Isihluthulelo se-anesthesia ne-ICU ukuqapha ukujula kwe-anesthesia. Singakuthola kanjani ukuqapha okujulile kwe-anesthesia? Ngaphezu kwesidingo sikadokotela obulala izinzwa onolwazi, udokotela obulala izinzwa ukujula kanye nenzwa ye-EEG engahlanyisi elahlwayo esetshenziswa nemonitha yokubulala izinzwa kufanele futhi ibe namandla kakhudlwana.

Izinzwa ze-EEG ezingavamisi alahlwayo

Siyazi ukuthi ukujula kokubulala izinzwa yizinga lapho umzimba uvinjelwa khona yinhlanganisela yokubulala izinzwa nokushukumisa umzimba. Njengoba ukuqina kwe-anesthesia nokugqugquzela kwanda futhi kuncipha, ukujula kwe-anesthesia kushintsha ngokufanayo.

Ukuqapha ukujula kwe-anesthesia bekulokhu kukhathaza odokotela ababulala izinzwa. Ukungashoni kakhulu noma ukujula kakhulu kuzodala ukulimala ngokomzimba noma ngokwengqondo ezigulini. Ukugcina ukujula okufanele kwe-anesthesia kubalulekile ukuqinisekisa ukuphepha kwesiguli nokuhlinzeka ngezimo ezinhle zokuhlinza.

Kubikwa ukuthi i-BIS inokuhlobana okuhle nokugcwala kwezidakamizwa eziningi ezibulala izinzwa, ngakho-ke ukuze kuqondiswe umthamo womuthi obulala izinzwa, ukusetshenziswa kokuqapha kwe-BIS, ngokwemiphumela yokuqapha ukuze kuqondiswe ukusetshenziswa kwezidakamizwa ezibulala izinzwa, ezingagcina kangcono. ukujula kwe-anesthesia futhi udlale umphumela omuhle wokubulala izinzwa.

Ngokuthuthukiswa kobuchwepheshe bokuqapha be-EEG eminyakeni yamuva, i-BIS (i-bispectralindex) isiphenduke indlela eyaziwayo yokuqapha kangcono isimo sokusebenza kwe-cerebral cortex nezinguquko, futhi ingasetshenziswa njengendlela evamile nethembekile yokuqapha ukujula kwezinzwa ekusebenzeni komtholampilo.

Mayelana ne-BIS

I-BIS inani lezibalo elisuselwa kurekhodi le-EEG ye-dual-frequency yokukhishwa kwemithi ehlukene yokubulala izinzwa kusampula enkulu. Le datha itholwe ikakhulukazi kusampula enkulu yezifundo ezithola izidakamizwa ezimbaxambili ze-anesthesia efakwe namarekhodi e-EEG ephindaphindwa kabili, futhi isimo sokuqaphela, izinga lokupholisa, kanye nayo yonke i-EEG erekhodiwe yakha isizindalwazi. Bese, ngokusekelwe ku-electroencephalogram (EEG) frequency spectrum kanye ne-spectrum yamandla, inani lolwazi oluxubile lulingana olutholwe ekuhlaziyweni okungaqondile kwesigaba nama-harmonics.

I-BIS ukuphela kwenkomba yokuqapha i-anesthesia sedation egunyazwe yi-US FDA, engaqapha isimo sokusebenza kwe-cerebral cortical futhi ishintshe kangcono, inozwela oluthile lokubikezela ukunyakaza komzimba, ukuqwashisa ngokufakwa ngaphakathi kokuhlinzwa, nokulahlekelwa kanye nokululama kokwazi, futhi inganciphisa izidakamizwa zokubulala izinzwa indlela enembe kakhudlwana yokwahlulela izinga lokuthomalalisa nokuqapha ukujula kokubulala izinzwa nge-EEG.

Inkomba yokuqapha ye-BIS

Inani le-BIS 100, isimo esiphapheme; Inani le-BIS 0, akukho msebenzi we-EEG (i-cerebral cortex inhibition), (i-cerebral cortex inhibition). Inani le-BIS ngokuvamile libhekwa njengelivamile phakathi kuka-85 no-100. 65~85 ayalalisa; I-40 ~ 65 i-anesthesia. <40 Kwangathi kukhona ukucindezelwa kokuqhuma.

Ukuze kuqashwe ukujula okunembile nokufanelekile kwe-anesthesia ngezikhathi ezibucayi, inzwa ye-eg engalahlwayo esetshenziswa nokuqapha ukujula kwe-anesthesia kufanele futhi ibe usizo, ukuze inani lezinkomba kunoma yisiphi isimo likwazi ukuboniswa ngokunembile.

I-Shenzhen Med-link Electronics Tech Co., Ltd (kamuva ebizwa ngokuthi i-Med-linket) ineminyaka engu-15 yokuhlangenwe nakho kocwaningo kumakhebula ezokwelapha. Ngemva kweminyaka yokuqinisekiswa komtholampilo, sizenzele ngokuzimela inzwa ye-EEG engalahlwayo, ehambisana neziqaphi zokujula zokubulala izinzwa ezinamamojula e-BIS afana ne-Mindray ne-Philips. Isilinganiso siyazwela, inani linembile, futhi nekhono lokulwa nokuphazamiseka liqinile. Isiza udokotela obulala izinzwa ukuthi aqaphe eduze isiguli esiqulekile futhi anikeze ukulawula okuhambisanayo nezinyathelo zokwelapha kusenesikhathi ngokuya ngesimo sokuqapha.

Izinzwa ze-EEG ezingavamisi alahlwayo 

Inzwa ye-EEG engalahlwayo ye-Med-linket isebenzisa iglue conductive engenisiwe, i-impedance ephansi kanye ne-viscosity enhle; isiphasise isitifiketi sikazwelonke sokubhaliswa kwemishini yezokwelapha; kudlule ukuhlolwa kwe-biocompatibility, akukho cytotoxicity, ukucasuka kwesikhumba kanye nokungezwani komzimba, ingasetshenziswa ngokuphepha. Kuye kwaqashelwa futhi kwathandwa ochwepheshe ababulala izinzwa ekhaya naphesheya. Izinze ngempumelelo ezikhungweni zezokwelapha ezigunyaziwe zakwamanye amazwe kanye nezibhedlela ezimbalwa ezaziwayo ezifuywayo ukuze zisize izinzwa kanye nokunakekelwa okujulile kwe-ICU ukuqapha ngokunembile ukujula kwezinkomba ze-anesthesia.

Khetha inzwa ye-Med-linket ye-EEG engahlaseli, khomba ikhwalithi yochwepheshe ye-Med-linket, iminyaka engu-15 yokulima okujulile, ukuya phansi komhlaba, ngezingxenye zekhebula lezokwelapha ezibizayo, usize izinkampani zasekhaya zibhodloze.

*Isimemezelo: Zonke izimpawu zokuthengisa ezibhalisiwe, amagama, amamodeli, njll. okukhonjiswe kokuqukethwe okungenhla umnikazi wangempela noma umkhiqizi wangempela. Lesi sihloko sisetshenziswa kuphela ukukhombisa ukuhambisana kwemikhiqizo ye-Med-Linket. Ayikho enye inhloso! Konke okungenhla. imininingwane ingeyereferensi kuphela, futhi akufanele isetshenziswe njengomhlahlandlela womsebenzi wezikhungo zezokwelapha noma amayunithi ahlobene. Ngaphandle kwalokho, noma yimiphi imiphumela edalwe yile nkampani ayihlanganise lutho nale nkampani.