Kodi kugwiritsa ntchito tonometer makina: malangizo, malangizo ndi ndemanga

Kugwiritsa ntchito chipangizo magazi pakompyuta kuthamanga muyeso tsopano ambiri akuvomereza. Koma nthawi zina, funso n'lakuti, momwe ntchito tonometer makina. Iwo likukhalira kuti ntchito chipangizo makina tikuonera anthu ndi atherosclerosis makamaka achikulire. Nthawi zonse, pamene ziwiya magazi simuli tcheru zamakono muzigwiritsa ntchito zida makina.

Kodi ndi tonometer mawotchi

Pofuna kumvetsa mmene ntchito bwino ndi tonometer makina, muyenera kudziwa mmene ntchito, ndi chimene ife kuyeza ndi chida ichi. Aliyense makina tonometer kuona wa magazi ayenera zigwirizana ndi magawo awiri:

• mwini makina tonometer;
• stethoscope.

M'pofunika kunena mwakamodzi kuti chipangizo lakonzedwa kuonetsetsa kuti anayeza mavuto awiri: dokotala ndiponso oleza mtima. Anabwera ndi Russian dokotala ake N. Korotkov mu 1905, lero ndi njira lonse kuti ntchito kulikonse.

Bukuli lili ndi mfundo zomveka (auscultatory) kuwunika ntchito ziwalo mkati. Tikhoza kuyeza magazi mu mitsempha (ndipo osati mitsempha) kudzera anaziika (pa mtsempha wamagazi ndi zozungulira). Pamene kuyeza kuthamanga diastolic a kuthamanga chapamwamba anayeza poyamba (pamene kamvekedwe wapamwamba), kenako m'munsi (zonse attenuation) - systolic. Zimenezi zimathandiza kuti chithunzi chooneka bwino chimene pang'ono anakhudzidwa ndi kayendedwe ka dzanja kapena arrhythmia wodwala.

Mwa kuipa kwa njira zinthu mwangwiro anthu:

• Lamulo pamaso pa ukatswiri muyeso;
• kumva bwino ndi maso;
• kusowa zodabwitsa mtima "auscultatory kusiyana" ya "Mawu wopandamalire";
• kufunika zonse sphygmomanometer calibration yachinsinsi.

Kuyeza magazi ndi chipangizo imeneyi kungakhale paokha. ochepa okha kutsatira malamulo osavuta komanso kutsatira malangizo. Ndi zabwino kwambiri kuphunzira mmene ntchito tonometer makina, ndipo mukhoza kusamalira popanda mavuto molondola ndipo mwamsanga kuyeza magazi yokha.

Choncho, ndi makina tonometer khafu kuti ayenera kuvala forearm, blower ndi kufufuma mpweya n'zotsimikizira (kuyang'ana zizindikiro). M'madera onse cholukanalukana ndi chubu mwa zomwe mpweya chimachititsanso. Payokha akachita stethoscope.

Pamene anakokomeza ndi khafu mu mlengalenga, ife tikumva kwambiri okwera kamvekedwe, ndiye pulsing, umene kuchepa. Anamva mtengo wapatali kwambiri ndipo ndi chizindikiro cha systolic, ndipo kodi ife adzamva anafooka (ndi attenuation) - diastolic.

Tikambirana mu masiteji, momwe ntchito tonometer makina.

Kodi kukhazikitsa khafu

Choyamba muyenera kukhala pansi kuti chigongono ndi mkono ndi dzanja limene muyeso wa ikuchitika momasuka ili pamwamba aliyense. Mwachitsanzo, pa tabletop lapansi. Nkofunika kuchita pamaso panu kugwiritsa ntchito tonometer makina nazo. Tsopano kulumikiza ndi khafu pamwamba pa chigongono. Sitinadziyerekezere zolimba ake (popanda kufinya dzanja), koma osati ofooka.

Pa khafu ali ndi wapadera zitsulo kopanira, kuseri kwake pali velcro. Anatipatsa khafu kuti likufanana ndi fixture, izo bwino. Nthawi zonse fastens pang'ono obliquely. Si wowopsa.

Nkofunika kuti khafu yokha ili pa mlingo mtima wodwala, ndi 2-3 masentimita pamwamba pa chigongono. Ngati khafu n'chozama kapena kuposerapo chifukwa adzakhala molakwika.

Kodi kukhazikitsa ndi stethoscope

Kuti agwire muyeso mukufuna kukhazikitsa stethoscope pa mtsempha wamagazi ndi zozungulira pa chigongono khola pansi kolala.

Kutulutsa mpweya khafu yekha pambuyo anakhazikitsa stethoscope kuti malo yake.

Mayeso muyeso, ikani n'zotsimikizira kuti muvi kuoneka bwino ndi manambala pa izo. Izi kwambiri atsogolere muyeso wa. Mungafunike ndi pilo owonjezera kapena kuima.

Kodi kutulutsa mpweya

Kodi kugwiritsa ntchito tonometer makina, malangizo kwa chipangizo ndi mwamsanga. Tayang'anani pa iye, iye adzakhala mthandizi wabwino. Pamene khafu chili, m'pofunika kutulutsa mpweya kudzera blower ndi (umatchedwa mu Buku pampu).

Choyamba, siteji wononga retainer pa peyala (mpweya kumasulidwa vavu), kenako zingakweze inayi (osati wina amene muyeso wa ikuchitika) mpweya khafu lapansi. Pa nthawi yomweyo pa n'zotsimikizira kuthamanga ayenera kusonyeza kuthamanga kuposa kwinakwake anu ndimafunso aya mu mayunitsi 40. Mwachitsanzo, ngati kuthamanga ndi zambiri 120/80, m'pofunika kuti Cholozera anakafika ku 160 mamilimita Hg. Ndiye tiyeni tipite pang'onopang'ono (unscrew) valavu mpweya.

Kodi kudziwa kuthamanga yake

Kuti timvetse wina ndi kugwiritsa ntchito tonometer makina ayenera kukumbukira kuti kuyeza kuthamanga palokha, m'pofunika imodzi kumasula mpweya kuthamanga n'zotsimikizira kuti aziona muvi ndi kumvera malankhulidwe. Pamafunika ena luso ndi kwa nthawi yoyamba sungagulire. Komabe, kuphunzira mwachidule kudzakuthandizani kugwira ndondomeko mofulumira ndi kupeza chifukwa yolinganizika mkulu.

Choncho, choyamba, muvi kudzalimbikitsa pang'onopang'ono, koma mawu sadzapezekapo. amphamvu kamvekedwe ndiye kuwomba kudzakhala umboni wamphamvu kwambiri kuthamanga systolic.

Pang'onopang'ono (liwiro chimadalira pa liwiro mpweya deflating) malankhulidwe rhythmic adzafota, ndi chizindikiro mivi osachepera distinguishable phokoso - ndi kuthamanga diastolic. Mwachitsanzo, ngati mkokomo anabwera 145 mm. Mercury, na ciyezezo kwa 80 moyenera, kuthamanga kuwerenga ndi 145/80.

Khalidwe mzera kungakhale osapitirira 2 miyeso. Ngati olondola chifukwa si zoona, yopuma theka limodzi ndi kubwereza.

Sayenera amayezedwa magazi pambuyo anapita capamwamba kapena mantha. Ndipo makamaka kwa iyemwini matenda.

anati

ndemanga wosuta amati muyeso wa magazi ntchito tonometer makina ndi zolondola. kulakwa kwawo osachepera 7 mm Hg. a. Izi ndalama mwachilungamo mkulu (analogs pakompyuta angakhale ndi vuto la mamilimita mpaka 40. Hg. V.)

Ambiri amati muyeso ndi kosavuta kupeza luso kuchititsa miyezo pafupipafupi. Chinthu china zothandiza kwa owerenga anafotokoza chipangizo otchedwa ntchito yosavuta kuti sikutanthauza luso ntchito ndi njira zovuta (monga muyeso wa zamakono).

ndemanga ambiri amati ndi mtima munthu wodwala - chidzaima mu malo abwino palibe mantha ndi nkhawa pamaso muyeso wa.

Ambiri, malinga ndi mafotokozedwe a owerenga, losavuta ndi odalirika makina tonometer izo. Kodi kuyeza magazi, maganizo yafotokozedwa mwatsatanetsatane ndipo amatchedwa makina yabwino kwambiri opareshoni.