Indlela yokusebenzisa i-tonometer mechanical: imfundo, iseluleko kanye nokubuyekeza

Ukusetshenziswa kwegazi electronic kudivayisi ingcindezi nesilinganiso manje baba kwamukelwa kabanzi. Kodwa kwezinye izimo, nawu umbuzo, indlela ukusebenzisa tonometer lokukhanda. It kuvela ukuthi ukusetshenziswa idivayisi mechanical kuboniswe abantu isifo sokuqina kwemithambo yegazi kanye ikakhulukazi asebekhulile. Kuzo zonke izimo, lapho imithambo yegazi akuzona nozwelo zobuchwepheshe kufanele asebenzise ama-apharathasi lokukhanda.

Kanjani a tonometer mechanical

Ukuze uqonde ukuthi ukusebenzisa kahle a tonometer mechanical, kumelwe wazi ukuthi lusebenza kanjani, futhi yini thina ukukala nale yomculo. Noma yimuphi mechanical tonometer sokulinganisa wegazi kufanele libe izingxenye ezimbili:

• siqu tonometer ngemishini;
• iSilekeleli Sokwazisa.

Kuyadingeka ukuthi ngesikhathi esisodwa ukuthi kule divayisi yakhelwe ukuqinisekisa ukuthi kulinganiswa yokucindezela ezimbili: udokotela kanye nesiguli. Necebo udokotela ohlinzayo yayo Russian N. Korotkov ngo-1905, kodwa namhlanje i inqubo wonke amazwe omhlaba wasebenzisa yonke indawo.

Kusekelwe isimiso umsindo (auscultatory) ukuqapha umsebenzi kwezitho zangaphakathi. Asikwazi ulinganise wegazi imithambo (hhayi emithanjeni) ngokusebenzisa ukubhekwa (ngesikhathi Umthambo osabalalayo). Lapho yokulinganisa ingcindezi diastolic yokucindezela engenhla kulinganiswa ekuqaleni (lapho ithoni eliphakeme), bese ephansi (attenuation ephelele) - systolic. Lokhu kukuvumela ukuba uthole isithombe esicacile kakhulu ukuthi kancane ehlaselwe ukunyakaza esandleni noma arrhythmia sesiguli.

Phakathi bokwenza lokhu indlela yizici womuntu nje:

• khona oyisibopho nesilinganiso ngobuchule;
• ukuzwa okuhle amehlo;
• yokuntuleka imihlola nesineke "igebe auscultatory" ka "ithoni elingapheli";
• isidingo njalo yokuqinisekisa Samandla sphygmomanometer.

Kala umfutho wegazi nale divayisi elula kungaba bebodwa. Badinga kuphela ukulandela imithetho elula bese sinamathela imiyalelo. Kuyinto enhle kakhulu ukufunda indlela ukusebenzisa tonometer mechanical, futhi ungaphatha ngaphandle kwezinkinga ngokunembile futhi ngokushesha ukukala wegazi uqobo.

Ngakho, it is a mechanical tonometer cuff okumele sigqoke ibhodi lemisindo, Blower nomoya izinga lokwehla kwamandla emali gauge (izinkomba ngifuna). Zonke izingxenye oxhumene by ngamapayipi lapho umoya uhamba. Eceleni okuvalelwe IselulekoSesihenqo.

Lapho enza ihaba cuff emoyeni, sizozwa ithoni ephezulu bamisa kakhulu, ngakho-ke Ukwedlula, okuzokwenza abohle. Heard okubaluleke kakhulu futhi kuyinto inkomba we-systolic, futhi yini sizozwa umpofu (nge attenuation) - diastolic.

Manje cabanga ngezigaba, indlela ukusebenzisa tonometer lokukhanda.

Indlela ukusetha cuff

Okokuqala okudingeka ahlale phansi ukuze indololwane kanye ugalo lomkhono kanye isandla lapho nesilinganiso wenziwa ngokukhululeka esisogwini noma iyiphi indawo. Ngokwesibonelo, ku-tabletop. Kubalulekile kakhulu ukukwenza ngaphambi ukusebenzisa tonometer mechanical ngumnikazi. Manje ukubophela cuff ngenhla endololwaneni. Asizange wagqoka Friend wakhe (ngaphandle ecindezela isandla), kodwa hhayi ababuthakathaka.

On cuff has a clip metal okhethekile, ngemuva okuyinto kukhona Velcro. Setha cuff ukuze kuhambisana lwemidlalo, ngeke aphumelele. Yena unamathisela njalo kancane obliquely. Akukona scary.

Kubalulekile kakhulu ukuthi cuff ngokwayo isendaweni inhliziyo ezingeni lesiguli, kuyinto 2-3 cm ngaphezu indololwane. Uma cuff ingaphansi noma ngaphezulu, umphumela uyoba siphambane.

Indlela yokufaka IselulekoSesihenqo

Ukuze wenze ukulinganisa ufuna ukufaka indaba phezu Umthambo osabalalayo endololwaneni nesibaya ngaphansi collar.

Pump emoyeni ku cuff kuphela IselulekoSesihenqo emva kusungulwa endaweni eshiwo.

Ukuze test nesilinganiso, beka gauge ukuze umcibisholo kuyabonakala nezinombolo kuso. Lokhu kuzokwenza kakhulu lula nesilinganiso. Ungahle udinge i umcamelo esengeziwe noma ume.

Indlela ukumpompa emoyeni

Indlela yokusebenzisa i-tonometer mechanical, ukulaya kudivayisi futhi uyale. Mbukeni, izophila umsizi omuhle. Uma cuff iqinile, kubalulekile ukumpompa emoyeni nge Blower (ibizwa ngokuthi kuleli bhukwana emoyeni futha).

Okokuqala, isamba stop isikulufa on ipheya (emoyeni ukukhululwa valve), bese kufuthwe Ngakolunye uhlangothi (hhayi lapho nesilinganiso Kwenziwa) emoyeni cuff. Ngesikhathi esifanayo kwi ingcindezi gauge kumelwe sibonise ingcindezi ephakeme kunaleyo endaweni ethile yakho evamile e amayunithi 40. Ngokwesibonelo, uma ngizwa ingcindezi ngokuvamile 120/80, kubalulekile ukuthi pointer wafinyelela 160 mm HG. Bese uyayekela kancane (uyasikrufulula) valve emoyeni.

Indlela ukucacisa ingcindezi efanele

Ukuze uqonde umuntu ukusebenzisa tonometer mechanical kufanele ukhumbule ukuthi ukulinganisa ingcindezi zalo, kubalulekile kanyekanye ukukhulula umfutho womoya gauge ukuqapha umcibisholo ulalele amathoni. Kudinga abanye amakhono futhi kusukela okokuqala ngeke kutholakale. Nokho, ukuqeqeshwa emfushane kuzosiza sifeze inqubo ngokushesha futhi uthole umphumela ngokunemba high.

Ngakho kuqala, umcibisholo izoya kancane, kodwa umsindo ngeke. ithoni abanamandla bayakukudumisa ke umsindo kuyoba ubufakazi obunamandla kakhulu ingcindezi systolic.

Kancane kancane (ijubane incike ijubane emoyeni deflating) amathoni Rhythmic bayobuna, kanye inkomba umcibisholo ubuncane umsindo akachazeki - kuyinto ingcindezi diastolic. Ngokwesibonelo, uma umsindo weza 145 mm. mercury, banyamalala for 80, ngokufanele, ingcindezi ukufundwa kukhona 145/80.

Ukuziphatha irowu kungaba yini engaphezu kuka-2 Ubukhulu. Uma ukunemba umphumela ungaqiniseki, thatha ikhefu-yehora bese uphinda.

Akufanele kulinganiswa wegazi emva wakhuphukela phezulu noma kakhulu ukwethuka. Futhi nakakhulu yena ukuxilonga.

iyakhumbula

Umsebenzisi Izibuyekezo zisikisela ukuthi nesilinganiso wegazi usebenzisa tonometer awayindwayo esinembile. Iphutha wabo ngaphansi kuka 7 mm HG. a. Lokhu kulinganisela kahle eliphezulu (analogs electronic angase abe nephutha afika ku 40 mm. HG. V.)

Abaningi bathi nesilinganiso Kulula ukuthola amakhono ukuze ziqhube izilinganiso njalo. Esinye isici ewusizo abasebenzisi kudivayisi okuchazwe ngokuthi operation elula ukuthi akudingi amakhono ukusebenza izindlela eziyinkimbinkimbi (njengaku nesilinganiso zobuchwepheshe).

Izibuyekezo Abaningi bathi nesimo sengqondo somuntu siqu isiguli - uyokuma esikhundleni okuhle akukho ukwesaba nokukhathazeka phambi nesilinganiso.

Ngokuvamile, ngokuvumelana izincazelo abasebenzisi, a tonometer elula futhi enokwethenjelwa mechanical ke. Indlela ukukala blood pressure, lemibono wachaza ngokuningiliziwe futhi ukubizwa ngokuthi umshini ngempela elula ukusebenza.