Kwimeko ehlala eguqukayo yomhlaba wonyango lwanamhlanje, i-precise kunye ne-meticaratimeration yolawulo lolwelo lubambe isitshixo kwiziphumo zonyango eziphumeleleyo. Kangangeminyaka emininzi, iseti yemveli yemveli ibingubukho obunezinto ezikhoyo zezempilo, ukuzalisekisa ngendima yayo. Nangona kunjalo, kunye neminyhadala ebalaseleyo kwitekhnoloji yezonyango, impompo yengeniso ivele njengomdlalo otshintsha umdlalo kunye nendlela eguqukayo echanekileyo, igcina indawo yayo echanekileyo, igcina indawo yayo engathethekiyo kwimeko ebanzi yonyango ebaluleke kakhulu.
I. Imeko yeklinikhi efuna i-pumps ye-inflaon
A. Iiyunithi zononophelo
IiYunithi zoNyango oluBanzi (i-ICUS) kunye namasebe kaxakeka ka-Ernetic emi njengemihla ye-frism, apho izigulana zihlala zifika kwimeko yesentimenti, imiqondiso yazo ebalulekileyo ingenazingasebenzi. Kula machiza aphezulu ares, i-pumpsion pumps aziyinto imfutshane yeeasethi ezisindisisayo. Umzekelo, umzekelo, unyango lwezigulana ezibethwa kakhulu. Kumanqanaba ayo okubi, amayeza evascoing anjenge-norepinephrine abe yi-linctppins yokugcina ulungelelaniso loxinzelelo lwegazi. Ukuchana okungathethekiyo kwethanga lokungaxhobisane kwetyholo ukwenza uhlengahlengiso olungafunekiyo kwiqondo lokuhamba, ngamanye amaxesha luyekelela amaqhezu omnyama olilili ngeyure. Eli nqanaba lolunge ngakumbi lingafikeleleki ekubekweni kwemveli, oko kuxhomekeke kubungakanani bendlela yezinto ezikhoyo zokubala. Eyona nto ingako, le nqanaba le-Drip lingaphoswa ngokulula ngaphandle kweyona mibandela ininzi-ityhubhu ekhutshelweyo, ukutshintsha kwesigulana esikwindawo enokubakho.
Kwimeko yokulawula ukungaphumeleli kwentliziyo, amayeza anje nge-Dobutamine amiselwe rhoqo ukuze aqhameze imveliso yentliziyo. Apha, impompo yengeniso ithatha inqanaba leziko, liqinisekisa ukuba ichiza lihanjiswa ngexabiso elichanekileyo elimiselwe ngugqirha. Nakuphi na ukuphambuka kule dompage ngqo, nokuba yinto engaphantsi okanye engaphezulu, inokufumana i-Cardiacalid Storsiac Stomethmias okanye ibeka emngciphekweni ukuqhekeka kwesigulana. Ukubeka i-pump yokuqhubeka kwe-pump kwaye ikwazi ukubeka iliso eliqhubekayo kunye nohlengahlengiso oluzenzekelayo lubonelela ngomsinga othembekileyo nozinzileyo wokuhanjiswa kweziyobisi, ukuthathela ingqalelo imvakalelo yokuzola nokuzithemba kwiqela lezonyango ngexesha lobomi obukhulu, iimeko zokufa ubomi.
B. Pediatric kunye nononophelo lweNeoTataal
Xa kufikwa ekunyamekeleni abantwana, ngakumbi ezona ntsana zisesichengeni kunye nee-neonates, umda wempazamo kwi-dosing kwi-dosing kwinqanaba elingaphantsi. Izakhelo zabo ezincinci kunye nokucoceka kwenkqubo yenkqubo yemveliso yomzimba ifuna inqanaba eliphezulu lokuchaneka. I-Pumps yePumps, kule ndawo, hayi ubunewunewu kodwa iyimfuneko epheleleyo. Thatha ityala lomntwana waphambi kwexesha ukubambana ne-syndrome yoxinzelelo. Ulawulo lwe-sundocapecants, edlala indima ebaluleke kakhulu ekunikezeleni umsebenzi ofanelekileyo we-Lung, ifuna inqanaba lokuchaneka okufumaneka kuphela ngempompo yentengo. Kungazilungelelanisa kakuhle ukuhambisa i-turcules efunekayo, ukubambela njengekhuselo ngokuchasene nengozi enokubangelwa kukungabinamfanekiso okhululekileyo kwi-dosic.
Kwihlabathi le-Pediatrid Chemotherapy, ityhefu yeziyobisi ebandakanyekayo ixhasa ulawulo lwe-ironclad kulawulo lwe-insusushini. Ubunzima bomntwana ngamnye owodwa kunye nenkqubo ye-chemotherapy ye-chemotherapy kufuneka ifakwe ngaphakathi, kwaye ichaphazelene nepumpscares yempilo kunye nezixhobo zokwenza loo nto. Ngokuseta ngqo kwireyithi, banokunciphisa iziphumo ebezingapheliyo ezihlala zihamba ne-Fid okanye inzaliseko yeziyobisi, ukuqinisekisa ukuba ezi zigulana ziselula zinokudubula kakhulu ngelixa zikhusela umgangatho wobomi ophumeleleyo ngelixayo.
C. IINKQUBO ZENKQUBO YOKHUSELEKO
Xa iingcango zegumbi lokusebenza zivula utyando oluntsonkothileyo njengotyando oluvulekileyo lwentliziyo okanye i-ballergery ye-neurosury, igcina ulawulo oluzinzileyo lweziyobisi lube ngubomi kunye nokufa. Kwindawo yokuyeka kwentliziyo yentliziyo, isisombululo sentliziyo esivulekileyo kufuneka sisuswe ngexesha elifanelekileyo kwaye irhafu yokuwabambe ngokukhuselekileyo intliziyo, ivumela oogqirha ukuba benze umsebenzi wabo wokusindisa ubomi. Impompo yengeniso isebenza njengelindini ethe cwaka, eqinisekisa ukuba isisombululo sihanjiswa ngokuchaneka kwe-pirepoti, ngaloo ndlela inqamleza izinto ezinokubakho ezinxulumene nokukhuselwa kwentliziyo yentliziyo, ezinje ngomonakalo we-myacardill okanye i-myacate creacker chestill.
Kwindawo efuna i-domain ye-neurosurgery, apho ubukhulu bezendalo nobuchopho obuthathaka busemgceni, iziyobisi ezilawula uxinzelelo lwe-intracrannial okanye ukugcina i-cereblusion kufuneka ilawulwe kwinqanaba lokuchaneka. Nazi naziphi na izinto ezingafakwanga kwimilinganiselo ye-insuluon inokuthoba i-cascade yeziphumo ezibi kakhulu kwingqondo yesigulana, enokubakho kwi-neurologic engapheliyo. Kuthetha ngqo kwezi zicwangciso zotyando ezibalulekileyo zokuthembeka kwempompo kunye nokuchaneka kwendlela okuqinisekileyo, kokwenza ukuba kungafuneki oogqirha abakhethiweyo kugqirha kunye ne-anesthesiologist ngokufanayo.
II. Izibonelelo zokungafuneki kwe-pumpsions ngaphezulu kweeseti zengeniso eqhelekileyo
A. Ukuchaneka kuLawulo lweRhafu
Elona ncedo libalaseleyo lokupheka lixhomekeke ngqo. Njengoko ngaphambili izimanga zobuchwephesha zinokusasaza ulwelo kumaxabiso abonakala ngathi phantse abanye, ngamanye amaxesha asezantsi njengeqhezu lomzuzu. Eli nqanaba leerhafu liyiminyaka yokukhanya ngaphambi kokuba i-facluon yemveli inokwenzeka. Cinga ngempembelelo yezigulana zesifo seswekile kuxhomekeke kwi-insulin. Ifestile yonyango kwesi siyobisi esisindileyo lobomi sisitya-sincinci; Ukuchazwa okungekho mthethweni kwi-Dosing kunokuthumela amanqanaba eswekile yegazi entywila kwi-hypoglycemia okanye i-skyrocketing kwi-hyperglycemia. Ngempompo yempikiswano, nangona kunjalo, ababoneleli bezempilo banokuphumla ngokulula ukuba bayazi ukuba inani elichanekileyo le-insulin liya kulawulwa ngokugqibeleleyo, iyure emva kweyure, imihla ngemihla.
Ngokwahluke ngokupheleleyo, ukumiswa kwenqanaba lokuhamba kwenkunkuma kwendawo esekwe kwi-chinges kwisenzo somntu esihle sokubala. Le ndlela ayihambelani nempazamo yomntu kuphela kodwa ikwachaphazeleka kakhulu kuphazamiseka kwangaphandle. Isiphazamiso esilula esibangela umongikazi ukuba sisebenzise amathontsi okanye utshintsho oluncinci kwisimo sebhola ekhatywayo kwi-Inballsball kwixabiso lechiza okanye ukuhambisa impilo-ntle.
B. Iimpawu zokhuseleko
I-pumps ye-pumps ilayishiwe nge-cornucopia yeempawu zokhuseleko ezijongise ngokungekho mthethweni. Ezi zinto zakhelweyo zezinto ezikhuselweyo zisebenza njenge-burwawble enobungozi ngokuchasene nentlekele enokubakho. Umzekelo, ukuba ityhubhu iyakhutshwa - into eqhelekileyo ngenxa yokuqulunqa i-clot okanye i-kink yengozi - i-pumps eveza i-pumputer iya kusebenza kwangoko, ikhuphe i-shrill and furm ifileyo ifileyo. Lo mlinganiso wokuzimisela kukungenelela kobomi, ukuthintela i-embolism eyoyikekayo okanye ukwakha okubonakalayo koxinzelelo olugqithisileyo ngaphakathi kwetyhubhu, nokuba yeyiphi na enokuthi ipele isiguli.
Enye into ebalulekileyo yokhuseleko yindlela yokufumana umoya. Nditsho nelona lungelo likhulu, phantse lingaphantsi le-tubble enokuthi ifumane ukuba ityhubhu iya kufunyanwa ziinzwa zepumps, zibangela isilumkiso kwangoko. Oku kubaluleke kakhulu xa uvelisa iziyobisi ezibuthathaka kakhulu emoyeni, ezinjenge-Intravenoulis i-IgNoglin. Ubukho bamaqamza bomoya kwiimeko ezinjalo kunokubangela ukuba ichiza libe nelukhuni, elingenamandla kwaye libeka emngciphekweni ukusebenza ngonyango lwesigulana.
C. I-Ease yokusetyenziswa kunye neXesha elifanelekileyo
Ngelixa kuyinyani ukuba iimpompo zokungcola zinokuthetha kakhulu kwaye zisoyikisa ezo zintsha kubo, ekugqibeleni ziya kuthi zibonakalise ukugcinwa kwexesha kunye nokugcina ixesha ngokulonga ixesha kunye nokunciphisa imimangaliso kubaboneleli bezempilo. Nje ukuba iiparamitha zokuqala zisetwe kabuhlungu-inkqubo enokuthi, enento enoqeqesho, iba yimo yesibini - impompo ithatha i-cerings, igcine ireferensi echanekileyo. Oku kuphefumlela abongikazi kunye noogqirha ukuhambisa ingqalelo yabo kunye namandla kwezinye iinkalo ezibalulekileyo, ukuba nokubeka iliso kwiimpawu ezibalulekileyo, ukuvavanya intuthuzelo yezigulana, okanye ukulungelelanisa amanye amalungu eqela lezonyango.
Kwi-humle kunye ne-bustle yeWadi yeZibhedlele ezixakekileyo, apho kufuneka khona amabala esibini kunye nezixhobo zoluliwe, esi sisombululo sizenzekelayo sinika umntwana olwamkelekileyo. Xa kuthelekiswa nomsebenzi onzima kunye nexesha lokuchitha ixesha lokujonga rhoqo kwaye uhlengahlengise ngesandla senqanaba le-drip lokufakwa kwe-infsulion-inkqubo efuna ukujongwa rhoqo kunye nokuhla kwe-pumpssing. Ikwabetha imvumelwano yeempazamo ezingena ngaphakathi ngexesha lolawulo lwe-AMASE, ekhuthaza ukhuseleko lwezigulana kunye nokusebenza kwezempilo ngokubanzi.
Ukuqukumbela, i-pumpsion pumps ayikhange iqalise i-niche ebalulekileyo kwaye ixabisekileyo i-niche kunyango lwanamhlanje. Ukukwazi kwabo ukusasaza ulwelo kunye neziyobisi eziguqulwe ngokuchanekileyo, eziqiniswe luluhlu lweempawu eziphuculweyo kunye nokukhulisa ukusebenza kakuhle kwendlela. Kumsebenzi wezempilo, ukuqonda i-nump yokuba uthobele impompo yempikiswano ayisiyonto nje yobuchule kodwa imeko yokuziphatha, njengoko ichaphazela imeko yokugcina izigulana. Njengoko itekhnoloji ikhathaza phambili, sinokulindela ukuphuculwa okungaphezulu kunye nokwandisa ukusetyenziswa kwezixhobo ezimangalisayo zobomi, ukusasaza ixesha elitsha lonyango oluchanekileyo nonyango olusebenzayo.
