Ukusuka Ekuphulukiseni Ukuphuza Ukunakekelwa Kwe-Ventilator
Ngemuva kokuhlinzwa, wena noma othandekayo wakho angadinga ukwelashwa okuphefumulayo kanye nezinye izinhlobo zokwelapha ukuphefumula ukuvimbela izinkinga. Lokhu kungase kuvele kusuka ekwelapheni olulodwa nge-inhaler ekunakekelwa kwezinga le-ICU kubantu abagulayo abadinga umoya wokusiza ukuphefumula baze bakwazi ukuphefumula ngokwabo.
Yiziphi Abahlinzayo Abaphefumulayo
Lezi zokwelapha zokuphefumula nezinye eziningi zinikwe abahlinzeki bokuphefumula (RT), abasebenzi bezempilo abafundele ekolishi abaqeqeshwe ukuba banakekele amaphaphu futhi basebenzise uhlelo lokunakekelwa ngokubambisana nabo bonke iqembu lezempilo.
Bangase basebenze nodokotela ohlinzeka ngezikhungo esibhedlela, i-pulmonologist - udokotela onguchwepheshe ekwelapheni izinkinga zamaphaphu, noma bangase basebenze kuyo yonke indawo yokunakekela iziguli eziningi zezinhlobo ezahlukene.
Imisebenzi yeJobe ihlukahluka kusuka kwisakhiwo kuya kusikhungo. Kwezinye izibhedlela, isifo sokuphefumula singanikeza bonke ukunakekelwa kokuphefumula, kanti kwabanye, bangabelana ngomthwalo wokusebenza ngokulinganayo nabasebenzi abahlengikazi. Ngokuvamile, i-RT inikeza imithi ekhishwa ngamakhemikhali njengemithi ye-nebulizer kanye ne-nebulizer yokwelashwa futhi isebenza eduze nabasebenzi abahlengikazi njengoba umsebenzi wabo ungase uhambe.
Izizathu Zokwelashwa Okuphefumulayo Kudingeka
Noma yikuphi umuntu osemngciphekweni wokuba nengcindezi yokuphefumula, noma ngubani oye wakha inkinga enkulu yepulmona, uzophathwa ngophilisi wokuphefumula esibhedlela. Iziguli zokuhlinzwa, ngokuvamile, zisengozini enkulu yokuphefumula kunomuntu ngamunye.
Ukuba ngomoya ngomoya ngesikhathi sokuhlinzwa, futhi inqubo yokuthola kabusha ekuhlinzekeni yandisa ingozi yokuthuthukisa izifo zamaphaphu nezinye izinkinga.
Iziguli eziningi zokuhlinzwa ezihlala ubusuku obulodwa noma ngaphezulu esibhedlela ngemuva kokuhlinzwa zingalindela ukuthi zithole uhlobo oluthile lwezokwelapha lapho zihlala.
Izinhlobo ezijwayelekile zokwelashwa okuphefumulayo
Ukwelashwa Kwama- oksijithi : Iziguli eziningi zidinga oksijini okwengezayo emahoreni noma ngisho nezinsuku ezilandelayo ukuhlinzwa.
Le oksijeni inganikezwa nge-cannula yamanzi, isiski, noma ngisho nangaphakathi kwendiza uma kunesidingo. Inani le-oksijeni livame ukulungiswa yi-therapists yokuphefumula.
I-inhalers: Lezi yimithi ephikisiwe, eyodwa "ukukhukhumeza" ngesikhathi esisodwa. Zivame ukusetshenziselwa abantu abane-asthma futhi zisetshenziselwa ukuvula imimoya yomoya, ukunciphisa ukufihla nokuvuvukala, nokunciphisa noma ukuvimbela izimpawu ze-asthma.
Imithi yokwelapha ye-Nebulizer: Lolu uhlobo lwemithi e-aerosolised ekhonjelwa imizuzu noma ngisho nehora. Isiza umoya ovulekile, wehlisa ukucasuka futhi unganciphisa ukuvuvukala. Imithi ye-Nebulizer ingasetshenziswa futhi ukusiza ukuyeka ukuhlasela kwesifuba.
I-CPAP ne-BiPAP: Le yimishini eyenza isiguli sibe ngcono ukusebenzisa i-oksijini ngokubamba ukuvula umoya. Isiguli sigqoke imaski esisiza ukuvimbela iziqephu ze-apnea, isimo esenzeka lapho isiguli siyeka okwesikhashana ukuphefumula ngenkathi silele. I-CPAP ne-BiPAP ingasetshenziselwa iziguli ezinezifo eziphuthumayo zamaphaphu ezingaphefumulanga ngokwabo ngokwabo kodwa azigulanga kakhulu kangangokuthi zidinga i-ventilator. Imishini ye-BiPAP ivame ukusetshenziselwa iziguli ezigulayo ezinesifo samaphaphu, njengoba zingasiza ukunciphisa inani le-carbon dioxide elingase likhule emzimbeni.
Ukwelashwa Nokufutheka Okujulile: Abahlinzeki bokuphefumula bafundisa le nqubo kubagulayo abanenkinga yokuhlanza imicibisholo emaphashini abo. Isiguli sithatha ngokuphefumula kakhulu ngokulandela ukukhwehlela okukhulu.
Indlela Yokukhwabanisa: Abantu abasanda kuhlinzwa kufanele badonsa, kepha izindawo zokukhwehlela ezinamandla zihlukumezeka emibonweni, ikakhulukazi ukucubungula kwesisu. Ukufunda ukukhwehlela kahle emva kokuhlinzwa , ngokusebenzisa ubuqhakazizi, kungenza ukukhwehlela kuphumelele futhi kubuhlungu kakhulu.
I-Incentive Spirometry: Leli yithuluzi elidinga isiguli ukuba livuselele ngamandla, elisiza ukuvula imimoya yomoya nokuvimbela i- atelectasis .
Ukuphumelela: Ezigulini ezingakwazi ukususa izimfihlo ezivela emoyeni wayo ngokukhwehlela, ukulonda kungenziwa. Lokhu kuvame ukufezwa ngokufaka ithubhu encane kumshini wokuthambisa bese uyifaka emgwaqweni womoya. Lokhu kungenziwa ezigulini eziphefumulela zodwa noma ezisefenjini.
Ukuphathwa kweVentilator: Ezigulini ezingakwazi ukuphefumula ngokwabo, i-ventilator ingadingeka. Kulezi ziguli ezidinga umoya , abahlinzeki bokuphefumula bazozibandakanya kakhulu ekunakekeleni kwabo. I-RTs, kanye nabahlengikazi, banesibopho sokugcina i-ventilator kanye ne-tubing efaka isiguli kumshini, ehlinzeka ukuphefumula kwesiguli kanye nokunakekelwa komlomo nokulunywa.
Ukuhlolwa kwePulmonary Function: Lezi zivivinyo ezenziwa ukuze zithole ukuthi amaphaphu asegulini asebenza kahle kangakanani. Lezi zivivinyo ngokuvamile ziyalwe udokotela noma omunye umhlinzeki kodwa zilawulwa yi-RT.
Amagesi Egazi Amandla : Lesi sivivinyo esenziwa egazini elikhishwe emthini ongasinquma ukuthi isiguli sithola umoya okwanele, siphefumula kangakanani, futhi uma sidinga usizo olwengeziwe lokuphefumula kusuka ku-BiPAP, i-CPAP noma i-ventilator. Abahlinzeki bokuphefumula nabahlengikazi ngokuvamile banesibopho sokudweba igazi, futhi ngokuvamile badlala indima ekunqumeni uma kungenelela okudingekayo.
Intubation: Ezibhedlela eziningi nakwezinye izikhungo, abahlinzeki bokuphefumula banesibopho sokubeka tube endotracheal, it tube yokuphefumula evumela iziguli ukuba abekwe efrijini. Abanikezeli be-Anesthesia nabo benza lo msebenzi kulabo abahlinzeka ngokuhlinzwa ngokusebenzisa i-anesthesia ejwayelekile.
Imfundo: Iziguli eziningi zidinga ulwazi mayelana nenqubo yabo yesifo, ukuyeka ukubhema, kanye nemithi ebekiwe. Abahlinzeki bokuphefumula ngokuvamile banesibopho sokuqinisekisa ukuthi isiguli sikwazi ukusebenzisa i-nebulazer noma i-inhaler, sikhuthaza ukuziphatha okunempilo nezinye izinhlobo zemfundo.
> Umthombo:
> Izikhungo Zikazwelonke Zempilo. Ukuhluleka kokuphefumula kuthathwa kanjani. https://www.nhlbi.nih.gov/health/health-topics/topics/rf/ Ukutakula.