Capnograph bụ ngwaọrụ ahụike dị mkpa a na-ejikarị enyocha ahụike iku ume. Ọ na-atụ nha CO₂ dị na iku ume a na-ekupụ, a na-akpọkarị yaihe nlele CO₂ (EtCO2) nke na-akwụsị ebili mmiri.Ngwaọrụ a na-enye nha oge yana ihe ngosi eserese (capnograms), na-enye nghọta bara uru banyere ọnọdụ ikuku nke onye ọrịa.

Kedu ka Capnography si arụ ọrụ?

Lee otu o si arụ ọrụ n'ahụ: oxygen na-abanye n'ọbara site na ngụgụ ma na-akwado usoro metabolic nke ahụ. Dịka ihe si na metabolism pụta, a na-emepụta carbon dioxide, na-ebuga ya azụ na ngụgụ, wee kupụ ya. Ịtụle ọnụọgụ CO₂ dị na ikuku e kupụrụ na-enye ozi dị mkpa gbasara ọrụ iku ume na metabolism nke onye ọrịa.

Otu esi atụ Capnograph CO2?

Ihe nlele capnograph na-atụnye ume e kupụrụ site n'igosi nrụgide akụkụ nke CO₂ na usoro waveform na grid axis x- na y. Ọ na-egosi ma waveforms na nha ọnụọgụgụ. Ọgụgụ CO₂ (EtCO₂) nkịtị na-adịkarị site na 35 ruo 45mmHg. Ọ bụrụ na EtCO nke onye ọrịa2Ọ na-erughi 30 mmHg, ọ nwere ike igosi nsogbu dịka nsogbu nke ọkpọkọ endotracheal ma ọ bụ nsogbu ahụike ndị ọzọ nke na-emetụta oriri oxygen.

Ụzọ Abụọ Isi Maka Ịtụle Gas A Na-ekupụ

Nlekota EtCO2 nke Mainstream

N'ụzọ a, a na-etinye ihe nkwụnye ikuku nke nwere ọnụ ụlọ nlele agbakwunyere kpọmkwem n'ime ikuku dị n'etiti sekit iku ume na tube endotracheal.

Nlekọta EtCO2Sidestream

Ihe mmetụta ahụ dị n'ime isi ngwaọrụ ahụ, pụọ na ikuku. Obere ọkpọkọ na-agba mmiri mgbe niile site na onye ọrịa site na ahịrị nlele gaa na isi ngwaọrụ ahụ. Enwere ike ijikọ ahịrị nlele ahụ na T-piece na endotracheal tube, ihe nkwụnye ihe mkpuchi anesthesia, ma ọ bụ ozugbo na oghere imi site na cannula imi nke nwere ihe nkwụnye imi.

E nwekwara ụdị ihe nlele abụọ bụ isi.

Otu bụ obere ihe osise EtCO₂ nke a na-ebugharị ebugharị, nke lekwasịrị anya naanị n'otú a si atụ ya.

Nke ọzọ bụ modulu EtCO₂ nke etinyere n'ime ihe nlele multiparameter, nke nwere ike ịtụ ọtụtụ paramita ndị ọrịa n'otu oge. Ihe nlele n'akụkụ akwa, ngwa ọrụ ụlọ ọrụ, na defibrillators EMS na-agụnyekarị ikike nha EtCO₂.

Kedubụ Ngwa Ọgwụgwọ nke Capnograph?

• Nzaghachi Mberede: Mgbe onye ọrịa na-enwe nkụda iku ume ma ọ bụ obi ya dajụrụ, nlekota EtCO2 na-enyere ndị ọrụ ahụike aka inyocha ọnọdụ iku ume onye ọrịa ngwa ngwa.
• Nlekota Na-aga n'ihu: Maka ndị ọrịa nwere nnukwu nsogbu iku ume nke nwere ike imebi ngwa ngwa, nlekota CO₂ na-aga n'ihu na-enye data ozugbo iji chọpụta ma zaghachi mgbanwe ozugbo.
• Usoro Ịkwụsị Ịda mbà n'obi: Ma ọ bụ obere ịwa ahụ ma ọ bụ nnukwu ịwa ahụ, mgbe a na-enye onye ọrịa ọgwụ ike, nlekota EtCO2 na-ahụ na onye ọrịa ahụ na-enweta ikuku zuru oke n'oge usoro ahụ dum.
• Nyocha Ọrụ Akpa umeMaka ndị ọrịa nwere nsogbu akwara dị ka apnea ụra na ọrịa akpa ume na-adịghị ala ala (COPD), a na-eji capnographs enyocha ọrụ akpa ume ha.

Gịnị mere e ji were nlekota EtCO₂ dị ka ọkọlọtọ nlekọta?

A maara Capnography ugbu a dị ka ụkpụrụ nlekọta kachasị mma n'ọtụtụ ebe ọgwụgwọ. Ndị otu ahụike na ndị na-ahụ maka iwu — dịka American Heart Association (AHA) na American Academy of Pediatrics (AAP) — etinyela capnography n'ime ntuziaka na ndụmọdụ ahụike ha. N'ọtụtụ oge, a na-ewere ya dị ka akụkụ dị mkpa nke nlekota ndị ọrịa na nlekọta iku ume.

Nlekota EtCO2 vs SpO2Nlekota

Ma e jiri ya tụnyere pulse oximetry (SpO₂),EtCO2Nlekota na-enye uru dị iche iche karịa. Ebe ọ bụ na EtCO₂ na-enye nghọta ozugbo gbasara ikuku ikuku alveolar, ọ na-aza ngwa ngwa maka mgbanwe na ọnọdụ iku ume. N'ọnọdụ nsogbu iku ume, ọkwa EtCO₂ na-agbanwe ihe fọrọ nke nta ka ọ bụrụ ozugbo, ebe mbelata na SpO₂ nwere ike ịkwụsị site na sekọnd ole na ole ruo nkeji. Nlekota EtCO2 na-aga n'ihu na-enyere ndị dọkịta aka ịchọpụta mmebi iku ume na mbụ, na-enye oge dị mkpa maka ntinye aka n'oge tupu ikuku oxygen ebelata.

Nlekota EtCO2

Nlekota EtCO2 na-enye nyocha oge niile nke mgbanwe gas iku ume na ikuku ikuku alveolar. Ọkwa EtCO2 na-aza ngwa ngwa maka nsogbu iku ume ma ọ bụghị oxygen agbakwunyere na-emetụta ya nke ukwuu. Dịka usoro nlekota na-anaghị emerụ ahụ, a na-eji EtCO2 eme ihe n'ọtụtụ ebe ahụike dị iche iche.

Nlekota Oximetry Pulse

Nlekota oximetry nke obi (SpO₂)na-eji ihe mmetụta mkpịsị aka na-anaghị emerụ ahụ iji tụọ ọkwa oxygen zuru oke n'ọbara, na-eme ka ọ dị mfe ịchọpụta hypoxemia. Usoro a dị mfe iji ma dabara nke ọma maka nlekota ndị ọrịa na-anaghị arịa ọrịa dị oke njọ n'akụkụ akwa mgbe niile.

Otu esi ahọrọ ngwa CO₂ na ihe oriri?

Ugwu Amerịka na-achị ahịa ugbu a, na-eme ihe dị ka 40% nke ego mba ụwa na-enweta, ebe a na-atụ anya na mpaghara Eshia-Pacific ga-enweta uto kachasị ngwa ngwa, yana amụma CAGR nke 8.3% n'otu oge ahụ.nlekota onye ọrịandị nrụpụta - dịkaPhilips (Respironics), Medtronic (Oridion), Masimo, na Mindray—na-eme ihe ọhụrụ mgbe niile na teknụzụ EtCO2 iji gboo mkpa na-agbanwe agbanwe nke anesthesia, nlekọta dị oke mkpa, na ọgwụgwọ mberede.

Iji mezuo ihe achọrọ maka ahụike ma melite arụmọrụ ọrụ maka ndị ọrụ ahụike, MedLinket lekwasịrị anya n'ịmepụta na imepụta ihe oriri dị elu, dị ka ahịrị nlele, ihe nkwụnye ikuku, na ọnyà mmiri. Ụlọ ọrụ ahụ raara onwe ya nye inye ụlọ ọrụ ahụike ngwọta a pụrụ ịdabere na ya maka ma nlekota ihe nkịtị na nke dị n'akụkụ, nke dakọtara na ọtụtụ ụdị nlekota ndị ọrịa na-eduga, na-enye aka na mmepe nke ngalaba nlekota iku ume.

Ihe mmetụta Mainstream etco2naihe nkwụnye ikukubụ ngwa na ihe oriri kachasị ewu ewu maka nlekota ihe.

Maka nlekota akụkụ,ịtụle gụnyere, sensọ sidestream, naọnyà mmiri，Ahịrị nlele CO2, dabere na ntọala na mkpa mmezi gị.

Usoro Mmiri Ọnyà
Onye Mmepụta na Ụdị OEM		Foto Ntụaka		# OEM		Koodu Ntụnye		Nkọwa
Mindray dakọtara (China)
Maka BeneView, iPM, iMEC, PM, MEC-2000 usoro nlekota, usoro PM-9000/7000/6000, BeneHeart defibrillator				115-043022-00 (9200-10-10530)		RE-WT001A		Ọnyà mmiri akọrọ, Okenye/Pediatirc maka modulu oghere abụọ, 10pcs/igbe
				115-043023-00 (9200-10-10574)		RE-WT001N		Ọnyà mmiri akọrọ, Neonatal maka modulu oghere abụọ, 10pcs/igbe
Maka BeneVision, ndị na-enyocha usoro BeneView				115-043024-00 (100-000080-00)		RE-WT002A		Dryline II mmiri ọnyà, Okenye/Pediatirc maka modulu oghere otu, 10pcs/igbe
				115-043025-00 (100-000081-00)		RE-WT002N		Dryline II, Neonatal maka modulu oghere otu, 10pcs/igbe
GE dakọtara
Modulu GE Solar Sidestream EtCO₂, Sistemụ Uru GE MGA-1100 Mass Spectrometer GE, Sistemụ Nnwale EtCO₂				402668-008		CA20-013		Ojiji otu onye ọrịa 0.8 micron Fitter, Luer Lock ọkọlọtọ, 20pcs/igbe
Igwe GE Healthcare gventilata, ihe nlele, igwe anestetiiki nwere modulu gas E-miniC				8002174		CA20-053		Olu nke akpa dị n'ime ya dị > 5.5mL, iberibe 25 kwa igbe
Drager dakọtara
Drager Babytherm dakọtara 8004/8010 Babylog VN500 ventilashị				6872130		WL-01		Otu onye ọrịa na-eji Waterlock, 10pcs/igbe
Philips dakọtara
Modulu Dakọtara:Philips – IntelliVue G5				M1657B / 989803110871		CA20-008		Philips mmiri ọnyà, 15pcs/igbe
Philips dakọtara						CA20-009		Philips water trap rack
Modulu Dakọtara:Philips – IntelliVue G7ᵐ				989803191081		WL-01		Otu onye ọrịa na-eji Waterlock, 10pcs/igbe

Akara nlele CO2
Njikọ onye ọrịa	Foto njikọ onye ọrịa	Njikọ ngwa	Foto njikọ ngwa
Nkwụnye Luer		Plọg Luer
Ahịrị ihe nlele ụdị T		Plọg Philips(Respironics)
Ahịrị nlele ụdị L		Mkpọchi Medtronic (Oridion)
Imi nlele ahịrị		Mkpọchi Masimo
Imi/Ọnụ akara nlele		/	/