Kalozera Woyamba Waukadaulo Wowunika Odwala Anzeru

Kaya ndinu wophunzira zachipatala kapena mphunzitsi mukuyang'ana kukulitsa chidziwitso chanu pa machitidwe owunika odwala kapena wofalitsa wachidwi yemwe akufunafuna zambiri zamitengo ndi mawonekedwe a MeCan odwala, tikukhulupirira kuti nkhaniyi ili ndi chidziwitso chofunikira.Cholinga chathu ndi kuthandiza anthu kumvetsetsa bwino kufunikira koyang'anira zizindikiro zofunika ndikusankha zida zodalirika.Kuti mumve zambiri kapena kuti mudziwe zambiri zamalonda athu, omasuka kulankhula nafe nthawi iliyonse.

Kodi Patient Monitors ndi chiyani？

Woyang'anira wodwala ndi chipangizo kapena kachitidwe kamene kamapangidwira kuyeza ndi kuyang'anira magawo a thupi la wodwalayo ndipo akhoza kufananizidwa ndi mtengo wodziwika bwino, ndipo akhoza kumveka alamu ngati pali kupitirira.

Zizindikiro ndi kuchuluka kwa ntchito

1. Zizindikiro: Odwala akakhala ndi vuto lofunika kwambiri la chiwalo, makamaka mtima ndi mapapu, ndipo amafunika kuwayang'anitsitsa ngati zizindikiro zake sizikhazikika.

2. Kuchuluka kwa ntchito: panthawi ya opaleshoni, opaleshoni pambuyo pa opaleshoni, chisamaliro chovulala, matenda a mtima, odwala kwambiri, obadwa kumene, makanda obadwa msanga, chipinda cha okosijeni cha Hyperbaric, chipinda choperekera.

Mapangidwe Oyambira

Mapangidwe oyambirira a polojekiti ya odwala ali ndi magawo anayi: gawo lalikulu, polojekiti, masensa osiyanasiyana ndi njira yolumikizira.Kapangidwe kake kamakhala mu makina onse ndi zowonjezera.

                      ( MCS0022 ) 12 inch Patient Monitor Patient Monitor Chalk

Gulu la Owunika Odwala？

Pali magulu anayi otengera kapangidwe kake: zowunikira zonyamula, zowunikira ma plug-in, zowunikira ma telemetry, ndi Holter (24-hour ambulatory ECG) ECG monitors.
Malinga ndi ntchitoyo agawidwa m'magulu atatu: chowunikira pafupi ndi bedi, chowunikira chapakati, ndi chowunikira chotulutsa (telemetry monitor).

Kodi Multiparameter Monitor ndi chiyani?

Ntchito zazikulu za Multiparameter-Monitor zikuphatikizapo electrocardiogram (ECG), Respiratory (RESP), kuthamanga kwa magazi (NIBP), Pulse Oxygen Saturation (SpO2), Pulse Rate (PR), ndi Temperature (TEMP).

Panthawi imodzimodziyo, kuthamanga kwa magazi (IBP) ndi End-tidal carbon dioxide (EtCO2) akhoza kukhazikitsidwa malinga ndi zosowa zachipatala.

Pansipa tikufotokozera mfundo za magawo oyambira omwe amayezedwa ndi oyang'anira odwala komanso njira zodzitetezera kuti azigwiritsa ntchito.

Kuwunika kwa Electrocardiogram (ECG).

Mtima ndi chiwalo chofunikira kwambiri m'thupi la munthu.Magazi amatha kuyenda mosalekeza mu dongosolo lotsekeka chifukwa cha kusinthasintha kwamphamvu kwa systolic ndi diastolic ya mtima.Tizilombo tating'onoting'ono tamagetsi timene timakhala tating'onoting'ono tomwe timapanga minofu ya mtima ikasangalala imatha kuyendetsedwa kudzera m'matenda a thupi kupita pamwamba pa thupi, zomwe zimapangitsa kuti kuthekera kosiyanasiyana kupangidwe m'malo osiyanasiyana a thupi.Electrocardiogram (ECG) imayesa ntchito yamagetsi yapamtima ndikuyiwonetsa pawongoleredwa ndi wodwala ndi mawonekedwe ndi mafunde.Zotsatirazi ndi kufotokozera mwachidule za njira zopezera ECG ndi mbali za mtima zomwe zimawonekera mu ECG iliyonse yotsogolera.

I. Kukonzekera kwa khungu kwa electrode attachment
Kulumikizana bwino kwa khungu ndi ma electrode ndikofunikira kwambiri kuti muwonetsetse chizindikiro chabwino cha ECG chifukwa khungu silimayendetsa bwino magetsi.
1. Sankhani malo omwe ali ndi khungu labwino komanso lopanda vuto lililonse.
2. Ngati kuli kofunikira, meta tsitsi la thupi la dera lolingana.
3. Sambani ndi sopo ndi madzi, osasiya zotsalira za sopo.Osagwiritsa ntchito etha kapena ethanol yoyera, amawumitsa khungu ndikuwonjezera kukana.
4. Lolani kuti khungu liume kwathunthu.
5. Pakani khungu pang'onopang'ono ndi pepala lokonzekera la ECG kuti muchotse khungu lakufa ndikuwongolera kuwongolera kwa malo opangira ma elekitirodi.

II.Lumikizani chingwe cha ECG
1. Musanayike maelekitirodi, ikani tapi tatifupi kapena snap mabatani pa maelekitirodi.
2. Ikani ma electrode pa wodwalayo malinga ndi ndondomeko yosankhidwa yotsogolera (onani chithunzi chotsatirachi kuti mudziwe zambiri za njira yowonjezera ya 3-lead ndi 5-lead attachment, ndipo onani kusiyana kwa zizindikiro za mtundu pakati pa American Standard AAMI ndi European Standard IEC zingwe).
3. Lumikizani chingwe cha electrode ku chingwe cha odwala.

Kuwunika kwa kupuma (Resp)
Kuyenda kwa thoracic panthawi yopuma kumayambitsa kusintha kwa thupi, ndipo chithunzi cha kusintha kwa chikhalidwe cha impedance chimalongosola mawonekedwe amphamvu a kupuma, omwe amatha kuwonetsa magawo a kupuma.Nthawi zambiri, oyang'anira amayezera kutsekeka kwa khoma la pachifuwa pakati pa ma electrode awiri a ECG pachifuwa cha wodwalayo kuti akwaniritse kuwunika kwa kupuma.Komanso, kusintha kwa mpweya woipa ndende pa nthawi kupuma akhoza kuyang'aniridwa mwachindunji kuwerengera kupuma mlingo kapena kuwunika kusintha kuthamanga ndi otaya mlingo mu dera la wodwalayo pa makina mpweya mpweya kuwerengera wodwalayo kupuma ntchito ndi kusonyeza kupuma mlingo. .
I. Malo otsogolera panthawi yowunika kupuma
1. Miyezo ya kupuma imachitidwa pogwiritsa ntchito ndondomeko yoyendetsera chingwe cha ECG, monga momwe tawonetsera pa chithunzi pamwambapa.
II.Zolemba pakuyang'anira kupuma
1. Kuwunika kwa kupuma sikoyenera kwa odwala omwe ali ndi ntchito zambiri, chifukwa izi zingayambitse ma alarm abodza.
2. Ziyenera kupeŵedwa kuti dera lachiwindi ndi ventricle zili pamzere wa ma electrodes opuma, kotero kuti zinthu zopangidwa kuchokera kumtima wamtima kapena kuthamanga kwa magazi kukhoza kupewedwa, zomwe ndizofunikira kwambiri kwa ana akhanda.

Kuwunika kwa
okosijeni wa m'magazi (SpO2) ndi kuchuluka kwa hemoglobini wokhala ndi okosijeni ndi hemoglobin wopanda okosijeni.Mitundu iwiri ya hemoglobin m'magazi, hemoglobin ya okosijeni (HbO2) ndi hemoglobin yocheperako (Hb), imakhala ndi mphamvu zoyamwitsa zofiira (660 nm) ndi kuwala kwa infrared (910 nm).Kuchepa kwa hemoglobini (Hb) kumatenga kuwala kofiyira komanso kuwala kocheperako.Zosiyana ndi zomwe zili ndi hemoglobini ya okosijeni (HbO2), yomwe imatenga kuwala kochepa kofiira komanso kuwala kwa infrared.Poyika kuwala kofiira kwa LED ndi infrared LED pamalo omwewo a msomali oximeter, pamene kuwala kumalowa kuchokera kumbali imodzi ya chala kupita kumbali ina ndikulandiridwa ndi photodiode, mphamvu yofananira yofanana imatha kupangidwa.Pambuyo pa kutembenuka kwa algorithm, zotsatira zake zimawonetsedwa pazithunzi za LCD, zomwe zimawonetsedwa ngati geji yoyezera index yaumoyo wamunthu.Zotsatirazi ndikulongosola mwachidule za momwe mungapezere mpweya wa magazi (SpO2), ndi zinthu zomwe zimakhudza kuyang'anira mpweya wa magazi.
I. Valani sensa
1. Chotsani utoto wa misomali pamalo ovala.
2. Ikani sensa ya SpO2 pa wodwalayo.
3. Onetsetsani kuti chubu chowala ndi cholandirira kuwala zikugwirizana wina ndi mzake kuonetsetsa kuti kuwala zonse zotuluka mu chubu chowala ayenera kudutsa mu minyewa ya wodwalayo.
II.Zomwe zimakhudza kuwunika kwa okosijeni wa magazi
1. Malo a sensa sali m'malo kapena wodwalayo akuyenda movutikira.
2. Ipsilateral mkono kuthamanga kwa magazi kapena ipsilateral lateral kunama psinjika.
3. Pewani kusokonezedwa kwa chizindikiro ndi chilengedwe chowala.
4. Kusayenda bwino kwa zotumphukira: monga kugwedezeka, kutentha kwa chala chochepa.
5. Zala: polishi wa misomali, ma calluses okhuthala, zala zothyoka, ndi misomali yayitali kwambiri zimakhudza kufalikira kwa kuwala.
6. Kulowetsa mtsempha wa mankhwala achikuda.
7. Simungathe kuyang'anira tsamba lomwelo kwa nthawi yayitali.

Kuwunika kwa kuthamanga kwa magazi (NIBP)
ndi kuthamanga kwapambuyo pa gawo lililonse la mtsempha wamagazi chifukwa cha kutuluka kwa magazi.Amayezedwa mwachizolowezi mu millimeters ya mercury (mmHg).Kuwunika kwa kuthamanga kwa magazi kosasunthika kumachitidwa ndi njira ya Koch (manual) ndi njira yodzidzimutsa, yomwe imagwiritsa ntchito mphamvu yapakati (MP) kuti iwerengetse kuthamanga kwa systolic (SP) ndi diastolic (DP).
I. Njira zodzitetezera
1. Sankhani mtundu wolondola wa odwala.
2. Sungani chikhomo ndi mtima.
3. Gwiritsani ntchito khafi ya kukula koyenera ndikumanga kuti 'INDEX LINE' ikhale mkati mwa 'RANGE'.
4. Khafi isakhale yothina kwambiri kapena yomasuka kwambiri, ndipo iyenera kumangidwa kuti chala chimodzi chilowemo.
5. Chizindikiro cha φ cha khafu chiyenera kuyang'anizana ndi mitsempha ya brachial.
6. Nthawi yanthawi yoyezera zodziwikiratu siyenera kukhala yayifupi kwambiri.
II.Kuthamanga kwa magazi kosasunthika komwe kumayambitsa zinthu
1. Kuthamanga kwambiri kwa magazi: kuthamanga kwa magazi kwa systolic kumaposa 250 mmHg, kutuluka kwa magazi sikungatsekeke kotheratu, chikhomocho chikhoza kuwonjezereka mosalekeza ndipo kuthamanga kwa magazi sikungayesedwe.
2. Kuthamanga kwambiri kwa magazi: kuthamanga kwa magazi kwa systolic ndi kosakwana 50-60mmHg, kuthamanga kwa magazi kumakhala kochepa kwambiri kuti zisawonetsere nthawi yomweyo kusintha kwa kuthamanga kwa magazi, ndipo kumatha kuwonjezereka mobwerezabwereza.

Mukufuna kudziwa zowunikira odwala?Lumikizanani nafe lero kuti mudziwe zambiri ndikugula!