Ko te mea nui ki te rongoā whakamoe me te ICU ko te aroturuki i te hohonu o te rongoā whakamoe. Me pēhea te whakatutuki i te aroturukitanga hohonu o te rongoā whakamoe tika? Haunga te hiahia mō tētahi tohunga rongoā whakamoe mātau, me kaha ake hoki te aroturuki hohonu o te tohunga rongoā whakamoe me te pūoko EEG kore-whakaeke e whakamahia ana me te aroturuki rongoā whakamoe.

Ngā pūoko EEG kore-whakaeke

E mōhio ana tātou ko te hohonutanga o te rongoā whakamoe ko te nui o te aukati i te tinana e te whakakotahitanga o te rongoā whakamoe me te whakaohooho i te tinana. I te pikinga me te hekenga o te kaha o te rongoā whakamoe me te whakaohooho, ka rerekē anō hoki te hohonutanga o te rongoā whakamoe.

He āwangawanga tonu te hunga whakamoe mō te aroturuki i te hohonu o te rongoā whakamoe. Mā te papaku rawa, te hohonu rawa rānei, ka pā he kino ki te tinana, ki te hinengaro rānei o ngā tūroro. He mea nui te pupuri i te hohonu tika o te rongoā whakamoe kia pai ai te haumaru o te tūroro, kia pai ai hoki ngā āhuatanga pokanga.

E ai ki ngā pūrongo, he pai te hononga o te BIS ki te kukū o te nuinga o ngā rongoā whakangote, nō reira, hei ārahi i te horopeta o te rongoā whakangote i te wā e pokanga ana, me whakamahi te aroturuki BIS, kia rite ki ngā hua aroturuki hei ārahi i te whakamahinga o ngā rongoā whakangote, ka taea ai te pupuri i te hohonutanga o te whakangote me te whai pānga whakangote pai.

Nā te whanaketanga o te hangarau aroturuki EEG i ngā tau tata nei, kua mōhiotia te BIS (bispectralindex) hei tikanga mō te aroturuki pai ake i te āhua me ngā huringa o te mahi a te cortex cerebral, ā, ka taea te whakamahi hei tikanga aroturuki hohonu mō te mate whakamoe noa me te pono i roto i te mahi haumanu.

Mō BIS

Ko te BIS he uara tatauranga i ahu mai i tētahi rekoata EEG auau-rua o te putanga o ngā rongoā whakangote rerekē i roto i tētahi tauira nui. I riro mai ēnei raraunga i tētahi tauira nui o ngā tāngata e whiwhi ana i ngā rongoā whakangote rua i whakakīia ki ngā rekoata EEG auau-rua, ā, ko te āhua o te māramatanga, te taumata whakangote, me ngā EEG katoa i tuhia i hanga hei pātengi raraunga. Kātahi, i runga i te whānuitanga auau electroencephalogram (EEG) me te whānuitanga mana, ka tāpirihia te maha o ngā taunga mōhiohio whakauru i whiwhi mai i te tātari kore-raina o te wāhanga me te harmonics.

Ko te BIS anake te tohu aroturuki whakamoe whakangote kua whakaaetia e te US FDA, e taea ai te aroturuki pai ake i te āhua me ngā huringa o te mahi cortical roro, he tino aro ki te matapae i te nekehanga o te tinana, te mōhiotanga i te wā e pokanga ana, me te ngaronga me te whakaoranga o te māramatanga, ā, ka taea te whakaiti i te horopeta o ngā rongoā whakamoe whakangote. Ko te horopeta he tikanga tika ake mō te aromatawai i te taumata whakamoe me te aroturuki i te hohonutanga o te whakamoe whakangote mā te EEG.

Taupū aroturuki BIS

Uara BIS 100, āhua oho; Uara BIS 0, kāore he mahi EEG (aukati i te roro), (aukati i te roro). Ko te uara BIS e kiia ana he noa i waenga i te 85 me te 100. He rongoā whakamoe te 65~85; he rongoā whakamoe te 40~65. Tērā pea ka puta he pehi pahū i raro i te 40.

Hei aroturuki i te hohonutanga tika me te hohonutanga o te rongoā whakamoe i ngā wā tino nui, me whai hua anō hoki te pūoko eeg kore-whakaeke kotahi e whakamahia ana me te aroturukitanga hohonutanga o te rongoā whakamoe, kia taea ai te whakaatu tika i te maha o ngā tohu i roto i tētahi āhua.

E 15 tau te roa o te wheako rangahau a Shenzhen Med-link Electronics Tech Co., Ltd (e kiia nei i muri nei ko Med-linket) i roto i ngā huihuinga taura hauora. Whai muri i ngā tau o te manatoko haumanu, kua whakawhanakehia e mātou he pūoko EEG kore-whakaekenga, e hototahi ana ki ngā aroturuki hohonutanga o te rongoā whakamoe waitohu me ngā kōwae BIS pērā i a Mindray me Philips. He tairongo te ine, he tika te uara, ā, he kaha te kaha ārai-whakararuraru. Ka āwhina i te tohunga rongoā whakamoe ki te aroturuki tata i te tūroro kore mohio, me te hoatu i ngā tikanga whakahaere me te maimoatanga e tika ana i te wā tika e ai ki te āhuatanga aroturuki.

Ngā pūoko EEG kore-whakaeke 

Ka whakamahia e te pūoko EEG kore-whakaekenga a Med-linket te kāpia kawe kawemai, te iti o te aukati me te matotoru pai; kua paahitia te tiwhikete rēhitatanga taputapu hauora ā-motu; kua paahitia te whakamātautau biocompatibility, kāore he cytotoxicity, he riri kiri me ngā mate pāwera, ka taea te whakamahi haumaru. Kua mōhiotia, kua paingia hoki e ngā tohunga anesthesiologist ngaio i te kāinga me tāwāhi. Kua angitu te noho ki ngā whare hauora mana o tāwāhi me ētahi hōhipera rongonui o te kāinga hei āwhina i te rehunga me te tiaki nui ICU kia tika te aroturuki i te hohonu o ngā tohu rehunga.

Kōwhiria he pūoko EEG kore-whakaeke Med-linket, tautuhia te kounga ngaio Med-linket, 15 tau o te whakatipu kaha, ki raro-ki-te-whenua, me ngā wāhanga taura hauora utu-whai hua, āwhina i ngā waitohu ā-rohe kia pakaru.

*Whakapuakitanga: Ko ngā tohu hokohoko, ngā ingoa, ngā tauira, me ērā atu mea kua rēhitatia e whakaaturia ana i roto i ngā tuhinga o runga ake nei, nō te rangatira taketake, nō te kaihanga taketake rānei. E whakamahia ana tēnei tuhinga hei whakaatu i te hototahitanga o ngā hua Med-Linket. Kāore he whakaaro kē atu! Ko ngā mōhiohio katoa o runga ake nei hei tohutoro noa iho, kaua e whakamahia hei aratohu mō ngā mahi a ngā whare hauora, ngā wāhanga rānei e pā ana. Ki te kore, kāore he pānga o ngā hua kino o tēnei kamupene ki tēnei kamupene.