Habka oscillometric vs Korotkoff Qaabka: Waa kuwee farsamada korjoogteynta cadaadiska dhiig karka ee kugu habboon adiga?

Korjoogteynta cadaadiska dhiigga ee saxda ah ayaa muhiim u ah maaraynta caafimaadka, laakiin akhrinta ayaa ku kala duwanaan kara iyadoo kuxiran farsamada cabirka. Labada habab ee ugu horreeya ee aan wax-u-dhigis ahayn waa:

• Habka oscillometric (loo isticmaalo aaladda elektiroonigga ah)

• Habka dhawaaqa Kotkoff (heerarka dahabiga ah ee leh sphygmomalieters)

Hagahan ayaa isbarbar dhigaya saxsanaanta, faa'iidooyinkooda iyo qasaarooyinka , iyo kiisas adeegsi habboon oo kaa caawinaya inaad doorato.

1. Habka dhawaaqa Kotkoff

Sida ay u shaqeyso

Waxaa soo saaray dhakhtarka Russia Dr. Kotkoff, farsamadan ayaa u baahan:

1. Sifeynta cuff si loo horjoogsado qulqulka dhiig-baxa maskaxda.

2. Si tartiib tartiib ah u sii daaya cadaadiska inta aad dhageysaneyso stethescope-ka ee codadka Korotkoff :

• Cadaadiska Systolic : Guuldarada koowaad ee maqalka '' '(wejiga i).

• Cadaadiska diastolic : Marka dhawaqyadu baaba'aan (wajiga v).

Faa'iidooyinka

✅ Saxnaanta ugu sareysa : ayaa weli ah heerka dahabka caafimaad marka si sax ah loo sameeyo.
✅ Ansixinta caafimaad : Waxaa lagu doorbiday cisbitaalada isku halaynta.

Xadidaadaha

⚠️ Waxay u baahan tahay tababar : Isticmaalayaasha aan xiisaha lahayn ayaa laga yaabaa inay ku dhawaaqaan dhawaaqyada ama si khaldan loo yaqaan 'stethoscope'.
⚠️ Faragelinta Buuq : Buuqa asalka ah wuxuu saameyn ku yeelan karaa akhriska.
⚠️ Kiisaska gaarka ah : bukaannada qaba adkaanta hal-abuurka, cadaadiska diastoli kara waxay u baahan karaan wajiga IV (dhawaqyada mufface).

Ugu fiican

• Rugaha caafimaadka & isbitaalada halka xirfadlayaal tababaran ay isticmaalaan meerkurida ama aaladaha anagaga.

2. Qaabka oscillometric: xalka kormeerka guriga ee ku habboon

Sida ay u shaqeyso

Aaladaha elektiroonigga ah ayaa lagu ogaanayaa cadaadiska cadaadiska cadaadiska cuff ee ay sababaan qalloocyo halbowle ah, ka dibna xisaabi qiirada iyadoo la adeegsanayo algorithms:

• Cadaadiska Systolic / Distalic : Waxaa laga soo qaatay qaababka oscillation (tus,, cabirka codka sare).

Faa'iidooyinka

✅ Adeegsiga-saaxiibtinimo : si buuxda otomaatig ah, oo ku habboon isticmaalka guriga .
✅ wuxuu yareeyaa qaladka aadanaha : majiro stethoscope-ka loo baahan yahay.
✅ La qabsiga : Qalabka qaarkood waxay la qabsadaan carruurta ama uurka.

Xadidaadaha

⚠️ Isticmaalka algorithm : saxsanaanta waxay kuxirantahay xisaabinta hantida soo-saaraha.
⚠️ Arrinta arrhythmia : wadnaha wadnaha aan caadiga ahayn (tus.,, Fobb) ayaa laga yaabaa inay khalkhal geliyaan akhriska.
⚠️ cuff waxay ku habboon tahay Halis : Cirbid aan habooneyn ayaa saameyn ku leh natiijooyinka.
: Faragalinta dhaqdhaqaaqa waxay u baahan tahay booska hubka saxda ah (heerka wadnaha).

Ugu fiican

• Kormeerka kormeerka guriga & 24-saac ee ka hortagga ah.

3. Kala duwanaanshaha muhiimka ah: oscillometric vs Korotkoff

4. Sidee Joytteech waxay wadaysaa saxsanaanta oscillollollemetric

Wax ka qabashada walaacyada guud

Sax ahaanta su'aasha la garan karo?

• Joytecch Kormeerayaasha waxay gaaraan ± 3mmHG sax , oo ka badan heerar caalami ah (Aami / ESH).

• MVM (Cabbirka qiimaha qiimaha) : celcelis ahaan akhriska aqriska badan ee ku saabsan joogteynta.

Khaladaadka arrhythmia?

• Moodhyada tusaalaha eCG-awood u leh mowduucyada garaaca wadnaha ee garaaca wadnaha ee calaamadaha ECG.

• IHB / OFIB OGOLKA U diga isticmaaleyaasha istaagaan la'aanta.

Arimaha cuff ku habboon?

• Waxay bixisaa laba cabir (22-36cm iyo 22-42CM) si ay ugu habboon yihiin.

Khaladaadka isticmaalaha?

• Digniinaha waqtiga-dhabta ah ee loogu talagalay 'dhaqdhaqaaq xad dhaaf ah ' ama 'ama ' caloosha adag.

5. Talobixin xirfadeed

Habka Korotkoff ayaa weli ah ikhtiyaarka ugu saxsan ee goobaha rugta caafimaad, laakiin ku tiirsanaanta shaqaalaha tababaran ayaa xadidaya isticmaalka guriga. Wixii kormeer maalinle ah:

• U adeegso kormeere oscillometric oo ansax ah

• Ka eeg si gaar ah u samee cabbiraadaha Kotkofff ee xafiiska dhakhtarkaaga.

Qaabkan labajibbaaran wuxuu xaqiijinayaa raadraaca muddada dheer lagu kalsoonaan karo.