Uhlobo lwe-ventilator esetyenziselwa izifo ezahlukeneyo luhlukile.Ngokubanzi, i-ventilator enenqanaba elinye isetyenziselwa izigulana ezinokurhona;umatshini wokungenisa umoya we-ST onemigangatho emibini kwizifo zemiphunga.Ukuba sisigulana sokurhona esintsokothileyo, kunokuba yimfuneko ukusebenzisa i-Bilevel ventilator.Uhlobo lwe-ventilator esetyenziselwa izifo ezahlukeneyo luhlukile.Kukho iindlela ezininzi zei-ventilator engena-invasive.Oku kulandelayo kuchaza imo yesixhobo sokungenisa umoya.Unokukhetha i-ventilator engangeneleli efanelekileyo kuwe ngokwemeko yakho.
Isixhobo sokungenisa umoya sineendlela ze-CPAP, S, T, S/T, ngolu hlobo lulandelayo:
1. Imodi ye-CPAP ye-ventilator: imo eqhubekayo yoxinzelelo lwe-airway positive
I-CPAP: Imo eqhubekayo ye-Positive Airway Pressure-Continuous Positive Airway Pressure, isigulane sinokuphefumla okunamandla okuzenzekelayo, i-ventilator ibonelela ngoxinzelelo olufanayo kwizigaba ezikhuthazayo kunye nokuphefumula ukuze uncede isigulane Sivule indlela yomoya.Isetyenziswa ikakhulu kwizigulana ezine-OSAS obstructive sleep apnea syndrome, ukuphefumla okuqinileyo okuzenzekelayo, kunye noncedo oluncinci oluvela kwisixhobo sokuphefumla.Akukho nto ibangela, akukho kutshintsha, umzimba womntu uphefumula ngokukhululekile, uxinzelelo lulawulwa kuxinzelelo oluqhubekayo, kwaye uxinzelelo lwesigaba sokuphefumula kunye nesigaba sokuphefumula siyalingana.Ukuncedisa ukuphefumla (inkxaso yoxinzelelo yi-0) + ulawulo loxinzelelo lusetyenziswa ngokuqhelekileyo imo engasebenziyo.Iimpembelelo ze-Physiological zilingana ne-PEEP (i-post-positive end-expiratory pressure): ukwandisa umthamo oseleyo osebenzayo, ukuphucula ukuthotyelwa;ukunciphisa ukusetyenziswa kwamandla okuphefumulayo, ukuphucula ukuxhoma;gcina indlela yomoya ephezulu evulekileyo.
2. Imowudi ye-S ye-ventilator:
Imowudi ye-S ye-ventilation ezimeleyo Imodi yokuphefumla ngokukhawuleza --- Imo yokuphefumla ngokukhawuleza, isigulane sinokuphefumla ngokuzenzekelayo okanye sinokubangela ukuba i-ventilator ivule ngokuzimeleyo, i-ventilator inikezela kuphela i-IPAP kunye ne-EPAP, isigulane silawula ukuphefumla rhoqo kunye nomlinganiselo wokuphefumula / ixesha lokuphefumula. ngokuzimeleyo Kwizigulane eziphefumla kakuhle ezizenzekelayo okanye izigulane ezine-apnea ephakathi yokulala.Ukuphefumla okuzenzekelayo: Isixhobo sokuphefumla kunye nesantya sokuphefumla kwesigulana zilungelelaniswa ngokupheleleyo.Ukuba isigulana siphefumla ngokuzenzekelayo, isixhobo sokuphefumla siyayeka ukusebenza.Ulawulo loxinzelelo (uxinzelelo oluhlala lukhona): gcina i-IPAP esetwe kwangaphambili (uxinzelelo lwe-airway oluphefumlelayo) uxinzelelo kwi-ventilator ephefumlelayo, kwaye ugcine i-EPAP esetwe kwangaphambili (umoya ophumayo woxinzelelo olulungileyo) uxinzelelo kwi-ventilator yokuphefumla Kukutshintsha kwesantya sokuhamba, ukuncedisa ukuphefumla + uxinzelelo. ulawulo, kwaye yindlela eqhelekileyo engeyiyo yokuhlasela.
3. Imowudi ye-T ye-ventilator:
Imowudi yexesha lokungena umoya T Imo yokulawula ixesha-Imowudi yokulawula ixesha, isigulane asinakho ukuphefumla ngokuzenzekelayo okanye asikwazi ukwenza i-ventilator ukuba ivule ngokuzimeleyo, i-ventilator ilawula ngokupheleleyo ukuphefumla kwesigulane, inika i-IPAP (i-IPAP (i-positive inspiratory phase pressure pressure), i-EPAP (i-expiratory). isigaba somoya Uxinzelelo oluhle), i-BPM, i-Ti (ixesha lokuphefumula / ixesha lokuphelelwa yisikhathi).Le ndlela isetyenziswa ikakhulu kwizigulana ezingakwaziyo ukuphefumla okanye ezithi zenze ukuba amandla azo okuphefumla angabi namandla.Ixesha eliqalayo: I-ventilator isebenza kwi-frequency esele isetyenzisiwe kwaye ayidityaniswanga kunye nokuphefumla okuzenzekelayo kwesigulana.Ulawulo loxinzelelo (uxinzelelo oluthe rhoqo): Gcina i-IPAP esetwe kwangaphambili (uxinzelelo lwe-airway oluphefumlelayo) uxinzelelo kwi-ventilator ephefumlelayo, kwaye ugcine i-EPAP esetwe kwangaphambili (umoya ophumayo woxinzelelo olulungileyo) kwi-ventilator yokuphefumla Uxinzelelo lwexesha lokutshintsha: lawula ukuphefumla + ukulawula uxinzelelo, non- imo yohlaselo ayifane isetyenziswe.
4. Imowudi ye-S/T ye-ventilator:
imo yokuzimela/yexesha lokungena komoya S/T Iyazenzekela/Imowudi yokutshintsha efike ngexesha elizenzekelayo --- Imowudi yokutshintsha ezenzekelayo/yexesha.Xa umjikelo wokuphefumla kwesigulana ungaphantsi kwexesha elihambelana ne-backup ventilation frequency, ikwimowudi ye-S;xa umjikelo wokuphefumla wesigulana mkhulu kunexesha eligcinwayo lokungenisa umoya, ikwimo ye-T.Indawo yokutshintsha ngokuzenzekelayo: ixesha elihambelana ne-backup ventilation frequency efana ne: BPM = 10 amaxesha / min, ukuphefumula umjikelezo = imizuzwana ye-60 / i-10 = imizuzwana ye-6, ngoko i-ventilator ilinda imizuzwana ye-6, ukuba isigulane siyakwazi ukuqalisa i-ventilator ngaphakathi kwe-6. imizuzwana, i-ventilator Yimowudi yokusebenza ye-S, kungenjalo yimowudi ye-T.Le ndlela yeyona isetyenziswa kakhulu kwaye isetyenziselwa izigulana ezahlukeneyo.a.Ukuphefumla okuzenzekelayo kuqalisa xa isantya sokuphefumla ngokuzenzekelayo> ukusetha rhoqo kwesixhobo sokungenisa umoya.Isixhobo sokungenisa umoya kunye nesantya sokuphefumla kwesigulana zilungelelaniswa ngokupheleleyo.Isantya sokulawula uxinzelelo sitshintshiwe.b.Ukuphefumla rhoqo
Ixesha lokuposa: Jul-14-2020