Ujongo lwamihla le wegazi: imithetho

wegazi - ngomlinganiselo egqiba amandla ngayo ngegazi kudala ezindongeni zendlu imithambo yegazi motion. Amanani ezingaqukwanga kwi kumda kuvumelekile, bonisa ubukho sifo emzimbeni esifuna Uxilongo kunye nonyango zengqesho. yokulinganisa intsebenzo xi ezilahlwayo akwanelanga. Kuthatha nenkanuko yalo Dynamics (ujongo lwamihla le uxinzelelo lwegazi - BPM). Yintoni na le ndlela loxilongo kunye oko kwenziwa njani, kuxutyushwa kwinqaku.

Intsingiselo isifundo

Isigulana bafumane sifo, hlomela isixhobo eyodwa ukhusela uxinzelelo lwegazi iiyure eziyi-24. Ukulinganisa kwenzeka ngendlela nokuhambisa, ukuba sele periodicity ethile.

Ukuba isigulane ilinganiswa ufundo uxinzelelo enkhubyeni wa vukati, ngenxa amanani izixholoxholo unakho ukubonisa iziphumo ophezulu. Ujongo lwamihla le uxinzelelo lwegazi, imithetho leyo kuxoxwa ngezantsi, it ikuvumela ukuba ubhale izalathisi ekhaya, cwaka, umoya ekhululekile kunye eziqhelekileyo. Uphononongo enokwenziwa kwaye xa isigulana esibhedlele.

wenza njani na isixhobo?

Izixhobo 'esweni imihla uxinzelelo lwegazi "eqhotyoshelwe emzimbeni wakhe. amacandelo aso ezi zilandelayo:

1. UMbhalisi - isixhobo, apho esiqingqiweyo ebhantini yesigulane. Ngayo, kukho intsebenzo irekhodi the Dynamics.
2. Irabha tube - inxulumanisa cuff kunye ingxelo.
3. Kuhlinzwa - nenxitywa kwi ingalo (inxalenye phakathi igxalaba, izinga kwentliziyo). Oku kwenzeka inaliti, uze exesheni umoya.
4. Woluvo ezibuthathaka - le cuff iqhotyoshelwe apha kwaye oqondela kuloo maxesha okuba singazi imbonakalo kunye Ukunyamalala amaza ukubetha.

Emini isixhobo iliso yonke imihla uxinzelelo lwegazi ubhala iziphumo emva kwemizuzu eli-15. Ebudeni ubusuku yokuphumla uxinzelelo lwegazi ulinganiswa yonke imizuzu engama-30. Yonke idatha ihleli kwinkumbulo.

Imithetho zokufunda

Ukuba isigulane emiselweyo lokuqaphela uxinzelelo lwegazi imihla yenziwa inkqubo, uyasichazela ugqirha. Specialist asiyalele kukuthiwani na kwithuba kwesifo ukufumana imiphumo ethembekileyo:

• ngokuyimfuneko irhoxisiwe ukusebenzisa iyeza;
• ukulahlwa kwe umthwalo omkhulu ngokomzimba;
• isithintelo abafumana unyango amanzi;
• ukulala ebusuku ifanele ibe ngokupheleleyo, ukuze kugqwethwe Iimpawu iliso;
• Clothing kufuneka ukukhanya, ukuze cuff na ukucudisa ingalo yesigulana;
• imo imini kufuneka ibe yeqhelekileyo;
• ngexesha umoya inaliti kulo examinee cuff umele ayithobe ingalo yakhe ayinakolulwa ecaleni umzimba, yima;
• uyaqiniseka ukuba ityhubhu yerabha ayikho kruthu, kwaye cuff wahlala ndawo;
• ukuba isigulana umntu uvakalelo oluphezulu, ugqirha umisela efumana kuye hypnotics okanye nadlamkisayo ebusuku.

Umongikazi unika isigulane idayari ezizodwa, apho ufuna ukufaka idatha ngobume bempilo, umsebenzi ngokwasemzimbeni, imithi (ukuba ugqirha akazange ungazikhupha ngexesha loxilongo), ukulungisa ixesha ngokulala ubuthongo.

Kukho amathuba uphando abafazi abakhulelweyo. Abasetyhini basengozini, yisa uxilongo kathathu. Ngokuba okokuqala kubhekiselwa kuqala oyingcali zobhaliso, ngoko kwithuba leenyanga ezintathu yesibini, kwaye nje phambi kokuzalwa. Onjalo nkqubo yenza kube lula ukuba iyaluthintela uphuhliso iingxaki kwi olungekazalwa nomzimba sikanina.

esweni Holter

umlinganiselo ngaxeshanye uxinzelelo lwegazi kunye irekhodi ECG emini - yindlela mihla kokuxilongwa uninzi ezimbi sentliziyo, nto leyo evumela ukuba ukuchonga uhlobo ezifihlakeleyo.

Le ndlela siqulunqwe sisazinzulu ngomkhala American. Phezu kwesifuba i electrode zezifundo eqhotyoshelweyo ukuba data capture kumsebenzi zombane ezesifuba nokudlulisela iziphumo kwisixhobo ekhethekileyo ephathekayo. Apha amanani zilungiswa ngokohlobo i electrocardiogram kunye ligcinwa kwinkumbulo. Ngokunxuseneyo ukuya egxalabeni yomguli iqhotyoshelwe apha cuff ukuba esilinganisa uxinzelelo lwegazi.

Kwimeko kweembambano esweni Holter linokwandiswa yi kwiintsuku ezimbalwa (nokuba ukuya ngeveki). Izinto eziluncedo indlela kukuba ifowuni ikuvumela ukuba ukufaka utshintsho incinane izinga lentliziyo, nto leyo kusoloko kukho isidima ECG eqhelekileyo.

esweni Holter lwenziwa ngenxa kwizigulane banenkxalabo mpawu zilandelayo:

• ngokucinezela iintlungu esifubeni, ngokufuthi ibonakala ukuya igxalaba, amagxalaba, ingalo;
• ubuhlungu Night kwi kwicala lasekhohlo esifubeni sakho;
• ukuphelelwa umoya, ekhatshwa ukhohlokhohlo;
• uziva intliziyo ezikayo;
• nesiyezi rhoqo okanye waphela.

Ukutyeba, ukutsha ulusu kwiindawo ezifunekayo electrode - Izimo kwi inkqubo (kuphela ngenxa ekungakwazini ukulungisa isixhobo nitrogen).

ubungqina

esweni uxinzelelo lwegazi lomzimba iyafuneka ukufumanisa lithi zilandelayo:

1. Kwegazi. iifomu zawo kunokwenzeka - ezifana Night lwegazi "lwegazi zangaphantsi emhlophe", efihliweyo, ngexesha lokukhulelwa.
2. Hypotension - intolerance ezingapheliyo, niphele ngesiquphe.
3. Le ngezifo kwenkqubo yawo luvo.
4. Ukubeka iliso ukusebenza amachiza ekuhambeni kwexesha.
5. Insulin-abaxhomekeke seswekile sinwenwa.
6. kubantu abalupheleyo.
7. Ukumelana ukuqhuba unyango wegazi.

Iinkcukacha-manani zibonisa ukuba uninzi ABPM lwenziwa ukuze acacise indlela kakuhle ukusetyenziswa kweziyobisi umfutho.

Izimo

uxinzelelo lwegazi lomzimba esweni lisusiwe, ukuba zikhona;

• umonakalo ezandleni, xa ucinezelo kunye superimposition le cuff akwenzeki;
• ezimbi cutaneous eziphelweni eliphezulu aphansi;
• ukuqhubela izifo ezinxulumene igazi ekunqandeni othile;
• ngezifo semithambo ezinxulumene notshintsho permeability kwemithambo yegazi okanye ngqongqo;
• ubukho iingxaki sifo engundoqo;
• Iingxaki emva esweni imihla yangaphambili.

Uxilongo oluqhutywa esibhedlele, ukuba ufundo uxinzelelo iSystolic ngaphezu mmHg 200 kwaye kukho ukutyeshelwa kwinkqubo Uhanjiso intliziyo. iimeko zifuna balumke kakhulu.

ubuhle be indlela

esweni uxinzelelo lwegazi Daily zinezibonelelo enkulu ngexesha elinye-womlinganiselo. Le ndlela yenza kube lula ukuqikelela ngokuchanekileyo indlela amanani atshintshe, yaye yintoni ixesha lemini. Ngokusekelwe kwi-specialist uphando ithatha iziyobisi obungaboniswa lwezonyango ethile ngamnye.

Ukongeza, ujongo lwamihla le uxinzelelo lwegazi, uqeqesho leyo ebonisa ukuba lula enkulu lokufunyaniswa kwesifo engundoqo, ukumisela izifundo amatyala lobuxoki-negative. nesilinganiso time-namnye unokuyixela amanani abonela umda kuvumelekile, kodwa enyanisweni isiguli unesifo.

Eyona engundoqo eziluncedo le ndlela:

• ukulungisa uxinzelelo lwegazi kwithuba elide;
• amathuba usebenzisa umoya wakhe yesiqhelo uzolile;
• ukungena data ngexesha lokuphumla le ebusuku;
• ukumisela elifutshane Ukwahluka uxinzelelo lwegazi;
• i uncedo sele unyango izigulane kwezifo (stroke, isifo sentliziyo, ukufa icala).

Lobubi ujongo lwamihla

Le ethile engundoqo, ngokutsho izigulane, loo nto ithathwa ukungaphatheki ngayo ngelixa injecting umoya cuff. Imvakalelo antsi esandleni, nangona ithe phe yakhawuleza. Le cuff unakho ukuvela irhashalala, ilweyile angawokubhuda.

Enye ethile - inkqubo lihlawulwe, ngokungafaniyo uxinzelelo lwegazi elahlwayo.

Ukuhlolwa kweziphumo zokufunda

Emva kweeyure ezingama-24 ukususela ngexesha ukulungisa izixhobo emzimbeni yomguli ukuhlola data ifunyenwe.

Izalathisi abo kungenile inkqubo ekhethekileyo yekhompyutha evumela ukuba ukubona ubukho Ukwahluka elifutshane yengcinezelo, ukuhlola iziphumo esifingo, ukubala isalathisi hypotension kuthelekiswa kunye neenqobo avareji:

• yangosuku - BP 120 ± 6/70 ± 5;
• Amanani kusasa - BP 115 ± 7/73 ± 6;
• Iimpawu zangokuhlwa - BP 105 ± / 65 ± 5.

inkqubo sokuxilonga ukucacisa ubukho lwesifo - ujongo lwamihla le uxinzelelo lwegazi. Apho ukukwenza oko, xelela cardiologist khona. Xa izigulane iisaveyi abanjalo yenziwa ngenxa yokungabikho kwezixhobo ezifanelekileyo. Le nkqubo ifumaneka ezibhedlele okanye kumaziko ezizodwa zentliziyo diagnostic.