Maxaa loo adeegsadaa?
Cudurka elektrokarabiya, ama ECG, ayaa ah baaritaanka ugu badan ee ay isticmaalaan dhakhtarrada si loo qiimeeyo xaaladda wadnaha. ECG si aad u ballaaran ayaa loo isticmaalaa maxaa yeelay waxay u muuqan kartaa xaalado kala duwan oo wadnaha ah, mashiinnada ECG ayaa si fudud loo heli karaa tas-hiilaadka caafimaadka, imtixaankuna waa sahlan yahay, khatartu waa mid khatar ah, waana mid aan qaali ahayn.
Sidee loo sameeyaa ECG?
Qofka qaba ECG-ga caadiga ah 12-jiim ah wuxuu ku seexan doonaa miiska imtixaanka isagoo xabadka la dhigo.
(Dumarku guud ahaan waxay ku hayaan burooyinkooda.) Wadarta toban electrodes (ama hogey) ayaa ku lifaaqan - mid kasta oo gacanta iyo lugta ah, iyo lixda laabta. .
Ka dibna electrodes ayaa loo isticmaalaa si loo qoro waxqabadka koronto ee wadnaha. Calaamadaha korantada waxaa loo diraa mishiinka ECG, halkaasoo laga baaraandego, laguna daabacay "ECG raadinta". Baaritaanka ECG wuxuu qaadanayaa wax ka yar 5 daqiiqo si loo fuliyo.
Muxuu Eeg Daaweeye Eryida?
Sawirka boggani wuxuu muujinayaa ECG caadiga ah, caadi ah . Calaamadaha korantada ee laga sameeyay tobanka electrodka ayaa lagu shaqeynayaa 12 "aragtiyo" ee hawlaha korontada wadnaha - ee loo yaqaan "ECG 12-lead". Marka la eego wax kasta oo aan caadi ahayn ee ECG, iyo in la arko taas oo horseedi karta cilladahaas cilladahan, dhakhtarku wuxuu heli karaa tilmaamo badan oo muhiim ah oo ku saabsan xaaladda wadnaha.
Macluumaadkee ayaa laga baran karaa ECG?
Laga soo bilaabo raadinta ECG, macluumaadka soo socda ayaa la go'aamin karaa:
- garaaca wadnaha
- haddii ay jiraan arrin xannuunsan oo wadnaha ah , sida dhismooyinka qufuca oo hore ama fibrillada atrial .
- haddii ay jiraan "isbeddellada is-qaadsiinta" (sida caadiga ah ee aan isbeddelka korontada ku faafineynin wadnaha), sida xirmo xirmo ah .
- ha ahaato calaamad muujinaysa sii socoshada joogtada ah ee sii socota
- haddii ay jiraan calaamado muujinaya cudurka halbowlaha wadnaha (CAD)
- haddii muruqa wadnaha uu noqdo mid si aan caadi ahayn u noqda mid aan caadi ahayn, sida kudhaca kaansarka 'hypertrophic cardiomyopathy' .
- haddii ay jiraan calaamado ku saabsan cilladaha korontada ku dhasha, sida Brugada syndrome .
Dhammaan sifooyinkaa kuwan ayaa muhiim u ah. Iyadoo ECG-da ay si cad u ogaan karto xaaladaha wadnaha qaarkood (sida xaalad wadnaha ah), waxaa badanaa faa'iido u leh baaritaanka baaritaanka. Dhibaatooyinka laga arko ECG badanaa waxay u baahan yihiin in la raaco baaritaan kale oo dheeri ah si loo sameeyo baadhitaan adag. Tusaale ahaan, haddii ECG ay muujin karto suurta gal CAD, waxaa laga yaabaa in loo baahdo baaritaanka walwalka ama catheterization . Haddii la isku arko hypertrophy, waxaa loo baahan yahay echocardiogram inta badan loo baahan yahay si loo hubiyo cudurka wadnaha ee wadnaha (sida aortic stenosis ), ama waxyaabo kale oo aan caadi ahayn.
Waa maxay xaddidaadaha ECG?
- ECG waxay muujinaysaa garaaca wadnaha iyo garaaca kaliya inta lagu jiro dhowr ilbiriqsi oo ay qaadato si loo diiwaangeliyo ECG. Haddii xaalad degdeg ah looga shakiyo, waxaa laga yaabaa in loo baahdo in la socdo kormeerka wadooyinka .
- ECG badanaa waxay noqon kartaa mid caadi ah ama ku dhowaad caadi ah bukaanka qaba CAD ama noocyada kale ee cudurada wadnaha (natiijooyinka xun ee xun).
- Qaar badan oo "cillado" oo ka muuqda ECG waxay soo jeedinayaan inaysan lahayn muhiimad caafimaad marka la sameeyo qiimeyn dhammaystiran (natiijooyin been ah).
Goorma Lahaa Inaad Qaadato ECG?
Waa macquul in dhakhtarkaagu uu sameeyo ECG marka ugu horaysa isaga ama iyadu adiga ku arko, sida daraasadda asaasiga ah. Tijaabadan ayaa markaa la barbardhigayaa imtixaan dambe si loo eego in wax isbeddel ahi dhacay.
Waxaa sidoo kale macquul ah in la sameeyo ECG sida qayb ka mid ah baaritaanka caafimaadka ee sanadlaha ah haddii aad hore u qabay cudurka wadnaha, ama haddii aad leedahay halis saameyn weyn oo ku jirta cudurka wadnaha . Si kastaba ha noqotee, haddii aad tahay qof caafimaad qaba oo aan haysan waxyaabo halis ah, khabiirada intooda badani kumagula talin karaan "caadi ahaan" sanadka ECGs.
Ilaha:
Kligfield P, Gettes LS, Bailey JJ, et al. Talooyinka loogu talagalay qaabeynta iyo tarjumaadda shaybaadhka shucaaca: qaybta I: farsamada gacanta (electrocardiogram) iyo tiknoolajiyadeeda qoraalka sayniska ee ka soo baxday Guddiga Wadnaha Akhriska ee Wadnaha Wadnaha ee Maraykanka (American Heart Association Electrocardiography and Arrhythmias Committee, Council on Cardiology); Machadka Aasiyada Kalsoonida ee Maraykanku; iyo Qalabka Wadnaha Wadnaha ee ay taageerto Ururka Caalamiga ah ee loogu talagalay Computerized Electrocardiology. J Am Coll Cardiol 2007; 49: 1109.