Blood Pressure Ukumeda: Action algorithm. Algorithm sokulinganisa wegazi izingane

High blood pressure manje yezimbangela ezinkulu yokugula kwabantu kanye nokushona kwabantu abadala. Unyaka ngamunye, inani izenzakalo senhliziyo ezisuka kusukela high blood pressure inyuka ngokuqhubekayo. Ngezindlela eziningi, imbangela yalesi simo ukungabi ukuxilongwa okufanele kanye therapy. Futhi uma pharmacotherapy okunengqondo yalesi sifo akunakubangelwa kwezokwelapha, nesilinganiso nokulawula wegazi amanga ngokuphelele umthwalo lesiguli. Ake sibheke blood pressure nesilinganiso algorithm ku imithambo neuropathy.

isisekelo bokuphila wegazi nesilinganiso

Kwaphela isikhathi eside ukuthi abantu abakwazi ukukala ingcindezi izindlela engaqondile, njengoba yinto eyamukelwe olwenziwa neqondile nesilinganiso wegazi. I-algorithm yesenzo kulokhu kwaba kanje: esitsheni kwangena a cannula ekhethekile, okuyinto baxhumana a gauge ingcindezi. blood pressure kanye okusizwa ukushaya ngocansi ngqo ngokusebenzisa amashubhu kudivayisi. Yiqiniso, le ndlela ivumela ukulinganisa wegazi ngokunembile futhi enokwethenjelwa, kodwa lihlotshaniswa ethile abalulekile - isidingo lubhoboze esitsheni kanye nokwethulwa nomzimba angaphandle therein. Ngakho-ke, izindlela engaqondile Uthole eziningi ukuthandwa futhi intuthuko kwezobuchwepheshe iye uvunyelwe ukudala sphygmomanometers (amadivayisi blood pressure nesilinganiso), engesiyo eliphansi in ukunemba izindlela oqondile. Ngosizo lwabo manje kwenziwa ngempumelelo nsuku zonke umfutho wegazi nesilinganiso. isinyathelo algorithm, kanye nezinto ezidingekayo kuzoxoxwa ngezansi.

Ngesisekelo ezincwadini engaqondile izindlela yokulinganisa umfutho wegazi usuke isimiso elandelayo. Ngu ujova emoyeni sphygmomanometer cuff (inqobo ingcindezi cuff ephakeme ukwedlula systolic blood pressure ku isitsha) zlib zokugcina senzeka. Ngenxa yalokho, ingcindezi ephakeme egazini cuff ngokusebenzisa izitsha aluphumeleli. Uma kancane kancane uqale ukwehlisa umoya kusukela cuff esinjengalesi lapho ingcindezi ku cuff abaningana kuyoba ngaphansana umfula, igazi uqala ukugeleza ezingalweni nasemilenzeni. Lomgomo uyisisekelo futhi ngezansi-echazwe blood pressure yokulinganisa izindlela.

izindlela Basic wegazi nesilinganiso

isayensi Esemthethweni uyazi izindlela ezimbili zokuqala ezingasetshenziswa zisetshenziselwa ukukala blood pressure: Korotkoff indlela kanye nendlela Riva-Rocci. Okunye igama elifanele yalezi zindlela - auscultatory futhi palpatory. Ake sibheke ngamunye izindlela Sobienie.

Riva-Rocci indlela (palpatory)

Njengoba kahle ke kwenziwa lapho nesilinganiso usizo umfutho wegazi? I-algorithm kanje. Ehlombe esikhulu cuff ngoba umfutho wegazi isilinganiso, okuyinto ixhunywe tonometer.

Ngaphezu kwalokho, cuff akhishwa emoyeni, futhi ngemva ukuqedwa okusizwa ukushaya we Umthambo osabalalayo esihlakaleni baqala kancane kancane ukunciphisa umfutho womoya. Ngakho ngesandla esisodwa siqhubeke ukulawula okusizwa ukushaya we Umthambo osabalalayo, kanye nesilinganiso yesibili elawulwa yokucindezelwa ukwehla cuff (okufanele mayelana 3-4 mm / sec). Njengoba nje umfutho cuff kuyoba aphansi ukwedlula igazi systolic ku imithambo, igazi uqala ukugeleza phakathi ithambo ukuthi kuzozwakala njengoba ukudlula wave ishayela. Uma kukhona ethintekayo ishayela iyehla iyenyuka correlate ngedatha isikali manometer ukunikeza systolic blood pressure. I yokuntula le ndlela ihlanganisa ukungabi nakwenzeka kwento ekutholeni ngokuphelele diastolic blood pressure amagugu ngaphandle kosizo IselulekoSesihenqo, kodwa phakathi izinzuzo zihlanganisa kungenzeka ukusebenzisa eziphuthumayo izimo, izingozi kanye nezimo eziphuthumayo. Kulokhu, ukuthola ukubaluleka yokucindezelwa diastolic kudlala indima ezincane kakhulu zokuxilonga kuka-systolic.

indlela Korotkoff (auscultatory)

Ngosizo a IselulekoSesihenqo, le ndlela ivumela nesilinganiso wegazi. izenzo algorithm kokusebenzisa le ndlela kanje. Cuff lisetshenzisiwe lwesithathu phakathi ibhodi lemisindo ukuze ngaphansi kungaba ngokukhululekile ukubeka 1-2 umunwe. Ngemva kwalokho, cuff ukukhiqiza umjovo emoyeni kuze ukuqedwa okusizwa ukushaya we Umthambo osabalalayo e esihlakaleni.

Isici esivelele sesimiso indlela ukusebenzisa IselulekoSesihenqo noma IselulekoSesihenqo ngoba auscultation auscultatory izenzakalo fossa cubital. Ngenxa yalesi kudivayisi ikhanda pose ku fossa antecubital futhi enze ukwehla kancane kancane umfutho womoya e cuff. Lapho i imihlola auscultatory kuphawulwe IselulekoSesihenqo tonometer isikali ukubaluleka okuhambelana systolic blood pressure, futhi ukunyamalala lomkhuba waphawula ingcindezi diastolic.

Indlela has abahlukene inzuzo - Imininingwane yokuthola mayelana systolic nokucindezelwa diastolic, kodwa nezihibe zihlanganisa kufanele kuphawulwe isidingo abe IselulekoSesihenqo, futhi ukutholakala ukuthula kule ndawo lapho nesilinganiso blood pressure wenziwa.

Lezinhlobo eyinhloko tonometers esetshenziselwa yokulinganisa blood pressure

Kuze kube manje, emakethe ngempela ayegcwele amadivayisi enze blood pressure nesilinganiso. Algorithm yezenzo electronic kanye Mechanics zingahlukaniswa zibe izinhlobo ezintathu eziyinhloko: mechanical, semi-automatic futhi othomathikhi. Ngesikhathi esifanayo nge efanele yokusebenzisa amadivayisi abe ukunemba wafana. Umahluko owokuthi lula ukusetshenziswa kanye, yebo, izindleko.

Blood Pressure Ukulinganisa ngu tonometer othomathikhi

Ukusetshenziswa tonometer othomathikhi elula kakhulu futhi imikhawulo kokungenela we isici womuntu. Uma usebenzisa amadivaysi yalolu hlobo nesineke kuphela edingekayo ukubeka cuff engalweni bese ucindezela inkinobho kudivayisi. Zonke asele izinyathelo apharathasi enze ngokuzenzakalelayo: emoyeni akhishwa phakathi cuff kunani ezithile, ngeke bushelelezi futhi iyunifomu ingcindezi iconsi futhi unike umphumela wokugcina, okusho ngokuzenzakalela ubambe nesilinganiso blood pressure ...

I-algorithm zedivayisi kuleli cala ibhalisiwe kumemori yayo non-oluyingozi futhi ihlolwe kumasevisi eziningi zomhlaba wonke kanye nezinhlangano. Phakathi izinzuzo lolu hlobo idivayisi ke kubalulekile ukuphawula ulwazi wokuqukethwe lelisetulu imiphumela, njengoba amadivayisi akagcini ngokuba namandla ukukala ingcindezi, kodwa futhi ukubala kwenhliziyo kwenhliziyo ukulinganisela. Isexwayiso uzonikezwa uma arrhythmia.

Blood Pressure Assessment nge semiautomatic uhlobo tonometer

Nge lolu hlobo tonometer futhi lokhu akwenze ngokunemba kancane abakwazi ubambe nesilinganiso blood pressure. I-algorithm kufingqwe kanje. Ukumeda wegazi besebenzisa Amadivayisi yalolu hlobo kakhulu efana othomathikhi, ne umehluko kuphela nokuba ukuthi tonometers lulwimi abanalo compressor futhi ayikwazi ukudonsa futhi zichithe emoyeni kusukela cuff.

Ezinye izindaba zika-izingxenye esetshenziswa electronic akuzona eliphansi in ukunemba izingxenye othomathikhi blood pressure ngabaqaphi. Ngaphezu kwalokho, kunenkolelo ukuthi semi-automatic blood pressure ngabaqaphi zinokwethenjelwa, njengoba ayiqukethe kuhleliswa, ukuxabana futhi izingxenye mechanical. Ngaphezu kwalokho, lezi amadivaysi ukunikezela isici has impilo ende. Ngokulandelayo, sicabanga nesilinganiso wegazi izingane. I-algorithm yezenzo nanjengomuntu kuzoxoxwa, izohlala injalo, kodwa kuyoba nabathile umehluko wemisindo nemiqondo yamagama. Bona ngempela kudingeka kucatshangelwe.

Algorithm sokulinganisa wegazi izingane

Ngomqondo onabile, ezinganeni akahlukile omdala blood pressure nesilinganiso (algorithm). Izingane kudingeka usebenzise ezifanele usayizi cuff ukuthi kuncike ngokuphelele yobudala kwengane ubukhulu ehlombe. Ukugujwa lo mthetho elula (lapho cuff osetshenziswayo oluhambisana eminyakeni yobudala yomntwana) kuyisihluthulelo sokuthola imiphumela efanele wegazi amagugu.

isiphetho

Uma wegazi nesilinganiso algorithm usebenzisa tonometer awayindwayo nzima ukufunda, uzizwa kuwufanele ebheke ukuthenga noma semi-automatic tonometer hlobo.

Bayohlale abe idivayisi ekwazi ahlinzeke izinga eliphezulu wegazi nesilinganiso. I-algorithm kwisicelo sabo silula, futhi imiphumela eyatholakala zisho lukhulu futhi ulwazi.