Gukurikirana Umuvuduko wa Arterial

Gukurikirana umuvuduko wa arterial nuburyo bwo gukurikirana umuvuduko wamaraso utera kandi bigakorwa hifashishijwe kanseri yimitsi. Gukurikirana Hemodynamic ni ngombwa mu kwita ku barwayi bose bari mu bitaro. Gukurikirana kenshi ni ingenzi cyane ku barwayi barembye cyane ndetse n’abarwayi babaga bafite ibyago byinshi byo kwandura no gupfa. Ibi birashobora kugerwaho hifashishijwe igenzura rimwe na rimwe, ridashobora gutera ariko ritanga amashusho gusa mugihe, cyangwa kubikurikirana bikomeje.

Inzira isanzwe yo kubikora ni ugukurikirana umuvuduko wa arterial ukoresheje kanseri yimitsi ya peripheri. Buri mutima wumutima ukora igitutu, bikavamo uburyo bwimikorere yimikorere muri catheter. Imikorere ya mashini yanduzwa transducer ikoresheje igituba cyuzuye amazi. Transducer ihindura aya makuru mubimenyetso byamashanyarazi, byoherezwa kuri monite. Mugenzuzi yerekana gukubita-gukubita arterial waveform kimwe numuvuduko wumubare. Ibi bitanga itsinda ryita kumakuru amakuru ahoraho yerekeye sisitemu yumutima nimiyoboro yumurwayi kandi irashobora gukoreshwa mugupima no kuvura.

Urubuga rusanzwe rwa kanseri ya arterial ni imiyoboro ya radiyo kubera koroshya kuboneka. Izindi mbuga ni brachial, femoral, na dorsalis pedis arteri.

Kuburyo bukurikira bwo kwita ku barwayi, umurongo wa arterial wagaragazwa:

① Abarwayi barembye cyane muri ICU bakeneye gukurikiranira hafi hemodinamike. Muri aba barwayi, gupima umuvuduko wamaraso mugihe gito birashobora kuba bibi kuko bishobora guhinduka bitunguranye mumiterere yabyo kandi bigasaba kwitabwaho mugihe.

② Abarwayi bavurwa n'imiti ya vasoactive. Aba barwayi bungukirwa no gukurikirana imiyoboro y'amaraso, bigatuma umuganga atanga imiti ku maraso yifuzwa neza.

Patients Abarwayi ba chirurgie bafite ibyago byinshi byo kwandura cyangwa gupfa, haba kubera ingaruka ziterwa mbere (umutima, ibihaha, anemia, nibindi) cyangwa kubera inzira zigoye. Ibi birimo ariko ntibigarukira gusa kubikorwa bya neurosurgie, inzira yumutima, nuburyo buteganijwe gutakaza umubare munini wamaraso.

④Abarwayi bakeneye gushushanya kenshi laboratoire. Harimo abarwayi kumashanyarazi igihe kirekire, bikenera gusesengura gaze yamaraso ya arterial kugirango titre ya enterineti. ABG yemerera kandi gukurikirana hemoglobine na hematocrit, kuvura ubusumbane bwa electrolyte, no gusuzuma uko umurwayi yitabira kubyutsa amazi no gucunga ibikomoka ku maraso na calcium. Muri aba barwayi, kuba hari umurongo wa arterial bituma umuganga abona byoroshye urugero rwamaraso atiriwe afata umurwayi inshuro nyinshi. Ibi bigabanya uburwayi bwumurwayi kandi bigabanya ibyago byo kwandura kuko ubusugire bwuruhu budakeneye guhonyorwa hamwe na laboratoire.

Nubwo kugenzura umuvuduko wamaraso bishobora gutanga amakuru yingirakamaro, kanseri ya arterial ntabwo isanzwe yita kubarwayi. Ntabwo bisabwa kuri buri murwayi muri ICU cyangwa umurwayi wese ubagwa. Ku barwayi bamwe, kwanduza imiyoboro y'amaraso birabujijwe. Muri byo harimo kwandura ahashyizwemo, uburyo bwa anatomique aho ingwate zidahari cyangwa zangiritse, kuba hari imiyoboro idahagije ya arterial arterial vasculaire, hamwe n'indwara zifata imitsi ya arterial periferique nka arterite ntoya. Byongeye kandi, nubwo atari ukurwanya rwose, hagomba kwitabwaho neza kubarwayi bafite coagulopathies cyangwa bafata imiti irinda kwandura bisanzwe.