UJaylene Pruitt ube noDotdash Meredith kusukela ngoMeyi 2019 futhi njengamanje ungumbhali webhizinisi wephephabhuku iHealth, lapho ebhala khona ngemikhiqizo yezempilo nokuphila kahle.
U-Anthony Pearson, MD, FACC, udokotela wezifo zenhliziyo ovimbelayo onguchwepheshe be-echocardiography, i-cardiology yokuvimbela, kanye ne-atrial fibrillation.
Sihlola ngokuzimela zonke izimpahla namasevisi anconyiwe. Singathola isinxephezelo uma uchofoza isixhumanisi esisinikezayo. Ukuze ufunde kabanzi.
Kungakhathaliseki ukuthi usebenza nodokotela ukuze aqaphe futhi ehlise umfutho wegazi lakho, noma nje ufuna ukwazi izinombolo zakho, isiqapheli somfutho wegazi (noma i-sphygmomanometer) singakunikeza indlela elula yokugcina umkhondo wokufunda kwakho ekhaya. Ezinye izibonisi futhi zinikeza impendulo ekufundweni okungajwayelekile noma izincomo zokuthi ungakuthola kanjani ukufundwa okunembile esikrinini. Ukuze uthole iziqapheli zomfutho wegazi ezingcono kakhulu zokuqapha izimo ezihlobene nenhliziyo ezifana nomfutho wegazi ophakeme, sihlole amamodeli angu-10 zokwenza ngokwezifiso, ukulingana, ukunemba, ukusebenzisa kalula, ukuboniswa kwedatha, nokuphatheka okugadwa udokotela.
UMarie Polemey, owayengumhlengikazi naye owake welashelwa umfutho wegazi ophakeme eminyakeni embalwa edlule, uthe ngokombono wesiguli, enye yezinto ezinhle kakhulu ezinikezwa umhloli womfutho wegazi kuyindlela elula yokuthola ukufundwa okujwayelekile okwengeziwe. ULwesithathu. "Uma uya kudokotela, uba novalo oluncane ... ukuze lokho kukodwa kuphakamise [ukufunda kwakho]," kusho yena. U-Lawrence Gerlis, GMC, MA, MB, MRCP, owelapha iziguli ezinomfutho wegazi ophakeme, uyavuma ukuthi ukufundwa kwehhovisi kungase kube phezulu. “Ngithole ukuthi izilinganiso zomfutho wegazi emtholampilo zihlala zinikeza ukufundwa okuphakeme kancane,” kusho yena.
Wonke ama-monitor esiwancomayo ama-cuffs ehlombe, afana kakhulu nesitayela esisetshenziswa odokotela. Nakuba iziqapha zesandla neminwe zikhona, kubalulekile ukuqaphela ukuthi i-American Heart Association ayincomi okwamanje lezi zinhlobo zabaqaphi, ngaphandle kodokotela esikhulume nabo. Iziqapha zamahlombe zibhekwa njengezilungele ukusetshenziswa ekhaya, futhi odokotela abaningi neziguli bayavuma ukuthi ukusetshenziswa kwekhaya kuvumela ukufundwa okujwayelekile okwengeziwe.
Kungani siyithanda: Imonitha iyashesha futhi kulula ukuyimisa futhi iletha imiphumela esheshayo enezinkomba eziphansi, ezijwayelekile, neziphezulu.
Ngemva kokuhlolwa kwethu ngelebhu, sikhethe i-Omron Gold Upper Arm njengeqapha elingcono kakhulu le-GP ngenxa yokusethwa kwayo ngaphandle kwebhokisi nokufunda okucacile. Ithole amaphuzu angu-5 kuzo zonke izigaba zethu eziphezulu: Enza ngendlela oyifisayo, i-Fit, Ukusetshenziswa Kalula, kanye Nokuboniswa Kwedatha.
Umhloli wethu uphinde waqaphela ukuthi isibonisi silungile, kodwa kungenzeka singabi esawo wonke umuntu. “I-cuff yayo ikhululekile futhi kulula ukuyibeka yodwa, nakuba abanye abasebenzisi abangakwazi ukuhamba kancane bangase babe nobunzima bokuyibeka endaweni,” basho.
Idatha ebonisiwe ifundeka kalula, enezinkomba zomfutho wegazi ophansi, ojwayelekile, nophezulu, ngakho-ke uma iziguli zingazazi izimpawu zomfutho wegazi ophakeme, zingakwazi ukwazi ukuthi izinombolo zazo zehle kuphi. Kuphinde kube yinketho enhle yokulandelela ukuthambekela komfutho wegazi ngokuhamba kwesikhathi, ukugcina ukufundwa okungu-100 kubasebenzisi ababili ngamunye.
Uhlobo lwe-Omron luyintandokazi kadokotela. UGerlis noMysore bahlukanisa abakhiqizi abamishini yabo ithembekile futhi kulula ukuyisebenzisa.
Kungani sikuthanda: I-Omron 3 iletha ukufundwa okusheshayo nokunembile (kanye nokushaya kwenhliziyo) ngaphandle kokuba yinkimbinkimbi ngokweqile.
Ukuqapha impilo yenhliziyo ekhaya akudingeki ukuthi kubize. I-Omron 3 Series Upper Arm Blood Pressure Monitor inezici ezifanayo namamodeli ayo abiza kakhulu, okuhlanganisa isitoreji sokufunda okuningi nesibonisi esifundeka kalula.
Umhloli wethu ubize i-Omron 3 Series ngokuthi inketho “ehlanzekile” njengoba ibonisa kuphela amaphuzu amathathu edatha esikrinini: umfutho wegazi wakho we-systolic ne-diastolic kanye nesilinganiso senhliziyo. Ithola amaphuzu angu-5 ngokufaneleka, ukwenza ngendlela oyifisayo, kanye nokusebenziseka kalula, okuyenza ibe yinhle ukukhetha ukusetshenziswa kwasekhaya uma ufuna amagumbi angenazo izinsimbi namakhwela.
Nakuba abahloli bethu baphawule ukuthi le nketho ifaneleka kulokho okudingayo isiqapha somfutho wegazi, “ayilungile kulabo abadinga ukulandelela ukufundwa ngokuhamba kwesikhathi noma bahlele ukulandelela nokugcina ukufundwa kwabantu abaningi” ngenxa yenani eliphelele lokufundwayo. umkhawulo 14.
Kungani siyithanda: Le qapha ine-cuff efakiwe kanye nohlelo lokusebenza olufanayo lokuzulazula kalula nokufunda isitoreji.
Kufanele kuqashelwe: Ikhithi ayifaki ikesi elithwalayo, umhloli wethu aphawule ngalo lizokwenza isitoreji sibe lula.
Enye yezinto esizithandayo mayelana ne-Welch Allyn Home 1700 Series qapha i-cuff. Kulula ukuyifaka ngaphandle kosizo futhi ithola okungu-4.5 koku-5 kokulingana. Abahloli bethu baphinde bathanda ukuthi i-cuff ixegiswe ngokushesha ngemva kokulinganisa kunokuba inciphe kancane kancane.
Siphinde sithanda uhlelo lokusebenza olusebenziseka kalula oluthatha ukufundwa ngokushesha futhi luvumele abasebenzisi ukuthi bahambe nedatha baye nayo ehhovisi likadokotela noma noma kuphi lapho bengayidinga khona. Idivayisi iphinde igcine ukufundwa okungu-99 uma ungafuni ukusebenzisa uhlelo lokusebenza.
Uma ungafuni ukusebenzisa uhlelo lokusebenza futhi ufuna ukuhamba nemonitha, sicela uqaphele ukuthi ayifaki ikesi eliphethe, ngokungafani nezinye izinketho zethu.
I-A&D Premier Talking Blood Pressure Monitor inikeza isici esiyingqayizivele phakathi kwezinketho esizihlolile: ikufundela imiphumela. Nakuba le nketho iyinzuzo enkulu kwabangaboni kahle, uMarie Polemay naye uqhathanisa idivayisi nomuzwa wokuba sehhovisi likadokotela ngenxa yezwi layo elikhulu nelicacile.
Nakuba u-Paulemey enokuhlangenwe nakho njengomhlengikazi nolwazi oludingekayo ukuze aqonde imiphumela yakhe, ukholelwa ukuthi ukufundwa ngamazwi kwamanani omfutho wegazi kungase kube lula ukukuqonda kulabo abangenalo ulwazi lwezokwelapha. Uthole ukuthi ukufundwa ngamazwi kwe-A&D Premier blood monitor monitor ekhulumayo cishe “kwafana nalokho [abakuzwa] ehhovisi likadokotela.”
Lolu khetho lufanelekile kwabaqalayo, ngokusetha okuncane, imiyalelo ecacile kanye ne-cuff elula ukuyifaka. Abahloli bethu baphinde bathanda ukuthi umhlahlandlela ofakiwe uchaze ukuthi zichazwa kanjani izinombolo zomfutho wegazi.
Kufanele kuqashelwe: Idivayisi ingase inikeze izinkomba ezingenamsebenzi zokufundwa okuphakeme, okungabangela ukucindezeleka nokukhathazeka okungadingekile.
Njengamanye amadivayisi we-Omron esiwancomayo, abahloli bethu bathole le yunithi ilula ukuyisetha nokusebenzisa. Ngokusethwa kwesinyathelo esisodwa - faka i-cuff kumonitha - ungaqala ukukala umfutho wegazi cishe ngokushesha.
Ngenxa yohlelo lwakhe lokusebenza, abahloli bethu baphinde bakuthola kulula futhi wonke umsebenzisi angaba nephrofayela yakhe enokufundwa okungenamkhawulo ezandleni zabo.
Nakuba idivayisi izobonisa ukufundwa okuphakeme njengokuphezulu, uma kungenjalo njengomfutho wegazi ophakeme, abahloli bethu babe nomuzwa wokuthi lezi zincazelo kungcono kakhulu ziyekwe ekuboneni kodokotela. Abahloli bethu bathola ukufundwa okuphezulu okungalindelekile futhi babonisana no-Huma Sheikh, MD, owahola ukuhlolwa, futhi bathola ukuthi ukufundwa kwabo komfutho wegazi ophakeme kwakungalungile, okungase kucindezele. "Lokhu akulona iqiniso ngokuphelele futhi kungase kubangele iziguli zikhathazeke ngokuthi ukufundwa kuthathwa njengokungenampilo," kusho umhloli wethu.
Sikhethe i-Microlife Watch BP Home ukuze uthole idatha engcono kakhulu, sibonga izinkomba ezisesikrinini ezingenza yonke into kusukela ekuboniseni lapho ulwazi lugcinwe enkumbulweni yalo kuya ekusizeni ukuthi uthole ukufundwa okunembile kakhulu, kanye nesignali yokuphumula kanye newashi. . bonisa uma weqa isikhathi esikaliwe esijwayelekile.
Inkinobho yedivayisi ethi “M” ikunikeza ukufinyelela ezilinganisweni ezilondolozwe ngaphambilini, futhi inkinobho yamandla iyivula nokuyivala kalula.
Sithanda futhi ukuthi idivayisi inemodi yokuxilonga elandelela umfutho wegazi lakho kuze kube yizinsuku eziyisikhombisa uma unqunywe udokotela wakho, noma imodi "evamile" yokulandelela okujwayelekile. Umqaphi angakwazi futhi ukuqapha i-fibrillation ye-atrial ezindleleni zokuxilonga nezejwayelekile, uma izimpawu ze-fibrillation zitholwa kukho konke ukufundwa kwansuku zonke okulandelanayo, inkomba ethi "Frib" izoboniswa esikrinini.
Nakuba ungathola ulwazi oluningi kusibonisi sedivayisi yakho, izithonjana azihlali zinembile uma uthi nhlá futhi ziyajwayela.
Ithimba lezokwelapha lihlole iziqapha zomfutho wegazi eziyi-10 ohlwini lwamathuluzi ahloliwe elabhorethri yethu. Ekuqaleni kokuhlolwa, u-Huma Sheikh, MD, walinganisa umfutho wegazi wezifundo nge-monitor yezinga lomfutho wegazi esibhedlela, wawuqhathanisa nomshini wokuqapha umfutho wegazi ukuze uthole ukunemba nokuvumelana.
Ngesikhathi sokuhlolwa, abahloli bethu babone ukuthi i-cuff ingena ezingalweni zethu inethezekile futhi kulula kangakanani. Siphinde salinganisela idivayisi ngayinye ukuthi ibonisa ngokucace kangakanani imiphumela, kulula kangakanani ukufinyelela kumiphumela elondoloziwe (nokuthi ingakwazi yini ukulondoloza izilinganiso kubasebenzisi abaningi), nokuthi isiqapha siphatheka kanjani.
Ukuhlolwa kuthathe amahora ayisishiyagalombili futhi abahloli balandela imigomo enconyiwe ukuze kuqinisekiswe ukufundwa okunembile, okuhlanganisa ukuphumula okusheshayo kwemizuzu engama-30 kanye nemizuzu eyi-10 ngaphambi kokuthatha izilinganiso. Abahloli bafunde kabili engalweni ngayinye.
Ukuze uthole isilinganiso esinembile kakhulu, gwema ukudla okungakhuphula umfutho wegazi, okufana ne-caffeine, ukubhema, nokuzivocavoca, imizuzu engu-30 ngaphambi kokulinganisa umfutho wegazi. I-American Medical Association iphinde ituse ukuthi uye endlini yokugezela kuqala, okubonisa ukuthi isinye esigcwele singakhuphula ukufunda kwakho ngo-15 mmHg.
Kufanele uhlale nomhlane wakho usekelwe futhi ngaphandle kwemingcele engaba khona yokugeleza kwegazi njengemilenze ewela. Izandla zakho kufanele futhi ziphakanyiswe ezingeni lenhliziyo yakho ukuze uthole isilinganiso esifanele. Ungakwazi futhi ukuthatha izilinganiso ezimbili noma ezintathu zilandelana ukuze uqiniseke ukuthi zonke ziyefana.
UDkt. Gerlis uncoma ukuthi ngemva kokuthenga into ehlola umfutho wegazi, thintana nomhlinzeki wakho wezempilo ukuze uqinisekise ukuthi i-cuff ibekwe ngendlela efanele futhi inikeza ukufundwa okunembile. U-Navia Mysore, MD, udokotela wokunakekela okuyinhloko kanye nomqondisi wezokwelapha we-One Medical eNew York, futhi utusa ukuthatha imonitha nodokotela wakho kanye noma kabili ngonyaka ukuze uqiniseke ukuthi lisakala umfutho wegazi lakho ngokunembile. futhi incoma ukuyishintsha. njalo eminyakeni emihlanu.
Usayizi we-cuff ofanele ubalulekile ekutholeni izilinganiso ezinembile; i-cuff exege kakhulu noma eqine kakhulu engalweni izoholela ekufundweni okungalungile. Ukuze ulinganise usayizi we-cuff, udinga ukukala isiyingi sengxenye ephakathi yengalo engenhla, cishe uhhafu phakathi kwendololwane nengalo engenhla. Ngokusho kweThagethi:BP, ubude be-cuff esongelwe engalweni kufanele bube cishe amaphesenti angama-80 wesilinganiso esimaphakathi nehlombe. Isibonelo, uma isiyingi sengalo yakho singama-40 cm, usayizi wekhafu ungama-32 cm. Ama-cuffs ngokuvamile afika ngosayizi abahlukene.
Iziqapha zomfutho wegazi ngokuvamile zibonisa izinombolo ezintathu: i-systolic, i-diastolic, nesilinganiso senhliziyo samanje. Ukufundwa komfutho wegazi kuboniswa njengezinombolo ezimbili: i-systolic ne-diastolic. I-Systolic blood pressure (inombolo enkulu, ngokuvamile engaphezulu kwemonitha) ikutshela ukuthi igazi lakho libeka ingcindezi engakanani ezindongeni zemithambo yakho ngokushaya kwenhliziyo ngakunye. Umfutho wegazi we-Diastolic - inombolo engezansi - ikutshela ukuthi igazi lakho libeka ingcindezi engakanani ezindongeni zemithambo yakho ngenkathi uphumule phakathi kokushaywa.
Nakuba udokotela wakho angakunikeza ulwazi olwengeziwe mayelana nokuthi yini ongayilindela, i-American Heart Association inezinsiza kumazinga omfutho wegazi ovamile, aphakanyisiwe, naphakeme. Umfutho wegazi onempilo ngokuvamile ulinganiswa ngaphansi kuka-120/90 mmHg. futhi ngaphezu kuka-90/60 mm Hg.
Kunezinhlobo ezintathu eziyinhloko zokuqapha umfutho wegazi: ehlombe, emunweni nasesihlakaleni. I-American Heart Association incoma kuphela iziqapha zomfutho wegazi wengalo engenhla ngoba iziqapha zeminwe nezihlakala azithathwa njengokwethembekile noma ezinembile. UDkt Gerlis uyavuma, ethi abaqaphi bezihlakala “abathembekile kokuhlangenwe nakho kwami.”
Ucwaningo lwango-2020 lwabaqaphi bezihlakala lwathola ukuthi abantu abangamaphesenti angama-93 baphase iphrothokholi yokuqinisekisa yokuqapha umfutho wegazi futhi bebengu-0.5 mmHg kuphela ngokwesilinganiso. i-systolic ne-0.2 mm Hg. i-diastolic blood pressure uma iqhathaniswa neziqaphi zomfutho wegazi ezijwayelekile. Nakuba amamonitha afakwe esihlakaleni aya enemba kakhudlwana, inkinga ngawo ukuthi ukubekwa nokusetha ngendlela efanele kubaluleke kakhulu kuneziqapha ezibekwe ehlombe ukuze kufundwe okunembile. Lokhu kwandisa amathuba okusebenzisa kabi noma ukusetshenziswa kanye nezilinganiso ezingalungile.
Nakuba ukusetshenziswa kwamabhande asesihlakaleni kungakhuthazwa kakhulu, i-American Medical Association yamemezela ngonyaka odlule ukuthi imishini yesandla izovunyelwa maduze ku- validatebp.org ezigulini ezingakwazi ukusebenzisa ingalo yazo engenhla ukuqapha umfutho wegazi; uhlu manje luhlanganisa izisetshenziswa ezine zehlakala. futhi ukhombise i-cuff ethandwayo ehlombe. Ngokuzayo lapho sihlola iziqapheli zomfutho wegazi, sizokwengeza amanye amadivayisi agunyaziwe aklanyelwe ukulinganisa engalweni yakho.
Ama-monitor amaningi omfutho wegazi akuvumela ukuthi ubone ukushaya kwenhliziyo yakho lapho uthatha umfutho wegazi. Ezinye iziqapha zomfutho wegazi, njenge-Microlife Watch BP Home, nazo zinikeza izexwayiso zokushaya kwenhliziyo okungajwayelekile.
Amanye amamodeli we-Omron esiwahlolile afakwe iziqapha zomfutho wegazi. Lezi zinkomba zizonikeza impendulo ngomfutho wegazi ophansi, ojwayelekile kanye nophezulu. Ngenkathi abanye abahloli besithanda lesi sici, abanye bacabange ukuthi singadala ukukhathazeka okungadingekile ezigulini futhi kufanele kuhunyushwe ochwepheshe bezempilo.
Iziqapha eziningi zomfutho wegazi nazo zivumelanisa nezinhlelo zokusebenza ezihlobene ukuze zinikeze ububanzi obubanzi bedatha. Ngokuthinta nje okumbalwa kuhlelo lokusebenza, isiqaphi somfutho wegazi esihlakaniphile sithumela imiphumela kudokotela wakho. Iziqapheli ezihlakaniphile zingaphinda zinikeze idatha eyengeziwe mayelana nokufundwayo kwakho, okuhlanganisa amathrendi anemininingwane eminingi, okuhlanganisa okumaphakathi ngokuhamba kwesikhathi. Amanye ama-smart monitor ahlinzeka nge-ECG nempendulo yomsindo wenhliziyo.
Ungase futhi uhlangane nezinhlelo zokusebenza ezithi zikala umfutho wegazi lakho ngokwazo; kusho u-Sudeep Singh, MD, Apprize Medical: “Izinhlelo zokusebenza ze-smartphone ezithi zikala umfutho wegazi azinembile futhi akufanele zisetshenziswe.”
Ngokungeziwe ekukhetheni kwethu okuphezulu, sihlole iziqapheli zomfutho wegazi ezilandelayo, kodwa ekugcineni zahluleka ezicini ezinjengokusebenzisa kalula, ukubonisa idatha, nokwenza ngendlela oyifisayo.
Iziqapha zomfutho wegazi zibhekwa njengezinembile futhi odokotela abaningi bazitusa ezigulini zabo ukuze ziqashwe ekhaya. UDkt. Mysore usikisela lo mthetho olandelayo: “Uma ukufundwa kwe-systolic kuphakathi kwamaphuzu ayishumi okufundwa kwehhovisi, umshini wakho ubhekwa njengenembile.”
Odokotela abaningi esikhulume nabo futhi batusa ukuthi iziguli zisebenzise iwebhusayithi esemthethweni ye-validatebp.org, ebala wonke amadivayisi ahlangabezana nenqubo yohlu lwedivayisi eqinisekisiwe ye-American Medical Association (VDL); wonke amadivayisi esiwancomayo lapha ahlangabezana nezidingo.
Isikhathi sokuthumela: Mar-24-2023