Ukuqapha kwamapharamitha amaningi kunganikeza ulwazi olubalulekile lwesiguli ukuze kuhlonzwe umtholampilo wezokwelapha kanye nokuqapha.Ithola amapharamitha abalulekile njengamasiginali we-ECG, ukushaya kwenhliziyo, ukugcwala komoyampilo egazini, umfutho wegazi, izinga lokuphefumula kanye nezinga lokushisa lomzimba ngesikhathi sangempela.Yimishini evamile ngempela emayunithi okunakekela kakhulu (ICUs), amagumbi okuhlinza, iminyango yezimo eziphuthumayo, nezinye izilungiselelo zezempilo.
Yimaphi amaphuzu ayisihluthulelo okusebenza angakwazi ukushaywa indiva, uma usebenzisa i-monitor yesiguli.
I-1) Kungani kunconywa ukugqoka ama-cuffs womunwe wokugcwala kwegazi kuqala?
Ngenxa yokuthi ukugqoka i-cuff yomunwe yokugcwala komoya-mpilo kushesha kakhulu kunokuxhuma intambo eholayo ye-ECG, izinga lokushaya kwenhliziyo lesiguli nokugcwala komoyampilo egazini kungagadwa ngesikhathi esifushane kakhulu, futhi abasebenzi bezokwelapha bangaqedela ngokushesha ukuhlolwa kwezimpawu eziyisisekelo zesiguli.
2) Ingabe i-cuff yomunwe ye-SpO2 kanye ne-blood pressure cuff ingafakwa esithweni esifanayo?
Ukugeleza kwegazi kwe-arterial kuzovinjelwa ngesikhathi sokukalwa komfutho wegazi, okuholela ekugcwalisweni kwe-oxygen egazini okungalungile okuqashwe ngesikhathi sokukalwa komfutho wegazi.Ngakho-ke, akunconywa ngokomtholampilo ukuthi ama-cuffs womunwe wokugcwala komoya-mpilo egazini kanye nama-cuffs okuqapha umfutho wegazi okuzenzakalelayo abekwe esithweni esifanayo.
3) Uyini umehluko phakathi kokuhola kwe-ECG oku-3-lead kanye ne-5-lead?
I-ECG ehamba phambili engu-3 ingathola kuphela i-ECG ku-lead I, II, no-III, kuyilapho i-ECG ehamba phambili engu-5 ingathola i-ECG ku-lead I, II, III, AVR, AVF, AVL, V.
Ukuze kube lula futhi kuxhumeke ngokushesha, sisebenzisa indlela yokumaka umbala ukuze sinamathisele ngokushesha amaphedi e-electrode ezindaweni ezihambisanayo.I-ECG ehamba phambili engu-3 inemibala ebomvu, ephuzi, eluhlaza noma emhlophe, emnyama, ebomvu;5-lead ECG lead are color-coded white, black, red, green, brown.
Izikhundla zamaphedi e-electrode abekwe ezintanjeni zombala ofanayo ekucacisweni okubili komkhondo akufani.Ukusetshenziswa kwezifinyezo zesiNgisi RA, LA, RL, LL, kanye no-C ukuze kutholwe isikhundla kunokwethenjelwa kakhulu kunokukhumbula umbala.
4) Ipharamitha ngayinye inebanga le-alamu, ihlelwa kanjani?
Izimiso zokusethwa kwe-alamu: qinisekisa ukuphepha kweziguli, unciphise ukuphazamiseka komsindo, futhi ungavumeli umsebenzi we-alamu ukuba uvalwe, ngaphandle uma ingavalwa okwesikhashana ngesikhathi sokuhlenga.Ukusethwa kwebanga le-alamu akulona ibanga elijwayelekile, kodwa ububanzi obuphephile.
Imingcele ye-alamu: izinga lokushaya kwenhliziyo lingama-30% ngaphezulu nangaphansi kwesilinganiso senhliziyo;umfutho wegazi uhlelwe ngokuvumelana nomyalelo kadokotela, isimo sesiguli kanye nomfutho wegazi oyisisekelo;ukugcwaliswa kwe-oxygen kusethwe ngokuvumelana nesimo;ivolumu ye-alamu kufanele izwakale endaweni yokusebenza yomhlengikazi;ububanzi be-alamu kufanele bube nganoma yisiphi isikhathi ngokuya ngesimo Lungisa futhi uhlole okungenani kanye ngokushintshana ngakunye.
5) Yiziphi izizathu zokuthi kungani ukuqapha kwe-ECG kungabonisi i-waveform?
① Ama-electrode awanamathiselwe kahle.
Isikrini esibukisayo sibonisa ukuthi imikhondo iwile, okubangelwa ukuthi amaphedi e-electrode awanamathiselwe kahle, noma ama-electrode pads akhuhlwa ngenxa yokusebenza kwesiguli.
② Ukujuluka, ukungcola
Isiguli siyajuluka noma isikhumba asihlanzekile, futhi akulula ukuqhuba ugesi, okubangela ngokungaqondile ukuthintana okungalungile kwamapayipi e-electrode.
③ Ikhwalithi yama-electrode enhliziyo
Amanye ama-electrode agcinwa ngendlela engafanele, aphelelwe yisikhathi noma ayaguga.
④ Indlela yokuxhuma ayilungile
Ukuze usindise izinkinga, abanye abahlengikazi basebenzisa kuphela ukuxhuma okuhola kathathu kumodi yokuhola emihlanu yemonitha, futhi akumele kube khona i-waveform.
⑤ Intambo yaphansi ayixhunyiwe
Intambo yaphansi idlala indima ebaluleke kakhulu ekubonisweni okuvamile kwe-waveform.
Ukungabi nentambo yaphansi nakho kuyisici esibangela ukuthi i-waveform ingaveli.
⑥ Ikhebuli indala noma yephukile.
⑦ Indawo ye-electrode pad ayilungile
⑧Ibhodi le-ECG, ulayini wokuxhumana webhodi eliyinhloko lebhodi le-ECG, kanye nebhodi eliyinhloko lokulawula linephutha.
Isikhathi sokuthumela: Jun-20-2023
