Kunezinhlobo eziningi zama-sphygmomanometers emakethe.Indlela yokukhetha i-sphygmomanometer efanelekile
Umbhali: Xiang Zhiping
Ireferensi: I-China Medical Frontier Journal (I-Electronic Edition) -- Igayidi yokuhlola umfutho wegazi wamaShayina ka-2019
1. Njengamanje, umphakathi wamazwe ngamazwe uhlanganise ngokuhlanganyela uhlelo lokuqinisekisa ukunemba kwe-AAMI / ESH / ISO sphygmomanometer.Ama-sphygmomanometers aqinisekisiwe angabuzwa kumawebhusayithi afanelekile (www.dableducational. Org noma www.bhsoc. ORG).
2. I-Cuff free "sphygmomanometer" noma "i-sphygmomanometer" engathinteki ibukeka iphezulu kakhulu, kodwa lobu buchwepheshe abuvuthwa futhi bungasetshenziswa kuphela njengereferensi.Njengamanje, lobu buchwepheshe bokulinganisa busesesigabeni socwaningo nentuthuko.
3. Njengamanje, ukuvuthwa okwengeziwe kwengalo engenhla eqinisekisiwe ye-oscillographic electronic sphygmomanometer.Ukuze umndeni uzihlolele umfutho wegazi, kuyanconywa futhi ukusebenzisa i-automatic electronic sphygmomanometer esezingeni eliphezulu efanelekile.
4. Uhlobo lwesihlakala oluzenzakalelayo oluzenzakalelayo lwe-oscillographic electronic sphygmomanometer lusetshenziswa abantu abaningi ngoba kulula ukukala nokuyiphatha futhi ayidingi ukuveza ingalo engenhla, kodwa ngokuvamile akuyona into yokuqala.Esikhundleni salokho, kunconywa ukuthi uyisebenzise njengenye indlela ezindaweni ezibandayo noma ezigulini ezinokukhumula okungafanelekile (njengabakhubazekile) futhi uyisebenzise ngokuhambisana nemiyalelo ngokuqinile.
5. Kukhona ama-electronic sphygmomanometers ohlobo lweminwe emakethe, anamaphutha amakhulu futhi awanconywa.
6. I-Mercury sphygmomanometer idinga ukuqeqeshwa okukhethekile ngaphambi kokusetshenziswa.Ngesikhathi esifanayo, i-mercury kulula ukungcolisa imvelo futhi ibeke impilo yomuntu engozini.Akuyona inketho yokuqala yokuhlola umfutho wegazi emndenini.
7. Indlela ye-Auscultation ilingisa ikholomu ye-mercury noma i-barometer sphygmomanometer.Ngenxa yezidingo eziphakeme ze-auscultation, ukuqeqeshwa kochwepheshe kuyadingeka, futhi akunconywa ukusebenzisa umndeni wokuzihlolela umfutho wegazi.Ukuthi i-electronic sphygmomanometers noma i-mercury sphygmomanometers isetshenziswa isikhathi esithile, idinga ukulinganiswa njalo, ngokuvamile kanye ngonyaka, futhi amabhizinisi amakhulu aphelele azohlinzeka ngezinsizakalo zokulinganisa.
Ngakho-ke yini okufanele siyinake lapho sisebenzisa i-electronic sphygmomanometer ukukala umfutho wegazi?
1. Ngaphambi kokulinganisa umfutho wegazi, phumula endaweni ethule okungenani imizuzu emi-5 bese ukhipha esinyeni, okusho ukuthi, ngena endlini yangasese futhi upakishe kancane, ngoba ukubamba umchamo kuzothinta ukunemba komfutho wegazi.Ungakhulumi lapho uthatha umfutho wegazi, futhi ungasebenzisi izinto zikagesi ezifana nomakhalekhukhwini namathebulethi.Uma umfutho wegazi ulinganiswa ngemva kokudla noma ngemva kokuzivocavoca, kufanele uphumule okungenani isigamu sehora, bese uthatha isihlalo esikhululekile futhi usilinganise esimweni esithulile.Khumbula ukufudumala lapho uthatha umfutho wegazi ebusika obubandayo.Lapho uthatha umfutho wegazi, beka ingalo yakho engenhla ezingeni lenhliziyo yakho.
2. Khetha i-cuff efanele, ngokuvamile enezincazelo ezijwayelekile.Kunjalo, kubangani abakhuluphele noma iziguli ezinezingalo ezinkulu (> 32 cm), i-airbag cuff yosayizi omkhulu kufanele ikhethwe ukuze kugwenywe amaphutha okulinganisa.
3. Iluphi uhlangothi olunembe kakhudlwana?Uma umfutho wegazi ukalwa okokuqala, umfutho wegazi ohlangothini lwesobunxele nakwesokudla kufanele ukalwe.Esikhathini esizayo, uhlangothi olunomfutho wegazi ophakeme lungalinganiswa.Yiqiniso, uma kukhona umehluko omkhulu phakathi kwezinhlangothi ezimbili, hamba esibhedlela ngesikhathi ukuze uqede izifo ze-vascular, njenge-subclavian artery stenosis, njll.
4. Ezigulini ezine-hypertension yokuqala kanye nomfutho wegazi ongazinzile, umfutho wegazi ungalinganiswa izikhathi ezingu-2-3 ekuseni nakusihlwa ngosuku ngalunye, bese inani elijwayelekile lingathathwa futhi lirekhodwe encwadini noma ifomu lokuqapha umfutho wegazi.Kungcono ukulinganisa ngokuqhubekayo izinsuku ezingu-7.
5. Uma ukala umfutho wegazi, kunconywa ukuwukala okungenani kabili, ngesikhawu semizuzu engu-1-2.Uma umehluko phakathi kwe-systolic noma i-diastolic blood pressure nhlangothi zombili ingu-≤ 5 mmHg, inani elimaphakathi lezilinganiso ezimbili lingathathwa;Uma umehluko ungaphezulu kuka-5 mmHg, kufanele ulinganiswe futhi ngalesi sikhathi, futhi inani elimaphakathi lezilinganiso ezintathu kufanele lithathwe.Uma umehluko phakathi kwesilinganiso sokuqala nesilinganiso esilandelayo mkhulu kakhulu, inani elimaphakathi lezilinganiso ezimbili ezilandelayo kufanele lithathwe.
6. Abangane abaningi bazobuza ukuthi yisiphi isikhathi esingcono kakhulu sokuthola umfutho wegazi?Kunconywa ukuthi uzihlolele umfutho wegazi ohlezi ngesikhathi esinqunyiwe phakathi nehora elingu-1 ngemva kokuvuka ekuseni, ngaphambi kokuthatha izidakamizwa ze-antihypertensive, ukudla kwasekuseni nangemva kokuchama.Kusihlwa, kunconywa ukukala umfutho wegazi okungenani isigamu sehora ngemva kokudla kwakusihlwa nangaphambi kokulala.Ebangani abanokulawula okuhle komfutho wegazi, kutuswa ukukala umfutho wegazi okungenani kanye ngesonto.
Umfutho wegazi womzimba wethu womuntu awuhlali njalo, kodwa uguquguquka ngaso sonke isikhathi.Ngenxa yokuthi i-electronic sphygmomanometer izwela kakhulu, inani elikalwa isikhathi ngasinye lingase lihluke, kodwa inqobo nje uma lingaphakathi kwebanga elithile, ayikho inkinga, kanjalo ne-mercury sphygmomanometer.
Kwamanye ama-arrhythmias, afana ne-atrial fibrillation esheshayo, i-electronic sphygmomanometer evamile ingase ibe nokuchezuka, futhi i-mercury sphygmomanometer ingase ibe nokungafundi kahle kulesi simo.Ngalesi sikhathi, kuyadingeka ukukala izikhathi eziningana ukuze unciphise iphutha.
Ngakho-ke, inqobo nje uma kusetshenziswa i-sphygmomanometer ye-electronic sphygmomanometer efanelekayo, ngaphezu kwethonya lezinye izifo, isihluthulelo sokuthi umfutho wegazi olinganisiwe unembile yini ukuthi isilinganiso silinganiselwe.
Isikhathi sokuthumela: Mar-30-2022