Blood Pressure Umlinganiselo: Action algorithm. Algorithm yokulinganisa uxinzelelo lwegazi ebantwaneni

uxinzelelo lwegazi oluphezulu ngoku ngomnye unobangela enkulu nokugula kwanokufa abadala. Nyaka ngamnye, inani iziganeko sentliziyo ezivela uxinzelelo lwegazi ukunyuka ngokuqhubekayo. Ngeendlela ezininzi, unobangela wale meko kukunqongophala loxilongo olululo kunye nonyango. Ukuba pharmacotherapy eyiyo esi sifo sibangelwa yezonyango, umlinganiselo kunye nolawulo uxinzelelo lwegazi ubuxoki ngokupheleleyo uxanduva yesigulane. Makhe sijonge uxinzelelo lwegazi womlinganiselo algorithm kwi imithambo yoluvo.

isiseko period of yokulinganisa uxinzelelo lwegazi

Kangangexesha elide abantu abakwazi umlinganiselo ingcinezelo iindlela ngqo, njengoko sele edume luyaqhutywa ngqo yomlinganiselo of wegazi. I algorithm of amanyathelo kweli tyala ngolu hlobo lulandelayo: ngesitya zaqaliswa i cannula okhethekileyo, nto leyo enxibelelana igeyiji yoxinzelelo. uxinzelelo lwegazi kunye pulsation ezosulela ngqo kwimibhobho yentloko kwifowuni. Kakade ke, le ndlela ivumela ukulinganisa uxinzelelo lwegazi ngokuchanekileyo ngokuthembekileyo, kodwa inxulunyaniswa ethile ebalulekileyo - imfuneko kwenzakalani isiqulathi kunye nokwaziswa umzimba angaphandle kuso. Ngoko ke, iindlela ngqo zifumene eninzi popularity and inkqubela zeteknoloji avumele ukuba ukudala sphygmomanometers (amacebo kumlinganiselo uxinzelelo lwegazi), izinto ezo enasilela ukuchana iindlela ngqo. Ngoncedo lwabo ngoku eyenziwa ngempumelelo yokulinganisa uxinzelelo lwegazi ngemihla. inyathelo algorithm, kwakunye nezixhobo eziyimfuneko iza kuxoxwa ngezantsi.

Isiseko yeengcingane ngqo iindlela yokulinganisa uxinzelelo lwegazi lo mgaqo ulandelayo. Xa injecting umoya kwi sphygmomanometer cuff (ukuba uxinzelelo cuff ngaphezu iSystolic wegazi isitya) kwi ucinezelo wokugqibela kwenzeka. Ngenxa yoko, uxinzelelo oluphezulu egazini cuff nge iimpahla aluphumeleli. Ukuba uqhubeka uqale ukwehlisa umoya ukusuka cuff xa kuya kuba ngaphantsi kwi kwemithambo uxinzelelo kwi cuff kakhulu ezimbalwa, igazi uqala ukugeleza kwi imilenze. Lo mgaqo yakha isiseko kunye echazwe-ngezantsi iindlela umlinganiselo uxinzelelo lwegazi.

iindlela ezisisiseko yokulinganisa uxinzelelo lwegazi

inzululwazi esemthethweni uyazi iindlela ezimbini ezisisiseko esetyenziselwa ukulinganisa uxinzelelo lwegazi: Korotkoff indlela kunye nendlela Riva-Rocci. Elinye igama ezifanelekileyo ezi ndlela - auscultatory kunye palpatory. Makhe sijonge nganye iindlela Sobienie.

Riva-Rocci indlela (palpatory)

Njengokuba kakuhle oko kwenziwa xa neSingqinisiso zoncedo uxinzelelo lwegazi? I algorithm ngolu hlobo. Gxalaba cuff ngaphezulu kakhulu kumlinganiselo uxinzelelo lwegazi, oludityaniswe ngayo tonometer.

Ngaphezu koko, lo cuff Impontshelwa emoyeni, yaye emva kokupheliswa pulsation kwemithambo iphiramidi ebonisa kwi esihlahleni baqale ngokuthe ukunciphisa uxinzelelo lomoya. Kanjalo ngesandla kuqhubeka ukulawula pulsation kwemithambo iphiramidi ebonisa unxibelelwano, kunye elilawulekayo wesibini ukunciphisa uxinzelelo kwi cuff (unokunikezelwa malunga 3-4 mm / umzuzwana). Kwathi kamsinya nje akuba uxinzelelo kwi cuff kuya kuba ngaphantsi igazi iSystolic kungena imithambo, igazi uqala ukugeleza kwi lomzimba eya obungqingqwa njengoko sicatshulwa lencinibakazi ukubetha. Ukuba kukho nokunyuka ukubetha oyivileyo masihambelane data yesikali manometer ukunika uxinzelelo lwegazi iSystolic. Ububi le ndlela ziquka nakwenzeka zokufumana amaxabiso ngokupheleleyo uxinzelelo lwegazi ukuzala ngaphandle uncedwa yeSkrini, kodwa phakathi iingenelo ziquka ithuba ukusebenzisa engxamisekileyo iimeko, iingozi kunye kaxakeka. Kulo mzekelo, ukufumana ixabiso xi ukuzala idlala indima encinci kakhulu diagnostic ngaphezu iSystolic.

indlela Korotkoff (auscultatory)

Ngoncedo a yeSkrini, le ndlela ivumela Esilinganisa uxinzelelo lwegazi. izenzo algorithm yokusebenzisa le ndlela ilandelayo. Le cuff lusetyenziswa wesithathu embindini ziyenza njani ukuze ngaphantsi kungaba ngokukhululekileyo ukubeka 1-2 umnwe. Emva koko, lo cuff ukuvelisa isitofu umoya de ukupheliswa pulsation kwemithambo iphiramidi ebonisa unxibelelwano in esihlahleni.

Uphawu ye indlela yokwenza yi ukusebenzisa i yeSkrini okanye yeSkrini for ngezenzeko auscultation auscultatory kwi fossa cubital. Kuba kule divaysi intloko ukuma kwi fossa antecubital kwaye enze ukuhla ngokuthe ngcembe yengcinezelo umoya cuff. Xa ngezenzeko auscultatory kubonisiwe ixabiso isikali yeSkrini tonometer okuhambelana uxinzelelo lwegazi iSystolic, kwaye yokuduka isenzeko wathi uxinzelelo ukuzala.

Indlela unalo inzuzo enomahluko - ulwazi ifumane malunga iSystolic kunye noxinzelelo ukuzala, kodwa kuneengxaki zawo ziquka kufanele kuphawulwe imfuneko yokuba yeSkrini, kunye nokufumaneka cwaka kwindawo apho neSingqinisiso uxinzelelo lwegazi olwenziweyo.

Eyona engundoqo iindidi tonometers esetyenziselwa yokulinganisa uxinzelelo lwegazi

Ukuza kuthi ga ngoku, imakethi kakhulu okroqiweyo izixhobo ukuba enze umlinganiselo uxinzelelo lwegazi. Algorithm yezenzo electronic nezixhotyana kungenziwa zohlulwa ngokwendidi ezintathu eziphambili: mechanical, semi-automatic kunye automatic. Ngelo xesha kunye nokusetyenziswa kakuhle kwezixhobo abe ukuchaneka ofana. Umahluko kuphela usebenziso olulula kwaye, kakade, ixabiso.

Blood Pressure Uqikelelo ngu tonometer oluzenzekelayo

Ukusetyenziswa tonometer oluzenzekelayo kakhulu lula kunye nemida songenelelo into zabantu. Xa usebenzisa izixhobo zale hlobo isigulane kufuneka kuphela ukubeka cuff phezu kwengalo kwaye cinezela iqhosha kwi kwisixhobo. Bonke abaseleyo amanyathelo izixhobo ngokuzenzekelayo enze: umoya ezimpontshelwa kungena cuff kwixabiso ethile, kuya mpuluswa kunye noxinzelelo drop sojongo unike isiphumo zokugqibela, okt ngokuzenzekelayo ukubamba neSingqinisiso uxinzelelo lwegazi ...

I algorithm kwefowuni kule meko abhaliswe kwinkumbulo yayo non-eguqukayo kwaye iye yavavanywa kwiinkonzo ezininzi zamazwe ngamazwe kunye nemibutho. Phakathi iingenelo olu hlobo yesixhobo kuyimfuneko ukuqaphela isiqulatho ulwazi eliphezulu iziphumo kukuthi, njengezixhobo nako ungayilinganisi kuphela kontanga, kodwa kwakhona ukubala izinga lentliziyo kunye nezinga intliziyo Uqikelelo. A isilumkiso iya kunikwa xa arrhythmia.

Blood Pressure Uvavanyo kunye okuzenzelekayo uhlobo tonometer

Xa olu hlobo tonometer kunye okunciphayo azilubambi neSingqinisiso uxinzelelo lwegazi. I algorithm ishwankathelwe ngolu hlobo lulandelayo. Ukulinganiswa uxinzelelo lwegazi usebenzisa izixhobo zale hlobo ifana kakhulu oluzenzekelayo, kunye mahluko kuphela kukuba tonometers eziphantse zibe akukho isiguquli kwaye akakwazi zokumpompa nokuchithela umoya evela cuff.

Ezinye iinxalenye babesebenzisa elektroniki ongekho ngaphantsi ngokuchana yeekhomponenti liso uxinzelelo lwegazi oluzenzekelayo. Ngaphezu koko, kukholelwa ukuba esweni uxinzelelo lwegazi semi-automatic zithembekile, ekubeni akukho iqulathe kuyilo yayo, ukukhuhlana kunye nezahlulo mechanical. Ukongeza, ezi zixhobo unikezelo element na ubomi obude. Okulandelayo, sicinga umlinganiselo uxinzelelo lwegazi ebantwaneni. I algorithm amanyathelo njengoko kuya kuxoxwa, iya kuhlala injalo, kodwa kuya kubakho ezithile bokuqonda. Wona ekufuneka ithathelwe ingqalelo.

Algorithm yokulinganisa uxinzelelo lwegazi ebantwaneni

Enyanisweni, abantwana ayahlukanga ukusuka yokulinganisa uxinzelelo lwegazi abadala (algorithm). Abantwana kufuneka usebenzise ubungakanani cuff efanelekileyo uxhomekeke ngokupheleleyo kwi ubudala bomntwana kunye ubukhulu negxalaba. Kugcinwe lo mgaqo elula (xa cuff enokusebenziseka ingqamana yobudala yomntwana) ngundoqo ukufumana iziphumo ezichanekileyo lwamaxabiso uxinzelelo lwegazi.

isiphelo

Xa uxinzelelo lwegazi womlinganiselo algorithm usebenzisa tonometer ngomatshini zicwadi kunzima ukufunda, iyandonwabisa kubalulekile ekhangele uthenga okanye uhlobo tonometer semi-automatic.

Baya kuhlala kusebenza njengesixhobo ukuba zibe kumgangatho ophezulu zemilinganiselo uxinzelelo lwegazi. I algorithm kwisicelo sabo ilula kakhulu, kwaye ke iziphumo ezifunyenweyo zinkulu kakhulu kwaye ulwazi.