I kukulandzelela kwemalanga onkhe wegazi: imithetho

Umfutho wegazi - isilinganiso ukuthi inquma amandla ngalo igazi odlulela ebondeni imithambo yegazi kunyakaza. Lezi zibalo akufakiwe kwenkululeko kuvunyelwe, ibonisa ukuthi isifo emzimbeni okudinga ukuxilongwa kanye therapy aphoyintimenti. Alahlwayo ingcindezi Ukulinganiswa kokusebenza akwanele. Kuthatha nenkanuko edlulele yayo Dynamics (kukulandzelela kwemalanga onkhe blood pressure - BPM). Kuyini lokhu indlela uphethwe nokuthi uqhutshwa, esixoxe ngawo esihlokweni.

Okwakushiwo cwaningo

Isiguli kokuthola isifo sami sitholakele, unamathisele idivayisi ekhethekile kuvikela wegazi amahora angu-24. Yokulinganisa kwenzeka ngendlela ezenzakalelayo, it has a PERIODICITY ezithile.

Uma isiguli kukalwa ingcindezi ukufundwa edilini lomshado, ngenxa yezinxushunxushu izibalo ingase ibonise imiphumela ephakeme. I kukulandzelela kwemalanga onkhe blood pressure, imithetho zazo zichaziwe ngezansi, ke ikuvumela ukuba alobe izinkomba ekhaya, ethule, umkhathi ukhululekile futhi ajwayelekile. Ucwaningo kungaba kwenziwe futhi lapho isiguli esibhedlela.

Kanjani idivayisi?

Iinsetjenziswa "ukuqapha Daily wegazi" unamathele umzimba wesiguli. izingxenye zalo yilezi ezilandelayo:

1. Registrar - idivayisi, okuyinto zigxilé ibhande lesiguli. Ngalo, kukhona ukusebenza irekhodi e Dynamics.
2. Rubber tube - uxhuma cuff futhi mibhalo.
3. Cuff - esigqokwa engalweni (ingxenye maphakathi ehlombe, kwenhliziyo). Kwenzeka umjovo, bese opha emoyeni.
4. Inzwa ezizwelayo - cuff unamathele futhi elungisa zikhathi ukubukeka ukunyamalala amagagasi ishayela.

Emini kwedivayisi kwamanethiwekhi kukulandzelela kwemalanga onkhe blood pressure uloba imiphumela njalo ngemva kwemizuzu engu-15. Ngobusuku lokuphumula wegazi kukalwa njalo ngemva kwemizuzu engu-30. Yonke idatha uhlala kumemori.

Imithetho yokutadisha

Uma isiguli ezinqunyiwe kukulandzelela kwemalanga onkhe blood pressure Kwenziwa inqubo, uyasichazela udokotela. Uchwepheshe siyokufundisa ukuthi baziphathe kanjani esikhathini uphethwe ukuze uthole imiphumela okunokwethenjelwa:

• ngempela kukhanselwe ukusetshenziswa imithi;
• ukwenqaba umthwalo eside ngokomzimba;
• mthetho kokuthola ukwelashwa amanzi;
• ubuthongo ebusuku kumele iqedwe, ukuze baphendukezele izinkomba ukuqapha;
• Nezingubo kufanele kube ukukhanya, ukuze cuff akuyona ecindezela ingalo lesiguli;
• Imodi usuku kufanele kube ajwayelekile;
• ngesikhathi umjovo umoya ngaphakathi examinee cuff kumele wehlise ingalo yakhe phansi waqonda kanye umzimba, ayeke;
• uyaqiniseka ukuthi tube zenjoloba akuyona bent, futhi cuff lahlala enyameni;
• uma isiguli sine-sensitivity high, udokotela ekunika kuye ethola hypnotics noma sedatives ebusuku.

Umhlengikazi unika isiguli idayari ekhethekile, lapho ofuna wayohlasela idatha isimo sempilo, umsebenzi ngokomzimba, imithi (uma udokotela akazange khansela kwabo ngesikhathi uphethwe), ukulungisa isikhathi sokulala.

Kukhona kungenzeka inhlolovo abesifazane abakhulelwe. Abesifazane abasengozini, afeze ukuhlola kathathu. Ngokokuqala ngqá e-kubhekiselwa okokuqala kuchwepheshe ukuze yokubhalisa ke e senyanga yesibili, futhi nje ngaphambi kokuzalwa. inqubo enjalo kwenza kube nokwenzeka ukuvimbela ukuthuthukiswa yezinkinga ku-fetus nomzimba kamama.

ukuqapha Holter

nesilinganiso esisodwa of wegazi kanye irekhodi ECG emini - indlela yesimanje ukuxilongwa iningi pathologies senhliziyo nemithambo yegazi, ivumela ukuhlonza ngisho ifomu ezifihliwe.

Le ndlela iye yathuthukiswa yi-American Usosayensi ngomkhala. Phezu kwesifuba isihloko enamathiselwe electrode ukuthi idatha bamba kumsebenzi inhliziyo kagesi futhi udlulise lo Imiphumela kudivayisi ekhethekile ephathekayo. Lapha izibalo okwenziwa ngesimo electrocardiogram futhi agcinwe kumemori. Ngo parallel ehlombe lesiguli unamathele cuff ukuthi ulinganisa blood pressure.

Endabeni izingxabano Holter zokuqapha singase siwathole by kwezinsuku ezimbalwa (ngisho kuze kube ngesonto). Izinzuzo indlela ukuthi idivayisi ikuvumela ukuba liyobamba izinguquko encane kunazo kwenhliziyo, engesiyo enhle ECG evamile njalo.

ukuqapha Holter wenziwa ngoba iziguli abakhathalela zimpawu ezilandelayo:

• ngokucindezela ubuhlungu esifubeni, ngokuvamile imbuthuma ukuba isiphanga, ehlombe, ingalo;
• ubuhlungu Ebusuku e ohlangothini lwesobunxele esifubeni;
• iphika, ephelezelwa ukukhwehlela;
• ozwa inhliziyo ocwilayo;
• isiyezi njalo noma ekuqulekeni.

Ukukhuluphala, ukusha kwesikhumba ezindaweni edingekayo of electrode - contraindications kwinqubo (kuphela ngenxa ukungakwazi ulungise idivayisi nenkanuko edlulele).

ubufakazi

Circadian ukuqapha blood pressure liyadingeka ukuxilonga uthi ezilandelayo:

1. Umfutho ophakeme wegazi. amafomu zayo kungenzeka - ezifana Night nomfutho wegazi ophezulu "kwegazi amajazi elimhlophe", kufihlwe, ngesikhathi sokukhulelwa.
2. Hypotension - orthostatic okungamahlalakhona, yokufikelwa okungazelelwe.
3. I zokugula we autonomic nesimiso sezinzwa.
4. Ukuqapha ukusebenza izidakamizwa ngokuhamba kwesikhathi.
5. Insulin ancike ngifundise ngesifo sikashukela.
6. ezigulini esezikhulile.
7. Ukumelana ukuqhuba ekwelapheni nomfutho wegazi ophezulu.

Izibalo zibonisa ukuthi iningi ABPM kwenziwe ukuze kucaciswe kusebenza kangakanani ukusetshenziswa kwezidakamizwa antihypertensive.

Izimo

Circadian blood pressure qapha alisetshenziswa, uma kukhona:

• umonakalo mechanical kuya izandla, uma kokucindezelwa futhi superimposition we cuff akunakwenzeka;
• pathologies cutaneous emachosheni yasenhla nemithombo yasenzansi;
• okubi kakhulu izifo ezihambisana ne kahle igazi ekunqandeni;
• zokugula semithambo elihlobene ne ushintsho permeability yegazi noma rigidity;
• khona izinkinga lesi sifo ecashile;
• Izinkinga emva zokuqapha odlule nsuku zonke.

Sifo wenziwa esibhedlela, uma systolic ingcindezi ukufundwa idlule mmHg 200 futhi kukhona ukwephulwa inhliziyo conduction uhlelo. Izimo ezinjalo zidinga izinyathelo zokuzivikela.

Izinzuzo indlela

Daily zokuqapha blood pressure kunezinzuzo ezinkulu phezu yesikhathi esisodwa nesilinganiso. Indlela wenza sikwazi ukulinganisa kahle indlela izibalo ukushintsha, futhi ngasiphi isikhathi sosuku. Kususelwa onguchwepheshe ucwaningo ucosha izidakamizwa ngenjongo ethile ngabanye icala emtholampilo.

Ngaphezu kwalokho, ukuqapha nsuku zonke wegazi, ukulaya okusikisela a yokuncishiswa lobuKhristu sitholakele isifo eziyimbangela, ukucacisa zamanga-negative amacala izifundo. One-time nesilinganiso ongabonisa izinombolo angena ububanzi kuvunyelwe, kodwa eqinisweni isiguli abanomfutho wegazi ophakeme.

Izinzuzo esemqoka indlela:

• ukulungisa blood pressure phezu isikhathi eside;
• kungenzeka usebenzisa umoya wakhe evamile ngizolile;
• idatha zifake phakathi lonke ebusuku sika;
• sokunquma yesikhathi esifushane blood pressure kokuhlukana;
• aid azinakusilela nokwelashwa kweziguli izifo ezingathi sína kwababhemayo (stroke, isifo senhliziyo, isifo sohlangothi).

Nemibi kukulandzelela kwemalanga onkhe

I ethile eyinhloko, ngokuvumelana iziguli, kubhekwa ukuqaleka uzizwa ngenkathi ujova emoyeni cuff. Siba nomuzwa ndikindiki isandla, yize sidlule ngokushesha. Cuff zingavela amawala, inabukeni amawala.

Omunye ethile - inqubo ikhokhelwa, ngokungafani alahlwayo blood pressure.

Ukuhlolwa imiphumela yocwaningo

Ngemva kwamahora angu-24 kusuka ngesikhathi sokuhlela apharathasi emzimbeni wesiguli ukuhlola idatha etholwe.

Izinkomba usungenile uhlelo olukhethekile lwe-computer evumela ukuthi wena ukuthola ubukhona kokuhlukana yesikhashana ingcindezi, ukuhlola imiphumela ekuseni, ukubala Inkomba kanye hypotension kuqhathaniswa amanani ngokwesilinganiso:

• Izinga nsuku zonke - BP 120 ± 6/70 ± 5;
• ekuseni izibalo - BP 115 ± 7/73 ± 6;
• Kusihlwa Izinkomba - BP 105 ± / 65 ± 5.

nenqubo ethile yokuthola isifo Okubalulekile ukucacisa khona isifo - kukulandzelela kwemalanga onkhe blood pressure. Lapho ukukwenza, ukutshela wenhliziyo bayahlanganyela. Ngo sinenkonzo yokunakekela iziguli emakhaya survey enjalo kwenziwe ngenxa yokuntuleka amadivayisi kunesidingo. Inqubo itholakala izibhedlela noma nezenhliziyo zokuxilonga izikhungo ezikhethekile.