Maonedwe: 0 Wolemba: Mkonzi Wosindikiza Nthawi: 2023-04-204-26: Tsamba
Kaya ndinu wophunzira kapena mphunzitsi amene akuyang'ana kuti adziwe zomwe mukufuna kuwunika kapena zomwe mukufuna kudziwa zambiri pazinthu za Mecan Wodwala wa Mecan Wodwala potolera. Cholinga chathu ndikuthandiza anthu kumvetsetsa bwino kufunika kowunikira zizindikiro zofunika ndikusankha zida zodalirika. Kuti mufunse ena kapena kuphunzira zambiri zokhudza malonda athu, omasuka kulumikizana ndi ife nthawi iliyonse.
Oyang'anira odwala ndi chiyani?
Wotchinga wodwala ndi chipangizo kapena dongosolo lomwe linapangidwa kuti liziyeza ndi kuwongolera magawo a thupi ndipo amatha kufananizidwa ndi mtengo wodziwika bwino, ndipo amatha kuvundikira alamu ngati pali chopambana.
Zizindikiro ndi Kugwiritsa Ntchito
1. Zizindikiro: Odwala akakhala ndi vuto lofunika, makamaka mtima ndi mapampu, ndipo amafunika kuwunikira zizindikiro zosakhazikika
2. Kuchita opaleshoni: Pa opaleshoni ya pambuyo post, mavuto ovutika, odwala kwambiri, makanda obwera, hyperbabatic oxygen Chamber, malo operekera
Kapangidwe koyambira
Kapangidwe koyambira kwa wowunikira kumakhala ndi magawo anayi: gawo lalikulu, wowunikira, ma tynera osiyanasiyana ndi olumikizira. Kapangidwe kake kameneka kumangirizidwa m'makina ndi zowonjezera.
( MCS0022 ) 12 inchi wodwala wodwala kuwunikira
Gulu la oyang'anira odwala?
Pali mitundu inayi yotengera kapangidwe kake: Oyang'anira onyamula, plug-mu monera, oyang'anira ma telenter, ndi Hometer
Malinga ndi ntchitoyi imagawidwa m'magulu atatu: wolowerera pambali ya mabedi, polojekiti yapakati, ndi yochotsa malo oyang'anira (Telemetry Polor.
Kodi Wochulukitsa wagandiranji?
Ntchito zoyambira zochulukitsa-zowunikira zimaphatikizapo Elecrocardiogram (ECG), kupuma), sprse), nthomba), ndi kutentha (pr), ndi kutentha (PR), komanso kutentha (ter).
Nthawi yomweyo, magazi osokoneza bongo (IBP) ndi masisiri-tidial carbon dioxide (etco2) amatha kukonzedwa malinga ndi zosowa zamankhwala.
Pansipa tikufotokoza mfundo za magawo oyamba oyesedwa ndi wodwalayo polowerera komanso kusamala chifukwa chogwiritsa ntchito.
Electrocardiogram (ECG) kuwunikira
Mtima ndi chiwalo chofunikira m'magazini ya anthu. Magazi amatha kuyenda mosalekeza mu dongosolo lotsekedwa chifukwa cha systolic systolic ndi discolic ntchito ya mtima. Mphepete mwa magetsi omwe amapezeka kuti minofu ya mtima imakhala yosangalatsa ikhoza kuchitidwa kudzera mu thupi kuwonekera pamwamba pa thupi, ndikupangitsa kuti zitheke zosiyanasiyana zimapangidwa m'malo osiyanasiyana a thupi. Ma electrocardiogram (ECG) amayesa ntchito yamagetsi yamtima ndikuwonetsa pa wodwalayo powunikira mawonekedwe ndi mfundo. Otsatirawa ndi kufotokoza mwachidule masitepe kuti apeze ECG ndi zigawo za mtima womwe umawonekera pachiwonetsero chilichonse.
I. Kukonzekera pakhungu kwa electrode
Kulumikizana kwabwino kwa khungu ndi kofunikira kwambiri kuti zitsimikizire chizindikiro chabwino cha ECG chifukwa khungu ndi wochita bwino magetsi.
1. Sankhani tsamba lokhala ndi khungu lokhazikika komanso popanda zovuta zilizonse.
2. Ngati ndi kotheka, pindani tsitsi la thupi la malo olingana.
3. Sambani ndi sopo ndi madzi, musasiye sopo wotsalira. Osagwiritsa ntchito ether kapena ethanol, adzaumitsa khungu ndikuwonjezera kukana.
4. Lolani khungu kuti liume kwathunthu.
5. Pakani khungu pang'ono ndi pepala la ECG kuti lichotse khungu lakufa ndikusintha mawonekedwe a malo a electrode.
Ii. Lumikizani chingwe cha ECG
1. Asanayike ma electrodes, ikani mabatani kapena mabatani a snop pa electrodes.
2. Ikani ma electrodes pa wodwalayo malinga ndi udindo wosankhidwa (onani chithunzi chotsatirachi kuti mufotokozere zomwe zingachitike 3-torfied njira yapamwamba ya Amining AndAS.
3. Lumikizani chingwe cha ma electrode kwa chingwe chokwanira.
Dzina la Electrode Lalel | Mtundu wamagetsi | |||
Aami | Eya | IEC | Aami | IEC |
Mkono wamanja | Ine | R | Oyera | Chofiira |
Dzanja lamanzere | E | L | Wakuda | Chikasu |
Mwendo wakumanzere | A | F | Chofiira | Wobiliwira |
Os | N | N | wobiliwira | Wakuda |
V | E | C | Cha bulawundi | Oyera |
V1 | C1 | Brown / Red | Yoyera / yofiyira | |
V2 | C2 | Brown / wachikasu | Yoyera / yachikasu | |
V3 | C3 | Brown / Green | Yoyera / yobiriwira | |
V4 | C4 | Brown / Buluu | Zoyera / zofiirira | |
V5 | C5 | Brown / lalanje | Zoyera / zakuda | |
V6 | C6 | Brown / Wofiirira | Yoyera / yofiirira |
Kupuma (resp) Kuyang'anira
Thoracic nthawi yopuma kumapangitsa kusintha kwa thupi, ndipo chithunzi cha kusintha kwa zinthu zomwe zikulepheretsa kusintha kwamphamvu, komwe kumatha kuwonetsa magawo opumira. Nthawi zambiri, oyang'anira amayeza pachifuwa chachifuwa pakati pa electrodes awiri pachifuwa cha wodwalayo kuti akwaniritse kupuma. Kuphatikiza apo, kusintha kwa kaboni daoxide nthawi yopuma kumatha kuwunikira mwachindunji ndi kusintha kwa masitepe a wodwalayo ndikuwerengera kupuma ntchito kwa wodwalayo ndikuwonetsa kupuma.
I. Malo otsogola panthawi yowunikira kupuma
1. Njira zopumira zimachitika pogwiritsa ntchito njira yotsogola ya ECG, monga momwe chithunzi pamwambapa.
Ii. Zolemba pa Kuwunikira Kumapuma
1. Kuwunika kupuma siyenera kwa odwala omwe ali ndi ntchito zambiri, chifukwa izi zitha kubweretsa ma alarm.
2. Tiyenera kupewedwa kuti dera la hepatic ndi mamitamidwe ali pamzere wa elekitirodi, kotero kuti zojambula zokhudzana ndi mtima kapena magazi amphamvu zitha kupewedwa, zomwe ndizofunikira makamaka kwa a neonates.
Oxygen oxygen (Spor2) kuwunikira
mpweya wa magazi (sub2) ndi chiwerengero cha oxygenited hemoglobin mpaka kuchuluka kwa oxoglobin ndi hemoglobin ya oxoglobin. Mitundu iwiri ya hemoglobin m'magazi, otuwa a hemoglobin (HBO2) ndikuchepetsa hemoglobin (HB), kukhala ndi mabowo osiyanasiyana a kuwala kofiira (960 nm). Kuchepetsa hemoglobin (HB) imatenga kuwala kofiyira komanso kuwala kochepa. Zosagwirizana ndizowona kwa hemoglobin ya oxoglobin (HBO2), yomwe imatenga kuwala kofiyira kofiyira komanso kuwunikira. Mwa kukhazikitsa kuwala kofiyira komanso kuperekedwa kwa kuwala komwe komweko kwa msomali, pomwe kuwala kumalowa mbali imodzi kwa chala kupita mbali inayo ndikulandilidwa. Pambuyo pa kusintha kwa algorithm, zotsatira zotuluka zimawonetsedwa pazenera la LCD, zomwe zimawoneka ngati zoyezera kuti muyeze vuto la thanzi la anthu. Otsatirawa akufotokoza mwachidule njira za momwe mungapezere mpweya wa magazi (supuni2), ndipo zinthu zomwe zimakhudza owunikira magazi owerenga magazi.
I. Valani sensor
1. Chotsani misomali yachikuda kuchokera kudera lovala.
2. Ikani spor2 sensa kwa wodwalayo.
3. Tsimikizani kuti wolandila chubuus chubu ndi wopepuka amagwirizanitsana wina ndi mnzake kuti awonetsetse kuti Kuwala konse komwe kumatha kuchokera ku chubu chowunikira kuyenera kudutsa minofu ya wodwala.
Ii. Zinthu zomwe zimakhudza oxygen okonda kuwunikira
1. Malo a sensor sakhala m'malo kapena wodwala amakhala woyenda.
2. Ipsilalenger magazi kuthamanga magazi kapena Ipplalateral chotsatira chabodza.
3. Pewani kusokoneza chizindikiro cha malo owala.
4. Kuzungulira kosawoneka bwino: monga kugwedezeka, kutentha kochepa.
5. Zala: Chipolishi cha msomali, ma callish, zala zosweka, ndipo misomali yotalika kwambiri imakhudza kufalikira kwa kuwala.
6. Jamical jakisoni wa mankhwala achikuda.
7. Simungathe kuwunikira tsamba lomwelo kwa nthawi yayitali.
Kuthamanga kwa magazi kopanda magazi (nibp) kuwunikira
magazi ndi omwe amafananira nawo gawo lililonse m'mphepete mwa magazi chifukwa cha kutuluka kwa magazi. Amayesedwa mu mamilimita mamilimita a mercury (MMHG). Kuwunika kwa magazi popanda kuchitika ndi njira ya Koch Soun Sound (Buku logwedezeka) ndi njira yomwe imapangitsa kuti isawerengere systolic (SP) ndi zipsinjo (DP).
I. Kusamala
1. Sankhani mtundu woyenera wa wodwala.
2. Sungani cuff mulingo ndi mtima.
3. Gwiritsani ntchito kukula koyenera ndikumangiriza kuti 'Index mzere ' ili mkati mwa 'mtundu '.
4. Cuff siziyenera kukhala zolimba kwambiri kapena zotayirira kwambiri, ndipo ziyenera kumangirizidwa kuti chala chimodzi chitha kuyikizidwa.
5. Chizindikiro cha φ cha cuff chizikhala chikuyang'anizana ndi zotupa zamkuwa.
6. Nthawi yoyeserera yokha iyenera kukhala lalifupi kwambiri.
Ii. Kupanikizika kwa magazi kopanda thupi
1. Kuthamanga kwakukulu kwa magazi kudutsa 250 mmhg, kuwonda kwamagazi sikungakhale kotsekedwa kwathunthu, cuff ikhoza kukhala yotsekeredwa mosalekeza ndipo kuthamanga kwa magazi sikungayesedwe.
2. Kupsinjika kwakukulu: kuthamanga kwa magazi kwa magazi ndi kochepera 50-60mmhg, kuthamanga kwa magazi ndi kotsika kwambiri kuti awonetse kusintha kwa magazi pafupipafupi, ndipo akhoza kukhala ophatikizidwa mobwerezabwereza.
Chosangalatsa pa Kuyang'anira Wodwala? Lumikizanani nafe lero kuti muphunzire zambiri ndikugula!