Ventilators: imishini yokusekela impilo ebalulekile

Ensimini yezempilo, ama-ventilatorators adlala indima ebalulekile njengethuluzi lezokwelapha elisekela impilo. Zenzelwe ukusiza iziguli ezingakwazi ukuphefumula ngokwazo noma zifune ukwesekwa okungeziwe kokuphefumula.

I-ventilator isebenza ngokulawula inqubo yokuphefumula. Inikeza umoya-mpilo odingekayo esigulini futhi isiza ukususa ikhabhoni dioksijini. Lokhu kubalulekile ukuze kugcinwe ukusebenza kahle komzimba kanye nokuqinisekisa ukuthi izitho ezibalulekile zithola ukunikezwa komoya-mpilo okwanele.

E-Intensive Care Unit (ICU), ama-ventilatorators angamathuluzi asemqoka ekuqiniseni izimpilo zeziguli ezigula kakhulu. Lapha, iziguli ezinosizi olukhulu lokuphefumula, njengalezo ezihlushwa yi-pneumonia, ukulimala kwamaphaphu, noma kwezinye izimo ezibucayi, zincike kuma-ventitators ukuze azigcine ziphila. I-ventilator ithatha umsebenzi wokuphefumula, okuvumela umzimba ukuba uphumule futhi uphulukise.

Ekamelweni elisebenzayo futhi, ezinye iziguli zingadinga ukusekelwa kwe-ventilator ngesikhathi sokuhlinzwa. Lokhu kuyiqiniso ikakhulukazi kokuhlinzwa okuyinkimbinkimbi okudinga i-anesthesia ejwayelekile, njengoba izidakamizwa zokubulala izinzwa zingacindezela ukuphefumula kwesiguli.

Ama-Respiratory Therapists adlala indima ebalulekile ekusetshenzisweni kwama-ventilators. Banesibopho sokusetha futhi balungise amapharamitha okuphefumula ukuqinisekisa ukuthi isiguli sithola ukwesekwa okufanele kokuphefumula. Lokhu kudinga ukuqonda okujulile kwesimo sesiguli kanye namakhono we-ventilator. Abelaphi bokuphefumula futhi babheka kakhulu isimo sesiguli bese benza izinguquko ezifika ngesikhathi sohlelo lokwelashwa olususelwa kuzinguquko emaphethini okuphefumula aphefumulayo kanye nempilo yonke.

Kunezinhlobo ezimbili eziphambili zama-ventilators: ukuhlaselwa nokungahlaseli. Ama-ventiators ahlaselayo anikeza ukwesekwa kokuphefumula ngokusebenzisa i-tracheal inubation noma i-tracheostomy. Lezi ngokujwayelekile zisetshenziselwa iziguli ezigula kakhulu futhi ezingakwazi ukuphefumula ezazo. Ama-venti angenayo, ngakolunye uhlangothi, ahlinzeke ngosizo ngemaskhi. Zilungele iziguli ezazi futhi ezikwazi ukubambisana.

Umgomo osebenzayo we-ventilator ufaka izigaba ezimbili eziyinhloko: ukuphefumula kanye nokuphefumula. Ngesikhathi sokuphefumula, i-ventilator ihlinzeka ngengcindezi evumayo yokusiza umoya we-inhale weziguli. Le ngcindezi ilawulwa ngokucophelela ukuze iqinisekise ukuthi inani elifanele likamoya-mpilo lihanjiswa emaphashini. Ngesikhathi sesigaba sokuphefumula, ingcindezi incishisiwe, ivumela isiguli noma i-ventilator ukuthi izosiza ukuxosha i-carbon dioxide.

Amapharamitha we-ventilator angashintshwa ukuze ahlangabezane nezidingo ezithile zesiguli ngasinye. IVoluvo ye-Tidal isho inani lomoya onikezwe isiguli ngomoya ngamunye. Imvamisa yokuphefumula inani lomoya ngamunye ngomzuzu. Isilinganiso sokuphefumula esikhathi sokuphefumula sibuye ibe yipharamitha ebalulekile engashintshwa ukuze yandise inqubo yokuphefumula.

Kwabanye abasebenza ngokuphefumula kanye nabanye ochwepheshe bezokunakekelwa kwempilo, imfundo nokuqeqeshwa ekusebenziseni i-ventilator kubalulekile. Izifundo ezikhethekile zibafundisa izimiso ezisebenzayo kanye namasu okusebenza kwama-ventilators. Ukuqeqeshwa okusebenzayo ngokusebenzisana kanye nemitholampilo kuyabasiza ukuba babe nekhono ngokusebenzisa ama-ventilator nokuphatha izimo ezahlukahlukene.

Eminyakeni yamuva, kube nentuthuko ebalulekile kubuchwepheshe bomoya. Ama-velitorator ahlakaniphile ahlanganiswe nama-algorithms ahlakaniphile angalungisa ngokuzenzakalelayo amapharamitha asuselwa kumaphethini okuphefumula wesiguli. Lokhu akugcini nje ngokuthuthukisa ukusebenza kahle kokwelashwa kodwa futhi kunciphisa nomsebenzi wochwepheshe bezokunakekelwa kwempilo. Ubuchwepheshe bokuqapha kude buvumela nokuqapha okukude nokuphathwa kwama-ventilators, okunika amandla abahlinzeki bezempilo ukuthi balandele isimo sesiguli ngisho nasekude.

Ngokuqondene namathuba emisebenzi, abelaphi bokuphefumula bangasebenza ngezilungiselelo ezahlukahlukene ezinjengezibhedlela, kufaka phakathi i-ICU, igumbi lezimo eziphuthumayo kanye negumbi elisebenzayo. Futhi zinganikeza ngezinsizakalo zokunakekelwa kwasekhaya ezigulini ezidinga ukwesekwa kokuphefumula isikhathi eside.

Ukubheka ikusasa, ubuchwepheshe be-ventilator kulindeleke ukuthi bube bomuntu uqobo. Izinhlelo ezenziwe ngokwezifiso zokwelashwa ezisuselwa esimweni esithile sesiguli zizothuthukiswa, zinikeze ukwesekwa okuhlosiwe futhi okusebenzayo. Ngokuthuthukiswa kobuchwepheshe bezokwelapha kude, ukusetshenziswa kanye nokuphathwa kwama-ventilators kuzoba lula ngokwengeziwe, okuvumela ukunakekelwa okungcono kweziguli kungakhathalekile ukuthi zibe khona.

Ekuphetheni, ama-ventilatorators angumshini obalulekile wokusekelwa kwempilo. Ukusetshenziswa kwabo kahle nokuthuthuka kwezobuchwepheshe okuqhubekayo kubalulekile ukuze kusindise izimpilo kanye nokwenza ngcono ikhwalithi yezempilo.