Yadda Kabilin Holter Suna Kama Da Sauƙaƙaƙin Yanke ECG
Ingancin Signali Da Raggama Rashin Fuskoki A Cikin Ma'ajin Yanke Mai Sauƙaƙaƙi
Yiƙuwa mai kyau na kwayar Holter yana iya canzawa dukkanin abubuwan don ilmin karfin ECG lokacin da mutum yana tafiya a tsawon rana. Wadannan kwayoyi suna amfani da fadiyoyin baki masu ƙima don hana idanin elekturumagnatifin alajjabiyoyin da muke tsakawa ma, kamar wayar mafita mo tausayi da wadannan router Wi-Fi da ke duk in. Lokacin da mutane suna tafiya ko canza halayinsu, tsari na kwayar tare da sauyawa (twisted pair) yana taimaka wajen rage bayanan da ba su so aikatace aikace. Samun sauye-sauyen impedance tsakanin 300 da 500 ohms yana tunniyar mahimmanci sosai saboda idan ba, bayanan suna farfaru har sharu, wanda yana kashewa ilimin malamari na P-waves waɗansu masu magana a kan layuka a cewa lokaci. Kasaƙen baki ana kiranin abin da ya kamata a rashin gyara a cikin shahara, kamar yadda aka furta a sakonnin kwallon kardiyo a shekarar da suka gabata, inda aka gaya cewa kusan nisa daya daga koko kadan daga koko kadaukaka na ambulatory ECG sun dawo zuwa ne sai kawai kusan kwayar kasaƙen baki. Sai ka? A wasu lokuta, yana nuna cewa akwai arrhythmia inda babu, ko kuma, kama da hanyar da ke kasaƙe canje-canjen asali na ikon kwallon. Kwayoyin mai kyau suna aika bayanan masu sauri zuwa mai ajal, yayin da suna rage adadin alarma mara iyaka ga shakaran kamar atrial fibrillation takaitaccen uku dibu da kwayoyin da qarci suke, inda babu baki mai kyau.
Kabilitya ta Katsuren, Tattara da Kalmomi don 24–72 Awa da Awa
Elastomaya mai amfani da plastik na tsawon Holter yana ba da kyau sosai a kula da kinkin kuma yana zara sosai bisa ruwa, wanda ke ba da damar yin aiki ga mutane a lokacin da suke nema, aiki ko yin abubuwan sauyi. Kabilo kuma suna da wurin dawo-dawo na asali inda karamar za su fara, abin da yawa yake mahimmanci saboda takamaten shidda daga baya biyu na uku na rashin caryawa ya fara ne saboda kabilo mara, kamar yadda ya fassara Clinical Engineering Insights a shekara ta gabashewa. Muna ganin ci gaba da kayan wuya mai karɓar hankali ba tare da latex, wanda ke kara karin rashin rashin ruwa yayin amfani da su lokaci duru. Sai kuma, kwallo mai sauƙi ke kara karin rashin rashin elektrodu. Dukin abubuwan na iya haɗawa waɗannan actually suna iya yin farko a kula da matsayin kansu a halayen ilimi. Bayanin yanayi yana nuna cewa masu ciwon sun samun rashin elektrodu na kusa da kwartar (1/4) kaananan yayin amfani da kabilo mai iya haɗawa, wanda yana nufin saukin samun bayanin sarari daga dokokin a tsawon 24 zuwa 72 hours ba tare da wasanni.
Abubuwan Tattuna Masu Lahirin Kable na Holter don Bayanan ECG na Iyanar Dokokin
Abubuwan Ƙaɓaƙiya, Tashin Kullewa, da Daukar Tsawon Tsari don Kama’aikan Sauƙi
Yin amfani da jan ƙarfe marar iskar oxygen don masu gudanarwa yana taimaka wa rage matsalolin tsayayyar lantarki da kuma hayaniya. Saitunan asibiti suna amfana daga garkuwa da yawa da aka yi da takarda da ƙwanƙwasawa wanda zai iya toshe tsangwama ta lantarki kusan kashi 90 bisa ɗari bisa ga binciken da aka buga a cikin Jaridar Injiniyan Zuciya a cikin 2022. Idan ya zo ga tsarin wayoyi, ma'aurata masu karkatarwa a zahiri suna yin aiki mafi kyau fiye da saitin layi daya mai sauƙi yana rage matsalolin crosstalk da kusan 60%. Wannan yana kawo bambanci sosai idan ana ƙoƙarin kama ainihin nau'in igiyar ruwa a lokacin waɗannan mahimman rikodin motsi. Samun tsayayyar da ta dace wani muhimmin abu ne saboda sakonni marasa dacewa suna da lalata a tsawon lokaci. Wadannan karkatarwa suna wahalar da likitoci don fassara ƙananan bayanai masu mahimmanci kamar lokacin da P waves suka fara ko yadda raƙuman T masu daidaitawa suka bayyana akan karatun ECG.
Nau'in masu haɗawa da kuma aiki tare da Holter Recorders
Alarkashen da ake amfani da su ne a cikin kayan medisin sun hada alarkashen snap, pin, da Mini-DIN na ruwa, wadanda duka su dole ne su kiyaye tsarin tushen abubuwa ta hannu da ke ƙasa da 0.5 ohms don samun rashin sigina ba. Alarkashen snap sun sa amfani da kayan haɗin launi a kuskuren elektrodu kan kuskure. Tsarin pin tana aiki kyauta lokacin da aka haɗa zuwa cikin kayan monitorin mai yawa wanda muna ganin su yanzu. Sai dai alarkashen Mini-DIN masara da kwallon? Suna kasance wurin su kuma a lokacin karatun koro mai tsawon wanda mutuwa bai iya wasu ba. Aƙalla koyaushe na gyara suna bi shariyar IEC 60601-2-47, wanda yana nufin kayan aikinsu suna aiki tare da kamar 95% na Holter recorders da ke sadarwa. Kaya’iyyar alarkashen da aka buga cikin wadannan alarkashen suna taimakawa wajen bada kama’a a dabbobin haɗin, sannan suna zama masu amintam ce kowane rana a cikin mahali mai girman aiki inda kowane sekondi ke iya muhimmiyar halayen.
Gudanar da Aiki na Kabil Holter a Cikin Ayyukan Gyara Mai Duniya
Kayan Tarihin Haɗin: Haɗin 3-Kanal vs. Haɗin Kabil Holter na 12
Kada a zaune tsarin kari da ke 3-kwayar da sauya da ke 12-lead Holter, masu iyan Allah ya hada abin da suke so su 진ندا مع ماهيمانين تسيرو كوما لارو يانزون دا يانزون. Tsarin 12-lead suna ba da malumin fassara mai zurfi wanda yau mutum ne a lokacin dubawa ga alamar matattunau ko fafutuka da kayan jarabar jini. Amma duk da haka, suna da alaƙa. Suna take karshen shekaru uku na biyu don sauya sosai kuma kwayoyi suna zama mai kyauwa kadan yayin da ma'aurata suna tafiya. Duk da haka, dukkanin dokita suna ganin cewa tsarin 3-kwayar suna aiki daidai ga karkashin yanki daga cikin arrhythmia. Alƙawalin nazarin bayyana cewa akwai kusa da karshen shekara 60 adadin kuskuren farko a rayuwarsa yayin ayyukan na yau ko yayin kusurwa dibda da sauya da ke 12-lead. Saboda haka, umarni yayi da 12-lead idan wani mutum yana bukatar sharhi mai zurfi na ST segment kafin magani ko wasu amfanin kamar haka. Ga ikon yaren na rariyar wanda ke iya samun sinyar mai kyau yana muhimmiyar, tsarin 3-kwayar maimakon ah usually aiki daidai kamar yadda ke aiki amma batake da duk abubuwan daban.
Gudummawa ta Electrode-Cable don kauna Kuskuren Kwafa kuma kiyaye Tsarin Rubutu
Haɗin electrode-skin ita ce usharin samun ECG na ambulatory ba tare da kuskure ba. Haɗin haɗin snap connectors tare da strain relief yaƙe yin rashin haɗiwa a cikin amfanin jiki ta hanyar 40%. Dandalin alhurin sun hada:
- Tsarin haɗin wani mahaɗi , kamar haɗin electrode na biyu, wanda ke tsaya yin amfani ne har ma daga dole da matsayin skin ya fara canzawa
- Tsarin gwaji na kwayar , amfani da tape don haɗa kwayoyi bisa sararin kwallen na natural don kauna karfi yayin tafiya
- Tabbatar da hydrogel mai amfani , mayar da sauya electrodes na farko a karkashin 48-hour don kiyaye tsibin skin-electrode ta hanyar karfi da ke sama da 5 kΩ
Tambayar yawan giniyoyi na iya kuma kare haɓakar alamuwar wuya ta hanyar 30%, tare da karyawa tsarin datsi. A cikin amfaniwa a halin duniya, teknik na karamar juyawa a kanshe game da electrode-cable yana kare haɓakar ruwa yayin da ya ba da izini mai kyau ga rarraba gidan fara—tare da karyawa saukin bayar alamuwa da saukin maimaitowa a cikin lokacin dorewa.
Masu Sabon Gaba (FAQ)
Wanne ne mahimmancin karamar juyawa a kabil Holter?
Karamar juyawa mai kyau a kabil Holter yana kare haɓakar alamun elektromagnetic daga kayan kari, tare da karyawa alamar ECG mai sauƙi da inganci ta hanyar kare alamar babu bukatar.
Mene ne kabil Holter an yi su da thermoplastic elastomers?
Thermoplastic elastomers suna ba da kyaukar da saukin magana, yana kare haɓakar alamuwa da rashin saukin maimaitowa, wanda ke ƙara saukin maimaitowa a cikin lokaci mai tswece.
Yaushe kabil Holter ke karyawa saukin bayar alamuwa?
Kabilin Holter suna amfani da abubuwan karkashin copper ba tare da oksujin, tsari mai yiwuwa mai ƙasa, da kuma haɓakar impedance don daina kudaden karkashi da garuruwa na ummu, wanda ke goyan sadarwar sadarwa.