Capnograph shine na'urar likita mai mahimmanci da ake amfani da ita don tantance lafiyar numfashi. Yana auna ma'auni na CO₂ a cikin numfashin da aka fitar kuma ana kiransa da shi azamanƘarshen-tidal CO₂ (EtCO2) saka idanu.Wannan na'urar tana ba da ma'auni na ainihin-lokaci tare da nunin faifan motsi na hoto (capnograms), yana ba da haske mai mahimmanci game da matsayin majiyyaci.

Ta yaya Capnography ke Aiki?

Ga yadda yake aiki a cikin jiki: iskar oxygen yana shiga cikin jini ta huhu kuma yana tallafawa tsarin rayuwa na jiki. A matsayin abin da ke haifar da metabolism, ana samar da carbon dioxide, a mayar da shi zuwa cikin huhu, sannan a fitar da shi. Auna yawan CO₂ a cikin iskar da aka fitar yana ba da mahimman bayanai game da aikin numfashi na majiyyaci da na rayuwa.

Ta yaya Capnograph Measures CO2?

Mai saka idanu na capnograph yana auna numfashi ta hanyar nuna matsi na CO₂ a cikin sigar igiyar ruwa akan grid x- da y-axis. Yana nuna nau'ikan igiyoyi biyu da ma'aunin lambobi. A al'ada karshen-tidal CO₂ (EtCO₂) karatu yawanci jeri daga 30 zuwa 40 mmHg. Idan mai haƙuri EtCO2ya faɗi ƙasa da 30 mmHg, yana iya nuna al'amura irin su rashin aikin bututun endotracheal ko wasu matsalolin likita waɗanda ke shafar shan iskar oxygen.

Hanyoyi na Farko guda biyu don auna iskar gas da aka fitar

Kulawa da Babban EtCO2

A cikin wannan hanya, ana sanya adaftar hanyar iska tare da haɗaɗɗiyar ɗakin samfurin kai tsaye a cikin hanyar iska tsakanin kewayen numfashi da bututun endotracheal.

Sidestream EtCO2Monitoring

Na'urar firikwensin yana cikin babban naúrar, nesa da hanyar iska. Wani ƙaramin famfo ya ci gaba da neman fitar da samfuran iskar gas daga majiyyaci ta layin samfur zuwa babban sashin. Za a iya haɗa layin samfurin zuwa wani T-yanki a bututun endotracheal, adaftar abin rufe fuska na maganin sa barci, ko kai tsaye zuwa kogon hanci ta hanyar samfurin hanci cannula tare da adaftan hanci.

Hakanan akwai manyan nau'ikan masu saka idanu guda biyu.

Ɗayan šaukuwa ne EtCO₂ capnograph, wanda ke mayar da hankali ga wannan ma'aunin kawai.

Ɗayan shine tsarin EtCO₂ da aka haɗa cikin na'ura mai duba multiparameter, wanda zai iya auna sigogin haƙuri da yawa a lokaci ɗaya. Masu saka idanu akan gado, kayan aikin dakin aiki, da na'urori masu lalata EMS galibi sun haɗa da iyawar ma'aunin EtCO₂.

Menenesu ne Aikace-aikacen Clinical na Capnograph?

• Martanin Gaggawa: Lokacin da majiyyaci ke fuskantar kama numfashi ko kama zuciya, saka idanu na EtCO2 yana taimaka wa ma'aikatan kiwon lafiya da sauri tantance yanayin numfashin mara lafiya.
• Ci gaba da Kulawa: Ga marasa lafiya marasa lafiya da ke cikin haɗari na tabarbarewar numfashi kwatsam, ci gaba da saka idanu na ƙarshe na CO₂ yana ba da bayanan ainihin lokaci don ganowa da amsa canje-canje da sauri.
• Hanyar kwantar da hankali: Ko ƙarami ne ko babban tiyata, lokacin da aka kwantar da majiyyaci, saka idanu na EtCO2 yana tabbatar da cewa mai haƙuri yana kula da isassun iska a duk lokacin aikin.
• Gwajin Aiki na Huhu: Ga marasa lafiya da ke da yanayi na yau da kullun kamar barcin barci da cututtukan cututtuka na huhu (COPD), capnographs suna taimakawa wajen kimanta aikin huhunsu.

Me yasa ake ɗaukar EtCO₂ Sa ido a Matsayin Kulawa?

Capnography yanzu an san shi a matsayin mafi kyawun ma'auni na kulawa a yawancin saitunan asibiti. Ƙungiyoyin kiwon lafiya na jagoranci da ƙungiyoyi masu mulki-irin su Ƙungiyar Zuciya ta Amirka (AHA) da Cibiyar Nazarin Ilimin Harkokin Ilimin Harkokin Ilimin Amirka (AAP) - sun shigar da hotuna a cikin jagororin asibiti da shawarwarin su. A mafi yawan lokuta, ana la'akari da shi wani muhimmin sashi na kulawa da haƙuri da kulawar numfashi.

EtCO2 Kulawa da SpO2Saka idanu

Idan aka kwatanta da bugun jini oximetry (SpO₂),EtCO2saka idanu yana ba da ƙarin fa'idodi daban-daban. Saboda EtCO₂ yana ba da haske na ainihi game da iskar alveolar, yana amsawa da sauri ga canje-canje a yanayin numfashi. A cikin yanayin rashin daidaituwa na numfashi, matakan EtCO₂ suna canzawa kusan nan da nan, yayin da raguwa a cikin SpO₂ na iya raguwa da daƙiƙa da yawa zuwa mintuna. Ci gaba da saka idanu na EtCO2 yana bawa likitocin asibiti damar gano tabarbarewar numfashi a baya, suna ba da lokacin jagora mai mahimmanci don sa baki akan lokaci kafin iskar oxygen ta ragu.

EtCO2 Kulawa

EtCO2 saka idanu yana ba da kimantawa na ainihin lokacin musayar iskar gas da iskar alveolar. Matakan EtCO2 suna amsa da sauri zuwa ga rashin daidaituwa na numfashi kuma ba su da tasiri sosai ta hanyar ƙarin iskar oxygen. A matsayin tsarin sa ido mara lalacewa, EtCO2 ana amfani da shi sosai a wurare daban-daban na asibiti.

Pulse Oximetry Monitoring

Pulse oximetry (SpO₂) saka idanuyana amfani da firikwensin yatsa mara lalacewa don auna matakan jikewar iskar oxygen na jini, yana ba da damar gano hypoxemia mai inganci. Wannan dabarar ta dace da mai amfani kuma ta dace da ci gaba da sa ido kan gadon marasa lafiya marasa lafiya.

Yadda ake zabar CO₂ Na'urorin haɗi da Kayayyakin Amfani?

A halin yanzu Arewacin Amurka shine ke mamaye kasuwa, yana lissafin kusan kashi 40% na kudaden shiga na duniya, yayin da yankin Asiya-Pacific ana tsammanin yin rijistar haɓaka mafi sauri, tare da hasashen CAGR na 8.3% a daidai wannan lokacin. Jagoran duniyamara lafiya dubamasana'anta-kamarPhilips (Respironics), Medtronic (Orion), Masimo, da Mindray-suna ci gaba da haɓakawa a cikin fasahar EtCO2 don saduwa da buƙatun buƙatun maganin sa barci, kulawa mai mahimmanci, da magungunan gaggawa.

Don saduwa da buƙatun asibiti da haɓaka ingantaccen aiki ga ma'aikatan kiwon lafiya, MedLinket yana mai da hankali kan haɓakawa da samar da ingantattun abubuwan amfani, kamar layin samfuri, adaftar hanyar iska, da tarkon ruwa. An sadaukar da kamfanin don samar da wuraren kiwon lafiya tare da amintattun hanyoyin da za a iya amfani da su don duka na yau da kullun da kuma saka idanu na gefe, waɗanda suka dace da yawancin manyan samfuran kula da marasa lafiya, suna ba da gudummawa ga haɓaka filin sa ido na numfashi.

Mainstream eco2 firikwensinkumaAdaftar hanyar iskasune na'urorin haɗi da abubuwan da ake amfani da su na yau da kullun don saka idanu na yau da kullun.

Don saka idanu na gefe,don yin la'akari da haɗawa, na'urori masu auna sigina, datarkon ruwa, CO2 Samfurin layi, ya danganta da saitin ku da bukatun ku.

Jerin Tarkon Ruwa
OEM Manufacturer & Samfura		Ref Hoto		OEM #		Lambar oda		Bayani
Mai jituwa Mindray (China)
Don BeneView, iPM, iMEC, PM, MEC-2000 jerin masu saka idanu, jerin PM-9000/7000/6000, BeneHeart defibrillator				115-043022-00 (9200-10-10530)		RE-WT001A		Tarkon ruwa mai bushewa, Adult/Pediatric for dual-slot module, 10pcs/akwati
				115-043023-00 (9200-10-10574)		RE-WT001N		Dryline ruwa tarkon, Neonatal don dual-slot module, 10pcs/akwati
Don BeneVision, BeneView jerin masu saka idanu				115-043024-00 (100-000080-00)		RE-WT002A		Dryline II tarkon ruwa, Adult/Pediatric don module-slot module, 10pcs/akwati
				115-043025-00 (100-000081-00)		Saukewa: WT002N		Dryline II tarkon ruwa, Neonatal don module-slot module, 10pcs/akwati
Mai jituwa GE
GE Solar Sidestream EtCO₂ ModuleGE MGA-1100 Mass Spectrometer GE Advantage System, EtCO₂ Tsarin Samfuran				402668-008		CA20-013		Mara lafiya guda ɗaya yana amfani da 0.8 micron Fitter, daidaitaccen Luer Lock, 20pcs/akwati
GE Healthcare gventilator, duba, injin sa barci tare da E-miniC gas module				8002174		CA20-053		Girman kwantena na ciki shine> 5.5mL, 25pcs/akwati
Drager mai jituwa
Mai jituwa Drager Babytherm 8004/8010 Babylog VN500 injin iska				6872130		WL-01		Mara lafiya guda ɗaya yana amfani da Waterlock, 10pcs/akwati
Philips masu jituwa
Module mai jituwa:Philips - IntelliVue G5				M1657B / 989803110871		CA20-008		tarkon ruwa na Philips, 15pcs/akwati
Philips masu jituwa						CA20-009		Philips ruwa tarkon Rack
Module mai jituwa:Philips - IntelliVue G7				989803191081		WL-01		Mara lafiya guda ɗaya yana amfani da Waterlock, 10pcs/akwati

Layin Samfurin CO2
Mai haɗa haƙuri	Hoton mai haɗin mara lafiya	Kayan aiki dubawa	Hoton dubawar kayan aiki
Luer Plug		Luer toshe
Layin samfur na nau'in T		Philips (Respironics) toshe
Layin samfurin L-type		Medtronic (Oridion) toshe
Layin samfurin hanci		Masimo toshe
Layin samfurin hanci/Na baka		/	/