Maonedwe: 0 Wolemba: Mkonzi wa Khoto Lolemba: 2025-04-22: Tsamba
Kuwunika kuthamanga kwa magazi kumafunikira kuti mugwiritse ntchito zamankhwala azaumoyo, koma kuwerenga kumatha kukhala kosiyanasiyana pakugwiritsa ntchito njira. Njira ziwiri zoyambirira zosafunikira ndi:
Njira ya Oscillumetric (yomwe imagwiritsidwa ntchito mu zida zamagetsi)
Njira yolira ya korotkoff (muyezo wagolide ndi Maungumatometers)
Bukuli likufanizira kulondola kwawo, zabwino ndi zolemetsa , ndi kugwiritsa ntchito milandu yokuthandizani kusankha.
Opangidwa ndi dokotala waku Russia R. Korotkoff, njirayi imafunikira:
Kutulutsa cuff kuti muletse magazi am'mimba.
Pang'onopang'ono kumasula kukakamizidwa pomvera stethoscope ya korotkoff :
Kupsinjika kwa systolic : Kutulutsa koyamba 'Kutulutsa ' (gawo i).
Kupanikizika kwa diastolic : zikamveka (gawo la V).
: Kulondola kwambiri mulingo wazachipatala womwe umachitika molondola.
✅ Kutsimikizika kuchipatala : amakonda m'zipatala chifukwa chodalirika.
⚠️ Imafunika Kuphunzitsa : Ogwiritsa ntchito osagwirizana amatha kumveka kapena kulakwitsa.
⚠️ Nyuzipepala : Phokoso lakumbuyo limatha kusokoneza kuwerenga.
Milandu yapadera : Kwa odwala omwe ali ndi mikangano, kukakamizidwa kwa diastoloc kungafune gawo la IV (mawu osokonekera).
Zipatala & zipatala komwe akatswiri ophunzitsidwa amagwiritsa ntchito zida za mercury kapena zowoneka.
Zipangizo zamagetsi zimazindikira kupanikizika kwa oscillation mu cuff omwe amayambitsidwa ndi mikangano yamagetsi, kenako amawerengera pogwiritsa ntchito algorithms:
Systoloc / diastolic ndende : Kuchokera ku Oscillation 3s Patterns (mwachitsanzo, nsonga masitepe ambiri.
✅ Zogwiritsa ntchito mokwanira, zomwe zingagwiritsidwe ntchito kunyumba .
✅ zimachepetsa cholakwika cha munthu : palibe steoscope zofunika.
✅ Kusinthasintha : Zipangizo zina zimasokoneza ana kapena pakati.
⚠️ algorithm kusiyanasiyana : Kulondola kumatengera kuwerengera kwa omwe amapanga.
: Kukhuta kwa arrhythmia Nyama zosakhazikika (mwachitsanzo, afib) zimatha kusokoneza kuwerenga.
Makina oyenera kwambiri : Kuchita bwino kumakhudza zotsatira zake.
⚠️ Kusokonezedwa ndi mayendedwe : kumafunikira mkono woyenera (pamtima).
Kuwunika kunyumba & 24-ma ambulatory.
Pangani | Korotkoff Poney | Oscillumetric Njira |
---|---|---|
Kachitidwe | Stethoscope amamvera mawu | Amazindikira Cuff Oscillations |
Kugwiritsa Ntchito Kugwiritsa Ntchito | Pamafunika maphunziro | Kukhudzika kamodzi |
Mtundu wa chipangizo | Mercury / Aneroid Spohygmomanometer | Digito polojekiti |
Zinthu Zosokoneza | Phokoso lozungulira | Kuyenda, arrhythmias |
Kulunjika | Muyezo wagolide | Imasiyana ndi chipangizocho (omaliza-omaliza oyandikira Korotkoff) |
Kulondola Mafunso?
Joytech motitors amakwaniritsa ± 3mmhg molondola , kupitilira miyezo yapadziko lonse (AAMI / ES).
MVM (amatanthauza kuyeza koyenera) : kumapangitsa kuwerenga kochuluka kwa kusasinthika.
Zolakwika za arrhythmia?
Zithunzi zowonjezera za ECG yotsimikizika ndi mafunde oyimitsa ndi zizindikiro za ECG.
Kuzindikira kwa IHB / AFIB kumachenjeza ogwiritsa ntchito mosasamala.
Zoyenera?
Imapereka kukula kawiri (22-36cm ndi 22-42cm) kuti mukhale oyenera.
Zolakwika zosuta?
Zidziwitso zenizeni za 'Kuyenda Kwambiri ' kapena 'cuff '.
Njira ya Korotkoff imakhalabe yolondola kwambiri muzachipatala, koma kudalira kwake kwa ophunzitsidwa bwino kumatha kugwiritsa ntchito kunyumba. Kuyang'anira tsiku ndi tsiku:
Gwiritsani ntchito malo owonetsera oscillumetric (ngati ± 3mmhg) kuti muthe.
Chotsani nthawi ndi nthawi ndi ma korotkoff muofesi ya dokotala.
Njira yachiwiriyi imawonetsetsa zodalirika zazitali.