Isishwankathelo se-sphygmomanometer ye-elektroniki
I-sphygmomanometer ye-elektroniki sisixhobo sonyango esisebenzisa itekhnoloji ye-elektroniki yanamhlanje kunye nomgaqo wokulinganisa uxinzelelo lwegazi ngokungathanga ngqo ukulinganisa uxinzelelo lwegazi. Ulwakhiwo ikakhulu luqulathe izivamvo zoxinzelelo, iimpompo zomoya, imijikelezo yomlinganiso, iikhofu kunye nezinye izinto; ngokweendawo zokulinganisa ezahlukeneyo, kukho ubukhulu becala uhlobo lwengalo, Kukho iintlobo ezininzi zohlobo lwesandla, uhlobo lwedesktop kunye nohlobo lokubukela.
Indlela yokulinganisa uxinzelelo lwegazi engathanga ngqo yahlulwe yendlela yokwenza i-auscultation (Korotkoff-Isandi) kunye nendlela ye-oscillometric.
a. Kuba indlela yokonwaba igqityiwe ngokusebenza kunye nonyango lweklinikhi, ixabiso elilinganisiweyo lichaphazeleka ngokulula kwezi zinto zilandelayo:
Ugqirha kufuneka aqwalasele rhoqo utshintsho lwegeji yoxinzelelo lwe-mercury xa umamele isandi. Kuba ukusabela kwabantu kwahlukile, kukho umsantsa othile ekufundeni ixabiso loxinzelelo lwegazi;
Oogqirha abohlukeneyo baneendlebe ezahlukeneyo kunye nokusonjululwa, kwaye kukho umahluko kucalucalulo lwezandi zeKorotkoff;
Isantya sokuphambuka sinefuthe ngqo kufundo. Isantya esisezantsi sokuphambuka kwamazwe ngama-3 ～ 5mmHg ngomzuzwana, kodwa abanye oogqirha bahlala beyikhupha ngokukhawuleza igesi, echaphazela ukuchaneka komlinganiselo;
Kuxhomekeke kubuchule bokusebenza kuklinikhi, izinto ezinkulu zokumiselwa komntu kwinqanaba le-mercury, inqanaba elingazinzanga lokuphelelwa lixabiso, indlela yokuchonga amaxabiso esystolic kunye noxinzelelo (isandi sesine okanye sesihlanu sesandi seKorotkoff sisetyenziswa njengekhrayitheriya, Okwangoku impikiswano yeklinikhi isenkulu, kwaye akukho sigqibo sokugqibela), kunye nezinye izinto eziphosakeleyo ezichaphazeleka luthotho lwezinto ezinje ngemood, ukuva, ingxolo yendalo esingqongileyo, kunye noxinzelelo lwezifundo, okukhokelela kwidatha yoxinzelelo lwegazi elinganiswa ngendlela ye-auscultation echaphazelekayo zizinto eziphambili, kukho iimpazamo ezisisiseko kwimpazamo enkulu yocalucalulo kunye nokuphindeka okungalunganga.
b. Nangona i-sphygmomanometer ye-elektroniki eyenziwe kumgaqo we-auscultation iye yafumanisa ukubonwa okuzenzekelayo, ayizisombululanga ngokupheleleyo iimpazamo zayo.
c. Ukuze kuncitshiswe ingxaki yeempazamo ezinkulu ezibangelwa zizinto ezizenzekelayo ezibangelwa yi-spusgmomanometer ye-auscultation, kunye nokunciphisa impembelelo yokusebenza kwabasebenzi, ii-sphygmomanometers zombane ezizenzekelayo kunye novavanyo lwegazi ngokujonga ngokungangqalanga uxinzelelo lwegazi lomntu kusetyenziswa indlela ye-oscillometric. Owona mgaqo uphambili: ukufakela ikhofu ngokuzenzekelayo, kwaye uqalise ukukhupha uxinzelelo oluthile. Xa uxinzelelo lomoya lufikelela kwinqanaba elithile, ukuhamba kwegazi kungagqitha kwimithambo yegazi, kwaye kukho umtshangatshangiso othile oshukumayo, osasazeka ngetreachea ukuya kwisenzi soxinzelelo kumatshini. Inzwa yoxinzelelo inokufumanisa uxinzelelo kunye nokutshintsha kwecuff elinganisiweyo ngexesha lokwenyani. Ngokuthe ngcembe ushenxiswa, iliza lokutshixa liya lisiba likhulu kwaye likhulu. Ukuphinda-phinde kwakhona Njengokuba unxibelelwano phakathi kwekhafu kunye nengalo iye ikhululeke, uxinzelelo kunye nokutshintsha okufunyanwe sisenzi soxinzelelo soxinzelelo kuye kuncinci kwaye kuncinci. Khetha umzuzu wokuguquguquka okuphezulu njengendawo ekubhekiswa kuyo (uxinzelelo oluphakathi), ngokusekwe kweli nqanaba, jonga phambili kwincopho yokuguquguquka kwenqanaba le-0.45, eyi-systolic uxinzelelo lwegazi (uxinzelelo oluphezulu), kwaye ujonge ngasemva ukufumana incopho yokuguquguquka kwenqaku le-0.75. , eli nqaku Uxinzelelo oluhambelanayo luxinzelelo lwe-diastolic (uxinzelelo olusezantsi), kwaye uxinzelelo oluhambelana nenqaku kunye nokuhla okuphezulu kukucinezelwa komndilili.
Ezona zinto ziluncedo ziphambili yile: isusa iimpazamo ezibangelwe luthotho lwabasebenzi abafana noogqirha ukusebenza ngokukuko, ukufundwa kwamehlo abantu, ukugwetywa kwesandi, isantya sokwehla, njl. Ukuphindaphinda kunye nokuhambelana kungcono; uvakalelo luphezulu, kwaye lunokuchongwa ngokuchanekileyo ukuya kwi-1mmHg; Iiparameter Useto lwe- luvela kwiziphumo zeklinikhi, ezinenjongo. Kodwa kufuneka ichongiwe ukuba ukusuka kumgaqo wokulinganisa, iindlela ezimbini ezingangqalanga zokulinganisa azinangxaki yeyiphi echanekileyo.
Umahluko phakathi kwe-sphygmomanometer yonyango kunye ne-sphygmomanometer yasekhaya
Ngokomgangatho weshishini kunye nemigaqo yokuqinisekiswa kwemetroloji yesizwe, akukho luvo lonyango kunye nokusetyenziswa kwekhaya. Nangona kunjalo, ngokweempawu zekhaya ezimbalwa kunamaxesha ezonyango, kwaye kuthathelwa ingqalelo iindleko, ukhetho lwee "sensors zoxinzelelo" zamacandelo aphambili ukulinganisa ukuhamba kwegazi kuye Kukho umahluko, kodwa kukho ezona mfuno zisisiseko ze "amawaka alishumi amaxesha ”iimvavanyo eziphindaphindwayo. Logama nje ukuchaneka kwemilinganiselo yemilinganiselo yesphygmomanometer ye-elektroniki ihlangabezana neemfuno emva kovavanyo "oluphindwe kalishumi lamawaka", kulungile.
Thatha i-sphygmomanometer yendlu eqhelekileyo njengomzekelo wohlalutyo. Phakathi kwazo, ilinganiswa kathathu ngemini kusasa nangokuhlwa, amaxesha amathandathu ngosuku, kunye nemilinganiselo eyi-10,950 iyonke yenziwa ngeentsuku ezingama-365 ngonyaka. Ngokwezi zinto zichazwe apha ngasentla "amaxesha angama-10,000" iimvavanyo eziphindaphindwayo zovavanyo, ngokusondeleyo ikufutshane neminyaka emi-5 yexesha lokulinganisa elingasetyenziswanga. Uvavanyo lomgangatho weMveliso.
Izinto ezichaphazela ukuchaneka kweziphumo zemilinganiselo yokujonga esweni uxinzelelo lwegazi
I-sphygmomanometer ye-elektroniki yabenzi abahlukeneyo, kwaye isoftware yayo yahluke ngokupheleleyo, kunye nozinzo kunye nokuchaneka kweziphumo zomlinganiso zahluke kakhulu;
Iimvakalelo zoxinzelelo ezisetyenziswa kwimveliso eyahlukileyo zahlukile, kwaye izikhombisi zentsebenzo ziya kwahluka, zikhokelele ekuchanekeni okungafaniyo, kuzinzo nakwimpilo;
Yindlela engafanelekanga yokusebenzisa. Indlela echanekileyo yokusetyenziswa kukugcina ikhafu (okanye ibhanti yesandla, iringi) kwinqanaba elifanayo nentliziyo ngexesha lovavanyo, kwaye unike ingqalelo kwizinto ezinje ngokucamngca kunye nokuzinza ngokweemvakalelo;
Ixesha lokulinganisa uxinzelelo lwegazi yonke imihla lahlukile, kwaye ixabiso lokulinganisa uxinzelelo lwegazi nalo lahlukile. Ixabiso lexesha lokulinganisa emva kwemini, ixesha lokulinganisa ngokuhlwa kunye nexesha lokulinganisa kusasa liya kwahluka. Ishishini licebisa ukuba uxinzelelo lwegazi lilinganiswe ngexesha elimiselweyo ntsasa nganye.
Izinto ezichaphazela ubomi benkonzo yeemonitha zoxinzelelo lwegazi
Imiba yokwandisa ubomi benkonzo ye-sphygmomanometer ye-elektroniki kunye nokuphucula umgangatho wemveliso iqwalaselwa ikakhulu kwezi zinto zilandelayo:
Ubomi bokuyilwa kwesphygmomanometer esiqhelekileyo se-elektroniki yiminyaka emi-5, enokonyuswa iye kwiminyaka eli-8-10 ngokuxhomekeke ekusetyenzisweni kwayo.
Ukwandisa ubomi benkonzo, ii-sensors zoxinzelelo ezinokusebenza okuphezulu zinokukhethwa;
Indlela yokusebenzisa kunye nenqanaba lokugcina liya kuchaphazela ubomi benkonzo. Umzekelo, musa ukubeka i-sphygmomanometer phantsi kobushushu obuphezulu, ukufuma okanye ukukhanya kwelanga; sukuhlamba ikhofu ngamanzi okanye umanzise ibhanti okanye umzimba; kuphephe ukuyisebenzisa. Izinto ezilukhuni zigqobhoza ikhafu; sukuqhaqha umatshini ngaphandle kwemvume; musa ukosula umzimba ngezinto eziguqukayo;
Umgangatho woluvo, ujongano lwendlela, kunye nenkqubo yokuhambisa umbane nayo ibeka ngokungathanga ngqo ubomi benkonzo yomvavanyi wexinzelelo lwegazi.
Ixesha Post: Jul-05-2021