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Yadda Kabilon IBP Suna Saiyan Ranin Gini a Waktu Na Ilo, Bayani Mai Sahihinta
Sahihin Signali Daga Kateter na Gini zuwa Gyara: Tsarin Kewayon Kabilon IBP
Gwajin yanayin gini ta hanyar invasive (IBP) yana aiki ta wayar dukkanin yanayin arterial ne ta hanyar catheters mai tsada waɗanda ke sauya ma'anin gini na mechanical zuwa sigin elektrik mai tsananin microvolts. Wadannan sigina dole ne su wuce kowane IBP coaxial cables masu amma3i waɗanda aka haɗa suna nuna cewa suna tsere shigogin elektromagnetic daga duk wasu kayan aikin da ke kusa da su a mahallin ICU inda akwai aktiviti elektrik mai yawa. Konekshinsu suna da impedance matching kuma an ƙumala su ta insulation mai kyau mai zurfin hospital don samun sigin murna a cikin range na 100 zuwa 200 Hz wacce bahadar ta gama tracking na ma'anin systolic da diastolic pressures. Kowane ECG leads ba za su iya yin abin da IBP cables ya yi ba, suna taimaka kamar yadda mutum ya fara magana ko idan akwai shigojin background a cikin wuri. Wasu alƙawarin bayani na nuna cewa amfani da wadannan set of IBP cables na iya rage waveform distortion takamata 92% karshen unshielded cables, wato ma'nanin daliban su samun bayanin na iyakokin jiki daga sarari ba su buƙe cin zarar sake sauya bayan kare.
Kalarbarci, Sauƙaɓaɓɓen da Ayyukan Kima: Kwakwato Daidaiton Kwayar IBP a Zugan Kasashen Halayyin
Samun kira da kyau lokacin la’akari da ke ciki bai sai hanya mai tsauri ne koma yana bukatar kayan ayyukan tallafawa. Masu magana suna bukata sake saita natsarar bayanan kara bayyana don fada wani ille ya taƙaita akan kara bayyanar sabon, amma kamar haka kuma suna tabbatarwa guda darasin gini shine abin da suke fara shi. Lokacin da suka kan gwada matakan mutane, wasu nukawoyin sabisu suna iya canza matsayinsu bisa ga tafiwar zama na zararui, kamar yadda za a samuwa lokacin da ido ta rage ko lokacin da aka ba da wasu mahamman dawa. Yau, kwayoyin inganta girman gini masu inganta suna da teknulaji mai sensor mai zurfi wanda ya dace da sharuɗɗan mai tsauri game da kyaututtuka a cikin mita 1mmHg har zuwa 300mmHg. Wadannan nukawoyin zaman kansu bai su sarrafa bayanan su ba saboda suna ake amfani da su daya kawai ba a sake amfani da su ba kamar suka kasance a zaman kansu. Kyauyin bayanai ita ce abin mamaki sosai yayin canjin girman dawoji domin gyara girman gini. Kuskuren karanci ne kamar 5mmHg zai iya haifar da mahammarin masu magana zuwa wurin manoma maras tsuru, kuma zai iya haifar da aljauci akan organo ta hanyar karancin cin karfi ko aljabriccin karfin gini.
Ayyukan Kare Waɗanda IBP Kable Taɓawa Yanzu Yaɓaɓɓuyan Mai Amfani
Kare na tsarken Hemodynamic a cikin Masu Amfani masu karkara a ICU Musamman ta hanyar amfani da IBP Kable
Ga abubuwan da ke ciki masu dandalin ICU wadanda suke da vasopressors ko suka fara dandalin girma, kabilon pressure (IBP) na yanki suna ba da sharuddan sharrafi arterial wanda babu iya kai tsauta ta hanyar yanki. Kabilomin suna aiki har ma idan mutane suka fuskantar girman zazzau, girman dil, ko kasoshin gudummawa inda kamar haka kabilon zazzau na yanki baya kaiwa ba tare da bayani. Bayani mai sarraf dari na IBP monitoring suna ba shaidiyan iya canza sharaddi daidai, samun matuƙaitattun iyakokin zartarwa, kuma aiki da kai tsauta don kare matsalolin kamar kuzarin kwance ko dandalin dil. Ga wasu abubuwan ilimi, amfani da IBP monitoring yana kare matsalolin ciwon sigogar daidai da ~40% a cikin lokuta na septic shock saboda ya samu canje-canjen a cikin yanayin zarrar har ma duk lokacin da alamomi baya fito a karkashin jiki. Hanyar haɗin zuwa tsakanin kyau na aiki na kabilo da sauƙin cin zarra yana nufin karancin kuskuren a cikin gyara, kuma akhirin lokaci yana kare manya, tuyuni abokan ilmi har yanzu suna hada da girman tasirin wannan a halin yanzu.
Faraƙa Tattaunawa a Lokacin Amardarwa na Iya da Rarrabbarwa ta Hanyar Amardar IBP
Kada yana amfani da tsawon kardiyowa da jiniyoyin lafiya, kowace millisecond tana haske kuma tsari mai inganci tana iya magana dole. Kabilo na IBP suna ba shigogin yankin damar gani canjin kama zuwa a sharafin damar zukowa, musamman a lokacin da ke chafe aorta ko yana aiki kan karotid arteries. Wannan alarma na farko ta ba anesthetists lokaci don aiki kafin tsoro ko kardia ya fara daina darajar oxygen. Alƙawalin da suka duba carotid endarterectomy na nuna cewa amfani da waveforms na IBP masu iyaka yana rage matsalolin jiniyi nezu da dugun 28% dibu da hanyoyin oscillometric na yasa. Dalilin? Malamai iya ganin lokacin da flow na damar zuwa tsoron ya fara raguwa. Tare da connectors masu amintam, wadanda suka stay put ne kamar yadda mutum yana bukatar moving around, kuma compatibility akan different monitors, wannan kabilo suna zama abubuwan mahimmanci don hadla da sudden blood pressure spikes a lokacin yankin tsoro ko yayin fitowa daga heart-lung machines.
Wannan Hanyar IBP Cable Ta Yaushe Kama Da Hanyoyin Majadadi a Cikin Matakanin Masifa Mai Mahimmanci
Cables na IBP suna ba da ma'adin baya-bayan masifa wanda ke iya amfani da shi a lokacin da sauri, taka, ko kuskuren bayani suna nuna cewa hanyoyin majadadi bai dace ba. Tushensu na direta zuwa kan girgira, yawan rarraba mai zurfi, da kwaren bayani mafi kyau suna kawo shi ne kamar irin hanyar da ke iya tallafawa gaba daya bisa uwar jiki a cikin matakin kuwa mai tsoro.
Daidaito, Sauni, da Kyakkyawan Lissafi: IBP Cable vs. Hanyoyin Oscillometric da Doppler
Ƙofar da oscillometric wanda muna ganin su a tsakanin kayan Doppler suna aiki ta hanyar yanayin iya kai tsaye wanda ke nuna bayanin halitta, wanda ke kawar da sauri kuma ke kawar da alamar girma. Misali, lokacin da mutum ya dawo da kama mai zurfi a girman jini, yanayin oscillometric na iya shiga karshen rabin minti zuwa minti mai gaba yayin kawar da batun. A wani iri, teknolojin Doppler bai ta kawar da waveforms mai kyau ba kuma bai iya kawar da alamar diastolic ko kawar da alamar dicrotic notch ba. Bayan haka, yanayin kawar da jini ta hanyar invasive (IBP) yana aika bayanin jini a cikin tsarin 100 zuwa 200 Hz, kawar da duk wadannan canjin halittu kamar yadda yanayin jini ya canza, sauri na systolic upstrokes, kuma tsarin alamar dicrotic notch. Masu magana suna buƙatar wannan bayanin mai zurfi don gano batun kamar cardiac tamponade ko batun a cikin left ventricular outflow. Bincike da aka sharhi a wasikan ilmin tabbata tunani, yana nuna cewa amfani da IBP yana kawar da kuskuren 진ي ta hanyar invasive ta hanyar 40% a lokacin batun, wanda yana nufin masu magana suna iya magana wa mutane da sauri lokacin da suke buƙata su.
Kawai Yadda IBP Cable Ta Kafa Bayani na Physiological da za a iya amfani da su—Sepsis, Shock, da Vasoactive Therapy
Kada aka yi amfani da sharruwa kamar suka, kujjerar dabo, ko bayan kuzari na kansa, yawa dabo ta duniya ta zazzauƙi daga lokaci zuwa lokaci. Alama na yawan dabo na yau da kullun bai iya kaukar da wadannan canjin kama da yawa. Hakanan kuma wadannan kwayoyin dabo na yawa (IBP) suna tafiye. Wadannan aikace-aikacen suna ba da iko na kai tsaye, yadda jiki ya kawo aiki kada aka ba da abubuwa kamar norepinephrine ko epinephrine, ko kada aka yi magana kan yawa. Masu magana suna samun ra'ayi mai mahimmanci a nan. Suna iya kawo wace irin sharruba ke faruwa, kamar tafiƙar dabo mai ƙarfi ko kujjerar dabo ta duniya ta yawa ta hanyar duba abubuwa kamar canjin dabo na kai ko canjin yawa. Babu wane daga cikin wannan bayani zai iya samuwa ta hanyar alama na yau da kullun wanda yawan waspali suka iya amfani da su. Alƙawali suna nuna abu mai tsoro. Masu sharruba suna samun karancin mauta ta 25% kada su karɓe da yawa ta hanyar magana ta hanyar IBP darusa, kada su karɓe da yawa ta hanyar kwayar yau da kullun. Don haka, IBP bai hanya ce don karɓar alama mai kyau. Yana amfani da hanyar kula da sharruba a cikin masu sharruba mai tsoro.
Masu Sabon Gaskiya
Shin ibe ne kabilon IBP?
Kabilon IBP suna da kabilo mai tsada da ke amfani da su a tsarin yin la'akari da shidda ta hanyar yin la'akari da shidda ta garba don samun bayanin shidda mai kyau daga katheter zuwa cibin la'akari.
Wace ne iyaka mai tsada ta kabilon IBP a cikin la'akarin mai tsada?
Kabilon IBP tana ba da bayani mai kyau da yawa, wanda ke cikin muhimmi don yin amfani da shi a lokacin dawo a cikin la'akari mai tsada, kamar yadda yake da wadanda ke cikin girman shidda ko wadanda ke amfani da abubuwan dawa da ke iya canza shidda.
Yaushe kabilon IBP tana kare tsararru a cikin yin la'akari da shidda?
Kabilon IBP tana kare tsarin bayani, tana kare canjin shakuna kuma tana ƙara iyaka ta hanyar ba da bayanin shidda mai kyau daga sa'a zuwa sa'a.
Shin kabilon IBP zai iya amfani da shi a cikin dukkan jerin jerin kungiyoyi?
Kabilon IBP an kara kara amfani da shi a cikin kungiyar tsanyi da kungiyar juyawa saboda tana ba da bayani mai tsada don amfani da shi a lokacin dawo lokacin canjin shidda.