Indlela yokusebenzisa i-tonometer yomatshini: imiyalelo, iingcebiso kunye nempendulo

Ukusetyenziswa kweefowuni zekhompyutheni ukulinganisa uxinzelelo lwegazi ngoku kuye kwamkelwa jikelele. Kodwa kwimiba emininzi umbuzo ovela malunga nendlela yokusebenzisa i-tonometer yomatshini. Kuvela ukuba ukusetyenziswa kwesicatshulwa sombane kuboniswe kubantu abane-atherosclerosis yeempahla kunye nabantu abadala. Kuzo zonke iimeko, xa imithwalo yegazi ingenakuqonda kwiidivaysi zecomputer, kuyimfuneko ukuyisebenzisa ifowuni.

Ingakanani i-tonometer yomatshini

Ukuze uqonde indlela yokusebenzisa kakuhle i tonometer yomatshini, kufuneka ukwazi indlela okulungiselelwe ngayo, kunye noko sikulinganisa nesi sixhobo. Nayiphi na i- tonometer yendlela yokulinganisa ixinzelelo legazi kufuneka ibe neengxenye ezimbini:

• Eyona nto ithinometer yendlela;
• IPhonendoscope.

Simele sithethe ngokukhawuleza ukuba le divayisi yenzelwe ukulinganisa uxinzelelo lwababini: ugqirha kunye nesigulane. Ingenwa ngumtyandi wakhe waseRussia uN. S. Korotkov ngo-1905, namhlanje yindlela eyaziwayo emhlabeni jikelele.

Isekelwe kumgaqo wesandi (i-auscultatory) ukujonga umsebenzi wezitho zangaphakathi. Singakwazi ukulinganisa uxinzelelo lwegazi kwiimitha zeetriyiti (kunokuba zivelele emithanjeni), ngokubonwa kwangaphandle (kwi-radial artery). Xa ulinganisa uxinzelelo, uxinzelelo oluphezulu lwe-diastolic luqala ukulinganisa (xa ithoni iphezulu) kwaye ke isezantsi (ukugqitywa kwamagqabantshintshi epheleleyo) yi-systolic. Oku kukuvumela ukuba ufumane umfanekiso ocacileyo, oxhomekeke encinci ekuhambeni kwesandla okanye ubukho be-arrhythmia kwisigulane.

Phakathi kweempazamo zale ndlela zenziwa ngabantu:

• Ubungqina obunyanzelekileyo bamava;
• Ukuva kakuhle nokubona;
• Ukungabikho kwesigulane "sokungaphumeleli kweengxaki" zeentoni ";
• Isidingo sokuhlala ulandelelwano lwe-sphygmomanometer.

Ukulinganisela i-BP nale fowuni elula ongayenza wena. Kuphela kuyimfuneko ukugcina imithetho elula kwaye ulandele imiyalelo. Kuhle kakhulu ukuba ufunde indlela yokusebenzisa i-tonometer ye-mechanical, kwaye uya kuba nokukwazi ukulinganisa i-BP ngokulula nangokuchanekileyo.

Ngoko, iqukethe i-tonometer yomatshini ukusuka kwikhephe, okufuneka uyibeke kwi-frontarm yakho, amapheya okuphefumula umoya kunye ne-manometer (jonga izikhombisi). Zonke iindawo zixhamene nezibatho ezizodwa, apho umoya uhamba khona. I-stethoscope iqhotyoshelwe ngokwahlukileyo.

Xa sihlonyelwe kwi-cuff emoyeni, siya kuliva ithoni ephezulu, kwaye ke ukubetha okulinganiselweyo, okuya kuphazamiseka. Ixabiso elivakalayo liza kuba yinkcazo ye-systolic, kwaye oko sikuvalayo kakhulu (kunye nokulinda) yi-diastolic.

Ngoku siza kuhlalutya inyathelo ngesinyathelo indlela yokusebenzisa i-tonometer yomatshini.

Indlela yokufakela ikhopu

Okokuqala kufuneka uhlale phantsi ukuze i-elbow, forearm kunye nekhanda, apho umlinganiselo uza kuqhutywa khona, uya kubakho ngokukhululekile kwindawo ethile. Ngokomzekelo, kwiphepha eliphezulu. Kubalulekile ukwenza oku phambi kokusebenzisa i tonometer ngokwakho. Ngoku ulungise ityhufu ngaphaya kwebhola. Asiyifaki ngokuqinileyo (ngaphandle kokucima isandla sethu), kodwa singabi buthathaka.

Kwikhopu kukho isicoco esicacileyo sesimbi, ngasemva apho kuvaliwe i-velcro. Ukufakela i-cuff ukwenzela ukuba ifunyenwe ngokukhatshwa kwirekhi, ayiyi kwenzeka. Uhlala ekhawuleza ngokukhawuleza. Akumangazi.

Kubaluleke kakhulu ukuba i-cuff ngokwayo ikhona kwinqanaba lentliziyo yesigulane, oku ku-2-3 cm ngaphezu kwelokwe. Ukuba i-cuff isezantsi okanye ngaphezulu, umphumo uya kuphazamiseka.

Indlela yokufaka i-stethoscope ngokuchanekileyo

Ukuze uqhube umlinganiselo, kufuneka ufake i-stethoscope kwi-artificial radiation, kwi-bbowbow bend phantsi kwe-cuff.

Iphulo lomoya kwi-cuff linokuphela emva kokuba i-stethoscope ifakwe kwindawo echaziweyo.

Ukuze kube lula ukulinganisa, faka i-gauge yesigxina ukwenzela ukuba utolo kunye namanani kuso kubonakala ngokucacileyo. Oku kuya kunceda kakhulu ukulinganisa. Unokudinga umkhotho owongezelelweyo okanye umi.

Indlela yokuyiphatha ngokufanelekileyo umoya

Indlela yokusebenzisa i tonometer yomatshini, imiyalelo kwisixhobo iya kukuxelela. Mkhangele, uya kuba ngumncedisi ontle. Emva kokuba iqhosha lichanekile, kuyimfuneko ukupompa umoya kuyo ngoncedo lwepey ekhethekileyo (kwimiyalelo ebizwa ngokuba yi- supercharger emoyeni).

Okokuqala, qinisa umgca kwi-pear (i-wind valve valve) de ibe yima, ize ibambe umoya emoyeni kunye nelinye icala (kungekhona enye yokulinganisa). Ngexesha elifanayo kwi-manometer, utolo kufuneka lubonise uxinzelelo oluphezulu kunokuba luqhelekileyo kwindawo ethile malunga neeyunithi ezingama-40. Umzekelo, ukuba uxinzelelo luhlala luyi-120/80, ngoko utolo kufuneka lufike kwi-160 mm Hg. Emva koko ukhulule ngokukhawuleza (ungagqibekanga) i-valve emoyeni.

Indlela yokujonga ingcinezelo yakho

Ukuze uqonde enye, indlela yokusebenzisa i-tonometer yomatshini, kufuneka kukhunjulwe ukuba Ukulinganisa lwakho uxinzelelo, kufuneka udibanise umoya ngokukhawuleza, landela intoloko ye-manometer uze uphulaphule amatoni. Oku kufuna udinga othile kwaye okokuqala akukwazi ukusebenza. Nangona kunjalo, ukusebenza okufutshane kuya kunceda ukufeza inkqubo ngokukhawuleza kwaye ufumane umphumo wokuchaneka okuphezulu.

Ngoko, okokuqala intoloko iya kuhamba ngokukhawuleza, kodwa akukho sandi. Emva koko kubonakala iphimbo elomeleleyo, isandi esinamandla sichaza ukunyanzeliswa kwe-systolic.

Ngokukhawuleza (isantya sincike kwisantya sokuzala), iitoni zesigqi ziya kupheka, kwaye isalathiso sentywala kwisandi esincinci esincinci sisinyanzelo se-diastolic. Umzekelo, ukuba isandi savela kwi-145 mm. Ikholam yeMercury, kwaye yaphela ngo-80, ngokulandelanayo, ixabiso loxinzelelo liya kuba yi-145/80.

Unokuqhuba ngaphandle kweyesi-2 imilinganiselo ngokulandelelana. Ukuba abaqinisekanga ngokuqinisekileyo ngesiphumo, thabatha ikhefu yeyure kunye nokuphinda.

Akufanele ulinganise uxinzelelo lwegazi emva kokunyuka kwezitepsi okanye ukuxhalabisa ngokweqile. Kwaye ngakumbi nangakumbi ukuba ndifumane ukuxilongwa.

Malunga nokuhlaziywa

Impendulo evela kubasebenzisi iphakamisa ukuba umlinganiselo wexinzelelo lwegazi kunye ne-tonometer ye-mechanical ichaneke ngakumbi. Iphutha labo alikho ngaphezu kwe-7 mm Hg. . Lo mfanekiso ophezulu (i-analogs ye-elektroniki ingaba nephutha elifikelela kwi-40 mmHg)

Abantu abaninzi bathi izakhono zokulinganisa zilula ukufumana xa ziqhuba rhoqo. Enye into ebalulekileyo yabasebenzisi beediskhi ezichazwe kuthiwa lula ukulawula, okungafuneki izakhono zokusebenza kunye nezixhobo eziyinkimbinkimbi (njengokuba xa kulinganiswa kunye nezixhobo zombane).

Ukuphononongwa kwamanqaku amanqaku omntu wesigulane-inkonzo enobulungisa iya kuhanjiswa ngokungabikho kokwesaba nokuzonwabisa phambi kokulinganisa.

Ngokubanzi, ngokweengcaciso zomsebenzisi, i-tonometer ye-mechanical ilula kakhulu kwaye inokwethenjelwa. Indlela yokulinganisa uxinzelelo lwegazi, ukuhlaziywa kuchaza ngokucacileyo, kwaye ubize idivayisi ngokukhululekile emsebenzini.