Imashini ipima ibipimo byinshi itanga amakuru y'ingenzi ku barwayi bo kwa muganga hamwe n'igenzura ry'indwara. Imenya ibimenyetso bya ecg by'umubiri w'umuntu, umuvuduko w'umutima, umwuka wa ogisijeni mu maraso, umuvuduko w'amaraso, inshuro zo guhumeka, ubushyuhe n'ibindi bipimo by'ingenzi mu gihe nyacyo, ikaba ubwoko bw'ibikoresho by'ingenzi byo gukurikirana ibimenyetso by'ingenzi ku barwayi.YonkerIzatanga ibisobanuro bigufi ku bibazo n'amakosa bisanzwe mu gihe cyo gukoreshamoniteur ya multiparameterKu bibazo byihariye, ushobora kureba serivisi ishinzwe abakiriya kuri interineti.
1. Ni irihe tandukaniro riri hagati y’imashini ziyobora umutima zifite lead 3 n’iziyobora 5?
A: Electrocardiogram ifite lead 3 ishobora kubona gusa electrocardiogram ya I, II, III, mu gihe electrocardiogram ifite lead 5 ishobora kubona I, II, III, AVR, AVF, AVL, V.
Kugira ngo tworohereze guhuza vuba, dukoresha uburyo bwo gushyira amabara kugira ngo dufate vuba electrode mu mwanya ujyanye nayo. Insinga 3 z'umutima zikoresha ibara ry'umutuku, umuhondo, icyatsi kibisi cyangwa umweru, umukara, umutuku; insinga 5 z'umutima zikoresha ibara ry'umweru, umukara, umutuku, icyatsi kibisi n'umukara. Insinga ebyiri z'umutima zikoresha ibara rimwe zishyirwa mu myanya itandukanye ya electrode. Ni byiza gukoresha amagambo ahinnye RA, LA, RL, LL, C kugira ngo umenye aho iherereye kuruta gufata ibara mu mutwe.
2. Kuki ari byiza kwambara igipfukisho cy'intoki mbere na mbere cyuzuye umwuka wa ogisijeni?
Kubera ko kwambara agapfukamunwa k’urutoki gapima umuvuduko w’amaraso (oximetry) byihuta cyane kuruta guhuza insinga ya ecg, bishobora gukurikirana umuvuduko w’umutima w’umurwayi n’umuvuduko w’amaraso mu gihe gito, bigatuma abakozi bo kwa muganga barangiza gusuzuma ibimenyetso by’ibanze by’umurwayi vuba.
3. Ese agakoresho k'urutoki ka OXImetry n'agakoresho ka sphygmomanometer bishobora gushyirwa ku rugingo rumwe?
Gupima umuvuduko w'amaraso bizahagarika kandi bigire ingaruka ku mikorere y'amaraso mu mitsi, bigatuma habaho kugenzura neza ubwinshi bw'umwuka wa ogisijeni mu maraso mu gihe cyo gupima umuvuduko w'amaraso. Kubwibyo, ntibyemewe kwambara agatambaro k'intoki gapima umwuka wa ogisijeni n'agakoresho ko gupima uburebure bw'umubiri ku rugingo rumwe mu rwego rwo kwa muganga.
4. Ese electrodes zigomba gusimburwa igihe abarwayi barimo bakomezaECGgukurikirana?
Ni ngombwa gusimbuza electrode, iyo electrode ifashe igihe kirekire ku gice kimwe bizatuma habaho uduheri, uduheri, bityo ugomba gusuzumwa uruhu kenshi, nubwo uruhu rwaba rutameze neza, ugomba no gusimbuza electrode n'aho ifata buri minsi 3 kugeza kuri 4, kugira ngo uruhu rutibasirwa n'ibyangiritse.
5. Ni iki tugomba kwitaho mu kugenzura umuvuduko w'amaraso udakoreshejwe mu buryo butunguranye?
(1) Witondere kugenzura fistula y'imbere, hemiplegia, ingingo zifite uruhande rumwe rwo gucibwamo kanseri y'ibere, ingingo zifite infusion, n'ingingo zifite edema na hematoma hamwe n'uruhu rwangiritse. Hakwiye kandi kwitabwaho abarwayi bafite imikorere mibi yo gufungana kw'amaraso n'indwara ya libriform cell kugira ngo hirindwe amakimbirane aterwa n'ubuvuzi aterwa no gupima umuvuduko w'amaraso.
(2) Igice gipimirwa kigomba gusimbuzwa buri gihe. Impuguke zivuga ko kigomba gusimbuzwa buri masaha 4. Irinde gupima buri gihe ku rugingo rumwe, bigatera purpura, ischemia no kwangirika kw'imitsi mu rugingo gukurura n'agapfukamunwa.
(3) Mu gupima abantu bakuru, abana n'impinja, ugomba kwita ku guhitamo no guhindura agaciro k'igitambaro n'umuvuduko. Kubera ko umuvuduko ushyirwa ku bantu bakuru ku bana n'impinja ubangamira umutekano w'abana; Kandi iyo igikoresho gishyizwe mu mwana ukiri muto, ntikizapima umuvuduko w'amaraso w'umuntu mukuru.
6. Guhumeka bigaragazwa gute nta moudel ikurikirana guhumeka?
Guhumeka kuri elektrode za elektrocardiogram bishingira kuri elektrode za elektrocardiogram kugira ngo zumve impinduka mu guhagarara k'igifu no kwerekana imiterere y'umuraba n'amakuru y'ubuhumekero. Kubera ko elektrode zo hepfo ibumoso n'izo hejuru iburyo ari elektrode zifata umwuka, aho zishyirwa ni ingenzi. Elektrode ebyiri zigomba gushyirwa ahantu hagororotse mu buryo bushoboka bwose kugira ngo haboneke umwuka mwiza wo guhumeka. Niba umurwayi akoresha cyane cyane guhumeka mu nda, elektrode yo hepfo ibumoso igomba gushyirwa ku ruhande rw'ibumoso aho umwuka wo mu nda ugaragara cyane.
7. Ni gute washyiraho intera y'intabaza kuri buri parametero?
Amahame yo gushyiraho inzogera: kugira ngo umurwayi agire umutekano, kugabanya urusaku rubangamira, ntibyemewe gufunga akazi k'inzogera, keretse iyo ifunze by'agateganyo mu gihe cyo gutabara, inzogera ntishyirwa mu rugero rusanzwe, ariko igomba kuba iy'umutekano.
Ibipimo by'impanuro: umuvuduko w'umutima uri hejuru ya 30% no munsi y'umuvuduko w'umutima we; Umuvuduko w'amaraso ushyirwaho hakurikijwe inama za muganga, imiterere y'umurwayi n'umuvuduko w'amaraso w'ibanze; Kuzura kwa ogisijeni bishyirwaho hakurikijwe imiterere y'umurwayi; Ingano y'impanuro igomba kumvikana mu rwego rw'akazi k'umuforomo; Ingano y'impanuro igomba guhindurwa igihe icyo ari cyo cyose hakurikijwe imiterere kandi ikagenzurwa nibura rimwe mu gihe cy'akazi.
8. Ni izihe mpamvu zituma ecran ya ecg monitor idakora neza mu buryo bw'izuba?
1. Electrode idafatanye neza: ikimenyetso kigaragaza ko icyuma gifunganye, biterwa nuko electrode idafatanye neza cyangwa electrode ihanaguwe bitewe n'uko umurwayi agenda.
2. Ibyuya n'umwanda: umurwayi arabira ibyuya cyangwa uruhu ntirusukuye, ibyo bikaba bigoye gutwara amashanyarazi, bigatuma amashanyarazi adakora neza mu buryo butaziguye.
3. Ibibazo by'ubwiza bwa electrode y'umutima: electrode imwe itarabikwa neza, yarangiye cyangwa ishaje.
4. Ikosa ry'insinga: Insinga irashaje cyangwa yacitse.
6. Electrode ntabwo ishyizwe neza.
7. UMUGOZI uhuza n'ikibaho cya ECG cyangwa ikibaho cy'ingenzi cyangwa ikibaho cy'ingenzi cy'ubuyobozi ufite ikibazo.
8. Insinga y'ubutaka idahujwe: insinga y'ubutaka igira uruhare runini mu kwerekana imiterere isanzwe y'umuraba, ntabwo ari insinga itera umuraba, ni nabyo bitera imiterere y'umuraba.
9. Nta muyoboro w'amashanyarazi ugaragara:
1. Igenzura:
Ubwa mbere, kwemeza niba electrode yafatishijwe neza, kugenzura aho electrode y'umutima iherereye, ubwiza bwa electrode y'umutima, no kumenya niba hari ikibazo ku nsinga y'icyuma gifata amashanyarazi hashingiwe ku buryo electrode ifata n'ubwiza bwayo. Kureba niba intambwe zo guhuza ari nziza, no kumenya niba uburyo bw'icyuma gifata amashanyarazi buhujwe hakurikijwe uburyo bwo guhuza bwa ecg monitor, kugira ngo hirindwe uburyo bwo kubika igishushanyo mbonera butinda bwo guhuza amasano atanu amasano atatu gusa.
Iyo insinga y'ikimenyetso cya ECG idagarutse nyuma y'uko ikibazo gikosowe, wenda insinga y'ikimenyetso cya ECG iri ku kibaho cy'ibipimo ikora nabi, cyangwa insinga yo guhuza cyangwa ikibaho cy'ibanze hagati y'ikibaho cya ECG n'ikibaho cy'ibanze cyo kugenzura ikora nabi.
2. Isuzuma:
1. Genzura ibice byose byo hanze by'umutima (insinga eshatu/eshanu zikorana n'umubiri w'umuntu zigomba kuba ziyobora ku migozi itatu/eshanu ijyanye na ecg plug. Niba ubushobozi bwo guhangana butagira iherezo, insinga y'icyuma igomba gusimburwa). Uburyo: gukuramo insinga y'icyuma iyobora umutima, shyira ubuso bunini bw'icyuma cy'icyuma n'umuyoboro w'icyuma "conductivity y'umutima" ku gice cy'imbere cya mudasobwa iyobora,
2, Hindura iyi nsinga ya ecg n'izindi mashini kugira ngo wemeze niba insinga ya ecg yangiritse, ko insinga zishaje, ko pin yangiritse.
3. Iyo umuyoboro wa waveform wa ecran ya ecg ugaragaje "nta kimenyetso cyakira", bigaragaza ko hari ikibazo mu itumanaho hagati ya module yo gupima ECG na host. Niba ubutumwa bukigaragara nyuma yo kuzimya no kongera gutangira, ugomba kuvugana n'umutanga serivisi.
3. Igenzura:
1. Intambwe zo guhuza zigomba kuba nziza:
A. Hanagura ahantu 5 hihariye h'umubiri w'umuntu ukoresheje umucanga kuri electrode, hanyuma ukoreshe ethanol 75% kugira ngo usukure ubuso bw'aho upimira, kugira ngo ukureho amabara y'uruhu n'ibyuya ku ruhu rw'umuntu kandi wirinde ko electrode yahura nabi n'iyo electrode.
B. Huza umutwe wa electrode w'insinga ya electrocardioconductance kuri electrode yo hejuru ya electrode 5.
C. Nyuma yuko ethanol isukuye, shyira electrode 5 aho ziherereye nyuma yo gusukura kugira ngo zihuze neza kandi zitagwa.
2. Poropagande n'uburezi bireba abarwayi n'imiryango yabo: kubwira abarwayi n'abandi bakozi kudakurura insinga ya electrode n'insinga y'icyuma, no kubwira abarwayi n'abavandimwe babo kudashyiramo no guhindura ecran nta burenganzira, bishobora kwangiza igikoresho. Abarwayi bamwe n'abagize imiryango yabo bumva amayobera kandi bashingiye kuri ecran, kandi impinduka za ecran zizatera impungenge n'ubwoba. Abakozi b'abaforomo bagomba gukora akazi keza ko gusobanura bihagije kandi bikenewe, kugira ngo birinde kubangamira akazi gasanzwe k'abaforomo, bigira ingaruka ku mibanire y'abaforomo n'abarwayi.
3. Witondere kubungabunga icyuma gipima uruhu iyo gikoreshejwe igihe kirekire. Electrode yoroshye kugwa nyuma yo kuyikoresha igihe kirekire, ibyo bigira ingaruka ku buziranenge n'ubwiza bw'igenzura. 3-4D isimbura rimwe; Muri icyo gihe, genzura kandi witondere isuku n'imiti ku ruhu, cyane cyane mu mpeshyi.
4. Iyo hagaragaye ibibazo bikomeye mu gikoresho mu gihe cyo gusuzuma no gukurikirana ibikorwa by’inzobere, ni byiza gusaba abakozi b’inzobere mu bushakashatsi bwa ecg gusuzuma no gusuzuma no kubungabunga ibikoresho by’inzobere mu ruganda.
5. Huza insinga yo hasi mu gihe uhuza. Uburyo: Huza impera n'umuringa upfundikiye ku gice cy'ubutaka kiri inyuma y'aho uhuza.
Igihe cyo kohereza: Nyakanga-01-2022
