Iindlela eziqhelekileyo ze-6 ze-ventilator: IPPV, CPAP, VSV, IMV, IRV, BI-PAP.
1. Kwiyeza zanamhlanje zeklinikhi, i-ventilator, njengendlela esebenzayo yokubuyisela ngokufanelekileyo umsebenzi wokuphefumla umoya, isetyenziswe ngokuqhelekileyo ukusilela kokuphefumla okubangelwa zizizathu ezahlukahlukeneyo, ukulawula ukuphefumla kwe-anesthesia ngexesha lemisebenzi emikhulu, unyango lwenkxaso yokuphefumula kunye nokubuyisela ngokukhawuleza. isikhundla esibaluleke kakhulu kwinkalo yamayeza anamhlanje.Isixhobo sokungenisa umoya sisixhobo esibalulekileyo sonyango esinokuthi sithintele kwaye sinyange ukusilela kokuphefumla, ukunciphisa iingxaki, kunye nokusindisa kunye nokwandisa ubomi bezigulana.
2. (IPPV): Le ndlela, kungakhathaliseki ukuba isigulane siphefumla ngokuzenzekelayo, iya kuhambisa umoya kwi-airway yesigulane ngokuhambelana noxinzelelo lwe-ventilation preset.Xa indlela yomoya ifikelela kuxinzelelo olumiselweyo, i-ventilator iyayeka ukuhambisa umoya kwaye idlule esifubeni nasemiphungeni.Umoya ophumayo yi-IPPV eqhubekayo yoxinzelelo lwe-airway (CPAP), (PSV), (VSV): i-ventilator icinezela i-preset ye-airway okanye ixabiso le-ventilation, kwaye ke xa isigulane siphefumula ngokuzenzekelayo, Nikeza ngenkxaso yoxinzelelo lwe-ventilation okanye umthamo womoya. ukuqinisekisa ukungena komoya okwaneleyo.(I-IMV) kunye (i-SIMV): Ngokusekelwe kwimodi yokufaka umoya, i-ventilator ifaka ngokukhawuleza umthamo omkhulu wegesi njengoko kufuneka ukuphumeza injongo yokunyusa umoya.(IRV): Kumjikelezo wokuphefumla, ixesha lokuphefumla likhulu kunexesha lokuphelelwa.(Bi-PAP): Misela ukuchasana okuthile kwindlela yomoya xa ukhupha umoya, ukwenzela ukuba i-airway iqhubekele kwinqanaba eliphantsi loxinzelelo oluhle.
3. Inani elisebenzayo lesixhobo sokungenisa umoya lelo;isihlwele sokurhona, i-apnea yokulala, i-CSAS, i-MSAS, i-COPD, njl. Ezona zizathu zidla ngokutyeba, ukukhula okungaqhelekanga kwempumlo, i-hypertrophy kunye ne-pharynx engqindilili, i-uvula obstructed passage, i-tonsil hypertrophy, umsebenzi ongaqhelekanga wedlala, ulwimi olukhulu, i-micrognathia yokuzalwa, njl. eyindlela yomoya ephezulu yokuphefumla Utshintsho olungaqhelekanga kulwakhiwo lwesigulana lubangele i-apnea.Kukho nezigulane ezinezifo zenkqubo ye-nervous central.Iimpawu zayo ziquka i-cerebral arteriosclerosis, i-cerebral infarction, amathumba engqondo, ukudumba kwengqondo, ukuvutha kwepoliyo, ukopha kobuchopho, kunye nokwenzakala kwentloko.Kukho kwakhona ubuthathaka bemisipha yokuphefumula, i-myasthenia gravis, njl., enokubangela i-apnea.Umahluko Ii-ventilators zonyango zisetyenziswa ikakhulu kwizibhedlele, ezinemisebenzi enzima kwaye zilungele iimeko ezahlukeneyo.Zimbini iindidi zezixhobo zokungenisa umoya zasekhaya: enye kukusebenzisa inguqulelo eyenziwe lula yesixhobo sokuphefumla sonyango ekhaya, kwaye enye sisisixhobo sokuphefumla esingahlaseli.Ukukhethwa kwee-ventilators ezimbini kuxhomekeke kwimeko.Injongo yantlandlolo yesixhobo sokungenisa umoya esingahlaseliyo kukunyanga i-apnea yokulala (izigulane ezirhona kakhulu).Injongo yingcali ngakumbi.I-ventilator yonyango ifanelekile kwiimeko ezahlukeneyo.
Ixesha lokuposa: Aug-31-2022
