Maupangiri Opanga Pamitundu Yosiyanasiyana Ya Masks Oxygen Ndi Ntchito Zawo - ZhongXing

M'dziko lazithandizo zamankhwala, ndi zida zochepa zomwe ndizofunikira komanso zochirikiza moyo monga zida oxygen mask. Kwa oyang'anira zogula ngati a Mark Thompson ku USA, kupeza ufulu zipangizo zoperekera mpweya ndi udindo wofunikira womwe umakhudza mwachindunji chisamaliro cha odwala. Koma si masks onse amapangidwa mofanana. The mtundu wa oxygen mask osankhidwa kwa wodwala zimadalira enieni awo kupuma zofunika, kupereka wofatsa wowonjezera mpweya kupulumutsa moyo mpweya wambiri concentrations mu a mwadzidzidzi. Monga Allen, wopanga chisamaliro cha kupuma zopangidwa ku China, ndayang'anira kupanga kosawerengeka kutumiza kwa oxygen machitidwe. Ndikumvetsetsa kusiyana kobisika koma kofunikira pamapangidwe, mlingo wotuluka, ndi ntchito. Bukuli lidzathetsa vutoli mitundu yosiyanasiyana ya masks okosijeni, kufotokoza zomwe iwo ali, pamene akugwiritsidwa ntchito, ndi momwe mungasankhire yoyenera, kuonetsetsa kuti muli okonzeka kupanga zisankho zabwino kwambiri zogulira chipatala chanu.

Kodi Oxygen Therapy ndi Chiyani Ndipo Chifukwa Chiyani Pali Mitundu Yambiri Ya Mask Oxygen?

Chithandizo cha oxygen ndi chithandizo chamankhwala chomwe chimapatsa wodwala oxygen yowonjezera pamene thupi lawo silingathe kupeza zokwanira palokha mpweya wapachipinda. Ichi ndi njira wamba ndi yofunika kwambiri kwa osiyanasiyana kupuma zinthu,ku matenda obstructive m`mapapo mwanga (COPD) ku pachimake kupuma kulephera. Cholinga ndi chosavuta: kuonjezera kuchuluka kwa okosijeni m'mapapo ndi magazi, kuchepetsa ntchito ya kupuma ndi kuonetsetsa kuti ziwalo zofunika kupeza mpweya akusowa.

Chifukwa pali ambiri mitundu yosiyanasiyana ya masks okosijeni ndikuti zosowa za odwala zimasiyana kwambiri. Wodwala yemwe akuchira atachitidwa opaleshoni angafunike kuthandizidwa pang'ono oxygen yotsika, pamene wodwala ali mu zovuta kupuma movutikira angafunike kwambiri zotheka mpweya wa oxygen. Aliyense oxygen mask kapena chipangizocho chinapangidwira kupereka oxygen pamtundu wina wa mlingo wotuluka ndi kuganizira. Kusankha kwa chipangizo kumalola akatswiri azaumoyo kuti tikonze mankhwala okosijeni ndendende momwe wodwalayo alili, kupeŵa kuopsa kwa kuchepa kwa okosijeni komanso kutulutsa mpweya wambiri. Izi machitidwe operekera mpweya ndi zida zofunika zomwe zimapangitsa kuti chithandizo ichi chikhale chotheka.

The Nasal Cannula: Kusankha Kosavuta Kwa Oxygen Wotsika

The nasal cannula ndi imodzi mwazodziwika komanso zodziwika bwino zipangizo zoperekera mpweya. Sichigoba konse, koma chidutswa chosinthika cha chubu ndi ziwiri zazing'ono mphuno kuti kulowa m'mphuno. Kenako chubucho chimalumphira m’makutu ndi kumangiriridwa pansi pa chibwano. Ubwino wake waukulu ndikutonthoza komanso kumasuka. Odwala amatha kulankhula, kudya, ndi kumwa pamene akulandira mpweya wochepa therapy, yomwe imapangitsa kuti ikhale yabwino kwa nthawi yayitali kugwiritsa ntchito oxygen.

A nasal cannula ndi a otsika otaya chipangizo, chomwe chimagwiritsidwa ntchito mlingo wotuluka makonda pakati pa 1 ndi 6 malita pamphindi (LPM). Izi zimapereka a mpweya wa oxygen pafupifupi 24% mpaka 44%. Chifukwa wodwalayo amapumanso mpweya wapachipinda kuzungulira gawo zotsegula, zenizeni kuganizira akhoza kusiyana. A nasal cannula ndi chisankho changwiro kwa odwala omwe ali okhazikika, osati m'masautso aakulu, ndipo amafuna kuwonjezeka pang'ono kwa iwo mpweya wa oxygen. Timapanga mitundu yosiyanasiyana, kuphatikiza a Zotaya PVC nasal oxygen cannula kwa onse makanda ndi akuluakulu, opangidwira chitonthozo ndi ntchito yodalirika. Kuphweka kwa mphuno chipangizochi chimapangitsa kukhala chofunikira kwambiri pazachipatala chilichonse.

Chigoba Chosavuta Pamaso: Njira Yokwera Pakutumiza Oxygen

Pamene wodwala akusowa pang'ono mpweya wambiri kuganizira kuposa a nasal cannula angapereke, sitepe yotsatira nthawi zambiri ndi masks osavuta amaso. Ichi ndi pulasitiki yopepuka, yomveka bwino chigoba chomwe chimakwirira mphuno ndi pakamwa ndipo amagwiridwa m'malo ndi zotanuka kuzungulira mutu. Ili ndi mabowo ang'onoang'ono m'mbali omwe amalola mpweya wotuluka kuti apulumuke komanso kuti wodwalayo ajambule zina mpweya wapachipinda.

Masks amaso osavuta amagwiritsidwa ntchito mlingo wotuluka makonda pakati pa 6 ndi 10 LPM, ndikupereka mpweya wa oxygen pafupifupi 40% mpaka 60%. Ndikofunikira kuti musagwiritse ntchito a mlingo wotuluka pansi pa 6 LPM ndi izi mask idapangidwa, chifukwa zingayambitse mpweya woipa wa carbon dioxide kuchokera kwa wodwalayo mpweya. Izi masks amagwiritsidwa ntchito kwambiri kwa odwala omwe amafunikira kwakanthawi kochepa mankhwala okosijenimwachitsanzo, panthawi yochira pambuyo pa opaleshoni kapena kuchira mwadzidzidzi transport situation. Iwo amapereka apamwamba ndi odalirika mpweya wotuluka kuposa cannula koma sizolondola kwambiri kuposa masks apamwamba kwambiri.

Chigoba cha Venturi: Kwa Kukhazikika Kwa Oxygen Yeniyeni

The Venturi mask, yomwe imadziwikanso kuti chigoba cholowetsa mpweya, ndi chipangizo chopitira pamene a katswiri wa zachipatala zofunika kupereka a mpweya wabwino kuganizira. Izi ndizofunikira makamaka kwa odwala omwe ali ndi vutoli COPD. Kwa anthu awa, kulandiranso mpweya wambiri akhoza kupondereza mphamvu yawo yachilengedwe kuti apume, zomwe ndi zoopsa. The Venturi mask amathetsa vutoli ndi mamangidwe anzeru.

The Venturi mask ntchito pogwiritsa ntchito wapadera valavu kapena mtundu-code adaputala m'munsi mwa chigoba. Monga mpweya umayenda pa liwiro lalitali kupyola mpata wopapatiza adaputala, zimapanga vacuum yomwe imakokera mkati (kulowa) kuchuluka kwapadera kwa mpweya wapachipinda. Aliyense mtundu-coded Venturi adaputala lakonzedwa kuti kusakaniza ndi kupezeka kwa oxygen ndi mpweya kukwaniritsa chokhazikika, chodalirika kuganizira (mwachitsanzo, 24%, 28%, 35%, 40%, 50%), mosasamala kanthu za kupuma kwa wodwalayo. Kulondola uku kumapanga Venturi chida chofunika kwambiri polimbana ndi matenda aakulu kupuma zinthu ndi kupewa mavuto mankhwala okosijeni.

The Non-Rebreather Mask: Kupereka Oxygen Wapamwamba M'mikhalidwe Yovuta

Pamene wodwala ali mkati pachimake zovuta ndipo zimafuna kwambiri zotheka mpweya wa oxygen, othandizira azaumoyo kutembenukira ku chigoba chosatsitsimutsa. Izi mtundu wa oxygen mask ndi chida chofunika kwambiri mu mwadzidzidzi mankhwala, kubwezeretsanso,ndi chisamaliro chovuta. The chigoba chosatsitsimutsa chimakwirira mphuno ndi pakamwa ndipo zikuphatikizapo chachikulu thumba la posungira zolumikizidwa pansi.

The mask idapangidwa ndi mndandanda wa mavavu a njira imodzi. Mmodzi valavu amakhala pakati pa chigoba ndi thumba la posungira, kulola wodwalayo kupuma bwino mpweya kuchokera m'thumba koma kuletsa mpweya wawo wotuluka kuti usabwererenso mavavu a njira imodzi zili pamadoko otulutsira mpweya m'mbali mwa chigoba, kulola mpweya wotuluka kuthawa koma kupewa mpweya wapachipinda kuti asakomedwe mpweya. Dongosolo ili la mavavu a njira imodzi zimatsimikizira kuti wodwala akupuma pafupifupi 100% mpweya. A osatsitsimutsa amagwiritsidwa ntchito kwa mkulu mlingo wotuluka zoikamo (10-15 LPM) ndipo akhoza kupereka mpweya wa oxygen mpaka 95%. Izi masks nthawi zambiri mlatho wopita patsogolo kwambiri kupuma thandizo ngati a BiPAP makina kapena makina mpweya mpweya.

Kodi Partial Rebreather Mask ndi chiyani ndipo imasiyana bwanji?

Tsankho kupumanso chigoba chimawoneka chofanana kwambiri ndi a chigoba chosatsitsimutsa, monga ilinso ndi a thumba la posungira. Komabe, pali kusiyana kwakukulu pamapangidwe ake ndi ntchito yake. Tsankho kupumanso alibe a Mbali Imodzi valavu pakati pa mask ndi thumba la posungira. Izi zikutanthauza kuti pamene wodwala atulutsa mpweya, gawo loyamba la mpweya wawo - lomwe limakhala lolemera mpweya kuchokera ku danga lakufa la anatomical njira yapamlengalenga- imabwereranso ku thumba la posungira ndikusakaniza ndi zoyera mpweya kuchokera kopereka.

Kapangidwe kameneka kamalola wodwalayo "kupumanso" ena mwa iwo okha oxygen yogwiritsidwa ntchito, kusunga katundu pamene akupereka mkulu kuganizira. A tsankho kupumanso mask akhoza kupereka mankhwala mpweya wa oxygen 60% mpaka 80% pa a mlingo wotuluka 6 mpaka 10 LPM. Zimapereka a mpweya wambiri kuganizira kuposa a masks osavuta amaso koma zosakwana a osatsitsimutsa. Izi masks amagwiritsidwa ntchito kwa odwala omwe akufunika okwera kwambiri za mpweya koma osatsutsa kupuma kulephera. Kusankha pakati pa a osatsitsimutsa ndi pang'ono kupumanso zimatengera momwe mpweya wambiri ndi wodwala zofuna za chikhalidwe.

Kodi Odziwa Zaumoyo Amasankha Bwanji Chida Choyenera Choperekera Oxygen?

Kusankha a mpweya wabwino chipangizo ndi chisankho chachipatala chozikidwa pakuwunika bwino kwa odwala. Akatswiri azaumoyo ganizirani zinthu zingapo kuti zigwirizane ndi chipangizocho ndi zosowa za wodwalayo kuti zikhale zogwira mtima mpweya.

• Zofunikira za oxygen: Chinthu chachikulu ndichofunikira kwa wodwala mpweya wa oxygen. Wodwala yemwe ali ndi hypoxemia yofatsa amatha kuyamba ndi a nasal cannula, pamene munthu ali ndi vuto lalikulu kupuma movutikira nthawi yomweyo kuikidwa pa chigoba chosatsitsimutsa.
• Mkhalidwe Wodwala ndi Kukhazikika: Wokhazikika wokhazikika yemwe ali ndi vuto lalikulu ngati COPD amene akusowa zolondola, zotsika mpweya ndi phungu wangwiro kwa a Venturi mask. Wodwala wosakhazikika mu mwadzidzidzi amafuna apamwamba, mwamsanga mpweya wotuluka mwa a osatsitsimutsa.
• Chitonthozo ndi Kulekerera: Kwa odwala omwe amafunikira nthawi yayitali mankhwala okosijeni, chitonthozo ndichofunika. A nasal cannula amalola ufulu wochuluka kuposa wodzaza oxygen mask, zomwe zingapangitse anthu ena kumva claustrophobic.
• Mpumulo: Kupuma kwa wodwalayo kumatha kukhudza mpweya wa oxygen yoperekedwa ndi otsika otaya zipangizo ngati a nasal cannula kapena chigoba chosavuta. Kwa odwala omwe amapuma movutikira, chipangizo chothamanga kwambiri kapena chokhazikika ngati a Venturi mask ndi kusankha bwino.

Mavuto Omwe Odwala Amakumana Nawo Akamagwiritsa Ntchito Maski Oxygen

Pamene masks okosijeni ndizofunikira za amagwiritsidwa ntchito pochiza pamikhalidwe yambiri, iwo sakhala opanda mavuto. Kuchokera pamawonekedwe opangira ndi kupanga, timayesetsa nthawi zonse kukonza chitonthozo ndi kugwiritsidwa ntchito. Odwala amatha nthawi zina kumva claustrophobic pamene chigoba chimakwirira mphuno ndi pakamwa. Izi zitha kuyambitsa nkhawa ndipo zitha kuwapangitsa kuti achotse chigoba, ndikusokoneza mankhwala okosijeni.

Kupsa mtima pakhungu ndi nkhani ina yofala. Kupanikizika kuchokera ku zotanuka ndipo chigoba chokha chingayambitse zilonda kapena zofiira, makamaka pogwiritsa ntchito nthawi yayitali. A youma mphuno ndimeyi ndi kudandaula kawirikawiri ndi nasal cannula, monga mosalekeza mpweya wotuluka akhoza kuyanika. Kuti muchepetse izi, y mpweya akhoza kukhala chinyezi. Kuonetsetsa kuti kukwanira bwino n'kofunikanso; chigoba chomwe chili chotayirira chimatha mpweya, kuchepetsa ogwira ntchito kuganizira, pamene yothina kwambiri imakhala yosamasuka. Kupanga omasuka mpweya chipangizo chomwe chimapereka chithandizo chothandiza ndicho cholinga chosalekeza. M'chipatala, zovutazi zimayendetsedwa pamodzi ndi ntchito zina zofunika, monga kuchotsa njira yapamlengalenga ndi a cholumikizira chubu.

Kuchokera kwa Wopanga: Kodi Chimatanthawuza Chiyani Chigoba cha Oxygen Yabwino?

Monga wopanga kupereka mwatsatanetsatane njira zothandizira kupuma, khalidwe limayikidwa mu sitepe iliyonse ya ndondomeko yathu. Pamene chipatala kapena wogawa magwero zipangizo zoperekera mpweya, akuika chidaliro chawo pachitetezo ndi magwiridwe antchito azinthu.

A khalidwe oxygen mask kapena nasal cannula amatanthauzidwa ndi:

• Zida Zachipatala: Chipangizocho chiyenera kupangidwa kuchokera ku zipangizo zofewa, zofewa, komanso za hypoallergenic kuti muchepetse kupsa mtima kwa khungu ndikuonetsetsa kuti odwala atonthozedwa. Mapulasitiki onse ayenera kukhala opanda poizoni komanso opanda fungo.
• Precision Engineering: Kwa zipangizo monga Venturi mask, ndi ma adapter ziyenera kupangidwa motsatira ndondomeko yeniyeni kuti zitsimikizire kuti zikupereka zolondola komanso zodalirika mpweya wa oxygen. The mavavu mu osapuma ziyenera kukhala zapamwamba kuti zigwire ntchito moyenera.
• Mapangidwe a Ergonomic: A zabwino mask idapangidwa kupanga chisindikizo chotetezeka koma chomasuka. Zomwe zili ngati mphuno yosinthika komanso zingwe zofewa, zopangidwa bwino zimathandizira kuti wodwalayo azimva bwino komanso azitsatira bwino. mankhwala okosijeni.
• Zomanga Zomveka Ndiponso Zokhalitsa: Mask ayenera kukhala omveka kuti alole othandizira azaumoyo kuyang'anira milomo ndi mphuno za wodwalayo. Zolumikizana zonse za chubu ziyenera kukhala zotetezedwa kuti zipewe kulumikizidwa mwangozi ku kupezeka kwa oxygen.

Tsogolo la Kupereka Oxygen: Zatsopano mu Chisamaliro Chopumira

Munda wa kupuma chisamaliro chikusintha nthawi zonse. Ngakhale maziko mitundu ya oxygen mask zakambidwa pano akhalabe maziko a mankhwala okosijeni, zatsopano zikupitiriza kupititsa patsogolo zotsatira za odwala ndi chitonthozo. Kuthamanga kwambiri mphuno cannula (Mtengo wa HFNC) machitidwe, mwachitsanzo, amatha kupereka kutentha ndi chinyezi mpweya pamitengo yotsika kwambiri, yopatsa bwino mpweya ndi chitonthozo kuposa chigoba chikhalidwe ndithu odwala amafuna mlingo uwu wothandizira.

Ukadaulo wanzeru ukulowanso m'malo, okhala ndi masensa omwe amatha kuyang'anira kupuma kwa wodwala ndikungosintha mpweya wotuluka. Cholinga chake nthawi zonse ndikupereka chithandizo chamankhwala chothandiza kwambiri komanso chocheperako. Monga opanga, tadzipereka kukhala gawo lazatsopanozi, kugwira nawo ntchito akatswiri azaumoyo kukulitsa m'badwo wotsatira wa zipangizo zoperekera mpweya zomwe zili zotetezeka, zomasuka, komanso zothandiza kwambiri kwa mitundu yosiyanasiyana ya okosijeni mankhwala ofunikira mu mankhwala amakono.

Zofunika Kwambiri

• Nasal Cannula: Kuti mumve bwino, oxygen yotsika (1-6 LPM), yabwino kwa odwala okhazikika.
• Chigoba Chosavuta Pamaso: Zapakati kuchuluka kwa oxygen (40-60%) ndi a mlingo wotuluka 6-10 LPM.
• Venturi Mask: Chisankho chabwino kwambiri choperekera a mpweya wabwino kuganizira, zofunika kwa COPD odwala.
• Non-Rebreather Mask: An mwadzidzidzi chipangizo choperekera kwambiri zotheka mpweya wa oxygen (mpaka 95%) muzochitika zovuta.
• Gawo la Rebreather Mask: Amatumiza mwachangu mpweya (60-80%) ndikuteteza ena mpweya polola wodwalayo kuti apumenso gawo loyamba la mpweya wawo wotuluka.
• Kusankha koyenera ndi Clinical: The mtundu wa oxygen mask zomwe zimagwiritsidwa ntchito zimatsimikiziridwa ndi zofunikira zachipatala za wodwalayo, momwe alili, komanso chitonthozo.