Isixhobo sokujonga isigulana sinokubonakalisa utshintsho olubonakalayo kwisantya sentliziyo yesigulane, ukubetha kwentliziyo, uxinzelelo lwegazi, ukuphefumla, ukugcwala kweoksijini egazini kunye nezinye izinto ezifunekayo. Iisixhobo sokujonga isigulana esiphathwayo sisetyenziswa kakhulu ziingcali zonyango.ukubekwa esweni kweparameter yeentsana ezisandula ukuzalwa, abantwana okanye abantu abadala. Kodwa izigulane ezininzi kunye neentsapho zazo aziqondi, zihlala zinemibuzo okanye iimvakalelo zovalo, kwaye ngoku ekugqibeleni sinokuqonda kunye.
01 Izinto ezisetyenziswa kwi-ECG monitor
Isixhobo sokujonga isigulana senziwe ngesikrini esiphambili, i-lead yokulinganisa uxinzelelo lwegazi (eqhagamshelwe kwi-cuff), i-lead yokulinganisa i-oksijini yegazi (eqhagamshelwe kwi-blood oxygen clip), i-lead yokulinganisa i-electrocardiogram (eqhagamshelwe kwiphepha le-electrode), i-lead yokulinganisa ubushushu kunye ne-power plug.
Isikrini esiphambili sesikrini sesigulana sinokwahlulwa sibe ziinkalo ezi-5:
1) Indawo yolwazi olusisiseko, kuquka umhla, ixesha, inombolo yebhedi, ulwazi lwe-alamu, njl.njl.
2) Indawo yokulungisa umsebenzi, esetyenziselwa kakhulu ukulungelelanisa iliso le-ECG, le ndawo isetyenziswa ngabasebenzi bezonyango, izigulane kunye namalungu osapho abanakutshintsha ngokuthanda kwabo.
3) Iswitshi yamandla, isalathisi samandla;
4) Indawo ye-waveform, ngokweempawu ezibalulekileyo kwaye uzobe umzobo we-waveform owenziweyo, inokubonakalisa ngokuthe ngqo ukuguquguquka okuguquguqukayo kweempawu ezibalulekileyo;
5) Indawo yeparameter: indawo ebonisa iimpawu ezibalulekileyo ezifana nesantya sentliziyo, uxinzelelo lwegazi, izinga lokuphefumla kunye neoksijini yegazi.
Okulandelayo, masiqonde indawo yeparameter, ekwayeyona nto ibalulekileyo kwizigulane zethu kunye neentsapho zazo ukuqonda "iimpawu ezibalulekileyo" zezigulane.
02Indawo yeparameter ---- iimpawu ezibalulekileyo zesigulana
Iimpawu ezibalulekileyo, igama lezonyango, ziquka: ubushushu bomzimba, ukubetha kwentliziyo, ukuphefumla, uxinzelelo lwegazi, ioksijini yegazi. Kwi-monitor ye-ECG, sinokuziqonda iimpawu ezibalulekileyo zesigulana.
Apha siza kukuxelela ngemeko yesigulana esifanayo.
UkubukelaAwona maxabiso abalaseleyo, ngeli xesha iimpawu ezibalulekileyo zesigulana zezi: izinga lokubetha kwentliziyo: 83 beats/min, ukugcwala kweoksijini egazini: 100%, ukuphefumla: 25 beats/min, uxinzelelo lwegazi: 96/70mmHg.
Abahlobo abaqaphelayo banokukwazi ukuxelela
Ngokubanzi, ixabiso elikwicala lasekunene le-ECG esiliqhelileyo lizinga lentliziyo yethu, kwaye i-waveform yamanzi kukwanda kwe-oxygen egazini lethu kunye nokuphefumla, uluhlu oluqhelekileyo lwe-oxygen egazini yi-95-100%, kwaye uluhlu oluqhelekileyo lokuphefumla luyi-16-20 amaxesha/min. Ezi zimbini zahlukile kakhulu kwaye zinokugwetywa ngokuthe ngqo. Ukongeza, uxinzelelo lwegazi ngokubanzi lwahlulwe lube yi-systolic kunye ne-diastolic blood pressure, amaxesha amaninzi amaxabiso amabini avela ecaleni, uxinzelelo lwegazi lwe-systolic ngaphambili, uxinzelelo lwegazi lwe-diastolic ngasemva.
03Amanyathelo okuzikhusela ekusebenziseniisigulana isixhobo sokubona
Ngokuqonda inyathelo elingaphambili, sele singakwazi ukwahlula oko kuthethwa lixabiso elimelwe kwisixhobo sokubeka esweni. Ngoku masiqonde ukuba la manani athetha ukuthini.
Inqanaba lentliziyo
Isantya sentliziyo - simele inani leexesha intliziyo ibetha ngalo ngomzuzu.
Ixabiso eliqhelekileyo kubantu abadala li: 60-100 amaxesha/ngomzuzu.
Isantya sentliziyo esingaphantsi kwama-60 beats/min, iimeko eziqhelekileyo zomzimba ziqhelekile kubadlali, abantu abadala njl.njl.; Iimeko ezingaqhelekanga ziqhele ukubonwa kwi-hypothyroidism, isifo sentliziyo, kunye nemeko yokusondela ekufeni.
Isantya sentliziyo esingaphezulu kwe-100 beats/min, iimeko eziqhelekileyo zomzimba zihlala zibonwa kukuzivocavoca umzimba, uvuyo, imeko yoxinzelelo, iimeko ezingaqhelekanga zihlala zibonwa kumkhuhlane, ukothuka kwangoko, isifo sentliziyo, i-hyperthyroidism, njl.
Ukwanda kweoksijini egazini
Ukwanda kweoksijini egazini - ubuninzi beoksijini egazini - kusetyenziswa ukumisela ukuba unesifo se-hypoxia okanye akunjalo. Ixabiso eliqhelekileyo leoksijini egazini yi: 95%-100%.
Ukuncipha komthamo weoksijini kubonakala rhoqo ekuvalelekeni kwendlela yomoya, izifo zokuphefumla kunye nezinye izizathu zokuphelelwa ngamandla, ukungaphumeleli kokuphefumla.
Izinga lokuphefumla
Izinga lokuphefumla - limele inani lokuphefumla ngomzuzu ixabiso eliqhelekileyo kubantu abadala li: ukuphefumla kwe-16-20 ngomzuzu.
Ukuphefumla < amaxesha ali-12/ngomzuzu kubizwa ngokuba yi-bradyapnea, okubonakala rhoqo kuxinzelelo oluphezulu lwangaphakathi kwentloko, ubuthi be-barbiturate kunye nemeko yokusondela ekufeni.
Ukuphefumla okungaphezulu kwe-24 amaxesha/ngomzuzu, okubizwa ngokuba yi-hyperrespiration, okubonwa rhoqo kumkhuhlane, iintlungu, i-hyperthyroidism njl.
* Imodyuli yokujonga ukuphefumla yesikrini se-ECG idla ngokuphazamisa umboniso ngenxa yokuhamba kwesigulane okanye ezinye izizathu, kwaye kufuneka ilinganiswe ngesandla ukuphefumla.
Ifuthe legazi
Uxinzelelo lwegazi - Uxinzelelo lwegazi oluqhelekileyo kubantu abadala yi-systolic: 90-139mmHg, i-diastolic: 60-89mmHg. Ukuncipha koxinzelelo lwegazi, iimeko eziqhelekileyo zomzimba xa ulele, indawo enobushushu obuphezulu, njl.njl., iimeko ezingaqhelekanga zixhaphakile: ukopha okubangelwa kukwaphuka kwegazi, imeko yokusondela ekufeni.
Uxinzelelo lwegazi olunyukileyo, iimeko eziqhelekileyo zomzimba ziyabonakala: emva kokuzilolonga, uchulumanco, iimeko ezingaqhelekanga zibonakala kwi-hypertension, izifo ze-cerebrovascular;
Zininzi izinto ezichaphazela ukuchaneka kokulinganisa kwemonitha ye-ECG, kwaye amanyathelo afanelekileyo okuzikhusela aza kucaciswa apha ngezantsi.
Ixesha lokuthumela: Agasti-14-2023
