Ndi tonometer iti yolondola komanso yodalirika

Mavuto a kuthamanga kwa magazi amatha kuchitika mwa munthu wazaka zilizonse, kotero chipangiziro choyezera kuthamanga kwa magazi chikuyenera kukhala m'nyumba iliyonse - pang'onopang'ono pang'onopang'ono pozindikira, mutha kuzindikira matenda ambiri oyambira pomwe gawo lanu litayamba kukula. Pali mitundu yosiyanasiyana ya zida, chilichonse chomwe chili ndi zopindulitsa ndi zovuta zake.

Pali mitundu ingapo ya ma tonometer poyezera kupanikizika

Kodi ndalama ndi chiyani

A tonometer amatanthauza chida chofufuzira chachipatala cha kukakamiza: mawonekedwe a diastolic ndi 80 mm Hg. Art., Ndi systolic - 120 mm RT. Art. Mwanjira ina, chipangizochi chimatchedwa sphygmomanometer. Lili ndi manometer, chowombera mpweya chomwe chili ndi ma waya osinthika, komanso chovala kumanja kwa wodwala. Mutha kuyitanitsa chida choyenera masiku ano mumafakitare opezeka ndi intaneti. Zitha kusiyanasiyana pamagawo otsatirawa:

• mtundu (wamakina ndi zamagetsi, zodziwikiratu ndi zodziwonera),
• kukula kwa cuff
• sonyezani (piyani),
• kulondola.

Zomwe zimafunikira

Zizindikiro zofananira zimatha kupatuka mpaka mmwamba osaposa 10 mm. Hg. Art. Ngati zopatikazo ziziwachulukitsa, ndiye kuti izi zikuwonetsa kuti mtima wodwala umadwala matenda. Ngati kuthamanga kwa magazi kumakwezedwa pafupipafupi, ndiye kuti nthendayi ndi matenda oopsa, omwe amadzala ndi vuto la mtima komanso sitiroko. Kuti mupeze chithandizo choyenera, kuwunika magazi tsiku ndi tsiku, komwe kumachitika pogwiritsa ntchito tonometer, mudzafunika. Chida choterechi chimathandiza:

• Nthawi zonse muziyang'ana zotsatira za mankhwalawa mukamamwa mapiritsi ndi dokotala kapena pogwiritsa ntchito njira zina zochizira.
• vuto la kuwonongeka kwaumoyo (kupweteka mutu, chizungulire, mseru, ndi zina), kupeza nthawi yolumphira m'magazi ndikumwa mankhwala oyenera,
• kuwongolera kusintha kusinthaku kukhala ndi moyo wathanzi: kulowerera m'masewera, kusiya mowa, kusuta, ndi zina zambiri.
• Osataya nthawi ndikuyendera chipatala, koma pezani zofunikira kunyumba,

Ndikulimbikitsidwa kukhala ndi chipangizochi mu kabati yanyumba yamankhwala kwa anthu onse omwe ali ndi matenda a mtima, matenda a shuga, maselo a mtima, okhala ndi kupsinjika kwakutali ndi kupsinjika kwa malingaliro, okhala ndi vuto la mahomoni. Kuphatikiza apo, chipangizocho sichikhala chopanda chidwi kwa iwo omwe nthawi zambiri amamwa mowa ndi utsi, komanso othamanga kuti aziwongolera moyenera zochitika zolimbitsa thupi komanso okalamba chifukwa chakuwonongeka kwa thanzi. Malinga ndi zikuwonetsa, kuyeza magazi pafupipafupi kungalimbikitsidwe kwa amayi apakati.

Gulu la zida zoyesa kupanikizika

Kuti musankhe chida chosavuta komanso chosavuta kugwiritsa ntchito, onani mtunduwo. Magulu a zida molingana ndi kuchuluka kwa wodwala kutenga nawo gawo poyeza, malo a cuff ndi magwiridwe antchito aperekedwa pansipa. Payokha, zitha kutanthawuza zopangidwazo ndi opanga, koma funso posankha mtundu sindiwo wamkulu, chifukwa ambiri opanga zida zakunja zamankhwala akupezeka ku China.

Malinga ndi kuchuluka kwa odwala omwe akuchita nawo ndondomekoyi

Amakhulupirira kuti zida zoyesera zoyamba kupanikizika zidawonekera ku Austria mu 1881. Kupanikizika kwa zaka zimenezo kumayesedwa pogwiritsa ntchito mankhwala ena a zebo. Pambuyo pake, dokotala wa opaleshoni waku Russia N. S. Korotkov adafotokoza njira yoyezera matani a systolic ndi diastolic pomvetsera. Kodi tonometer iti ndi yolondola: popita nthawi, zida zamakina zinayamba kupereka njira kwa omwe amangodzikongoletsa okha, omwe pambuyo pake adayamba kudzaza ndi zida zamagetsi. Kusiyana pakati pa njira zonse zitatuzi ndi kuchuluka kwa momwe wodwala akukhudzidwira muyeso:

• Chimodzimodzi. Kupompa ndi kupukuta kumachitika ndi manja. Kupanikizika kumatsimikiziridwa ndi khutu ndi stethoscope, kuyang'ana kuwerenga kwa muvi pa kuyimba.
• Zongokhala zokha. Mpweya umakankhidwira mu babu, ndipo kugunda kwa mtima ndi kuthamanga kwa magazi kumawonetsedwa popanda chiwongolero.
• Zodziwikiratu. Mpweya umakwezedwa ndi compressor, ndikuwulutsa ndi valavu. Zotsatira zikuwonetsedwa pazowonetsera. Makina a tonometer amagwira ntchito kuchokera pa intaneti pogwiritsa ntchito adapter kapena mabatire.

Mwa njira cuff ili pomwe

Chofunikira ndi malo omwe pali cuff ndi kukula kwake. Izi zimapangidwa ndi nsalu (makamaka nylon) yomwe imakhala mkati mwa chipinda cha pneumatic ndi clip (zomangira) mu mawonekedwe a Velcro. Mkati mwake, amapangidwa ndi mphira wazachipatala. Kuti tikanikizire dzanja la wodwalayo ndikuletsa magazi kulowa m'matumbo kuti adziwe chizindikiro chake, amadzazidwa ndi mpweya. Kutengera mtundu wake, chinthuchi chili paphewa, dzanja ndi chala:

• Mapewa. Chosankha chofala kwambiri chomwe chimagwirizana ndi magulu onse azaka. Malo ogulitsa pa intaneti amapereka ma cuffs osiyanasiyana kuyambira ana kukhala akulu kwambiri.
• Pa dzanja. Kwabwino kokha kwa ogwiritsa ntchito achichepere, makamaka pankhani ya kupanikizika pakuwongolera zolimbitsa thupi, pakuchita masewera. Mwa anthu achikulire, umboniwo ungakhale wolakwika. Kuphatikiza apo, sioyenera kugwedeza, shuga, mtima sclerosis.
• Pa chala. Njira yosavuta koma yosavuta. Pachifukwa ichi, sichimaganiziridwa ngati zida zazachipatala zazikulu.

Mwa kupezeka kwa ntchito zina

Mitundu yosavuta komanso yowerengera ndalama ilibe ntchito zina zowonjezera, koma kupezeka kwawo kungakhale kuphatikiza kwabwino posankha tonometer inayake. Kuchita kwambiri, kosavuta komanso kosavuta ndikutsatira njira yoyezera magazi. Zipangizo zamakono zamakono zili ndi:

• Kuchuluka kwa kukumbukira, komwe nthawi zambiri kumapangidwira miyeso 1-200. Tikuthokoza, chipangizochi chimasunga zidziwitso zonse pazomwe zatengedwa - ndizofunikira makamaka ngati anthu angapo amagwiritsa ntchito chipangizocho.
• Dziwani za arrhythmia, i.e. chisokonezo chamtundu. Poterepa, zowonetsera ziwonetsedwa pazowonetsera zofunikira. Kuphatikiza apo, pali chizindikiro chomveka.
• Kuwongolera Kwanzeru, kapena Intellisense. Ntchito yomwe ingachepetse mwayi wolakwitsa pamaso pa mtima arrhythmias. Imangopezeka mumitundu yamtengo wapatali.
• Kubwezerani mawu. Izi ndizofunikira kwambiri kwa odwala omwe ali ndi mavuto amaso.
• Kuwonetsera mwachangu. Gawo losavuta kwa oyamba kumene. Zimawonetsa wosuta zovuta kapena osagwiritsa ntchito utoto.
• Ntchito yochita miyezo ingapo ya kuthamanga kwa magazi mu mzere (nthawi zambiri 3) ndi kuwerengetsa kwa mtengo wapakati. Izi ndizofunikira pakuwongolera atrion, i.e. fibrillation ya atria.

Momwe mungasankhire tonometer yogwiritsira ntchito kunyumba

Ma algorithm osankhidwa ndi osavuta. Ndikofunikira kudziwa mtundu wanji wa chipangizocho, poganizira kuchuluka kwa chipangizocho, zaka za wodwalayo, kupezeka kwa matenda amtima, ndi zina zambiri. Kodi ndi tonometer uti wolondola - Njira zosankhira:

• Pafupipafupi opaleshoni ndi angapo ogwiritsa ntchito. Makina ogwiritsa ntchito okha kapena Semiautomatic chida ndi choyenera kugwiritsidwa ntchito pafupipafupi, koma ngati chiwerengero cha ogwiritsa ntchito ndichoposa chimodzi, tikulimbikitsidwa kusankha mtundu wokhala ndi kukumbukira ntchito.
• Gulu la odwala. Kwa achichepere ndi azaka zapakati, onse mapewa ndi carpal manometers ndi oyenera. Wodwala wokalamba ayenera kusankha paphewa chabe. Izi ndichifukwa choti ziwiya zamagetsi zolowa zimatha pakapita nthawi, kukhazikika kwa makoma awo kumachepa, arthrosis (matenda olowa) amapezeka, ndipo mafupa amayamba kuwoneka. Zinthu zonsezi zitha kupotoza kulondola kwa kuchuluka kwa kuthamanga kwa magazi.
• Kukula kwakumodzi. Zodziwika bwino kwambiri ndi zinthu zam'apewa - pansi pa phewa pama terminology azachipatala zimanena za m'dera kuyambira phewa yolumikizira. Mtunduwu umawonetsedwa m'mitundu ingapo, ndipo ina ndi yodziwika bwino, ina ndi yoyenera ana kapena akulu okha. Zowonongeka pafupi ndi tebulo:

Malo ozungulira pakati pakati pa phewa ndi cholowera molunjika (cm)

• Kukhalapo kwa matenda amtima. Ngati wodwala akukumana ndi vuto la mtima (arrhythmia), ndiye kuti chipangizocho chokhala ndi ntchito yozindikira ziyenera kukondedwa.
• Mpata woyezera kupanikizika pawokha. Makina a sphygmomanometer ndi oyenera kwa madokotala ndi anamwino okha omwe amadziwa kugwiritsa ntchito mankhwalawa, chifukwa pakuyesa kuthamanga kwa magazi muyenera kumvetsera zipolopolo ndi stethoscope. Pazifukwa izi, makina a semi-automatic / automatic ayenera kusankhidwa kuti azigwiritsidwa ntchito kunyumba. Imakhala yodzaza ndi zamagetsi, zomwe zimadziwikitsa zenizeni.
• Kampani yopanga. Opanga otchuka a ma gauji opanikizika akuphatikizapo NDI ndi Omron (onse Japan), Microlife (Switzerland), Beurer (Germany). Komanso, NDIPO ili ndi ukadaulo wama patali wa oscillometric woyezera kuthamanga kwa magazi - anali oyamba kulandira mwayi wokhala ndi njirayi, yomwe imagwiritsidwa ntchito pazida zamakono. Omron akupititsa patsogolo ntchito zake pakati pa omvera olankhula Chirasha, zomwe zimakhala ndi phindu pa bizinesi ya kampani.

Ndi tonometer uti wolondola kwambiri

Cholondola kwambiri ndi chipangizo cha mercury, monga kupanikizika, kutanthauzira, kumayesedwa mamilimita a mercury (mmHg). M'masitolo ogulitsa, sanagulitsidwe, ali ochulukirapo ndipo ali ndi zovuta zonse zokhala ndi ma Manu. Ndikovuta kwambiri kuyeza kuthamanga kwa magazi pawokha ndi chida chokhala ndi dzanja - muyenera kukhala ndi maluso, kumva bwino komanso kuwona, zomwe si odwala onse omwe ali nazo. Kuphatikiza apo, kamodzi pa miyezi isanu ndi umodzi muyenera kuwongolera (Sinthani) m'malo apadera.

Chipangizo chodziwikiratu chimatha kugona, chimakhala ndi zolakwika zina (nthawi zambiri chimanenedwa pafupifupi 5 mm), koma nthawi zambiri izi sizofunikira pa kusankha mankhwalawa. Palibe njira zina zoyezera kuthamanga kwa magazi pakugwiritsa ntchito panyumba, muyenera kokha kuzigwiritsa ntchito moyenera. Ndi tonometer iti yomwe ili yolondola kwambiri: malinga ndi akatswiri kuchokera ku malo olemba ma calibration a dziko lino, kuchuluka kwa miyeso yolakwika ndi:

• 5-7% ya AND, Omron,
• pafupifupi 10% ya Hartmann, Microlife.

Makina

Kuti mudziwe kuti tonometer ndi yolondola ndi chiyani, samalani ndi zida zamakina. Amakhala ndi cuff woikidwa paphewa, ma manometer ndi chowuzira mpweya ndi ma valve osinthika. Zizindikiro za kuthamanga kwa magazi zimakhazikitsidwa pomvetsera mawu amtundu kudzera pa stethoscope. Kupsinjika kwa magazi pankhaniyi kumayesedwa ndi munthu amene ali ndi maluso oyenerera, chifukwa chake mtundu uwu wa zida umalimbikitsidwa kwa ogwira ntchito yazaumoyo. Nthawi zambiri imagwiritsidwa ntchito m'malo azaumoyo a anthu, monga zipatala. Ndi tonometer uti wolondola - mitundu yotchuka:

• Zaumoyo CS-105. Konzani zida zopangira makina azitsulo kuchokera ku CS MEDICA. Pali phonendoscope yomanga, cuff (22-36 cm) wopangidwa ndi nylon wokhala ndi mphete yachitsulo, babu la elastic ndi valavalo ya singano komanso fayilo ya fumbi. Kuphatikizidwa ndi mlandu wosungira bwino zida. Kutsika mtengo kwenikweni (870 p.).
• Healthcare CS-110 Umafunika. Chida chodziwa bwino chomwe kupanikizika kwake kumaphatikizidwa ndi peyala. Amapangidwa ngati chowongolera polymer ndi chowongolera chrome. Cuff chokulirapo (22-39 cm) chimagwiritsidwa ntchito popanda bulaketi. Pali kuyimba kwakukulu komanso kosavuta kuwerenga, kosangalatsa kukhudza kukhudza ndi valavu yokhala ndi ma waya. Kuyeza kwamayeza kumatsimikiziridwa ndi European standard EN1060. Ndi okwera mtengo kuposa ma analogues (3615 p.).
• Microlife BP AG1-30. Sphygmomanometer iyi yolondola kwambiri imakhala ndi peyala, valavu yolowera, ndi chikwama chosungira. Wogwiritsa ntchito cuff waluso (masentimita 22-32) ndi mphete yachitsulo imagwiritsidwa ntchito. Mtunduwu ndiwotchuka pakati pa madotolo am'nyumba. Chochititsa chidwi ndi mutu wa stethoscope womwe umasokonekera mu cuff. Ndi mtengo wotsika mtengo (1200 p.).

Mfundo za ntchito ya sphygnomanometer

Mukayezera, stethoscope iyenera kuyikidwa mkati mwa chapamwamba. Pambuyo pa izi, katswiriyo ayenera kupopera mpweya mu cuff - amachita izi mpaka, chifukwa cha kukakamira, index ya magazi siyikhala 3040 mm RT. Art. kuposa kuchuluka kwa kuyeza kwa systolic (malire okwera) a mayeso. Kenako mpweya umamasulidwa pang'onopang'ono kotero kuti kuthinikizidwa mu cuff kumachepa kuthamanga kwa 2 mm Hg. sekondi imodzi.

Pang'onopang'ono kugwa, kupanikizika mu cuff kumafika mu phindu la wodwala. Mwakuwoneka bwino panthawiyi, phokoso lotchedwa "Nyimbo za Korotkov" liyamba kumveka. Kupanikizika kwa diastolic (m'munsi) ndiye nthawi yamapeto amawu awa. Mfundo yoyendetsera ntchito ili motere:

• Mphepo yamkuntho yomwe ili mu cuff ikupopera ndi kupitirira gawo lomwelo m'matumbo, mtsempha wamagazi umakakamizidwa mpaka magazi atulukamo. Mu stethoscope, chete mumakhala.
• Kupanikizika mkati mwa cuff kumachepa ndipo kuunikira kwa mtsempha kukutseguka pang'ono, kutuluka kwa magazi kuyambiranso. Mwakuwoneka bwino kwakanthawi ino, nyimbo za Korotkov zimayamba kumveka.
• Kupanikizika ndikukhazikika ndipo chotupa chikutseguka kwathunthu, phokosoli limazimiririka.

Ubwino ndi kuipa kwa zida zamakina

Ndi tonometer iti yomwe imalondola kwambiri - poyankha funsoli, chipangizo chamakina chimatsogolera. Ubwino wa chipangizo chamakina:

• kulondola kosangalatsa
• mtengo wotsika mtengo
• wodalirika
• yoyenera kuyeza kuthamanga kwa magazi ngakhale kwa odwala omwe ali ndi arrhasmia.

Choyipa chachikulu ndikuvuta kwa opareshoni, makamaka kwa okalamba ndi odwala omwe samawona bwino komanso kumva, miyendo yolumala - kwa iwo ikhala kupeza kopanda ntchito. Kuwongolera kuthamanga kwa magazi, mitundu ina imaphatikizira cuff yokhala ndi mutu wama phonendoscope ndi supercharger wokhala ndi manometer m'njira yophatikizika. Pazifukwa izi, sphygmomanometer ikhoza kugulidwabe kuti igwiritsidwe ntchito kunyumba.

Zongokhala zokha

Poyerekeza ndi chipangizo chamakina, chili ndi zosiyana zambiri, koma ndizofanana ndi chipangizo chokha. Kwa mtengo, chipangizo chodziyimira chokha chili penapake pakati pa mitundu ina iwiri. Pogulitsa mutha kupeza zinthu zambiri zamtundu wapamwamba komanso zolimba zamtunduwu, pakati pa zomwe kutchuka kwapezeka:

• Omron S1. Kachipinda kakang'ono ka Japan kumapewa, jekeseni wa mpweya komwe kumachitika chifukwa cha babu la mphira. Zotsatira zake zikuwonetsedwa pazowonetsa mzere atatu. Pali kukumbukira komwe kumapangidwa kuti asunge 14 miyeso. Kuphatikizidwa ndi bukhu lokonzekera kukonza deta. Chipangizocho chili ndi chisonyezo chomwe chimatumiza chisonyezero chowonetsa ngati magazi ake ali kunja kwa mulingo woyenera. Pamagetsi, mumafunikira mabatire awiri, palibe adapter network. Mtengo - 1450 p.
• Omron M1 Wofanana. Chida chodzipangira chokha chophatikizika pamapewa, chosavuta komanso chosavuta kugwiritsa ntchito. Imayendetsedwa ndi batani limodzi. Pali ntchito zonse zofunika pakuyeza mwachangu komanso molondola kwa kuthamanga kwa magazi. Mphamvu yakukumbukira idapangidwira miyezo 20. Imayendetsedwa ndi mabatire a 4 AAA. Palibe chosinthira makina amtaneti, chimawononga 1640 p.
• A&D UA-705. Chipangizo chomwe chili phewa ndi ntchito zofunikira poyezera magazi molondola komanso mwachangu kunyumba. Pali chizindikiro cha arrhythmia, kuchuluka kukumbukira kukumbukira komwe kumasunga zotsatira 30 zomaliza. Batire 1 AA yokha ndi yofunika kuti ichitike. Chitsimikizo chidapangidwa zaka 10, koma chimawononga ndalama zoposa ma analogues - 2100 p.

Zimagwira bwanji?

Chipangizo cha Semiautomatic momwemomwe chimadziwira kuthamanga kwa magazi ndi kugunda kwa mtima, komanso monga chokha. Chochititsa chidwi ndichakuti cuff iyenera kukhathamiritsidwa mwa iye, i.e. babu la mphira. Mndandanda wa ntchito zawo zowonjezera ndiwofatsa, koma panthawi imodzimodzi chipangizocho chili ndi zonse zofunikira pakuyesa kuthamanga.Ogwiritsa ntchito ndi akatswiri ambiri amakhulupirira kuti chipangizocho chokhala ndi semiautomatic chokhala ndi maziko oyambira ndichisankho chabwino kwambiri chogwiritsidwa ntchito kunyumba.

Ubwino ndi zoyipa

Imodzi mwa mphindi zochepa za chipangizocho ndikufunika kupompa pamanja ndi peyala, yomwe sioyenera anthu ofooka. Kuphatikiza apo, kulondola kwa tsatanetsatane kumatengera batiri loyitanitsa - lingakhudzidwe ndi zinthu zakunja. Zabwino zili ndi:

• kuphweka kwa ntchito poyerekeza ndi analogue yakanema,
• mtengo wotsika mtengo chifukwa chakuti chipangizocho chiribe magetsi, ngati makina amagetsi,
• kusowa kwa chowombera mpweya chauta kumakupatsani mwayi kuti musunge ndalama pogula komanso kusintha mabatire, mabatire.

Zodziwikiratu

Ngati muli ndi funso loti tonometer ndi yolondola bwanji, lingalirani za pulogalamuyi ndi mfundo za zomwe zikuchitika. Gawo lazida lamtunduwu ndi ili: masitepe onse oyesera magazi amangochitika okha. Mamita opanikizika okha adawonekera kumapeto kwa zaka zana zapitazi. Wogwiritsa amangofunika kukhazikitsa cuff yekha ndikuwonetsa mabatani oyenera - ndiye kuti chipangizocho chidzapanga chilichonse chokha. Kuonjezera kwina kumapangitsa njirayi kukhala yophunzitsa, yosavuta.

• A&D UA 668. Chipangizocho chimayendetsedwa ndi mabatire ndi netiweki, yoyendetsedwa ndi batani limodzi, pali ntchito yowerengera mtengo wapakatikati, skrini ya LCD. Makumbukidwe adapangidwa maselo 30. Palibe adapter mu kit, pamafunika 2189 p.
• Microlife BP A2 Basic. Model yokhala ndi chophimba cha LCD, mabatire a 4 AA, mphamvu yamagetsi, kukumbukira kwama cell 30 ndi chizindikiro choyenda. Pali mulingo wa WHO komanso chizindikiro cha arrhasmia. Ndiotsika mtengo - 2300 p. Palibe adapter mu kit, chomwe ndichofunikira kwambiri.
• Beurer BM58. Mtundu wokhala ndi kukumbukira kwa ogwiritsa ntchito awiri ndi maselo 60. Pali mulingo wa WHO, mabatire anayi amaphatikizidwa. Itha kuwerengera mtengo wapakatikati wamasamba onse osungidwa, mabatani azolamulira. Kulumikizana kudzera USB ndikotheka. Ndi okwera mtengo kuposa ma analogues (3,700 p.) Ndipo palibe chosinthira mphamvu zamamayi.

Mfundo yogwira ntchito

Mothandizidwa ndi mota wophatikizidwa mu motor casing, mpweya umapakidwa mu cuff pawokha popanda wofunikira. Kudzaza magesi "akumva" ma toni, kupukusa, ndikuwonetsa kuwerenga kwina konse pa polojekiti. Makinawa amatha kuyesa kuthamanga kwa magazi osati paphewa, komanso m'chiuno, chala. Ndi tonometer uti wolondola pa izi ndi woyamba kwambiri, ndipo womaliza sakhala wolondola.

Chifukwa chiyani kuyeza kuthamanga kwa magazi?

Matenda a mtima, sitiroko, kulephera kwa impso, khungu ndi zonse zomwe zimayambitsa matenda oopsa. Ndipo pali njira imodzi yokha yopewera zovuta kwambiri - kukhalabe ndi vuto la magazi ndi mankhwala.

Odwala oopsa kwambiri amafunika kuyang'anira magazi kuti azitha kupewa zovuta. Ndikofunikira kwambiri kuyeza kuthamanga kwa magazi m'malo abata kuti mukhale ndi chidziwitso cholondola kwambiri.

Zizindikiro za anthu odwala komanso athanzi zimakhudzidwa osati ndi zinthu zakunja zokha komanso matenda osiyanasiyana, zaka komanso jenda ndizofunika kwambiri.

Malinga ndi zomwe zawonetsedwa patebulopo, kuthamanga kwa magazi kumawonjezeka ndi zaka ndipo izi ndizabwinobwino, pamene mibadwo yamthupi ndi zosintha zokhudzana ndi zaka zimachitika zomwe zimayambitsa kusokonezeka.

Tikukukumbukirani!Ma paramu omwe awonetsedwa patebulopo ndiwofunika. Kuti mudziwe kuchuluka kwake komwe munthu angapanikizike, muyenera kugwiritsa ntchito magazi a Omron pafupipafupi komanso kuonana ndi katswiri.

Mitundu ya zida zoyezera kupanikizika kwa anthu

Chida chomwe chimayeza kuthamanga kwa magazi chimatchedwa sphygmomanometer (tonometer). Zipangizo zamakono zimagawidwa ndi njira yoyezera magawo ndi malo ogwiritsira ntchito cuff, mutha kuwagula ku malo ogulitsa mankhwala kapena m'masitolo apadera azachipatala, mlangizi angakuthandizeni kusankha choyenera.

Gulu la Tonometer:

• Mercury - magawo ochepa akutsimikiza pogwiritsa ntchito mulingo wa zebo,
• makina - zoyimira zimawonekera pa kuyimba ndi muvi,
• zodziwikiratu ndi zodziwikiratu - maulalo amawonetsedwa mu mtengo wambiri pazenera.

Ubwino ndi zoyipa

Ngati mukufunsidwa kuti ndi mitengo yanji yolondola, onani zabwino ndi zoipa za chipangizocho. Ubwino wa chipangizo chokha:

• amathetsa kufunika kopukutira mpweya pamanja,
• ntchito yosavuta, yosavuta kugwiritsa ntchito,
• Mitundu yodula ili ndi magwiridwe antchito olemera, mwachitsanzo, imatha kukhala zida zamakono zamakono ndi kulumikizana ndi foni yamakono, kupulumutsa mbiri yakale.

Chida chophweka chazida, chimakhala chodalirika komanso cholimba. Mwanjira iyi, chipangizo chokhacho sichimaganiziridwa kuti ndicho chisankho chabwino kwambiri:

• Moyo wamasewera siutali wofanana ndi chipangizo cha semiautomatic. Galimoto yamagetsi imayendetsedwa ndi mabatire ofooka, omwe amayendetsedwa mwachangu, kotero imagwira ntchito molingana ndi kuthekera kwake ndikutha msanga.
• Zimawononga zochulukirapo. Kudzazidwa pamagetsi ndikokwera mtengo, ndipo magwiridwe ena owonjezereka amakweza mtengo wopanga koposa.
• Automata, yopangidwa kutiayeza miyeso m'chiuno ndi chala, imakhala ndi kulondola pang'ono.

Miyezo yoyang'anira magazi molondola kwambiri

Pochizira matenda oopsa (oopsa) komanso prehypertension (malire amalire pakati pa 129-130 / 80-89 mm Hg), muyenera kudziwa komwe tonometer imakhala yolondola komanso yodalirika. Msika wadzaza ndi kuchuluka kwakukulu kwa zotsatsa: mitundu ina imakhala ndi kuthamanga kwambiri chifukwa cha njira yopanda kuwonekera, yachiwiriyo ili ndi chida cholondola sensor (APS) ndi chisonyezo (mawu, kuwala), kuyambira lachitatu mungathe kutsitsa deta kupita ku kompyuta kudzera pa doko la USB, etc. Tonometer iti ndi yolondola - ndemanga zabwino kwambiri:

Kodi mercury tonometer ndi chiyani

Chida ichi choyezera kupanikizika ndi chida chakale kwambiri komanso cholondola kwambiri chomwe chimagwiritsidwa ntchito kudziwa kuchuluka kwa magazi. Maziko a kapangidwe kameneka ndi chopondera pamasamba omwe ali ndi magawano, peyala ndi cuff.

Kugwiritsa ntchito peyala, muyenera kupopera mpweya mu cuff, pomwe muyenera kumvetsera mawu amitima ndi stethoscope kapena phonendoscope. Magawo a Arterial amatsimikizika malinga ndi kukwera kwa mulingo wa mankhwala enaake.

Oyang'anira magazi a Mercury ndi olondola kwambiri

Makina osinthika

Mtundu wodziwika kwambiri wa chipangizo chodziwira kuchuluka kwa kuthamanga kwa magazi uli ndi mulingo woyenera kwambiri, wabwino komanso mtengo.

Mapangidwe a chipangizocho akuphatikiza ma cuffs, machubu opangidwa ndi mphira, momwe peyala imamangirizika, phonendoscope, mawonekedwe ozungulira opanikizika ndi kupindika kwa digito. Mtengo wa makina tonometer ndi 700-1700 rub., Mtengo umasiyana kuchokera kwa wopanga.

Makina oonera kuthamanga kwa magazi ndiwowongolera kwambiri magazi.

Momwe mungayesere kupsinjika ndi makina ochitira tonometer:

1. Kuti muwone zizindikiro za kuthamanga kwa magazi, khalani malo omasuka - kumbuyo kuyenera kukhala ndi chithandizo, miyendo sayenera kudutsa.
2. Miyeso nthawi zambiri imachitika ndi dzanja logwira ntchito, pakakhala zovuta zazikulu ndi mtima ndi mitsempha yamagazi, kuthamanga kuyenera kuyesedwa m'manja onse.
3. Dzanja liyenera kukhala pamalo athyathyathya, chopondera chiyenera kuyikidwa pamlingo womwewo ndi mzere wamtima.
4. Mangani cuff 4-5 masentimita pamwamba pamapewa.
5. Ikani chiwonetsero chazithunzi mkati mwa bondo lamkuwa - m'malo ano mawu amitima akumveka bwino.
6. Ndi mayendedwe oyesedwa, kupopera mpweya mu cuff pogwiritsa ntchito peyala - tonometer iyenera kukhala mkati mwa 200-220 mm Hg. Art. Odwala othamanga amatha kupukuta cuff kwambiri.
7. Mphepo yapang'onopang'ono, imayenera kutuluka kuchoka mwamphamvu pafupifupi 3 mm / sec. Mverani mosamala mawu a mtima.
8. Sitiroko yoyamba imagwirizana ndi ma systolic (kumtunda). Zomwe zimaphulika zitachepa, mitundu ya diastolic (yotsika) imalemba.
9. Ndikulimbikitsidwa kuchita miyeso iwiri ndi yopumira mphindi zisanu - kufunika kwapakati kumawonetsa bwino zowonetsera za magazi.

Omwe amayang'anira kuthamanga kwa magazi

Kapangidwe kake sikosiyana ndi chipangizo chopangira makina, koma zizindikirozo zimawonetsedwa pa boardboard yamagetsi, pafupifupi mitundu yonse, osati kukakamiza kokha, komanso malingaliro amtunduwu amawonetsedwa pazenera.

Zizindikiro mu t-automatic tonometer zimawonetsedwa pazenera lamagetsi

Monga ntchito zowonjezera, tonometer imatha kukhala ndi mawonekedwe am'mbuyo, chidziwitso cha mawu, kukumbukira pamitundu ingapo, mu mitundu ina mitengo yapamwamba ya miyeso itatu imangowerengedwa. Mtengo wapakati ndi ma ruble 1, -2.3.

Ma toni omwe amaikidwa pachiwuno samalimbikitsidwa kwa anthu okalamba - pambuyo pa zaka 40, zombo za m'derali nthawi zambiri zimadwala atherosulinosis.

Makina owonera magazi

Zipangizo zamakono, zamakono, koma mtengo wake ndi wokwera kwambiri. Njira yonseyi imachitika zokha, simukuyenera kuwombera mpweya ndi peyala, yomwe ndiyabwino kwambiri kwa anthu azaka zapamwamba. Chojambulachi chimakhala ndi cuff, chipika chawonetsedwa ndi digito, chubu yolumikiza magawo onse a chipangizocho.

Woyang'anira magazi pang'onopang'ono - chida chotsogola kwambiri

Njira yoyezera ndi yosavuta - valani cuff, kanikizani batani, dikirani masekondi angapo. Chophimba chikuwonetsa kuthamanga kwa magazi, kugunda kwa mtima. Mitundu yambiri imakhala ndi zofunikira zomwe zimayankha zovuta zamagulu a arrhythmias, kayendedwe kazinthu pakuyeza. Mtengo wamitundu yazachuma ndi 1.5-2 zikwi rubles. mtengo wa owongolera othamanga otsogola otsogola amatha kufikira 4,5,000 ma ruble.

Unikani za oyang'anira magazi abwino kwambiri

Opanga abwino kwambiri opanga magawo oyesa ma eyala ndi Microlife, A&D, Omron. Pangani chisankho choyenera chithandiza chithunzi ndi mawonekedwe apamwamba a zida.

Ma bizinesi abwino kwambiri:

Microlife BP AG 1-30 ndiye Swiss mechanical tonometer yabwino kwambiri. Ogwiritsa ntchito amawona kuti kugwiritsa ntchito mosavuta, kudalirika, kulimba. Kuwonetsera ndikosavuta, peyala ndi yofewa komanso yosavuta, chipangizocho chimawerengera zokha kuchuluka kwa magawo atatu, amatha kulumikizidwa ndi kompyuta. Mtengo - 1,1-1,2 ma ruble.

Microlife BP AG 1-30 - mawotchi apamwamba kwambiri owunika magazi ochokera ku Switzerland

Omron S1 - Precise Semi-Automatic Model

NDI UA 777 ACL - wowunika bwino kwambiri wamagazi wokha

"Tili ndi matenda oopsa - matenda obadwa nawo, motero ndakhala ndikugwiritsa ntchito tonometer kuyambira ndili mwana. Posachedwa, m'malo mwa makina wamba, ndidagula zida zodziyimira kuchokera kwa Omron. Ndasangalala kwambiri - njira zolembetsera tsiku ndi tsiku zakhala zosavuta. "

"Ndinaona mzanga Microlife automatic tonometer, yokongola ngati iyi, pali ntchito zambiri. Koma adaganiza zoyesa koyambirira, adalandira ndalama zamagetsi kuchokera kwa amayi ake, kangapo adayesa zovuta ndi zida zonse ziwiri - imodzi yokha imakhala pafupifupi mayunitsi 10-15. ”

"Anapanga mitundu yonse yazowonera magazi; sizikudziwika chifukwa chake. "Ndakhala ndikugwiritsa ntchito mayi anga okalamba pafupifupi zaka 30 monga masiku onse, poyamba sizinali zachilendo, koma tsopano sindimayesa kupsinjika kuposa madokotala."

Tonometer imathandizira kudziwa zizindikiro za systolic ndi diastolic kunyumba, zomwe ndizofunikira ku matenda ambiri. Zipangizo zamakina zimadziwika ndi kulondola kwambiri komanso mtengo wotsika, koma si munthu aliyense yemwe angazigwiritse ntchito. Kugwiritsa ntchito zida zodziwira zokha ndikosavuta, koma mtengo wawo ndi wokwera kwambiri.

Voterani nkhaniyi
(5 mitengo, pafupifupi 4,40 pa 5)

Chifukwa chiyani mukuyenera kuyeza kuthamanga kwa magazi?

Zovuta zomwe munthu aliyense amakhala nazo ndi payekhapayekha. Zitha kusiyanasiyana malinga ndi magawo 5-10, ndipo nthawi yomweyo, thanzi lidzakhala labwino. Koma pali zinthu zomwe zimayambitsa "kudumpha" mumapanikizidwe. Poterepa, munthu amadandaula za malaise, kupweteka mutu, kusamva komanso kuona. Kusasunthika kwa kupanikizika kumabweretsa gawo lochulukirapo pa myocardium. Mtima umagwira modabwitsa, womwe umayambitsa kupweteka, tachycardia, komanso kupitilirabe kwa matendawa - kulephera kwa mtima, kumanzere kwamitsempha yamagazi.

Nthawi zambiri, matenda oopsa amakhala asymptomatic. Odwala ozindikira akhoza kukumana ndi izi:

• kukopa kwa nkhope,
• mantha
• chisangalalo chamanjenje
• thukuta
• kupweteka mumtima ndi khosi.

Kuti mudziwe bwino, muyenera kugwiritsa ntchito tonometer ndikuyezera kupanikizika. Zizindikiro izi sizitha kunyalanyazidwa. Kusasamala thanzi lanu kumabweretsa zovuta mu mawonekedwe a vuto la matenda oopsa, kugunda kwa mtima, komanso kukha mwazi m'mitsempha.

Matenda oopsa

Nthawi zina, hypotension imatha kukhala yovulaza thanzi. Ziwerengero zotsika zimayambitsa kusowa kwa chakudya m'thupi. Izi ndichifukwa cha kamvekedwe ka ziwiya.

Hypotension

Zofunika!Kuyeza kwa magazi kumachitika kuti mudziwone nokha. Muyenera kudziwa zovuta m'mawa ndi madzulo kuti muchepetse kuchuluka kwa mankhwalawa nthawi kuti mumwe mankhwalawo, chifukwa ndi nthawi imeneyi yomwe "kulumpha" m'magazi a magazi kumawonedwa nthawi zambiri.

Ndi zida ziti zomwe zimagwiritsidwa ntchito poyesa kuthamanga kwa magazi?

Pali mitundu ingapo ya owunika magazi omwe amagwiritsidwa ntchito kuti adziwe kutulutsa kwa mtima. Amasiyana m'malo opuwala:

Cholondola kwambiri ndi chipangizo cha phewa. Imakhazikika mokhazikika ndikubereka manambala pafupi momwe mungathere kukakamiza zenizeni. Mtundu wabwino kwambiri wa chipangizocho chokhala ndi stethoscope chopangidwa mu cuff. Ndiwosavuta kugwiritsa ntchito kunyumba paokha, safunika kugwira phonendoscope, ndikuonetsetsa kuti ili pompopompo. Njirayi sifunikira maluso apadera ndipo mutha kuchita popanda thandizo lakunja. Mitundu yotchuka ya owunika magazi kuchokera ku Little Doctor ndi phonendoscopes, inhalers ndi zida zina zamankhwala.

Carpal tonometer sicholondola monga mtundu wakale. Zizindikiro zake zimatengera malowa malinga ndi zomwe zimachitika. Amakhudza chilichonse cholakwika dzanja. Pali kusiyana kwakukulu pakati pa zotulutsa ndi malire enieni a kuthamanga kwa magazi. Zomwezi zitha kunenedwa za mtundu wa chida "pa chala." Kusokoneza zizindikiro sikungotengera mawonekedwe a burashi, komanso kutentha kwa zala. Kuzizira dzanja, kumachepetsa kupsinjika.

Ndi chikhalidwe cha ntchitoyo, ndalama zimagawika m'magulu:

• digito
• Sinthani,
• zamakina
• makina amodzi-okha
• makina otsogola.

Mitundu ya digito imakhala ndi chophimba pomwe zotsatira zake zikuwonetsedwa. Zipangizo zamakina zimakhala ndi manometer okhala ndi muvi ndipo munthu mwiniyo amakonza zomwe zikuwonetsa. Zipangizo zamagetsi ndizosavuta kugwiritsa ntchito. Amavomerezedwa kwa odwala okalamba, "novices" omwe sakudziwa momwe angadzire molondola ndi mitundu yamagetsi, komanso kwa anthu omwe amamva komanso kuona. Kuti chipangizocho chitumikire kwa nthawi yayitali, samalani malo osungira:

• sungani chida pamalo owuma
• sinthani mabatire munthawi (yama fomu yamagetsi),
• osataya
• onetsetsani kuti machubu samagwedezeka posungira chida,
• pewani kumenya.

Amaonetsetsa kuti chipangizocho sichigwera m'manja mwa mwana, chifukwa amakhala achidwi ndipo akhoza kuwononga chipangizocho. Izi ndizowona makamaka kwa mtundu wa semi-automatic and automatic file, popeza zowonongeka zazing'ono zimatsogolera pakuperekedwa kwa manambala osalondola.

Zala zam'manja

Kuyang'anira magazi

Tonometer yamtunduwu imachita zoyezera pazokha. Wodwala amangofunika kuvala cuff ndikuyika batani la "kuyamba". Kubayidwa kwa mpweya kumachitika modabwitsa. Zizindikiro zonse zimawonetsedwa pazenera. Pamalo a cuff, amagawidwa mapewa ndi kukoka, ndipo malinga ndi lingaliro la opareshoni - mu automatic ndi semi-automatic. Mtundu wa kugwa kwa chipangizocho umakonzedwa pafupi ndi burashi kuchokera mkati.

Zipangizo zamagetsi zimakhala ndi kukumbukira komwe kumalemba zomwe zidawerengedwa 2-3 ndikuwonetsa mtengo wapakatikati. Mitundu yapamwamba kwambiri imakhala ndi ntchito ya antiarrhythmic. Ngati wodwala ali ndi arrhasmia, ndiye kuti ndizovuta kuyeza molondola kukakamira.Zipangizo zokhala ndi ntchito iyi zimawonetsa ziwonetsero zenizeni poganizira ma arrhythmias ndikuwonetsa cholembedwa pazenera kuti wodwala ali ndi vuto losakhazikika.

Makina owonera magazi

Mitundu yamtunduwu imatha kuyesa kuthamanga pawokha, sizifunikira maluso ena, kuwongolera malo a stethoscope ndi cuff. Panthawi ya kukakamizidwa, wodwalayo angagone ngati zimamuvuta kukhala pampando. Izi sizikhudza mtundu wa muyeso. Mphamvu imachokera ku mabatire kapena mains.

Carpal tonometer

Zipangizo zotere zimakhazikika pachiwuno ndipo pulsation imalembedwa pa radial artery. Kulondola kwa zida ngati zotere kumakhala kotsika poyerekeza ndi cham'mimba, popeza m'mimba mwake wa radial ochepa ndizochepa ndipo kumakhala kovuta kumvera mawu. Amayang'anira owongolera magazi amayesedwa kuti osewera kuti ajambule kuchuluka kwa zovuta panthawi yophunzitsira. Kuchulukana kotereku sikulimbikitsidwa kwa odwala omwe ali ndi kugunda kokhazikika kapena arrhythmia chifukwa chotsika kwambiri kwa zizindikiro. Ndikwabwino kugwiritsa ntchito zitsanzo zamapewa.

Carpal tonometer

Kodi tonometer ndiyabwino

Mukamasankha tonometer, wodwala aliyense amatsogozedwa ndi zomwe akufuna. Makina owonera othamanga otsogola magazi ndi osavuta kugwiritsa ntchito, koma amawononga ndalama zochulukirapo kuposa zamakina. Mukamasankha zamagetsi zamagetsi, muyenera kuyang'ana kwa wopanga ndikupanga mtundu wodziwika bwino womwe amapereka ntchito yotsimikizira. Onetsetsani kuti chiwonetserochi ndi chowala ndipo manambala omwe akuwonetsedwa ali omveka.

Onani kuti chipangizochi chimagwira ntchito zonse zomwe zalongosoledwa ndi malangizo. Pogula chida chamagetsi, ndikofunikira kuyesa pa cuff, makamaka kwa anthu onenepa kwambiri. M'mitundu yosiyanasiyana, imakhala ndi kutalika kosiyanasiyana ndipo ndikofunikira kuti agwire dzanja lake moyenera ndi Velcro.

Mukamagula pulogalamu yamagetsi yamagetsi yamagetsi, samalani ndi kukula kwa skrini. Iyenera kukhala yayikulupo kuti anthu omwe ali ndi vuto lochepa kapena ngati okalamba athe kuwona chithunzicho. Mitundu yatsopano ya zida zimakhala ndi ntchito zowonjezera:

• mawu omveka pamaso pa arrhasmia,
• kugunda kwa mtima
• kupulumutsa zomwe mwapeza kale,
• kulumikizana ndi kompyuta
• kuthekera kosindikiza deta yoyezera.

Odwala omwe ali ndi digiri yachitatu ya matenda oopsa omwe ali pachiwopsezo chokhala ndi vuto la mtima amatha kugula defibrillator yonyamula. Kuthandizanso kuchita njira zothetsera kukonzanso pamodzi ndi njira yopumira. Chizindikiro pakugwiritsa ntchito chipangizochi ndikumangidwa kwamtima.

Mitundu yamagetsi yokhala ndi stethoscope yomanga ndi peyala yomwe ili pafupi ndi manometer imawerengera zolondola. Amapangidwira odwala "odziwa bwino" omwe ali ndi makutu abwino, maono komanso luso lotha kuzindikira. Ndalama zotere ndizamtengo wotsika mtengo.

Pomaliza pang'ono

Mumsika wamankhwala, zida zoyezera zodziwira kukakamiza kwa mafakitale osiyanasiyana ndi mitundu zimaperekedwa. Chifukwa chake, ndikosavuta kwa wogula kusankha tonometer yomwe ikukwaniritsa zofunikira za munthu payekha. Munthu aliyense, posankha tonometer, amaganizira mtengo ndi magwiridwe antchito, komanso kugwiritsa ntchito mosavuta. Imayang'ana ku chitsimikizo cha wopanga, kusankha zovala zodziwika bwino. Musanagule, muyenera kufunsa katswiri wamtima kuti mupeze upangiri woyenera wonena za kusankha tonometer.

Mitundu ya owunika magazi

Chida choyezera kuthamanga kwa magazi popanda kulowa mumtsempha umatchedwa tonometer (moyenera, sphygmomanometer). Zofunikira zake ndi cuff komanso peyala yowuzira mpweya.

Kukhalapo kwa zinthu zina kumadalira mtundu wa zomangamanga. Kulowera mkati mwa mtsempha wamagetsi (njira yolowerera) imagwiritsidwa ntchito kuwunika nthawi zonse odwala omwe ali kuchipatala. Matani amabwera m'mitundu inayi:

• Mercury - zida zoyesera zoyesera zoyambirira,
• Makina
• Zodziwika,
• Zodziwikiratu (zamagetsi) - zamakono kwambiri komanso zotchuka.

Mfundo zoyendetsera mitundu yosiyanasiyana ya ma tonometer ndi yofanana: paphewa, pamwamba pa nsonga, cuff imayikidwa ndi chipinda chofunikira cha pneumatic momwe mpweya umapumuliramo. Pambuyo popanga kupsinjika kokwanira mu cuff, vala yotseguka imatsegulidwa ndipo njira yotsitsimutsa (kumvetsera) kwamawu amtima imayamba.

Chifukwa chiyani magazi amayenda kuchokera pamphuno mokakamizidwa? - werengani nkhaniyi.

Apa pali kusiyana kwakukulu pakugwira ntchito kwa ma tonometer: a mercury ndi makina amafunikira kumvetsera mawu akumtima pogwiritsa ntchito phonendoscope. Oyang'anira anzawo omwe amadzipanga okha komanso otsogola okha ndi omwe amaonetsetsa kuti magaziwo ndi opanikizika.

Oyang'anira magazi a Mercury

Ngakhale Mercury tonometer yokha idachoka kale pakugwiritsa ntchito misa, kuwunika kwa zida zatsopano kumachitika molondola ndi zotsatira zake. Ma Mercury tonometer amapangidwabe ndipo amagwiritsidwa ntchito pakufufuza koyambira, chifukwa cholakwika pakuyeza magazi ndi chochepa - sichidutsa 3 mmHg.

Ndiye kuti, Mercury tonometer ndiye yolondola kwambiri. Ichi ndichifukwa chake mamilimita a zebaki akadali magawo a mavuto.

Pulasitiki, muyeso kuchokera pa 0 mpaka 260 umalumikizidwa ndi theka la kutsogolo ndi mtengo wogawika wa 1 mm. Pakatikati pa sikeloyo pali chubu chagalasi chowoneka bwino. Pansi pa chipilalachi pali nkhokwe yosungira malumikizidwe yolumikizidwa ndi payipi ya babu yotsitsa.

Mbale yachiwiri imalumikiza thumba lakuboola pakati pa cuff. Mlingo wa mercury kumayambiriro kwa muyeso wa kukakamiza kuyenera kupezeka mwamtheradi 0 - izi zimatsimikizira zizindikiro zolondola kwambiri. Mphepo ikalowetsedwa, kukakamira mu cuff kumawonjezeka, ndipo zebulamu imakwera m'mphepete.

Kenako phonendoscope membrane imayikidwa m'chiuno chopondera, njira yopangira ya peyala imatsegulidwa ndipo gawo lakusangalatsidwa limayamba.

Mitengo yoyamba ya systolic imamveka - kupanikizika m'mitsempha nthawi ya mtima. Pakangofika "kugogoda", kukakamiza kwakukulu kumatsimikizika. Pamene "kugogoda" kumayima, kupanikizika kwapansi panthawi ya diastole (kupumula kwa mtima ndikudzaza ma ventricles ndi magazi) kumatsimikizika.

Momwe mungagwiritsire ntchito tonometer?

Aliyense kamodzi pamoyo wawo amayenera kuthana ndi zomwe zimawakakamiza. Komanso, ndizodziwika bwino kwa odwala matenda oopsa. Koma momwe mungadzire kupanikizika nokha?

Malangizo onse anaperekedwa pamwambapa. Ngati njirayi idabwerezedwa kangapo pamanja onse, ndipo kusiyana kwake kunaposa 10 mm RT. Popeza ndikofunikira kubwereza muyeso kangapo nthawi iliyonse, kujambula zotsatira. Pambuyo pa sabata yowunikira komanso kusakhazikika kosaposa 10 mm Hg, muyenera kuwona dokotala.

Tsopano lingalirani machitidwe azinthu mukamayeza kuthinana.

1. Ikani cuff paphewa kapena dzanja lanu. M'mawunikidwe amakono owonetsa magazi pali malangizo mwachindunji pa cuff, omwe akuwonetsa bwino momwe amayenera kupezekera. Kwa phewa - pamwamba pa nsonga, ndi malekezero pansi kuchokera mkati mwa mkono. Makina ogwiritsa ntchito tonometer sensor kapena mutu wa phonendoscope pamutu wamakina amayenera kukhala komwe zimachitika.
2. Cuff iyenera kutsekedwa mwamphamvu, koma osafinya mkono. Ngati mukugwiritsa ntchito phonendoscope - ndi nthawi yoti muike ndi kuyika membraneyo kumalo osankhidwa.
3. Dzanja lizikhala lofanana ndi thupi, pafupifupi pachifuwa cha tonometer. Kwa dzanja - manja adakanikizidwa kumanzere kwa chifuwa, kumalo a mtima.
4. Kwa owunikira othamanga magazi, zonse ndizosavuta - kanikizani batani loyambira ndikudikirira zotsatira. Kwa semi-automatic komanso makina - limbitsani valavu yotsekera ndikulowetsa cuff ndi mpweya mpaka mulingo wa 220-230 mm Hg.
5. Tsegulani pang'onopang'ono valavu yotulutsira, kuti mpweya uzituluka pang'ono. Mverani mosamala mawu. Nthawi yomwe "agogoda m'makutu" idzafunika kukhazikika, kumbukirani kuchuluka kwake. Uku ndiye kupanikizika kwapamwamba (systolic).
6. Chizindikiro cha kupsinjika kwapansi (diastolic) ndikutha kwa "kugogoda". Iyi ndi nambala yachiwiri.
7. Ngati mukukonzekera kwachiwiri, sinthani mkono wanu kapena mupumule kwa mphindi 5-10.

Momwe mungayesere kupanikizika?

Ngakhale wowunikira kwambiri wamagazi amathandizanso ngati zotsatira zake sizili bwino. Pali malamulo apadera opangira kukakamizidwa:

1. Dziko lakupumula. Muyenera kukhala kwakanthawi (mphindi 5 ndizokwanira) pamalo omwe amayenera kukayezera kuthamanga: patebulo, pa sofa, pa kama. Kupsinjika kumasintha mosalekeza, ndipo ngati mungagone pabedi, kenako ndikukhala patebulo ndikuyezera kuyesererako, zotsatira zake sizikhala zolondola. Panthawi yakukwera, kupanikizika kudasintha.
2. Miyeso 3 imatengedwa, kusintha manja amodzi. Simungatenge muyeso wachiwiri pamkono umodzi: ziwiya zimapanikizika ndipo zimatenga nthawi (mphindi 3-5) kusintha magazi.
3. Ngati tonometer ndiwopanga, ndiye kuti mutu wa phonendoscope uyenera kugwiritsidwa ntchito molondola. Pamwamba pa chopondera, malo omwe amapuma kwambiri. Kukhazikitsa mutu wa phonendoscope kumakhudza kwambiri kumveka kwa mawu a mtima, makamaka ngati ali ogontha.
4. Chipangizocho chikuyenera kukhala pamlingo wa mulu, ndipo dzanja - mozungulira.

Zambiri zimatengera kuwonekera. Iyenera kugawa bwino mpweya mu chipinda cha mabayo ndikukhala ndi kutalika koyenera. Zosiyanasiyana za cuff zimawonetsedwa ndi zochepa komanso zazifupi paphewa. Kutalika kocheperako ndi kofanana ndi kutalika kwa chipinda chake cha chibayo.

Ngati cuff ndi yayitali kwambiri, chipinda chamadzimadzi chimadzadziunjikira, ndikufinya dzanja kwambiri. Cuff yemwe ndi wamfupi kwambiri sangapangitse kupanikizika kokwanira.

Mndandanda wazizindikiro

Munthu aliyense, kutengera zinthu zambiri, amakulitsa mphamvu yake yogwira ntchito, ndi munthu payekha. Malire apamwamba a chizolowezi ndi 135/85 mm RT. Art. Malire otsika ndi 95/55 mm Hg. Art.

Kupanikizika kumadalira kwambiri zaka, jenda, kutalika, kulemera, matenda ndi mankhwala.

Zomwe zimachitika popanga zida zoyezera kukakamiza

Zigawo zazikulu zamamita zamagetsi komanso maotomatiki othamanga:

• kupanikizika kotchinga ndi sikelo / pakompyuta yamagetsi,
• cuff pa phewa (chipinda cha mpweya mu nsalu "chovala" chokhala ndi Velcro),
• babu la mphira ndi vala yosintha magazi kuti ikakamize mzimu kulowa,
• phonendoscope
• machubu a mphira kuti azipeza mpweya.

Zigawo zazikulu zamamita zamagazi othamanga:

• gawo lamagetsi lamagetsi,
• cuff phewa kapena mkono (chipinda cha mpweya chovala mu nsalu "chovala" chokhala ndi Velcro),
• machubu a mphira
• Mabatani a mtundu wa AA (mtundu wa chala) kapena mtundu wa AAA (pinky);
• adapter network.

Zipangizo zamakina

Chipangizo choyesera choyezera kuthamanga kwa magazi chimanyamula dzinali, chifukwa limakupatsani mwayi woyezera kuthamanga, mosasamala kanthu za zinthu zakunja. Chachikulu ndikuti munthuyu adatha kupukuta cuff ndikuwunika zotsatira zake. Chida ichi chimakhala ndi cuff yoyezera kuthamanga kwa magazi, manometer (kuyeza kuthamanga kwa mpweya mkati mwa cuff) ndi peyala.

Pulogalamu yamakina yopangira kuchuluka kwa kuthamanga kwa magazi (komwe kumatchulidwanso kuti sphygmomanometer) imagwiritsidwa ntchito motere:

1. Zovala zoyezera kuthamanga kwa magazi zimayikidwa mkono, zokwera kwambiri mpaka paphewa ndikukhazikika ndi Velcro wapadera.
2. Phonendoscope imayikidwa m'makutu, yofanana ndi chida chochiritsira chomwe chimapangidwa kuti chimvere pachifuwa. Kumapeto kwake kumayikidwa mkati mwa bondo lamkuwa ndikuwapanikiza pang'ono.
3. Kenako, cuff yamkono imakhuthala pogwiritsa ntchito peyala. Pambuyo pokhapokha pali zotsatira ndi kuwunika kwa kuthamanga kwa magazi komwe kwatchulidwa.

Kuti mudziwe zotsatira zenizeni zamitsempha, muyenera kuyika chopondera patsogolo panu, ndikupukuta peyalayo mpaka zimachitika kuti mumve mawu a phonendoscope. Kenako muyenera kupeza gudumu laling'ono pa peyala ndikuyikaza. Zotsatira zake, cuff ya muyeso imayamba kuchepa, ndipo munthuyo adzafunika kumvetsera mwatcheru phonendoscope.

Pakadali pano pomwe chipangizo choyezera kuthamanga kwa magazi chikuyamba kukoka kwambiri m'makutu - chikuwonetsa zotsatira za zisonyezo za systolic, ndipo pazomwe zimakhazikika - imayankhula za diastolic.

Mwambiri, ichi ndi chipangizo chodziwika bwino chopondera, koma chimafunikira maluso apadera komanso chidziwitso chomwe si wodwala aliyense amene ali nacho. Zojambula zoterezi zimagwiritsidwa ntchito nthawi zonse m'makliniki.

Pazaka zopuma pantchito, kuyeza kuthamanga kwa magazi ndimakina ogwiritsa ntchito (popanda thandizo lakunja) kumakhala kovuta kwambiri. Ngati munthu sanakumanepo ndi zida zoterezi, osamvetsetsa tanthauzo la ntchito yake, ndiye kuti sangakhale ndi mwayi wodziwa momwe angawerengere pawokha zidziwitso kuchokera ku manometer atakalamba. Komanso mukakalamba, kumva kumayamba kufooka - ichi ndi chifukwa chachiwiri chomwe njira yofufuzira iyi imafikiranso kwa anthu okalamba.

Zotsatira zake, kuti nthawi zonse muzitha kuyeza kukakamiza munthu wachikulire wokhala ndi tonometer yamagetsi, thandizo la achibale limafunikira. Ngati penshoni alibe wolowa m'malo kapena samamuchezera, tikulimbikitsidwa kugwiritsa ntchito zida zina zotsogola.

Mercury mawotchi othandizira magazi

Palinso paziwonetsero wamagazi omwe amayesa kuthamanga kwa magazi ndi mercury. M'malo mwa manometer, imakhala ndi chophimba cha mercury, chomwe chimayeza kukakamiza kwa munthu (werengani zotsatira). Popeza maonekedwe a zida zopanikizika bwino, mita iyi siyabwino kwambiri kugwiritsa ntchito, chifukwa sangathe kuyendetsa.

M'malo mwake, magetsi oponderezedwa ndi dzanja (awa la mercury tonometer) amakhalanso ndi cuffs. Imagwira ntchito mofananamo ndi makina amakono a sphygmomanometer, koma kuti agwiritsidwe ntchito munthu adzafunika kukhala patebulo ndikuyang'ana sensor ya mercury. Mukamayang'ana zotsatira zake, mzere wa mercury uzikhala patsogolo pa maso, chifukwa kuwerenga zomwe zalembedwazo sikusokoneza wodwala.

Zida zokha

Semi-automatic magazi owonera ndi chida chosavuta chomwe chimakupatsani mwayi woyezera kupanikizika kwa munthu aliyense, mosasamala kanthu za maphunziro ndi kukula kwa malingaliro. Zida zamagetsi zokha zimagulitsidwa muma pharmacies pamtengo wokwanira. Kuti mugwiritse ntchito gawoli, muyenera:

1. Kuti muveke ma cuffs oyesa, okwera pang'ono kuposa nsonga (pafupi ndi phewa), konzani.
2. Kenako dinani batani pazida.
3. Lowetsani ma cuffs kuti muyeze kuthamanga kwa mpweya pamanja pogwiritsa ntchito babu.

Zotsatira zake, kuyeza kupsinjika kwa munthu kumakhala kosavuta, chifukwa kuthamanga kwa magazi komwe kumakhala kodzilamulira kumatsitsa kuzungulira kwawoko ndikuwonetsa zotsatira zomalizidwa.

Choipa cha polojekiti yamagaziyi ndikufunika kugwiritsa ntchito mabatire kapena kulumikizana ndi mains (kutengera wopanga yemwe mumasankha komanso mtundu wa tonometer). Mabatire amafunikira ndalama zochulukirapo, koma mwanjira ina chipangizocho sichingagwire ntchito, ndiye kuti magetsi amtundu wamtunduwu amakhala okwera mtengo kuti agwiritse ntchito. Pogula tonometer yomwe imafunikira kulumikizana kwa intaneti, kuyeza kukakamiza mwa munthu kunja kwa nyumba sizingatheke.

Komabe, zida zina zoyezera kuthamanga kwa magazi zimakhala ndi adapter yapadera pa tonometer, yomwe imakulolani kuti musinthe mphamvu kuchokera ku batri kupita ku mains, mosinthana.

Chifukwa cha chipangizochi, mutha kuyeza kuthamanga kulikonse.

Zida zamagetsi

Chida chokha chokha chomwe chimayeza kuthamanga kwa magazi mwa anthu ndizosavuta kugwiritsa ntchito, kotero ngakhale mwana amatha kuchigwiritsa ntchito. Kumaliza ndi tonometer iyi ndi malangizo ofotokozera momwe mungadziwire kuthamanga kwa magazi.Komanso, pazowunikira zina zamagazi pali adapter yosintha zakudya ndi tebulo lapadera lomwe limakuuzani momwe mungadziwire ngati magetsi am'thupi atisiya mulibwinobwino.

Ntchito zoyesa za chipangizochi zimathandizira kuthekera kwa zida zamagetsi, ndiye zolondola kwambiri komanso zopambana pakati pa zida zonse zofananira. Chipangizochi chili ndi ma cuffs oyesa kuthamanga kwa magazi komanso polojekiti yamagetsi yomwe imakupatsani mwayi woyezera kupanikizika ndikukanikiza batani limodzi lokha.

Mitundu yamtunduwu wamtunduwu imagawidwa m'mitundu ingapo:

Zilibe kanthu kuti kupanikizika kumayesedwa bwanji, monga mtundu wa chipangizo chokha. Cholinga cha aliyense wa iwo chimamveka chimodzimodzi - kupereka zotsatira zolondola kwambiri. Makina aliwonse az zamagetsi omwe amadzipanikiza pawokha amapukuta pawokha kuti aziyesa kuthamanga kwa mpweya. Ili pamapewa, chala kapena dzanja (kutengera kusankha kwa zida zamankhwala zomwe zimapangidwa kuti zikonze ma intravascular parameter). Kenako, chipangizocho chimatsitsa cuff, ndikuwonetsa wodwala zotsatira zake.

Iliyonse mwabizinesi ili ndi adapta yolumikizira mains, chifukwa chake, pogula zotsalira izi, mutha kuzigwiritsa ntchito paulendo, kunyumba, komanso kumalo ena.

Beard tonometer

Ndi matenda oopsa komanso oopsa, matenda ena a mtima, omwe amadziwika ndi kuwonjezeka kwa kukakamizidwa kwa mitsempha, ndibwino kugwiritsa ntchito zida zoyezera kupanikizika kwamapewa. Pankhaniyi, mitsempha yayikulu imayezedwa, yomwe imakulolani kuti mupeze zotsatira zolondola pakati pa mitundu yonse ya mita.

Carpal tonometer

Chida choyezera kupanikizika m'chiwuno chimagwiritsidwa ntchito nthawi zambiri kuwongolera mphamvu ya mtima wamagetsi pamasewera. Chida chotere cha kukakamiza chimatchedwa chibangiri cha matenda oopsa (kapena hypotension, kutengera zovuta za wodwalayo).

Komanso, mita yopanikizira dzanja imakupatsani mwayi wochita tsiku ndi tsiku kuti muwone momwe minofu imakhalira tsiku lonse (pochita masewera olimbitsa thupi komanso kupuma). Ndikulimbikitsidwa kuwonjezera muyeso wopanikizika ndi bondo tonometer, chifukwa pakhoza kukhala cholakwika pang'ono phunziroli.

Kuti mugwiritse ntchito chibangili pakuyesa kuthamanga, muyenera kuvala cuffs m'chiuno mwanu, sankhani momwe mungafunire ndikudikirira pang'ono pomwe chipangizocho chikuyesa mfundo zamitsempha. Poganiza kuti mita ya mkono yopanikizika ndi yaying'ono komanso yosavuta kugwiritsa ntchito, iwo amayesa kuthamanga kwa magazi mwa anthu omwe ali ndi zochitika zolimbitsa thupi kapena zolimbitsa thupi kwambiri, zomwe zimayambitsa kuwonjezeka kwamkati mwa ziwiya.

Woyang'anira magazi pamagetsi

Oyang'anira kuthamanga kwa magazi amafunikira pang'ono, chifukwa ngakhale muyeso woyamba ndi chipangizochi ungathe kuwonetsa cholakwika chachikulu. Kukakamizidwa kwa munthu kumayesedwa motere, ziwiya zoonda zala zimayesedwa. Zotsatira zake, sipangakhale kuchuluka kokwanira kwamphamvu yamagazi mderalo la kafukufuku, ndipo zotsatira zake zimakhala zolakwika.

Chida chodzipangira kapena chodzipangira chokha pakuyeza kupanikizika m'chiuno, chala kapena phewa imakhala ndi chosinthira cholumikizira magetsi. Komanso, wodwalayo amatha kuyesa payekha kukonzekera ndikuyembekeza kutsimikiza kwa magawo a intravascular, kupeza zotsatira zomalizidwa kale. Uwu ndi mwayi wambiri kugwiritsa ntchito njira zowunika magazi masiku ano.

Malangizo a Intravascular Measurement Technology

Zilibe kanthu kuti mumayetsa zinthu ziti - ndi makina ochita kupanga okha kapena otomatiki, monga chipangizo choyezera kupanikizika kwa anthu chimatchedwa: phewa, chala kapena carpal. Ndikofunikira kuyeza kupsinjika kwa intravascular molondola, mwinanso zida zabwino kwambiri zimawonetsa zotsatira zolakwika.

• Kuyendera kumachitika pachikhodzodzo chopanda kanthu, chifukwa kufunitsitsa kukaona kuchimbudzi kumayambitsa kupsinjika kwa mkati.
• Chilichonse chomwe mungagwiritse ntchito, muyenera kukhala ndi malo okhala. Muyenera kutsamira kumbuyo kwa mpando kuti musawoloke miyendo yanu, koma ayikeni pansi mwamphamvu.
• Zipangizo zoyezera kuthamanga kwa anthu, monga, cuffs, zimayikidwa m'manja kuti zovala zisapangitse kufinya kowonjezereka.

Kuti mudziteteze ku kukula kwa matenda amitsempha yamagazi, muyenera kufunsa katswiri kuti mupeze zomwe zimayambitsa vuto lanu.

Izi zimachepetsa chiwopsezo cha zovuta mu mawonekedwe a vuto la mtima, kugunda kwamtima ndi matenda oopsa. Wodwalayo amayenera kuwunika momwe alili m'mitsempha yake kuti atsimikizire njira yoyenera yochizira ndi kubweretsanso kwamitsempha yamagazi kukhala yabwinobwino.

Momwe mungasankhire tonometer yoyenera

Anthu ambiri ali ndi chidwi ndi nkhaniyi, kupeza tonometer kwa abale awo kapena kugwiritsa ntchito kwawo. Njira yovuta kwambiri yogulira kugula ndi kukaonana ndi dokotala. Adzakuwuzani: momwe mungasankhire chipangizo chokhala ndi zolondola, kapena adzanena momwe amayeza kupanikizika kuchipatala chawo, dzina la chipangizo chopondera munthu amene amagwiritsidwa ntchito poyesa odwala.

Izi zikuthandizani kuti musalakwitse posankha, ndikupeza zotsatira zofanana ndi mayeso olimbitsa thupi.

Koma, ngati simukufuna thandizo kwa ogwira ntchito kuchipatala, muyenera kuyambira pazinthu zotsatirazi:

• Mtundu komanso kutchuka kwa wopanga tonometer amalankhula za mtundu wa katundu. Chida choyezera kupanikizika m'chiuno, phewa, kapena chala chikuyenera kugulidwa kwa opanga omwe ayesedwa kwa nthawi yayitali.
• Sankhani moyenera kukula kwa kuwombera. Makulidwe a chipangizo cha phewa ndi awa: zosakwana 22 cm., Ndipo amafikira masentimita 45. mainchesi. Muyenera kuyeza ma biceps anu pasadakhale, ndikufunsani mankhwala omwe amapanga chipangizo choyezera kuthamanga kwa magazi ndi cuff yoyenera.
• Musanagule, muyenera kuyang'ana zida zoyezera, yesani kuwunika zomwe zili pano zamagetsi. Ngati zilembozo ndizochepa kwambiri kapena zotumbululuka, izi zitha kuwonetsa kuyipa kwa chipangizocho. Mutapeza zoterezi, cheke chofunikira chikufunika. Nthawi yomweyo, zida zoyezera kupanikizika kwa anthu zimatengedwa kuti zikupime, ndipo panthawiyi simudzatha kuyendetsa bwino thanzi lanu ndipo mutha kulola kuukira kwa hypertonic / hypotonic.

Popeza tagula tonometer, mayeso azachipatala amapezeka kwa munthu nthawi iliyonse. Komabe, muyenera kuisamalira mosamala kuti itumikire kwa nthawi yayitali.

Chifukwa chake, mutakumana ndi zovuta zam'mitsempha, ndikofunikira kugula tonometer, ndikuigwiritsa ntchito osachepera 5 patsiku (kupewa zovuta). Kutengera malingaliro omwe ali pamwambawa posankha chida, mutha kugula tonometer yapamwamba kwambiri. Ithandizira kuwongolera mkangano mkati mwa zotengera zaka zambiri.

Zotsatira zotsatirazi zinagwiritsidwa ntchito kukonzekera.

Njira zoyesera

Kuthamanga kwa magazi kumayeza m'njira ziwiri:

• Auscultatory (njira ya Korotkov) - kumvetsera zamkati kudzera pafoni. Njira yake ndi yofanana ndi yazida zamakina.
• Oscillometric - zotsatira zake zimawonetsedwa nthawi yomweyo pazenera la pulogalamu yokha.

Komabe, m'malo onse awiriwa, mfundo yogwiritsira ntchito ma tonometer ndi yomweyo.

Momwe mungapangire kuyesedwa kwa magazi?

Mukamayeza ndi zida zamakina, muyenera kutsatira malangizo:

1. Kuyeza koyambirira kumachitika m'mawa, muyeso wachiwiri kapena wachitatu umachitika masanawa ndi madzulo (kapena madzulo okha), maola 1-2 mutatha kudya ndipo osapitirira ola limodzi mutatha kusuta kapena kumwa khofi.
2. Ndikofunika kuti mutenge miyezo 2-3 ndikuwerengera kuchuluka kwa kuthamanga kwa magazi.
3. Muyeso umachitika molondola kumanja ngati sukugwira ntchito (kumanzere ngati mukudzanja lamanja, komanso kumanja ngati mwakumanzere).
4. Mukamagwiritsa ntchito cuff, m'munsi mwake m'munsi muyenera kukhala 2,5 cm pamwamba pa ulnar fossa. Chubu yoyezera kuchokera ku cuff ili pakatikati pa phewa.
5. Ma stethoscope sayenera kukhudza machubu a tonometer. Iyenera kukhala pamlingo wa nthiti ya 4 kapena mtima.
6. Mpweya umapweteka mwamphamvu (pang'onopang'ono kumabweretsa zowawa).
7. Kulowetsa mpweya kuchokera ku cuff kuyenera kuyenda pang'onopang'ono - 2 mmHg. sekondi iliyonse (pang'onopang'ono kumasulidwa, kukwera bwino kwa muyeso).
8. Muyenera kukhala patebulo, mutatsamira kumbuyo kwa mpando, chingwe chakumaso ndi kutsogolo patebulo pomwe chagona kuti ma cuffs ali pamodzimodzi ndi mzere wamtima.

Mukamayesa kuthamanga kwa magazi ndi chipangizo chodziwikiratu, mukuyenera kutsatanso ndima 1-4 pamalangizo omwe ali pamwambapa:

1. Muyenera kukhala patebulo, mutatsamira kumbuyo kwamipando, kumbuyo ndi kutsogolo patebulo pomwepo kuti cuff ili pamlingo womwewo ndi mzere wamtima.
2. Kenako dinani batani la Star / Stop ndipo chipangizocho chimangotenga kuthamanga kwa magazi, koma panthawiyi simuyenera kuyankhula ndikuyenda.

Cuff kwa ma tonometer ndi kukula kwake

Cuffs polojekiti yothamanga magazi iyenera kukhala yoyenera kwa inu kukula kwake, kulondola kwazizindikiro mwachindunji zimatengera izi (kuyeza kuzungulira kwa mkono pamwamba pa chopondera).

Zida za zida zoyesera "Omron" zimaphatikizapo ma cuffs osiyanasiyana, chifukwa chake ndikofunikira kufotokozera kukula ndi kuthekera kulumikiza ma cuffs owonjezera.

Kuphatikizidwa kwa makina Ma cuffs otsatirawa amaperekedwa ku zida:

• Anakulitsa nayiloni popanda kusunga mphete kuti izungulira 24-25 cm.
• Nylon yokhala ndi mphete yokhala ndi chitsulo chamapewa 24 cm.
• Nylon yokhala ndi mphete yosungiramo zitsulo kuchokera m'mapewa kuchokera pa 22-38 cm.
• Kukula popanda bulaketi lokhala ndi kupendekera kwamapewa kwa 22-39 cm.

Makina tonometer (kupatula mtundu wa CS Medics CS 107) amatha kulumikiza ma cuffs asanu owonjezera:

• Na. 1, lembani H (9-14 cm).
• No. 2, lembani D (13-22 cm).
• Medica No. 3, mtundu P (18-27 cm).
• Medica No. 4, mtundu S (24-42 cm).
• Medica No. 5, mtundu B (34-50 cm).

Malizitsani ku semi-automatic Omron Fan-Shaped (22-32 cm) owoneka ngati ma cuffs amaperekedwa. Komabe, ndizotheka kulumikiza ma cuffs owonjezera pamitundu iyi, yomwe imagulidwa mosiyana:

• "Peyala" yaying'ono + yaying'ono (17-22 cm).
• Kutalika kwakukulu mkono (32-42 cm).

Malizitsani ku basi Ma cuffs otsatirawa ndi oyenera pazida:

• Kuphatikiza muyezo CM, kubwereza mawonekedwe a dzanja, kukula kwapakatikati, (22-32 cm).
• Large CL (32-42 cm).
• CS2 ya ana (17-22 cm).
• Universal CW (22-42 cm).
• Cholembera chatsopano cha Omron Intelli Wrap (22-42 cm).
• Kuponderezana, m'badwo watsopano wa Easy Cuff, kubwereza mawonekedwe a dzanja (22-42 cm).

Kuti akatswiri otengera magalimotoHBP-1100, HBP-1300 Ma cuffs awiri akupezeka: Omron GS Cuff M medium compression cuff (22-32cm) ndi Omron GS Cuff L lalikulu compression cuff (32-42cm). Ndikothekanso kugula ma cuffs mumitundu yayitali:

• GS Cuff SS, Ultra yaying'ono (12-18 cm).
• GS Cuff S, yaying'ono (17-22 cm).
• Omron GS Cuff M (22-32 cm).
• GS Cuff XL, yayikulu yowonjezera (42-50 cm).