How kubvisa ECG algorithm description, electrode placement zano uye vanorumbidza

Heart - anokosha nhengo mumuviri womunhu. Ari kazhinji zvichienzaniswa injini, izvo hazvishamisi, nokuti chikuru kushanda mwoyo inongogara kupomba ropa iri midziyo muviri wedu. The mwoyo anoita maawa 24 pazuva! Asi ndizvo zvinoitika kuti rukoniwe kukurira mabasa ayo nokuda chirwere. Zvechokwadi, zvinokosha kuti kuongorora zvinonyatsorehwa utano, kusanganisira utano mwoyo, asi zviri munguva yedu zvinoitika kwete zvose uye kwete nguva dzose.

A shoma nhoroondo pamusoro chitarisiko ECG

Kare pezana remakore rechi19, vanachiremba vakatanga kufunga kuti chamber basa nguva kuziva zvarakasiya uye kudzivisa zvinotyisa nemigumisiro kushanda murwere mwoyo. Nechekare panguva iyoyo, vanachiremba vakaona kuti todzokera pamusoro cardiac tsandanyama yokuvamba magetsi mananara, uye vakatanga kuita zvakawanika wokutanga uye zvidzidzo mhuka. Masayendisiti kubva Europe vakatanga kushanda kusikwa rinokosha chikwata kana rakasiyana nzira kuongorora basa mwoyo, uye pakupedzisira wokutanga ECG nyika hwakagadzwa. nguva yose iyi, sayenzi asingadi mumire, kuti munyika yanhasi kushandisa yakasiyana uye yakafambira mberi mudziyo ichi, hunokonzera anonzi electrocardiography, izvozvo Anonziwo rakapfupikiswa EKG. On ichi kutsikisa unyanzvi biocurrents mwoyo uye ichakurukurwa munyaya.

ECG nzira

Nhasi, zviri zvachose nyarara nzira uye kuwanikwa nemunhu wose. ECG anogona kuitwa sangano chero yezvokurapa. Chiremba wemhuri yako uye achakuudzai zvose zvinodiwa, nzira iyi kubvisa ECG uye apo anogona kutora nzvimbo muguta renyu.

tsananguro pfupi

Funga matanho sei kubvisa ECG. The algorithm iri sezvinotevera:

1. Kugadzirira murwere yemberi evanhu. Kuverengera akauisa pamubhedha, mumwe utano mushandi anokumbira kuti kufaranuka uye kwete kunotadzisawo. Akabvisa kufanira zvinhu zvose, kana chipi, uye anogona kuvhiringidza cardiograph zvinyorwa. Vakasunungurwa kubva nguvo inodiwa ganda.
2. Mberi kusvika nokuiswa kwokuoma electrodes mune imwe kutevedzana uye kutevedzana kwezviitiko electrodes.
3. Batanidza mudziyo kushanda achiita zvaidiwa mirau yose.
4. Mushure midziyo zvakabatana uye vakagadzirira kushandisa, kutanga kunyora.
5. Bvisa bepa kubva chakanyorwa unonzi, electrocardiograph mwoyo.
6. Mutsindo zvabuda ECG murwere kana chiremba ari ruoko tevera decoding.

Kugadzirira Kubviswa ECG

Usati wadzidza sei kutora imwe ECG, funga zvii kuita kuti kugadzirira murwere.

ECG midziyo iri ose zvokurapa Zvivako, riri munzvimbo ine aine mubhedha nokuda zvivanakire murwere uye vanachiremba yoga nzvimbo. The kamuri inofanira kuva chiedza uye akasununguka, pamwe mhepo tembiricha +22 ... + 24 Celsius. Saka sei kubvisa ECG anogona chete pasi murwere zvakakwana runyararo rwepfungwa, zvinhu zvakadaro kunokosha kwazvo evanhu ichi.

Akaisa nenyaya panhovo zvokurapa. Munguva supine woiisa relaxes muviri nyore, iyo inokosha kuti ramangwana kurekodha cardiograph uye kuongorora chokupika mwoyo. Usati kushandisa electrodes nokuti ECG yakakanyiwa donje swab pamwe vachidzipukuta doro kuti kupatsanurwa kutsvakwa nzvimbo maoko uye netsoka murwere. Reprocessing nzvimbo idzi yakaitwa sesaline kana inokosha navanachiremba gel akagadzirirwa chinangwa ichi. Ppatsientu vanofanira kuramba wakadzikama munguva cardiograph records, kufema zvakanaka, zvishoma, usanetseka.

How kubvisa ECG romusoro electrodes

Unofanira kuziva kutevedzana umo unofanira kushandisa electrodes. Nokuti zvivanakire vashandi achiitisa evanhu ichi, kuti vanotanga kuziva chinhu ECG electrode 4 mavara: tsvuku, yero, girini uye dema. Ivo seari kuitira ichi, uye hapana imwe nzira, zvimwe ari ECG mufambiro haangavi zvakakodzera. Sanganisa kunovaparadza ndechokungoti isingagamuchiriki. Naizvozvo, vashandi vezvokurapa anoshanda pamwe ECG midziyo, anodzidziswa pamwe haizopereri chokuendesa kuongorora uye kugamuchira gwaro kana kushivirira, zvokubatsira kuti kushanda chikwata ichi. Man playing ECG kudzidza, namarudzi anodawo mirayiridzo vanofanira zvakajeka kuziva electrode placement nzvimbo uye kuita kutevedzana nomazvo.

Saka, ruoko uye rutsoka electrodes vane chimiro nguva huru, asi musafunganya, iyo inoti iri rimwe gumbo zvachose nyarara, clip izvi namavara siyana uye vari vakashandisa pane dzimwe nzvimbo muviri sezvinotevera:

• Red - rworudyi chiningoningo.
• Yellow - akasiya chiningoningo.
• Green - akasiya gumbo.
• Black - rokurudyi.

Nokuiswa bhokisi electrodes

Chest electrodes mazuva ano kupinda zvakasiyana siyana, izvozvo zvinoenderana nekambani akaigadzira ECG muchina. Vakasvika kuraswa uye reusable. Disposable yamunenge kushandisa, usabva zvisaririra kusingafadzi kutsamwa paganda shure kubviswa. Asi kana pasina mumwe-kure, zvino kushandisa reusable, vari muchimiro chakafanana hemisphere uye vane tsvimbo pfuma. pfuma Izvi zvakafanira nokuti yakajeka mutsara chaizvo zvakanaka nzvimbo, zvichiteverwa Kuda kutamba panguva yakakodzera.

Okurapa, achitoziva sei kubvisa ECG, kodzero murwere riri nepanhovo, kuti zvakanaka kushandisa electrodes. Zvinokosha, Sezvambotaurwa, pre-kurapa ganda chityu murwere doro, ipapo sesaline kana kuchipatara gel. Mumwe electrode segwapa pachipfuva. Kuti zviite zvakajeka sei kubvisa ECG electrode placement zano iri kukurukurwa pazasi.

Kusvika nokuiswa electrodes pamusoro pachipfuva:

1. Pre-kuwana murwere 4th rumbabvu akaiisa pasi pamucheto electrode wokutanga, iro inomira nhamba 1. Kuti abudirire kuva electrode kune kutsvakwa nzvimbo, zvakakodzera kushandisa kubvisa pfuma.
2. 2nd electrode wakagarira somunhu 4th rumbabvu chete kurutivi rworuboshwe.
3. Ibva waenderera kuti kwete kufukidza 3rd uye 4th pakarepo electrode. Akashandisa pasi 5th rumbabvu.
4. Electrode nhamba 3 inofanira akaiswa pakati 2nd uye 4th rumbabvu.
5. 5th electrode akatasva chechi5 rumbabvu.
6. 6th electrode kumanikidza pamwero pamwe chechi5, asi vaviri masendimita pedyo kwomubhedha.

Asati nokuchinja pamusoro midziyo pakunyora ECG zvakare kuongorora kururama uye rakavimbika electrodes anechekuita. Chete ipapo unogona batidza electrocardiograph. Usati kuti, unofanira kuisa kumhanya pabepa kugadziridza dzimwe parameters. Panguva kutsikisa, murwere unofanira kuva mumamiriro ezvinhu rokuzorora zvakakwana! Panoperera mudziyo anogona kubviswa bepa cardiograph zvinyorwa uye kusunungura murwere.

Bvisa EKG vana

Sezvo zera rinogumira ECG ipapo, yokupfurisa vana ECG Zvinogonekawo. Itai nzira iyi sezvinoitwa vakuru, tichitangira mazera ose, kusanganisira achangoberekwa nguva (kazhinji ECG ichi mangwanani kuita kugadzirisa chete nokufungirana chemwoyo).

Musiyano chete pakati nenzira ECG vakuru uye mwana, ari kuti mwana anoda rinokosha nzira, zvakakodzera kutsanangura zvose uye inoratidza, adzikamise, kana zvichidikanwa. Electrodes pamuviri wemwana vari pazvinhu chete nzvimbo sezvinoitwa vakuru, uye vanofanira kuva zvakakodzera makore mwana. Kushandisa kuti ECG electrodes pamusoro muviri, uchitova dzinodanana. Kuti varege fadza vaduku murwere, zvakakosha nechokwadi kuti mwana haana kufamba munguva nzira, kumutsigira zvakazara uye tsanangura zvose zvinoitika.

Kakawanda, kugadzwa pediatricians vanokurudzira vana ECG mamwe miedzo, pamwe kurovedza muviri kana kugadzwa mushonga. miedzo izvi zvinoitiswa kuti nenguva kuona zvarakasiya ari mwana mwoyo basa zvakanaka rokuongorora chimwe chirwere mumwoyo, panguva taurira kurapwa kana kuti usanyanya kutya nevabereki uye vanachiremba.

How kubvisa ECG. vanoronga

Kuverenga zvinyorwa kwakarurama patepi, izvo pakupera nzira rinotipa muenzaniso ECG muchina Chokwadi, unofanira kuva zvokurapa dhigirii. Kutsikisa vanofanira kunyatsoongorora dzokororai chiremba - internist kana cardiologist kuti nenguva uye yakarurama chirwere murwere. Saka, chii chaungaita anotiudza isinganzwisisiki munyonga zvinosanganisira mazino, munhu wacho zvikamu pa zvikamu? Ngatitaurei edza kunzwisisa izvi.

Kutsikisa ichaongorora kuti sunga mwoyo nguva dzose, anoona kwemwoyo, chinangwa excitation conductive mano pomwoyo, kutsunga moyo pachinhu akabatana, mamiriro vanonzi nemazino mushonga Heart.

Pakarepo pashure pokuverenga ruzivo chiremba ECG anogona kuita chirwere uye taurira kurapwa kana kupa mazano inodiwa kuti zvichaita yekudyidzana rikurumidze apore uye achadzivirira pamusoro zvakakomba matambudziko, uye Chikurukuru - nguva rakabudisa ECG anogona kuponesa upenyu hwomunhu.

Zvinofanira kurangarirwa kuti mukuru yakasiyana cardiogram cardiogram mwana kana mukadzi ane pamuviri.

Ko ECG Nhungirwa vakadzi vane pamuviri

Mune zvimwe zviitiko, akarayira kumbotambudzika unonzi, electrocardiograph mumwoyo mukadzi pamuviri? Kana unotevera kugamuchira panguva obstetrician murwere akanyunyuta pamusoro muchipfuva marwadzo, kupfupika mweya, guru oscillations BP kuzvidzora, kutemwa nomusoro, kufenda, dzungu, ipapo Ungangove, chiremba ane ruzivo vanonyorera muitiro, kuti nenguva kuramba kufungidzira zvakaipa uye kudzivisa ipa nemigumisiro utano ramangwana amai uye mwana wake. Contraindications narwo unonzi, electrocardiograph panguva pamuviri haadaro.

Vamwe kunenge pamberi vakaronga nzira ECG hutachiwana

Asati nokubvisa ECG, murwere inofanira kurayiridzwa pane zvinhu vanofanira kuita zuva risati uye zuva rokubvisa.

• Pausiku dzinokurudzira kurega tsinga overvoltage, uye nguva kurara anofanira kuva maawa anopfuura 8.
• Pazuva pakukurukura inoda zvishoma zvemangwanani chikafu chiri nyore digestible, rinofanirawo mugariro - kuti vasadyisa.
• Siya nokuti 1 zuva zvigadzirwa chokuita mwoyo, nokuti simba Somuenzaniso, kofi kana tii, kupisa zvinonhuwira, zvinwiwa zvinodhaka, uye kusvuta.
• Regai kushandisa paganda maoko, tsoka, muchipfuva, mumakenduru uye lotions, izvo zvinoitwa mafuta acids anogona achiipa paya conductivity yezvokurapa gel paganda asati kushandisa electrodes.
• Zvakafanira Mhedziso akadzikama pamberi ECG uye kusunungura panguva nzira.
• Iva nechokwadi zuva nzira yokubvisa mumuviri nesimba.
• Pamberi nzira, unofanira kugara chinyararire anenge 15-20 maminitsi, kufema akadzikama, kunyange.

Kana nyaya akamboona zvakasimba dyspnea, ipapo anofanira kutora nzvimbo iri nhema ECG, uye akagara, nokuti zvakadaro nzvimbo muviri mudziyo anogona zvakarurama kunyora cardiac arrhythmia.

Cardiologists vanokurudzira atakure nzira kuvanhu vose, pasina chaakasiya pashure pemakore 40, kamwe pagore.

Chokwadi, pane mamiriro ezvinhu pasi izvo zvachose haagoni unonzi, electrocardiograph, zvinoti:

• In chenjera myocardial infarction.
• Kusagadzikana angina.
• Heart kukundikana.
• Dzimwe mhando arrhythmia ose zvisingazivikanwi etiology.
• Kwazvo marudzi kutsemuka stenosis.
• Syndrome Pe (pulmonary embolism).
• Tutira kutsemuka aneurysm.
• Chenjera anogumbura zvirwere zvomwoyo tsandanyama uye pericardial tsandanyama.
• Zvakakomba zvinotapukira.
• Zvakakomba kwepfungwa chirwere.

ECG girazi urongwa zvomukati

Zzerkalnoe urongwa zvomukati chinoreva nzvimbo yavo yakasiyana netsika, kana mwoyo hazvisiyiwi uye zvakarurama. Izvi zvinoshandawo dzimwe nhengo. Izvi zvisinganyanyi kuitika, zvisinei zvinoitika. Kana murwere ane girazi urongwa zvomukati kumbotambudzika ramakanzi ECG, anofanira vanonyevera mureri wake chaiwo uyo achaita nzira iyi. Young Nyanzvi kushanda nevanhu girazi-mufananidzo zvomukati, muchiitiko ichi, mubvunzo unomuka: sei kubvisa ECG? Right (Kubviswa algorithm ndiro rinonyanya chete), kuti electrodes anoiswa pamusoro muviri zvakafanana kuti varwere vanhuwo waizoitirwa kuruboshwe.

Chengetedza utano hwako uye utano hwavo vadiwa!