Mask idasubira inyuma V. Rebreather: Kumenya Ubwoko bwa Oxygene Gutanga Kubyingenzi - ZhongXing

Guhumeka nikintu dukunze gufata nkukuri, ariko mubuvuzi, ubushobozi bwo Tanga ogisijeni neza birashobora kuba itandukaniro riri hagati yubuzima nurupfu. Kubashinzwe gutanga amasoko ninzobere mubuzima, gusobanukirwa itandukaniro rito ariko ryingenzi hagati Ibikoresho byo gutanga bya ogisijeni ni ngombwa. Ntabwo ari ukugura umuyoboro wa pulasitike gusa; ni bijyanye no kubona umurongo w'ubuzima. Waba ubitse icyumba cyihutirwa cyangwa icyumba cyubuhumekero, uzi igihe cyo gukoresha a mask itari isubikwa na a isura yoroshye cyangwa Umuyoboro wa Nasal iremeza ko abarwayi bakira neza ingano ya ogisijeni bakeneye gukira.

Iyi ngingo yibira cyane mubukanishi bwa Ubuvuzi bwa Oxyjen. Tuzasesengura imikorere yihariye ya Inkuba, Uruhare rwa Umufuka wibigega, n'impamvu inzira imwe Sisitemu ni Umukino-uhindura muri ubuvuzi bukomeye. Tuzasobanura kandi urujijo rukikije ubwoko bwa ogisijeni masike, nka Rebreather na mask. Mugusoza iki gisomwa, uzasobanukirwa byimazeyo uburyo bwo guhitamo ogisijeni iburyo ibikoresho byo kubungabunga amahame yo mu rwego rwo hejuru y’umutekano no gukora neza mu kigo cyita ku buzima.

Niki mubyukuri mask idasubira inyuma kandi itanga gute ogisijeni?

A mask itari isubikwa, mu magambo ahinnye nka NRM, nigikoresho cyubuvuzi kabuhariwe gikoreshwa mugihe cyihutirwa cyo gutanga a Kwibanda cyane bya ogisijeni. Bitandukanye na masike isanzwe, a Inkuba yagenewe guha umurwayi hafi ya ogisijeni yuzuye. Igizwe na a mask itwikira izuru n'umunwa, bifatanye na a Umufuka wibigega, kandi ihujwe binyuze tubing Kuri an ogisijeni isoko. Intego yibanze yibi mask ni ukureba ko iyo umurwayi ahumeka, bari guhumeka umwuka wa ogisijeni ibyo ni bishya kandi bikomeye, aho kuvanga umwuka wibyumba na gaze yubuvuzi.

In butute ibihe, nk'ihungabana cyangwa iby'umutima, iby'umurwayi Urwego rwa exrame Irashobora kugabanuka hasi. Hano, bisanzwe mask yoroshye ntibishobora kuba bihagije. Uwiteka mask idasubizwa inyuma iremera kubwo gutanga ibitekerezo aho ariho hose kuva 60% kugeza 90% cyangwa hejuru, ukurikije ibikwiye na igipimo. Ubu bushobozi butuma igikoresho cyingirakamaro kuri abatanga ubuzima gukora ubuvuzi bukomeye cyangwa ubwikorezi bwihutirwa. Nkumushinga wubuvuzi bwa ZhongXing, turemeza ko masike yacu yakozwe kuva PVC yoroheje, yubuvuzi-bwo mu rwego rwo kwa muganga kugirango tumenye neza kashe, ari ngombwa kugirango igikoresho gikore neza kandi gitange ibyo byingenzi ogisijeni y'inyongera.

Nigute umufuka wibigega ukora kugirango utange umwuka mwinshi wa ogisijeni?

The Umufuka wibigega ni Ibisobanuro biranga byombi Inkuba na igice cya rebreather mask. Yimanitse munsi yigice cyo mumaso kandi ikora nkigikoresho cyo gufata umwuka mwiza wa ogisijeni. Iyo ogisijeni ifunguye - mubisanzwe kuva kuri an Ikigega cya ogisijeni cyangwa urukuta - gaze yuzuza umufuka. Iyo umurwayi ahumeka, barashushanya ogisijeni mu buryo butaziguye kuva muri uyu mufuka. Kuberako umufuka urimo ogisijeni 100%, the agace ka ogisijeni wahumetswe (FiO2) irarenze cyane ibyo umurwayi yakura umwuka bo.

Ni ngombwa ko umufuka wuzuye hamwe na ogisijeni ikomeza kwiyongera, cyangwa byibura ntigasenyuka rwose mugihe cyo guhumeka. Niba igipimo ni hasi cyane, igikapu kizacika burundu, kandi umurwayi ashobora guhatanira guhumeka cyangwa gukurura umwuka wo hanze, bigatsinda intego yo kuvura cyane. Niyo mpamvu uzabona abaforomo nabavuzi bahumeka bahora bagenzura igikapu. Imikorere myiza Umufuka wibigega iremeza ko buri mwuka urimo urugero runini rwa ogisijeni, rukaba ari ingenzi mu gukosora byihuse hypoxemia (ogisijeni yo mu maraso make).

Ni ukubera iki indangagaciro ziri kuri mask idasubira inyuma ari ingenzi kumutekano w'abarwayi?

Amarozi ya Inkuba iri muri sisitemu ya valve. Igipimo mask itari isubikwa ubusanzwe ifite indangagaciro nyinshi- muri rusange. Hariho imwe valve hagati ya Umufuka wibigega na mask, hamwe na valves ebyiri zo guhumeka kuruhande rwicyambu cya mask (nubwo rimwe na rimwe imwe ikoreshwa kubwimpamvu z'umutekano). Uwiteka inzira imwe giherereye hagati ya mask nigikapu bituma ogisijeni itembera muri mask mugihe umurwayi ahumeka ariko akirinda umwuka uhumeka kuva gusubira mu gikapu. Ibi bituma ogisijeni iri mu mufuka ikomeza kuba nziza kandi idahumanye na karuboni ya dioxyde.

The indangagaciro kuri mask idasubira inyuma giherereye kumpande zikora intego zitandukanye. Mugihe guhumeka, iyi flaps ifunguye kureka imyuka ihumeka guhungira mu cyumba. Icy'ingenzi, iyo umurwayi ahumeka, ibi indanga zirinda Icyumba Kuva mu Kwinjira. Uku kwigunga nibyo kwemerera Uwiteka kwibanda kuri ogisijeni kuguma hejuru. Niba iyi valve yabuze cyangwa idakora neza, umurwayi yakuramo ogisijeni mu kirere (ni 21% gusa ya ogisijeni), kugabanya imiti. Uku kugenzura neza ikirere nikintu gitandukanya ubuziranenge Inkuba Kuva kuri muto Ibikoresho byo gutanga bya ogisijeni.

Ni irihe tandukaniro riri hagati yo kuvugurura igice hamwe na mask itari isubikwa?

Ku jisho ritamenyerejwe, a Rebreather na a Inkuba reba hafi. Bombi bafite a mask mu maso na an yometse ku gikapu. Itandukaniro riri mumibande. A. igice cya rebreather mask Ubusanzwe inzira imwe hagati ya mask n'umufuka. Ibi bituma icya gatatu cyambere cyumurwayi umwuka uhumeka gusubira mu gikapu. Urashobora kubaza, "Kuki dushaka ko bongera guhumeka umwuka wakoreshejwe?"

Igisubizo kiri muri anatomy. Igice cya mbere cyumuyaga guhumeka biva kuri "umwanya wapfuye" muri inzira nyabagendwa-Umuyaga na bronchi-ahatariho guhanahana gaze. Uyu mwuka uracyafite ogisijeni kandi nturafata byinshi dioxyde de carbone. Kwemerera iki gice cyihariye cya umwuka uhumeka Kuri Kuvanga na umwuka mwiza wa ogisijeni mu gikapu ,. Rebreather ibika umwuka wa ogisijeni mugihe ugitanga urwego-rwo hejuru kwibanda (ubusanzwe 40-70%). Ni intambwe iva kuri Inkuba ukurikije ubukana ariko ni ingirakamaro mubihe byihariye byubuvuzi aho ogisijeni 100% idakenewe, ariko ogisijeni biracyasabwa.

Nigute mask yoroheje yo mumaso igereranya nibikoresho byinshi bitanga ogisijeni?

A isura yoroshye (cyangwa mask yoroshye) ni igikoresho cyibanze gikoreshwa kubarwayi bakeneye ogisijene irenze urumogi rushobora gutanga ariko munsi ya a Inkuba. Ntabwo ifite a Umufuka wibigega cyangwa indangagaciro. Yicaye hejuru ya izuru n'umunwa na i Kuri tubing. Kuberako ifite imyobo ifunguye kumpande, Icyumba bisanzwe bivanga na ogisijeni, na umwuka uhumeka guhunga byoroshye.

The mask yoroshye Mubisanzwe ogisijeni ya 35% kugeza 50% ku gipimo cya litiro 5 kugeza 10 kumunota (LPM). Mubisanzwe bikoreshwa kubarwayi bahagaze neza ariko bakeneye imbaraga. Ariko, ntishobora gutanga Uwiteka Kwibanda cyane bya ogisijeni ko a mask idasubizwa inyuma iremera. Muri byihutirwa igenamiterere, bishingiye kuri a isura yoroshye kumurwayi ufite ibibazo bikomeye byubuhumekero bishobora kuba amakosa. Uwiteka Inkuba ni ihitamo ryiza iyo intego ari iyo kugabanya ogisijeni byihuse. Kuri rusange nyuma yo gukira, ariko ,. mask yoroshye ni kenshi bihagije kandi byiza.

Kubisubizo byubuhumekero butandukanye, tekereza kubyacu Byakozwe Umusatsi wubuvuzi Ubuvuzi Cap 21 Inch Scon-UmupakaCap (Icyitonderwa: mugihe iyi ari cap, dutanga suite yuzuye ya OR ikoreshwa) cyangwa imirongo yihariye yubuhumekero nka Gusukura kwa muganga guhuza tube 1.8mm hamwe na YanKuer gushyigikira imiyoborere.

Ni ryari urumogi rwizuru rukoreshwa aho gukoresha mask itwikiriye izuru numunwa?

The Umuyoboro wa Nasal nibisanzwe kandi byibuze byinjira muri byose Gutanga ogisijeni buryo. Igizwe n'umuyoboro hamwe bibiri bito bicaye imbere izuru. Nibyiza kubarwayi bahagaze neza kandi bakeneye urugero rwa ogisijeni-mubisanzwe litiro 1 kugeza kuri 6 kumunota. Kubera ko idapfuka mu maso, abarwayi barashobora kurya, kunywa, no kuvuga byoroshye, ibyo bikaba bisanzwe muburyo bwo kwita kumara igihe kirekire cyangwa Murugo Kuvura ogisijeni.

Ariko, a urumogi ifite aho igarukira. Ntishobora gutanga hejuru ogisijeni neza. Niba ucyuye igipimo hejuru cyane kuri a Umuyoboro wa Nasal, yumisha amazuru kandi irababaza. Ntibikwiriye butute ibihe byihutirwa aho Urwego rwa exrame byagabanutse. Muri ibyo bihe, kuzamura kuri a mask itwikira izuru n'umunwa, nka a mask cyangwa Inkuba, ni itegeko. Ku barwayi bafite indwara y'ibihaha idakira nka COPD, ibisobanuro bya a mask cyangwa umuvuduko muke wa a urumogi ni Byakunzwe Kurwego-rwo hejuru nrm kugirango wirinde guhagarika imiyoboro yubuhumekero.

Turatanga Byakozwe PVC NASL OXYGEEN CANNULULA TUBE KUBANA N'UMUNTU ingano, kwemeza neza kuri buri murwayi wa demokarasi.

Ni ukubera iki mask idahumeka ihitamo uburozi bwa karubone no guhumeka umwotsi?

Uburozi bwa karubone na guhumeka umwotsi ni ibintu byihutirwa byubuvuzi aho buri segonda ibara. Umwuka wa karubone uhuza na hemoglobine mu maraso bikabije kuruta ogisijeni ikora, bikicisha inzara umubiri wa ogisijeni. Kugirango uhindure ibi, ugomba kwuzuza sisitemu hamwe nibishoboka byose kwibanda kuri ogisijeni guhatira monoxide ya karubone kuri hemoglobine.

Nibisobanuro byibitabo kuri a mask itari isubikwa. Mugushiraho igipimo kuri 15 LPM (flush) no gukoresha a Inkuba, abatanga ubuzima irashobora gutanga an fio2 hafi ya 1.0 (100% ogisijeni). Ibi bigabanya cyane igice cyubuzima bwa monoxyde de carbone mumaraso. A. mask yoroshye cyangwa urumogi ntibishobora gutanga bihagije umuvuduko wa ogisijeni kugira akamaro muri ibi bihe. Uwiteka indangagaciro imwe kumurongo utari uwugarura ni ngombwa hano kugirango wirinde umurwayi guhumeka icyaricyo cyose Icyumba, kugabanya Uwiteka Gutanga ogisijeni kugeza ku nzara.

Ni ikihe gipimo cyo gutemba gisabwa kugirango igikapu cyuzuye kandi gikore neza?

Ukoresheje a Inkuba bisaba gukurikirana neza ogisijeni. Ikosa risanzwe ni ugushira mask kumurwayi utarinze kuzamuka hejuru bihagije. Gukora neza ,. igipimo kuri a mask itari isubikwa mubisanzwe bigomba kuba hagati ya litiro 10 na 15 kumunota. Amashusho agaragara ni umufuka: the Umufuka wibigega igomba kuguma byibuze kimwe cya gatatu kugeza kuri kimwe cya kabiri cyuzuye mugihe umurwayi afashe ikuzimu guhumeka.

Niba umufuka usenyutse burundu mugihe cyo guhumeka, umurwayi "arenze" imigezi, bivuze ko batabona gaze ihagije. Ibi birashobora guhumeka kandi bigahatira indangagaciro z'umutekano gukingura, kureka umwuka wicyumba no kumanura urwego rwa ogisijeni. Abatanga ubuvuzi igomba kwemeza ogisijeni Birahagije Kuri umufuka wuzuye. Ubuziranenge tubing n'umuhuza, nk'ibyakozwe na ZhongXing, byemeza neza ko imigezi ikomeza kuba ntamahoro kandi ko nta sisitemu iva muri sisitemu ishobora kugabanya umuvuduko.

Abarwayi barashobora kumva claustrophobic mugihe bambaye mask itwikiriye izuru?

Imwe mu mbogamizi hamwe na hamwe mask isura ni ihumure ryihangana. A. mask itari isubikwa Bihuye neza na izuru n'umunwa gukora kashe. Ku barwayi bamwe, cyane cyane abasanzwe baharanira guhumeka cyangwa guhura n'amaganya, ibi birashobora kubikora umva claustrophobic. Kumva ufite reberi cyangwa plastike ihambiriye mumaso birashobora kubabaza.

The rereather na kudahumeka masike irashobora gushyuha no kugabanya itumanaho. Ariko, muri byihutirwa ibihe, uku kutoroherwa nubucuruzi bukenewe kugirango urokore ubuzima Ubuvuzi bwa Oxyjen. Kugira ngo ibi bigabanuke, masike yo mu rwego rwo hejuru yateguwe hamwe nibikoresho bisobanutse, byoroshye kugabanya ibyiyumvo byo kwifungisha. Abaforomo n'abaganga (the umurezi) akenshi gutoza umurwayi binyuze munzira kugirango batuze. Niba umurwayi adashobora kwihanganira rwose mask, abaganga barashobora guhinduka kuri a imigezi myinshi sisitemu ya kannula sisitemu niba ihari, ariko byihuse kuzura, mask ikomeza kuba zahabu.

Reba ibyacu Ubuvuzi bwo kubaga muri mask amahitamo yo kurinda rusange, agaragaza ibishushanyo bihumeka kugirango ugabanye kutoroherwa, bisa nuburyo twegereye hamwe na masike y'ubuhumekero.

Nigute ushobora guhitamo igikoresho gikwiye cyo gutanga ogisijeni mugihe gikwiye cyo kwitabwaho?

Guhitamo ogisijeni iburyo igikoresho ninzira igenda ishingiye kumiterere yumurwayi. Ku murwayi uhumeka wenyine ariko ufite hypoxemia ikabije (ogisijeni nkeya) ,. mask itari isubikwa ni ihitamo ryihuse. N "imbunda nini" yo kudatera Gutanga ogisijeni. Niba umurwayi ahamye ariko akeneye ubufasha buke, a Umuyoboro wa Nasal ni Byakoreshejwe. Niba bakeneye kwibanda neza (nko muri COPD), a mask ni Byahiswemo kuko ikoresha an adapt Kuri entrain urugero rwumwuka.

Kubashinzwe gutanga amasoko nka Eleanor, kwemeza ikigo gifite uruvange rwibi ubwoko bwa ogisijeni ibikoresho ni ngombwa. Ntushobora kuvura uwahohotewe uhumeka umwotsi ukoresheje urumogi, kandi ntushobora gukoresha a Inkuba kumurwayi uhamye ataha. Ubwishingizi bufite ireme nabwo ni ingenzi; masike ihendutse hamwe namakosa indangagaciro Kunanirwa irinde guhumeka imiterere yikirere yongeye kwinjira, ibangamira imiti. Kuri ZhongXing, turagerageza ibyacu masike ya ogisijeni Kuri inzira imwe uburyo na Umufuka wibigega ubunyangamugayo bujuje amahame mpuzamahanga, byemeza kwizerwa mugihe bifite akamaro kanini.

Ibyacu Sterile kandis ogisijeni cannula neonatal 2mm icyiciro cya II Ubuvuzi yerekana ubushake bwacu bwo gutanga ubuvuzi bwihariye mumyaka yose yabarwayi.

ABAFATANYIJE

• Kwibanda cyane: The mask itari isubikwa (NRM) ni ukujya ku gikoresho cya byihutirwa, gutanga 60-90% + ogisijeni.
• Ibikapu: The Umufuka wibigega igomba kuguma yuzuye (umuvuduko wa 10-15 LPM) kugirango itange ikigega cya umwuka mwiza wa ogisijeni kuri buri mwuka.
• Agaciro Agaciro: Inzira imwe ni itandukaniro rikomeye. Bakumira umwuka uhumeka kuva kugabanura ibintu bishya no gukomeza Icyumba hanze.
• Igice na Non: A Rebreather ibura valve hagati ya mask nigikapu, yemerera bamwe kwangwa ya ogisijeni isohotse, ibereye ibikenewe mu rugero.
• Igikoresho Cyiza Cyakazi: Koresha Ibishushanyo bya Nasal kubitemba bike, masks yoroshye ku rugero ruciriritse, na abadashaka kuri ubuvuzi bukomeye cyangwa Uburozi bwa karubone.
• Ihumure va Kwitaho: Mugihe abarwayi barashobora umva claustrophobic, Ikidodo gifatika cya a mask itwikira izuru ni ngombwa kuri hejuru fio2 gutanga.

Kuri Huai'an ZhongXing Technology Technology, twumva ko "ubuziranenge" muri Gutanga ogisijeni ntabwo ari ijambo ryijambo gusa-ni umwuka wubuzima. Kuva kuri elastique yumukandara kugeza kwizerwa rya valve, ibicuruzwa byacu byakozwe muburyo bwo gukora igitutu.