Ƙwararrun Na'urorin Ƙwararrun Magunguna

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Yadda za a yi amfani da pulse oximeter daidai don auna oxygen?

Pulse oximetersda aka yi amfani da su don tantance yanayin oxygen na marasa lafiya a wurare daban-daban na asibiti sun zama kayan aikin kulawa da yawa.Yana ba da ci gaba, saka idanu mara ƙarfi game da jikewar haemoglobin oxygen a cikin jinin jijiya.Kowane bugun bugun jini zai sabunta sakamakonsa.

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Pulse oximeters ba sa bayar da bayanai game da tattarawar haemoglobin, fitarwar zuciya, dacewar isar da iskar oxygen zuwa kyallen, yawan iskar oxygen, iskar oxygen, ko isasshiyar iskar iska.Duk da haka, suna ba da damar nan da nan don lura da sauye-sauye daga tushen iskar oxygen na mai haƙuri, a matsayin siginar gargaɗin farko ga likitoci don taimakawa wajen hana sakamakon rashin jin daɗi da kuma gano hypoxemia kafin faruwar osis.

An ba da shawarar cewa ƙara amfani dabugun jini oximetersa gabaɗaya unguwannin na iya sa ya zama gama gari kamar na'urori masu auna zafi.Duk da haka, an ba da rahoton cewa ma'aikatan suna da ƙarancin ilimin aikin kayan aiki, kuma ƙananan ilimin ka'idar aiki na kayan aiki da abubuwan da za su iya shafar karatun.

Idan aka kwatanta da raguwar haemoglobin, pulse oximeters na iya auna ɗaukan takamaiman tsayin haske na haemoglobin oxidized.Jini mai ɗauke da iskar oxygen ja yana da ja saboda yawan haemoglobin da ke ɗauke da iskar oxygen da ke cikinsa, wanda ke ba shi damar ɗaukar wasu tsawon tsawon haske.Binciken oximeter yana da diodes masu haske guda biyu (LED) a gefe ɗaya na binciken, ja ɗaya kuma ɗaya infrared.Ana sanya binciken a wani yanki mai dacewa na jiki, yawanci bakin yatsa ko kunun kunne, kuma LED yana watsa tsawon hasken haske zuwa ga mai gano hoto a daya gefen binciken ta hanyar jini mai bugun jini.Oxyhemoglobin yana ɗaukar hasken infrared;raguwar haemoglobin yana haifar da ja haske.Jinin jijiya mai bugun jini a cikin systole yana haifar da haemoglobin oxygenated zuwa cikin nama, yana ɗaukar ƙarin hasken infrared, yana barin ƙarancin haske ya isa ga mai gano hoto.Matsakaicin iskar oxygen na jini yana ƙayyade matakin ɗaukar haske.Ana sarrafa sakamakon zuwa nunin dijital na iskar oxygen jikewa akan allon oximeter, wanda SpO2 ke wakilta.

Akwai da yawa masana'antun da model na bugun jini oximeters.Yawancin suna ba da nunin yanayin motsi na dijital na gani, bugun jijiya mai ji da nunin bugun zuciya, da na'urori daban-daban don dacewa da mutane masu shekaru, girma ko nauyi.Zaɓin ya dogara da saitunan da suke amfani da shi.Duk ma'aikatan da ke amfani da pulse oximeters dole ne su fahimci aikinsa kuma daidai yadda ake amfani da su.

Binciken iskar gas na jijiya ya fi daidai;duk da haka, pulse oximetry ana ɗaukarsa daidai ne don yawancin dalilai na asibiti saboda gazawar da aka gane.

Halin haƙuri-Don ƙididdige bambanci tsakanin capillaries da komai a cikin capillaries, oximetry yana auna ɗaukar haske na bugun jini da yawa (yawanci biyar).Domin gano kwararar jini mai tada hankali, dole ne a yi isassun turare a wurin da ake sa ido.Idan bugun jini na gefen majiyyaci yana da rauni ko ba ya nan, dabugun jini oximeterkaratu ba zai yi daidai ba.Marasa lafiya da ke cikin haɗarin hauhawar jini sune waɗanda ke da hauhawar jini, hypovolemia, da hypothermia, da waɗanda ke cikin kamawar zuciya.Mutanen da ke da mura amma ba hypothermia ba na iya samun vasoconstriction a cikin yatsunsu da yatsunsu kuma yana iya lalata jini na jini.

Idan binciken ya yi tsauri sosai, za a iya gano bugun jini wanda ba ya haifar da bugun jini a cikin yatsa.Har ila yau, bugun jini yana haifar da raunin zuciya ta gefen dama, regurgitation tricuspid, da yawon shakatawa na bugun jini a sama da bincike.

Arrhythmia na zuciya na iya haifar da sakamako mara kyau sosai, musamman idan akwai ƙarancin ƙarancin koli/ƙashi.

Rini na cikin jijiya da aka yi amfani da su wajen bincike da gwaje-gwajen hemodynamic na iya haifar da ƙididdige ƙididdiga marasa daidaituwa na iskar oxygen, yawanci ƙasa.Hakanan yakamata a yi la'akari da tasirin launin fata, jaundice, ko haɓakar matakan bilirubin.

Daidaitaccen amfani da ma'aunin oximetry na bugun jini ya ƙunshi ba kawai karanta nunin dijital ba, har ma da ƙari, saboda ba duk marasa lafiya da SpO2 iri ɗaya ke da abun cikin oxygen iri ɗaya a cikin jini ba.Jiki na 97% yana nufin cewa kashi 97% na jimillar haemoglobin cikin jiki yana cike da kwayoyin oxygen.Don haka, dole ne a yi bayanin jikewar iskar oxygen a cikin mahallin jimlar matakin haemoglobin na majiyyaci.Wani abin da ke shafar karatun oximeter shine yadda haemoglobin ya ɗaure da iskar oxygen, wanda zai iya bambanta da canje-canje a yanayi daban-daban.


Lokacin aikawa: Janairu-23-2021