Wowunika magazi ndi chida chomwe chimagwiritsidwa ntchito poyesa kuthamanga kwa magazi. Masiku ano, matebulo apachipatala amadzaza ndi mitundu yosiyanasiyana ya zida. Amabwera m'mitundu yosiyanasiyana: zimakina, zodziwikiratu, zomwe zimamangiriridwa pachiwuno, zodziwonera zokha.
Chodziwika kwambiri komanso chodziwika bwino ndi kayendedwe ka tonometer. Zikomo Korotkov, lero titha kugwiritsa ntchito chipangizochi.
Mtunduwu umatha kuyeza kupanikizika molondola, chifukwa cha zotsatira zoyenera muyenera kudziwa momwe mungagwiritsire ntchito mankhwalawa. Kupanda kutero, zotsatira zake sizikhala zolondola.
Malamulo angapo oyambira kugwiritsa ntchito makina olamulira:
- choyambirira, muyenera kukonza cuff pamwamba pa bondo;
- chofunikira ndikuti pakuyesera cuff anali okhazikika molimba mtima, osati misozi;
- mothandizidwa ndi peyala, ma cuffs amadzaza ndi mpweya;
- atadzaza ndi mpweya wonse, wolamulira amayenera kutsitsidwa pang'onopang'ono;
- Chizindikiro cha chida chikuwonetsa kuyambira ndi kutha kwa matani.
Panthawi ya kuyeza muyenera kumva koyamba ndi kamvekedwe kake. Kuti muchite izi, payenera kukhala kumvetsera komanso kukhala chete muofesi, chipinda. Nthawi zambiri, njira zoyezera zimachitika ndi anamwino achichepere kapena akatswiri odziwa ntchito zamankhwala omwe amadziwa momwe angagwiritsire ntchito tonometer.
Pafupifupi madokotala onse azachipatala amayeseza kugwiritsa ntchito makina pachinthu chilichonse, chifukwa mtunduwu umatha kuwonetsa zotsatira zoyenera.
Kuti muyeze kuthamanga kunyumba, zingakhale zothandiza komanso zosavuta kugula chipangizo chokhala ndi phonendoscope. Mitundu yotere imakhala ndi mtengo wosakwera kwambiri poyerekeza ndi mitundu ina ya ma tonometer.
Pogula zida zoyesera, ndikofunikira kuyang'ana mphamvu ndi kulimba mtima kwa nkhaniyi, funsani ogwira ntchito ku pharmacy kuti apange muyeso woyesedwa. Kuti mukhale kosavuta, muyenera kusankha muyeso woyezera magawo akulu, makamaka ngati muyenera kugwiritsa ntchito okalamba kapena usiku. Koma chinthu chofunikira kwambiri ndikuphunzira malangizo omwe agwiritse ntchito kuti mudziwe mfundo yogwiritsira ntchito.
Mtundu wotere wa zida zamtunduwu ukhoza kukhala ndi mtundu wina wowongolera. Mwachitsanzo, cholembera, mabatani kapena mafungulo.
Wowongolera-batani wolamulira akufunika pakati pa ogula, chifukwa chimakankhira mpweya wogawana. Kuti mugule chipangizo choyenera, ndibwino kufunsa anthu omwe ali ndi njirayi musanagule.
Kugwiritsa ntchito polojekiti yamagetsi yamagetsi
Anthu ena ali ndi malingaliro abodza pankhani zamagetsi zamagetsi. Koma zidatsimikizika koposa kamodzi kuti iwo, monga wina aliyense, akuwonetsa zotsatira zake.
Kodi kupanikizika kumayesedwa bwanji mwa anthu?
Kuti muyeze kuthamanga kwa magazi ndi piritsi yamagetsi yamagetsi yamagetsi, muyenera kudziwa malamulo otsatirawa.
Ngati malangizo omwe atsatiridwa samatsatiridwa, chipangizo chilichonse chinganame.
Ntchito:
- Ndikofunikira kuyeza kuthamanga kwa magazi m'malo abata, osathamanga, osamveka mawu osafunikira. Zolembazo ziyenera kuyikiridwa pamanja wopanda zovala kapena zovala zopyapyala.
- Asanayeze kuthamanga kwa magazi, wodwalayo anali otakataka, ozizira kapena pansi pa dzuwa lotentha, ayenera kupuma kwa mphindi 15. Munthawi imeneyi, thupi limasinthasintha, ndipo ndimomwe limapumira, ntchito ya mtima. Pokhapokha ndi pomwe pakhoza kukanikizidwa.
- Dzanja lomwe ma cuffs adzavekedwe liyenera kukhala lopanda zodzikongoletsera, ulonda, kotero kuti palibe chowonjezera chimafinya magazi.
- Chidacho chikugwira ntchito, mkhalidwe wa wodwalayo uyenera kukhala wodekha, wopumula, osawopsa. Sizoletsedwa kuyankhula, ndikofunika kuti musayendetse dzanja lanu, osakakamiza kupuma.
- Gwiritsani ntchito chipangizocho m'chipinda chomwe mulibe firiji, microwave, ketulo yamagetsi, makompyuta kapena zida zina. Chifukwa chakuti zida zomwe zalembedwako zimakhala ndi maginito yogwira, tonometer imatha kuwonetsa zolakwika chifukwa cha kuthamanga kwa magazi.
Malamulowa amagwiritsidwa ntchito poyesa mapewa ndi carpal tonometer.
Ponena za njira ya mapewa, ili ndi mawonekedwe ake. Mukayeza, muyenera kukhala pansi kuti dzanja lomwe ma cuffs amavalidwa likhale pamlingo womwewo ndi mtima. Koma iyenera kugona pansi, ikakhala yopuma. Mutha kugona pabedi, pakama. Udindo wofunikira umaseweredwa ndi dzanja kuti avale cuffs. Kumanja kumanja kumanzere, dzanja lamanzere - kumanja.
Valani ma cuff pamapewa kuti payipi ikupezeka pakatikati pa mkono. Mangani ma cuffs wogawana osapotoza kapena kupopera.
Sitikulimbikitsidwa kuyeza kawiri motsatira, chifukwa manambala (mayunitsi) amatha kusiyana ndi omwe adapita nawo. Ndikofunika kuzimitsa chipangizocho, dikirani mphindi 20 ndikuyambiranso.
Kugwiritsa ntchito carpal tonometer
Izi zimagwiritsidwa ntchito nthawi zambiri ndi mbadwo watsopano. Chiwuno chimatchedwa chifukwa malowo ndi dzanja (dzanja).
Pambuyo pa zaka 45, ziwiya zomwe zili pachiwuno zidapeza kale zosintha zokhudzana ndi zaka zomwe zingakhudze zotsatira zenizeni za kuthamanga kwa magazi. Ichi ndiye chifukwa chachikulu chosagwirira ntchito tonometer.
Monga makina onse, carpal ili ndi zabwino zake:
- Ndi yaying'ono kukula, yomwe ili yabwino kwambiri m'moyo watsiku ndi tsiku;
- chipangizocho chili ndi mawonekedwe amakono, ntchito;
- Mutha kugwiritsa ntchito chipangizo choyezera mulimonse momwe zingakhalire, ngakhale muli panjira kupita kumalo ogulitsira kapena kwina.
Kuti mugwiritse ntchito chipangizochi, muyenera kudziwa malamulo ena. Chiwuno chizikhala chopanda kanthu, popanda kukhalapo kwa zibangili, maulonda, zovala. Kuchokera burashi, tonometer ili pamtunda wa sentimita imodzi yowonetsera. Dzanja lomwe zida zake zimayikidwa zimayenera kuyikidwa pafupi ndi phewa lakuyandikana. Kuti muyambe muyeso, dinani batani loyambira. Mukamagwiritsa ntchito chipangizocho, muyenera kuthandizira lingaliro lakumanja ndi dzanja lanu laulere. Ntchitoyo imawonedwa kuti imatha kumapeto kwa kumasulidwa kwa mpweya kuchokera ku cuff.
Zabwino kugwiritsidwa ntchito kunyumba, makamaka kwa anthu omwe ali ndi vuto lakumva kapena kuona.
Ngakhale zili ndi zabwino, mtundu wamtunduwu sangakhale wopima magazi molondola, ndibwino kuti mupangitse zomwe mungakonde posankha zakale.
M'moyo wonse, kupanikizika kumatha kusintha zomwe zikuwonetsa, ndipo izi zikutanthauza chinthu chabwinobwino. Mlingo wabwinobwino kwa munthu wathanzi labwino ndi 120/80 mm Hg. Art. Pansipa pali zisonyezo za mibadwo yosiyana ndi jenda. Mfundo yoti kuthamanga kwa magazi kumawonjezeka ndi ukalamba imawonedwa ngati yachilendo.
M'badwo | Mkazi | Mwamuna |
Zaka 20 | 114/70 | 120/75 |
20 - 30 | 123/76 | 127/78 |
30 - 40 | 128/80 | 130/80 |
40 - 50 | 136/85 | 138/86 |
60 - 70 | 145/85 | 143/85 |
Pali njira ziwiri zoyezera kuthamanga kwa magazi: phazi kapena buku. Njira yamalamulo yaperekedwa pamwambapa m'njira zambiri.
Ponena za opaleshoni ya kumapazi, munthu wamkulu wathanzi amakhala ndi kuthamanga kwa magazi m'miyendo yake kuposa mikono yake. Ichi ndi chinthu chabwinobwino, ngati wina adakumana ndi izi sayenera kuda nkhawa.
Koma zotsatira za miyeso ya phazi siziyenera kupitilira zolemba zowonjezerapo 20 mm RT. Art. Kuchepetsa kupsinjika kwamiyendo kumatha kuwonekera chifukwa cha zotengera zazikulu. Poterepa, zotsatira zake zimasiyana ndi 40% kuchokera kutsogolo. Mwina kukhalapo kwa arrhythmias, matenda oopsa.
Kuti mupeze zotsatira zolondola, muyenera kutsatira malangizo awa maola awiri musanachitike:
- Osamadya.
- Osagwiritsa ntchito fodya.
- Osamamwa mowa kapena zakumwa zamphamvu.
- Sizoletsedwa kumwa mankhwala.
- Osathamanga, kudumpha, kuchita mantha.
Pofuna kuyeza kuthamanga kwa magazi pamapazi, gonani kumbuyo kwanu.
Miyendo yakumtunda ndi yam'munsi imakhala pamtunda wofanana ndi mbewa ya mtima, izi zimapangitsa kuti zitheke kupeza zotsatira zolondola.
Zolembazo zimayikidwa pachifuwa chakumanzere, masentimita asanu kuchokera kumtunda. Osalimbitsa ma cuffs kwambiri. Chala chimodzi chikuyenera kudutsa mosavuta pakati pa iye ndi mwendo wake. Ndiye mutha kuwona kuchuluka kwake komwe kumangika. Musanagwiritse ntchito, onetsetsani kuti cuff yake ndi yolimba molondola.
Gawo lotsatira ndikatsimikiza kwa dorsal artery of phazi. Imapezeka m'chigawo chapamwamba, pomwe imadutsa pang'onopang'ono. Kenako, ikani gelisi yapadera. Ikani zowonjezera pachimake cholimba kumbuyo kwa chotengera. Poyenda mozungulira ndi malo omwe zimachitika bwino kwambiri. Sungani zoyeserera za malowa. Muyenera kudzaza ma cuffs ndi mpweya mpaka mawu osamveka asathere. Tulutsani mpweya mosamala, musaphonye mphindi yomwe phokoso likamvekanso - izi zidzakhala chifukwa cha kuthamanga kwa magazi.
Momwe mungayesere kuthamanga kwa magazi kufotokozedwa mu kanema m'nkhaniyi.