Mudziyo nokuti kuyera kumanikidzwa yevanhu. Mhando mano kuti kuyera kumanikidzwa

Mudziyo nokuti kuyera kuitiswa anonzi tonometer. Kune BP monitors kuti kudzora BP, uyewo namano kuti ayere kumanikidzwa mukati ziso. Kazhinji, ndivo zvakakosha chishandiso munhu achitambura BP Madonhwe kana matambudziko ophthalmologic.

Munyaya ino tichakurukura zvakanakira nekuipira rakasiyana-siyana zvakadai Mhiko nzira dzavo kushandiswa.

Nei zvichikosha kuti kuyera BP kumba?

Kana murombo kuparadzirwa kunokonzerwa siyana zvirwere kumwoyo, murwere kunoda kuramba zvichiongororwa kuti BP.

Kuyera BP kumba, uye kubatsira murwere uye ake chiremba mhuri kuti chamber kuchinja zviratidzi nezuva. A chiremba kushandisa nokuyerwa chinyorwa anogona kuona kubudirira nemishonga inoshandiswa. Pachake somunhu murwere mudziyo kuti kuyera BP achabvumira nguva yekuti kubvisa chirwere cheBP dambudziko uye nokudaro vazvidzivirire kungangoitika sitiroko, apo kurega "chena jasi maturo" anenge hakudzivisiki panguva chiremba uye anogona kuwedzera kufurirwa.

Ndezvipi zviridzwa akashandiswa ayere BP?

Kuti kukwanisa kudzora kufurirwa pamwero nemidziyo ropa, shandisa zvemaziso, otomatiki kana Semi-otomatiki BP monitors. Mumwe nomumwe wavo ane pachake zvakanakira ayo uye nekuipira.

In zvokuimba tonometer ane Switch inogona kuverenga nokutarisa museve, anozunungusa raundi. The cuff pamusoro mudziyo uyu richengetwe kusvikira rokumusoro ruoko pedyo pamapfudzi. Rine tichikwanisa mhepo uye pumped noruoko ane rabha girobhu racho.

Zvokuimba mudziyo nokuti kuyera BP, maererano vakawanda vatengi, inoratidza yakarurama zvikuru kuita uye mari panguva iyoyo isingadhuri zvikuru kupfuura zvavo zvemagetsi dzomuzana.

How kushandisa zvokuimba tonometer

Asi, zvinosuruvarisa zvokuimba tonometer kuvatendeusa kubva kuva zvakaoma chaizvo kushandisa, sezvo huchashandiswa iyi kuyera BP zvinoda vamwe unyanzvi uye nzeve zvakanaka user. Zvokuimba tonometer zvinoda kushandiswa stethoscope, kuburikidza icho akarova heartbeats.

Stethoscope batanidza kuti tsinga iri ano rwake. Nesimba kudza kuti cuff achishandisa Pears, kuti kumativi 180 mm HG. Art. kana 30 pfungwa kupfuura okupedzisira unongotaura muchina. Ipapo kusunungura vharuvhu pamusoro peya, unofanira zvishoma nezvishoma akarega mhepo kubva cuff (hazvigoni kuona kumanikidzwa panguva kutsanya mhepo nzira yokubudisa iwe).

Panongotanga ropa anotanga iyerere ari tsinga, achigogodza ruzha rinowanika - panguva ino zvinofanira kucherechedzwa digit yokutanga pamusoro Switch. Zvinoratidza systolic (repamusoro) kuvafurira. Panguva yakadururwa mutsindo anonyangarika, cherechedza mumwe mufananidzo - mumwe diastolic (pasi) kuvafurira.

Kana uchida kudzokorora nokuyerwa, kuregawo kwemaminitsi 2-3.

Ndinofanira kuitei asati atanga BP chipimo

Asi neako, kunyange zvakanakisisa, nokuti kumanikidzwa geji anoratidza zvakarurama nenhamba vanofanira kutevera vamwe mitemo mukuru.

1. Asati achipfuura nokuyerwa nzira, haana panyama kuzvishandisa, regai kudya kana kunwa zvinwiwa zvine zvine caffeine kana doro, kana chete kwehafu yeawa pamberi nzira. Hazvina zvakafanira kuti chipfungaire, nekuti izvi zvinogona kukanganisa mashoko.
2. Edza zviri dundira.
3. Pamberi nzira, kuzorora anenge 5 maminitsi, uye kana uri huta kana kushanda chaiko kuedza, zororo vanofanira yakareba kwemaminitsi 15.
4. Munguva kumanikidzwa chipimo kutaura.
5. Iva nechokwadi kuti ruoko zvipfeko haapindi pasi cuff.
6. Tora hwomutambarakede chinzvimbo. Makumbo Regai kuyambuka pamwe musana wake akazendamira pamusoro seri chair.
7. Kundimanikidza chiyero nani pane mumwe chete ruoko. Ndokuriisa patafura kana armrest uye haifambi.
8. Kana kuyera kumanikidzwa pamusoro chiningoningo anofanirwa kusimudza ruoko, akakotamira panguva kugokora, nenhanho mwoyo.
9. The cuff akapoteredza ruoko anofanira wakaputirwa zvakasimba. Kana kuti raiva pedyo bandauko, ipapo nechokwadi chokuti kuruboshwe nzvimbo dzinenge 3 masendimita pakati kugokora uye cuff.

Kana mugumisiro kufurirwa unozvidzinga iwe, kudzikama uye remeasure zvakare maminitsi mashoma gare gare. Dzimwe nguva inowanikwa kuti haana kuipa sezvo zvaiita pakutanga chipimo. Uye ivai nechokwadi kuyeuka kuti pane imwe kumanikidzwa pamusoro 180/120 mm HG zviratidzo. Art., Imi vanoda mutemo unoti vanachiremba rubatsiro!

Seiko vachifanira kakawanda kumanikidzwa remeasure

Most chinowanzoitika shure kwerekutanga kumanikidzwa kuyerwa hahusvikirwi, nokuti simba compression ruoko cuff mu vascular tonus rinobuda nomuzvarirwo. Saka, zano nokuti kuyera kumanikidzwa womunhu zvakanakisisa kushandisa ka3 mumutsetse paruoko rumwe, pamwe zvikamu zviduku. Kana kwokufananidzira kuyerwa rechipiri uye rechitatu sezvo pedyo sezvinobvira, zvino iyi ndiyo digits dzenyu kumanikidzwa. Kana wodzokorora ukoshi haina kuchengetwa, remeasure naro kusvikira 8 nguva (pamwe zvinovhiringidza) kusvikira wawana yakagadzikana repeatability. Izvi Nhamba uye achava zvikuru akatendeka.

Sezvineiwo, pakarepo mushure kutenga, uyere neBP yako zvose maoko. Uye kana mumwe wavo zvichava yepamusoro, zvinotevera nguva dzakanga akayera pamusoro wake Zvisinei.

Rakashandiswa otomatiki kana semiautomatic mudziyo kuti kuyera kumanikidzwa

Automatic uye Semi-otomatiki mudziyo nokuda kwevanhu kushandiswa nevezera chipimo zvakati nyore. Kuti aite izvi, chete vanofanira kuisa cuff pamusoro ruoko uye wokudhinda "Start". The cuff inotanga kudza yavo. Zvisinei, mune Semi-otomatiki michina kunofanira pumped pachishandiswa peya. Asi kushandiswa stethoscope vacho hazvina zvakakodzera, sezvo electronic Switch yakavakwa kupinda cuff, iye anowana ropa kuyerera uye anoita mhedziso. kumanikidzwa chipimo zvabuda zviri kuoneka pamadziro.

Kune vose otomatiki mano, kuti cuff iyo anoiswa pamusoro chiningoningo, uyewo avo apo cuff akatasva pamusoro kugokora.

Nenzira, kusarudza huchashandiswa, iva nechokwadi kuti kuteerera kukura cuff. Nokuti kana zvaizova undersized, kuti chikwata anogona angawedzeredza dzemitambo, uye yakafara cuff - kuti kurerutsa navo.

Sei kusarudza BP tarisisa musha kushandiswa

Kazhinji, zviri pachena nokuda shungu kushandiswa, vatengi isarudze otomatiki kana semiautomatic mudziyo kuti kumanikidzwa chipimo. Vanogona kutengwa ose chemishonga, asi zvakadaro hazvifaniri kukurumidza.

Chokutanga, funga pamusoro ari marudzi maviri mano kwamuri anotakurika. Iva nechokwadi, sezvo kare ambotaurwa, cherechedza kukosha cuff. Vanouya neurefu hwakasiyana matatu:

• S (diki, kusvikira 22 cm);
• M (paavhareji, kusvikira 32 cm);
• L (guru, kusvikira 45 cm).

Funga kuratidzwa: nenhamba anofanira kuva akajeka uye pachena. Bvunza mutengesi sei yakarurama uyu wokuenzanisira tonometer.

Pane zvazvakashatira otomatiki BP monitors?

Chokwadi, kushandisa michina hwezvekukurukurirana zvikuru kumanikidzwa kuyerwa kwacho, asi mano izvi vanewo zvainovhiringidzawo dzavo. Havasi yakarurama kwazvo, zvinoda madikanwa calibration kuti sensors mubasa rinokosha nzvimbo, uye mutengo wavo zvakakomba kupfuura zvokuimba BP monitors, mukuwedzera, ndivo zvishoma kupfuura ataurwa namano.

Wemagetsi nokuti kuyera nhamo iri dzinofambiswa nokuda mabhatiri, asi simba ravo hazvikwani kuti kwenguva refu kusika zvakafanira kumanikidzwa vari cuff. Kazhinji, izvi zvinotungamirira kwete chete kune chokwadi chokuti mabhatiri pasi - mudziyo pacharo riri kuipa nokukurumidza.

Kunyange zvazvo asina kunzwisisa sezvariri. Modern otomatiki uye Semi-otomatiki BP monitors vanokwanisa kwemakore akawanda, asi avo zvemaziso dzomuzana vachava vachiri yenyu murindi nevezera zvakati rebei.

Chii zvokuridzira kuyera kumanikidzwa nani?

Tonometer pamusoro pamusika kupfuura nevakawanda nhasi ndivo «Omron» yemakambani zviridzwa, «Microlife», uye «AND». Zviri tsvarakadenga yakarurama, Zvinokosha zvakaisvonaka uye nyore kushandisa michina, kugadzirwa Japan, Switzerland uye United States kwemakore akawanda kuchengeta chanza munzvimbo iyi. Ndoupi Unosarudza BP monitors, kuti imi, vakaverengwa pakati mudziyo mumwe kuyera kufurirwa ane wongororo zvakaisvonaka.

Chii intraocular kumanikidzwa

BP anokwanisa kufurira mamiriro meso edu. Rinooneka, muna neBP, BP pamidziyo duku, izvo zvinozoita kunotungamirira kuwedzera intraocular kumanikidzwa kugutsikana (yakazara capillaries) pamusoro ziso pamadziro. Saka yakawedzera kuomesa mukati ziso.

Intraocular kumanikidzwa - Achiratidza kunotangira dzose inflow uye water drainage kuti mvura mukati yeziso. zvinoitika tsika dzayo dziri pakati 16 kusvika 24 mm HG. Art. Zviri ngozi utano hwevanhu sezvo refu rakakwirira intraocular kumanikidzwa (yemaziso) uye pasi (hypotension).

Modern mudziyo nokuti kuyera ziso nevezera unokubvumira kuzviita pasina kukonzera kusagadzikana murwere, kunyange Russian utano tsika richiri kushandiswa tonometer pamusoro Maklakov, uyo asingade varwere.

How kuyera intraocular kumanikidzwa

Kuti kuyera intraocular kumanikidzwa achishandisa vakati tonometer pashure yokutindivadza nzira iri pakati zvose murwere corneas yakasvibiswa zvakananga akaisa masimbi. rupawo rwavo kunoyerwa uye ipapo nzwisisa mugumisiro.

Izvi Mudziyo nokuti kuyera intraocular kumanikidzwa zvinoda fanira disinfection uye ruzivo zvakanaka nyanzvi kuita muitiro. Sezvineiwo, zviri kwairayirwa kuti instillation kupinda ziso, uye disinfectant mhinduro mushure tambo.

Zvinofanira kurangarirwa kuti vakadzi vari kazhinji intraocular kumanikidzwa wakakwirira kupfuura vakomana. Mukuwedzera, matambudziko vowanda nezera. Mukuru intraocular kufurirwa yemaziso kunogona kuva chiratidzo kana chiratidzo yaibvira kukura.

Non-kuonana nzira kuyera intraocular kumanikidzwa

Kusiyana Maklakova tonometer, noncontact tonometer kuchidzivisa utachiona, sezvo hapana chikonzero kubata pamwe cornea panguva nzira. Uyezve, mumwe contactless mudziyo kuti kuyera intraocular kumanikidzwa rinoshandisirwa pasina yokutindivadza.

Kushandisa akati kumanikidzwa midziyo kunoonekwa kuburikidza fungiro, pamwe kumhanya uye kushaya kusanzwa. A nzira inogona kuitwa uye murwere, kana zvichidikanwa.

Zvisinei, mudziyo uyu haasi akakodzera vaya vane mavanga pamusoro fungiro, kuzvimba, kana chero deformation kuti mugove ichi ziso. Usashandisa mudziyo uyu uye conjunctivitis, kana kwokuomerwa kuti pathological mamiriro ezvinhu sclera.

The dzakawanda nzira kuyera intraocular kumanikidzwa

Nenzira, dzakasiyana zvokuridzira kuyera ziso kufurirwa uye avape zvakasiyana unongotaura mitemo. dzimwe nguva izvi zvinotungamirira kusawirirana pakati vanotsigira siyana unyanzvi.

Saka, muna tsika dzakawanda nayo ichiri kunzi yakarurama zvikuru Goldmann tonometry. Izvi tambo nzira iri inobva pakuongorora, unova simba kunodiwa kuti deredza kuti cornea kuti yakamisirwa dhayamita (ndiko 3,06 mm). Sokushandiswa nokuti mudziyo ichi nokuda kuyera kumanikidzwa kwevanhu calibrated kuitira kuti simba raro zvairatidza hwakaratidzwa pamusoro kudzidza pamwero.

Chiremba anotumira ziso zvomurwere anoona chiedza uye muviri kuburikidza mapurasitiki humburumbira, izvo flattens ari cornea. zviri pamberi ndachera conjunctival zai chaiyo dhayi (fluorescein) riri neVadzidzi cornea Switch iri misha laterally. Chiremba panguva anoona kuburikidza maikorosikopu humburumbira unopenya hafu-mhete. Iye, kuti kuona IOP anofanira kumirira batanidza romukati pose okumusoro hafu-mhete, sezvamakaropafadzwa kumanikidza Kugadzirisa akamboona. Normal mune iyi yakayerwa zvichisiyana 9 kusvika 21 mm HG. Art.

Chii vatione tonometry musi Stolz

In tonometry kuverengwa inonwiwa Stoltz multiple pfungwa imwe neimwe romurwere ziso. Chiremba uyu zvinyoronyoro anobata cornea, ukuru dzegirini kutsanangura shamhu chenguva muchinjikwa chikamu IOP. Muchiitiko chino, kombiyuta rekukwazisa kuverenga yechipupuriro. A inogona kuonekwa pamusoro kuratidzwa Data paavhareji intraocular kumanikidzwa mushure beep.

Pane zano kuti ndidzore nokuyerwa intraocular kumanikidzwa

Kana murwere nechirwere yemaziso, anofanira chamber zvaiitwa mishonga uye IOP kuverengwa kumba. Mukuita kudaro, izvozvo kuchabatsira mudziyo, inobva rebound kufurirwa kuyerwa.

Kushandiswa chikwata ichi regai zvinoda yokutindivadza Madonhwe kana unyanzvi, nokuti Switch asingaremekedzwi chete kwekanguva chokuita cornea.

Tonometer ane mbiri kutsigira zvinhu izvo zvinogona kudzorwa, uyewo chakaita. The zvinorondedzerwa mudziyo kuti kuyera kumanikidzwa dzevanhu anoratidza kumanikidzwa munyika dzine 11 ane zvinobva 5 kusvika 50 mm HG. Art. Kana kumanikidzwa wakakwirira mukati ziso, mudziyo inongorira yambiro anonongedzera. Chimwe chakanakira rinogona sechinhu Kusara mukana wokutapukirwa, sezvo ropa kufurirwa cuff riri chenhando sensors.