Nigute ushobora gusoma monitor ya ECG umurwayi n'imikorere ya ECG?

Kugira ngo usome ECG (electrocardiogram) kuri monitor y'abarwayi, kurikiza izi ntambwe:
 
Reba amakuru y’imibare y’umurwayi, nkizina ryabo, imyaka, nigitsina, kugirango urebe ko bihuye numurwayi ukurikirana.

Suzuma ibyingenzi cyangwa kuruhuka injyana. Reba umurongo uringaniye uzwi ku izina rya isoelectric, byerekana ko ikimenyetso kidatwara ibikorwa by'amashanyarazi. Menya neza ko monite ihujwe neza kandi ko icyerekezo gifatanye neza mugituza cyumurwayi.
xv (1) Itegereze imiterere yumurongo kuri ECG ikurikirana. Menya ibice bitandukanye bigize imiterere:
 
P wave: Yerekana depolarisiyasi ya atiri, byerekana gutangira kugabanuka kwimbere.
QRS igoye: Yerekana depolarisiyasi yumuyaga, byerekana gutangira kwikuramo amashanyarazi.
T wave: Yerekana repolarisation ya ventricular, yerekana icyiciro cyo gukira kwa ventricles.
Intera ya PR: Ibipimo kuva intangiriro ya P kugeza ku ntangiriro yikigo cya QRS, byerekana igihe cyafashwe kugirango imbaraga zamashanyarazi ziva muri atriya zijye mumashanyarazi.
Intera ya QT: Ibipimo kuva intangiriro yikigo cya QRS kugeza kumpera ya T ya T, byerekana igiteranyo cya depolarisiyonike nigihe cyo kwisubiraho.
Gisesengura injyana witegereje uburinganire nuburyo buhoraho. Menya umuvuduko wumutima ubara umubare wibikorwa bya QRS mugihe runaka (urugero, kumunota). Ubusanzwe umuvuduko wumutima ugabanuka hagati ya 60-100 kumunota.
 
Menya ibintu bidasanzwe cyangwa ibitagenda neza mugukurikirana ECG, nka arththmias, impinduka ziterwa na ischemic, imiyoboro idasanzwe, cyangwa izindi ndwara z'umutima. Baza inzobere mu by'ubuzima cyangwa inzobere mu mutima niba udashidikanya cyangwa ukabona gutandukana gukomeye kuva bisanzwe.
 
Imikorere ya ECG (Electrocardiogram) nugupima no kwandika ibikorwa byamashanyarazi yumutima. Nibikoresho bidasuzumwa bidasuzumwa bikoreshwa mugusuzuma injyana yumutima, igipimo, nubuzima bwumutima muri rusange. ECG ikora mugushakisha no gufata amajwi yamashanyarazi yakozwe numutima uko yanduye kandi ikaruhuka. Ibi bimenyetso by'amashanyarazi bitoragurwa na electrode ishyizwe kuruhu hanyuma ikongerwaho ikerekanwa nkigishushanyo kiri kuri moniteur cyangwa impapuro. ECG itanga amakuru yingirakamaro kubikorwa byumuriro wamashanyarazi yumutima kandi irashobora gufasha kumenya imiterere yumutima itandukanye, harimo: Umutima udasanzwe injyana (arththmias): ECG irashobora gutahura umutima udasanzwe, nka fibrillation atrial, tachycardia ya ventricular, cyangwa bradycardia. Indwara ya Myocardial (infata yumutima): Impinduka zimwe muburyo bwa ECG zirashobora kwerekana indwara yumutima cyangwa ischemia (kugabanya umuvuduko wamaraso kumutima) .Uburyo budasanzwe bwubaka: Ubusanzwe ECG irashobora gutanga ibimenyetso byerekeranye nibintu bimeze nkibyumba binini byumutima byagutse, pericardite, cyangwa kuba hari ibibazo byumutima byumutima. Ubusanzwe budasanzwe: ECG irashobora gutahura ibibazo biri mumikorere yumuriro wamashanyarazi wumutima, nka blok ya atrioventricular cyangwa bundle ishami. Ingaruka zibiyobyabwenge cyangwa ubusumbane bwa electrolyte: Imiti imwe n'imwe cyangwa ihungabana rya electrolyte birashobora gutera impinduka zihariye muburyo bwa ECG. ECG nigikoresho cyingenzi mugupima no kugenzura imiterere yumutima kandi gikunze gukoreshwa mumavuriro, mubyumba byihutirwa, no mugihe cyo kwisuzumisha bisanzwe. Ifasha abashinzwe ubuzima gusuzuma imikorere yumutima, kumenya imiti ikwiye, no gukurikirana imikorere yubuvuzi mugihe.

xv (2)

 


Igihe cyo kohereza: Kanama-09-2023