Capnograph ndi chida chofunikira kwambiri chachipatala chomwe chimagwiritsidwa ntchito poyesa thanzi la kupuma. Imayesa kuchuluka kwa CO₂ mu mpweya wotuluka ndipo nthawi zambiri imatchedwaend-tidal CO₂ (EtCO2) monitor.Chipangizochi chimapereka miyeso yanthawi yeniyeni pamodzi ndi zowonetsera zowoneka bwino (makapunogalamu), zomwe zimapereka chidziwitso chofunikira pa momwe wodwalayo akupumira.

Kodi Capnography Imagwira Ntchito Motani?

Umu ndi momwe zimagwirira ntchito m'thupi: mpweya umalowa m'magazi kudzera m'mapapo ndikuthandizira kagayidwe kachakudya m'thupi. Monga chotulukapo cha kagayidwe kachakudya, mpweya woipa umapangidwa, kubwezeredwa m'mapapo, kenako nkutuluka. Kuyeza kuchuluka kwa CO₂ mu mpweya wotuluka kumapereka chidziwitso chofunikira chokhudza kupuma kwa wodwala komanso kagayidwe kachakudya.

Momwe Capnograph Measures CO2?

Chowunikira cha capnograph chimayesa kutulutsa mpweya powonetsa kupanikizika pang'ono kwa CO₂ mu mawonekedwe a waveform pa gridi ya x- ndi y-axis. Imawonetsa ma waveform ndi miyeso ya manambala. Kuwerenga kwabwinobwino kwa CO₂ (EtCO₂) nthawi zambiri kumakhala kuyambira 30 mpaka 40 mmHg. Ngati wodwala EtCO2imagwera pansi pa 30 mmHg, ikhoza kusonyeza nkhani monga endotracheal chubu kulephera kapena mavuto ena azachipatala omwe amakhudza mpweya wa okosijeni.

Njira Ziwiri Zoyambira Zoyezera Gasi Wotuluka

Mainstream EtCO2 Monitoring

Mwanjira iyi, adaputala yoyendetsa ndege yokhala ndi chipinda chophatikizika cha sampuli imayikidwa mwachindunji munjira ya mpweya pakati pa mpweya wopumira ndi endotracheal chubu.

Sidestream EtCO2Monitoring

Sensor ili mkati mwa gawo lalikulu, kutali ndi njira ya mpweya. Pampu yaying'ono imakonda kuyesa zitsanzo za mpweya wotuluka kuchokera kwa wodwalayo kudzera pamzere wachitsanzo kupita kugawo lalikulu. Mzere wachitsanzo ukhoza kulumikizidwa ku T-chidutswa cha endotracheal chubu, cholumikizira chigoba cha anesthesia, kapena mwachindunji pamphuno yamphuno kudzera pa sampling nasal cannula yokhala ndi ma adapter amphuno.

Palinso mitundu iwiri ikuluikulu ya oyang'anira.

Imodzi ndi chithunzi chodzipatulira cha EtCO₂, chomwe chimangoyang'ana pa muyeso uwu.

Zina ndi gawo la EtCO₂ lophatikizidwa mu multiparameter monitor, yomwe imatha kuyeza magawo angapo odwala nthawi imodzi. Oyang'anira pafupi ndi bedi, zida zogwirira ntchito, ndi EMS defibrillators nthawi zambiri amaphatikizapo luso la kuyeza kwa EtCO₂.

Chanindi ndi Clinical Applications of Capnograph?

• Kuyankha Mwadzidzidzi: Wodwala akamavutika kupuma kapena kumangidwa kwa mtima, kuyang'anitsitsa kwa EtCO2 kumathandiza ogwira ntchito zachipatala kuti awone momwe wodwalayo akupuma.
• Kuwunika mosalekeza: Kwa odwala omwe ali pachiwopsezo cha kupuma modzidzimutsa, kuyang'anira mosalekeza kwa CO₂ kumapereka chidziwitso chanthawi yeniyeni kuti azindikire ndikuyankha kusintha mwachangu.
• Njira ya Sedation: Kaya ndi opaleshoni yaing'ono kapena yaikulu, pamene wodwala atakhala pansi, kuyang'anitsitsa kwa EtCO2 kumatsimikizira kuti wodwalayo amakhala ndi mpweya wokwanira panthawi yonseyi.
• Kuwunika Ntchito ya Pulmonary: Kwa odwala omwe ali ndi matenda osachiritsika monga matenda obanika kutulo komanso matenda osachiritsika a m'mapapo (COPD), ma capnograph amathandizira pakuwunika momwe mapapo awo amagwirira ntchito.

Chifukwa chiyani EtCO₂ Monitoring imatengedwa ngati Mulingo Wosamalira?

Capnography tsopano imadziwika kuti ndiyo njira yabwino kwambiri yothandizira m'malo ambiri azachipatala. Mabungwe otsogola azachipatala ndi mabungwe owongolera-monga American Heart Association (AHA) ndi American Academy of Pediatrics (AAP) - aphatikiza zithunzithunzi mu malangizo awo azachipatala ndi malingaliro awo. Nthawi zambiri, zimatengedwa kuti ndizofunikira kwambiri pakuwunika odwala komanso chisamaliro cha kupuma.

EtCO2 Monitoring vs SpO2Kuwunika

Poyerekeza ndi pulse oximetry (SpO₂),EtCO2kuyang'anira kumapereka ubwino wosiyana kwambiri. Chifukwa EtCO₂ imapereka chidziwitso cha nthawi yeniyeni mu mpweya wabwino wa alveolar, imayankha mofulumira kusintha kwa kupuma. Pakakhala kupumira, milingo ya EtCO₂ imasinthasintha nthawi yomweyo, pomwe kutsika kwa SpO₂ kumatha kutsika masekondi angapo mpaka mphindi. Kuwunika kosalekeza kwa EtCO2 kumathandizira asing'anga kuti azindikire kuwonongeka kwa kupuma koyambirira, ndikupereka nthawi yofunikira kuti athandizire panthawi yake mpweya wa oxygen usanatsike.

EtCO2 Monitoring

Kuwunika kwa EtCO2 kumapereka kuwunika kwenikweni kwa kusinthana kwa mpweya wopumira komanso mpweya wabwino wa alveolar. Miyezo ya EtCO2 imayankha mwachangu ku zovuta za kupuma ndipo samakhudzidwa kwambiri ndi okosijeni wowonjezera. Monga njira yowunikira yosasokoneza, EtCO2 imagwiritsidwa ntchito kwambiri m'malo osiyanasiyana azachipatala.

Kuwunika kwa Pulse Oximetry

Kuwunika kwa Pulse oximetry (SpO₂).amagwiritsa ntchito kachipangizo kakang'ono ka chala kuti ayeze kuchuluka kwa mpweya wa okosijeni m'magazi, zomwe zimathandiza kudziwa bwino za hypoxemia. Njirayi ndiyosavuta kugwiritsa ntchito komanso yoyenerera kuti aziwunika mosalekeza odwala omwe sanadwale kwambiri.

Momwe Mungasankhire Zida za CO₂ ndi Zogulitsa?

North America ikulamulira msika, womwe umakhala pafupifupi 40% ya ndalama zapadziko lonse lapansi, pomwe dera la Asia-Pacific likuyembekezeka kulembetsa kukula kwachangu kwambiri, ndi CAGR yonenedweratu ya 8.3% nthawi yomweyo. Wotsogola padziko lonse lapansiwodwala polojekitiopanga-mongaPhilips (Respironics), Medtronic (Oridion), Masimo, ndi Mindray-akupititsa patsogolo luso la EtCO2 kuti akwaniritse zosowa za anesthesia, chisamaliro chovuta, ndi chithandizo chadzidzidzi.

Kuti akwaniritse zofunikira zachipatala komanso kupititsa patsogolo kayendetsedwe ka ntchito kwa ogwira ntchito zachipatala, MedLinket imayang'ana kwambiri pakupanga ndi kupanga zinthu zomwe zimagwiritsidwa ntchito bwino kwambiri, monga mizere ya zitsanzo, ma adapter airway, ndi misampha yamadzi. Kampaniyo yadzipereka kuti ipereke zithandizo zachipatala zodalirika zogwiritsira ntchito zowunikira zonse zazikulu komanso zam'mbali, zomwe zimagwirizana ndi ma brand ambiri otsogolera odwala, zomwe zimathandizira pakukula kwa gawo loyang'anira kupuma.

Masensa apamwamba a etco2ndima adapter apanjirandizo zowonjezera zowonjezera komanso zogwiritsidwa ntchito pazowunikira wamba.

Kuwunika kwapambali,kuganizira kuphatikiza, masensa ammbali, ndimisampha ya madzi, CO2 Zitsanzo mzere, kutengera khwekhwe wanu ndi kukonza zofunika.

Msampha wa Madzi Series
Wopanga OEM & Zitsanzo		Chithunzi cha Ref		OEM #		Order Kodi		Kufotokozera
Yogwirizana ndi Mindray (China)
Kwa BeneView, iPM, iMEC, PM, MEC-2000 series monitors, PM-9000/7000/6000 series, BeneHeart defibrillator				115-043022-00 (9200-10-10530)		Chithunzi cha RE-WT001A		Dryline water msampha, Wamkulu/Pediatirc kwa wapawiri-slot module, 10pcs/bokosi
				115-043023-00 (9200-10-10574)		Chithunzi cha RE-WT001N		Dryline water msampha, Neonatal for dual-slot module, 10pcs/bokosi
Kwa BeneVision, owunikira a BeneView				115-043024-00 (100-000080-00)		Chithunzi cha RE-WT002A		Dryline II msampha wamadzi, Wamkulu / Pediatirc wa single-slot module, 10pcs/bokosi
				115-043025-00 (100-000081-00)		Chithunzi cha RE-WT002N		Dryline II msampha wamadzi, Neonatal for single-slot module, 10pcs/bokosi
Zogwirizana ndi GE
GE Solar Sidestream EtCO₂ Module, GE MGA-1100 Mass Spectrometer GE Advantage System, EtCO₂ Sampling Systems				402668-008		CA20-013		Wodwala mmodzi amagwiritsa ntchito 0.8 micron Fitter, standard Luer Lock, 20pcs/bokosi
GE Healthcare gventilator, monitor, anesthesia machine with E-miniC gas module				8002174		CA20-053		Mkati Chidebe voliyumu ndi> 5.5mL, 25pcs/bokosi
Drager Yogwirizana
Yogwirizana ndi Drager Babytherm 8004/8010 Babylog VN500 ventilator				6872130		WL-01		Wodwala mmodzi amagwiritsa ntchito Waterlock, 10pcs/bokosi
Yogwirizana ndi Philips
Yogwirizana Module:Philips - IntelliVue G5				M1657B / 989803110871		CA20-008		Msampha wamadzi wa Philips, 15pcs / bokosi
Yogwirizana ndi Philips						CA20-009		Philips madzi msampha Rack
Yogwirizana Module:Philips - IntelliVue G7ᵐ				989803191081		WL-01		Wodwala mmodzi amagwiritsa ntchito Waterlock, 10pcs/bokosi

CO2 Sampling mzere
Cholumikizira odwala	Chithunzi cholumikizira odwala	Chida cholumikizira	Chithunzi cha mawonekedwe a zida
Pulogalamu ya Luer		Luer plug
T-mtundu wa zitsanzo za mzere		Philips (Respironics) pulagi
Mzere wachitsanzo wamtundu wa L		Medtronic (Oridion) pulagi
Mzere wa zitsanzo za m'mphuno		Masimo plug
Mzere wachitsanzo wa M'mphuno/Mkamwa		/	/