Ngaba inzwa ye-SpO2 iya kubangela ukutshisa kwesikhumba somntwana kwi-SpO2 esweni?

Inkqubo ye-metabolic yomzimba womntu yinkqubo yebhayoloji ye-oxidation, kwaye ioksijini efunekayo kwinkqubo ye-metabolic ingena egazini lomntu ngenkqubo yokuphefumla, kwaye idibanisa ne-hemoglobin (Hb) kwiiseli ezibomvu zegazi ukwenza i-oxyhemoglobin (HbO2), ethi emva koko ihanjiswe emzimbeni womntu.Kwigazi elipheleleyo, ipesenti ye-HbO2 umthamo obotshelelwe yi-oksijini ukuya kumthamo opheleleyo wokubopha ubizwa ngokuba yi-blood oxygen saturation SpO2.

Ukuphonononga indima ye-SpO2 yokubeka iliso ekuhloleni nasekuxilongweni kwesifo senhliziyo esizelwe yi-neonatal.Ngokweziphumo zeQela lokuSebenzana leSizwe lePathology yaBantwana, ukubeka iliso kwe-SpO2 kuluncedo ekuhloleni kwangethuba abantwana abanesifo sentliziyo abazalwa nabo.Uvakalelo oluphezulu bubuchwephesha obukhuselekileyo, obungaphazamisiyo, obunokwenzeka nobunengqiqo, obufanele ukukhuthazwa nokusetyenziswa kwezonyango zokubelekisa.

Okwangoku, ukubekwa esweni kwe-pulse SpO2 isetyenziswe ngokubanzi kuqheliselo lweklinikhi.I-SpO2 isetyenziswe njengesiqhelo esweni uphawu lwesihlanu olubalulekileyo kunyango lwabantwana.I-SpO2 yeentsana ezisanda kuzalwa inokuboniswa kuphela njengesiqhelo xa ingaphezulu kwe-95%, Ukufunyanwa kwe-SpO2 yegazi elisanda kuzalwa kunokunceda abongikazi bafumane utshintsho kwimeko yabantwana ngexesha, kwaye bakhokele isiseko sonyango lwe-oksijini yeklinikhi.

Nangona kunjalo, ekubekeni iliso kwi-SpO2 ye-neonatal, nangona ithathwa njengento engabonakaliyo, ekusebenziseni iklinikhi, kusekho iimeko zokulimala kweminwe okubangelwa ukubeka iliso kwe-SpO2 eqhubekayo.Kuhlalutyo lweemeko ezi-6 zokubekwa esweni kwe-SpO2 Kwidatha yokulimala kwesikhumba somunwe, izizathu eziphambili zishwankathelwa ngolu hlobo lulandelayo:

1. Indawo yokulinganisa isigulane ine-perfusion embi kwaye ayikwazi ukususa ubushushu benzwa ngokujikeleza kwegazi okuqhelekileyo;

2. Indawo yokulinganisa ingqindilili kakhulu;(umzekelo, iintende zabantwana abasanda kuzalwa iinyawo zabo ezingaphezulu kwe-3.5KG zityebe kakhulu, ezingafanelanga kulinganisa unyawo olusongelweyo)

3. Ukungaphumeleli ukujonga rhoqo i-probe kunye nokutshintsha indawo.

Ngoko ke, i-Medlinket iphuhlise i-sensor ye-SpO2 yokukhusela ngokugqithisileyo ngokusekwe kwimfuno yemarike.Esi sivamvo sinesivamvo sobushushu.Emva kokuhambelana nentambo ye-adapter ezinikeleyo kunye ne-monitor, inomsebenzi wokubeka iliso kwiqondo lokushisa elingaphezulu kwendawo.Xa isigulane sibeka iliso kwiqondo lokushisa kwesikhumba ngaphezu kwe-41 ℃, Inzwa iyakuyeka ukusebenza ngokukhawuleza.Ngexesha elifanayo, ukukhanya kwesalathisi se-SpO2 i-adapter cable ikhupha ukukhanya okubomvu, kwaye i-monitor ikhupha isandi se-alarm, ebangela ukuba abasebenzi bezonyango bathathe amanyathelo afanelekileyo ukuze bagweme ukutshisa.Xa ukushisa kwesikhumba kwendawo yokubeka iliso yesigulane kwehla ngaphantsi kwe-41 ° C, i-probe iya kuqalisa kwakhona kwaye iqhubeke nokubeka iliso kwidatha ye-SpO2.Ukunciphisa umngcipheko wokutshisa kunye nokunciphisa umthwalo wokuhlolwa rhoqo kwabasebenzi bezonyango.

Iinzuzo zemveliso:

1. Ukujongwa kobushushu obungaphezulu: Kukho inzwa yobushushu ekupheleni kweprobe.Emva kokuhambelana nekhebula le-adapter ezinikeleyo kunye nokubeka iliso, inomsebenzi wokubeka iliso kwindawo yokushisa, okunciphisa umngcipheko wokutshisa kunye nokunciphisa umthwalo wokuhlolwa rhoqo kwabasebenzi bezonyango;

2. Ukhululekile ngakumbi ukusebenzisa: indawo yeprobe yokusonga inxalenye encinci, kunye nokungena komoya kulungile;

3. Isebenza kakuhle kwaye iluncedo: uyilo lwe-V-shaped probe, ukubeka ngokukhawuleza indawo yokubeka iliso, uyilo lwesibambo sokudibanisa, ukudibanisa okulula;

4. Isiqinisekiso sokhuseleko: i-biocompatibility efanelekileyo, akukho latex;