Mshini - yintoni na le nto? Umgaqo ukusebenza kunye neentlobo

Nyaka ngamnye izehlo ezingaqhelekanga intliziyo liyenyuka, yaye ngelishwa, kumazwe amaninzi, ezi zifo ezi singunobangela okhokhelela ekufeni. Yaye kuvela iingxaki intliziyo hayi kuphela abadala, kodwa abatsha. World Medicine uzama iindlela ezahlukeneyo ukujongana nezi ezimbi, usebenzisa izixhobo zale mihla, yaye kwiimeko kakhulu ngokwenza utyando. isixhobo efana defibrillator, oogqirha zisetyenziswa ukusindisa ubomi kunye nempilo ukubuyela.

Yintoni na?

Mshini - isixhobo okhethekileyo, nempembelelo elifutshane kwi intliziyo amaza zombane ezinamandla. Ngexesha kwale nkqubo kukho ubunzima depolarization ebaluleke kakhulu izihlunu zentliziyo, leyo arrhythmia isusiwe. On top of bonke, ukusetyenziswa kule fowuni kuvumela iiseli endalo esiludumbo sinus ukubuyisela isingqisho intliziyo yesiqhelo. Eyona njongo ephambili yale mshini ukubuyisela amaza ucutheko ukucuthwa imisipha yenhliziyo.

Field ukusebenzisa lo mshini

Yayibubungqina eziphambili usebenzisa isixhobo - arrhythmia kunye fibrillation ventricular. Inkqubo yomatshini ayisoloko ukunceda ukuguqulela fibrillation atrial ukuba sinus isingqisho, ngoko oogqirha asebenzise lo mshini.

Namhlanje defibrillator - kuba sisixhobo kuyimfuneko, ukuze zisetyenziswe kuphela xa impilo kodwa ezikolweni, iipaki, ofisi njalo njalo. Ngapha koko, umntu nangaliphi na ixesha kwaye nayiphi na indawo inokwenzeka olwaphula umsebenzi intliziyo, yaye oku kuya kongela kuphela ngoncedo esi sixhobo.

Umgaqo esebenza ngayo nesixhobo sonyango

Mshini - isixhobo imisebenzi njenge monitor, esicacisa okungaqhelekanga intliziyo isingqisho. Kuyimfuneko ukuba ukubuyisela amaqhuma yesiqhelo umzimba omkhulu wabantu. Xa imifuziselo ezininzi defibrillators langoku imisebenzi ezininzi:

• Cardioversion. Kule mo, besaphula wentliziyo usebenzisa ukhatywa ngumbane kunye amandla.
• Ingqondo ne bradycardia. Le program ivumela nawe kwimeko intliziyo enqabileyo ukuthumela amaza amancinane ombane ukugcina isingqisho eqhelekileyo.
• Defibrillation. Kuye yakhetha xa intliziyo beats ngokukhawuleza kakhulu. Le fowuni ukhupha energy langoku eliphezulu, ngaloo ndlela uvuselele uVuyo.
• peysing Antitahikardialny. Isixhobo kule imo uthumela ukuba imisipha intliziyo, amaza amancinane ombane ukubuyisela isingqisho.

iimpawu Uyilo mshini lwangoku

Esi sixhobo kufakwa electrode ezizodwa neziphumo transthoracic sangoku ngqo kwi imisipha intliziyo. Luquka ezi ndima zilandelayo: kwitshaja, a capacitor okanye ukugcinwa amandla iyunithi, kunye wesekethe nokukhutshwa. Ngaphezu koko, ezinye defibrillators zixhotyiswe Ukongezelela kunye isixhobo ekhethekileyo kardiosinhronizatsii.

Amandla zonke ezi izixhobo zonyango kwaye wenziwe ngumntu AC oluqhelekileyo. Kukho amacebo ezivumela ukuba ugcwalisa ukusuka womnatha ekwinqwelo ye-ambulensi imoto okanye imithombo ezizimeleyo. Ukusebenza ukusetyenziswa kwazo kuxhomekeke le miba ilandelayo: lilungiselelo i electrode, inomlaza koxhotyiso lwangaphakathi kunye nexesha lisetyenziswa xa kuthelekiswa kwisigaba somjikelo intliziyo.

defibrillators imihlobo

Devices, ukunciphisa fibrillation wentliziyo, kukho iindidi ezahlukeneyo:

• defibrillator oluzenzekelayo - ukubona izifo ngentliziyo, aze emva koko abuze umqhubi ukwenza obhobhozayo. Ukuze enze defibrillation kuqala kufuneka ukuba uvule iyunithi, babambelele electrode phezu kwesifuba kumguli cinezela olifunayo iqhosha. Ukusebenza nabo ayifuni izakhono ezizodwa, ngoko inkqubo unyango abangasoze abasebenzi kwicandelo lononophelo lwempilo, kunye, umzekelo, amaqela ezemidlalo, abaqeqeshi, abahlanguli, abalindi-moya, ootitshala njalo njalo.
• defibrillator Implantable - isixhobo olwahlukileyo omnye ubeka imilinganiso yalo compact ukusuka. Idla ukusetyenziswa kudibaniso nge ipacemaker kwizigulane kunye nesifo ezinzima.
• defibrillator Professional ukuba ulawulo manual, abe isoftware eyimfuneko. Amanzi Electrical udlula electrode njengoko ayini enjalo isixhobo. Phambi kokwenza defibrillation kubo icinezelwe ukuqina emzimbeni umguli.

Enye izixhobo zonyango ezinjalo ziyahluka kwi parameters eyenziwe pulses. Ngokusekelwe kwezi mpawu, defibrillators inokuba monophasic okanye biphasic. Le yokugqibela ngoku kunzima ukufumana kwimarike zaseprayimari izixhobo vuvabyi kakhulu ngakumbi ngendlela eyiyo, ngoko ke ziye ukubuyisela monopolar.

Indlela ukusebenza nge mshini?

Ngaphambi kokuba usebenzise ezi zixhobo kufuneka ifundwe ngenyameko imiyalelo ezihamba ngayo. Yokuzenzela uvunyelwe ukusebenzisa kuphela xa umntu kude kude izinto, eqhuba ngoku, kwaye endaweni ethe tyaba.

Ukuba defibrillation kuyimfuneko ukulandela yonke imithetho yokhuseleko. Ngexesha likaxakeka kufuneka senze ngokuzolileyo ngokukhawuleza ngaphandle kokuxhalaba. Ngaphambi kokuqhubeka ukunceda njengesigulana nabasemabeleni, kufuneka uqiniseke ukuba ukubetha kwentliziyo kwaye nokuphefumla. Ngoko kuyimfuneko ukuba ubize inqwelo yezigulana, kuba ngaphandle koncedo noogqirha ithuba siphumelele ekwenzeni bazamile lisezantsi kakhulu.

Qhubeka ukuze defibrillation kungenzeka ngaphambi kokufika oogqirha, ukuze lisale zexabiso. Kuba ukuphunyezwa kwayo kuya kufuneka ukususa impahla engaphandle ukusuka isigulane kwaye ibekwe phezu kwesifuba electrode isixhobo ngokwemiyalelo. Ulusu lomntu kule meko kufuneka owomileyo. Ukunciphisa kweelana eluswini, kungcono ukuba ukusebenzisa i paste kagesi conductive. Ukuthintela ukutsha nokunciphisa kweelana electrode kufuneka icinezelwe ngokuqinileyo ngokuchasene emzimbeni wakhe.

Xa athe obhobhozayo ningayichukumisi amaxwebhu metal electrode kunye nexhoba. Kungenxa yesi sizathu ke inani labantu kufuneka nakanjani ukuhambisa kude kumgama ekhuselekileyo. Ngexesha defibrillation lung umoya akuyomfuneko ukwenza. izixhobo sokukhutshwa yenziwe kanye, kwakhona ukubetha-kwenziwa kunye uhlobo olufanayo okanye uchatha we-units ezimbalwa.

uhle Popular. Mshini "dki-N-10" - isixhobo edl

Le yunithi basekhaya ezithandwa kakhulu. Iquka: inxalenye ephathwayo kunye nabantwana abadala electrode, ibhetri elisusekayo kunye kwitshaja kubo. Into yokuqala yenzelwe njenge monitor, ukuba libonisa ulwazi malunga nendlela abaqhuba ngayo ifowuni kunye nokwenziwa intliziyo yesigulane.

Mshini-monitor into ephathekayo, ngoko sigcine onke amathuba izixhobo zobungcali. Xa usebenza nabo ungasebenzisa kukuphi ilizwi. Yombhalo wangoku okhethiweyo ibonisa lonke ulwazi Kwathi njani isiganeko zonyango. Xa ifowuni kukho ehlangeneyo umshicileli, elikuvumela ukuba apapashe ngokukhawuleza kwi iparameters eziyimfuneko.

Mshini "dki" lisetyenziswa kuphela kumaziko onyango, kwaye isetyenziswa ngamaqela mobile. Le fowuni kuye komelezwa uvavanyo indlela izinga lentliziyo, nkqu ijelo ECG eyahlukileyo.

Device "dki-H-11"

Loo sixhobo senzelwe neziphumo zonyango emzimbeni womntu eyodwa biphasic electrode eziphambili obhobhozayo transthoracic. Mshini "Axion" - phambili lothotho izixhobo "dki-N-10", kodwa oluphuculweyo functionality. imodeli okuphuculweyo kuvumela oogqirha ukuba enze i isantya lwangaphandle. Izinto eziluncedo yamacebo "dki-N" zezi:

• isicelo yanda inzuzo amandla;
• inkxaso ngomlomo inkqubo yezenzo device kunye nomsebenzisi le;
• isigxina yeebhethri ezimbini;
• ngokuvula i exposure ukubetha eguquguqukayo;
• eyakhelwe-ngaphakathi lomshicileli thermal.

Features ICD ICD

Izixhobo zonyango ezifana eziveliswa ngokobungakanani ezincinane. Bona zibekwe esifubeni ukunciphisa ingozi yokufa waphula umthetho izinga ventricular, ngokwenjenjalo ukunciphisa ingozi yesifo sentliziyo. Enye ifowuni efanayo ingenisa kubantu abane ventricular tachycardia, ezikhokelela kwizigulo yegazi kunye zokuma.

Nentliziyo-mshini-ICD, ngokuqhelekileyo ingenisa ngaphantsi Ukubulawa yasekuhlaleni. Le fowuni ingenisa ngaphantsi collarbone, kwangaxeshanye ephuma kulo electrode ezibekwe ngqo entliziyweni. operation Ixesha kuthatha malunga neeyure ezi-2.

Cardiologist wazisa electrode esisekweni entanyeni okanye apho iphuma khona emagxeni. Lowo ufaka ucingo kwigumbi intliziyo, isixhobo yokulandelela ukubonisa i-X-ray isikhundla sakhe, uze ulungise kwiteksti kwaye kanga ipacemaker efakiweyo kwisithuba phakathi izihlunu esifubeni nesikhumba. Ke ingcali liyalihlola ukusebenza kumatshini, ukuba yonke into ime ngendlela, ngoko asithungele i liqatywe.

Xa uthenga isixhobo efana defibrillator, kunyanzelekile ukuba ukujonga isatifikethi. Khumbula ukuba isixhobo kufuneka ekucetyiswa ukuba zisetyenziswe yi-Ofisi yoMphathiswa wezeMpilo, ngenxa yokuba umgangatho wayo ubomi babantu buxhomekeke.