Ukubeka iliso kwesigulane kunokubonakalisa ngokuguquguqukayo utshintsho lwesantya sentliziyo yesigulane, i-pulse, uxinzelelo lwegazi, ukuphefumla, ukugcwala kwe-oksijini yegazi kunye nezinye iiparameters, kwaye ungumncedi olungileyo wokunceda abasebenzi bezonyango ukuba baqonde imeko yesigulane.Kodwa izigulane ezininzi kunye neentsapho zabo aziqondi, zihlala zinemibuzo okanye iimvakalelo eziphazamisayo, kwaye ngoku ekugqibeleni sinokuqonda kunye.
01 Amacandelo e-ECG esweni
I-monitor yesigulane yenziwe ngesikrini esiphambili, i-blood measurement measurement lead (ixhunyiwe kwi-cuff), i-blood measurement measurement lead (ixhunyiwe kwi-clip ye-oksijeni yegazi), i-electrocardiogram yokulinganisa i-electrocardiogram (idibaniswe kwiphepha le-electrode), i-lead yokulinganisa ubushushu kunye neplagi yamandla.
Isikrini esiphambili sesigulane sinokwahlulwa kwiindawo ezi-5:
1) Indawo yolwazi olusisiseko, kubandakanywa umhla, ixesha, inombolo yebhedi, ulwazi lwe-alamu, njl.
I-2) Indawo yokulungiswa komsebenzi, ngokukodwa isetyenziselwa ukumodareyithwa kwe-ECG yokubeka iliso, le ndawo isetyenziswe ngabasebenzi bezonyango, izigulane kunye namalungu entsapho abanako ukutshintsha ngokuthanda.
3) Ukutshintsha kwamandla, isalathisi samandla;
I-4) Indawo ye-Waveform, ngokweempawu ezibalulekileyo kunye nokuzoba umzobo owenziweyo, unokubonisa ngokuthe ngqo ukuguquguquka okuguquguqukayo kweempawu ezibalulekileyo;
I-5) Indawo yeParameter: indawo yokubonisa iimpawu ezibalulekileyo ezifana nesantya senhliziyo, uxinzelelo lwegazi, izinga lokuphefumula kunye ne-oxygen yegazi.
Emva koko, masiqonde indawo yeparameter, eyona nto ibaluleke kakhulu kwizigulane zethu kunye neentsapho zabo ukuqonda "imiqondiso ebalulekileyo" yezigulane.
02Indawo yeParameter ---- iimpawu ezibalulekileyo zesigulana
Iimpawu ezibalulekileyo, igama lezonyango, ziquka: ubushushu bomzimba, ukubetha kwentliziyo, ukuphefumla, uxinzelelo lwegazi, ioksijini yegazi.Kwi-monitor ye-ECG, sinokuqonda ngokucacileyo iimpawu ezibalulekileyo zesigulana.
Apha siza kukuthatha kwimeko yesigulana esinye.
Ukubukelaamaxabiso abalaseleyo, ngeli xesha iimpawu ezibalulekileyo zesigulane: izinga lentliziyo: i-83 beats / min, i-blood oxygen saturation: 100%, ukuphefumula: i-25 beats / min, uxinzelelo lwegazi: 96 / 70mmHg.
Abahlobo abaneliso elibukhali basenokukwazi ukuxela
Ngokuqhelekileyo, ixabiso kwicala lasekunene le-ECG esiliqhelileyo yintliziyo yethu, kwaye i-wave wave yamanzi yi-blood saturation ye-oksijeni kunye nokuphefumla, uluhlu oluqhelekileyo lwe-oxygen saturation yi-95-100%, kunye noluhlu oluqhelekileyo. yokuphefumla 16-20 amaxesha / min.Ezi zimbini zihluke kakhulu kwaye zinokugwetywa ngokuthe ngqo.Ukongeza, uxinzelelo lwegazi ngokuqhelekileyo lwahlulahlulwe lube yi-systolic kunye ne-diastolic yegazi, amaxesha amaninzi amaxabiso amabini avela ecaleni, uxinzelelo lwegazi lwe-systolic ngaphambili, uxinzelelo lwegazi lwe-diastolic ngasemva.
03Imiqathango yokusetyenziswa kweumonde esweni
Ngokuqonda inyathelo langaphambili, siyakwazi ukwahlula ukuba ixabiso elimelweyo kwisixhobo sokubeka iliso lithetha ntoni.Ngoku masiqonde ukuba athetha ukuthini la manani.
Inqanaba lentliziyo
Isantya sentliziyo - simele inani lamaxesha ekubetha kwentliziyo ngomzuzu.
Ixabiso eliqhelekileyo labantu abadala: 60-100 amaxesha / min.
Isantya senhliziyo <60 beats / min, iimeko eziqhelekileyo ze-physiological ziqhelekileyo kubadlali, abantu abadala kunye nokunye;Iimeko ezingaqhelekanga zibonwa ngokubanzi kwi-hypothyroidism, isifo sentliziyo, kunye nemeko yokufa.
Izinga lenhliziyo> I-100 beats / min, iimeko eziqhelekileyo ze-physiological zivame ukubonwa kwi-exercise, uchulumanco, isimo soxinzelelo, iimeko ezingaqhelekanga zivame ukubonwa kwi-fever, ukutshitshiswa kwangaphambili, isifo senhliziyo, i-hyperthyroidism, njl.
Ukuzaliswa kweoksijini yegazi
I-oxygen saturation - i-concentration ye-oksijini egazini - isetyenziselwa ukufumanisa ukuba i-hypoxic okanye ayikho.Ixabiso eliqhelekileyo le-oxygen yegazi: 95% -100%.
Ukunciphisa i-oxygen saturation kubonakala ngokuqhelekileyo ekuvinjweni kwendlela yokuphefumula, izifo zokuphefumula kunye nezinye izizathu ze-dyspnea, ukungaphumeleli kokuphefumula.
Izinga lokuphefumla
Izinga lokuphefumula - limele inani lokuphefumula ngomzuzu ixabiso eliqhelekileyo labantu abadala: 16-20 ukuphefumula ngomzuzu.
Ukuphefumla <izihlandlo ezili-12/min kuthiwa yi-bradyapnea, ebonwa ngokuqhelekileyo ekunyukeni koxinzelelo lwe-intracranial, i-barbiturate poisoning kunye ne-death state.
Ukuphefumula> Amaxesha e-24 / min, ebizwa ngokuba yi-hyperrespiration, ebonwa ngokuqhelekileyo kwi-fever, intlungu, i-hyperthyroidism kunye nokunye.
* Imodyuli yokubeka iliso yokuphefumula ye-ECG esweni isoloko iphazamisa umboniso ngenxa yentshukumo yesigulane okanye ezinye izizathu, kwaye kufuneka ixhomekeke kumlinganiselo wokuphefumula owenziwe ngesandla.
Ifuthe legazi
Uxinzelelo lwegazi - Uxinzelelo lwegazi oluqhelekileyo kubantu abadala luyi-systolic: 90-139mmHg, i-diastolic: 60-89mmHg.Ukunciphisa uxinzelelo lwegazi, iimeko eziqhelekileyo zomzimba ebuthongweni, indawo yokushisa ephezulu, njl., iimeko ezingaqhelekanga zixhaphakile: ukutshatyalaliswa kwe-hemorrhagic, imeko ekufutshane yokufa.
Ukunyuka kwengcinezelo yegazi, iimeko eziqhelekileyo ze-physiological zibonwa: emva kokuzivocavoca, ukuvuya, iimeko ezingaqhelekanga zibonwa kwi-hypertension, izifo ze-cerebrovascular;
Kukho izinto ezininzi ezichaphazela ukuchaneka komlinganiselo we-ECG esweni, kwaye imigqaliselo efanelekileyo iya kuchazwa ngezantsi.
Ixesha lokuposa: Aug-14-2023
