Igenzura ry'abarwayi rirashobora kwerekana mu buryo bugaragara impinduka z'umutima w'umurwayi, impiswi, umuvuduko w'amaraso, guhumeka, kuzura ogisijeni mu maraso n'ibindi bipimo, kandi ni umufasha mwiza wo gufasha abaganga kumva uko umurwayi ameze. Ariko abarwayi benshi nimiryango yabo ntibabyumva, akenshi bafite ibibazo cyangwa amarangamutima, none turashobora gusobanukirwa hamwe.
01 Ibigize monitor ya ECG
Ikurikiranabikorwa ry'abarwayi rigizwe na ecran nkuru, igipimo cyo gupima umuvuduko w'amaraso (kijyanye na cuff), igipimo cyo gupima ogisijeni mu maraso (kijyanye na clip ya ogisijeni y'amaraso), icyuma gipima amashanyarazi ya electrocardiogramu (gihuza urupapuro rwa electrode), icyuma gipima ubushyuhe hamwe n'amashanyarazi.
Mugenzuzi ukurikirana abarwayi barashobora kugabanywamo ibice 5:
1) Agace k'amakuru yibanze, harimo itariki, isaha, nimero yigitanda, amakuru yo gutabaza, nibindi.
2) Agace kahindura imikorere, gakoreshwa cyane cyane muguhindura igenzura rya ECG, kariya gace gakoreshwa nabakozi bo mubuvuzi, abarwayi nabagize umuryango ntibashobora guhinduka uko bishakiye.
3) Guhindura amashanyarazi, icyerekezo cy'ingufu;
4) Agace ka Waveform, ukurikije ibimenyetso byingenzi kandi ugashushanya igishushanyo mbonera cyakozwe, kirashobora kwerekana mu buryo butaziguye ihindagurika ryimikorere ryibimenyetso byingenzi;
5) Agace ka Parameter: kwerekana ahantu hagaragara ibimenyetso byingenzi nkumutima, umuvuduko wamaraso, umuvuduko wubuhumekero na ogisijeni wamaraso.
Ibikurikira, reka twumve agace kerekana, nicyo kintu cyingenzi kubarwayi bacu nimiryango yabo gusobanukirwa "ibimenyetso byingenzi" byabarwayi.
02Agace ka Parameter ---- ibimenyetso byingenzi byumurwayi
Ibimenyetso by'ingenzi, ijambo ry'ubuvuzi, birimo: ubushyuhe bw'umubiri, impiswi, guhumeka, umuvuduko w'amaraso, ogisijeni w'amaraso. Kuri monitor ya ECG, turashobora kumva neza ibimenyetso byingenzi byumurwayi.
Hano tuzakunyuza kubibazo byumurwayi umwe.
Kurebaindangagaciro zigaragara cyane, muri iki gihe ibimenyetso byingenzi byumurwayi ni: umuvuduko wumutima: gukubita 83 / min, kuzura ogisijeni yamaraso: 100%, guhumeka: gukubita 25 / min, umuvuduko wamaraso: 96 / 70mmHg.
Inshuti zitegereza zishobora kubabwira
Mubisanzwe, agaciro kuruhande rwiburyo bwa ECG tumenyereye ni umuvuduko wumutima wacu, kandi imiyoboro y'amazi niyuzura ryamaraso ya ogisijeni no guhumeka, urwego rusanzwe rwuzuye rwa ogisijeni yamaraso ni 95-100%, kandi urwego rusanzwe guhumeka ni inshuro 16-20 / min. Byombi biratandukanye cyane kandi birashobora gucirwa urubanza. Byongeye kandi, umuvuduko wamaraso ugabanijwemo umuvuduko wamaraso wa systolique na diastolique, akenshi indangagaciro ebyiri zigaragara hamwe, umuvuduko wamaraso wa sisitemu imbere, umuvuduko wamaraso wa diastolique inyuma.
03Icyitonderwa cyo gukoreshaihangane gukurikirana
Binyuze mu gusobanukirwa intambwe ibanza, dushobora gutandukanya icyo agaciro kagereranijwe ku gikoresho cyo kugenzura bivuze. Noneho reka twumve icyo iyi mibare isobanura.
Umutima
Umutima - ugereranya inshuro umutima utera kumunota.
Agaciro gasanzwe kubantu bakuru ni: inshuro 60-100 / min.
Umutima utera <60 gukubita / min, imiterere isanzwe ya physiologique irasanzwe mubakinnyi, abasaza nibindi; Indwara zidasanzwe zikunze kugaragara muri hypotherroidism, indwara z'umutima n'imitsi, ndetse no gupfa.
Igipimo cy'umutima> 100 gukubita / min, imiterere isanzwe ya physiologique ikunze kugaragara mumyitozo ngororamubiri, kwishima, guhangayika, imiterere idasanzwe ikunze kugaragara mumuriro, guhungabana hakiri kare, indwara z'umutima-dameri, hyperthyroidism, nibindi.
Amaraso yuzuye
Kwiyongera kwa Oxygene - kwibumbira hamwe kwa ogisijeni mu maraso - bikoreshwa mu kumenya niba uri hypoxic cyangwa utabikora. Agaciro gasanzwe ka ogisijeni yamaraso ni: 95% -100%.
Kugabanuka kwuzuye kwa ogisijeni bikunze kugaragara mu guhagarika umwuka, indwara zubuhumekero nizindi mpamvu zitera dyspnea, kunanirwa guhumeka.
Igipimo cy'ubuhumekero
Igipimo cy'ubuhumekero - cyerekana umubare uhumeka kumunota agaciro gasanzwe kubantu bakuru ni: guhumeka 16-20 kumunota.
Guhumeka <inshuro 12 / min byitwa bradyapnea, bikunze kugaragara mu kwiyongera k'umuvuduko ukabije w'imitsi, uburozi bwa barbiturate ndetse no hafi y'urupfu.
Guhumeka> inshuro 24 / min, bita hyperrespiration, bikunze kugaragara mu muriro, kubabara, hyperthyroidism n'ibindi.
* Module yo gukurikirana imyanya y'ubuhumekero ya monitor ya ECG ikunze kubangamira iyerekanwa kubera kugenda k'umurwayi cyangwa izindi mpamvu, kandi igomba gupimwa n'intoki.
Umuvuduko w'amaraso
Umuvuduko wamaraso - Umuvuduko wamaraso usanzwe kubantu bakuze ni systolike: 90-139mmHg, diastolique: 60-89mmHg. Kugabanya umuvuduko wamaraso, imiterere isanzwe yumubiri mubitotsi, ibidukikije byubushyuhe bwinshi, nibindi, ibintu bidasanzwe birasanzwe: ihungabana rya hemorhagie, hafi yurupfu.
Kwiyongera k'umuvuduko w'amaraso, imiterere isanzwe ya physiologique iragaragara: nyuma y'imyitozo ngororamubiri, kwishima, ibintu bidasanzwe bigaragara muri hypertension, indwara zifata ubwonko;
Hariho ibintu byinshi bigira ingaruka ku gupima neza kwa monitor ya ECG, kandi ingamba zijyanye nabyo zizasobanurwa hano hepfo.
Igihe cyo kohereza: Kanama-14-2023
