Chinhu chikuru chekushandisa anesthesia neICU ndechekutarisa zvakadzama zveanesthesia. Tingaita sei kuti tiwane mukana wekutarisa zvakadzama zveanesthesia? Pamusoro pekudiwa kwenyanzvi yeanesthesia ine ruzivo, nyanzvi yeanesthesia inoongorora zvakadzama uye sensor yeEEG isingakuvadzi inoshandiswa neanesthesia monitor inofanirawo kunge yakasimba.

Zvinoraswa MaSensa eEEG Asingapindi muropa

Tinoziva kuti kudzika kweanesthesia ndiko kudzika kwekudzivirwa kwemuviri nekubatanidzwa kweanesthesia nekukurudzira muviri. Sezvo simba reanesthesia nekukurudzira richikwira uye richiderera, kudzika kweanesthesia kunochinjawo saizvozvo.

Kutarisa kudzika kwechirwere cheanesthesia kwagara kuri nyaya yevanachiremba vanonzwa kurwadziwa. Kudzika zvakanyanya kana kudzika zvakanyanya kunokonzera kukuvara mumuviri kana mupfungwa kuvarwere. Kuchengetedza kudzika kwakakwana kweanesthesia kwakakosha kuti murwere ave akachengeteka uye kuti pave nemamiriro ezvinhu akanaka ekuvhiyiwa.

Zvinonzi BIS ine hukama hwakanaka nehuwandu hwemishonga yakawanda inonyaradza marwadzo, saka kuti tiwane gwara rekushandisa mushonga unonyaradza marwadzo panguva yekuvhiyiwa, tinoshandisa BIS yekutarisa, zvichienderana nemhedzisiro yekutarisa kuti titungamirire kushandiswa kwemishonga inonyaradza marwadzo, iyo inogona kuchengetedza kudzika kweanesthesia zviri nani uye kuita mhedzisiro yakanaka yeanesthesia.

Nekuvandudzwa kwetekinoroji yekutarisa EEG mumakore achangopfuura, BIS (bispectralindex) yave nzira inozivikanwa yekutarisa zviri nani mamiriro ekushanda kwecortex yeuropi uye shanduko, uye inogona kushandiswa senzira yakajairika uye yakavimbika yekutarisa kudzika kweanesthesia mukiriniki.

Nezve BIS

BIS inhamba yehuwandu hwemashoko inotorwa kubva parekodhi yeEEG inobuda mumishonga yakasiyana-siyana inonyaradza marwadzo mumuenzaniso mukuru. Ruzivo urwu rwakawanikwa zvakanyanya kubva mumuenzaniso mukuru wevanhu vakagamuchira mishonga miviri inonyaradza marwadzo yakasanganiswa nerekodhi dzeEEG dzinodzokorora, uye mamiriro ekuziva, mwero wekunyaradza, uye zvese zvakanyorwa zveEEG zvakaita database. Zvadaro, zvichibva pa electroencephalogram (EEG) frequency spectrum uye power spectrum, huwandu hweruzivo rwakasanganiswa rwunowanikwa kubva mukuongorora kusiri kwemutsara kwephase neharmonics hunowedzerwa.

BIS ndiyo yega nzira yekutarisa kurara kwemudumbu yakatenderwa neUS FDA, iyo inogona kutarisa mamiriro ekushanda kweuropi uye kuchinja zviri nani, ine mukana wekufanotaura kufamba kwemuviri, kuziva panguva yekuvhiyiwa, uye kurasikirwa nekupora kwekuziva, uye inogona kuderedza mishonga inonyaradza marwadzo. Chiyero inzira chaiyo yekutonga huwandu hwekurara uye kutarisa kudzika kweanesthesia neEEG.

Nhamba yekutarisa yeBIS

BIS kukosha 100, mamiriro ekumuka; BIS kukosha 0, hapana EEG activity (cerebral cortex inhibition), (cerebral cortex inhibition). BIS kukosha inowanzoonekwa seyakajairika pakati pe85 ne100. 65~85 inonyaradza; 40~65 inonyaradza. <40 Inogona kukonzera kudzvinyirirwa kwekuputika.

Kuti utarise kudzika kwakarurama uye kwakakodzera kweanesthesia panguva dzakakosha, sensor ye eeg isingakuvadzi inoshandiswa neanesthesia depth monitoring inofanirawo kubatsira, kuitira kuti huwandu hwezviratidzo mune chero mamiriro ezvinhu hugone kuratidzwa nemazvo.

Shenzhen Med-link Electronics Tech Co., Ltd (inozivikanwa seMed-linket) ine ruzivo rwemakore gumi nemashanu mukutsvaga murwere asina ruzivo uye ine ruzivo rwakafanana nerwekurapa. Mushure memakore akawanda ekuongorora kwekiriniki, takagadzira sensor yeEEG isingakuvadzi inoraswa, iyo inoenderana nevanoongorora kudzika kweanesthesia vane mamodule eBIS akadai seMindray nePhilips. Kuyera kwacho kunonzwisisika, kukosha kwacho kwakarurama, uye kugona kwekudzivirira kukanganiswa kwakasimba. Inobatsira chiremba weanesthesia kunyatsoongorora murwere asina kuziva uye kupa matanho ekutonga nekurapa anoenderana nenguva zvichienderana nemamiriro ekutarisa.

Zvinoraswa MaSensa eEEG Asingapindi muropa 

Sensor yeMed-linket yeEEG isingakuvadzi inoshandisa guruu rinopinza mvura, ine impedance shoma uye viscosity yakanaka; yapasa chitupa chekunyoreswa kwemidziyo yekurapa yenyika; yapasa bvunzo ye biocompatibility, haina chepfu mumuviri, haina kutsamwa paganda uye allergic reactions, inogona kushandiswa zvakachengeteka. Yakagamuchirwa uye inofarirwa nenyanzvi dzeanesthesia dziri kumba nekune dzimwe nyika. Yakabudirira kugara muzvipatara zvekunze kwenyika uye muzvipatara zvakawanda zvinozivikanwa zvemuno kuti ibatsire anesthesia neICU intensive care kunyatsoongorora kudzika kwezviratidzo zveanesthesia.

Sarudza sensor yeEEG isingakuvadzi yeMed-linket, tsvaga mhando yehunyanzvi yeMed-linket, makore gumi nemashanu ekurima zvakanyanya, yakavimbika, ine zvikamu zvetambo dzekurapa zvinodhura zvishoma, batsira mabrandi emuno kuti abudirire.

*Chiziviso: Zviratidzo zvese zvakanyoreswa, mazita, mamodheru, nezvimwewo zvinoratidzwa muzviri pamusoro apa ndezvemuridzi wekutanga kana mugadziri wekutanga. Chinyorwa chino chinoshandiswa chete kuratidza kuenderana kwezvigadzirwa zveMed-Linket. Hapana chimwe chinangwa! Ruzivo rwese rwuri pamusoro apa nderwekutarisa chete, uye harufanirwe kushandiswa segwara rebasa rezvipatara kana mayuniti ane hukama. Zvikasadaro, chero mhedzisiro inokonzerwa nekambani iyi haina chekuita nekambani iyi.