Chinoongorora varwere chinogona kuratidza shanduko dzekurova kwemoyo wemurwere, kurova kwemoyo, kumanikidzwa kweropa, kufema, kuzara kweokisijeni muropa nezvimwe zvinhu. Chinoongorora varwere chinotakurika chinoshandiswa zvakanyanya nenyanzvi dzezvekurapa.kutarisa parameter yevana vacheche, vana kana vakuru. Asi varwere vazhinji nemhuri dzavo havanzwisisi, vanowanzova nemibvunzo kana manzwiro ekutya, uye ikozvino tinogona kunzwisisa pamwe chete.
01 Zvikamu zveECG monitor
Monitor yemurwere inoumbwa nechidzitiro chikuru, lead yekuyera BP (yakabatana necuff), lead yekuyera oxygen yeropa (yakabatana ne blood oxygen clip), lead yekuyera electrocardiogram (yakabatana ne electrode sheet), lead yekuyera temperature uye power plug.
Chidzitiro chikuru chemuchina wekuongorora varwere chinogona kukamurwa kuita nzvimbo shanu:
1) Nzvimbo yeruzivo rwekutanga, kusanganisira zuva, nguva, nhamba yemubhedha, ruzivo rwealamu, nezvimwewo.
2) Nzvimbo yekugadzirisa mashandiro, inonyanya kushandiswa pakugadzirisa ECG monitoring, nzvimbo iyi inoshandiswa nevashandi vezvehutano, varwere nevemhuri havagone kuchinja chero nguva.
3) Chinongedzo chemagetsi, chiratidzo chemagetsi;
4) Nzvimbo yemafungu, zvichienderana nezviratidzo zvinokosha uye dhirowa dhayagiramu yewaveform yakagadzirwa, inogona kuratidza zvakananga kuchinja-chinja kwezviratidzo zvinokosha;
5) Nzvimbo yeparameter: nzvimbo inoratidza zviratidzo zvakakosha zvakaita sekurova kwemoyo, BP, kufema uye okisijeni yeropa.
Tevere, ngatinzwisisei nzvimbo yeparameter, iyo inonyanya kukosha kuti varwere vedu nemhuri dzavo vanzwisise "zviratidzo zvinokosha" zvevarwere.
02Nzvimbo yeparameter ---- zviratidzo zvehupenyu hwemurwere
Zviratidzo zvinokosha, izwi rezvekurapa, zvinosanganisira: tembiricha yemuviri, kurova kwemoyo, kufema, kumanikidzwa kweropa, okisijeni yeropa. PaECG monitor, tinogona kunzwisisa zviratidzo zvemuviri zvemurwere.
Pano tichakutsanangurirai nezvenyaya yemurwere mumwe chete.
KutarisaZviratidzo zvinonyanya kuzivikanwa, panguva ino zviratidzo zvinokosha zvemurwere ndeizvi: kurova kwemoyo: 83 beats/min, oxygen saturation muropa: 100%, kufema: 25 beats/min, BP: 96/70mmHg.
Shamwari dzinocherechedza dzinogona kukwanisa kuziva
Kazhinji, kukosha kuri kurudyi kweECG kwatinoziva ndiko kurova kwemoyo wedu, uye mafungu emvura ndiwo kuzadza kweokisijeni muropa redu nekufema, huwandu hwakajairika hwekuzara kweokisijeni muropa i95-100%, uye huwandu hwakajairika hwekufema i16-20 times/min. Izvi zviviri zvakasiyana zvikuru uye zvinogona kutongwa zvakananga. Pamusoro pezvo, BP inowanzo kamurwa kuita systolic nediastolic blood pressure, kazhinji zvinhu zviviri zvinoonekwa padivi nepadivi, systolic blood pressure pamberi, diastolic blood pressure kumashure.
03Nzira dzekudzivirira pakushandisamurwere monitori
Kuburikidza nekunzwisisa danho rapfuura, tinogona kutosiyanisa zvinoreva kukosha kuri pamudziyo wekutarisa. Iye zvino ngatinzwisisei zvinorehwa nenhamba idzi.
Kurova kwemoyo
Kurova kwemoyo - kunomiririra huwandu hwekurova kwemoyo paminiti.
Kukosha kwakajairika kwevanhu vakuru ndekwekuti: 60-100 times/min.
Kurova kwemoyo <60 kurova/min, mamiriro ezvinhu akajairwa emuviri anowanzoitika muvatambi, vakwegura nezvimwewo; Nyaya dzisina kujairika dzinowanzoonekwa mu hypothyroidism, chirwere chemwoyo, uye mamiriro ekufa.
Kurova kwemoyo kupfuura kurova kwe100/min, mamiriro ezvinhu akajairwa emuviri anowanzoonekwa mukurovedza muviri, kufara, kushushikana, mamiriro asina kujairika anowanzoonekwa mufivha, kuvhunduka kwekutanga, chirwere chemwoyo, hyperthyroidism, nezvimwewo.
Kuzara kweokisijeni muropa
Kuwanda kweokisijeni muropa - huwandu hweokisijeni muropa - hunoshandiswa kuona kana uine hypoxia kana kuti kwete. Kukosha kweokisijeni muropa kwakajairika ndekwekuti: 95%-100%.
Kuderera kweokisijeni mumuviri kunowanzoonekwa mumatambudziko emhepo inoyerera, zvirwere zvekufema nezvimwe zvinokonzera kushaya simba, kutadza kufema zvakanaka.
Mwero wekufema
Mwero wekufema - unomiririra huwandu hwekufema paminiti, kukosha kwakajairika kwevanhu vakuru ndekwekuti: 16-20 kufema paminiti.
Kufema < kagumi nembiri paminiti kunonzi bradyapnea, iyo inowanzoonekwa mukuwedzera kwekumanikidzwa kwepfungwa, chepfu yebarbiturate uye mamiriro ekufa.
Kufema kupfuura ka24 paminiti, kunonzi hyperrespiration, kunowanzoonekwa mufivha, kurwadziwa, hyperthyroidism nezvimwewo.
* Module yekutarisa kufema yeECG module inowanzo kanganisa kuratidzwa nekuda kwekufamba kwemurwere kana zvimwe zvikonzero, uye inofanira kuyerwa kufema nemaoko.
Kumanikidzwa kweropa
Kumanikidzwa kweropa - Kumanikidzwa kweropa kwakajairika kuvanhu vakuru kunoenderana ne systolic: 90-139mmHg, diastolic: 60-89mmHg. Kuderedzwa kweropa, mamiriro ezvinhu akajairika emuviri muhope, tembiricha yakakwira, nezvimwewo, mamiriro asina kujairika anowanzoitika: kuvhunduka kweropa, mamiriro ekuda kufa.
Kuwedzera kweropa, mamiriro ezvinhu akajairika emuviri anoonekwa: mushure mekurovedza muviri, kufara, mamiriro asina kujairika anoonekwa muBP, zvirwere zvetsinga dzeropa;
Pane zvinhu zvakawanda zvinokanganisa kurongeka kwekuyera kweECG monitor, uye matanho akakodzera ekudzivirira achatsanangurwa pazasi.
Nguva yekutumira: Nyamavhuvhu-14-2023
