Iindlela eziqhelekileyo ze-6 ze-ventilator: IPPV, CPAP, VSV, IMV, IRV, BI-PAP.
1. Kwiyeza lanamhlanje leklinikhi, 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.I-ventilator 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 lokungena umoya, kwaye xa isigulane siphefumula ngokuzenzekelayo, Nikeza inkxaso yoxinzelelo lwe-ventilation okanye umthamo we-tidal volume. 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 lokuphela.(Bi-PAP): Misela ukuchasana okuthile kwindlela yomoya xa ukhupha umoya, ukwenzela ukuba i-airway iqhube ngokuqhubekayo kwinqanaba eliphantsi loxinzelelo oluhle.
3. Inani elisebenzayo lesixhobo sokungenisa umoya lelo;isihlwele esirhonayo, 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, ukudumba kwepoliyo, ukopha kobuchopho, kunye nokwenzakala entloko.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: Dec-30-2021
