Chii chinotarisa murwere chine IBP parameter inoshandiswa?

Mucherechedzo wemurwere ane invasive blood pressure (IBP) parameter chinhu chakakosha chekurapa chinoshandiswa muzvirongwa zvehutano kutarisa zviratidzo zvakakosha zvevarwere nemazvo uye munguva chaiyo. Inopa vashandi vehutano ruzivo rwakakosha pamusoro peBP yemurwere, kunyanya munzvimbo dzekutarisira zvakanyanya, makamuri ekuvhiya, uye madhipatimendi ekukurumidzira.

Iyo IBP parameter inoyera iyo arterial pressure yakananga nekuisa yakatetepa, inochinjika catheter mutsinga. Iyi invasive nzira inobvumira kuenderera uye kwakaringana kuongororwa kweropa remurwere, kusanganisira systolic, diastolic, uye zvinoreva arterial pressure. Nekuratidza ruzivo urwu pane chekuongorora murwere, vashandi vekurapa vanogona kududzira uye kuongorora mamiriro emwoyo yemurwere.

Iyi tekinoroji yepamusoro inoita basa rakakosha mune dzakasiyana siyana dzekiriniki. Munguva yekuvhiyiwa, kunyanya kunosanganisira anesthesia, kuenderera mberi kwekutarisa kweropa remurwere kuburikidza neIBP kunogonesa vanachiremba veanesthesiologist kuti vagadzirise panguva yezviyero zvemishonga kana nzira dzekufema. Uyezve, muzvikamu zvekuchengetedza zvakakosha, kutarisa kweIBP kunobatsira kuziva uye kugadzirisa kuchinja kwehutano hweropa, kuve nechokwadi chekupindira kwekukurumidzira kana dambudziko re hypertension kana hypotension.

asd (1)

Zvakare, iyo IBP parameter inotsigira vashandi vekurapa mukuongorora nekutarisa varwere vane chirwere chemoyo, senge hypertension kana kusakwana kwemoyo. Kuenderera mberi kwekutarisa kwearterial pressure kunoita kuti vatapi vehutano vakwanise kugadzirisa zvirongwa zvekurapa uye kugadzirisa mishonga zvinoenderana. Uyezve, kuongorora IBP kwakakosha pakuongorora kushanda kwemamwe mapindiro ekurapa, kusanganisira vasoactive mishonga kana kuti fluid resuscitation panguva yekuvhunduka.

Mukupedzisa, murwere anotarisisa ane IBP parameter chinhu chakakosha chekurapa chinoshandiswa kutarisa ropa revarwere nemazvo uye nekuenderera mberi munzvimbo dzakasiyana dzehutano. Kugona kwayo kupa nekukurumidza uye kwakanyatso kuverenga kunobvumira vashandi vehutano kuti vapindire nekukasira uye kuita sarudzo dzine ruzivo nezve kuchengetwa kwevarwere. Zvingave muimba yekushanda, chikwata chekuchengetedza zvakakosha, kana kutarisa kwenguva refu, iyo IBP parameter inobatsira zvikuru pakuchengetedza kuchengetedzwa kwevarwere uye kugadzirisa migumisiro yekurapa.

asd (2)


Nguva yekutumira: Aug-28-2023