Jaylene Pruitt yabanye na Dotdash Meredith kuva muri Gicurasi 2019, ubu ni umwanditsi w’ubucuruzi mu kinyamakuru cy’ubuzima, aho yandika ku bicuruzwa by’ubuzima n’ubuzima bwiza.
Anthony Pearson, MD, FACC, ni inzobere mu kuvura indwara z'umutima zinzobere mu bijyanye na echocardiografiya, indwara z'umutima zikumira, hamwe na fibrillation yo mu mubiri.
Turasuzuma twigenga ibicuruzwa na serivisi byasabwe. Turashobora kubona indishyi niba ukanze kumurongo dutanga. Kugira ngo wige byinshi.
Waba ukorana na muganga kugirango ukurikirane kandi ugabanye umuvuduko wamaraso, cyangwa ushaka kumenya umubare wawe, monitor yumuvuduko wamaraso (cyangwa sphygmomanometer) irashobora gutanga uburyo bworoshye bwo gukurikirana ibyo wasomye murugo. Iyerekana rimwe na rimwe ritanga ibitekerezo kubisomwa bidasanzwe cyangwa ibyifuzo byuburyo bwo kubona ibyasomwe neza kuri ecran. Kugirango tumenye neza umuvuduko ukabije wamaraso kugirango ukurikirane imiterere ijyanye numutima nkumuvuduko ukabije wamaraso, twagerageje moderi 10 zo kugena ibintu, bikwiye, byukuri, koroshya imikoreshereze, kwerekana amakuru, hamwe no kugenzurwa nabaganga.
Marie Polemey wahoze ari umuforomo na we wavuwe umuvuduko ukabije w'amaraso mu myaka mike ishize, yavuze ko ukurikije uko umurwayi abibona, kimwe mu bintu byiza umugenzuzi w'amaraso agomba gutanga ari inzira yoroshye yo kubona ibisomwa bisanzwe. Ku wa gatatu. Ati: “Iyo ugiye kwa muganga, ugira ubwoba buke… ku buryo byonyine bishobora kuzamura [gusoma].” Lawrence Gerlis, GMC, MA, MB, MRCP, uvura abarwayi bafite hypertension, yemera ko gusoma mu biro bishobora kuba byinshi. Ati: "Nabonye ko gupima umuvuduko w'amaraso buri gihe bitanga gusoma hejuru".
Abakurikirana bose dusaba ko ari ibitugu, cyane bisa nuburyo abaganga bakoresha. Nubwo abakurikirana intoki nintoki babaho, ni ngombwa kumenya ko ishyirahamwe ryumutima wabanyamerika ridasaba ubu bwoko bwa monitor, usibye abaganga twavuganye. Abagenzuzi b'intugu bafatwa nk'ibikoreshwa mu rugo, kandi abaganga n'abarwayi benshi bemeza ko gukoresha urugo bituma abantu basoma bisanzwe.
Impamvu tuyikunda: Monitor irihuta kandi yoroshye gushiraho kandi itanga ibisubizo byihuse hamwe nibipimo bike, bisanzwe, kandi biri hejuru.
Nyuma yo kwipimisha muri laboratoire, twahisemo Omron Gold Upper Arm nkumugenzuzi mwiza wa GP bitewe na out-of-box yashyizweho kandi yasomwe neza. Yatsinze 5 mubyiciro byacu byose byo hejuru: Hindura, Bikwiye, Kuborohereza Gukoresha, no Kwerekana Data.
Ikizamini cyacu cyerekanye kandi ko kwerekana ari byiza, ariko ntibishobora kuba ibya bose. Bati: "Cuff yayo iroroshye kandi byoroshye kuyishyiraho ubwayo, nubwo bamwe mubakoresha bafite umuvuduko muke bashobora kugira ikibazo cyo kuyihagarika".
Amakuru yerekanwe biroroshye gusoma, hamwe nibipimo byerekana umuvuduko ukabije wamaraso, usanzwe, nuwinshi, niba rero abarwayi batamenyereye ibimenyetso byumuvuduko ukabije wamaraso, barashobora kumenya aho umubare wabo waguye. Nubundi buryo bwiza bwo gukurikirana umuvuduko wamaraso mugihe, kubika 100 wasomye kubakoresha babiri buri umwe.
Ikirango cya Omron nikundwa na muganga. Gerlis na Mysore batandukanya ababikora ibikoresho byizewe kandi byoroshye gukoresha.
Impamvu tuyikunda: Omron 3 itanga ibisomwa byihuse kandi byukuri (n'umutima utera) bitagoranye cyane.
Gukurikirana ubuzima bwumutima murugo ntibigomba kuba bihenze. Omron 3 Series Upper Arm Blood Pressure Monitor ifite ibintu bimwe na moderi zihenze cyane, harimo kubika byinshi byo gusoma no kwerekana byoroshye gusoma.
Ikizamini cyacu cyise Omron 3 Series "isuku" kuko yerekana ingingo eshatu gusa kuri ecran: umuvuduko wamaraso wa systolique na diastolique hamwe n umuvuduko wumutima. Itanga amanota 5 muburyo bukwiye, kuyitunganya, no koroshya imikoreshereze, bituma ihitamo neza gukoreshwa murugo niba ushaka ibyumba bitagira inzogera nifirimbi.
Mugihe abapimisha bacu bavuze ko ubu buryo butunganijwe kubyo ukeneye kugenzura umuvuduko wamaraso, "ntabwo ari byiza kubakeneye gukurikirana ibyasomwe mugihe cyangwa bateganya gukurikirana no kubika abantu benshi basoma" bitewe numubare wabyo wasomye. ntarengwa 14.
Impamvu tuyikunda: Iyi monitor ifite cuff yashyizwe hamwe na porogaramu ihuye nogukoresha byoroshye no kubika ububiko.
Birakwiye ko tumenya: Igikoresho ntikirimo ikibazo cyo gutwara, uwapimishije yavuze ko byorohereza ububiko.
Kimwe mubintu dukunda kubyerekeranye na Welch Allyn Urugo 1700 rukurikirana ni cuff. Biroroshye kwambara udafashijwe kandi ubona 4.5 kuri 5 kugirango bikwiranye. Abapimisha bacu nabo bakunze ko cuff yarekuye ako kanya nyuma yo gupimwa aho guhinduka buhoro buhoro.
Dukunda kandi porogaramu yoroshye-gukoresha-ifata ibyasomwe ako kanya kandi ikemerera abakoresha kujyana amakuru nabo kwa muganga cyangwa aho bashobora kuyakenera. Igikoresho kandi kibika ibyasomwe bigera kuri 99 niba udashaka gukoresha porogaramu.
Niba udashaka gukoresha porogaramu ukaba ushaka kujyana na moniteur, nyamuneka menya ko idashyizwemo ikibazo cyo gutwara, bitandukanye na bimwe mubindi byifuzo byacu.
A&D Premier Talking Blood Pressure Monitor itanga ikintu cyihariye mumahitamo twagerageje: irasoma ibisubizo kuri wewe. Mugihe ubu buryo ari inyongera nini kubantu bafite ubumuga bwo kutabona, Marie Polemay agereranya kandi igikoresho cyo kumva ko ari kwa muganga kubera ijwi ryacyo ryinshi kandi ryumvikana.
Nubwo Paulemey afite uburambe nkumuforomo nubumenyi bukenewe kugirango yumve ibisubizo bye, yizera ko gusoma mu magambo indangagaciro zumuvuduko wamaraso bishobora kuba byoroshye kubyumva kubadafite uburambe mubuvuzi. Yasanze ibyasomwe mu magambo ya monitor ya A&D Premier monitor yumuvuduko wamaraso bisa nk '"ibyo bumvise] kwa muganga."
Ihitamo nibyiza kubatangiye, hamwe nuburyo buke, amabwiriza asobanutse kandi byoroshye-gushiraho cuff. Abapimisha bacu kandi bakunze ko ubuyobozi burimo bwasobanuye uburyo bwo gusobanura umubare wamaraso.
Birakwiye ko tumenya: Igikoresho gishobora gutanga ibimenyetso bidafite akamaro byo gusoma hejuru, bishobora gutera guhangayika no guhangayika bitari ngombwa.
Kimwe nibindi bikoresho bya Omron dusaba, abapimisha basanze iki gice cyoroshye gushiraho no gukoresha. Hamwe nintambwe imwe - shyiramo cuff muri monitor - urashobora gutangira gupima umuvuduko wamaraso hafi ako kanya.
Nkesha porogaramu ye, abapimisha nabo basanze byoroshye kandi buri mukoresha arashobora kugira umwirondoro we hamwe nibisomwa bitagira imipaka kurutoki.
Mugihe igikoresho kizerekana ibyasomwe hejuru cyane, niba bitari hejuru yumuvuduko ukabije wamaraso, abapimisha bacu bumvise ko ibyo bisobanuro ari byiza gusigara mubushishozi bwa muganga. Abapimisha bacu basomwe cyane mu buryo butunguranye maze bagisha inama Huma Sheikh, MD wayoboye ikizamini, basanga gusoma umuvuduko ukabije w'amaraso atari byo, bishobora gutera impungenge. Ikizamini cyacu cyagize kiti: "Ibi ntabwo ari ukuri rwose kandi birashobora gutuma abarwayi bahangayikishwa no gusoma ko ari bibi."
Twahisemo Microlife Reba BP Murugo kugirango twerekane neza amakuru, tubikesha ibipimo byerekana kuri ecran bishobora gukora byose kuva kwerekana igihe amakuru abitswe murwibutso kugeza kugufasha kubona ibyasomwe neza, kimwe nikimenyetso cyo kuruhuka no kureba . erekana niba urenze igihe gisanzwe cyapimwe.
Akabuto ka "M" iguha uburyo bwo kugera kubipimo byabitswe mbere, kandi buto yimbaraga irazimya byoroshye.
Turakunda kandi ko igikoresho gifite uburyo bwo gusuzuma bukurikirana umuvuduko wamaraso mugihe cyiminsi irindwi niba byateganijwe na muganga wawe, cyangwa uburyo "busanzwe" bwo gukurikirana bisanzwe. Monitor irashobora kandi gukurikirana fibrillation ya atiri muburyo bwo gusuzuma no muburyo busanzwe, niba ibimenyetso bya fibrillation byagaragaye mubisomwa byose bikurikirana buri munsi, icyerekezo cya "Frib" kizerekanwa kuri ecran.
Mugihe ushobora kubona amakuru menshi mubyerekanwe nigikoresho cyawe, amashusho ntabwo buri gihe ari intiti iyo urebye hanyuma ugafata bimwe mubimenyereye.
Itsinda ry'abaganga ryapimishije monitor 10 z'umuvuduko w'amaraso uhereye ku rutonde rw'ibikoresho byapimwe muri laboratoire yacu. Ikizamini gitangiye, Huma Sheikh, MD, yapimye umuvuduko w’amaraso hamwe n’ikurikiranabikorwa ry’umuvuduko w’amaraso wo mu bitaro, abigereranya na monitor y’umuvuduko wamaraso kugirango ibe yuzuye kandi ihamye.
Mugihe cyo kwipimisha, abapimisha bacu babonye uburyo bworoshye kandi bworoshye cuff ihuye namaboko yacu. Twasuzumye kandi buri gikoresho kuburyo cyerekana neza ibisubizo, uburyo byoroshye kubona ibisubizo byabitswe (kandi niba bishobora kubika ibipimo kubakoresha benshi), nuburyo monite ishobora kwerekanwa.
Ikizamini cyamaze amasaha umunani kandi abipimisha bakurikije protocole basabwe kugirango basome neza, harimo iminota 30 yihuta niminota 10 mbere yo gupima. Abapimisha bafashe ibyasomwe bibiri kuri buri kuboko.
Kugirango upime neza, irinde ibiryo bishobora kongera umuvuduko wamaraso, nka cafine, itabi, na siporo, muminota 30 mbere yo gupima umuvuduko wamaraso. Ishyirahamwe ry’abaganga bo muri Amerika rirasaba kandi kubanza kujya mu bwiherero, ibyo bikaba byerekana ko uruhago rwuzuye rushobora kuzamura gusoma kwawe kuri 15 mmHg.
Ugomba kwicara inyuma yawe ushyigikiwe kandi udafite ubushobozi bwo gutembera kwamaraso nkamaguru. Amaboko yawe nayo agomba kuzamurwa kurwego rwumutima wawe kugirango apime neza. Urashobora kandi gufata ibipimo bibiri cyangwa bitatu kumurongo kugirango umenye neza ko byose ari bimwe.
Muganga Gerlis arasaba ko nyuma yo kugura monitor yumuvuduko wamaraso, baza inama kubashinzwe ubuzima kugirango umenye neza ko cuff ihagaze neza kandi itanga ibisomwa neza. Navia Mysore, MD, umuganga w’ibanze n’umuyobozi w’ubuvuzi wa One Medical i New York, na we arasaba ko wajyana monitori na muganga wawe rimwe cyangwa kabiri mu mwaka kugira ngo umenye neza ko ikomeje gupima umuvuduko w’amaraso neza. kandi irasaba kuyisimbuza. buri myaka itanu.
Ingano ya cuff ikwiye ningirakamaro kugirango ubone ibipimo nyabyo; cuff irekuye cyane cyangwa ifatanye cyane kubiganza bizavamo gusoma nabi. Kugirango upime ubunini bwa cuff, ugomba gupima umuzenguruko wigice cyo hagati cyukuboko hejuru, hafi igice hagati yinkokora nukuboko hejuru. Ukurikije Target: BP, uburebure bwa cuff buzengurutse ukuboko bugomba kuba hafi 80 ku ijana byo gupima ibitugu hagati. Kurugero, niba ukuboko kwawe kuzengurutse ari cm 40, ubunini bwa cuff ni cm 32. Ubusanzwe ibifaru biza mubunini butandukanye.
Ikurikiranabikorwa ryumuvuduko wamaraso ryerekana imibare itatu: systolike, diastolique, n umuvuduko wumutima. Gusoma umuvuduko wamaraso byerekanwe nkimibare ibiri: systolique na diastolique. Umuvuduko wamaraso wa sisitemu (umubare munini, mubisanzwe hejuru ya monitor) urakubwira umuvuduko amaraso yawe ashyira kurukuta rwimitsi yawe hamwe na buri mutima. Umuvuduko wamaraso wa diastolique - umubare uri hepfo - urakubwira umuvuduko amaraso yawe ashyira kurukuta rwimitsi yawe mugihe uruhutse hagati yo gukubitwa.
Mugihe umuganga wawe ashobora gutanga amakuru menshi kubyo ugomba kwitega, Ishyirahamwe ryumutima ryabanyamerika rifite amikoro kurwego rusanzwe, hejuru, na hypertension umuvuduko wamaraso. Umuvuduko ukabije wamaraso upimwa munsi ya 120/90 mmHg. no hejuru ya 90/60 mm Hg.
Hariho ubwoko butatu bwingenzi bukurikirana umuvuduko wamaraso: ku rutugu, ku rutoki no ku kuboko. Ishyirahamwe ry’umutima w’abanyamerika rirasaba gusa kugenzura umuvuduko wamaraso wo hejuru kuko kugenzura urutoki nintoki ntibifatwa nkukuri cyangwa ukuri. Dr Gerlis arabyemera, avuga ko abakurikirana intoki “batizewe mu bunararibonye bwanjye.”
Ubushakashatsi bwakozwe mu mwaka wa 2020 bwakozwe n'abagenzuzi b'intoki bwerekanye ko 93 ku ijana by'abantu batsinze porotokoro yo kugenzura umuvuduko w'amaraso kandi bari 0.5 mmHg gusa. systolike na 0.2 mm Hg. umuvuduko wamaraso wa diastolique ugereranije na monitor isanzwe yumuvuduko wamaraso. Mugihe abakurikiranira hafi intoki bagenda barushaho kuba impamo, ikibazo nabo ni uko gushyira hamwe no gushiraho ari ngombwa kuruta monitor-ibitugu byashizweho kugirango bisomwe neza. Ibi byongera amahirwe yo gukoresha nabi cyangwa gukoresha no gupima nabi.
Mu gihe ikoreshwa ry’intoki ahanini ryaciwe intege, Ishyirahamwe ry’abaganga ry’Abanyamerika ryatangaje umwaka ushize ko ibikoresho by’intoki bizemezwa vuba kuri validatebp.org ku barwayi badashobora gukoresha ukuboko kwabo hejuru kugira ngo bakurikirane umuvuduko w’amaraso; urutonde ubu rurimo ibikoresho bine byamaboko. hanyuma werekane cuff yatoranijwe kurutugu. Igihe gikurikira tuzagerageza gukurikirana umuvuduko wamaraso, tuzongeramo ibikoresho byemewe byapimwe kubiganza byawe.
Ikurikiranwa ryumuvuduko wamaraso rigufasha kubona umuvuduko wumutima wawe mugihe ufata umuvuduko wamaraso. Bimwe mubikurikirana umuvuduko wamaraso, nka Microlife Watch BP Home, nabyo bitanga ibimenyetso byumutima bidasanzwe.
Zimwe muri moderi za Omron twapimishije zifite ibyuma bikurikirana umuvuduko wamaraso. Ibi bipimo bizatanga ibitekerezo kumuvuduko ukabije wamaraso, usanzwe kandi mwinshi. Mugihe abipimisha bamwe bakunze ibiranga, abandi batekerezaga ko bishobora gutera abarwayi impungenge zidakenewe kandi bigomba gusobanurwa nabashinzwe ubuzima.
Abakurikirana umuvuduko wamaraso benshi kandi bahuza na porogaramu zijyanye no gutanga amakuru menshi. Hamwe na kanda nkeya kuri porogaramu, monitor yumuvuduko wamaraso wubwenge yohereza ibisubizo kwa muganga. Abakurikirana ubwenge barashobora kandi gutanga amakuru menshi kubyerekeye gusoma kwawe, harimo ibisobanuro birambuye, harimo impuzandengo mugihe. Bamwe mubakurikirana ubwenge nabo batanga ibitekerezo bya ECG numutima.
Urashobora kandi guhura na porogaramu zivuga gupima umuvuduko wamaraso wenyine; Sudeep Singh, MD, Apprize Medical agira ati: “Porogaramu za telefoni zivuga ko zipima umuvuduko w'amaraso ntabwo ari zo kandi ntizigomba gukoreshwa.”
Usibye ibyo twatoranije hejuru, twagerageje gukurikirana imiyoboro y'amaraso ikurikira, ariko amaherezo yaje kugabanuka kubintu nko koroshya imikoreshereze, kwerekana amakuru, no kuyitunganya.
Abakurikirana umuvuduko wamaraso bafatwa nkukuri kandi abaganga benshi babasaba abarwayi babo gukurikirana murugo. Muganga Mysore atanga igitekerezo gikurikira: “Niba gusoma systolike biri mu ngingo icumi zo gusoma mu biro, imashini yawe ifatwa nk'ukuri.”
Abaganga benshi twaganiriye nabo basaba ko abarwayi bakoresha urubuga rwa validatebp.org, rukerekana urutonde rwibikoresho byose byujuje ibyangombwa by’ibikoresho by’ubuvuzi by’Abanyamerika (VDL); ibikoresho byose dusaba hano byujuje ibisabwa.
Igihe cyo kohereza: Werurwe-24-2023