Blood Pressure Kuyerwa: Action algorithm. Algorithm nokuti kuyera BP muvana

BP yava imwe zvinokonzeresawo hwevanhu vanorwara uye mukuru kufa. Gore negore, nhamba zvemwoyo zviitiko kunobva cheBP nezvishoma kunowedzera. Munzira dzakawanda, mhaka izvi ndiko kushaya zvakakodzera nechirwere uye kurapa. Uye kana pfungwa pharmacotherapy chirwere ichi chinogona kunzi okurapa, nokuyerwa uye kudzora BP riri zvachose murwere basa. Ngatitarisei BP chipimo algorithm pamusoro peripheral arteries.

Vasiri Panobva BP chipimo

Kwenguva refu kuti vanhu havagoni kuera kumanikidzwa nokuda zvisina kunanga nzira, sezvo yave dzakakurumbira kuitwa uye zvakananga nokuyerwa BP. The algorithm chiito ichi nyaya yaiva sezvinotevera: mumudziyo vakanga akatanga chaiyo cannula, iyo anokurukura nezvinodzvinyirira geji. BP uye pulsation zvitange zvakananga kuburikidza sepombi kusvika mudziyo. Chokwadi, nzira iyi kunoita kuti kuyera BP zvakarurama uye yakavimbika, asi chokuita chinokosha drawback - kudikanwa kuponjesa mudziyo uye kutanga muviri wokumwe mairi. Naizvozvo, zvisina kunanga nzira vakagamuchira yakawanda kukurumbira uye kwesayenzi mberi akabvumira kuti pave sphygmomanometers (mano kuti BP kuyerwa), izvo vasiri vakaderera rakarurama zvakananga nzira. Uchibatsirwa wavo zvino zvinobudirira akaita daily BP chipimo. chiito algorithm, uyewo zvakakodzera midziyo ichakurukurwa pazasi.

The yokungotaura hwaro zvisina kunanga nzira kuyera BP ndiwo musimboti inotevera. By Kubayiwawo jekiseni mhepo iri cuff sphygmomanometer (chero kuti cuff nevezera kupfuura systolic BP iri mumudziyo) wokupedzisira compression kunoitika. Somugumisiro, mashoko yepamusoro kumanikidza ari cuff ropa kuburikidza midziyo asingaiti kupfuura. Kana iwe zvishoma nezvishoma kutanga kuderedza mhepo kubva cuff kana kumanikidzwa ari cuff wandei achava yakaderera pane ari tsinga, ropa anotanga iyerere ari maoko nemakumbo. Pfungwa iyi anoumba hwaro uye pazasi-kurondedzerwa neBP kuyera nzira.

Basic nzira BP chipimo

Official sainzi anoziva nzira mbiri dzinokosha kuti zvinoshandiswa kuyera BP: Korotkoff nzira uye nzira Riva-Rocci. Other zvakakodzera zita nzira idzi - auscultatory uye palpatory. Ngatimboonai nerimwe Sobienie nzira.

Riva-Rocci nzira (palpatory)

Sezvo zvakanaka rinoitirwa apo rubatsiro BP chipimo? The algorithm ndeiyi. Papfudzi seari cuff nokuda kweropa dzakaenzana, izvo zvakabatana kusvika tonometer.

Uyezve, cuff iri pumped mhepo, uye pashure kugumiswa pamusoro pulsation ari TOUR tsinga pamusoro chiningoningo vanotanga zvishoma nezvishoma kuderedza mhepo kufurirwa. Nokudaro ruoko mumwe kuramba kudzora pulsation ari TOUR tsinga, uye wechipiri aidzora mwero dzvinyiriro vasanyanye cuff (izvo zvinofanira kuva pamusoro 3-4 mm / chik). Panongotanga kumanikidzwa vari cuff achava kuvatumwa systolic ropa mukati arteries, ropa anotanga iyerere mune rimwe gumbo kuti achaitwa akanzwa sezvo ndima kurova kwemwoyo wave. Kana tactile kupomba nokufamba Nenyaya Iyi umboo chete manometer pamwero kupa systolic BP. Zvazvakashatira nzira ichi zvinosanganisira chisingabviri mvumo nemhedziso diastolic BP tsika pasina rubatsiro ane stethoscope, asi pakati zvazvakanakira zvinosanganisira mukana kushandisa zvashata ezvinhu, tsaona uye njodzi. Panyaya iyi, kuwana kukosha kwakaita diastolic kumanikidzwa rine basa duku zvikuru chirwere pane systolic.

Korotkoff nzira (auscultatory)

With achibatsirwa stethoscope, nzira iyi kunoita kuti nokuyerwa BP. Algorithm zviito kushandisa nzira iyi sezvinotevera. The cuff rinoshandisirwa pakati rechitatu honokono kuitira kuti pasi kunge akasununguka kuisa 1-2 chigunwe. Pashure paizvozvo, vakuru cuff kubudisa mhepo jekiseni kusvikira kugumiswa yacho pulsation of TOUR tsinga iri chiningoningo.

A chepfungwa nzira ndeyokushandisa imwe stethoscope kana stethoscope kuti auscultation auscultatory mananara ari cubital fossa. Nokuti mudziyo uyu musoro vanonyepera muna antecubital fossa uye kuita zvishoma nezvishoma kuderera mhepo nevezera ari cuff. Apo auscultatory mananara munyaya stethoscope tonometer pamwero ukoshi iyo rinoenderana systolic BP, uye kunyangarika Chiitiko yakati diastolic kumanikidzwa.

The nzira ane akasiyana zvinobatsira - kuwana ruzivo pamusoro systolic uye diastolic kumanikidzwa, asi zvainovhiringidzawo ayo anosanganisira zvinofanira kucherechedzwa kudiwa kuti stethoscope, uye Kuwanikwa runyararo munzvimbo kweropa kuyerwa rinoitwa.

The makirasi chikuru tonometers akashandiswa kuyera BP

Pari, musika chose zvakazara namano kuti aite BP chipimo. Algorithm kuti zviito zvemagetsi uye hurongwa unogona kukamurwa mhando nhatu huru: zvemaziso, Semi-zvaitika uye zvokuzvisarudzira. Panguva iyoyo pamwe kushandisa mano vane yakafanana rwakatwasuka. Musiyano chete ndiye nyore uye Chokwadi, mutengo.

Blood Pressure uchimutarira otomatiki tonometer

Kushandiswa otomatiki tonometer zvikuru yokuita uye miganhu kupindira womunhu chinhu. Kana kushandisa mano kwakadai murwere chete kunodiwa kuti kuisa cuff pamusoro ruoko achizviendesa bhatani pamusoro mudziyo. All dzasara matanho midziyo vapiwa kuita: mhepo pumped kupinda cuff kune imwe ukoshi, richanaka uye yunifomu kufurirwa donhwe uye kupa wokupedzisira mugumisiro, kureva vapiwa mutsigirire BP kuyerwa ...

The algorithm of mudziyo uyu nyaya rinonyoreswa kwaro vasiri kugadzikana kuyeukwa uye akaedzwa muzvinhu zvakawanda dzakawanda mabasa uye neshamwari. Pakati zvakanakira iyi mhando mudziyo zvakafanira kuona mukuru mashoko zviri zvabuda, sezvo mano unogona kwete chete kuera kumanikidzwa, asiwo kuverenga kwemwoyo uye kwemwoyo kufungidzira. Nyevero achapiwa pakuparwa arrhythmia.

Blood Pressure Assessment pamwe semiautomatic mhando tonometer

With ichi mhando tonometer pamwechete zvishoma zvakarurama havagoni kubata BP kuyerwa. The algorithm iri muchidimbu sezvinotevera. Kuyerwa BP Tichishandisa mano ichi mhando zvakafanana zvikuru automatic, pamwe chete musiyano kufara kuti Semi tonometers havana compressor uye haisi inokwanisa kupomba zvinoyerera mhepo kubva cuff.

Vamwe vakashandisa yemagetsi zvinoriumba havasi vakaderera Kururama zvinoumba otomatiki BP monitors. Uyezve, zvinofungidzirwa kuti zviri Semi-otomatiki BP monitors yakavimbika, sezvo harina kwaro design, kukweshera uye nomuviri nhengo. Uyezve, iyi mano wedzerai chaikosha ane upenyu refu. Next, isu funga nokuyerwa neBP muvana. The algorithm chiito sezvo ichakurukurwa, vachasara chete, asi pachange zvimwe nuances. Ivo hako vanoda kuonekwa.

Algorithm nokuti kuyera BP muvana

In musimboti, kuvana hakuiti wakasiyana vakuru BP chipimo (algorithm). Vana vanofanira kushandisa rakakodzera cuff saizi kuti kunobva pachido makore mwana uye bandauko dhayamita. Kuchengetwa ichi ushe nyore (apo Zvakarurama cuff anoenderana mwana zera) ndiyo kiyi kuwana akarurama migumisiro BP tsika.

mhedziso

Kana BP kuyerwa algorithm uchishandisa zvokuimba tonometer zvakaoma chaizvo kudzidza, ndiri zvinokosha achitarisa rokutenga Semi-otomatiki tonometer mhando kana.

Ivo nguva dzose ave zano rinogona yakakwirira azvipire BP chipimo. The algorithm fomu yavo rakanaka chaizvo, uye migumisiro vakawana anokosha zvikuru uye anodzidzisa.