Isihluthulelo se-anesthesia kanye ne-ICU ukuqapha ukujula kwe-anesthesia. Singakufeza kanjani ukuqapha ukujula kwe-anesthesia okufanele? Ngaphezu kwesidingo sodokotela onolwazi lwe-anesthesia, udokotela ohlola ukujula kwe-anesthesia kanye nenzwa ye-EEG engangenisi i-anesthesia esetshenziswa ne-anesthesia monitor nayo kumele ibe namandla kakhulu.

Izinzwa ze-EEG ezingangenisi magciwane ezilahlwayo

Siyazi ukuthi ukujula kokubulala izinzwa yizinga umzimba ovinjelwa ngalo yinhlanganisela yokubulala izinzwa kanye nokukhuthazwa emzimbeni. Njengoba amandla okubulala izinzwa kanye nokukhuthazwa ekhula futhi ehla, ukujula kokubulala izinzwa kuyashintsha ngokufanayo.

Ukuqapha ukujula kwe-anesthesia bekulokhu kuyindaba yodokotela bezinzwa. Ukujula kakhulu noma ukujula kakhulu kuzobangela ukulimala ngokomzimba noma ngokwengqondo ezigulini. Ukugcina ukujula okufanele kwe-anesthesia kubalulekile ukuqinisekisa ukuphepha kwesiguli nokunikeza izimo ezinhle zokuhlinzwa.

Kubikwa ukuthi i-BIS inobudlelwano obuhle nokuhlushwa kwemithi eminingi yokubulala izinzwa, ngakho-ke ukuze kuqondiswe umthamo wemithi yokubulala izinzwa ngesikhathi sokuhlinzwa, ukusetshenziswa kokuqapha kwe-BIS, ngokwemiphumela yokuqapha ukuqondisa ukusetshenziswa kwemithi yokubulala izinzwa, engagcina kangcono ukujula kwe-anesthesia futhi idlale umphumela omuhle wokubulala izinzwa.

Ngokuthuthuka kobuchwepheshe bokuqapha i-EEG eminyakeni yamuva nje, i-BIS (bispectralindex) isibe yindlela eyaziwayo yokuqapha kangcono isimo sokusebenza kwe-cerebral cortex kanye nezinguquko, futhi ingasetshenziswa njengendlela evamile nethembekile yokuqapha ukujula kwe-anesthesia emtholampilo.

Mayelana ne-BIS

I-BIS iyinani lezibalo elithathwe kurekhodi le-EEG eliphindwe kabili lokukhishwa kwemithi ehlukene yokubulala izinzwa kusampula enkulu. Lolu lwazi lutholakale ikakhulukazi kusampula enkulu yabantu abathola imithi yokubulala izinzwa ephindwe kabili efakwe amarekhodi e-EEG aphindwe kabili, kanye nesimo sokuqaphela, izinga lokuphumula, kanye nayo yonke i-EEG eqoshiwe yakha isizindalwazi. Ngemuva kwalokho, ngokusekelwe ku-spectrum yemvamisa ye-electroencephalogram (EEG) kanye ne-spectrum yamandla, inani lolwazi oluxubile olutholakala ekuhlaziyweni okungeyona i-linear kwesigaba kanye nama-harmonics liyangezwa.

I-BIS iyona kuphela inkomba yokuqapha ukudambisa ubuhlungu evunyelwe yi-US FDA, engaqapha isimo sokusebenza kwe-cerebral cortical futhi ishintshe kangcono, inokuzwela okuthile kokubikezela ukunyakaza komzimba, ukuqwashisa ngesikhathi sokuhlinzwa, kanye nokulahlekelwa nokululama kokuqwashisa, futhi inganciphisa imithi yokudambisa ubuhlungu. Isilinganiso siyindlela enembile kakhulu yokwahlulela izinga lokudambisa ubuhlungu kanye nokuqapha ukujula kwe-anesthesia yi-EEG.

Inkomba yokuqapha ye-BIS

Inani le-BIS 100, isimo sokuphaphama; Inani le-BIS 0, akukho msebenzi we-EEG (ukuvinjelwa kwe-cerebral cortex), (ukuvinjelwa kwe-cerebral cortex). Inani le-BIS ngokuvamile libhekwa njengelijwayelekile phakathi kuka-85 no-100. 65~85 ziyisidambisi; 40~65 ziyisidambisi-zinhlungu. <40 Kungase kube nokucindezela kokuqhuma.

Ukuze kuqashwe ukujula okunembile nokufanelekile kwe-anesthesia ngezikhathi ezibucayi, inzwa ye-eeg engangenisi i-eg elahlwayo esetshenziswa ngokuqapha ukujula kwe-anesthesia nayo kufanele ibe usizo, ukuze inani lezinkomba kunoma yisiphi isimo liboniswe ngokunembile.

I-Shenzhen Med-link Electronics Tech Co., Ltd (ebizwa ngokuthi i-Med-linket) ineminyaka engu-15 yesipiliyoni socwaningo ekuhlanganisweni kwekhebula lezokwelapha. Ngemva kweminyaka yokuqinisekiswa kwemitholampilo, sithuthukise ngokuzimela inzwa ye-EEG engahlaseli elahlwayo, ehambisana neziqaphi zokujula kwe-anesthesia eziqanjwe ngegama elinamamojula e-BIS njenge-Mindray ne-Philips. Ukulinganisa kuyazwela, inani linembile, futhi ikhono lokuvimbela ukuphazamiseka liqinile. Kusiza udokotela wezinzwa ukuba aqaphe eduze isiguli esingazi lutho futhi anikeze izinyathelo zokulawula nezokwelashwa ezifanele ngesikhathi ngokuya ngesimo sokuqapha.

Izinzwa ze-EEG ezingangenisi magciwane ezilahlwayo 

Inzwa ye-EEG engangenisi i-Med-linket isebenzisa i-conductive glue engenisiwe, i-impedance ephansi kanye ne-viscosity enhle; iphumelele isitifiketi sokubhaliswa kwedivayisi yezokwelapha kazwelonke; iphumelele ukuhlolwa kokuhambisana kwezinto eziphilayo, akukho ubuthi obuvela kumaseli, ukucasuka kwesikhumba kanye nokusabela kokungezwani komzimba, ingasetshenziswa ngokuphephile. Iqashelwe futhi yathandwa odokotela abangochwepheshe bokubulala izinzwa ekhaya nakwamanye amazwe. Iphumelele ezikhungweni zezokwelapha ezigunyaziwe zakwamanye amazwe kanye nasezibhedlela eziningana zasekhaya ezaziwayo ukusiza ukunakekelwa okujulile kwe-anesthesia kanye ne-ICU ukuqapha ngokunembile ukujula kwezinkomba ze-anesthesia.

Khetha inzwa ye-EEG engahlaseli ye-Med-linket, thola ikhwalithi yobungcweti ye-Med-linket, iminyaka engu-15 yokulima okujulile, okusebenziseka kalula, ngezingxenye zekhebula lezokwelapha ezingabizi kakhulu, usize imikhiqizo yasekhaya ukuthi iphumelele.

*Isimemezelo: Zonke izimpawu zokuhweba ezibhalisiwe, amagama, amamodeli, njll. eziboniswe kokuqukethwe okungenhla ziphethwe ngumnikazi wokuqala noma umenzi wokuqala. Lesi sihloko sisetshenziselwa kuphela ukubonisa ukuhambisana kwemikhiqizo ye-Med-Linket. Ayikho enye inhloso! Ulwazi lonke olungenhla luwukubhekisela kuphela, futhi akufanele lusetshenziswe njengesiqondiso somsebenzi wezikhungo zezokwelapha noma amayunithi ahlobene. Ngaphandle kwalokho, noma yimiphi imiphumela ebangelwa yile nkampani ayinalutho oluhlobene nale nkampani.