Urimo gushaka kumva uburyo Umuyoboro wa Nasal Caxjen ulkila ogisijeni ari uguhindura inkunga yubuhumekero? Iyi ngingo yinabira inyungu, porogaramu, nibyiza byiyi gahunda yo gutanga ogisijeni. Tuzasesengura impamvu kuba umukinamico mubuvuzi, gutanga inzira nziza kandi nziza yo gutanga ogisijeni yinyongera. Komeza usome kugirango umenye uburyo ubushake bwo kuvuza ubwato bugenda bwiyongera bushobora kunoza ibizagurwa no kwizihiza ubuhumekero.
1. Niki hejuru ya Nasal cannula ogisijeni ogisijeni kandi kuki ari sisitemu yo gutanga ogisijeni?
Umuyoboro mwinshi wa Nasal (HFNC) Udukoresho ogisige ni uburyo buteye imbere bwo gutanga inkunga yubuhumekero kubarwayi bakeneye ogisijeni yinyongera. Bitandukanye na sisitemu gakondo ya ogisijeni, Hfnc irashobora gutanga ogisijeni ku buryo bwo hejuru cyane cyane, akenshi kuva ku nshuro 3 kugeza kuri 50 zigenda zigenda zidasanzwe za kanseri isanzwe ya kasal. Ubu bushobozi bwo gutanga ogisijeni ndende ni ikigitandukanya kandi kikabigira sisitemu yo gutanga ogisijeni mu bihe byinshi byo gutanga amavuriro.
Uburyo gakondo, nka kanseri yoroshye ya kashe cyangwa masike yo guhangana, bigafatwa nka ogisijeni. Sisitemu isanzwe itanga ogisijeni ibipimo bigenda bigera kuri litiro 6 kumunota (LPM). Ibinyuranye, imiti ya kashe ya Cannula irashobora gutanga ibiciro bigera kuri litiro 60 kumunota, ndetse rimwe na rimwe ndetse no hejuru. Iki gipimo cyo hejuru gitanga inyungu nyinshi. Ubwa mbere, birashobora kurushaho guhangana neza abarwayi basaba, cyane cyane mugihe cyo kongera umubare wubuhumekero cyangwa umubabaro. Icya kabiri, ogisijeni ishyushye kandi yashutswe akoresheje izuru ryinshi ifasha guhumurizwa no kugabanya gukama mu cyumba cy'amazuza, ikibazo rusange gifite imiti gakondo ya ogisijeni. Kubera ubushobozi bwayo bwo gutanga neza kandi byoroshye gutanga ibitekerezo bya ogisijeni, Hfnc igenda itoneshwa muburyo butandukanye bwubuzima.
2. Nigute hashobora kuvuza ubwato bwa cannula itandukanije nubuvuzi bwa ogisijeni buke?
Itandukaniro ryibanze hagati yubuvuzi bwigihe kinini cya Cannula hamwe nubuvuzi buke bwa ogisijeni buryamye ku gipimo cya ogisijeni cyashyikirijwe umurwayi. Sisitemu yoroheje, nka cannula isanzwe ya kanseri, yagenewe gutanga ogisijeni ku gipimo cya LPM kigera kuri 6. Ibi birakwiriye abarwayi bakeneye umubare muto wa ogisijeni yinyongera. Ariko, kwibanda kuri ogisijeni mubyukuri byatanzwe na sisitemu yoroheje birashobora guhinduka kandi biterwa nigipimo cyubuhumekero cyindwara nubunini bwinka. Umuyoboro woroshye kandi urashobora gutanga gusa agace gato ka ogisijeni wahumetswe (Fio2), kandi ibi akenshi ntibigenzurwa neza.
Kuvura imiti mino ya kanseri, kurundi ruhande, andika igikoresho cyihariye kugirango utange ogisijeni yuzuye kandi yuzuye ibipimo byimodoka kuva kuri 15 kugeza kuri 60 kugeza kuri 60. Ibi bitera cyane bitanga uburyo bwa ogisijeni buhoraho kandi buteganijwe kumurwayi. Byongeye kandi, ubushyuhe kandi bwigateganyo bwa Roxy Son Caxjen oxyGula ogisijeni ya ogisijeni ni ngombwa. Gakondo ya ogisijeni-ya ogisijeni, cyane cyane iyo yatanzwe mugihe cyibanze, irashobora gukama no kurakara ibice byizuru hamwe nindege. Gushyuha kandi yashutswe ogisijeni ifasha gukumira imirongo yumwakara, igabanya ibanga rya mu nzira yimyambarire, kandi itezimbere umubeciliya - inzira karemano yo gukuraho ururenda. Ibi bituma imikoranire yizuru ryinzira nziza kandi ya physiologique yubwiza bwa ogisijeni, cyane cyane abarwayi basaba inkunga ndende cyangwa ndende.
3. Ni izihe nyungu zingenzi zo kuvura imiduka yo hejuru ya Cannula kubarwayi bakeneye kuvura ogisijeni?
Ubuvuzi burebure bwa Cannula burebure butanga inyungu nyinshi kubarwayi bakeneye kuvura ogisijeni. Imwe mu nyungu z'ibanze zitezimbere ogisijeni. Mugutanga ogisijeni ku gipimo kinini cyo gutembera, hfnc irashobora guhura cyangwa kurenza ibisabwa mu murwayi ibisabwa, kugirango bihamye kandi bihamye kandi bisumba hejuru ya ogisijeni yahumetswe. Ibi ni ingirakamaro cyane kubantu bafite umubabaro wubuhumekero cyangwa abakora cyane guhumeka. Kurugero, umurwayi ufite umusonga cyangwa syndrome yubucuruzi ikaze (ards) irashobora kugira igipimo kinini cyubuhumekero kandi gikandira ogisijeni ikomeye. Ubuvuzi burebure bwa kashel cannula burashobora gutanga neza ogisijeni yinyongera muri ibi bihe.
Izindi nyungu zingenzi zongerewe ihumure ryihangana. Oxygene ishyushye kandi yashutswe ni umututsi mwinshi ku bice by'izuru ugereranije n'ukuma, hakonje ogisijeni yumye, ikonje kuva kuri sisitemu gakondo. Ibi bigabanya ibyumba byumye, kurakara, no kutamererwa neza, bitezimbere kwihanganira kwihangana no kubahiriza kuvura ogisijeni. Abarwayi nabo bashoboye kurya, kuvuga, no gukorora byoroshye na kanseri yubuzure ugereranije na mask ikwiranye na mask ikwiranye na mask.
Byongeye kandi, uburyo bwo hejuru bwa cannula yo hejuru burashobora kugabanya imirimo yo guhumeka. Imirongo myinshi ya gaze irashobora gukora umubare muto wigitutu cyiza cyinzira, bifasha kugumana inyungu nto mu bihaha bifunguye kandi bigabanya imbaraga zisabwa guhumeka. Ibi bifasha cyane cyane abarwayi bafite imiterere nkindwara zidakira zidakira (COPD) cyangwa kunanirwa k'umutima, aho guhumeka bishobora gukoreshwa. Ubushakashatsi bwa clinical bwerekanye kandi ko kuvura imivugo yo hejuru bya kanseri bishobora kugabanya ibikenewe byo kwikuramo no guhumeka muri imashini mubantu bamwe bihangana, bituma habaho ibisubizo byiza nibitaro bigufi. Muri rusange, guhuza ibicuruzwa bya ogisijeni byatejwe imbere, bihumurizwa byayongereye, kandi byagabanije umurimo wo guhumeka bituma imikoranire yo hejuru ituma igishushanyo kinini cya Cannula kigenda cyinshi mubwitonzi.
4. Ni ibihe bintu byubuvuzi ari byinshi-byororoka bya kanseri yubuvuzi bwa ogisijeni bwatoranijwe?
Ubuvuzi buke bwa Nasal CanNula bwabaye uburyo bwo gutanga ogisijeni bukunzwe muburyo butandukanye, cyane cyane mubihe abarwayi bakeneye inkunga yubuhumekero bukomeye ariko ntibakeneye cyangwa bakitegura guhumeka. Porogaramu imwe isanzwe iri mu kuvura indwara zikaze. Abarwayi bafite imiterere nka pnemonia, Bronchiolitis (cyane cyane mubana), kandi ntirusheho kwiyongera kwa Kopd akenshi byungukirwa no kwivuza cyane. Muri ibi bihe, birashobora gufasha kunoza ogisijeni, gabanya imibabaro yubuhumekero, kandi ushobora kwirinda gukenera ibikorwa byinshi byibasiwe nkimitekerereze.
Inkunga nyuma yo kuzamura nubundi buryo bwingenzi aho imiyoboro ihebuje igenda yiyongera. Nyuma yuko umurwayi amaze kuba kuri imashini ya mashini kandi yakuweho (guhumeka yakuweho), bafite ibyago byo kubabara guhumeka cyangwa gutsindwa. Inyigisho nyinshi, harimo ubushakashatsi ku ngaruka zanditseho Umuyoboro mwinshi wa Nasal, wagaragaje ko ukoresheje ibyago byo kwiyongera kugaruka ugereranije na ogisijeni yo hasi cyangwa isazi yoroshye. Ibi ni ngombwa cyane cyane kubarwayi bafatwa nkingaruka zo hejuru kubibazo byubuhumekero nyuma yo kwizirika.
Mu ishami ryihutirwa, urumogi rurerure rushobora kuba ingirakamaro muri ogisijeni yihuta ku barwayi bagaragaza akababaro gakomeye. Iremerera gutabara byihuse kandi nziza ogisijeni itangirika idakenewe masike ikwiranye, ishobora kwihanganira nabi. Byongeye kandi, muburyo bwo kwita kuri palliative, urusaku rwibintu byinshi rushobora gutanga ubuvuzi bwiza kandi bwiza bwa ogisijeni bwindwara zubuhumekero. Guhinduranya no gukorasoni bya kanseri yisuku bikozwe hejuru bigira igikoresho cyingenzi muburyo bunyuranye nubuhanga bunyuranye nubushobozi bwihangana bukeneye inkunga yubuhumekero.
5. Ni gute urumogi rurerure rutuma guhumurizwa kw'abarwayi no kwihanganira ugereranije n'ibindi bikoresho byo gutanga ogisijeni?
Ihumure ryihangana no kwihanganira byateye imbere cyane hamwe nubuvuzi bwinzira ndende ugereranije nibindi bikoresho byo gutanga bya ogisijeni, cyane cyane masike gakondo. Imwe mumpamvu zibanze zituma ihumure ryongerewe imbaraga ni ubuhegu no gushyushya ogisijeni. Ubuvuzi gakondo bwa ogisijeni, cyane cyane ku kaga gakondo, gatanga gaze yumye, itemewe mu bice by'izungu. Ibi birashobora gutuma umuntu yumisha imbaraga mucosa yingora, bitera kutamererwa neza, amazuru, no kongera umusaruro wa Mucus. Ogisijeni ishyushye mu buvuzi bw'izuru irwanya iyi ngaruka yo gukama, gukomeza hyderation yo mucosal no guhumurizwa.
Guhangana na masike, mugihe ushoboye gutanga ibitekerezo byinshi bya ogisijeni, akenshi wumva claustrophobic kandi bigabuza abarwayi. Barashobora kandi gutuma bigora kurya, kunywa, cyangwa gushyikirana neza. Ibinyuranye, urusaku rw'izuru, ndetse n'amazuru menshi cyane yakozwe mu buryo bwo hejuru, ntabwo arumiwe. Abarwayi barashobora kurya byoroshye, kuvuga, no gufunga nta guhagarika imiti yabo ya ogisijeni mugihe bakoresheje urusaku rwizuru. Ibi ni byiza cyane cyane kubarwayi bakeneye inkunga yigihe kirekire cyangwa abari maso kandi batangaje.
Byongeye kandi, ibyangombwa byizungu byemerera gukuraho neza ururenda. Hamwe na masike yo mumaso, ibanga rishobora kuba munsi ya mask, gishobora kongera ibyago byo kwifuza cyangwa kutamererwa neza. Imiterere ifunguye ya kanseri yizungu yemerera ibyifuzo byoroshye byiyongera, utezimbere isuku yinzira. Guhuza ogisijeni yashutswe kandi bishyushye, kandi bidakabije, kandi byanoze kubushobozi bwo kurya no gushyikirana bituma habaho imisatsi yo hejuru cyane ugereranije nuburyo bwo gutanga bwa ogisijeni. Iyi ihumure ryiza rirashobora kuganisha ku kubarwa neza, igihe kirekire cyo kuvura igihe gikenewe, kandi muri rusange uburambe bwiza hamwe na ogisijeni.
6. Ni ikihe gipimo gikoreshwa mu buryo bukabije bwa Nasal cannula ogisijeni ya ogisijeni kandi ihinduka ite?
Igipimo cyuruzi gikoreshwa mubyinshi bya kashel ogisijeni ya ogisijeni kirahinduka cyane kandi biterwa nibikenewe byumurwayi kugiti cye. Bitandukanye na kanseri-yoroheje ya kanseri, aho ibipimo bigenda bifatwa kuri lpm 6 ya lpm, sisitemu yo hejuru irashobora gutanga igipimo cyurumbuka kugera kuri lpm 60, kandi mubihe bimwe na bimwe. Igipimo cyambere cyuruzi gikunze gushyirwaho ukurikije umubabaro wubuhumekero wumurwayi nurwego rwuzungu rwa ogisijeni. Ingingo isanzwe irashobora kuba hafi 20-30 LPM, ariko ubu ni umurongo rusange kandi ugomba kuba kugiti cye.
Igipimo cyuruzi cyitonda cyane, cyangwa cyahinduwe, gishingiye ku gukurikirana gahunda yo gukomeza igisubizo cyumurwayi. Ibipimo by'ingenzi byakurikiranwe birimo kubahiriza ogisijeni (ikiboro), igipimo cy'ubuhumekero, umuvuduko, n'umurimo wo guhumeka. Intego ni ukugera no gukomeza kuzungura ogisijeni bihagije (mubisanzwe hejuru ya 92-94%, ariko intego zirashobora gutandukana bitewe nuwabirwayi) mugihe cyo kugabanya ibimenyetso byimibabaro yubuhumekero. Niba umurwayi wa ogisijeni yumurwayi ari hasi cyangwa aracyagaragaza ibimenyetso byimbaraga zubuhumekero, igipimo cyuruzi gishobora kwiyongera buhoro buhoro. Ibinyuranye, niba kuzuza ogisijeni gahoraho kandi umurwayi arirohewe, igipimo cyuruzi gishobora kugabanuka kurwego rwo hasi.
Guhindura igipimo cyuruzi ni inzira ikomeye isaba kwitegereza hafi no gutsimbarara. Ntabwo ari ukugera ku ntego ya ogisijeni yuzuzanya, ariko nanone kubyerekeye gusuzuma ishusho yumurwayi muri rusange. Ibintu nkimpamvu nyamukuru yimibabaro yubuhumekero, imyaka yumurwayi, hamwe nubukonje bwose nayo ihindura urugero rwibipimo. Isuzuma rya buri gihe nicyiciro cyinzobere mu buzima ni ngombwa kugirango utezimbere imivuruke yo hejuru kandi ikore ishyingiranwa ibyo umurwayi akeneye.
7.
Nibyo, ibishushanyo mbonera byizuru rwose nibyiza rwose mubuyobozi bwihutirwa bwa ogisijeni no gucunga abarwayi bafite ubuhumekero. Kubyakira byihuse ibikorwa nubushobozi bwo gutanga ibitekerezo byinshi bya ogisijeni byihuse bigira igikoresho cyingenzi mubihe byihutirwa. Mugihe cya hypoxemia ikaze (urwego ruto rwamaraso ya ogisijeni) cyangwa umubabaro ukabije w'ubuhumekero, gutanga kwa ogisijeni kandi neza kandi bifite akamaro. Umuyoboro muremure wa kashel urashobora gutanga iyi nkunga yihuse, akenshi cyane kuruta sisitemu gakondo cyangwa hamwe na masike isanzwe.
Mubihe byihutirwa nkishami ryihutirwa cyangwa ishami ryitaweho, abarwayi barashobora gutangwa nibintu bitandukanye bitera umubabaro wubuhumekero, nkaba mu buryo bukabije bwa asima, umusonga ukabije, cyangwa kunanirwa kumutima. Muri ibi bihe, ukoresheje urusaku rwizuru cyerekana uburyo bwo kuvura ogisijeni bwihuse. Igipimo cyimiterere kinini gishobora guteza imbere urwego rwuzungu rwa ogisijeni vuba no kugabanya bimwe mubikorwa byo guhumeka, bitanga inkunga ikomeye mugihe hashyirwa mubikorwa ingamba zo gusuzuma no kuvura bishyirwa mubikorwa.
Ugereranije nibindi byihutirwa bya ogisijeni nka masike itari ib-resivery, Cannula yo hejuru ya Cannula itanga inyungu nyinshi muburyo bukaze. Mubisanzwe nibyiza kwihanganira, kwemerera igihe kirekire cyo gusaba nta kibazo gikomeye. Iremerera kandi gutumanaho byoroshye no kugera kumvugo kumunwa, bifite akamaro mubihe byihutirwa. Byongeye kandi, ogisijeni uhataniye kandi yashutswe irashobora kuba ingirakamaro kuva itangiriro, igabanya uburakari no kuzamura ubukanishi bwubuhumekero. Mugihe cannula yo hejuru yizuru idashobora kuba ikwiranye nibibazo byose byubuhumekero (urugero, mugihe gikenewe muri Fio2 cyangwa Ihuriro Ryinshi cyangwa itoroshye cyane kandi ihitamo kubarwayi benshi bafite ikibazo cyubuhumekero gikaze busaba ogisijeni.
8. Ni izihe ngaruka zishobora kubaho n'ibitekerezo mugihe ukoresheje uburyo bwo kuvura ubwato bwa kashel?
Mugihe ubuvuzi bwigihe kinini bwa kanseri muri rusange butekanye kandi bwihanganira neza, hari ingaruka nibitekerezo byabashinzwe kubuvuzi bigomba kubimenya. Igitekerezo kimwe cyingenzi nubushobozi bwa barorauma, cyangwa gukomeretsa ibibyimba kuva mu gitutu kinini. Nubwo urusaku rwinshi rutera urwego ruto rwigitutu cyiza cyugereranije ugereranije nubuhumeka bwimikorere, cyane cyane abarwayi bafite ibihaha, cyane cyane biganisha ku bihaha cyangwa gukomeretsa. Kubwibyo, gukurikirana neza ibitekerezo byubukanishi nubuhumekero nibikoresho bifatika ni ngombwa.
Ikindi gitekerezo ni ibyago byuburozi bwa ogisijeni. Mugihe bidasanzwe na Nasal Cannula ogisijeni nuburyo bwo hejuru bwa fio2 nka masike, guhura nigihe kirekire kugirango hashobora kuba uburozi bukabije bwa ogisijeni. Ibi ni impungenge zirenze iyo ukoresheje urusaku rwibintu byinshi mugihe kinini mugihe kinini cyane muri fio2. Igice cya ogisijeni cyahumetswe kigomba guterwa mugihe kidashoboka ko cyagabanijwe kugirango gigabanye iyi ngaruka.
Kurakara kandi byumye, nubwo bidasubiwemo bike kuruta hamwe na ogisijeni zumye zumye, zirashobora kubaho mubarwayi bamwe, cyane cyane hamwe no gukoresha igihe kirekire. Mugihe sisitemu yo gutesha agaciro igamije kugabanya ibi, isuzuma risanzwe rya mucosa kandi ryahinduwe neza kurwego rwubukwanga ni ngombwa. Mubibazo bidasanzwe, abarwayi barashobora gukura uburakari bwamazuru cyangwa ndetse noroheje kose.
Hanyuma, ni ngombwa kumenya ko tonal yo hejuru yubusa ntabwo yasimbuwe kugirango ihindagurika mubibazo byose. Mu barwayi bafite ubuhumekere bukabije budasubije HFNC cyangwa bafite imenyekanisha ku ikoreshwa ryayo, kwiyongera ku gihe kuri Ventilation Ventic bikenewe. Gutinda kwitinda mugihe bikenewe rwose birashobora kugira ingaruka mbi. Kubwibyo, guhitamo witonze guhitamo, gukurikirana guhoraho, no gusobanukirwa neza ibimenyetso no kugabanya imiti ya kanseri yisuku yinzira nziza kandi ningirakamaro kubisabwa umutekano kandi neza.
9. Nigute hashobora kwiyongera kwa Nasal cannula yuzuyemo ogisijeni kandi imikorere yubuhumekero?
Umuyoboro mwinshi wa Nasal Cannula ufite ingaruka nziza cyane ku bwuzu bwa ogisijeni kandi imikorere y'ubuhumekero muri rusange ikeneye ogisijeni yinyongera. Bumwe mu buryo bw'ibanze bunyuramo ogisijeni burimo gutanga neza ogisijeni y'inyongera ku bihaha. Imiyoboro gakondo ya Izuru, cyane cyane ku kaga gakondo, irashobora gukora neza mu gutanga ogisijeni kubera imbaraga n'umwuka wo guhumeka neza. Umuyoboro mwinshi wa Nasal, ufite ubushobozi bwo gutanga ibiciro bigera kuri 60 lpm, birashobora kubahiriza imikino yo guhuriza hamwe no kugabanya ibice bihamye bya ogisijeni bihujwe na ogisijeni.
Hanze ya ogisijeni, urumogi rurerure rushobora kandi kunoza izindi ngingo z'imikorere y'ubuhumekero. Gazi ihanitse kandi idahwitse irashobora kugabanya indege yo mu kirere no guteza imbere umuruko. Mu kugabanya indege yinzirahuru, biroroshe kubarwayi guhumeka, kugabanya umurimo wo guhumeka. Kunonosora Umunyururu mu Muruko bifasha gukuraho urukwavu kuva mu kirere, gifite akamaro cyane cyane ku barwayi bafite indwara z'ubuhumekero cyangwa ibintu bijyanye na mucus.
Byongeye kandi, urujya n'uruza rwa ogisijeni rwatanzwe binyuze mu mazuru rushobora gukora igitutu cyoroheje mu kirere. Iyi igitutu cyiza, nubwo ari gito, irashobora gufasha gukomeza alveoli (umufuka muto wo muhaha mu bihaha) ufunguye, utezimbere guhanahana gazi no kugabanya ibiryo bya Atelecyasis (ibihaha). Izi ngaruka zirasa, ariko nkeya zivugwa kuruta, guhora igitutu cyiza cya murwanyi (CPAP) cyangwa Ventical Ventilation.
Ubushakashatsi bwa Clinical bwerekanye ko bugenda bwiyongera ku buryo bwo hejuru bwo kuvura ubwato bushobora guteza imbere ogisijeni, mugabanye igipimo cy'ubuhumekeme, no kugabanya imirimo yo guhumeka mu barwayi bafite ubuhungiro butandukanye. Izi nyungu mubikorwa byubuhumekero bigira uruhare mukurambere byumurwayi byiza, byagabanijwe bikenewe kwiyongera kugirango bishyigikire ubuhumekero buke, kandi bukongere neza.
10. Ni ibihe bihe bizaza byo kwiyongera kwibinyabuzima byo hejuru mu kuvura ogisijeni no kwita ku buhumekero?
Ejo hazaza h'umuyoboro wo hejuru wasal muri ogisijeni mu buvuzi bwa ogisijeni no kwitondera ubuhumekero ni ugutangaza ubushakashatsi kandi hamwe n'iterambere ry'ikoranabuhanga no kuzamura ibikorwa byayo no kuzamura imikorere yayo. Igice kimwe cyingenzi cyiterambere kizaza kiri muburyo bwo gutunganya ikoranabuhanga nibikoresho ubwabyo. Abakora barakomeje gukora mugukora sisitemu ya HFNC kurushaho kuba umukoresha, portable, hamwe nibiciro. Iterambere mu buhute no gushyushya tekinoroji birashobora kuzamura ihumure no kugabanya ibibazo bishobora kuba.
Ubushakashatsi kandi burakomeje kandi gushakisha ibyatsi bishya bya kavukire yo hejuru ya kashel. Mugihe ikoreshwa ryayo mu kunanirwa guhuriza hamwe kandi inkunga yo kuvugurura yashizweho, ubushakashatsi burimo gukora iperereza ku bushobozi bwayo mbere y'intubulika, ndetse no ku miterere y'ibitotsi bibangamiye, ndetse no mu bihe bimwe na bimwe. Imikorere ya kanseri yo hejuru-yasal mubantu batandukanye bihangana hamwe nibikorwa byubuvuzi birakorwa neza.
Ubundi bwenge bushimishije nuburyo bwo kwinjiza urusaku rwinzuki bwizuru hamwe nibindi bihute. Guhuza HFNC hamwe na Ventilation idateye (NIV) cyangwa kuyikoresha ifatanije nuburyo bwihariye bwo kuvura indwara Uburyo bwihariye bugera kuri doutral yo kuvura imivugo, ibipimo bidoda hamwe na fio2 bishingiye kubiranga umurwayi kugiti cye hamwe na physiologiologiya kugiti cye, birashoboka kandi kwiganje.
Nk'uko gusobanukirwa kwa physiologiya n'ubuhumekero by'ibikorwa byo hejuru bya Cannula byingenzi, kandi igihe ikoranabuhanga rikomeje gutera imbere mu buvuzi bwa ogisijeni no kwita ku buhumekero mu myaka iri imbere. Guhinduranya kwayo, gukora neza, na kamere yihangana-yihangana abigira urufatiro rwibicumuro byubuhumekero bwa kijyambere, kandi udushya tuzakurikiranwa birashoboka ko dushimangira umwanya wa sisitemu yo gutanga ogisijeni.
Imashini ikomeye:
- Umuyoboro muremure wa kanseri (Hfnc) Gutanga ogisijeni gushyuha kandi yashutswe ku gipimo cyo gutembera hejuru cyane kuruta kavukire gakondo, mubisanzwe binini cyane.
- Hfnc itanga itangwa rya ogisijeni Muguhurira ibisabwa byinshi, gutanga agace gahoraho ogisijeni wahumetswe, no kuzamura ogisijeni.
- Ihumure ryihangana ryiyongereye cyane Hamwe na HFNC kubera ugushyurwa kwa ogisijeni gushyuha kandi yuzuye, kugabanya kwumye kandi birakara ugereranije no kuvura ogisijeni.
- Hfnc igira akamaro muri srenario zitandukanye, harimo no gutsindwa guhumeka, gushyigikira nyuma yo kuzamura, nubuyobozi bwihutirwa bwa ogisijeni.
- Igipimo cyurugendo muri HFNC cyumuntu ku giti cye hashingiwe ku kugenzura gukomeza kuzungura ogisijeni, igipimo cy'ubuhumekero, no gukora guhumeka.
- Irashobora kugira isuku ya HFNC iri hasi Ariko shyiramo Barotrauma na ogisijeni uburozi bwa ogisijeni, bisaba gukurikirana neza no guhindurwa neza.
- Hfnc igira ingaruka nziza mubikorwa byubuhumekero Mugutezimbere ogisijeni, kugabanya imirimo yo guhumeka, no kuzamura umurungi.
- Ahazaza hfnc irasa, hamwe nubushakashatsi bukomeje hamwe nibibazo byikoranabuhanga byagutse kubisaba no kuzamura imikorere yayo yo kwita ku buhumekero.
Iyi ngingo ni intego zamakuru gusa kandi ntabwo ari inama zubuvuzi. Buri gihe ujye ugisha inama inzobere mu buzima bujuje ubuziranenge bwo gusuzuma no kuvurwa.
Ihuza ry'imbere:
Kubindi bisobanuro bijyanye n'amafaranga ajyanye n'ubuvuzi bifitanye isano, shakisha urwego rwo hejuru Ubuvuzi Gauze Bambagami na Ubuvuzi bwo kubaga ubwaburo. Turatanga kandi ibintu bitandukanye Impapuro zo mu buvuzi bikwiranye n'ibitaro n'amavuriro. Tekereza Sterile suture hamwe nurushinge Kubikenewe byo kubaga. Kubwitoba ubuhumekero, bwacu Byakozwe PVC Nasal Oxygen Umuyoboro wa Cannula itanga ogisijeni yizewe.
Igihe cyagenwe: Feb-05-2025