Capnograph bụ ngwaọrụ ahụike dị oke egwu nke a na-ejikarị enyocha ahụike iku ume. Ọ na-atụ mkpokọta CO₂ n'ime ume iku ume ma a na-akpọkarị ya dị ka iheend-tidal CO₂ (EtCO2) nyochaa.Ngwaọrụ a na-enye nha ozugbo yana ihe ngosi ihe ngosi ebili mmiri (capnograms), na-enye nghọta bara uru gbasara ọnọdụ ikuku ikuku nke onye ọrịa.

Kedu ka Capnography si arụ ọrụ?

Nke a bụ ka o si arụ ọrụ n'ime ahụ: oxygen na-abanye n'ọbara site na ngụgụ ma na-akwado usoro metabolic nke ahụ. Dị ka ihe na-akpata metabolism, a na-emepụta carbon dioxide, ebughachi ya na ngụgụ, wee kupụ ya. Ịtụ ọnụ ọgụgụ CO₂ n'ikuku ikuku na-enye ozi dị mkpa gbasara ọrụ iku ume na metabolic nke onye ọrịa.

Kedu mgbe Capnograph Measures CO2?

Ihe nleba anya capnograph na-atụ ume ikuru ume site n'igosipụta obere nrụgide CO₂ n'ụdị ebili mmiri na grid x na y-axis. Ọ na-egosiputa ma ụdị ebili mmiri na nha ọnụọgụ. Ọgụgụ ngwụcha ngwụcha nke CO₂ (EtCO₂) na-adịkarị site na 30 ruo 40 mmHg. Ọ bụrụ na onye ọrịa EtCO2dara n'okpuru 30 mmHg, ọ nwere ike igosi okwu ndị dị ka endotracheal tube malfunction ma ọ bụ nsogbu ahụike ndị ọzọ na-emetụta oriri oxygen.

Ụzọ abụọ bụ isi maka nleba gas ekupụrụ

Nleba anya EtCO2 Mainstream

N'ime usoro a, a na-edobe ihe nkwụnye ikuku nke nwere ọnụ ụlọ nlele agbakwunyere ozugbo na ikuku n'etiti sekit iku ume na tube endotracheal.

Sidestream EtCO2Nlekota

Ihe mmetụta ahụ dị n'ime mpaghara isi, pụọ na ikuku. Otu obere mgbapụta na-achọsi ike na-ekpochapụ ihe nlele gas sitere na onye ọrịa site n'ahịrị nlele ruo na ngalaba isi. Enwere ike ijikọ ahịrị nlele ahụ na T-ibe na tube endotracheal, ihe nkpuchi mkpuchi anesthesia, ma ọ bụ ozugbo na oghere imi site na cannula imi nwere ihe nkwụnye imi.

Enwekwara ụdị ihe nleba anya abụọ.

Otu bụ obere EtCO₂ capnograph raara onwe ya nye, nke na-elekwasị anya naanị na nha a.

Nke ọzọ bụ modul EtCO₂ agbakwunyere n'ime ihe nleba anya multiparameter, nke nwere ike tụọ ọtụtụ paramita ndị ọrịa n'otu oge. Ihe nleba anya n'akụkụ ihe ndina, akụrụngwa ime ụlọ ọrụ, yana ndị defibrillators EMS na-agụnyekarị ike nha EtCO₂.

Kedubụ Ngwa Clinical nke Capnograph?

• Nzaghachi ihe mberede: Mgbe onye ọrịa na-enwe njide iku ume ma ọ bụ njide obi, nlekota EtCO2 na-enyere ndị ọrụ ahụike aka ịchọpụta ọnọdụ iku ume nke onye ọrịa ngwa ngwa.
• Nleba anya na-aga n'ihu: Maka ndị ọrịa siri ike nọ n'ihe ize ndụ nke mmebi iku ume iku ume na mberede, nlekota njedebe CO₂ na-aga n'ihu na-enye data ozugbo iji chọpụta ma meghachi omume na mgbanwe ngwa ngwa.
• Usoro ịhịa aka n'ahụ: Ma ọ dị obere ma ọ bụ nnukwu ịwa ahụ, mgbe a na-edozi onye ọrịa ahụ, nlekota EtCO2 na-eme ka onye ọrịa ahụ na-edobe ikuku zuru oke n'oge usoro ahụ.
• Ntụle Ọrụ Pulmonary: Maka ndị ọrịa nwere ọnọdụ na-adịghị ala ala dị ka apnea na-ehi ụra na ọrịa na-adịghị ala ala obstructive pulmonary disease (COPD), capnographs na-enyere aka n'ịtụle ọrụ ngụgụ ha.

Kedu ihe kpatara eji were nlekota EtCO₂ dị ka ọkọlọtọ nlekọta?

A na-amata Capnography ugbu a dị ka ụkpụrụ nlekọta kachasị mma n'ọtụtụ ntọala ụlọ ọgwụ. Ndị otu ahụike na-ahụ maka ahụike na ndị na-ahụ maka njikwa-dị ka American Heart Association (AHA) na American Academy of Pediatrics (AAP) ewepụtala ihe onyonyo n'ime ntụzịaka na ndụmọdụ ụlọ ọgwụ ha. N'ọtụtụ ọnọdụ, a na-ewere ya dị ka akụkụ dị mkpa nke nlekota onye ọrịa na nlekọta iku ume.

EtCO2 Monitoring vs SpO2nlekota oru

Tụnyere pulse oximetry (SpO₂),EtCO2nlekota oru na-enye abamuru di iche iche. N'ihi na EtCO₂ na-enye nghọta ozugbo banyere ikuku ikuku alveolar, ọ na-anabata ngwa ngwa maka mgbanwe ọnọdụ iku ume. N'ihe gbasara nbibi iku ume, ọkwa EtCO₂ na-agbanwe ihe fọrọ nke nta ka ọ bụrụ ozugbo, ebe ọdịda na SpO₂ nwere ike ịda site na ọtụtụ sekọnd ruo nkeji. Nleba anya EtCO2 na-aga n'ihu na-enyere ndị ụlọ ọgwụ aka ịchọpụta mmebi iku ume na mbụ, na-enye oge ndu dị oke mkpa maka itinye aka n'oge tupu saturation oxygen agbada.

EtCO2 nlekota oru

Nyocha EtCO2 na-enye nyocha ozugbo nke mgbanwe ikuku iku ume na ikuku ikuku alveolar. Ọkwa EtCO2 na-anabata ngwa ngwa maka mmebi akụkụ iku ume na ikuku oxygen agbakwunyere anaghị emetụta ya nke ukwuu. Dị ka usoro nleba anya na-adịghị emerụ ahụ, EtCO2 na-arụ ọrụ n'ọtụtụ ebe na gburugburu ụlọ ọgwụ dị iche iche.

Nlebanya Oximetry Pulse

Pulse oximetry (SpO₂) nlekotana-eji ihe mmetụta mkpịsị aka na-adịghị emerụ ahụ iji tụọ ọkwa saturation oxygen n'ọbara, na-enyere aka ịchọpụta hypoxemia dị irè. Usoro a bụ enyi na enyi na-adabara nke ọma maka nlekota ihe ndina na-aga n'ihu nke ndị ọrịa na-adịghị ahụkebe.

Otu esi ahọrọ ngwa CO₂ ngwa na ihe oriri?

North America na-achịkwa ahịa ugbu a, na-aza ihe dị ka 40% nke ego ha nwetara n'ụwa, ebe a na-atụ anya na mpaghara Eshia-Pacific ga-edebanye aha ngwa ngwa ngwa ngwa, yana amụma CAGR nke 8.3% n'otu oge ahụ. Na-eduga zuru ụwa ọnụnyochaa onye ọrịandị na-emepụta ihe-dị kaPhilips (Ntugharị iku ume), Medtronic (Orion), Masimo, na Mindray-na-aga n'ihu na-emepụta ihe na nkà na ụzụ EtCO2 iji gboo mkpa na-agbanwe agbanwe nke anesthesia, nlekọta dị egwu, na ọgwụ mberede.

Iji mezuo ihe a chọrọ ụlọ ọgwụ ma melite arụmọrụ arụmọrụ maka ndị ọrụ ahụike, MedLinket na-elekwasị anya n'ịzụlite na ịmepụta ihe oriri dị elu, dị ka ahịrị nlele, ihe nkwụnye ụgbọ elu, na ọnyà mmiri. Ụlọ ọrụ ahụ raara onwe ya nye inye ụlọ ọrụ nlekọta ahụike na ngwọta ndị a pụrụ ịdabere na ya maka nlekota nke isi na nke dị n'akụkụ, bụ nke dakọtara na ọtụtụ ụdị ndị na-ahụ maka ndị ọrịa na-eduzi, na-enye aka na mmepe nke mpaghara nlekota iku ume.

Ihe mmetụta eco2 mainstreamnaihe nkwụnye ikukubụ ngwa na ihe eji eme ihe maka nleba anya nke ọma.

Maka nlekota nke sidestream,ịtụle gụnyere, sidestream sensọ, naọnyà mmiri， CO2 Sampling ahịrị, dabere na ntọlite ​​na mkpa ndozi gị.

Usoro ọnyà mmiri
OEM emeputa & Model		Ref Foto		OEM #		Koodu iwu		Nkọwa
Mindray dakọtara (China)
Maka BeneView, iPM, iMEC, PM, MEC-2000 series monitors, PM-9000/7000/6000 series, BeneHeart defibrillator				115-043022-00 (9200-10-10530)		RE-WT001A		Ọnyà mmiri akọrọ, Okenye/Pediatric maka modul oghere oghere, 10pcs / igbe
				115-043023-00 (9200-10-10574)		RE-WT001N		Ọnyà mmiri akọrọ, Neonatal maka modul oghere oghere, 10pcs / igbe
Maka BeneVision, ndị na-enyocha usoro BeneView				115-043024-00 (100-000080-00)		RE-WT002A		Ọnyà mmiri Dryline II, Okenye/Pediatric maka modul otu oghere, 10pcs / igbe
				115-043025-00 (100-000081-00)		RE-WT002N		Ọnyà mmiri Dryline II, Neonatal maka modul otu oghere, 10pcs / igbe
GE dakọtara
GE Solar Sidestream EtCO₂ Module, GE MGA-1100 Mass Spectrometer GE Uru Sistemụ, EtCO₂ Sistemụ nlele				402668-008		CA20-013		Otu onye ọrịa na-eji 0.8 micron Fitter, ọkọlọtọ Luer Lock, 20pcs/igbe
GE Healthcare gventilator, onye nleba anya, igwe anesthesia nwere modul gas E-miniC				8002174		CA20-053		Olu akpa n'ime bụ> 5.5mL, 25pcs/igbe
Drager dakọtara
Drager Babytherm dakọtara 8004/8010 Babylog VN500 ventilashị				6872130		WL-01		Otu onye ọrịa na-eji Waterlock, 10pcs/igbe
Philips dakọtara
Modul dakọtara:Philips - IntelliVue G5				M1657B / 989803110871		CA20-008		Ọnyà mmiri Philips, 15pcs / igbe
Philips dakọtara						CA20-009		Philips mmiri ọnyà Rack
Modul dakọtara:Philips - IntelliVue G7				989803191081		WL-01		Otu onye ọrịa na-eji Waterlock, 10pcs/igbe

ahịrị nlele CO2
Njikọ onye ọrịa	Foto njikọ onye ọrịa	Ngwa ngwa interface	Foto interface akụrụngwa
Luer Plug		Luer nkwụnye
Ahịrị nlele ụdị T		Philips (Respironics) nkwụnye
Ahịrị nlele ụdị L		Medtronic (Oridion) nkwụnye
Ahịrị nlele imi		Masimo plọg
Ahịrị nlele imi/ọnụ		/	/