I-RVG (rheovasography) yamaphethelo aphansi: izici, isimiso sokwenza, ukucacisa kanye nemigomo

Izifo eziningi ezinzima zivela ekubonakalweni okuncane, okubonakalayo okuncane, okungavamile ukuphawula. Ngisho nezinguquko ezincane ze-vascular zingase ziholele ekushayweni, ukuhlaselwa kwenhliziyo, ukuxoshwa kwemikhawulo. Izifo ze-vascular zenzeka ngezizathu ezihlukahlukene, lezi zingabangela ukucindezeleka kwengqondo, ukudla okungalingani, isigqi esinamandla sokuphila. Ngaphambili isimo esingazinzile sitholakale, ukuqala kwesifo, ukufunda nokubhala okwengeziwe nokukhethwa okwanele, futhi lokhu kuyisici esibalulekile sokugcina impilo. Ezokwelapha, okuthandwayo kunikezwa ezindleleni ezingenasidingo zocwaningo, ezinobuchwepheshe obuhle, enye yazo i-rheovasography yamaphethelo aphansi (RVG). Sizolwazi ngokuningiliziwe ngale ndlela: iyini injongo ye-rheovasography, oboniswayo nokuthi imiphumela yomcwaningi ibhekwa kanjani.

Umqondo we-rheovasography

I-Rheovasography ingenye yezindlela zokuxilonga, lapho ukusakazwa kwegazi emilenzeni engezansi nangaphezulu kwesiguli kuhlolwa. Ukusakazwa kwegazi, okuphenywa ngale ndlela, kubizwa ngokuthi i-hemodynamics. Iveza umfanekiso wesifunda ngesikhathi sokuhlolwa kwesimiso senhliziyo, futhi ivumela ukuhlola ithoni yemikhumbi. I-RVG ibonisa isimo se-arteries, imithanjeni endaweni ekhethiwe yemilenze, izandla, yenza kube lula ukunquma izinguquko ezenzeka ezindongeni zezimpahla. Uma kucaciswa ukuthi kucacile ukuthi kunezingqinamba ezingezansi zezimpahla noma kukhona ukuvimbela okuphelele.

Ekuphileni komuntu, umthwalo oyinhloko usemigqeni engezansi, ngakho-ke ngokuvamile ukucwaninga kunikezwa kule ngxenye, lokhu kukuvumela ukuba uhlole ukugeleza kwegazi kwemikhumbi yemilenze bese ubeka ukwelashwa okufanele.

Kungenzeka ukuthi uphinde uphrinta hhayi ekuqondeni udokotela, kodwa futhi ngokuzimela. Lolu cwaningo lwenziwa emitholampilo eminingi ekhethekile ngezindleko ezingabizi. Uma udinga i-rheovasography emaphethelweni aphansi eMoscow, ungaxhumana namakheli alandelayo:

• 2-nd Tverskoy-Yamskaya Pereulok, Ukwakha 10 - OJSC "Imithi".
• I-Bathy lane, indlu 2 - i-SvsR.
• I-Mkrn Novogorsk eKhimki - I-Design Bureau No. 119.
• Ul. Novozavodskaya, indlu 14a - polyclinic № 2.
• Ul. I-Lyapidevskogo, d. 14/1 - "I-Doromed".
• Ul. Budayskaya, indlu 2 - JSC "Railways yaseRussia", Central Design Bureau No. 2.

Kuncike esikhungweni lapho kwenziwa khona inqubo, idumela, indawo, kanye nekhwalithi yemishini lapho i-rheovasography yamaphethelo aphansi ihamba khona, intengo ingashintsha. Izindleko zivela kuma-ruble angu-800 kuya ku-2500.

I-Rheovasography ingenye yezindlela ezingahlosiwe zokuhlolwa, lapho ukungena emzimbeni kungadingeki. Ukuze usebenzise ukusetshenziswa kwamanje ephezulu. Lolu cwaningo alusetshenziselwa izitsha zekhanda, kulokhu ukuxilongwa kuthiwa i-rheoencephalography.

Inqubo

Ukuze kwenziwe i-rheovasography yezimpahla zamaphethelo angenhla nangaphansi, i-electrocardiograph (amadivayisi we-ECG), ama-electrodes akhethekile kanye nokunamathiswa kwe-rheographic kuyadingeka. Umsebenzi wesisebenzi sezokwelapha uhlinzekwa kakhulu uma kubhaliswa ikhompiyutha yezinkomba. Ucwaningo lusebentisa umthamo wamanje wezinga eliphezulu ongaletha noma yikuphi ukuzwa okungajabulisi. Igazi lingenza umbane wamandla kagesi, ngenxa yalesi sizathu ukumelana kuyahlukahluka ngezigaba ezahlukene zokugeleza kwegazi. Ukuxhomeka lapha kuhamba ngokulinganayo: ngegazi elikhulu lokugcwalisa - ukumelana okuncane kwamathishu. Kusukela ezinkomba eziphezulu kuya phansi kukhona ukushintshashintsha njalo. I-rheovasogram ibonisa ngokucacile ukuhamba kwezinkabi ze-pulse, i-amplitude iyanda ngegazi elandayo eligcwalisa futhi, ngokuphambene, liyancipha uma liyancipha. Udokotela wokuhlola okusebenzayo ubona ukwephulwa eshadini futhi angathola iziphetho mayelana nokuhamba kwegazi.

Izimpawu zokuhlolwa

Ukubukwa kabusha kwezitsha zemikhawulo engezansi kusetshenziselwa ukuhlolwa kokuqala kwezifo ze-vascular kanye nokuqapha ukuthuthukiswa kwesifo. Izinkomba ziyi:

• Ukwehla kwesifo sofuba, okuvame ukubangele ukuphazanyiswa kokudla okunomsoco kwezicubu kanye nokunciphisa ukukhanya kwe-lumens emthonjeni.
• Sikashukela. I-Rheovasography yamaphethelo angenhla nephansi ayenziwa. Lesi sifo singabangela ama-micro- kanye nama-macroangiopathies, kamuva ahlakulele unyawo lwesifo sikashukela.
• Isifo sikaRaynaud. I-asthenia yesifo se-neurocirculatory, ama-spasms ngezikhathi ezithile ze-artificial peripheral kungenzeka.
• Ikhanda elibhekisiwe elivela ekuphuleni kokuphuma kwegazi elimnyama, kanye nezinhlayiya zezimpahla zokuguqula.
• Ukwelashwa kwengqondo engapheli, ukucindezeleka komfutho wegazi.
• I-asthenia ye-neurocirculatory, encike ekusebenzeni kwethambo le-vascular.
• Izifo zombhede ovulekile, obangela ukwephula ukuphuma kwegazi, ikakhulukazi ngokusebenzisa imithanjeni yemilenze.
• I-Thrombophlebitis, okuholela ekusungulweni kwezindwangu zegazi ezindongeni zemithambo yegazi.
• I-Varicose veins.
• Ukubumbana, uma kunokuvinjelwa egazini.
• Ukuqeda i-endarteritis, okungaholela ekuziphatheni.

Uma kungekho izifo ezithiwa, i-RVG inconywa ezimweni zokugonywa kwamalungu, ngokubonakala kwamehlo aluhlaza okwesibhakabhaka nokuqothulwa, ukulahlekelwa ukuzwela, ukukhwabanisa isikhumba, ukuvuvukala.

Izinzuzo zohlolo

Isifundo ngasinye sinezinzuzo nezinzuzo zayo. Bangakwazi ukuxhumeka ohlangothini lwezobuchwepheshe noma ngokuqeqeshwa kwabasebenzi. Kubalulekile ukuthi zonke izinhlangothi ezingalungile zingalungiswa futhi zenze iphutha ngokuthi inqubo yokuxilonga ibe ngcono. Izinzuzo ze-RVZ zimi kanje:

• Indlela engavumelekile. Iphuzu elibalulekile - isiguli asikho ngaphansi kwemiphumela engajabulisayo nebuhlungu, isibonelo, ukuphazamiseka kwamagciwane. Ukuze ucwaningo aludingi imodi yegubhinethi ehlonyelwe ngokukhethekile, amadivaysi adingekayo okwanele.
• Kulula ukufeza. Inhlanganisela enkulu kubasebenzi. I-rheovasogram ingasuswa ngumhlengikazi ofanelekayo, umsebenzi wayo ukuphoqa ama-electrode futhi ufake i-resograph. Imiphumela izohlaziywa udokotela.
• Imishini yocwaningo engabizi futhi engabizi.
• Izinqubo zokuphepha. I-RVG kungenzeka izingane nabesifazane abakhulelwe.
• Ulwazi oluthembekile. Ngokuchaneka okukhulu, ubuciko bemikhumbi, ikhwalithi yokuphuma kwegazi, ukugula kanye nezinga lokusabalalisa kwabo kunqunywa.
• Kungenzeka ukuba kutholakale ukuhlukana kokuhlukana kokulimala kwamasongo kusuka ekudleni okusebenzayo.

I-Cons

I-Rheovasography yamaphethelo aphansi kunemiphumela encane kakhulu, ifaka izinto ezilandelayo:

• Isici somuntu. Uma kuneziguli eziningi kakhulu, ukungabi nokuphumula okufanele kumhlengikazi kungabangela ukusabalalisa ukunakekelwa, futhi lokhu kungathinta izinga lokubhalisa. Uma izimo zokusebenza, umbuso wonke uhlonishwa, iziqu zabasebenzi bezokwelapha ziphakeme, ngakho-ke akukho okushiwo lokhu.
• Ikhwalithi yobuchwepheshe. Okunamathiselwe kwe-Rheographic kungaphazamisa, okuthinta imiphumela. Ukusetshenziswa kwamakhompiyutha kungabandakanyi ukwehluleka okunjalo esifundweni.

Ukulungiselela i-rheovasography

Ukulungiselela i-rheovasography yezindawo ezingezansi akuyona neze inkimbinkimbi, kodwa kubalulekile ukuhambisana nazo zonke izidingo ezidingekayo ngaphambi kokucwaninga.

• Imizuzu engu-15 ngaphambi kokuhlolwa, isiguli kufanele siphumule ngokuphelele, thola ukuphumula kokuqala.
• Labo ababhema, emahoreni amabili kufanele bakhiphe ngokuphelele ukugeleza kwe-nicotine egazini.
• Uma kukhona inkambo yokwelapha nganoma yimiphi imithi, usuku oludlule lwe-RHC kubalulekile ukushiya izidakamizwa.
• Uma kudlula i-rheovasography, izitho kufanele zikhululwe ezembatho.

Ukuqhuba ucwaningo

Isiguli sigqoke embhedeni, i-pose ngemuva. Isikhumba semikhawulo sinciphisa utshwala. Izinzwa zithinteka ezindaweni eziphathwayo. Kusukela kumadivaysi edivaysi elula, iphele ngama-electrode, okuzofunda ulwazi. Izimpawu zithunyelwa esikrinini, i-rheovasogram ibhaliwe, izinkomba ezinkulu zibalwa.

I-rheovasogram ingenziwa ngokusebenzisa ama-rheographs amaningi, noma uphenyo lwenziwa ngokulandelana, kusukela emasayini akude ukusuka phakathi, ekupheleni komakhelwane. Isici sesici lapho ubeka abaqhubi kuyisimingcele esiqinile.

Izinkomba

I-Rheovasography yamaphethelo aphansi ayenziwa ngenhloso yokutadisha imingcele yemingcele yezwe lezikebhe. Amagagasi alinganayo okufundwayo afanelana nesilinganiso se-pulse. Emagageni omunye angahlulela ukugcwaliswa kwemisipha, kuye ngokuthi isigaba sokuqedwa kwenhliziyo esikhathini esithile. Ngenxa yocwaningo, i-RI (i-index index) iphuma. Kubalwa ngokuqhathanisa ukuphakama kwamagagasi ngokuphakama (i-pulse calibration). Inani le-RI ngokuqondile lixhomeke ekugcwalisweni kwemithambo yegazi ngegazi, ngosizo lwayo kungenzeka ukubala inani eliphelele lapho isilwane sigcwele igazi lokubulala. Imingcele elandelayo ihlanganisa nemingcele esemqoka: inani lokuphuma; Ukuqina; Ukuphikiswa kwamapayipi.

I-Rheovasography yezimpahla zemikhawulo engezansi (ukucubungula)

Ngemuva kokuthola i-rheovasogram, isikhathi sokumemezela sifikile, esenziwa ngumchwepheshe oqeqeshiwe. Leli iphuzu eliyinhloko locwaningo, wonke amatholampilo atholakala lapha futhi umbuzo wokwelapha okunye ukwenziwa. Ukuchazwa kwe-rheovasography yamaphethelo aphansi kufaka amaphuzu alandelayo:

• Ukugxila okuyinhloko ukutadisha i-RI. Inani le-0.04 libonisa ukwehla okubukhali esimweni esivamile, inkomba ye-0.04-0.05 iyancipha ngokulinganayo. I-RI evamile ibhekwa njengengu-0.05.
• Inkomba yokuqina (IE). Inani eliphansi eliphansi liphansi kuka-0.2. Kunciphise kancane - 0,2-0,4. Okuvamile - 0,4.
• Ukuze unqume ukuphuma kwegazi ezitsheni, faka inkomba ehambelanayo, okujwayelekile okuyi-0.2-0.5. Uma inani lingaphansi, ukuphuma kuhlinzekwa; Inkomba engaphezulu kuka-0.5 ibonisa ubunzima ekuphumeni.
• Amapharamitha wokuphikiswa komzimba: ngaphezulu kuka-0.55 - overestimated; Ngaphansi kwesilinganiso esingu-0.15 - ngaphansi. Okuvamile kuyinto 0.2-0.45.

Ukuhlolwa okusebenzayo

Ukuze uhlole izibalo ezifihlekile, ukuhlolwa okusebenzayo kwemithi kungasetshenziswa:

• I-nitrolycerin. Ngemuva kwe-resorption ye-nitroglycerin, i-RVG yenziwa, emva kwalokho umphumela uqhathaniswa nendawo evamile. Lokhu kuyadingeka ukuze sikwazi ukuhlukanisa phakathi kwama-spasms ajwayelekile futhi asebenzayo.
• Ukucindezela. Isetshenziswe ekutadisheni kwe-thrombosis ejulile ye-vein. Uma kuqhathaniswa nama-indices avamile we-RVG, i-cuff esikhwameni iphezulu futhi imingcele ihlelwe ngemva kokususwa.
• Cold. Yenzelwa ukutholakala kwezifo ezahlukene ezandleni. Amanzi ashisayo asetshenziswa. I-rheogram ithathwa kathathu ngemva kwesikhathi esithile, imiphumela yokubuyiselwa kwegazi ukufaniswa, iziphetho zithathwa. Isivivinyo esibi - ukubuyisela i-R ngomzuzu wesi-7. Uhlolo oluhle luyabuyiselwa kancane kancane kumaminithi angu-30.