Magazi Anzanu Muyeso: Action aligorivimu. Aligorivimu kuona magazi ana

Kuthamanga magazi tsopano ndi imodzi mwa ntchito zomwe akuluakulu a odwala ndi omwalira wamkulu. Chaka chilichonse, chiwerengero cha zochitika mtima akuwuka kwa kuthamanga magazi ukuwonjezeka pang'onopang'ono. Mu njira zambiri, chifukwa imeneyi ndi kupanda matenda enieni ndiponso chithandizo. Ndipo ngati zomveka pharmacotherapy za matenda akhoza zimachitika yochizira matenda, muyeso ndi ulamuliro wa magazi lagona kwathunthu udindo wodwalayo. Tiyeni tione magazi muyeso aligorivimu pa mitsempha zotumphukira.

Thupi maziko a magazi muyeso kuthamanga

Kwa nthawi yaitali anthu samatha kuyeza kuthamanga ndi njira mozungulira, monga wakhala yotchuka imachitikira ndi mwachindunji muyeso wa magazi. The aligorivimu kanthu pa nkhaniyi motere: m'chiwiya anali anayambitsa cannula wapadera, amene amalankhula n'zotsimikizira kuthamanga. magazi ndi pulsation opatsirana mwachindunji kupyolera machubu kwa chipangizo. Kumene, njira imeneyi zimathandiza kuyeza magazi molondola ndi molondola, koma amagwirizana ndi chidwi drawback - kufunika puncture ndi chidebe ndipo kumayambiriro thupi yachilendo m'menemo. Choncho, njira mozungulira alandira kwambiri cha kutchuka ndi patsogolo zamakono walola kuti alenge sphygmomanometers (zipangizo choyezera magazi), omwe si otsika mu lolondola njira yolunjika. Ndi thandizo lawo tsopano bwinobwino anachita tsiku magazi kayesedwe. kanthu aligorivimu, komanso zida zina zofunika ayankhidwa pansipa.

Maziko ongolankhula wa mozungulira njira ya kuyeza magazi ndi mfundo zotsatirazi. Ndi jekeseni mpweya mu khafu sphygmomanometer (malinga khafu kuthamanga kuposa kuthamanga systolic magazi chotengeracho) ndi psinjika otsiriza chikuchitika. Chifukwa, kuthamanga apamwamba mu magazi khafu kudzera ziwiya Kodi sudzatha. Ngati inu pang'onopang'ono kuyamba kuchepetsa mpweya khafu pamene kuthamanga mu khafu angapo adzakhala poyerekeza mtsempha wamagazi, magazi akuyamba kuyenda mu nthambi. Mfundo imeneyi imagwiritsidwa maziko ndi pansipa ananena kuti magazi kuyeza njira.

njira Basic wa muyeso magazi

sayansi Official amadziwa njira ziwiri zofunika zimene zimagwiritsidwa ntchito kuyeza magazi: Korotkoff njira ndi njira Riva-Rocci. Other dzina labwino njira zimenezi - auscultatory ndi palpatory. Tiyeni tione aliyense wa njira Sobienie.

Riva-Rocci njira (palpatory)

Komanso kuti anachita pamene amathandiza magazi muyeso? The aligorivimu ndi motere. Phewa superimposed khafu choyezera magazi, omwe chikugwirizana ndi tonometer lapansi.

Komanso khafu amawapopa mpweya, ndipo pambuyo kuthetsedwa kwa pulsation wa mtsempha wamagazi zozungulira pa dzanja anayamba pang'onopang'ono kuchepetsa mpweya. Choncho dzanja limodzi kupitiriza kulamulira pulsation a mtsempha wamagazi ndi zozungulira, ndi mlingo wachiwiri ankalamulira a kuthamanga kuchepa khafu (chomwe akhale za 3-4 mamilimita / gawo). Atangomva kuthamanga mu khafu adzakhala poyerekeza ndi systolic magazi mu mitsempha ya magazi akuyamba kuyenda mu nthambi kuti udzamvedwa monga ndime ya zimachitika yoweyula. Ngati pali zimachitika kusinthasintha chogwirika correlate deta ndi manometer lonse kupereka systolic magazi. The kuipa kwa njira monga ndikosatheka kupeza ndi diastolic mtheradi mfundo magazi popanda thandizo la stethoscope, koma mwa ubwino monga n'zotheka ntchito mwadzidzidzi zinthu, ngozi ndi ngozi. Pankhaniyi, kupeza phindu la kuthamanga diastolic n'chofunikira laling'ono kwambiri matenda kuposa systolic.

Korotkoff njira (auscultatory)

Mothandizidwa ndi stethoscope ndi, njira imeneyi limalola muyeso wa magazi. Aligorivimu zochita za ntchito njira izi motere. khafu The umagwiritsidwa ntchito wachitatu pakati pa mkono kuti pansi izo zikhoza kukhala momasuka kuika 1-2 chala. Kenako, khafu kutulutsa mpweya jekeseni mpaka kuthetsedwa kwa pulsation wa mtsempha wamagazi zozungulira mu polumikizira.

Mbali A njira ndi kugwiritsa ntchito stethoscope kapena stethoscope kwa zochitika auscultation auscultatory mu fossa cubital. Pakuti chipangizo ichi mutu ke mu fossa antecubital ndi kuchita kuchepa pang'onopang'ono kwa mpweya mu khafu lapansi. Pamene zochitika auscultatory taonera mtengo stethoscope tonometer lonse womwe vuto systolic magazi, ndi kutha kwa chodabwitsa ndi taonera kuthamanga diastolic.

Njira ali osiyana mwayi - kupeza zokhudza systolic ndi kuthamanga diastolic, koma zovuta zake monga tisaiwale kufunika ndi stethoscope, ndi kupezeka kwa chete m'dera limene muyeso magazi imagwiridwa.

Makalasi waukulu tonometers ntchito kuyeza magazi

Pakali pano, msika ndi ndithu ladzala ndi zipangizo kuti achite magazi kayesedwe. Aligorivimu zochita za magetsi ndi zimango akhoza kugawidwa mu mitundu ikuluikulu itatu: makina, theka-zodziwikiratu ndi zodziwikiratu. Pa nthawi yomweyo ndi kugwiritsa ntchito bwino zipangizo ndi olondola mofanana. Kusiyana komwe kulipo ndi chomasuka ntchito ndipo, ndithudi, mtengo.

Magazi kuyesa mwa tonometer zodziwikiratu

Ntchito tonometer basi yabwino kwambiri ndi malire a phukusi la chinthu anthu. Pamene ntchito zipangizo za mtundu wa wodwala yekha chofunika kuika khafu pa nkono ndi akanikizire batani pa chipangizo. Onse masitepe otsala zida basi kuchita: mpweya amawapopa mu khafu kuti mtengo ena, mukonza ndi kuthamanga dontho yunifolomu ndi kupereka zotsatira zake zomalizira, mwachitsanzo basi kugwira magazi muyeso ...

The aligorivimu chipangizo Pankhaniyi m'kaundula m'chikumbumtima ake sanali loopsali ndi wayesedwa mu misonkhano ambiri padziko lonse ndiponso anzake. Mwa ubwino wa mtundu uwu wa chipangizo m'pofunika kuona mkulu zambiri zili zotsatira, monga zipangizo akhoza osati kuyeza kuthamanga, komanso kuwerengera kugunda kwa mtima ndi kugunda kwa mtima wokha. chenjezo A adzapatsidwa ngati arrhythmia.

Magazi Kafukufuku ndi zoopsa zoyenera mtundu tonometer

Ndi mtundu uwu tonometer komanso ndi zochepa molondola sizingatiletse kuthamanga kwa magazi kayesedwe. The aligorivimu zalongosoledwa mwachidule motere. Muyeso wa magazi pogwiritsa ntchito zipangizo za mtundu uwu ndi ofanana kwambiri basi, ndi kusiyana kokha kukhala kuti tonometers theka alibe kompresa ndipo si angathe ikukoka ndi zimatulutsa mpweya khafu lapansi.

Onse a zigawo zikuluzikulu ntchito kompyuta si otsika mu olondola zigawo zikuluzikulu za oyang'anira basi magazi. Komanso ankakhulupirira kuti theka-zodziwikiratu magazi oyang'anira odalirika, chifukwa lilibe mapulani ake, mikangano ndi mbali makina. Komanso, izi amafotokozera zipangizo kotunga ali ndi moyo wautali. Kenako, tikambirana muyeso wa magazi ana. The aligorivimu kanthu ngati ayankhidwa, sizinasinthe, koma padzakhala ena mokoma. Iwo kwenikweni ayenera kuganizira.

Aligorivimu kuona magazi ana

Mfundo ana sasiyana ku wamkulu muyeso magazi (aligorivimu). Ana amafunika ntchito yoyenera khafu kukula kuti amadalira pa zaka mwana ndi awiri phewa. The kusunga lamulo limeneli chosavuta (pamene khafu Akutsatira limafanana ndi zaka mwanayo) ndi kiyi kupeza zotsatira zolondola amatsogoza magazi.

Pomaliza

Ngati magazi muyeso aligorivimu ntchito tonometer makina ndi kovuta kudziwa, ndimasangalala ndi ofunika kuyang'ana kugula kapena theka-zodziwikiratu mtundu tonometer.

Iwo nthawizonse adzakhala chipangizo kuti angathe kupereka mkulu mlingo wa muyeso magazi. The aligorivimu mu ntchito yawo ndi lophweka, ndipo zotsatira analandira ndi lofunika kwambiri ndipo nkhani.