dzungu kana kurwadziwa.

Murwere anofanira kuudza manzwiro avo uye chiremba zvizere ECG pakuvhiya. Mushure mutoro Data yakanyorwa kuti zvimwe kwemaminitsi 10. nguva ino kazhinji rakakwana nechokwadi chokuti mwoyo mwero vakadzokera dzose. Migumisiro inotumirwa chiremba kuti zviratidzo.

Zvakarurama anodudzira zvabuda

ECG pamwe mutoro rakavimbika kupfuura mashoko ari pamusoro mamiriro mwoyo tsandanyama uye tsinga. Mhedziso ine zvinotevera zviratidzi:

1. basa (J) chinoitwa murwere.
2. The chikumbaridzo simba (W).
3. Zvikonzero mangwanani kugumiswa pakudzidza.
4. Mhedziso pamusoro vaita.
5. The simba mumwoyo yevanhu uye BP.
6. zvakatora nguva normalize mwoyo prices uye BP.
7. Kwakakura kweropa panguva yepamusoro muviri.
8. Cardiac arrhythmias (anowanzoita rirege kuva).
9. Coronary zvirwere (nokuti rondedzero pamusoro mhando kutyora, nguva parinowanika).
10. CHD kirasi zvichienderana nesimba pamwero maekisesaizi zvine kutsauka.

Chete mubasa nyanzvi dudziro ECG zvabuda vapinze. Norma waivako yakasiyana zvichienderana nezera uye kurara murwere. Zvishoma zvokutsauka kubva vakagamuchira dzemunharaunda vachiri regai kutaura pamberi pathological ezvinhu. Kana zvakakodzera, muitiro inogona kudzokororwa kwapera nguva.

mhedziso bvunzo

Negative musimboti anoratidza mukuru Kushanda uye kushaya ECG kuchinja mutoro. A mharidzo vaiona mibvunzo kana yakatarwa zvaizopedza chidimbu ST (Kuchinja girafu penguva pakati pameno S uye T). Chikonzero chinoita izvi kunogona akafukidza yakawedzera pulmonary kufefetedza, kakawanda kushushikana, mazhinji kurapwa pamwe antiarrhythmic zvinodhaka, potassium kushayiwa mumuviri.

With yakanaka mharidzo kubva murwere ane atrial fibrillation, kakawanda magadzirira anorova, ST chidimbu kuchinja dzinopfuura 2 mm. Muchiitiko chino, zvakakosha kucherechedza nguva apo paiva zvakafanana zviratidzo, kufadza mutoro, mwoyo mwero.

Ko mutoro kurudyi atrium?

The ECG yakanyorwa zvirwere zvakasiyana-siyana mwoyo tsandanyama. Mumwe chirwere ngozi iri hypertrophy rwerudyi atrium. zvokurwara iri kazhinji kuchengetwa zvirwere kufema zvomukati, nekuti chikamu ichi mwoyo anotaura kusvikira pulmonary hurongwa. Varwere vachiberekwa pulmonary tsinga uye zvakanaka atrial zadzisa rinooneka.

Valve zvokurwara anogona kuonekwa panguva kwemwoyo unonzi, electrocardiograph. A chiratidzo kutsaudzira ari kuchinja P. chinozunguzirwa rakakodzera nguva chirwere kuchaita kutanga kurapa zvainanga kubvisa chiitiko ichi.

Kugadzirira nzira

Kuti vawane yakavimbika zvabuda, zvakakodzera kuti tigadzirire ECG mutoro. Pamberi bvunzo kuti hazvibatanidzi mupfungwa nomumuviri, asiye kushandisa doro. A Mazuva mashoma kunze mishonga chokuita mwoyo tsandanyama. Iva kunambwa mharidzo mugumisiro zvingaitwa rinorema chikafu.