Capnograph ndi chipangizo chofunikira kwambiri chachipatala chomwe chimagwiritsidwa ntchito makamaka poyesa thanzi la kupuma. Chimayesa kuchuluka kwa CO₂ mu mpweya wotuluka ndipo nthawi zambiri chimatchedwachowunikira cha CO₂ (EtCO2) chomaliza.Chipangizochi chimapereka muyeso weniweni pamodzi ndi zithunzi za mafunde (capnograms), zomwe zimapatsa chidziwitso chofunikira pa momwe wodwalayo alili ndi mpweya wabwino.

Kodi Capnography Imagwira Ntchito Bwanji?

Umu ndi momwe zimagwirira ntchito m'thupi: mpweya umalowa m'magazi kudzera m'mapapo ndipo umathandizira kagayidwe ka thupi m'thupi. Monga zotsatira za kagayidwe ka thupi, mpweya wa carbon dioxide umapangidwa, umatengedwa kubwerera m'mapapo, kenako n'kutulutsidwa. Kuyeza kuchuluka kwa CO₂ mu mpweya wotuluka kumapereka chidziwitso chofunikira chokhudza momwe wodwalayo amapumira komanso momwe thupi limagwirira ntchito.

Momwe Capnograph Imayesera CO2？

Chowunikira cha capnograph chimayesa mpweya wotuluka mwa kuwonetsa kupanikizika pang'ono kwa CO₂ mu mawonekedwe a mafunde pa gridi ya x- ndi y-axis. Chimawonetsa mafunde ndi miyeso yonse. Kuwerenga kwabwinobwino kwa CO₂ (EtCO₂) nthawi zambiri kumakhala pakati pa 35 ndi 45mmHg. Ngati EtCO ya wodwalayo ili ndi2Kutsika pansi pa 30 mmHg, kungasonyeze mavuto monga kulephera kugwira ntchito bwino kwa chubu cha endotracheal kapena mavuto ena azachipatala omwe amakhudza kudya kwa mpweya.

Njira Ziwiri Zoyambira Zoyezera Mpweya Wotuluka Mpweya

Kuwunika Kwambiri kwa EtCO2

Mu njira iyi, chosinthira mpweya chokhala ndi chipinda choyezeramo zitsanzo chimayikidwa mwachindunji mu mpweya pakati pa dera lopumira ndi chubu cha endotracheal.

Kuyang'anira kwa Sidestream EtCO2

Sensa ili mkati mwa chipangizo chachikulu, kutali ndi njira yolowera mpweya. Pampu yaying'ono imapukusa mpweya wotuluka kuchokera kwa wodwalayo kudzera mu chingwe choyezera kupita ku chipangizo chachikulu. Chingwe choyezera chikhoza kulumikizidwa ku T-piece pa chubu cha endotracheal, adaputala ya mask ya anesthesia, kapena mwachindunji ku mphuno kudzera mu cannula ya m'mphuno yokhala ndi adaputala ya m'mphuno.

Palinso mitundu iwiri ikuluikulu ya ma monitor.

Chimodzi ndi cholembera cha EtCO₂ chonyamulika, chomwe chimayang'ana kwambiri muyeso uwu.

Chinanso ndi gawo la EtCO₂ lomwe limaphatikizidwa mu chowunikira cha multiparameter, chomwe chimatha kuyeza magawo angapo a odwala nthawi imodzi. Zowunikira zapafupi ndi bedi, zida za chipinda chochitira opaleshoni, ndi zoyezera za EMS nthawi zambiri zimakhala ndi luso la kuyeza la EtCO₂.

Chanindi Kodi Capnograph Imagwiritsidwa Ntchito Bwanji?

• Kuyankha Mwadzidzidzi: Wodwala akamavutika kupuma kapena kulephera kugwira ntchito ya mtima, kuyang'anira EtCO2 kumathandiza ogwira ntchito zachipatala kuwunika mwachangu momwe wodwalayo alili kupuma.
• Kuwunika Kosalekeza: Kwa odwala omwe ali pachiwopsezo cha kupuma mwadzidzidzi, kuyang'anira CO₂ nthawi zonse kumapereka deta yeniyeni kuti azindikire ndikuyankha kusintha mwachangu.
• Njira Yopumitsa ThupiKaya ndi opaleshoni yaying'ono kapena yayikulu, pamene wodwala wapatsidwa mankhwala oletsa kupweteka, kuyang'anira EtCO2 kumatsimikizira kuti wodwalayo amasunga mpweya wokwanira panthawi yonse ya opaleshoniyo.
• Kuwunika kwa Ntchito ya M'mapapoKwa odwala omwe ali ndi matenda osatha monga sleep apnea ndi chronic obstructive pulmonary disease (COPD), ma capnograph amathandiza kuwunika momwe mapapo awo amagwirira ntchito.

Nchifukwa chiyani EtCO₂ Monitoring imaonedwa ngati muyezo wa chisamaliro?

Capnography tsopano imadziwika kwambiri ngati muyezo wabwino kwambiri wa chisamaliro m'malo ambiri azachipatala. Mabungwe otsogola azachipatala ndi mabungwe olamulira—monga American Heart Association (AHA) ndi American Academy of Pediatrics (AAP)—aphatikiza capnography m'malangizo awo azachipatala ndi malangizo. Nthawi zambiri, imaonedwa kuti ndi gawo lofunikira kwambiri pakuwunika odwala ndi chisamaliro cha kupuma.

Kuwunika kwa EtCO2 vs SpO2Kuwunika

Poyerekeza ndi pulse oximetry (SpO₂),EtCO2Kuwunika kumapereka ubwino wosiyana. Chifukwa chakuti EtCO₂ imapereka chidziwitso chenicheni cha mpweya wabwino m'mapapo, imayankha mwachangu kusintha kwa momwe mpweya umayendera. Ngati kupuma kwasokonekera, kuchuluka kwa EtCO₂ kumasinthasintha nthawi yomweyo, pomwe kuchepa kwa SpO₂ kumatha kuchedwa ndi masekondi angapo mpaka mphindi. Kuwunika kosalekeza kwa EtCO2 kumathandiza asing'anga kuzindikira kuwonongeka kwa kupuma msanga, zomwe zimawapatsa nthawi yofunikira yothandizira panthawi yake mpweya usanalowe m'magazi.

Kuwunika kwa EtCO2

Kuwunika kwa EtCO2 kumapereka kuwunika nthawi yeniyeni kwa kusinthana kwa mpweya wopuma ndi mpweya wopuma m'matumbo. Ma EtCO2 amayankha mwachangu ku zovuta za kupuma ndipo samakhudzidwa kwambiri ndi mpweya wowonjezera. Monga njira yowunikira yosawononga chilengedwe, EtCO2 imagwiritsidwa ntchito kwambiri m'malo osiyanasiyana azachipatala.

Kuwunika kwa Oximetry ya Pulse

Kuwunika kwa pulse oximetry (SpO₂)imagwiritsa ntchito choyezera chala chosavulaza kuti iyeze kuchuluka kwa mpweya m'magazi, zomwe zimathandiza kuzindikira bwino kuchuluka kwa mpweya m'magazi. Njirayi ndi yosavuta kugwiritsa ntchito ndipo ndi yoyenera kuyang'anira odwala omwe sali odwala kwambiri pafupi ndi bedi nthawi zonse.

Momwe Mungasankhire Zowonjezera za CO₂ ndi Zogwiritsidwa Ntchito？

North America pakadali pano ikulamulira msika, ikuwerengera pafupifupi 40% ya ndalama zonse padziko lonse lapansi, pomwe dera la Asia-Pacific likuyembekezeka kulembetsa kukula kofulumira kwambiri, ndi CAGR yoyembekezeredwa ya 8.3% panthawi yomweyi.chowunikira odwalaopanga—mongaPhilips (Respironics), Medtronic (Oridion), Masimo, ndi Mindray—akupitilizabe kupanga zatsopano mu ukadaulo wa EtCO2 kuti akwaniritse zosowa zomwe zikusintha monga mankhwala oletsa ululu, chisamaliro chadzidzidzi, komanso mankhwala adzidzidzi.

Kuti akwaniritse zofunikira zachipatala ndikuwonjezera magwiridwe antchito a ogwira ntchito zachipatala, MedLinket imayang'ana kwambiri pakupanga ndi kupanga zinthu zogwiritsidwa ntchito zapamwamba kwambiri, monga mizere yoyesera, ma adaputala a mpweya woipa, ndi mipanda yamadzi. Kampaniyo yadzipereka kupereka zipatala njira zodalirika zogwiritsira ntchito poyang'anira anthu wamba komanso osagwirizana ndi zomwe zikuchitika, zomwe zimagwirizana ndi makampani ambiri otsogola owunikira odwala, zomwe zimathandiza pakukula kwa gawo lowunikira kupuma.

Masensa akuluakulu a etco2ndima adaputala a mpweya wotuluka m'mlengalengandi zinthu zogwiritsidwa ntchito kwambiri komanso zowonjezera zomwe zimagwiritsidwa ntchito poyang'anira zinthu zambiri.

Kuti muwonetsetse kuti zinthu zili mbali imodzi,Zoyenera kuganizira zikuphatikizapo, masensa a sidestream, ndimisampha yamadziMzere wa CO2 woyezera zitsanzo, kutengera zomwe mukufuna kukhazikitsa ndi kukonza.

Mndandanda wa Misampha ya Madzi
Wopanga ndi Zitsanzo za OEM		Chithunzi Choyimira		OEM #		Khodi ya Oda		Mafotokozedwe
Mindray Yogwirizana (China)
Kwa ma monitor a BeneView, iPM, iMEC, PM, MEC-2000, PM-9000/7000/6000, BeneHeart defibrillator				115-043022-00 (9200-10-10530)		RE-WT001A		Msampha wamadzi wouma, wa Akuluakulu/Pediatirc wa gawo la malo awiri, 10pcs/bokosi
				115-043023-00 (9200-10-10574)		RE-WT001N		Msampha wa madzi ouma, wa ana obadwa kumene wa gawo la magawo awiri, 10pcs/bokosi
Kwa BeneVision, owunikira a BeneView				115-043024-00 (100-000080-00)		RE-WT002A		Dryline II water trap, Adult/Pediatirc ya single-slot module, 10pcs/bokosi
				115-043025-00 (100-000081-00)		RE-WT002N		Dryline II water trap, Neonatal wa single-slot module, 10pcs/bokosi
GE yogwirizana
Gawo la GE Solar Sidestream EtCO₂, GE MGA-1100 Mass Spectrometer GE Advantage System, EtCO₂ Sampling Systems				402668-008		CA20-013		Kugwiritsa ntchito kwa wodwala mmodzi 0.8 micron Fitter, Luer Lock yokhazikika, 20pcs/box
Chotenthetsera mpweya cha GE Healthcare, chowunikira, makina oletsa ululu okhala ndi gawo la mpweya wa E-miniC				8002174		CA20-053		Kuchuluka kwa chidebe chamkati ndi > 5.5mL, 25pcs/bokosi
Drager Yogwirizana
Yogwirizana ndi Drager Babytherm 8004/8010 Babylog VN500 ventilator				6872130		WL-01		Madzi otsekeredwa pakamwa pa wodwala mmodzi, 10pcs/bokosi
Philips Yogwirizana
Gawo Logwirizana:Philips – IntelliVue G5				M1657B / 989803110871		CA20-008		Philips water trap, 15pcs/bokosi
Philips Yogwirizana						CA20-009		Chikwama cha msampha wamadzi cha Philips
Gawo Logwirizana:Philips – IntelliVue G7ᵐ				989803191081		WL-01		Madzi otsekeredwa pakamwa pa wodwala mmodzi, 10pcs/bokosi

Mzere woyesera wa CO2
Cholumikizira cha wodwala	Chithunzi cholumikizira wodwala	Chida cholumikizira	Chithunzi cholumikizira zida
Luer Plug		Pulagi ya luer
Mzere wotsanzira wa mtundu wa T		Cholumikizira cha Philips (Respironics)
Mzere wotsanzira zitsanzo wa mtundu wa L		Pulagi ya Medtronic (Oridion)
Mzere woyezera mphuno		Pulagi ya Masimo
Mzere woyezera mphuno/mkamwa		/	/