Imfashanyigisho Yumukoresha Kuburyo butandukanye bwa masike ya Oxygene nikoreshwa ryayo - ZhongXing

Mwisi yisi yubuvuzi, ibikoresho bike nibyingenzi kandi bikomeza ubuzima nku mask ya ogisijeni. Kubashinzwe gutanga amasoko nka Mark Thompson muri USA, gushakisha uburenganzira Ibikoresho byo gutanga bya ogisijeni ni inshingano zikomeye zigira ingaruka ku kwita ku barwayi. Ariko ntabwo masike yose yaremewe kimwe. Uwiteka ubwoko bwa mask ya ogisijeni guhitamo kumurwayi biterwa numwihariko wabo Ubuhumekero ibikenewe, guhera gutanga byoroheje byiyongera ogisijeni gutanga ubuzima burokora ubuzima ogisijeni ndende kwibanda muri an byihutirwa. Nka Allen, uwakoze kwita ku myanya y'ubuhumekero ibicuruzwa mu Bushinwa, nakurikiranye umusaruro utabarika Gutanga ogisijeni Sisitemu. Ndumva itandukaniro rito ariko rikomeye mubishushanyo, igipimo, n'imikorere. Aka gatabo kazapfundura ubwoko butandukanye bwa masike ya ogisijeni, gusobanura icyo aricyo, mugihe gikoreshwa, nuburyo bwo guhitamo igikwiye, kwemeza ko ufite ibikoresho kugirango ufate ibyemezo byiza byubuguzi kubigo nderabuzima.

Ubuvuzi bwa Oxygene ni iki kandi ni ukubera iki hariho ubwoko bwinshi bwa Masike ya Oxygene?

Ubuvuzi bwa Oxyjen ni ubuvuzi butanga umurwayi ogisijeni iyo umubiri wabo udashoboye kubona bihagije wenyine Icyumba. Nibisanzwe kandi byingirakamaro mubikorwa bitandukanye imiterere y'ubuhumekero, Kuva indwara zidakira zifata ibihaha (Kopi) Kuri Kunanirwa kw'ubuhumekero. Intego iroroshye: kongera kwibanda kuri ogisijeni mu bihaha no mu maraso, koroshya umurimo wo guhumeka no kwemeza ingingo zingirakamaro kubona ogisijeni Bakeneye.

Impamvu hariho benshi ubwoko butandukanye bwa masike ya ogisijeni ni uko ibyo abarwayi bakeneye bitandukanye cyane. Umurwayi ukira kubagwa ashobora gukenera imbaraga nkeya gusa umwuka mwiza wa ogisijeni, mugihe umurwayi mubi umubabaro w'ubuhumekero irashobora gusaba ibishoboka byose ogisijeni. Buri mask ya ogisijeni cyangwa igikoresho cyakozwe kuri Tanga ogisijeni ku cyiciro cyihariye cya igipimo na kwibanda. Guhitamo igikoresho biremera Inzobere mu buvuzi Kuri Ubuvuzi bwa Oxyjen neza neza uko umurwayi ameze, wirinda ingaruka ziterwa na ogisijeni munsi ya ogisijeni ndetse na ogisijeni irenze. Ibi Sisitemu yo gutanga ogisijeni nibikoresho byingenzi bituma ubu buvuzi bushoboka bushoboka.

Cannula ya Amazuru: Guhitamo Byoroheje bya Oxygene Ntoya

The Umuyoboro wa Nasal ni kimwe mubisanzwe kandi byamenyekana Ibikoresho byo gutanga bya ogisijeni. Ntabwo ari mask na gato, ahubwo ni igice cyoroshye cya tubing na bibiri bito Amazuru ibyo bikwira mu mazuru. Umuyoboro uhita uzunguruka ku matwi kandi ukingirwa munsi y'urwasaya. Inyungu yibanze yibanze ni ihumure kandi byoroshye. Abarwayi barashobora kuvuga, kurya, no kunywa mugihe bakira ogisijeni yoroheje ubuvuzi, butuma biba byiza igihe kirekire gukoresha ogisijeni.

A Umuyoboro wa Nasal ni a itemba igikoresho, mubisanzwe bikoreshwa kuri igipimo igenamiterere hagati ya litiro 1 na 6 kumunota (LPM). Ibi bitanga an ogisijeni hafi 24% kugeza kuri 44%. Kuberako umurwayi nawe ahumeka Icyumba hafi ya prong gufungura, neza kwibanda Birashobora gutandukana. A. Umuyoboro wa Nasal ni ihitamo ryiza kubarwayi bahagaze neza, ntabwo bari mubibazo bikomeye, kandi bisaba kwiyongera gake muri bo urwego rwa ogisijeni. Dukora ubwoko butandukanye, harimo a Ikoreshwa rya PVC izuru rya ogisijeni cannula ku mpinja ndetse n'abantu bakuru, zagenewe guhumurizwa no gukora neza. Ubworoherane bwa izuru igikoresho gikora nk'ibintu hafi ya byose byubuzima.

Mask Yoroheje Yisura: Intambwe Hejuru Mugutanga Oxygene

Iyo umurwayi akeneye bike ogisijeni yo hejuru kwibanda kuruta a Umuyoboro wa Nasal irashobora gutanga, intambwe ikurikira ni kenshi i masike yoroshye yo mumaso. Iyi ni plastike yoroshye, isobanutse mask itwikira izuru n'umunwa kandi bifashwe mu mwanya hamwe na umukandara kuzenguruka umutwe. Ifite ibyobo bito kumpande zemerera umwuka uhumeka guhunga kandi ureke umurwayi ashushanya muri bamwe Icyumba.

Masike yo mumaso yoroshye Byakoreshejwe igipimo igenamiterere hagati ya 6 na 10 LPM, gutanga an ogisijeni ya 40% kugeza kuri 60%. Ni ngombwa kudakoresha a igipimo munsi ya 6 LPM hamwe nibi mask yarateguwe, kuko bishobora kuganisha ku kwiyubaka kwa karuboni ya dioxyde de murwayi guhumeka. Ibi masike ikoreshwa cyane ku barwayi bakeneye igihe gito Ubuvuzi bwa Oxyjen, kurugero, mugihe cyo gukira nyuma yibikorwa cyangwa muri an byihutirwa uko ibintu bimeze. Zitanga urwego rwo hejuru kandi rwizewe ogisijeni kuruta urumogi ariko ntibisobanutse neza kuruta masike yateye imbere.

Mask ya Venturi: Kuburyo bwiza bwa Oxygene

The Venturi mask, bizwi kandi nka mask yo mu kirere, ni ukujya ku gikoresho iyo a Umunyamwuga w'ubuvuzi ikeneye gutanga a ogisijeni neza kwibanda. Ibi ni ingenzi cyane kubarwayi bafite Kopi. Kuri aba bantu, bakira nabo ogisijeni nyinshi irashobora guhagarika disiki yabo isanzwe kugirango ihumeke, bikaba biteje akaga. Uwiteka Venturi mask ikemura iki kibazo nigishushanyo mbonera.

The Venturi mask ikora ukoresheje umwihariko valve cyangwa ibara-kode adapt munsi ya mask. Nk ogisijeni itemba ku muvuduko mwinshi unyuze mu gufungura ifunguye muri adapt, ikora icyuho gikurura (entrain) umubare wihariye wa Icyumba. Buri bara-kode Venturi adapt ni Byashizweho Kuri Kuvanga i ogisijeni n'umwuka kugirango ugere ku gihamye, cyizewe kwibanda (urugero, 24%, 28%, 35%, 40%, 50%), utitaye kumyuka yumurwayi. Ubu busobanuro butuma Venturi igikoresho cyingenzi mugucunga karande Ubuhumekero imiterere no gukumira ingorane kuva Ubuvuzi bwa Oxyjen.

Mask itari iyisubiramo: Gutanga Oxygene Yinshi mubihe bikomeye

Iyo umurwayi arimo butute umubabaro kandi bisaba ibishoboka byose ogisijeni, abatanga ubuzima Hindukira kuri mask itari isubikwa. Ibi ubwoko bwa mask ya ogisijeni ni igice gikomeye cyibikoresho muri byihutirwa ubuvuzi, kuzura, na ubuvuzi bukomeye. The mask itari isubikwa apfuka izuru n'umunwa kandi ikubiyemo nini Umufuka wibigega Bifatanije hepfo.

The mask yarateguwe hamwe nuruhererekane rwa inzira imwe. Imwe valve yicaye hagati ya mask na Umufuka wibigega, kwemerera umurwayi guhumeka neza ogisijeni kuva mu gikapu ariko ukabuza umwuka uhumeka gusubira inyuma. Ibindi inzira imwe biherereye ku byambu bisohora ku mpande za mask, biremera umwuka uhumeka guhunga ariko gukumira Icyumba Kuva guhumeka. Sisitemu ya inzira imwe iremeza ko umurwayi ahumeka hafi 100% ogisijeni. A Inkuba ni Byakoreshejwe Kuri Hejuru igipimo igenamiterere (10-15 LPM) kandi irashobora gutanga an ogisijeni kugeza kuri 95%. Ibi masike ni kenshi ikiraro cyo kurushaho gutera imbere Ubuhumekero inkunga nka a BiPAP imashini cyangwa imashini ihumeka.

Mask Igice Cyisubiramo Igice Niki kandi Bitandukaniye he?

Igice rereather mask isa cyane na a mask itari isubikwa, nkuko nayo ifite a Umufuka wibigega. Ariko, hari itandukaniro ryingenzi mubishushanyo mbonera n'imikorere. Igice rereather idafite a inzira imwe valve hagati ya mask na Umufuka wibigega. Ibi bivuze ko iyo umurwayi asohotse, igice cya mbere cyumwuka wabo-gikungahaye ogisijeni Kuva kuri anatomiki yapfuye umwanya wa inzira nyabagendwa- asubira muri Umufuka wibigega akavanga nabeza ogisijeni bivuye kubitangwa.

Igishushanyo cyemerera umurwayi "kongera guhumeka" bimwe byabo yakoresheje ogisijeni, kubungabunga itangwa mugihe ugitanga hejuru kwibanda. Igice rereather mask irashobora gutanga an ogisijeni ya 60% kugeza 80% kuri a igipimo ya 6 kugeza 10 LPM. Itanga a ogisijeni yo hejuru kwibanda kuruta a masike yoroshye yo mumaso ariko munsi ya a Inkuba. Ibi masike ikoreshwa kubarwayi bakeneye kwibanda ya ogisijeni ariko ntibanegura Ubuhumekero gutsindwa. Guhitamo hagati ya Inkuba n'igice rereather biterwa nuburyo ogisijeni nyinshi the umurwayi ibisabwa.

Nigute Inzobere mu Buzima Zihitamo Igikoresho Cyiza cyo Gutanga Oxygene?

Guhitamo ogisijeni iburyo igikoresho nicyemezo cyamavuriro gishingiye ku gusuzuma neza abarwayi. Inzobere mu buvuzi tekereza ku bintu byinshi bihuza igikoresho nicyo umurwayi akeneye kugirango gikore neza ogisijeni.

• Icyifuzo cya Oxygene: Ikintu cyibanze nicyo umurwayi asabwa ogisijeni. Umurwayi ufite hypoxemia yoroheje ashobora gutangirana na a Umuyoboro wa Nasal, mugihe umuntu ufite uburemere umubabaro w'ubuhumekero byahita bishyirwa kuri a mask itari isubikwa.
• Imiterere y'abarwayi no guhagarara: Umurwayi uhamye ufite imiterere idakira nka Kopi ninde ukeneye neza, urwego rwo hasi ogisijeni ni umukandida mwiza kuri a Venturi mask. Umurwayi udahungabana muri an byihutirwa bisaba hejuru, ako kanya ogisijeni ya Inkuba.
• Ihumure n'ubworoherane: Ku barwayi bakeneye igihe kirekire Ubuvuzi bwa Oxyjen, ihumure ni urufunguzo. A. Umuyoboro wa Nasal yemerera umudendezo urenze wuzuye mask ya ogisijeni, irashobora gutuma abantu bamwe umva claustrophobic.
• Uburyo bwo Guhumeka: Uburyo bwo guhumeka bwumurwayi bushobora kugira ingaruka kuri ogisijeni yatanzwe na itemba ibikoresho nka a Umuyoboro wa Nasal cyangwa mask yoroshye. Ku barwayi bafite guhumeka bidasanzwe, umuvuduko mwinshi cyangwa igikoresho gikora neza nka a Venturi mask ni ihitamo ryiza.

Inzitizi Zisanzwe abarwayi bahura nazo iyo bakoresheje Masike ya Oxygene

Mugihe masike ya ogisijeni ni ngombwa kuri ikoreshwa mu kuvura y'ibintu byinshi, ntabwo bafite ibibazo. Duhereye ku gishushanyo mbonera no gukora, duhora dukora kugirango tunoze ihumure no gukoreshwa. Abarwayi barashobora rimwe na rimwe umva claustrophobic iyo mask apfuka izuru n'umunwa. Ibi birashobora gutera impungenge kandi bishobora kubatera gukuramo mask, kubabuza Ubuvuzi bwa Oxyjen.

Kurwara uruhu ni ikindi kibazo gikunze kugaragara. Umuvuduko ukomoka kuri umukandara na mask ubwayo irashobora gutera ibisebe cyangwa umutuku, cyane hamwe no gukoresha igihe kirekire. Kuma izuru igice ni ikirego kenshi hamwe na Umuyoboro wa Nasal, nkibikomeza ogisijeni birashobora gukama. Kugabanya ibi ,. ogisijeni irashobora guhindurwa. Kugenzura niba bikwiye nabyo ni ngombwa; mask irekuye cyane izasohoka ogisijeni, kugabanya ingirakamaro kwibanda, mugihe imwe ifunze cyane ntabwo yorohewe. Gukora neza ogisijeni igikoresho gitanga uburyo bwiza bwo kuvura nintego ihoraho. Mugihe cyibitaro, izi mbogamizi zicungwa hamwe nindi mirimo ikomeye yo kwita, nko gukuraho inzira nyabagendwa hamwe na Kurega guhuza umuyoboro.

Duhereye kubitekerezo by'Umuhinguzi: Niki gisobanura Mask nziza ya Oxygene?

Nkumushinga utanga byuzuye ibisubizo byubuhumekero, ubuziranenge bwinjijwe muri buri ntambwe yimikorere yacu. Iyo ibitaro cyangwa isoko yabatanga Ibikoresho byo gutanga bya ogisijeni, bashyira ibyiringiro byabo mumutekano wibicuruzwa nibikorwa.

Ubuziranenge mask ya ogisijeni cyangwa Umuyoboro wa Nasal isobanurwa na:

• Ibikoresho byo mu cyiciro cya Muganga: Igikoresho kigomba kuba gikozwe mubikoresho byoroshye, byoroshye, na hypoallergenic kugirango bigabanye uruhu kandi bigahumuriza abarwayi. Amashanyarazi yose agomba kuba adafite uburozi kandi nta mpumuro nziza.
• Ubwubatsi Bwuzuye: Kubikoresho nka Venturi mask, the adapt igomba guhindurwa mubisobanuro nyabyo kugirango yizere ko itanga neza kandi yizewe ogisijeni. The indangagaciro in abadashaka igomba kuba nziza-yo gukora neza.
• Igishushanyo cya Ergonomic: Ibyiza mask yarateguwe gukora kashe itekanye ariko yoroshye. Ibiranga clip yoroheje yizuru kandi byoroshye, imishumi yateguwe neza igira uruhare muburambe bwiza bwumurwayi no kubahiriza neza Ubuvuzi bwa Oxyjen.
• Ubwubatsi busobanutse kandi burambye: Mask igomba kuba isobanutse kubyemera abatanga ubuzima gukurikirana iminwa n'umurwayi. Amahuriro yose ya tubing igomba kuba ifite umutekano kugirango ikumire impanuka iturutse kuri ogisijeni.

Kazoza ka Oxygene Gutanga: Udushya mu Kuvura Ubuhumekero

Umwanya wa Ubuhumekero ubwitonzi burahora butera imbere. Mugihe shingiro Ubwoko bwa mask ya ogisijeni byaganiriweho hano guma shingiro rya Ubuvuzi bwa Oxyjen, udushya dukomeje kunoza ibisubizo byabarwayi no guhumurizwa. Urujya n'uruza rwinshi izuru urumogi (Hfnc) sisitemu, kurugero, irashobora gutanga ubushyuhe kandi bwuzuye ogisijeni ku kigero cyo hejuru cyane, gitanga ibyiza ogisijeni no guhumurizwa kuruta masike gakondo kuri runaka abarwayi bakeneye uru rwego rwinkunga.

Ikoranabuhanga ryubwenge naryo ryinjira mumwanya, hamwe na sensor zishobora gukurikirana umwuka wumurwayi kandi bigahita bihindura ogisijeni. Intego nugutanga buri gihe uburyo bwiza bwo kuvura kandi bushoboka. Nkabakora, twiyemeje kuba mubice bishya, dukorana Inzobere mu buvuzi Gutezimbere Igisekuru kizaza cya Ibikoresho byo gutanga bya ogisijeni ibyo bifite umutekano, byoroshye, kandi bifite akamaro kuri ubwoko butandukanye bwa ogisijeni ubuvuzi bukenewe mubuvuzi bugezweho.

ABAFATANYIJE

• Umuyoboro wa Nasal: Kuburyo bwiza, umwuka mwiza wa ogisijeni (1-6 LPM), nibyiza kubarwayi bahamye.
• Amask yoroshye: Mu buryo bushyize mu gaciro ogisijeni (40-60%) kuri a igipimo ya 6-10 LPM.
• Venturi Mask: Guhitamo neza gutanga a ogisijeni neza kwibanda, ingenzi kuri Kopi abarwayi.
• Mask itari isubirwamo: An byihutirwa igikoresho cyo gutanga ibishoboka byose ogisijeni (kugeza 95%) mubihe bikomeye.
• Igice cya Rebreat Congeye: Gutanga hejuru ogisijeni (60-80%) kandi ibika bimwe ogisijeni mu kwemerera umurwayi kongera guhumeka igice cyambere cyumwuka wabo usohotse.
• Guhitamo neza ni Clinical: The ubwoko bwa mask ya ogisijeni ikoreshwa igenwa nuburwayi bwihariye bwumurwayi, imiterere, hamwe no guhumurizwa.