ECG abantwana: apho ukwenza umntwana electrocardiogram?

Electrocardiography - inkqubo yesiqhelo, nto leyo evumela ukuba ukuchaza umsebenzi imisipha yenhliziyo. ECG abantwana kuqhutywa kunyaka wabo wokuqala bezelwe. Akukho Izimo ukuba inkqubo njengoko kungekho namnye. Kutshanje, nangona bekhululwe esibhedlele iintsana ezininzi kwenza ECG ukuqinisekisa ukuba usana uphilile ngokupheleleyo.

Yintoni i ECG?

Electrocardiogram yasekwa elide ngokwalo njengoko kakhulu ulwazi, indlela elula uphando izihlunu zentliziyo. Ngenxa yale nekhono zombane zokunciphisa isixhobo kwentliziyo ezirekhodiweyo. Oku kukuvumela ukuba wenze boluvo ezizodwa ukuba zibe lula incamathele kuyo umzimba. Le pulses ziyanyuswa izihlandlo 600-700, uze kwiphakati ebizwa cardiograph. Yena decodes la mandla kwaye ibanika njengoko igrafu kwiteyiphu kwiphepha okhethekileyo. Le nkqubo ke yalula ngokupheleleyo, kuthatha ixesha elincinane, ekhuselekileyo. Ngoko ke, abantwana ECG onokuyenza ndisemncinane. Oku kuvumela ixesha ukuxilonga ezahlukahlukeneyo izifo eziyingozi kwi ixesha kangangoko.

Yintoni ingafunyanwa kwi ECG?

Yintoni i ECG ebantwaneni? Okokuqala, oko kunika Luqikelelo izinga kwentliziyo. Kwakhona ivumela ukuba ukuchonga ukuphazamiseka ezahlukeneyo ukutya, kusenokuba basilela wemagniziyam, potassium kunye nezinye electrolytes. Oku kuchongwa kwezifo ezifana, ezifana:

• isifo sentliziyo azalwa okanye lufundiwe. Myocarditis.
• yesinye ezingahambi (hypertrophy) ngentliziyo.
• iposi engabalulekanga.
• Angina.
• Heart block. Ukophulwa Uhanjiso intracardiac, izinga intliziyo.
• izifo umzimba ezibangelwa naziphi na iimeko lwezidumbu, izifo ezahlukahlukeneyo.
• Embolism miphungeni.

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Kukho amaxesha xa abantwana amisele esifubeni x-reyi. Le ndlela sincede kwi saveyi, kodwa amaninzi kusetyenziswa ukuqinisekisa nasiphi na isifo. Ukuze ufumane inkcazelo engakumbi malunga nomsebenzi intliziyo, ECG kucetyiswa abantwana. Izinto eziluncedo yale nkqubo zisekuhleni kanye. Ziintoni ezi:

• inkqubo elula ngokwayo. Abazali bayazi ukuba abantwana kukududuzela ukuqonda nasiphi intlungu, nkqu uhlobo electrode kunokubangela azifune ngetshova. Noko ke, abayi ndingamkhubekisi waziva.
• Le ndlela ilula kakhulu, loo nto ayithethi ukuba iinzame ngokukhulu, ungazenzi isigulane okanye ugqirha.
• nkqubo ezingabizi. It ungaya njenge simahla kwaye kwiiklinikhi zabucala.
• Quickness. Akumthathi imizuzu ngaphezu kwe-10 kunye onke amalungiselelo. Umntwana akabi nalo ixesha woyike. inkqubo Braves nayiphi kid.
• Kwezixhobo ze EKG ngonyaka ngamnye iphucuke ekufumaneni imisebenzi emitsha. Abawacazululayo ngenkcazelo oluneenkcukacha (ukuba ucazululo olupheleleyo izinga kwentliziyo, isihlunu ajike i longitudinal, iasi enqamlezileyo) lwenziwa xesha lifutshane kangangoko kunokwenzeka. Isiphelo ungenza ngokukhawuleza ukufumana izandla zakho.
• Akukho mfuneko yakuzixhalisa malunga indlela yokukhangela indawo ukwenza ECG. Yenza nenkqubo na eklinikhi.

iimpawu ECG kubantwana

Abazali kufuneka wazi ukuba usana umzimba oselula uneempawu zawo, kwezinye zalathisi ubudala zinokuba nomahluko. Ekwenzeni ECG abantwana oogqirha, Kakade ke, thabatha oku ingqalelo. Ngoko ke yintoni iimpawu mava abantwana ukufunda?

• Kwiintsana zingane edla ngokwenzeka ukuba ventricle ekunene olubalaseleyo. Abazali kufuneka ukoyika oku, oko nanjengokwesimo ukuba ebusaneni ukuya kwiminyaka yobukhulu balo lifinyele.
• Kwencinane sana, le mihlathana amathuba ibonisa electrocardiogram.
• Kuba intendelezo yayo ubungakanani ebantwaneni xa kuthelekiswa ne olinganise abadala, musa ukoyika kancinci kakhulu ukuba ukuwuqonda P wave eliphezulu
• Soloko wabonakalaliswa kwinani elikhulu iiplagi esifubeni, ngoko ke kuya kuvela elibi clove T.
• Xa kumda lwemithombo isingqi yokufudukela atrial.
• alternans Wave kwizakhiwo ventricular - yinto eqhelekileyo.
• Mhlawumbi ivele kwi kwafa engaphelelanga block yesebe ilungelo bundle.
• UNorma - sinus, arrhythmia sokuphefumla.
• Kukho ithuba a Q ngumtshangatshangiso nzulu phambili wesithathu umgangatho (kwiintsana).

Kamsinya nje ngenkqubo ECG wenza, unako ufumanise konke malunga ngentliziyo epheleleyo yomntwana.

ECG Conduct

Lenquba yenzelwa ngoncedo isixhobo electrocardiograph mihla. Ukuba umzimba lo mntwana ukhuselekile electrode ezizodwa kengoku nekhono zombane efunyenwe entliziyweni, abo, yena, abhaliweyo ephepheni. Ngoko njani na ECG abantwana? Ukuziqhelisa, zikhokela 12: 6 enamathele esifubeni ngokusebenzisa ngumtya-electrode, kunye nezinye electrode 6 umgangatho obekwe kwi kwesebe. Ukuze enze ECG emntwaneni usebenzisa electrode kunye nemilinganiso zancitshiswa, baba imilo ekhethekileyo ukuze azibenzakalisi esikhumbeni usana. Ezinye iikliniki usebenzise iikomityi sokufunxa ezilahlwayo, athambe kakhulu yaye musa ukundishiya akukho nentwana. Unakho ukuthenga iseti boluvo ezilahlwayo ezisanda kuzalwa.

izixhobo zale mihla zifundisa kwazi ukugcina readings kwimemori lwangaphakathi isixhobo, uzitshise phezu kwimidiya yangaphandle, ukwenza processing ephambili. Ngokupheleleyo mibhalo ye-ECG, nokutyhilwa kwalo, kunikezelo iziphumo olwenziwa ngugqirha. ufundo umntwana ngamnye ngamnye, kungenzeka abathile ukwahluka, kodwa kufuneka ukuya ngaphaya norms nokomzimba.

Indlela yokwenza umntwana electrocardiogram ngaphandle iinyembezi?

Le nkqubo akuthethi ukuba usana nayiphi na intlungu, kodwa ke ngenxa yokuba abantwana ndoyika yonke into entsha, engaqhelekanga, yaye ngokufuthi babe unbalance nkqu uhlobo lana. Ukuba nkqubo uya kuba iintsana, kungcono ukuba kuyichitha emva zisitya, xa ulele xa usana ekhululekile, engasebenziyo. Baye umntwana ECG ngaphandle iinyembezi kunokwenzeka. Abantwana sele ukuqonda ukuba kwenzeka ntoni, kufuneka ulungise kancinane. Udlale nabo endlwini ugqirha, bonisa ngenkqubo oonopopi, Khawundixelele ukuba utheni na ukuba uhambe uye kuye. Boys baphendule umdlalo omkhulu iirobhothi. Xelela unyana wakhe uya kuba robhothi anamathela kweentambo ulawulo. Ngexesha le nkqubo, uya kufuneka balele, ngathi ukuba ulele ukuze umkhosi utshaba Android abazange bakuphawule oko. Bona indlela umntwana wakho uya kunandipha ngeenyawo ukuya eklinikhi, wade ufuna ukubuyela ukudlala.

ukwenza Xa kuyimfuneko ngaphandle i electrocardiogram

Amanani abonisa ukuba nezibheno cardiologists wonke umhlali yesibini imizi emikhulu. isifo sentliziyo, ngelishwa, abasendleleni kwindawo yokuqala phakathi iingxaki ezinxulumene zempilo. Kungenxa yoko le nto zonke amazwe oluphucukileyo ezibekwe yenkqubo ECG kwiintsana kunyaka wokuqala wobomi njengoko enyanzelekileyo. Ukongeza, kuyimfuneko:

• Kunye indlela uvavanyo lonyango ukwamkelwa umyezo, esikolweni.
• Ngenxa sicatshulwa axilongwe.
• Phambi kokuba izifundo kulo naliphi na icandelo kwezemidlalo.
• Phambi imisebenzi kuyimfuneko.
• ECG kufuneka rhoqo zizifo ENT ezingapheliyo.
• Emva pneumonia, iphika, tonsils, ukuphepha iingxaki.
• Ukuba ithole yambombozela intliziyo.

Ukuba itakane esifubeni uyadinwa ngokukhawuleza owanyayo inwebu le imilebe iba cyanotic, kulo mzekelo, kufuneka nje ukwenza ECG kumntwana. ndithi kuni na wabantwana - phi. Zonke iiklinikhi kufuneka izixhobo zale mihla, evumela inkqubo elula.

Ndiqhuba ECG Kwakhona kuyimfuneko ukuba umntwana ngequbuliso andabikho zingqondweni, uyadinwa ngokukhawuleza, ubunzima ukudumba, isiyezi, iintlungu entliziyweni kunye namalungu. Qiniseka ukuba abize cardiologist ezingabantwana.

Iimpawu

Ngoko ke, siza kuqwalasela iziphumo ECG lomntwana. Ziqonde izalathisi norm eyahluke kancinane ukusuka ECG umntu isigulane omdala. Nakuba kunjalo, iimpawu ezithile ugqirha lobudala kusoloko sithabathela ingqalelo xa eguqulela izikhombisi ebantwaneni. Ngokukodwa, eli zinga intliziyo - abantwana abancinane abangaphantsi kweminyaka engama-3 unokuba isafobe enjalo ibetha 100 ukuya 110 ngomzuzu, kwaye oku njengento eqhelekileyo. Ekuhambeni kwexesha, izinga intliziyo liyancipha, yaye ukufikisa kufuneka ibonelele ngesalathisi leyo ulinganiswa ngakumbi umntu omdala (60 to 90 ibetha ngomzuzu).

Ziqonde ufundo ECG ebantwaneni, ugqirha kufuneka kuqatshelwe ukuba ngamaza ombane ukuba kwathi kwezahlulo intliziyo (kuluhlu indawo P, QRS, T) kubonakala ukusuka kwimizuzwana emininzi 120 ukuya 200, oku kulingana neesquares ezintlanu. QRS complex yenza kube lula ukwazi ukuba ventricles anemincili. Ngokuba lo lokuphumla vymeryat phakathi kwamazinyo Q kunye S, la manani kufuneka ingadluli umda ms-60 ukuya kwi-100. ingqalelo ekhethekileyo - ekunene ventricular excitation (V1-V2). Paediatric ECG ukholisa ukubonisa ukuba eli nani liphezulu ngaphezu ekhohlo. Xa ubudala, la manani zibuyele esiqhelweni.

igrafu ECG abantwana ibonisa rhoqo iinotshi, ukuqhekeka, ukuqina R-ezindulini. Loo ngomlinganiselo bekuya kuba umntu omdala babubonisa bradycardia okanye tachycardia. Kuba abantwana iqhelekile.

Sasidla ngokuthetha ngendlela imimiselo kwezalathisi. Noko ke, musa ukuzama ukuze ziqonde i iziphumo electrocardiogram, lo mba kufuneka azibandakanye ugqirha abanezakhono kakhulu.

uxilongo ezongezelelweyo

Ukuba umntwana lowo uneminyaka engaphezu kwama emithathu ukufumana iziphumo ezichanekileyo uyamenywa ukuba ubambe i electrocardiogram kunye umthwalo. Oko kukuthi, kuqala, ukuba readings nokuphumla, uze emva kokuba umsebenzi othile, excitation (baby ukunika ukuba bajije ibhayisikile, tsiba).

Ukuba umntwana labonisa ezinye izinto ezinxaxhileyo ukufunda eziqhelekileyo, isigulane kufuneka uthunyelwe uvavanyo olongezelelweyo. Kwathi ultrasound intliziyo. inkqubo non-invasive na yalula ngokupheleleyo, asisebenzisi nayiphi na indlela ebuhlungu.

Emva koko, ukuchaza encediswa Itomography ikhompyutha uze uchonge nasiphi na isifo kwentliziyo.

Isiphelo - Abazali kufuneka esweni ngokusondeleyo impilo yabantwana babo, kunye nokuqhuba imigaqo ECG nje kufuneka kwenziwe rhoqo, Kulungile - kanye ngonyaka.