Imashini igenzura umurwayi ni yo ikoreshwa mu byuma bipima indwara (ICU). Ishobora kugenzura ECG ifite umurongo munini, umuvuduko w'amaraso (utera indwara cyangwa utaritera indwara), RESP, SpO2, TEMP n'ibindi bipimo mu gihe nyacyo no mu buryo buhindagurika. Ishobora kandi gusesengura no gutunganya ibipimo byapimwe, amakuru yo kubika, imiterere y'ishusho y'umuvuduko n'ibindi. Mu kubaka ICU, igikoresho gikurikirana gishobora kugabanywamo sisitemu yo kugenzura ifite intebe imwe n'uburyo bwo kugenzura buri hagati.
1. Ubwoko bw'umurwayi ukurikirana
Kugira ngo umuntu ahitemo icyuma gipima indwara ifata abarwaye cyane (ICU), ubwoko bw'abarwayi bugomba kwitabwaho. Nk'abarwayi b'umutima, hagomba gukurikiranwa no gusesengura indwara zifata imitsi. Ku bana bato n'impinja, hagomba gukurikiranwa C02. Ku barwayi badakora neza, hagomba no gukinwa waveform.
2. Guhitamo ibipimo by'umuvuzi ukurikirana umurwayi
Imashini ipima hafi y'igitandani cyo gikoresho cy'ibanze cya ICU. Moniteur zigezweho zigizwe ahanini na ECG, RESP, NIBP (IBP), TEMP, SpO2 n'izindi parametre z'ibizamini. Moniteur zimwe zifite module ya parameter yagutse ishobora gukorwamo module ya plug-in. Iyo hakenewe izindi parametre, module nshya zishobora gushyirwa muri host kugira ngo zivugururwe. Ni byiza guhitamo ikirango kimwe na moderi ya moniteur muri unit imwe ya ICU. Buri gitanda gifite moniteur isanzwe, module ya parameter idakunze gukoreshwa ishobora kuba nk'ibice bisimbura byombi bifite igice kimwe cyangwa bibiri, bishobora gukoreshwa mu buryo bushobora guhindurwa.
Hari ibipimo byinshi by'imikorere biboneka ku bagenzuzi ba none. Nk'ibyerekeye ECG y'abantu bakuru n'abakiri bato (ECO), ECG y'amanota 12, gukurikirana no gusesengura arrhythmia, gukurikirana no gusesengura ibice bya ST biri ku buriri, NIBP y'abantu bakuru n'abakiri bato, SPO2, RESP, TEMP yo mu bwonko n'ubuso, IBP y'imiyoboro 1-4, kugenzura umuvuduko w'ubwonko, C0 mixed SVO2, ETCO2/2, side flow ETCO2, okiside na nitrous oxide, GAS, EEG, kubara imikorere y'ibanze y'umubiri, kubara dose y'imiti, nibindi. Kandi hari imirimo yo gucapa no kubika.
3. Ingano y'icyuma gipima. Icungamutungo rya ICUnk'igikoresho cy'ibanze, gishyirwaho igice kimwe kuri buri gitanda kandi kigashyirwa ku ruhande rw'igitanda cyangwa ku nkingi ikora kugira ngo byorohe kugireba.
4. Sisitemu yo kugenzura hagati
Sisitemu yo kugenzura ikoreshwa mu buryo butandukanye ni iyo kwerekana imiterere itandukanye y’igenzura n’ibipimo by’umubiri byabonetse n’abagenzuzi b’iruhande rw’igitanda cy’abarwayi muri buri gitanda icyarimwe ku gikoresho kinini cy’igenzura ry’inyuma binyuze mu muyoboro, kugira ngo abakozi b’ubuvuzi bashobore gushyira mu bikorwa ingamba zinoze kuri buri murwayi. Mu kubaka ICU igezweho, muri rusange hashyirwaho sisitemu yo kugenzura iherereye hagati. Sisitemu yo kugenzura ishyirwa hagati mu kigo cy’abaforomo cya ICU, gishobora gukurikirana amakuru y’ibitanda byinshi hagati. Ifite ecran nini y’amabara yo kwerekana amakuru y’igenzura ry’igice cyose cya ICU icyarimwe, kandi ishobora kwagura amakuru y’igenzura ry’igitanda kimwe n’imiterere y’umuyoboro. Shyiraho imikorere idasanzwe y’igenzura ry’umuyoboro, buri gitanda gishyiramo ibipimo birenga 10, kohereza amakuru mu buryo bubiri, kandi ifite icyuma gicapa. Umuyoboro wa digitale ukoreshwa na sisitemu yo kugenzura iherereye hagati ahanini ni imiterere y’inyenyeri, kandi sisitemu zo kugenzura zikorwa n’ibigo byinshi zikoresha mudasobwa mu itumanaho. Akamaro ni uko ecran yo ku ruhande rw’igitanda n’ecran yo hagati bifatwa nk’aho ari urusobe mu muyoboro. Sisitemu yo hagati nk'umuyoboro w'itumanaho, umuyoboro wo ku ruhande rw'igitanda n'umuyoboro wo hagati bishobora kohereza amakuru mu byerekezo byombi, kandi abashinzwe kugenzura ku ruhande rw'igitanda nabo bashobora kuvugana. Sisitemu yo kugenzura hagati ishobora gushyiraho ikigo cyo kugenzura mu gihe nyacyo n'ikigo cya HIS. Binyuze mu irembo, na Web Browser ishobora gukoreshwa mu kureba ishusho y'umuyoboro mu gihe nyacyo, gukurura no kureba amakuru y'umuyoboro w'igitanda runaka, gukuramo imiyoboro idasanzwe muri seriveri kugira ngo ikorerwe amashusho, gukora isesengura ry'imigendekere, no kureba ibika kugeza ku masaha 100 y'imiyoboro ya ECG, kandi ishobora gukora isesengura ry'umuyoboro wa QRS, ST, T-segment wave, abaganga bashobora kureba amakuru y'amateka n'amakuru y'abarwayi mu gihe nyacyo ku gice icyo ari cyo cyose cy'ikigo cy'ibitaro.
Igihe cyo kohereza: 19 Mata 2022