Eyona nto ibalulekileyo kwi-anesthesia kunye ne-ICU kukujonga ubunzulu be-anesthesia. Singalufikelela njani ulwalathiso olufanelekileyo lobunzulu be-anesthesia? Ukongeza kwimfuneko yengcali ye-anesthesia enamava, ingcali ye-anesthesia kunye ne-sensor ye-EEG engangenisi gazi esetyenziswa kunye ne-anesthesia monitor nazo kufuneka zibe namandla ngakumbi.
Ii-sensors ze-EEG ezingangenisi gazi ezilahlwayo
Siyazi ukuba ubunzulu be-anesthesia bubungakanani bokuthintelwa komzimba kukudityaniswa kwe-anesthesia kunye nokukhuthaza emzimbeni. Njengoko ubunzulu be-anesthesia kunye nokukhuthaza bukhula kwaye buncipha, ubunzulu be-anesthesia buyatshintsha ngokufanayo.
Ukubeka iliso kubunzulu be-anesthesia bekusoloko kuyinkxalabo yeengcali ze-anesthesia. Ubunzulu kakhulu okanye bunzulu kakhulu kuya kubangela ukwenzakala emzimbeni okanye engqondweni kwizigulana. Ukugcina ubunzulu obufanelekileyo be-anesthesia kubalulekile ukuqinisekisa ukhuseleko lwesigulana kunye nokubonelela ngeemeko ezilungileyo zotyando.
Kuxelwe ukuba i-BIS inonxibelelwano oluhle noxinzelelo lwamayeza amaninzi okuthomalalisa iintlungu, ngoko ke ukuze kulandelwe umlinganiselo weyeza lokuthomalalisa iintlungu ngexesha lotyando, ukusetyenziswa kokubeka esweni i-BIS, ngokweziphumo zokubeka esweni ukukhokela ukusetyenziswa kwamayeza okuthomalalisa iintlungu, anokugcina ubunzulu be-anesthesia ngcono kwaye adlale isiphumo esihle sokuthomalalisa iintlungu.
Ngokuphuhliswa kwetekhnoloji yokubeka iliso kwi-EEG kwiminyaka yakutshanje, i-BIS (bispectralindex) iye yaba yindlela eyaziwayo yokubeka iliso ngcono imeko yokusebenza kwe-cerebral cortex kunye notshintsho, kwaye ingasetyenziswa njengendlela eqhelekileyo nethembekileyo yokubeka iliso kubunzulu be-anesthesia kwimisebenzi yeklinikhi.
Malunga ne-BIS
I-BIS lixabiso lezibalo elifunyenwe kwirekhodi ye-EEG ephindwe kabini yemveliso yamayeza ahlukeneyo e-anesthetic kwisampulu enkulu. Olu lwazi lufunyenwe ikakhulu kwisampulu enkulu yabantu abafumana amayeza e-anesthesia ephindwe kabini afakwe kwiirekhodi ze-EEG eziphindwe kabini, kwaye imeko yengqondo, inqanaba lokuthomalalisa, kunye nayo yonke i-EEG erekhodiweyo yakha isiseko sedatha. Emva koko, ngokusekelwe kwi-electroencephalogram (EEG) frequency spectrum kunye ne-power spectrum, inani lolwazi oluxutyiweyo olufunyenwe kuhlalutyo olungelulo oluchanekileyo lwesigaba kunye nee-harmonics longezwa.
I-BIS yeyona index yokujonga ukuthomalalisa i-anesthesia evunyiweyo yi-US FDA, enokujonga imeko yokusebenza kwe-cerebral cortical kwaye itshintshe ngcono, inobuntununtunu obuthile bokuqikelela intshukumo yomzimba, ulwazi lwangaphakathi kotyando, kunye nokulahleka kunye nokubuyela kwengqondo, kwaye inokunciphisa amayeza okuthomalalisa i-anesthetic. Umlinganiselo yindlela echanekileyo yokugweba inqanaba lokuthomalalisa kunye nokujonga ubunzulu be-anesthesia yi-EEG.
Isalathisi sokubeka esweni i-BIS
Ixabiso le-BIS 100, imeko yokuvuka; Ixabiso le-BIS 0, akukho msebenzi we-EEG (ukuthintela i-cerebral cortex), (ukuthintela i-cerebral cortex). Ixabiso le-BIS ngokubanzi lithathwa njengeliqhelekileyo phakathi kwama-85 kunye nama-100. Ama-65 ukuya kuma-85 athomalalisa ingqondo; ama-40 ukuya kuma-65 athomalalisa ingqondo. <40 Ingabonisa ukuxinana kokuqhuma.
Ukuze kujongwe ubunzulu obuchanekileyo nobufanelekileyo be-anesthesia ngamaxesha abalulekileyo, i-eeg sensor engasetyenziswayo esetyenziswa kunye ne-anesthesia depth monitoring nayo ifanele ibe luncedo, ukuze inani leempawu kulo naliphi na ilizwe likwazi ukuboniswa ngokuchanekileyo.
I-Shenzhen Med-link Electronics Tech Co., Ltd (ebizwa ngokuba yi-Med-linket) inamava ophando lweminyaka eli-15 kwiindibano zekhebula zonyango. Emva kweminyaka yokuqinisekiswa kweklinikhi, siye sayiphuhlisa ngokuzimeleyo i-EEG sensor engasetyenziswayo, ehambelana neemonitha zobunzulu be-anesthesia ezineemodyuli ze-BIS ezifana ne-Mindray kunye ne-Philips. Umlinganiselo ubuthathaka, ixabiso lichanekile, kwaye amandla okulwa nokuphazamiseka anamandla. Inceda i-anesthesiologist ukuba ijonge ngokusondeleyo isigulane esingekho zingqondweni kwaye inike amanyathelo olawulo afanelekileyo kunye nonyango ngexesha ngokwemeko yokubeka iliso.
Ii-sensors ze-EEG ezingangenisi gazi ezilahlwayo
I-Med-linket's non-invasive EEG sensor isebenzisa iglue engeniswayo, i-impedance ephantsi kunye ne-viscosity elungileyo; iphumelele isiqinisekiso sokubhaliswa kwezixhobo zonyango zesizwe; iphumelele uvavanyo lokuhambelana kwezinto eziphilayo, akukho tyhefu emzimbeni, ukurhawuzelelwa lusu kunye neempendulo ze-allergy, ingasetyenziswa ngokukhuselekileyo. Iqatshelwe kwaye ithandwa ziingcali ze-anesthesiologists ekhaya nakwamanye amazwe. Iphumelele kwizikhungo zonyango ezigunyazisiweyo zangaphandle kunye nezibhedlele ezininzi ezaziwayo zasekhaya ukunceda i-anesthesia kunye nonyango olunzulu lwe-ICU ukuba lujonge ngokuchanekileyo ubunzulu beempawu ze-anesthesia.
Khetha i-sensor ye-EEG engangenisi ntsholongwane ye-Med-linket, chonga umgangatho wobungcali we-Med-linket, iminyaka eli-15 yokulima ngokucokisekileyo, into esemgangathweni, enezixhobo zekhebula zonyango ezingabizi kakhulu, nceda iimveliso zasekhaya ziphume.
*Isibhengezo: Zonke iimpawu zorhwebo ezibhalisiweyo, amagama, iimodeli, njl.njl. eziboniswe kumxholo ongentla ziphethwe ngumnini wokuqala okanye umenzi wokuqala. Eli nqaku lisetyenziselwa kuphela ukubonisa ukuhambelana kweemveliso zeMed-Linket. Akukho njongo imbi! Lonke ulwazi olungentla lubhekiselele kuphela, kwaye alufanele lusetyenziswe njengesikhokelo somsebenzi wezikhungo zonyango okanye iiyunithi ezinxulumene noko. Ngaphandle koko, naziphi na iziphumo ezibangelwa yile nkampani azinanto yakwenza nale nkampani.
Ixesha leposi: Disemba-06-2019


