I-Multiparameter monitor ihlinzeka ngolwazi olubalulekile ezigulini zezokwelapha ezinokuqapha ukuxilongwa komtholampilo. Ithola izimpawu ze-ecg zomzimba womuntu, ukushaya kwenhliziyo, ukugcwala komoyampilo egazini, umfutho wegazi, imvamisa yokuphefumula, izinga lokushisa kanye neminye imingcele ebalulekile ngesikhathi sangempela, iba uhlobo lwemishini ebalulekile yokuqapha izimpawu ezibalulekile ezigulini.Yonkerizokwenziwa isingeniso esifushane ngezinkinga ezivamile kanye namaphutha lapho kusetshenziswa inquboi-multiparameter monitor. Ukuze imibuzo ethize kungenziwa kuboniswane online kwamakhasimende.
1. Uyini umehluko phakathi kwezikhondakta zenhliziyo eziholayo ezi-3 nezingu-5?
A: I-electrocardiogram eholayo engu-3 ingathola kuphela i-electrocardiogram engu-I, II, III eholayo, kuyilapho i-electrocardiogram engu-5-lead ingathola i-I, II, III, AVR, AVF, AVL, V lead electrocardiogram.
Ukuze kube lula ukuxhumana okusheshayo, sisebenzisa indlela yokumaka umbala ukunamathela ngokushesha i-electrode endaweni ehambisanayo. 3 Izintambo zenhliziyo eziholayo zinemibala ebomvu, ephuzi, eluhlaza noma emhlophe, emnyama, ebomvu; Izintambo ezi-5 zenhliziyo eziholayo zinombala omhlophe, omnyama, obomvu, oluhlaza okotshani kanye nonsundu. Imikhondo yombala ofanayo wezintambo ezimbili zenhliziyo ibekwe ezindaweni ezihlukene zama-electrode. Kuthembeke kakhulu ukusebenzisa izifinyezo RA, LA, RL, LL, C ukucacisa indawo kunokukhumbula umbala.
2. Kungani kunconywa ukugqoka ikhava yomunwe yokugcwala komoyampilo kuqala?
Ngenxa yokuthi ukugqoka imaski yomunwe we-oximetry kuyashesha kakhulu kunokuxhuma ucingo lwe-ecg, kungaqapha izinga lokushaya kwenhliziyo kwesiguli kanye ne-oximetry ngesikhathi esifushane, okuvumela abasebenzi bezokwelapha ukuthi baqedele ukuhlolwa kwezimpawu eziyisisekelo zesiguli ngokushesha .
3. Ingabe umkhono womunwe we-OXImetry kanye nekhafu ye-sphygmomanometer ingafakwa esithweni esifanayo?
Isilinganiso somfutho wegazi sizovimba futhi sithinte ukugeleza kwegazi emithanjeni, okuholela ekuqaphelweni kokugcwala kokugcwala komoya-mpilo egazini ngesikhathi sokukalwa komfutho wegazi. Ngakho-ke, akunconywa ukugqoka umkhono womunwe wokugcwala komoyampilo kanye ne-othomathikhi ye-sphygmomanometer cuff esithweni esifanayo ngokomtholampilo.
4. Ingabe ama-electrode kufanele ashintshwe lapho iziguli ziqhubekaI-ECGukuqapha?
Kuyadingeka ukufaka esikhundleni i-electrode, uma isikhathi eside inamathela i-electrode engxenyeni efanayo izoholela ekuveleni kokuqubuka, amabhamuza, ngakho-ke kufanele kubhekwe isikhumba njalo, noma ngabe isikhumba samanje siqinile, kufanele futhi esikhundleni se-electrode futhi indawo yokunamathela njalo ezinsukwini ezi-3 kuya kwezi-4, ukugwema ukuvela kokulimala kwesikhumba.
5. Yini okufanele siyinake ekuhloleni umfutho wegazi ongeyona invasive?
(1) Qaphela ukuze ugweme ukuqapha i-fistula yangaphakathi, i-hemiplegia, izitho ezinohlangothi olulodwa lomdlavuza webele, izitho ezifakwe emanzini, nezitho ezine-edema ne-hematoma nesikhumba esilimele. Kufanele futhi kuqashelwe iziguli ezingasebenzi kahle ngokujiya kanye nesifo se-libriform cell ukuze kugwenywe izingxabano zezokwelapha ezibangelwa ukukalwa komfutho wegazi.
(2) Ingxenye yokulinganisa kufanele ishintshwe njalo. Ochwepheshe basikisela ukuthi kufanele ishintshwe njalo emahoreni ama-4. Gwema ukulinganisa okuqhubekayo esithweni esisodwa, okuholela ekulimaleni kwe-purpura, ischemia nokulimala kwenzwa ekuhlikihleni kwesitho nge-cuff.
(3) Lapho kulinganiswa abantu abadala, izingane kanye nezinsana, kudingeka banake ukukhethwa nokulungiswa kwe-cuff kanye nenani lokucindezela. Ngoba ukucindezela okusetshenziswa kubantu abadala ezinganeni nasezinsaneni kusongela ukuphepha kwezingane; Futhi lapho idivayisi isethwe kusana olusanda kuzalwa, ngeke ilinganise umfutho wegazi omdala.
6. Ukuphefumula kutholwa kanjani ngaphandle kwemodeli yokuqapha ukuphefumula?
Ukuphefumula kumonitha kuncike kuma-electrocardiogram electrode ukuzwa izinguquko ku-thoracic impedance kanye nokubonisa i-waveform nedatha yokuphefumula. Ngenxa yokuthi ama-electrode aphansi kwesokunxele nangaphezulu kwesokudla ama-electrode azwela ukuphefumula, ukubekwa kwawo kubalulekile. Ama-electrode amabili kufanele amiswe ngokulingana ngangokunokwenzeka ukuze athole igagasi lokuphefumula elingcono kakhulu. Uma isiguli sisebenzisa ukuphefumula kwesisu ngokuyinhloko, i-electrode engezansi kwesokunxele kufanele inamathelwe ohlangothini lwesobunxele lapho ukugcwala kwesisu kugqama khona kakhulu.
7. Indlela yokusetha uhla lwe-alamu kupharamitha ngayinye?
Izimiso zokubeka i-alamu: ukuqinisekisa ukuphepha kwesiguli, ukunciphisa ukuphazamiseka komsindo, okungavunyelwe ukuvala umsebenzi we-alamu, ngaphandle kokuthi kuvalwe okwesikhashana ekusindiseni, uhla lwe-alamu alusethwanga ebangeni elivamile, kodwa kufanele lube uhla oluphephile.
Amapharamitha we-alamu: ukushaya kwenhliziyo okungama-30% ngaphezulu nangaphansi kwesilinganiso senhliziyo yabo; Umfutho wegazi uhlelwa ngokweseluleko sezokwelapha, isimo sesiguli kanye nomfutho wegazi oyisisekelo; Ukugcwala komoyampilo kusethwe ngokwesimo sesiguli; Ivolumu ye-alamu kufanele izwakale ngaphakathi kobubanzi bomsebenzi womhlengikazi; Ibanga le-alamu kufanele lilungiswe noma kunini ngokuya ngesimo futhi lihlolwe okungenani kanye ngokushintsha.
8. Yiziphi izizathu zokwehluleka ukukhombisa i-waveform yesibonisi se-ecg monitor?
1. I-electrode ayixhunyiwe kahle: isibonisi sibonisa ukuthi ukuhola kuvaliwe, okubangelwa ukuthi i-electrode ayixhunyiwe kahle noma i-electrode igxiliwe ngenxa yokunyakaza kwesiguli.
2. Ukujuluka nokungcola: isiguli siyajuluka noma isikhumba asihlanzekile, okungekho lula ukuqhuba ugesi, ngokungaqondile okubangela ukuthintana kabi ne-electrode.
3. Izinkinga zekhwalithi ye-electrode yenhliziyo: amanye ama-electrode agcinwe ngendlela engafanele, aphelelwe yisikhathi noma aguga.
4. Iphutha lekhebula: Ikhebula liyaguga noma liphukile.
6. I-electrode ayifakwanga ngendlela efanele.
7. I-CABLE exhuma ebhodini le-ECG noma ibhodi lokulawula ELIKHULU noma ibhodi lokulawula elikhulu linephutha.
8. Intambo yaphansi engaxhumekile: Intambo yaphansi idlala indima ebaluleke kakhulu ekubonisweni okuvamile kwe-waveform, hhayi intambo yaphansi, nakho kuyisici esibangela i-waveform.
9. Ayikho i-monitor waveform:
1. Hlola:
Okokuqala, ukuqinisekisa ukuthi i-electrode inamathiselwe kahle yini, ukuhlola indawo ye-electrode yenhliziyo, ikhwalithi ye-electrode yenhliziyo, nokuthi ingabe ikhona yini inkinga ngocingo oluholayo ngesisekelo sokunamathela kwe-electrode kanye nekhwalithi. Ukuhlola ukuthi izinyathelo zokuxhuma zilungile yini, nokuthi imodi yokuhola yomqhubi ixhunywe ngendlela yokuxhuma yemonitha ye-ecg, ukuze ugweme indlela yokulondoloza umdwebo oyivila yokuxhuma izixhumanisi ezinhlanu kuphela izixhumanisi ezintathu.
Uma ikhebula lesignali ye-ECG lingabuyi ngemva kokuba iphutha selilungisiwe, mhlawumbe ikhebula lesignali ye-ECG ebhodini lesokhethi yepharamitha ekuthinteni okungalungile, noma ikhebula lokuxhuma noma ibhodi lokulawula eliyinhloko phakathi kwebhodi le-ECG nebhodi lokulawula eliyinhloko linephutha.
2. Buyekeza:
1. Hlola zonke izingxenye zangaphandle ze-cardiac conductance (izintambo ezinwetshiwe ezintathu/ezinhlanu ezixhumene nomzimba womuntu kufanele zihambisane namaphinikhodi amathathu/amahlanu ahambisanayo kupulaki ye-ecg. Uma ukumelana kungapheli, intambo eholayo kufanele ishintshwe) . Indlela: khipha intambo yokuqondisa inhliziyo, qondanisa i-convex surface yepulaki yocingo oluholayo nomsele wejack "yenhliziyo ehambisa inhliziyo" kuphaneli yangaphambili yekhompiyutha ephethe,
2, Shintshanisa le ntambo ye-ecg neminye imishini ukuze uqinisekise ukuthi ikhebula le-ecg lihlulekile, ukuguga kwekhebula, ukulimala kwephini.
3. Uma isiteshi se-waveform sokuboniswa kwe-ecg sibonisa ukuthi "akukho signali eyamukelayo", kukhombisa ukuthi kunenkinga ekuxhumaneni phakathi kwemojula yokulinganisa ye-ECG nomsingathi. Uma umyalezo usavezwa ngemva kokuvala shaqa futhi uqale kabusha, udinga ukuxhumana nomphakeli.
3. Hlola:
1. Izinyathelo zokuxhuma kufanele zilungile:
A. Sula izindawo eziqondile ezi-5 zomzimba womuntu ngesihlabathi ku-electrode, bese usebenzisa i-ethanol engu-75% ukuhlanza indawo yokulinganisa, ukuze ukhiphe ama-cuticle nomjuluko esikhumbeni somuntu futhi uvimbele ukuthintana kabi ne-electrode.
B. Xhuma inhloko ye-electrode yentambo ye-electrocardioconductance ku-electrode ephezulu yama-electrode angu-5.
C. Ngemva kokuthi i-ethanol iguquguquka ihlanzekile, namathisela ama-electrode angu-5 endaweni ethile ngemva kokuhlanza ukuze ubenze baxhumane ngendlela enokwethenjelwa futhi bangawi.
2. Inkulumo-ze kanye nemfundo ehlobene neziguli nemindeni yazo: tshela iziguli nezinye izisebenzi ukuthi zingadonsi ucingo lwe-electrode nocingo lomthofu, futhi utshele iziguli nezihlobo zazo ukuthi zingasifaki isicelo futhi zilungise ukuqapha ngaphandle kokugunyazwa, okungase kubangele umonakalo kudivayisi. . Ezinye iziguli namalungu omndeni wazo zinomuzwa wemfihlakalo nokuncika kumqaphi, futhi izinguquko zokuqapha zizobangela ukukhathazeka nokwethuka. Abasebenzi abahlengikazi kufanele benze umsebenzi omuhle wencazelo eyanele, edingekayo, ukuze bagweme ukuphazanyiswa umsebenzi ojwayelekile wobuhlengikazi, kuthinte ubudlelwano bomhlengikazi nesiguli.
3. Qaphela ukugcinwa kwemonitha uma isetshenziswa isikhathi eside. I-electrode kulula ukuwa ngemuva kokusetshenziswa kwesikhathi eside, okuthinta ukunemba kanye nekhwalithi yokuqapha. 3-4D esikhundleni kanye; Ngesikhathi esifanayo, hlola futhi unake ukuhlanzwa nokubulala amagciwane esikhumbeni, ikakhulukazi ehlobo elishisayo.
4. Uma kutholakala ukungahambi kahle okungathi sína ocingweni ngesikhathi sokubuyekezwa kanye nenqubo yokuqapha ukulungiswa ngabasebenzi abangochwepheshe, kungcono ukucela izisebenzi zaselabhorethri ye-ecg ezichwepheshile ukuthi zibuyekeze futhi zixilonge, kanye nokunakekelwa ngabasebenzi abangochwepheshe bomkhiqizi.
5. Xhuma intambo yaphansi uma uxhuma. Indlela: Xhuma isiphetho nge-copper sheaded kutheminali yaphansi kuphaneli elingemuva lomsingathi.
Isikhathi sokuthumela: Jul-01-2022
