Inkcazo

I-Home Non-invasive ventilation (NIV) ene-bi-level positive airway pressure (BiPAP) iqhele ukusetyenziselwa ukunyanga izigulane ezingeniswe esibhedlele ezine-acute hypercapnic breathing failure (AHRF) okwesibini ukuya ku-acute exacerbation ye-chronic obstructive pulmonary disease (AECOPD).

Ukuqaliswa kweKhaya lokuNgena komoya okuNgapheliyo kwiZigulana ezineCOPD njengeziKhuselekileyo kodwa zixabiso eliphantsi kunokuqaliswa kweSibhedlele.Ukuqaliswa kwekhaya lokungena umoya ongapheliyo (NIV) kwizigulane ezineisifo semiphunga esingapheliyo(COPD) kunye nokungaphumeleli kokuphefumula kwe-hypercapnic (CHRF) engapheliyo ibonakaliswe ikhuselekile njengokuqaliswa kwesibhedlele, kunye nokunciphisa iindleko ngaphezu kwe-50%.

Isicelo

Ukuphefumula okufutshane, uninzi lwazo lubangelwa yintliziyo okanye iimeko zemiphunga.Intliziyo kunye nemiphunga yakho ibandakanyeka ekuthutheni ioksijini kwizicubu zakho kunye nokususa i-carbon dioxide, kwaye iingxaki ngenye yezi nkqubo zichaphazela ukuphefumla kwakho.

Lung Parenchyma, yinxalenye yeimiphungainxaxheba kugqithiso lwerhasi - ii-alveoli,imibhobho ye-alveolarkwayebronchioles yokuphefumla.Nangona kunjalo, abanye ababhali babandakanya ezinye izakhiwo kunye nezicubu ngaphakathi kwenkcazo.Kukho ukuphefumla kancinci xa uphumle kwaye kwenziwa mandundu kukuzibhokoxa kunye nokhohlokhohlo olomileyo.

Inzuzo

Imodi ye-CPAP, isigulane sinokuphefumla okunamandla okuzenzekelayo, kwaye i-ventilator ibonelela ngoxinzelelo olufanayo kuzo zombini izigaba ezikhuthazayo kunye nokuphefumula ukunceda isigulane sivule indlela yomoya.

Imowudi ye-S, i-ventilator iqhutywe sisigulane.IPAP kunye ne-EPAP zibonelelwa, kwaye izigulane zilawula izinga lokuphefumla kunye ne-I / E ratio kunyeekhuthazayoixesha ngokuzimeleyo.

Imowudi ye-T, Ukuphefumla okubuthathaka okuzenzekelayo okanye ukungakwazi ukuqalisa ukungena komoya okuzenzekelayo.Ulawulo olupheleleyo lokuphefumla komthengi kunye nolawulo lwe-IPAP, i-EPAP, i-BPM, kunye nexesha elikhuthazayo.

Imodi ye-S / T, Xa izinga lokuphefumula lingaphantsi kwe-BPM yokugcina, i-S mode isebenza.Xa izinga lokuphefumula lingaphezulu kwe-BPM yokugcina, imo ye-T iyasebenza.

Itekhnoloji yokuqinisekisa umthamo we-VAT, inokuqikelela ngokuzenzekelayo kwaye ibonelele ngoxinzelelo oluqhubela phambili ngokubeka iliso kwinguqu yomthamo wamaza ezigulane, kwaye iqinisekise ngokuzenzekelayo umthamo wamaza wezigulane, ukuze kuhlangatyezwane ngempumelelo nonyango lokungenisa umoya olungaphazamisiyo lwabasebenzisi bomthamo ophantsi wamaza.

I-PC, isetyenziswa ikakhulu kwizigulane ezinezinga eliphezulu lokuphefumla, umthamo ophantsi wamaza kunye ne-hypoxemia.

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