Kukho iintlobo ezininzi ze-sphygmomanometers kwimarike.Indlela yokukhetha i-sphygmomanometer efanelekileyo
Umbhali: Xiang Zhiping
Isalathiso: Ijenali yaseTshayina yezoNyango (uHlelo lwe-elektroniki) -- Isikhokelo sokujongwa koxinzelelo lwegazi lwaseTshayina luka-2019
1. Okwangoku, uluntu lwamazwe ngamazwe luye lwaqulunqa ngokudibeneyo i-AAMI / ESH / ISO sphygmomanometer ukuchaneka iskimu sokuqinisekisa.I-sphygmomanometers eqinisekisiweyo inokubuzwa kwiiwebhusayithi ezifanelekileyo (www.dableducational. Org okanye www.bhsoc. ORG).
2. I-Cuff free "sphygmomanometer" okanye "i-sphygmomanometer" engabonakaliyo ibonakala iphezulu kakhulu, kodwa ezi teknoloji azivuthwanga kwaye zinokusetyenziswa kuphela njengesalathiso.Okwangoku, le teknoloji yokulinganisa isekho kwinqanaba lophando kunye nophuhliso.
3. Okwangoku, i-sphygmomanometer engaphezulu eqinisekisiweyo yengalo engaphezulu ye-electronic oscillographic.Ukuzivavanya koxinzelelo lwegazi kusapho, kuyacetyiswa ukuba usebenzise ingalo ephezulu esebenzayo i-electronic sphygmomanometer.
4. Uhlobo lwesandla oluzenzekelayo oluzenzekelayo i-oscillographic electronic sphygmomanometer lusetyenziswa ngabantu abaninzi kuba kulula ukulinganisa nokuthwala kwaye akufuneki ukuveza ingalo ephezulu, kodwa ngokuqhelekileyo ayilona khetho lokuqala.Endaweni yoko, kuyacetyiswa ukuba uyisebenzise njengenye indawo kwiindawo ezibandayo okanye izigulana ezinokunganxibi kakuhle (njengabakhubazekileyo) kwaye ziyisebenzise ngokungqinelana nemiyalelo.
5. Kukho uhlobo lweminwe lwe-electronic sphygmomanometers kwimarike, ezineempazamo ezinkulu kwaye azikhuthazwa.
6. I-Mercury sphygmomanometer idinga uqeqesho olukhethekileyo ngaphambi kokusetyenziswa.Kwangaxeshanye, i-mercury ilula ukungcolisa imo engqongileyo kwaye ibeke engozini impilo yabantu.Ayilokhetho lokuqala lokuzivavanya koxinzelelo lwegazi kusapho.
7. Indlela ye-Auscultation ifanisa ikholamu ye-mercury okanye i-barometer sphygmomanometer.Ngenxa yeemfuno eziphezulu ze-auscultation, uqeqesho lobuchwephesha luyafuneka, kwaye akukhuthazwa ukuba kusetyenziswe uvavanyo lwegazi lwentsapho.Nokuba ii-electronic sphygmomanometers okanye i-mercury sphygmomanometers zisetyenziswa kangangexesha elithile, kufuneka zilinganiswe rhoqo, ngokuqhelekileyo kube kanye ngonyaka, kwaye amashishini amakhulu ngokugqibeleleyo nawo aya kubonelela ngeenkonzo zohlengahlengiso.
Ngoko kufuneka sinikele ingqalelo xa sisebenzisa i-electronic sphygmomanometer ukulinganisa uxinzelelo lwegazi?
1. Ngaphambi kokulinganisa uxinzelelo lwegazi, phumla kwindawo ezolileyo ubuncinane imizuzu emi-5 kwaye ukhuphe isinyi, oko kukuthi, ukuya kwindlu yangasese kwaye upakishe ngokukhawuleza, kuba ukubamba umchamo kuya kuchaphazela ukuchaneka kwengcinezelo yegazi.Sukuthetha xa uthatha uxinzelelo lwegazi, kwaye musa ukusebenzisa izixhobo zombane ezifana neeselfowuni kunye neetafile.Ukuba uxinzelelo lwegazi lulinganiswa emva kokutya okanye emva kokuzivocavoca, kufuneka uphumle ubuncinane isiqingatha seyure, uze uthathe isihlalo esikhululekile kwaye usilinganise kwindawo ezolileyo.Khumbula ukufudumala xa uthatha uxinzelelo lwegazi kubusika obubandayo.Xa uthatha uxinzelelo lwegazi, beka ingalo yakho ephezulu kwinqanaba lentliziyo yakho.
2. Khetha i-cuff efanelekileyo, ngokubanzi kunye neenkcukacha eziqhelekileyo.Ngokuqinisekileyo, kubahlobo abatyebileyo okanye izigulane ezinomjikelezo omkhulu wengalo (> 32 cm), i-cuff ye-airbag yobungakanani obukhulu kufuneka ikhethwe ukuphepha iimpazamo zokulinganisa.
3. Leliphi icala elichane ngakumbi?Ukuba uxinzelelo lwegazi lulinganiswa okokuqala, uxinzelelo lwegazi kwicala lasekhohlo nasekunene kufuneka lilinganiswe.Kwixesha elizayo, icala elinomlinganiselo ophezulu wegazi linokulinganiswa.Ngokuqinisekileyo, ukuba kukho umehluko omkhulu phakathi kwamacala amabini, yiya esibhedlele ngexesha lokuphelisa izifo ze-vascular, ezifana ne-subclavian artery stenosis, njl.
4. Kwizigulane ezine-hypertension yokuqala kunye noxinzelelo lwegazi olungazinzanga, uxinzelelo lwegazi lunokulinganiswa amaxesha angama-2-3 ekuseni nangokuhlwa ngosuku ngalunye, kwaye ke ixabiso eliqhelekileyo lingathathwa kwaye lirekhodwe kwincwadi okanye kwifomu yokuhlola uxinzelelo lwegazi.Kungcono ukulinganisa ngokuqhubekayo iintsuku ezisi-7.
5. Xa ulinganisa uxinzelelo lwegazi, kucetyiswa ukuba ulinganise ubuncinane kabini, kunye nekhefu le-1-2 imizuzu.Ukuba umehluko phakathi kwe-systolic okanye i-diastolic yegazi kumacala omabini ngu-≤ 5 mmHg, ixabiso eliqhelekileyo lemilinganiselo emibini lingathathwa;Ukuba umahluko u> 5 mmHg, kufuneka ulinganiswe kwakhona ngeli xesha, kwaye ixabiso eliqhelekileyo lemilinganiselo emithathu kufuneka lithathwe.Ukuba umehluko phakathi komlinganiselo wokuqala kunye nomlinganiselo olandelayo mkhulu kakhulu, ixabiso eliqhelekileyo lemilinganiselo emibini elandelayo kufuneka lithathwe.
6. Abahlobo abaninzi baya kubuza ukuba leliphi elona xesha lilungileyo lokuthatha uxinzelelo lwegazi?Kucetyiswa ukuba uzivavanye ngokuhlala uxinzelelo lwegazi ngexesha elimiselweyo ngaphakathi kweyure eyi-1 emva kokuvuka ekuseni, ngaphambi kokuthatha iziyobisi ze-antihypertensive, isidlo sakusasa nasemva kokuchama.Ngokuhlwa, kucetyiswa ukulinganisa uxinzelelo lwegazi ubuncinane kwisiqingatha seyure emva kokutya kunye nangaphambi kokulala.Kubahlobo abanolawulo olulungileyo lwegazi, kuyacetyiswa ukuba ulinganise uxinzelelo lwegazi ubuncinane kanye ngeveki.
Uxinzelelo lwegazi lomzimba wethu womntu alutshintshi, kodwa luyaguquguquka ngalo lonke ixesha.Ngenxa yokuba i-electronic sphygmomanometer inovakalelo ngakumbi, ixabiso elilinganisiweyo ixesha ngalinye linokuthi lihluke, kodwa nje ukuba liphakathi koluhlu oluthile, akukho ngxaki, kwaye kunjalo ne-mercury sphygmomanometer.
Kwezinye ii-arrhythmias, ezifana ne-fibrillation ye-atrial ekhawulezayo, i-sphygmomanometer ye-elektroniki yesiqhelo inokuba nokutenxa, kwaye i-mercury sphygmomanometer inokuba nokuFunda ngendlela ephosakeleyo kule meko.Ngeli xesha, kuyimfuneko ukulinganisa amaxesha amaninzi ukunciphisa impazamo.
Ngoko ke, nje ukuba i-sphygmomanometer ye-electronic sphygmomanometer esemgangathweni esemgangathweni isetyenzisiweyo, ngaphezu kwempembelelo yezinye izifo, isitshixo sokuba uxinzelelo lwegazi olulinganisiweyo luchanekile ukuba umlinganiselo usemgangathweni.
Ixesha lokuposa: Mar-30-2022