Varwere veMarket zvinhu zvakakosha zvishandiso muzvirongwa zvekurapa, kupa data chaiyo-nguva pane zvakakosha zviratidzo. Aya monitors anoratidza akasiyana-siyana paramita anobatsira vashandi vehutano vanoongorora mamiriro emurwere uye kupindura nekukurumidza kune chero shanduko. Chinyorwa ichi chinotarisira kutsanangura ma paramita mashanu evatariri vemadzinza emarasha, kukosha kwavo, uye kuti zviitiko izvi sei mumaratidziro aya anogona kuratidza nyaya dzehutano.

Chii chinonzi murwere ekutarisa?

Muridzi wekutarisa chishandiso chinoshandiswa muhutano hwehutano hwekuenderera mberi nekuratidzira kuyera uye kuratidza akasiyana-siyana emuviri masaji emurwere emurwere. Aya monitor akakosha muzvikamu zvakanyanya zvekutarisira (Icus), makamuri ekushandisa, madhipatimendi emazambuko, uye dzimwe nzvimbo dzinogara dzichicherekedza mamiriro emurwere anodiwa.

Iyo shanu yakajairika parameter yevarwere monitors

Iyo yakajairika paramita inotariswa ndeye:

• Electrocardiography (ECG)

• Kumanikidza kweropa (BP)

• OxyGEN SATURATION (SPA2)

• Rwiyo rwekufema (rr)

• Tembiricha

1. Electrocardiography (ECG)

Chii chinonzi ECG?

Electrocardiography inoyera chiitiko chemagetsi chemoyo. Iyo ECG inomiririrwa seyakajaira pane iyo yekutarisa, kuratidza rume remwoyo uye kuitwa kwemagetsi.

Ecg yakayerwa sei?

Electrodes inoiswa pane ganda remurwere panguva dzakananga kuti vaone zvemagetsi zvinogadzirwa nemoyo. Izvi zvisungo zvinobva zvaratidzwa sechiitiko chinoenderera mberi chegirafu pane iyo yekutarisa.

Kukosha kweECG

• Rwiyo rwemwoyo: huwandu hwenhumbi paminiti.

• Mwoyo Rhythm: Iyo nzira uye inogara ichiripo kwemoyo.

• Kubata kwemagetsi: inoratidza chiitiko chemagetsi sezvinofamba kuburikidza nemhasuru yemwoyo.

• Zvakajairika ECG Abnormalities uye zvakabatana mamiriro

• Bradycardia: Moyo wemoyo zvisingasviki makumi matanhatu emaminitsi paminiti. Inogona kuratidza nyaya senge hypothyroidism kana moyo block.

• Tachycardia: Mwoyo chiyero chinopfuura zana kurohwa paminiti. Inogona kurongedza mamiriro ezvinhu senge fivha, kushomeka, kana kunetseka.

• Arrhythmias: isina kujairika kurova kwemoyo iyo inogona kunongedzera kuActrial Fibrilation, Ventricular FiBrillation, kana imwe mamiriro emoyo.

• ST SEGMment Inoshanduka: Kusimudzira kana kushungurudzika muchikamu cheS ST kunoratidzira myocardial infction (kurwiswa kwemoyo) kana ischemia.

2. Kumanikidza kweropa (BP)

Chii chinonzi Ropa?

Kuchengetedzwa kweropa isimba rinoshandiswa nekutenderera ropa pamadziro emidziyo yeropa. Iyo inoyerwa mumamirimita eMercury (MMHG) uye yakanyorwa seyakaitwa maviri: systolic (kumanikidzwa panguva yemoyo) uye diastoic (kudzvanywa pakati pemwoyo).

Kutsvanywa kweropa kuyerwa sei?

Kudhinda kweropa kunowanzo kuyerwa uchishandisa cuff yakaiswa padhuze ne ruoko. Iyo cuff in in in in inomira kwenguva pfupi kuyerera kweropa uyezve zvishoma nezvishoma zvichitenderedza, kuyera kudzvinyirira sezvo kuyerera kweropa kunotangazve.

Kukosha Kweropa kweropa

• Systolic Dzvinyiriro: inoratidza kudzvinyirira mumatareji kana moyo uchirova.

• Diastoic kudzvinyirirwa: Inoratidza kudzvinyirira mumatareji kana moyo uri kuzorora pakati pemarovhu.

• Yakajairika Ropa Kumanikidza AutoMalities uye Inosanganiswa Mamiriro

• Hypertension: Yakakwira Ropa Preection (≥130 / 80 MMHG). Inogona kutungamira chirwere chemoyo, kurova, uye nematambudziko etsiva.

• Hypotension: Low Ropar Pressure (≤90 / 60 mmhg). Inogona kukonzera kuora, kupera simba, uye kuvhunduka.

• Orthostatic hypotension: kudonha kwakakosha muropa kumanikidzwa, iyo inogona kukonzera kuhukura uye kupera simba.

3. Oxygen saturation (spo2)

Chii chinonzi okisijeni yekugadzira?

Kugadziriswa kweokisijeni kunoyera iyo muzana yehemoglobin mamorekuru muropa iro rakazara neokisijeni. Icho chinoratidza chinongedzo chekuti oksijeni iri kutakurwa kuenda kumatehwe emuviri.

Kugadziriswa kweokisijeni kunoyerwa sei?

Spo2 inoyerwa isiri-isingaenzaniswi uchishandisa pulse oximeter, kazhinji yakaiswa pamunwe, nzeve, kana zvigunwe. Iyo kifaa inoshandisa mwenje yekunyora kuburikidza nekudhonzwa nemubhedha wekuputika kuti uzive okisijeni.

Kukosha kweOxyGen Saturation

• Zvakajairika Range: kazhinji pakati pe95% uye 100%.

• Hypoxemia: okisijeni yekuona pazasi 90%, inoratidza isina kukwana okisijeni muropa, iyo inoda kurapwa nekukurumidza.

• Zvakajairika SHO2 Abnormalities uye zvakabatana mamiriro

• Low Sp2 (hypoxemia): Inogona kukonzerwa nemamiriro ezvinhu senge chisingaperi chinokanganisa chirwere chechirwere (COPD), pneumonia, asthma, kana acthemu yekufema yekutambudzika (areds).

• Yakakwira SP2: Haiwanzoitika nyaya kunze kwekunge yakabatana neyakakodzera okisijeni yekurapa, inogona kukonzera okisijenti yehupfu mune dzimba dzinotyisa.

4. Rwiyo rwekufema (rr)

Ndeipi yekufema yekufema?

Rwiyo rwekufema ndiyo nhamba yemweya inotorwa paminiti. Icho chiratidzo chakakosha chinoratidza hutano hwekufema hwemurwere uye kushanda zvakanaka.

Chiyero chekufema chinoyerwa sei?

Muenzaniso wekufema unogona kuyerwa nekuona chipfuva chinokwira uye kudonha kana kushandisa sensors iyo inoona mhepo yekufambisa kana chest mafambiro.

Kukosha kweMitambo Yekufema

• Zvakajairika Range: Kazhinji 15-20 kufema kweminiti kune vakuru.

• Maitiro ekufema: Shanduko muyero uye kudzika kwekufema kunogona kuratidza nyaya dzakasiyana siyana hutano.

• Yakajairika kufema mitemo isingaenzaniswi uye inoenderana mamiriro

• Tachypnea: Kuwedzera kufema chiyero (anopfuura makumi maviri kufema paminiti). Inogona kukonzerwa nemamiriro ezvinhu sefivha, kunetseka, hutachiona hwemapapu, kana kutadza kwemoyo.

• Bradypnea: Kuderedza kufema kwekufema (pazasi 12 kufema paminiti). Inogona kuoneka mu opioid overdose, kukuvara kwemusoro, kana hypothyroidism.

• Apnea: Nguva dzekuti hapana kufema, izvo zvinogona kuratidza kurara apnea, zvinodhaka zvakanyanyisa, kana mamiriro ekufema akaomesesa.

5. Tembiricha

Chii chiri kupisa?

Tembiricha yemuviri chiyero chekugona kwemuviri kugadzira uye kubvisa kupisa. Icho chinoratidza chiratidzo che metabolic chiitiko uye hutano hwese.

Tembiricha yakayerwa sei?

Tembiricha inogona kuyerwa uchishandisa thermometers yakaiswa nemuromo, zvakaringana, axillary (pasi pe ruoko), kana kuburikidza nenzeve (tympanic). Varidzi vemarwere epamberi vanowanzobatanidza tembiricha inopa kuverenga kuenderera mberi.

Kukosha kwekushisa

• Zvakajairika Range: Kazhinji 97 ° F to 99 ° F (36.1 ° C kusvika 37.2 ° C).

• Skrile States: Yakakwidziridzwa muviri kupisa (fivha) kazhinji inoratidza hutachiona kana kuzvimba.

• Tembiricha inowanzo tembiricha uye inoenderana mamiriro

• Hyperthermia (fivha): yakakwirira yemuviri tembiricha pamusoro pe100.4 ° F (38 ° C). Inogona kukonzerwa nehutachiona, heatstroke, mamiriro ezvinhu anokanganisa, kana mimwe mishonga.

• Hypothermia: kupisa kwemuviri pazasi 95 ° F (35 ° C). Mhedzisiro kubva pakuratidzwa kwenguva refu kutonhora, kuvhunduka, kana zvimwe metabolic disorders.

• Kusagadzikana kweshiri: kudzvanywa kunogona kuonekwa mumamiriro ezvinhu senge sepsis kana thyroid kusagadzikana.

Kubatanidza ma paramita ekutarisa kwakazara

Kuongorora aya ma paramita mashanu kunopa maonero ehutano hwemurwere. Rimwe neimwe paramende inopa nzwisiso yakasarudzika, uye kubatanidzwa kwavo kunobvumira vanopa hutano kuti vaone zviratidzo zvekupedzisira zvekuora, kuita zvidzore, uye kuita zviono zvekupindirana nenguva. Semuyenzaniso:

• Cardiopulmonary kuzorora

• Post-Surgical Care: Kutarisa Kwevanhu Vese Vese Maharitari Kwakakosha kuti uone matambudziko akadai sekubuda ropa, utachiona, kana kutadza kufema.

• Kurwara nechirwere

Varidzi vemaraririri vanotamba chinzvimbo chakakosha muhutano hwemazuva ano nehutano hwekuramba tichitevedza masaga emuviri. Kunzwisisa paramende mashanu-ecg, kufuratira kweropa, kuwanda kwejeni, kuwanda kwemhepo, uye tembiricha-inobatsira mukuziva kukosha kwavo mukuchengeta kwavo murombo. Paramende yega yega inopa ruzivo rwakakosha nezvehutano hwemurwere, uye zvisingaenzaniswi muzvidzidzo izvi zvinogona kuratidza mamiriro ezvinhu akasiyana-siyana, kutungamira nyanzvi dzehutano mukuendesa kurapwa kunobudirira uye panguva yakakodzera. Nekubatanidza iyi parameter, madzirindi emurwere anopa zvakanyanyisa kuvandudza zvibodzwa zvemurwere uye kuona kutarisirwa kwakazara.