I-multiparameter monitor inika ulwazi olubalulekileyo kwizigulana zonyango kunye nokubeka iliso kwisifo. Ibona imiqondiso ye-ecg yomzimba womntu, izinga lokubetha kwentliziyo, ukugcwala kweoksijini egazini, uxinzelelo lwegazi, ukuphefumla rhoqo, ubushushu kunye nezinye iiparameter ezibalulekileyo ngexesha langempela, iba luhlobo lwesixhobo esibalulekileyo sokubeka iliso kwiimpawu ezibalulekileyo kwizigulana.Yonkerkuza kwenziwa intshayelelo emfutshane ngeengxaki eziqhelekileyo kunye neempazamo xa kusetyenzwaimonitha yeparameter ezininziUkuze ufumane imibuzo ethile, ungaqhagamshelana nenkonzo yabathengi ekwi-intanethi.
1. Yintoni umahluko phakathi kwee-cardiac conductors ze-3-lead kunye ne-5-lead?
A: I-electrocardiogram enezikhombisi ezi-3 inokufumana kuphela i-electrocardiogram ye-I, II, III, ngelixa i-electrocardiogram enezikhombisi ezi-5 inokufumana i-electrocardiogram ye-I, II, III, AVR, AVF, AVL, V.
Ukuze kube lula ukunxibelelana ngokukhawuleza, sisebenzisa indlela yokuphawula imibala ukuncamathisela ngokukhawuleza i-electrode kwindawo ehambelanayo. Iintambo zentliziyo zeLead ezi-3 zinombala obomvu, otyheli, oluhlaza okanye omhlophe, omnyama, obomvu; Iintambo zentliziyo zeLead ezi-5 zinombala omhlophe, omnyama, obomvu, oluhlaza kunye nomdaka. Iintambo zentliziyo ezimbini ezinombala ofanayo zibekwe kwiindawo ezahlukeneyo ze-electrode. Kunokuthenjwa ngakumbi ukusebenzisa izifinyezo ze-RA, LA, RL, LL, C ukumisela indawo kunokukhumbula umbala.
2. Kutheni kucetyiswa ukuba unxibe isigqubuthelo seminwe esigcwala ioksijini kuqala?
Ngenxa yokuba ukunxiba imaski yomunwe ye-oximetry kukhawuleza kakhulu kunokudibanisa ucingo lwe-ecg, kunokujonga izinga lokubetha kwentliziyo yesigulane kunye ne-oximetry ngexesha elifutshane, okuvumela abasebenzi bezonyango ukuba bagqibezele uvavanyo lweempawu ezisisiseko zesigulana ngokukhawuleza.
3. Ngaba isingxobo somnwe se-OXImetry kunye ne-sphygmomanometer cuff zinokubekwa kwilungu elinye?
Ukulinganisa uxinzelelo lwegazi kuya kuthintela kwaye kuchaphazele ukuhamba kwegazi kwimithambo yegazi, nto leyo ekhokelela ekujongeni ngokungachanekanga umlinganiselo weoksijini egazini ngexesha lokulinganisa uxinzelelo lwegazi. Ke ngoko, akukhuthazwa ukunxiba isingxobo somnwe weoksijini kunye ne-automatic sphygmomanometer cuff kwilungu elinye ngokwezonyango.
4. Ngaba kufuneka kutshintshwe ii-electrode xa izigulane ziqhubeka nonyangoI-ECGukujonga?
Kuyimfuneko ukutshintsha i-electrode, ukuba i-electrode inamathela ixesha elide kwindawo enye iya kukhokelela ekuveleni kwamaqhuqhuva, amadyungudyungu, ngoko ke kufuneka uhlolwe ulusu rhoqo, nokuba ulusu lwangoku alunanto, kufuneka utshintshe i-electrode kunye nendawo yokuncamathelisa rhoqo emva kweentsuku ezi-3 ukuya kwezi-4, ukuze kuthintelwe ukwenzeka komonakalo kulusu.
5. Yintoni esifanele siyiqwalasele xa sijonga uxinzelelo lwegazi ngendlela engangenisi gazi?
(1) Nika ingqalelo ukuze ungajongi i-fistula yangaphakathi, i-hemiplegia, amalungu anecala elinye lokususwa komhlaza webele, amalungu ane-infusion, kunye namalungu ane-edema kunye ne-hematoma kunye nolusu olonakeleyo. Kufuneka kunikwe ingqalelo nakwizigulane ezingasebenzi kakuhle kwe-coagulation kunye nesifo se-libriform cell ukuze kuthintelwe iingxabano zonyango ezibangelwa kukulinganiswa koxinzelelo lwegazi.
(2) Inxalenye yokulinganisa kufuneka itshintshwe rhoqo. Iingcali zicebisa ukuba itshintshwe rhoqo emva kweeyure ezi-4. Kuphephe ukulinganisa rhoqo kwelinye ilungu, okubangela i-purpura, ischemia kunye nomonakalo wemithambo-luvo kwilungu elikhuhlana ne-cuff.
(3) Xa kulinganiswa abantu abadala, abantwana kunye neentsana ezisandul’ ukuzalwa, kufuneka kuqwalaselwe ukukhethwa kunye nokulungiswa kwe-cuff kunye nexabiso loxinzelelo. Kuba uxinzelelo olusetyenziswa kubantu abadala ebantwaneni nakwiintsana ezisandul’ ukuzalwa lusongela ukhuseleko lwabantwana; Kwaye xa isixhobo sifakwe kwintsana esandul’ ukuzalwa, asiyi kulinganisa uxinzelelo lwegazi lomntu omdala.
6. Ukuphefumla kubonwa njani ngaphandle kwe-moudel yokujonga ukuphefumla?
Ukuphefumla kwisikrini kuxhomekeke kwii-electrode ze-electrocardiogram ukuze zive utshintsho kwi-impedance yesifuba kwaye zibonise imo yamaza kunye nedatha yokuphefumla. Ngenxa yokuba ii-electrode ezisezantsi ngasekhohlo nasekunene eziphezulu zii-electrode ezibuthathaka ekuphefumleni, indawo yazo ibalulekile. Ezi electrode zimbini mazibekwe nge-diagonal kangangoko kunokwenzeka ukuze kufunyanwe i-breath wave engcono. Ukuba isigulana sisebenzisa ukuphefumla kwesisu ikakhulu, i-electrode esezantsi ngasekhohlo kufuneka incamathiselwe kwicala lasekhohlo apho i-abdominal heavings ibonakala khona kakhulu.
7. Ungayibeka njani uluhlu lwe-alamu kwipharamitha nganye?
Imigaqo yokuseta i-alamu: ukuqinisekisa ukhuseleko lwesigulana, ukunciphisa ukuphazamiseka kwengxolo, akuvumelekanga ukuvala umsebenzi we-alamu, ngaphandle kokuba ivaliwe okwethutyana kwindawo yokuhlangula, uluhlu lwe-alamu alumiselwanga kuluhlu oluqhelekileyo, kodwa kufuneka lube luluhlu olukhuselekileyo.
Iiparameter zesilumkiso: izinga lokubetha kwentliziyo lingaphezulu kwama-30% nangaphezulu kweqondo lokubetha kwentliziyo yabo; Uxinzelelo lwegazi lumiselwa ngokweengcebiso zonyango, imeko yesigulane kunye noxinzelelo lwegazi olusisiseko; Ubungakanani beoksijini bumiselwa ngokwemeko yesigulane; Umthamo wesilumkiso kufuneka uvakale ngaphakathi kobubanzi bomsebenzi womongikazi; Uluhlu lwesilumkiso kufuneka luhlengahlengiswe nangaliphi na ixesha ngokwemeko kwaye luhlolwe ubuncinane kube kanye ngeshifti nganye.
8. Ziziphi izizathu zokungaphumeleli kokubonakala kwi-waveform yesiboniso se-ECG monitor?
1. I-electrode ayincamathiselwanga kakuhle: isibonisi sibonisa ukuba i-lead icinyiwe, okubangelwa kukuba i-electrode ayincamathiselwanga kakuhle okanye i-electrode ikhuhliwe ngenxa yokuhamba komguli.
2. Ukubila nokungcola: isigulana siyabila okanye ulusu alucocekanga, nto leyo engelula ukuyihambisa ngombane, nto leyo ebangela ukungadibani kakuhle ne-electrode.
3. Iingxaki zomgangatho we-electrode yentliziyo: ezinye ii-electrode azigcinwanga kakuhle, ziphelelwe lixesha okanye ziguga.
4. Impazamo yekhebula: Ikhebula liyaguga okanye liyaphuka.
6. I-electrode ayibekwanga kakuhle.
7. IKHEBHE eqhagamshela kwibhodi ye-ECG okanye kwibhodi yokulawula ephambili okanye kwibhodi yokulawula ephambili inempazamo.
8. Ucingo olungaphantsi komhlaba olungadibaniyo: ucingo olungaphantsi komhlaba ludlala indima ebaluleke kakhulu ekubonisweni okuqhelekileyo kwesimo samaza, hayi ucingo oluphantsi komhlaba, nalo luyimbangela yesimo samaza.
9. Akukho maza esikrini:
1. Itshekhi:
Okokuqala, ukuqinisekisa ukuba i-electrode incamathiselwe ngokufanelekileyo na, ukujonga indawo ye-electrode yentliziyo, umgangatho we-electrode yentliziyo, kunye nokuba kukho ingxaki ngentambo ye-lead ngokusekelwe ekunamatheleni kwe-electrode kunye nomgangatho wayo. Ukujonga ukuba amanyathelo oqhagamshelo achanekile na, kunye nokuba imo ye-lead yomqhubi iqhagamshelwe ngokwendlela yoqhagamshelo ye-monitor ye-ECG, ukuze kuthintelwe indlela yokugcina umzobo ovilaphayo yokudibanisa amakhonkco amahlanu amakhonkco amathathu kuphela.
Ukuba intambo yesignali ye-ECG ayibuyi emva kokuba impazamo ilungisiwe, mhlawumbi intambo yesignali ye-ECG kwibhodi yesokhethi yeparameter ingadibani kakuhle, okanye intambo yoqhagamshelo okanye ibhodi yokulawula ephambili phakathi kwebhodi ye-ECG kunye nebhodi yokulawula ephambili inempazamo.
2. Uphononongo:
1. Jonga zonke iindawo zangaphandle ze-cardiac conductance (iintambo zokwandisa ezintathu/ezintlanu ezidibana nomzimba womntu kufuneka zikwazi ukuqhuba umbane kwiiphini ezintathu/ezintlanu ezihambelanayo kwi-ecg plug. Ukuba ukumelana akunasiphelo, intambo ye-lead kufuneka itshintshwe). Indlela: susa intambo ye-heart conductance, lungelelanisa umphezulu we-convex we-plug ye-lead wire kunye nomngxuma we-jack "ye-heart conductance" kwiphaneli engaphambili yekhompyutha yomphathi,
2, Tshintsha le ntambo ye-ECG nezinye iimatshini ukuqinisekisa ukuba ingaba intambo ye-ECG ayisebenzi, ukuguga kwentambo, okanye umonakalo wephini.
3. Ukuba itshaneli ye-waveform yesiboniso se-ecg ibonisa "akukho signali ifumanayo", oko kubonisa ukuba kukho ingxaki kunxibelelwano phakathi kwemodyuli yokulinganisa i-ECG kunye nomsingathi. Ukuba umyalezo usaboniswa emva kokuvala nokuqalisa kwakhona, kufuneka uqhagamshelane nomthengisi.
3. Itshekhi:
1. Amanyathelo oqhagamshelo kufuneka achaneke:
A. Sula izikhundla ezi-5 zomzimba womntu ngesanti kwi-electrode, uze usebenzise i-ethanol engama-75% ukucoca umphezulu wendawo yokulinganisa, ukuze ususe amabala esikhumba kunye nokubila eluswini lomntu kwaye uthintele ukudibana okubi ne-electrode.
B. Qhagamshela intloko ye-electrode yocingo lwe-electrocardioconductance kwi-electrode ephezulu yee-electrode ezi-5.
C. Emva kokuba i-ethanol inyibilikile, ncamathisela ii-electrode ezi-5 kwindawo ethile emva kokucoca ukuze ziqhagamshelane ngokuthembekileyo kwaye zingawi.
2. I-propaganda kunye nemfundo enxulumene nezigulana kunye neentsapho zazo: xelela izigulana kunye nabanye abasebenzi ukuba bangayitsali intambo ye-electrode kunye nentambo ye-lead, kwaye uxelele izigulana kunye nezalamane zazo ukuba zingayifaki kwaye zilungise i-monitor ngaphandle kwemvume, enokubangela umonakalo kwisixhobo. Ezinye izigulana kunye namalungu eentsapho zazo zinombono wemfihlakalo kunye nokuxhomekeka kwi-monitor, kwaye utshintsho lwe-monitor luya kubangela ixhala kunye noloyiko. Abasebenzi bobuhlengikazi kufuneka benze umsebenzi olungileyo wengcaciso eyaneleyo, efunekayo, ukuze kuthintelwe ukuphazamiseka komsebenzi wobuhlengikazi oqhelekileyo, kuchaphazele ubudlelwane phakathi komongikazi kunye nesigulana.
3. Nika ingqalelo ekugcinweni kwemonitha xa isetyenziswa ixesha elide. I-electrode kulula ukuyilahla emva kokusetyenziswa ixesha elide, nto leyo echaphazela ukuchaneka kunye nomgangatho wokubeka esweni. Yitshintshe i-3-4D kube kanye; Kwangaxeshanye, jonga kwaye unike ingqalelo ekucoceni nasekubulaleni ulusu, ingakumbi ehlotyeni elishushu.
4. Ukuba kufunyenwe iingxaki ezinkulu kwisixhobo ngexesha lenkqubo yokujonga nokugcina izinto ngabasebenzi abaziingcali, kungcono ukucela abasebenzi abaziingcali belabhoratri ye-ECG ukuba bahlole baze baxilonge, kwaye balondoloze ngabasebenzi abaziingcali bomenzi.
5. Qhagamshela ucingo lomhlaba xa uqhagamshela. Indlela: Qhagamshela isiphelo ngethusi elifakwe kwisigqubuthelo somhlaba kwiphaneli engasemva yesixhobo sokusingatha.
Ixesha lokuthumela: Julayi-01-2022
