imonitha yoxinzelelo lwegazi, isibhedlele sasekhaya

UJaylene Pruitt ebekunye noDotdash Meredith ukusukela ngoMeyi ka-2019 kwaye ngoku ungumbhali weshishini kwimagazini yezeMpilo, apho abhala khona ngezempilo kunye neemveliso zempilo.
U-Anthony Pearson, MD, i-FACC, i-cardiologist ekhuselayo ekhethekileyo kwi-echocardiography, i-cardiology yokukhusela, kunye ne-fibrillation ye-atrial.
Sizivavanya ngokuzimeleyo zonke iimpahla kunye neenkonzo ezicetyiswayo. Sinokufumana imbuyekezo ukuba ucofa ikhonkco esibonelela ngalo. Ukufunda ngakumbi.
Nokuba usebenza nogqirha ukujonga kunye nokwehlisa uxinzelelo lwegazi, okanye ufuna nje ukwazi amanani akho, imonitha yoxinzelelo lwegazi (okanye i-sphygmomanometer) inokubonelela ngendlela efanelekileyo yokugcina umkhondo wokufunda kwakho ekhaya. Ezinye iziboniso zikwabonelela ngengxelo malunga nofundo olungaqhelekanga okanye iingcebiso malunga nendlela yokufumana ufundo oluchanekileyo kwiscreen. Ukufumana awona mehlo angcono oxinzelelo lwegazi ukujonga iimeko ezinxulumene nentliziyo ezifana noxinzelelo lwegazi oluphezulu, siye savavanya iimodeli ezili-10 zokwenza ngokwezifiso, ukufaneleka, ukuchaneka, ukusetyenziswa lula, ukuboniswa kwedatha, kunye nokuphatheka okugadwa ngugqirha.
UMarie Polemey, owayengumongikazi oye wanyangwa ngenxa yoxinzelelo lwegazi kule minyaka imbalwa idlulileyo, wathi ngokwembono yesigulana, enye yezona zinto zintle ekufuneka ijongisiswe ngumjongi woxinzelelo lwegazi yindlela elula yokufumana ufundo oluqhelekileyo. ULwesithathu. “Xa usiya kugqirha, uye ube novalo oluncinane … ukuze iyodwa ikwazi ukukuphakamisa [ukufunda kwakho],” watsho. ULawrence Gerlis, GMC, MA, MB, MRCP, ophatha izigulane ezine-hypertension, uyavuma ukuba ukufundwa kweofisi kunokuba phezulu. “Ndifumanise ukuba imilinganiselo yoxinzelelo lwegazi yeklinikhi ihlala inika ufundo oluphezulu kancinci,” utshilo.
Zonke iimonitha esizicebisayo ziicuffs zamagxa, uninzi lufana nolusetyenziswa ngoogqirha. Nangona iimonitha zesandla kunye neminwe zikhona, kubalulekile ukuqaphela ukuba i-American Heart Association ayikukhuthazi okwangoku ezi ntlobo zabalindi, ngaphandle koogqirha esithethe nabo. Iimonitha zamagxa zithathwa njengezilungele ukusetyenziswa ekhaya, kwaye oogqirha abaninzi kunye nezigulana ziyavuma ukuba ukusetyenziswa kwekhaya kuvumela ukufundwa okusemgangathweni ngakumbi.
Kutheni siyithanda: Imonitha iyakhawuleza kwaye kulula ukuyiseta kwaye inikezela ngeziphumo ezicocekileyo ezinezalathisi ezisezantsi, eziqhelekileyo, neziphezulu.
Emva kovavanyo lwethu lwelebhu, sikhethe i-Omron Gold Upper Arm njengelona liso libalaseleyo le-GP ngenxa yokuseta ngaphandle kwebhokisi kunye nokufundwa okucacileyo. Ifumene amanqaku ama-5 kuwo onke amacandelo ethu aphezulu: Yenza ngokwezifiso, iFit, ukuSebenzisa ngokulula, kunye nokuBonisa idatha.
Umvavanyi wethu uphinde waqaphela ukuba umboniso ulungile, kodwa isenokungabi yeyawo wonke umntu. “I-cuff yayo ikhululekile kwaye kulula ukuyinxiba yodwa, nangona abanye abasebenzisi abanokuhamba okulinganiselweyo banokuba nobunzima bokuyibeka,” batsho.
Idatha ebonisiweyo ifundeka lula, kunye nezalathi ezisezantsi, eziqhelekileyo, kunye noxinzelelo lwegazi oluphezulu, ngoko ke ukuba izigulane aziqhelani neempawu zoxinzelelo lwegazi, ziyakwazi ukwazi apho amanani abo awele khona. Ikwalukhetho olukhulu lokulandelela iimeko zoxinzelelo lwegazi ngokuhamba kwexesha, ukugcina ufundo lwe-100 kubasebenzisi ababini umntu ngamnye.
Uphawu luka-Omron luthandwa ngugqirha. UGerlis noMysore bahlula abavelisi abanezixhobo ezithembekileyo kwaye kulula ukuzisebenzisa.
Kutheni siyithanda: I-Omron 3 ihambisa ufundo olukhawulezayo noluchanekileyo (kunye nezinga lentliziyo) ngaphandle kokuba nzima kakhulu.
Ukujongwa kwempilo yentliziyo ekhaya akufuneki kubize kakhulu. I-Omron 3 Series Upper Arm Pressure Monitor ineempawu ezifanayo njengeemodeli zayo ezibiza kakhulu, kubandakanywa ukugcinwa kokufunda okuninzi kunye nomboniso ekulula ukuwufunda.
Umhloli wethu wabiza i-Omron 3 Series inketho "ecocekileyo" njengoko ibonisa kuphela amanqaku amathathu edatha kwisikrini: uxinzelelo lwegazi lwe-systolic kunye ne-diastolic kunye nesantya senhliziyo. Ifumana amanqaku ama-5 ngokufaneleka, ukwenza ngokwezifiso, kunye nokusebenziseka ngokulula, oko kuyenza ibe lukhetho oluhle lokusetyenziswa ekhaya ukuba ujonge amagumbi angenazintsimbi neempempe.
Ngelixa abavavanyi bethu bephawule ukuba olu khetho lufanelekile kwinto oyidingayo xa kujongwa uxinzelelo lwegazi, “ayilunganga kwabo bafuna ukulandelela ufundo ngokuhamba kwexesha okanye bacwangcise ukulandelela nokugcina ufundo lwabantu abaninzi” ngenxa yenani lilonke lokufundwayo. umda 14.
Kutheni siyithanda: Eli sweni linekhafu edibeneyo kunye ne-app ehambelanayo yokuhamba lula kunye nokugcinwa kokufunda.
Kubalulekile ukuqaphela: Ikhithi ayibandakanyi isikhwama sokuthwala, esiphawulwe ngumvavanyi wethu siya kwenza ugcino lube lula.
Enye yezinto esizithandayo malunga neWelch Allyn Home 1700 Series esweni yicuff. Kulula ukuyibeka ngaphandle koncedo kwaye ufumana i-4.5 ngaphandle kwe-5 yokufaneleka. Abavavanyi bethu baphinde bathanda ukuba i-cuff ikhululwe ngoko nangoko emva komlinganiselo kunokuba ithotywe kancinci kancinci.
Sikwathanda i-app ekulula ukuyisebenzisa ethatha ufundo ngoko nangoko kwaye ivumela abasebenzisi ukuba bathathe idatha baye nayo kwiofisi kagqirha okanye naphi na apho banokuyifuna khona. Esi sixhobo sikwagcina ukuya kuthi ga kwizifundo ezingama-99 ukuba awufuni ukusebenzisa usetyenziso.
Ukuba awufuni ukusebenzisa i-app kwaye ufuna ukuthatha iliso kunye nawe, nceda uqaphele ukuba ayibandakanyi i-case case, ngokungafaniyo nezinye iinketho zethu.
I-A&D Premier Talking Blood Pressure Monitor ibonelela ngophawu olulodwa phakathi kokhetho esiluvavanyileyo: ikufundela iziphumo. Nangona olu khetho luyinto enkulu kubantu abangaboni kakuhle, uMarie Polemay ukwathelekisa isixhobo kunye nemvakalelo yokuba kwiofisi kagqirha ngenxa yelizwi elivakalayo nelicacileyo.
Nangona u-Paulemey enamava njengomongikazi kunye nolwazi olufunekayo ukuze aqonde iziphumo zakhe, ukholelwa ukuba ukufundwa ngamazwi amaxabiso oxinzelelo lwegazi kunokuba lula ukuyiqonda kwabo bangenawo amava onyango. Ufumanise ukuba ukufundwa ngomlomo kweNkulumbuso ye-A&D ebeka iliso loxinzelelo lwegazi phantse “kwafana noko [bakuvayo] kwiofisi kagqirha.”
Olu khetho lufanelekile kubaqalayo, kunye nokusekwa okuncinci, imiyalelo ecacileyo kunye ne-cuff elula ukuyifaka. Abavavanyi bethu baphinde bathanda ukuba isikhokelo esibandakanyiweyo sichaza indlela yokutolika amanani oxinzelelo lwegazi.
Kubalulekile ukuphawula: Isixhobo sisenokubonisa into engento yokufundwayo okuphakamileyo, nto leyo enokubangela uxinezeleko olungeyomfuneko nonxunguphalo.
Njengezinye izixhobo ze-Omron esizicebisayo, abavavanyi bethu bafumanise ukuba le yunithi kulula ukuseta kunye nokusetyenziswa. Ngokusekwa kwenyathelo elinye - faka i-cuff kwi-monitor - ungaqala ukulinganisa uxinzelelo lwegazi ngokukhawuleza.
Enkosi kwi-app yakhe, abavavanyi bethu bayifumene ilula kwaye wonke umsebenzisi unokuba neprofayile yakhe ngokufunda okungenamkhawulo ezandleni zabo.
Ngelixa isixhobo siza kubonisa ukufundwa okuphakamileyo phezulu, ukuba akukho phezulu njengoxinzelelo lwegazi oluphezulu, abavavanyi bethu bavakalelwa kukuba ezi zitoliko zingcono zishiywe kwingqiqo yonyango. Abavavanyi bethu bafumana ukufundwa okuphezulu ngokungalindelekanga kwaye babonisana no-Huma Sheikh, MD, okhokele uvavanyo, kwaye bafumanisa ukuba ukufundwa kwengcinezelo yegazi ephezulu kwakungachanekanga, nto leyo enokubangela uxinzelelo. "Oku akuchanekanga ngokupheleleyo kwaye kunokubangela ukuba izigulana zibe nexhala lokuba ukufundwa kuthathwa njengokungenampilo," utshilo umvavanyi wethu.
Sakhetha i-Microlife Watch BP Home ukuze ibonise kakuhle idatha, ngenxa yezibonakaliso zesikrini ezinokwenza yonke into ukusuka ekuboniseni xa ulwazi lugcinwe kwimemori yalo ukukunceda ukuba ufumane ukufundwa okuchanekileyo, kunye nomqondiso wokuphumla kunye nokubukela. . bonisa ukuba ugqithise ixesha elilinganiselweyo.
Iqhosha lesixhobo "M" likunika ukufikelela kwimilinganiselo egcinwe ngaphambili, kwaye iqhosha lamandla liyivula kwaye licime ngokulula.
Sikwathanda ukuba isixhobo sinemodi yokuxilonga elandelela uxinzelelo lwegazi ukuya kuthi ga kwiintsuku ezisixhenxe ukuba kumiselwe ngugqirha wakho, okanye indlela "eqhelekileyo" yokulandelela okusemgangathweni. Imonitha inokuphinda ibeke iliso kwi-fibrillation ye-atrial kwiindlela zokuxilonga kunye neendlela eziqhelekileyo, ukuba iimpawu ze-fibrillation zifunyenwe kuzo zonke izifundo ezilandelelanayo zemihla ngemihla, isalathisi "Frib" siya kuboniswa kwisikrini.
Ngelixa unokufumana ulwazi oluninzi oluvela kwisiboniso sesixhobo sakho, ii-icon ayisoloko ilula xa uyijonga kuqala kwaye ithatha ukuqhela.
Iqela lezonyango livavanye i-10 yokuhlola uxinzelelo lwegazi kuluhlu lwezixhobo ezivavanyiweyo kwibhubhoratri yethu. Ekuqaleni kovavanyo, u-Huma Sheikh, MD, walinganisa uxinzelelo lwegazi lwezifundo kunye nesibhedlele-inqanaba lokujonga uxinzelelo lwegazi, ethelekisa ne-blood pressure monitor ukuze ngokuchanekileyo kunye nokuhambelana.
Ngexesha lovavanyo, abavavanyi bethu baqaphele indlela ekhululekile kwaye kulula ngayo i-cuff ingena kwiingalo zethu. Sikwakalise isixhobo ngasinye malunga nendlela esibonisa ngokucacileyo ngayo iziphumo, kulula kangakanani ukufikelela kwiziphumo ezigciniweyo (kwaye nokuba sinokugcina imilinganiselo kubasebenzisi abaninzi), kunye nokuba imonitha iphathwa njani.
Uvavanyo lwathatha iiyure ezisibhozo kwaye abavavanyi balandela iiprothokholi ezicetyiswayo zokuqinisekisa ufundo oluchanekileyo, kubandakanywa ukuphumla kwemizuzu engama-30 kunye nemizuzu eli-10 ngaphambi kokuthatha imilinganiselo. Abavavanyi bafunde kabini ingalo nganye.
Ukufumana umlinganiselo ochanekileyo, kunqanda ukutya okunokunyusa uxinzelelo lwegazi, okufana ne-caffeine, ukutshaya, kunye nokuzilolonga, imizuzu engama-30 ngaphambi kokulinganisa uxinzelelo lwegazi. Umbutho wezoNyango waseMelika uphinde ucebise ukuba uye kwindlu yangasese kuqala, nto leyo ebonisa ukuba isinyi esigcweleyo sinokuphakamisa ukufunda kwakho nge-15 mmHg.
Kufuneka uhlale umqolo wakho uxhaswe kwaye ngaphandle kwezithintelo ezinokubakho ukuhamba kwegazi njengemilenze enqamlekileyo. Izandla zakho kufuneka kwakhona ziphakanyiswe kwinqanaba lentliziyo yakho ukuze wenze umlinganiselo ochanekileyo. Ungathatha imilinganiselo emibini okanye emithathu ngokulandelelana ukuqinisekisa ukuba zonke ziyafana.
UGqr Gerlis ucebisa ukuba emva kokuthenga i-monitor ye-blood pressure, qhagamshelana nomboneleli wakho wezempilo ukuze uqinisekise ukuba i-cuff ibekwe ngokuchanekileyo kwaye inika ukufundwa ngokuchanekileyo. U-Navia Mysore, MD, ugqirha wokhathalelo oluphambili kunye nomlawuli wezonyango kwi-One Medical eNew York, ukwacebisa ukuba uthathe i-monitor kunye nogqirha wakho kanye okanye kabini ngonyaka ukuze uqiniseke ukuba lusalinganisa uxinzelelo lwegazi ngokuchanekileyo. kwaye icebisa ukuba ifakwe endaweni yayo. rhoqo emva kweminyaka emihlanu.
Ubungakanani obufanelekileyo be-cuff bubalulekile ekufumaneni imilinganiselo echanekileyo; i-cuff ekhululekile kakhulu okanye eqinile kakhulu engalweni iya kubangela ukufundwa okungachanekanga. Ukulinganisa ubungakanani bekhafu, kufuneka wenze umlinganiselo wesangqa sendawo ephakathi yengalo ephezulu, malunga nesiqingatha phakathi kwengqiniba kunye nengalo engaphezulu. NgokweThagethi:BP, ubude bekhafu ejikelezwe engalweni kufuneka bube malunga ne-80 yepesenti yomlinganiselo ophakathi kwegxalaba. Ngokomzekelo, ukuba i-circumference yengalo yakho yi-40 cm, ubukhulu be-cuff yi-32 cm. Iicuffs zidla ngokuza ngobukhulu obahlukeneyo.
Iimonitha zoxinzelelo lwegazi zihlala zibonisa amanani amathathu: i-systolic, i-diastolic, kunye nesantya sentliziyo yangoku. Ukufundwa koxinzelelo lwegazi kuboniswa njengamanani amabini: i-systolic kunye ne-diastolic. Uxinzelelo lwegazi lweSystolic (inani elikhulu, elidla ngokuba phezulu kwimonitha) ikuxelela ukuba igazi lakho libeka kangakanani na uxinzelelo kwiindonga zemithambo yakho ngokubetha kwentliziyo nganye. Uxinzelelo lwegazi lwe-diastolic - inani elisezantsi - likuxelela ukuba igazi lakho libeka kangakanani uxinzelelo kwiindonga zemithambo yakho ngelixa uphumle phakathi kweebhithi.
Ngelixa ugqirha wakho unokubonelela ngolwazi olungakumbi malunga nokuba ulindele ntoni, i-American Heart Association inezixhobo kumanqanaba aqhelekileyo, aphezulu, kunye noxinzelelo lwegazi oluphezulu. Uxinzelelo lwegazi olusempilweni ludla ngokulinganiswa ngaphantsi kwe-120/90 mmHg. kwaye ngaphezulu kwe-90/60 mm Hg.
Zintathu iindidi eziphambili zokuhlola uxinzelelo lwegazi: egxalabeni, emnweni nasesihlahleni. I-American Heart Association icebisa kuphela iimonitha zoxinzelelo lwegazi zengalo ephezulu ngenxa yokuba iimonitha zeminwe kunye nesandla azithathwa njengezithembekileyo okanye zichanekile. UGqr Gerlis uyavuma, esithi abajongi besandla "abathembekanga kumava am."
Uphononongo lwango-2020 lwabahloli besandla lufumanise ukuba iipesenti ezingama-93 zabantu bapasile iprotocol yokuqinisekiswa koxinzelelo lwegazi kwaye babeyi-0.5 mmHg kuphela kumndilili. i-systolic kunye ne-0.2 mm Hg. Uxinzelelo lwegazi lwe-diastolic xa kuthelekiswa nezijongi ezisemgangathweni zoxinzelelo lwegazi. Ngelixa iimonitha ezifakwe esihlahleni zichaneka ngakumbi, ingxaki yazo kukuba ukubekwa ngokufanelekileyo kunye nokuseta kubaluleke ngakumbi kuneemonitha ezibekwe emagxeni ukuze kufundwe ngokuchanekileyo. Oku kwandisa amathuba okusetyenziswa kakubi okanye ukusetyenziswa kunye nemilinganiselo engachanekanga.
Ngelixa ukusetyenziswa kwe-wristbands kunqatshelwe kakhulu, i-American Medical Association yazisa kunyaka odlulileyo ukuba izixhobo zentsimbi ziza kuvunyelwa ngokukhawuleza kwi-validatebp.org kwizigulane ezingakwazi ukusebenzisa ingalo yazo ephezulu ukujonga uxinzelelo lwegazi; uluhlu ngoku lubandakanya izixhobo ezine zesihlahla. kwaye ubonise i-cuff ekhethiweyo ehlombe. Kwixesha elizayo xa sivavanya izijongi zoxinzelelo lwegazi, siyakongeza izixhobo ezivunyiweyo ezilungiselelwe ukulinganisa esihlahleni sakho.
Uninzi lweemonitha zoxinzelelo lwegazi zikuvumela ukuba ubone ukubetha kwentliziyo yakho xa uthatha uxinzelelo lwegazi. Ezinye iimonitha zoxinzelelo lwegazi, ezifana neMicrolife Watch BP Home, zikwabonelela ngezilumkiso zokubetha kwentliziyo ezingaqhelekanga.
Ezinye zeemodeli ze-Omron esizivavanyileyo zixhotyiswe ngeemonitha zoxinzelelo lwegazi. Ezi zalathi ziya kunika ingxelo ngoxinzelelo lwegazi oluphantsi, oluqhelekileyo noluphezulu. Ngelixa abanye abavavanyi belithanda eli nqaku, abanye bacinga ukuba linokubangela unxunguphalo olungeyomfuneko kwizigulana kwaye kufuneka zitolikwe ngoochwephesha bezempilo.
Iimonitha ezininzi zoxinzelelo lwegazi zikwangqamanisa neeapps ezinxulumeneyo ukunika uluhlu olubanzi lwedatha. Ngokucofa nje okumbalwa kwi-app, imonitha ebukhali yoxinzelelo lwegazi ithumela iziphumo kugqirha wakho. Iimonitha ezihlakaniphile zinokubonelela ngedatha eyongezelelekileyo malunga nokufunda kwakho, kubandakanywa neendlela ezineenkcukacha, kubandakanya i-avareji ekuhambeni kwexesha. Ezinye iimonitha ezihlakaniphile zikwabonelela nge-ECG kunye nengxelo yesandi sentliziyo.
Usenokudibana nee-apps ezithi zilinganisa uxinzelelo lwegazi ngokwazo; USudeep Singh, MD, Apprize Medical uthi: “Ii-smartphones ezithi zilinganisa uxinzelelo lwegazi azichanekanga kwaye akufuneki zisetyenziswe.”
Ukongeza kwizinto ezikhethiweyo zethu eziphezulu, sivavanye aba bahloli boxinzelelo lwegazi balandelayo, kodwa ekugqibeleni baye bawela kwiimpawu ezifana nokulula kokusetyenziswa, ukuboniswa kwedatha, kunye nokwenza ngokwezifiso.
Iimonitha zoxinzelelo lwegazi zibonwa zichanekile kwaye oogqirha abaninzi bancomela kwizigulana zabo ukuba zijongwe ekhaya. UGqr. Mysore ucebisa lo mgaqo ulandelayo: “Ukuba i-systolic reading iphakathi kwamanqaku alishumi okufundwa yiofisi, umatshini wakho ugqalwa njengochanileyo.”
Oogqirha abaninzi esiye sathetha nabo bacebisa ukuba izigulane zisebenzise iwebhusayithi ye-validatebp.org, edwelisa zonke izixhobo ezihlangabezana ne-American Medical Association's Validated Device List (VDL); zonke izixhobo esizicebisayo apha ziyahlangabezana neemfuno.