Muaj ntau ntau hom sphygmomanometers ntawm lub khw.Yuav ua li cas xaiv ib tug haum sphygmomanometer
Sau: Xiang Zhiping
Siv: Tuam Tshoj Kev Kho Mob Frontier Journal (Electronic Edition) -- 2019 Suav Tsev Neeg Cov Ntshav Ntsuas Phau Ntawv Qhia
1. Tam sim no, lub zej zog thoob ntiaj teb tau koom ua ke tsim ib qho kev sib koom ua ke AAMI / ESH / ISO sphygmomanometer qhov tseeb qhov tseeb.Cov sphygmomanometers uas tau txheeb xyuas tuaj yeem nug tau ntawm cov vev xaib cuam tshuam (www.dableducational. org lossis www.bhsoc. ORG).
2. Cuff dawb "sphygmomanometer" lossis txawm tias tsis sib cuag "sphygmomanometer" zoo li high-tech, tab sis cov thev naus laus zis no tsis paub tab thiab tsuas yog siv tau raws li kev siv.Tam sim no, cov cuab yeej ntsuas no tseem nyob rau hauv kev tshawb fawb thiab kev loj hlob theem.
3. Tam sim no, qhov paub tab ntau dua yog qhov txheeb xyuas sab caj npab tsis siv neeg oscillographic hluav taws xob sphygmomanometer.Rau tsev neeg kev ntsuas ntshav siab, nws tseem pom zoo kom siv lub caj npab sab sauv tsis siv neeg hluav taws xob sphygmomanometer.
4. Lub dab teg hom siab tsis siv neeg oscillographic hluav taws xob sphygmomanometer yog siv los ntawm ntau tus neeg vim nws yooj yim rau kev ntsuas thiab nqa thiab tsis tas yuav nthuav tawm sab caj npab, tab sis feem ntau nws tsis yog thawj qhov kev xaiv.Hloov chaw, nws raug nquahu kom siv nws los ua lwm txoj hauv kev txias txias lossis cov neeg mob uas hnav tsis zoo (xws li cov neeg xiam oob khab) thiab siv nws nruj raws li cov lus qhia.
5. Muaj cov ntiv tes hom hluav taws xob sphygmomanometers ntawm lub khw, uas muaj qhov yuam kev loj thiab tsis pom zoo.
6. Mercury sphygmomanometer xav tau kev cob qhia tshwj xeeb ua ntej siv.Nyob rau tib lub sijhawm, mercury yooj yim ua rau ib puag ncig thiab ua rau tib neeg noj qab haus huv.Nws tsis yog thawj qhov kev xaiv rau tsev neeg kuaj ntshav siab.
7. Auscultation method simulates mercury kem lossis barometer sphygmomanometer.Vim tias qhov kev xav tau siab rau auscultation, kev cob qhia kev tshaj lij yog xav tau, thiab nws tsis pom zoo kom siv tsev neeg ntsuas ntshav siab.Txawm hais tias hluav taws xob sphygmomanometers lossis mercury sphygmomanometers tau siv rau lub sijhawm, lawv yuav tsum tau ntsuas tsis tu ncua, feem ntau ib xyoos ib zaug, thiab cov tuam txhab loj loj kuj tseem yuav muab cov kev pabcuam calibration.
Yog li cas peb yuav tsum xyuam xim rau thaum siv hluav taws xob sphygmomanometer los ntsuas ntshav siab?
1. Ua ntej ntsuas ntshav siab, so hauv lub xeev ntsiag to tsawg kawg 5 feeb thiab tso lub zais zis, uas yog hais tias, mus rau hauv chav dej thiab ntim me ntsis, vim tias tuav cov zis yuav cuam tshuam qhov tseeb ntawm cov ntshav siab.Tsis txhob tham thaum noj ntshav, thiab tsis txhob siv cov khoom siv hluav taws xob xws li xov tooj ntawm tes thiab ntsiav tshuaj.Yog tias ntsuas ntshav siab tom qab noj mov lossis tom qab qoj ib ce, koj yuav tsum tau so tsawg kawg ib nrab teev, tom qab ntawd siv lub rooj zaum xis thiab ntsuas hauv lub xeev ntsiag to.Nco ntsoov ua kom sov thaum noj ntshav hauv lub caij ntuj no txias.Thaum noj ntshav siab, muab koj txhais caj npab rau ntawm theem ntawm koj lub siab.
2. Xaiv lub cuff uas tsim nyog, feem ntau nrog cov qauv tshwj xeeb.Tau kawg, rau cov phooj ywg rog lossis cov neeg mob uas muaj caj npab loj (> 32 cm), qhov loj-loj airbag cuff yuav tsum raug xaiv kom tsis txhob ntsuas qhov yuam kev.
3. Qhov twg yog qhov tseeb dua?Yog tias ntsuas ntshav siab thawj zaug, cov ntshav siab ntawm sab laug thiab sab xis yuav tsum ntsuas.Nyob rau hauv lub neej yav tom ntej, sab nrog cov ntshav siab nyeem ntawv siab dua tuaj yeem ntsuas.Tau kawg, yog tias muaj qhov sib txawv ntawm ob sab, mus rau hauv tsev kho mob hauv lub sijhawm kom tshem tawm cov kab mob vascular, xws li subclavian artery stenosis, thiab lwm yam.
4. Rau cov neeg mob ntshav siab thawj zaug thiab ntshav siab tsis ruaj khov, ntshav siab tuaj yeem ntsuas 2-3 zaug thaum sawv ntxov thiab yav tsaus ntuj ntawm txhua hnub, thiab tom qab ntawd tus nqi nruab nrab tuaj yeem muab thiab sau rau hauv phau ntawv lossis daim ntawv tshuaj xyuas ntshav siab.Nws yog qhov zoo tshaj los ntsuas tsis tu ncua rau 7 hnub.
5. Thaum ntsuas ntshav siab, nws raug nquahu kom ntsuas nws tsawg kawg ob zaug, nrog rau lub sijhawm 1-2 feeb.Yog tias qhov sib txawv ntawm systolic lossis diastolic ntshav siab ntawm ob sab yog ≤ 5 mmHg, qhov nruab nrab tus nqi ntawm ob qhov kev ntsuas tuaj yeem raug coj los siv;Yog tias qhov sib txawv yog> 5 mmHg, nws yuav tsum tau ntsuas dua nyob rau lub sijhawm no, thiab qhov nruab nrab ntawm qhov ntsuas peb yuav tsum tau muab coj los ntsuas.Yog tias qhov sib txawv ntawm qhov ntsuas thawj zaug thiab qhov ntsuas tom ntej yog qhov loj heev, qhov nruab nrab ntawm qhov ntsuas ob qhov kev ntsuas tom ntej yuav tsum tau muab coj los siv.
6. Ntau tus phooj ywg yuav nug thaum twg yog lub sijhawm zoo tshaj plaws los ntshav ntshav?Nws raug nquahu kom kuaj tus kheej ntawm kev zaum ntshav siab ntawm lub sijhawm teem sijhawm tsis pub dhau 1 teev tom qab sawv ntxov, ua ntej noj cov tshuaj tiv thaiv ntshav siab, noj tshais thiab tom qab tso zis.Thaum yav tsaus ntuj, nws raug nquahu kom ntsuas ntshav siab tsawg kawg ib nrab teev tom qab noj hmo thiab ua ntej yuav mus pw.Rau cov phooj ywg uas tswj ntshav siab zoo, nws raug nquahu kom ntsuas ntshav siab tsawg kawg ib zaug ib lub lim tiam.
Cov ntshav siab ntawm peb tib neeg lub cev tsis tas li, tab sis hloov pauv txhua lub sijhawm.Vim tias lub tshuab hluav taws xob sphygmomanometer yog qhov rhiab heev, tus nqi ntsuas txhua lub sijhawm yuav txawv, tab sis tsuav yog nyob rau hauv ib qho chaw, tsis muaj teeb meem, thiab yog li mercury sphygmomanometer.
Rau qee qhov arrhythmias, xws li atrial fibrillation ceev, lub tsev zoo tib yam hluav taws xob hluav taws xob sphygmomanometer yuav muaj qhov sib txawv, thiab mercury sphygmomanometer kuj tseem muaj qhov tsis meej pem hauv qhov no.Lub sijhawm no, nws yog ib qho tsim nyog los ntsuas ntau zaus kom txo qhov yuam kev.
Yog li ntawd, ntev npaum li qhov tsim nyog sab caj npab siv hluav taws xob sphygmomanometer, ntxiv rau kev cuam tshuam ntawm qee yam kab mob, tus yuam sij rau seb qhov ntsuas ntshav siab puas yog qhov ntsuas ntsuas yog tus qauv.
Lub sij hawm xa tuaj: Mar-30-2022