Kekahi mea no ana i ka manaʻo koikoi o ke kanaka. Ano keia ano o na manao no ke ana ana i puʻe

Kekahi mea no ka ana puʻe ua kapaia he tonometer. Aia i ke koko, nā kahu nānā no ka hooponopono ana o ke koko,, e like me maalea, e hiki ana i ka puʻe i loko o ka maka. Muli o kona kulana pinepine, ka mea,ʻo ka loa nui koʻi no kekahi kanaka e loaa ana mai ke koko, kulu 'ole ophthalmologic pilikia.

Ma kēia 'atikala e kūkākūkā mākou i nā pono a me nā keakea oʻano o ia mau manaʻo, a me epekema no kā lākou hana.

No ke aha la ka mea pono, e ana ai i ke koko, ma kona home?

I ka poe ilihune holo, kena ae la ma kekahi mau maʻi o ka mea'ōnaehana mānowai koko'ōnaehana, i ka hoʻomanawanui koi ikaika aku ka mālamaʻana o ke koko,.

Ana ke koko, ma ka hale, a kōkua i ka hoʻomanawanui, a me kona ohana kauka e Hoʻokolo loli i nā hoailona no ka lā. A Kauka hoʻohana 'ana i ka huahelu mooolelo ke ho oholo i ka laulā o ka ai' i hoʻohana. Ia ia iho me ke ahonui manaʻo no ke ana ana i ke koko, e ae i ka manawa e lawe hana, e hoʻopau i ka hypertensive ulia, a mālama lākou iā lākou iho mai ka pōʻino e hiki mai hahau ana pela, oiai e ae ho'āʻo ana i ka "keʻokeʻo kapa ia"ʻaneʻane inevitable i ke kauka, a hiki i hoʻonui i ka'aloʻahiʻa.

He aha nō i nā mea hoʻohana i ana ai i ke koko,?

I mea e e hiki ke kū i ka'aloʻahiʻa pae i loko o nā ipu koko, hoʻohana me mechanical, 'akomi a kalaka nui-akomi ke koko, nā kahu nānā. Kēlā me kēia no ia i kona mau pono a me keakea.

Ma mechanical e tonometer i ka mīkiniʻimi ana e heluhelu hiki ma ka nana ana i ka pua, neʻe maila i ka hōʻike degere. Ke cuff o keia mea ua loaa i ka luna lima hea ka mea me ka'ūhā mua. Ua loaʻa ka 'auhau no ka lewa, a EII ni ma ka lima me ka laholio u kukui.

Mechanical lima kūlana kiʻekiʻe no ke ana ana i ke koko,, e like me ka hapa nui o nā mea kūʻai mai, hōʻike i ka loa pololei hana a me na koina i ka ia manawa nui ho'ēmi ma mua o kā lākou uila counterparts.

Pehea e hoʻohana i kekahi me mechanical tonometer

Akā, Eia naʻe, me mechanical tonometer e huli mai, e e kokoke paʻakikī i ka hana, e like me keia mea hana no ke ana ana i ke koko, pono kekahi nā mākau, a me ka pepeiao maikai o ka mea hoʻohana. Mechanical tonometer pono i ka hoʻohana 'stethoscope, ma i' enehana hou Kal.

Stethoscope paʻa i ka artery i loko o ka hanauna ino lakou o kona lima. Vigorously inflate ka cuff ma ka mea ohia, i puni 180 mm o Hg. Art. 'ole 30 heluʻai ma luna o hope hana mīkini. A laila, ma ka hemohemo ka nohona kiwikā ma luna o ka ohia, oe e lohi e ka lewa mai o ka cuff (e ole e hiki i ka hooholo i ka puʻe ma hookeai ea mākeke oe).

A hiki i ke koko hoʻomaka e kahe ana i loko o ka artery, kikeke kani i Konakele. - i keia manawa ia e e hoʻomaopopo i ka mua huahelu ma ka mīkiniʻimi. Ua hōʻike systolic (mauka) puʻe. I ka manawa i ka wa a ka leo nalo, hai kekahi huahelu - he diastolic (lalo) puʻe.

Inā 'oe pono e' oe i ke ana, e ka wanaao ae no 2-3 minuke.

He aha e au e hana ai ma mua e hoʻomaka ana ke koko, ana

Akā, i kou, a hiki loa i ka mea maikaʻi, no ka mea'aloʻahiʻa moʻokūʻikena hōʻike i ka pololei kii e hahai i kekahi mau rula.

1. Ma mua o na lede i ke ana kaʻina hana, ua ole kāohi hooikaika oe ia oe iho, mai eʻai a inu nā mea inu i loaʻa ka caffeine a ka waiʻona, ina wale no ka hapalua o ka hora mua o ka kaʻina hana. Ia mea,ʻaʻole e pono no hoi i ka uahi, no ka mea, i kēia kaʻina hana hiki paha ka nānaina i nā ikepili.
2. E ho'āʻo i ka ninini i ka bladder.
3. Mamua o ke kaʻina hana, e hoomaha no ma kahi o 5 minuke, a ina e 'oe i ko mākou hopohopo ole kulia physical ke kākoʻo' ana, koena e mau ma ka liʻiliʻi 15 minuke.
4. I loko o ka manaʻo koikoi ana e kamaʻilio.
5. E hōʻoia i ka 'Aʻole i hele mai ma lalo o ka cuff o ka lole aahu.
6. E ka oluolu kūlana. Wāwae Mai kela kapa me kona kua E hilinaʻi ana ma luna o ke kua o ka noho.
7. Puʻe maikaʻi ana ma luna o ka hookahi lima. E kau ia ma ka papa a armrest, a maiʻoni.
8. I ka wa ana i ka puʻe ma ka pulima oʻu ua koi 'ia e hoala mai i ka lima, kūlou ma ke kuʻekuʻe aku, ma ka nui o ka naau.
9. Ke cuff a puni ka lima e e wahi paa. Inā ia mea ia e ke aupuni 'kokoke i ka'ūhā mua, a laila, eʻoiaʻiʻo i ka makahiki hema ma ka liʻiliʻi loa 3 knm ma waena o ke kuʻekuʻe aku, a cuff.

Inā i ka hopena o ka puʻe hoʻomakaʻu oe, e mālie iho a remeasure hou i kekahi mau minuke ma hope. I kekahi manawa ka mea, ua loaʻa ia mea, uaʻaʻole like ino e like me ia mea ma mua, e kaha. A eʻoiaʻiʻo i ka hoomanao ana i ka puʻe luna 180/120 mm o Hg nā hoailona. Art., E noi aku i ka OAXA 'inikua kōkua!

No ke aha la oe i pono ai i ka pinepine ae la oia puʻe remeasure

Loa pinepine i ka hopena ma hope o ka mua puʻe ana muli o kona kiʻekiʻe, no ka mea, o ka mea ikaika mīkini'opihia lima cuff ma vascular tonus ala spontaneously. Nolaila, he mea no ana i ka puʻe o ka ke kanaka mea pono e 3 manawa hana i loko o ka lalani ma kekahi lima, a me ka poe liilii,ʻanuʻu. Inā na huahelu o ka lua a me ke kolu ana i kokoke loa e like me ka hiki, a laila, i kēia mea na huahelu o kou puʻe. Inā ka hou waiwai ua i malama, remeasure ia i ka 8 manawa (hoi me ka haʻahaʻa) a oe loaʻa i ka hale lio repeatability. Mau oeeo? A, e ia i ka loa ma ka pono a.

Incidentally, koke ma hope kūʻai, e ana i ko oukou koko, ma luna o nā mea kaua. A ina kekahi o ia mea, e ia oi, i ana i ka kēia manawa ia ma luna ona nae.

I hoʻohana 'ia' akomi a semiautomatic lima kūlana kiʻekiʻe no ke ana ana i puʻe

Akomi a kalaka nui-akomi lima kūlana kiʻekiʻe no kanaka hana puʻe ana nunui maʻalahi. E hana i kēia, e pono e kau i ka cuff ma ka lima, a ua pilikia "Start". Ke cuff hoʻomaka e inflate lākou iho. Naʻe, i loko o ke kalaka nui-akomi machines mea pono e EII ni ma ka mea o ka ohia. Akā, i ke ano o ka stethoscope i loko o nā hihia ia mea,ʻaʻole e pono, e like me ka mea lolouila mīkiniʻimi i kūkuluʻia i loko o ka cuff, oia haʻawina koko, a ua kokoke mai hopena. puʻe ana i nā hualoaʻa e hiki ma ka papakaumaka.

Aia nō nā 'akomi manaʻo, ka cuff a ua kau ma luna o ka na pulima oʻu, e like me ka pono me ka poe ma ka cuff ua luna ma luna o ke kuʻekuʻe aku.

Ma ke ala, i ka waeia o ka mea, eʻoiaʻiʻo nō ia e lohe ana i ka nui o ka cuff. No ka mea, ina e makemake e undersized, ka mokuna i overstate na kii, a me ka laulā cuff - e underestimate ia.

Pehea e koho i ke koko, kanaka hoʻoponopono no ka hale hana

Ma ka hapanui o hoopii, apparently manawa, e hoopau i ka hoʻohana 'ana, nā mea kūʻai mai koho i ka' akomi paha semiautomatic lima kūlana kiʻekiʻe no ka puʻe ana. Ka mea hiki ke kuai lilo mai i loko o nā hale kūʻai lāʻau lapaʻau, akā nō e ole wikiwiki.

Mua o nā mea a pau, manaʻo e pili ana i o na ano mau o ka manao maalea no oe pono. Eʻoiaʻiʻo, e like me ua oleloia, e hoailona oukou i ka nui o ka cuff. Ka mea, e hele mai i loko o ekolu nui like 'ole:

• S (uuku, mai ka 22 knm);
• M (awelika, mai ka 32 knm);
• L (nui, mai ka 45 knm).

E hoomanao i ka hōʻike 'ia nei: kiʻi mea pono e akaka a me ka conspicuous. E noi i ke kuai ana i pololei keia palapala tonometer.

He loaʻa i kekahi keakea o akomi ke koko, nā kahu nānā?

O ka holo ana, hana nona iho nui kōkua ai i nā puʻe ana kaʻina hana, akā, i kēia mau mea, he manaʻo nō hoʻi i kā lākou mau drawbacks. Ka mea, i ole nui loa pololei, noi aku OAXA ana o nā mea e loaʻa ka mea nalo i loko o kūikawā hana-oaio? A, a me ke kumukuai o ia seriously luna ma mua o ka mea me mechanical ke koko, nā kahu nānā, ma ka hou, ua emi mai ma mua o ka mea i olelo ia i na mea maalea iho la lakou.

Electronic lima kūlana kiʻekiʻe no ana i ka manaʻo koikoi ua manaʻia e iuo aaoa?, Akā, i ko lakou mana mea,ʻaʻole lawa ia no ka manawa lōʻihi, e hana i ka pono puʻe i loko o ka cuff. E like me ka rula, i kēiaʻo ole wale no ka mea i ka iuo aaoa? Ae noho iho - ka mea iho ua hoi deteriorating hikiwawe loa.

'Oiai, i maopopo ia literally. e hiki e mau no na makahiki Hoikehonua, 'akomi a me kalaka nui-akomi ke koko, nā kahu nānā, akā, kā lākou mau ÿano counterparts e nō ia ma luna o kou poʻe kiaʻi puʻe nunui hou.

He aha kani no ke ana ana i puʻe maikaʻi?

Tonometer ma ke kuai i ka loa hanohano i keia la i ka «Omron» ua kūpaʻa mau mea, «Microlife», a «A ME». O nani pololei, mau nō a me ka oluolu, e hoʻohana machines, ua hanaʻia i loko o Iapana, Kuikilana, a me kaʻAmelika Hui Pūʻia no na makahiki, e mālama i ka lāʻau i loko o kēia wahi. A no kēia mau hana oe i makemake ke koko, nā kahu nānā, mai ia oe, e like me ka helu 'ia ma waena o kēlā me kēia mea e ana ai i ka puʻuwai ka maikaʻi loa nāʻana.

He aha ka intraocular puʻe

High ke koko, i hiki ke ho ololi i ka moku'āina o ko mākou mau maka. Eia kahi mea akaka, ma ka hypertension, ke koko ma luna o na moku liʻiliʻi, a me ka huli hele aku ai a hiki i ka mahuahua ma intraocular puʻe maʻiʻo (permeated me capillaries) ma luna o ka maka paia. Pela mahuahua puʻe i loko o ka maka.

Intraocular puʻe - he kamaʻilio ua loaʻa ma ka mau inflow a me ka outflow o ka loli i loko o ka'ōnohi a poʻopoʻo. Kona maʻamau Hawaiʻi i waena o 16 a hiki i 24 mm o Hg. Art. He pilikia no kanaka ola like me ka lōʻihi ke kiekie intraocular puʻe (glaucoma) a me ka haahaa (hypotension).

Hoikehonua, kūlana kiʻekiʻe no ka ana maka puʻe e leie aku oe e hana ia me na la discomfort i ka hoomanawanui,ʻoiai i loko o ka Lūkini ola mālama hana ua no hoʻohana tonometer o Maklakov, ka meaʻAʻole makemake nā mea maʻi.

Pehea e ana i ka intraocular puʻe

I mea e ana i ka intraocular puʻe ma ka mea o ka la tonometer ma hope o anesthesia kaʻina hana ma luna o ka piko o nā ka hoʻomanawanui corneas i kohuia ua hōʻike hewa kau paona. Lākou paʻi ua anaia mai ka manawa, a laila, decode i ka hopena.

Kēia mea no ke ana ana intraocular puʻe pono OAXA disinfection, a me ka ike pono o ka hoʻomalu lawelawe i ka hana. Incidentally, ia mea obligatory e instillation i loko o ka maka, a me ka disinfectant pāʻoihana ma hope o ka ana.

Ua hoʻomanaʻoʻia ai ia i na wahine e hookuu i ka intraocular puʻe mea kiʻekiʻe ma luna o ia o nā keiki kāne. Eia hou, ua hoʻonuiʻia ka malihini me ka makahiki. Ke kiʻekiʻe intraocular puʻe glaucoma hiki ia i ka hoailona a peahi nā papaha o? Acaeoey.

Ole-papa hana no ke ana ana intraocular puʻe

Haʻalele Maklakova tonometer, noncontact tonometer precludes maʻiʻaʻai, e like me ka mea, aohe pono e hoopa aku ia ia me ka cornea ma ke kaʻina hana. Eia kekahi, he contactless manaʻo no ke ana ana intraocular puʻe ua noi me ka anesthesia.

E ho ohana i olelo mai puʻe i hoʻomākaukauʻia ua anaia mai ka manawa ma ka lihilihi, me ka kiʻekiʻe māmā a me ka nele o ka discomfort. A ina hana hiki e lawe mai, a me ka hoomanawanui, ina he pono.

Naʻe, i kēia mea,ʻaʻole mea pono no ka poe i na scars ma ka lihilihi, li nui, a me kekahi deformation o keia hapa o ka maka. Mai ka hoʻohana i kēia manaʻo a me ka conjunctivitis, a me ka oolea o ke pathological ano o ka sclera.

Ka lahui hana o ana intraocular puʻe

Ma ke ala, i kaʻokoʻa kani no ka ana maka puʻe, a e haawi aku i kekahi hana hae. Kēia kekahi manawa, hiki aku ai i ka hihia ma waena o adherents e loli iki 'ana i kūpono.

Pela, ma kūwaho hoʻi me ka hana pono ka mea, ua nō noʻonoʻo i ka loa pololei Goldmann tonometry. Kēia ana iaoiaeii ua muli ma ke kilo, i mea no ka mana koi 'ia e flatten i ka cornea a hiki i ka paʻa anawaena (ia mea 3,06 mm). I hoʻohana 'ia no kēia mea no ana i ka manaʻo koikoi o ke kanaka calibrated no laila, i kona ikaika nāʻikepili hōʻike ma luna o ka puka' o ia me ka unahiʻole.

Ke kauka e hoouna ae i ka hoomanawanui o ka maka ike i ka malamalama huali, a me ka kino ma ka ea paukūʻolokaʻa, a flattens ka cornea. Mamua o ka mea, ua eli iho ai i ka conjunctival sac kūikawā kalameaʻai (fluorescein) i mea ma ka hui 'ana me ka cornea mīkiniʻimi ua hoʻoneʻe laterally. Ke kauka i ka mea ia manawa ike ma ka microscope paukūʻolokaʻa glowing hapa-apo hookahi. He, i mea e hooholo i ka IOP pono kali hoʻohui i ka pahale ili o ka luna, a malalo hapa-ke komo lima, ka mea a ka'aloʻahiʻa kōā me ka unahiʻole. Normal ma keia huahelu loli aʻe mai ka 9 a hiki i 21 mm o Hg. Art.

He aha ka manaʻo tonometry ma Stolz

I tonometry kāuʻikepili i lawe ia e Stoltz o kekahi mau heluʻai ma luna o kēlā hoʻomanawanui ka maka. A kauka no keia mālie hoopa aku i ka cornea, o ka hohonu o ke kaumaha wā i ke koʻokoʻo o ka ikaika kea pauku IOP. Ma keia hihia, he kaomi like koke i ka heluhelu ana o ke kānāwaiʻoukou. A hiki ke ike i ka makeʻikepili ma o ka awelika intraocular puʻe ma hope o ka beep.

Aia He He mea no ka hoʻoponopono-ana o intraocular puʻe

Inā diagnosed he hoomanawanui me ka glaucoma, e pono e Hoʻokolo i ka hana o ka lapaʻauʻia a me IOPʻikepili ma ka hale. I ka hana ana pela, ka mea e kōkua i ka mea, ma muli o ka rebound puʻe ana.

I ka hana o kēia mokuna, mai koi anesthesia kulu a kūikawā nā mākau, no ka mea, o ka mīkiniʻimi wale hoʻowahāwahā no kekahi manawa pili ka cornea.

Tonometer Ua mau ke kākoʻo oihana mua i hiki ke uumi, e like me alakaʻi. Ka mea i ho'ākāka 'ia mea no ana i ka puʻe o kanaka hōʻikeʻike puʻe cii 11 me ka laulā, mai 5 a hiki i 50 mm o Hg. Art. Inā ka'aloʻahiʻa mea kiʻekiʻe ma loko o ka maka, i ka mea kī ana i ke aʻoaʻo ma lepa. Kekahi pono ka mea, hiki e manao like i koe i ka pilikia o ka maʻiʻaʻai, e like me ke koko, cuff mea disposable nā mea e loaʻa ka mea nalo.