Yakakwirira-inoyerera nasal cannula, kazhinji yakafupikiswa se Hfnnc, yave yekona yekona yekufema dzazvino kufema. Izvi zvinosimudzira Nasal Cannula Therapy Inopa nhanho yakakosha kubva munzira dzechinyakare, kupa rutsigiro rwakasimbiswa kune varwere vane matambudziko akasiyana siyana ekufema. Kana iwe uri nyanzvi yehutano, maneja wekutakura saMark Thompson muUSA, kana mumwe munhu akabatanidzwa mune zvekurapa keteni, kunzwisisa Hfnnc yakakosha. Chinyorwa ichi chinotarisira kuderedzwa Yakakwira kuyerera nasal cannula Kurapa, kuongorora michina yayo, kubatsirwa, zvinoshandiswa, uye izvo zvekufunga kana zvichisvibisa izvi zvakakosha masisitimu. Semunhu allen, kubva kune kambani nyanzvi mune zvekurapa zvinodikamwa muChina, ndaona ndezvekutanga kudiwa kwekuwedzera uye kugona kwehunhu Hfnnc zvigadzirwa. Isu tinonamira mune nei izvi Yakakwira kuyerera nasal Tekinoroji inopfuura ingangoita imwe nzira; Kazhinji kazhinji chisarudzo chepamusoro chekuvandudza oxygenation uye nyaradzo yekurasikirwa, kunyanya mune zviitiko zve Acute yekufema kutadza. Ichi chidimbu chakakodzera nguva yako nekuti chinopwanya ruzivo rwakaoma kuti zviitwe zvekufa, zvinobva kune ese mafungiro ekunzwisisa uye nekugadzira maonero, pakuwedzera kukubatsira iwe kuita sarudzo dzevazivisi nezvekuchengetedza hupenyu uku Omygen kurapwa.
1. Chii chaizvo chakakwirira-chinoyerera nasal cannula (HFNC) Therapy uye inoshanda sei?
Yakakwira-kuyerera Nasal Cannula (HFNC) kurapa chiratidzo chakasarudzika chekutsigirwa kwekufema kunonunura a kuyerera kwakanyanya yemhepo / okisijeni inosanganisa murwere, kazhinji kuburikidza nehunyanzvi nasal prongs kana cannulae. Kusiyana netsika yakaderera-kuyerera Nasal oxygen masisitimu, Hfnnc inogona kuendesa gasi pa Rates Rates izvo zvinowanzodarika iwe pachako Kuongorora kuyerera zvinodiwa. Uku ndiko kusiyanisa kwakakosha. Funga nezvazvo seizvi: Kana murwere achifemera nekukurumidza uye zvakadzama, mhasiyandi yemhino kupindirana kwemhepo yemhepo uye kushoma kufungidzira Fio2 (chidimbu cheokisijeni yakafuridzirwa). Hfnnc Systems, zvisinei, inogona kununura Rates Rates Kusvikira pamakumi matanhatu eminiti paminiti kana kunyange kukwirira kune vakuru, kunoita kuti isimbe uye yakavimbika oksijeni yekuwedzera.
The the Hfnnc System inowanzo kuve nezvinhu zvitatu zvakakosha: mweya / oxygen blender kudzora iyo Fio2, kunyaradza kudziya uye kunyaradza gasi, uye dunhu rakaparadza rinoburitsa iro rakagadzirirwa gasi kune murwere kuburikidza ne Nasal Cannula. Kugona kwe kunyaradza uye kupisa gasi rakakosha kunyaradza murwere uye kushivirira, kunyanya pa Yakakwira inoyerera mitengo. Maitiro aya anodzivirira kuoma kwe Airway Mucosa, iyo inogona kuva nyaya yakakosha neisina basa, Yakakwira kuyerera nasal gasi. The the Kushandisa kweHFNNC iri kuwedzera kuwanda mumamiriro akasiyana-siyana, kubva kuDhipatimendi reMergency kune kutarisirwa kwakanyanya unit (icu), yekugadzirisa varwere vane mhando dzakasiyana dze Kutambudzika kwekufema. Isu, sevavagadziri, tarisa pakugadzira kugadzikana uye kushanda Nasal Cannulae, sa Kuraswa PVC Nasal oxygen cannula tube kune mucheche uye mukuru, yakagadzirwa kuti isarudze kuendesa izvi HFNC kurapa.
Iyo chaiyo mechanism ye Hfnnc inosanganisira zvinopfuura kungoendesa yakakwira kuyerera kweokisijeni. Iyo inobatsira nekugeza kunze kweNasophaysngeal nzvimbo yakafa, kuderedza basa rekufema, kupa hushoma huwandu hwechokwadi Airway Dzvinyirirauye nekuona imwe yakagadzikana Fio2. Uku kusanganisa kunoita Hfnnc chishandiso chakakosha che Omygen kurapwa, kunyanya varwere vane acute kufema nyaya. The the chiyero chinoyerera uye Fio2 Inogona kuve yakazvimirira yechokwadi, ichibvumira vanorembera kuti vatore kurapwa kune zvinodiwa nemumwe murwere. Kutumirwa kusingawirirani kweiyo yakatarwa Fio2 iri mukana mukuru, sezvinoita kuderera DIEDEGEN DILULItion kubva kumhepo yemhepo.
2. Hfnc inosiyana sei kubva kune yakajairika oksijeni yekurapa masisitimu?
Tsika kana Comenial oxygen marapirwo ekurapa, seyakajairika nasal cannulas kana nyore kumeso masks, kazhinji anounza okisijeni kuderera Rates Rates, kazhinji inosvika kuma lita 6 paminiti yeCannulas uye pamwe 10-15 L / min yeasks. Nepo izvi zvichishanda kune nyoro hypoxemia, vane zvavanogumira. Musiyano wekutanga uri mu chiyero chinoyerera . Hfnnc kununura gasi pa mareti anoyerera anopfuura Peak's Murwere Kukurudzira kuyerera chiyero, kazhinji kazhinji kubva ku20 kusvika 60 l / min, kana kunyange kupfuura. Izvi zvinoreva kuti Hfnnc System inopa zvakanyanya, kana zvisiri zvese, zvegasi rakafuridzirwa remurwere, zvichitungamira kune inowanzoenderana uye inofungidzira Fio2. Nemarikirwo emamiriro ezvinhu, murwere anowanzo farira mune huwandu hwakakosha hwemhepo pamwe neiyo yekuwedzera oksijeni, kudzikisira okisijeni uye kugadzira chaiyo Fio2 inoshanduka uye kazhinji yakaderera pane yakagadzirirwa. Izvi kupindirana kwemhepo yemhepo idambudziko rakakura iro Hfnnc zvinobudirira kudzora.
Mumwe mutsauko unokosha ndiwo mamiriro egasi akafuridzirwa. Hfnnc masisitimu akagadzirirwa kupisa uye kunyaradza Iyo gasi kusvika padhuze nemitezo yemuviri (yakatenderedza 37 ° C) uye 100% hama humidity. Izvi zvakakosha nekuti kuendesa yakaoma, inotonhora gasi pa Yakakwira inoyerera mitengo inogona kukuvadza iyo Airway mucosa, kukonzera kusagadzikana, kukanganisa mucociliary clearance, uye kuwedzera iyo basa rekufema. Comenial oxygen Systems, kunyanya kuyerera inoyerera kuburikidza nemasks, kazhinji inoendesa inotonhorera, yakaoma oksijeni, iyo inogona kushivirira zvisina kufanira nguva nenguva. The the kupisa uye nekunyaradza gasi kubva kune Hfnnc mudziyo unovandudza nyaradzo yemwoyo uye kutevedzera, izvo zvakakosha kuti ubudirire Omygen kurapwa. Ichi chimiro chega chinoita Hfnnc sarudzo inosarudzwa yevazhinji varwere vane kufema zvinonetsa.
Uyezve, Hfnnc inopa zvimwe zvinowedzera zvemuviri zvikomborero hazviwanzoonekwa nemagadzirirwo ezvakaderera. Izvi zvinosanganisira iyo isipo yeNasophaysngeal Anatomical akafa nzvimbo, iyo inovandudza kushanda kwe Ventilation, uye chizvarwa chechimwe chine mwero chevakanaka Airway Dzvinyirira (Pap), iyo inogona kubatsira kunyorera alveoli uye kugadzirisa oxygenation. Nepo kwete kutsiva Noninvasive Ventilation (NIV) kana kusanzwisisika ventilation mune zvese zviitiko, Hfnnc Mabhiriji egiri, achigovera rutsigiro rwakawanda pane yakaderera-inoyerera okisijeni asi kuve isinganyanyoke uye kazhinji inotsvedza kupfuura masks iv. The the Kushandisa kweMusoro-Kuyerera Nasal Cannula inomiririra kufambira mberi kwakakura mukati OmyGen Kuzvitakura Systems, kufambisa kupfuura nyore oksijeni yekuwedzera kutsigira kunoshanda kwekufema.
3. Ndezvipi zvakakosha zvehupombwe zvakanaka zve kushandisa yakakwirira-kuyerera nasal cannula?
The the Kushandisa kweHFNNC Inounza mano anoverengeka anokosha anokosha anobatsira mukubudirira kwayo mukugadzirisa kutambudzika kwekufema. Imwe yeakakosha zvakanyanya kuderedzwa kweNasophaysngeal nzvimbo yakafa. Kuenderera mberi kuyerera kwakanyanya yegasi gasi zvinobudirira zvinobuda kabhoni Dioxide (CO2) kubva kumusoro Airway panguva yekufema. Izvi zvinoreva kuti nemweya wega wega unotevera Ventilation inoshanda zvakanyanya. Izvi zvive Anatomical akafa nzvimbo inogona kutungamira kuderedzwa mu kufema chiyero uye zvese basa rekufema, icho chiri chinangwa chikuru mukurapa Varwere vane acute yekufema kutadza.
Wechipiri, Hfnnc inogona kuburitsa chidiki chidiki chakanaka Airway Dzvinyirira (Pap). Nepo mwero wePap iri kushanduka uye zvinoenderana ne chiyero chinoyerera Uye kunyangwe muromo wemurwere wakavhurika kana kuvharwa, kunyange kuwedzera zvine mwero kunogona kubatsira. Iyi dzvinyiriro inogona kubatsira kutangira kuvhura kumusoro Airway, Deredza Arectasis (Lung Dollapse), uye unatsiridza end-expiratory lung vhoriyamu. Izvi zvinobatsira zviri nani oxygenation uye inogona kubatsira zvakanyanya kune varwere vane mamiriro akaita acute hypoxemic yekufema kutadza. Kutumirwa kunoenderana Fio2 panguva Yakakwira inoyerera mitengo Zvakare anovimbisa kuti murwere anowana chinangwa chakanangwa chepasi okisijeni, kuderedza kuchinjika kunokonzerwa nekuchinja kwematanho avo ekufema kana kupindirana kwemhepo yemhepo.
Pakupedzisira, kunyaradza kwakanyanya kwakapihwa ne Hfnnc Masisitimu haangoita zvekunyaradza chete; Iyo ine zvese zvakananga zvakanaka zvakanaka zve Airway. Nemazvo rakanyorova kuyerera Gasi inobatsira kuchengetedza iyo yakajairika basa reiyo mucociliary scalator, iyo yakakosha kune inochenesa zvikamu mumapapu. Izvi zvinogona kudzivirira kuchengetwa kwezvibvumirano, kuderedza njodzi yekutapukirwa, uye kuchengetedza Airway Hunhu. Iyo inodziya uye unyoro zvakare kudzivirira kuoma uye kushatirisa kwenhamba dzemhino uye kuderera Airway, inotungamira mukushivirira murwere uye kunamatira kuna Jehovha Omygen kurapwa. Uku kushivirira kwakavandudzwa chinhu chakakosha pane kubudirira kwe HFNC kurapa, kunyanya rutsigiro rwakagara rwakafanira. Semugadziri, tinonzwisisa kukosha kweiyi mabhenefiti, ayo anofambisa kuzvipira kwedu kubereka akakwirira-emhando inokatyamadza Hfnnc.
4. Nei kunyorova kwakakwana kuchikosha kwazvo mukukwira kwakadzika kweNASAR kurapwa?
Yakakwana kunyorera haisi "yakanaka-kune-ine" chimiro mukati Yakakwira kuyerera nasal kurapwa; Izvo zvakakosha zvakanyatso kukosha pakuchengetedza kwayo uye kushanda. Paunonunura gasi pa Yakanyanya kuyerera chiyero, taura makumi matatu kusvika makumi matanhatu emaminetsi paminiti, zvakananga mumapepa enguva dzemhino, kana gasi iro richitonhora uye rakaoma, rinogona kukurumidza kurova uye kupisa kubva ku Airway Mucosa. Izvi zvinogona kutungamira kumatambudziko mazhinji: kuzvimba, kwakaremara ciliary basa (vhudzi diki rinodzika marara nemarara kubva mu Airway), zvigaro zvakaiswa, mushambadzi achipamba, uye kunyange kubuda ropa. Varwere vanowana zvisina kufanira kusagadzikana, sekuoma kwemhino, kurwadziwa, uye kunzwa kunopisa, kuvaita kuti varege kushivirira HFNC kurapa kwenguva yakareba. Saka, kugona kwe kunyaradza uye kupisa gasi zvinobudirira idombo rekona ye Hfnnc.
Hfnnc Systems yakagadzirirwa kununura gasi iro rinopiswa kusvika rinenge 37 ° C (tembiricha tembiricha) uye yakazara nemvura yemvura (padyo ne 100% yezana humidity). Iyi kutevedzera mamiriro echisikigo emhepo anoitika kumusoro kumusoro Airway. Nekupa izvi kupisa uye nekunyaradza gasi, Hfnnc inodzivirira iyo Airway Epithelium, inochengetedza yakajairika kujekesa, uye kunatsiridza zvinyararire nyaradzo yekushivirira uye kushivirira. Izvi zvinobvumira varwere kuti vagamuchire zvizere zvakanaka zve Yakanyanya kuyerera chiyero uye zvakarairwa Fio2 yenguva yakawedzerwa, inowanzove yakakosha mumamiriro ezvinhu senge Acute yekufema kutadza. Nyaradzo yakagadziridzwa inoderedzawo kushungurudzika kwemurwere uye basa rekufema, sezvo vasiri kurwa nekutsamwisa kukurudzira.
Kubva pakugadzira maonero, ichiva nechokwadi chekuti masisitimu ekunyunura mukati Hfnnc zvishandiso zvakavimbika uye zvinoshanda zvinoenderana. Izvi zvinosanganisira dhizaini yezvinonyorovesa pacharo, iyo yekucheka kupisa inodzivirira kubvuma ("mvura-kunze") mudunhu, uye iyo interface (the Nasal Cannulae). Kunyaradza kwakashata kunogona kufambisa zvakawanda zvezvakanakira zve Hfnnc uye kunyange kukuvadza. Mune ruzivo rwangu ku Professional Medical mudziyo mugadziri - Zhongxing, Isu tinotungamira zvinhu uye zvigadzirwa zvinotsigira zvakaringana gasi mamiriro. Kune vanopa hutano, zvakakanganisana kuti uve nechokwadi chekuti Hfnnc Sisitimu inogadziriswa nenzira kwayo uye kuti kamuri yekunyoroveswa inozadzwa uye inoshanda nemazvo. Uku kutarisisa kune zvakadzama kunoita mutsauko wakakura mumarasha emarasha uye kubudirira kwese kwe Yakakwira kuyerera Nasal Cannula Oxygen Therapy.
5. Kunzwisisa kuyerera kuyerera: Inokanganisa sei HFNEN EFFICE?
The the chiyero chinoyerera zvine nharo zvakanyanya kutsanangura hunhu hwe Hfnnc kurapwa uye kunomera chiitiko chakawanda mukubudirira kwayo. Imwe yeiyo yekutanga maitiro e Yakanyanya kuyerera chiyero ndiko kugona kwayo kusangana kana kupfuura iyo yemurwere Kuongorora kuyerera zvinodiwa. Mumurwere na Kutambudzika kwekufema, yavo Kuongorora kuyerera inogona kukwirira kwazvo (i.e., 30-120 l / min). Kana iyo yakaunzwa chiyero chinoyerera kubva pachishandiso cheokisijeni chiri pasi peichi, murwere haatoreki mhepo yemhepo, inotungamira ku DIEDEGEN DILULItion uye isingafungidziriki Fio2. Hfnnc masisitimu, nekupa Rates Rates kazhinji kusvika 60 l / min (uye dzimwe nguva kukwirisa mumidziyo chaiyo), kunogona kuderedza imba iyi yemhepo kupindirana, kunoita kuti kuisanzwisiswe zvakanyanya uye kutumirwa kweiyo yakatarwa Fio2. Izvi zvakakosha zvekushanda oxygenation.
Beyond Spell Musangano kukurudzira kuda, iyo Yakanyanya kuyerera chiyero inopa kuSaSout of Nasophaysngeal nzvimbo yakafa. Iyo inoramba rwizi rwetsva gasi flushes co2-rakapfuma gasi kubva kumusoro Airway (PHARYNX uye NASAL Cavity). Kuderedzwa uku mukati nzvimbo yakafa zvinoreva kuti kufema kwega kwega mune yakakwira chikamu chegasi chairo, kuvandudza kugona kwe alveolar Ventilation uye zvinogona kuderedza iyo kufema chiyero uye basa rekufema. Yakakwira iyo chiyero chinoyerera, Kazhinji, iyo inonyanya kushanda kuti iite iyi, inosvika kune imwe pfungwa. Iyi michina inonyanya kubatsira varwere vane acute Mamiriro ekufema anochinjika gasi kuchinjana kwakakanganiswa.
Uyezve, iyo chiyero chinoyerera mukati Hfnnc inobatsira kuchizvarwa chevakanaka Airway Dzvinyirira (Pap). Nepo kudzvinyirira uku kuri mwero (kazhinji 1-5 CMH2O) uye kunosiyana neyekuyerera, muromo wakasvinudzwa, uye kuti muromo wakavhurika kana kuvharwa, zvichiri kugona kuve nemhedzisiro inobatsira. Izvi zvinosanganisira stenting vhura kumusoro Airway, kuwedzera end-expiratory lung vhoriyamu, uye zvingangoitika kudhonza zvakadonha Alveoli. Sarudzo ye chiyero chinoyerera Naizvozvo chisarudzo chakakosha kiriniki, kazhinji chakatanga pachiyero chine mwero (i.e., 30-40 L / min) uye yechokwadi zvichienderana nemhinduro yemurwere, nyaradzo, oxygenation chimiro, uye basa rekufema. Kugadzirisa chiyero chinoyerera maitiro ane simba mu manejimendi ekutadza kwekufema na Hfnnc.
6. Rini rinoyerera rini Nasal Cannula Oxygen Therapy kazhinji rakakurudzirwa varwere?
Yakakwira-kuyerera Nasal Cannula (HFNC) Oxygen Kurapa inokurudzirwa kune imwe mhando yemhando yekiriniki inoda varwere vanoda kutsigirwa zvakanyanya kwekufema kupfuura Comenial oxygen Kurapa kunogona kugovera, asi kungasati kushaiwa, kana kunogona kurumurwa kubva, mamwe mafomu ekutsigira. Chiratidzo chikuru ndechekuti acute hypoxemic yekufema kutadza (AHHF). Ichi chiitiko chakajairika mukati kutarisirwa kwakanyanya Zvirongwa zvinowanikwa varwere vanonetsekana kuchengetedza zvakakwana oxygenation kunyangwe akajairwa oksijeni. HFNC yakaratidzwa kuvandudza oxygenation, Deredza kufema chiyero, uye kuderedza dyspnea mune izvi Varwere vane acute hypoxemic yekufema kutadza. Zvidzidzo zvakabudiswa mumagazini akadaro Kuteedzera Cone Med uye Yakanyanya Care Coned Med ndanyatsoongorora Mhedzisiro yeiyo yepamusoro-inoyerera Nasal cannula Muhuwandu uhwu, kazhinji zvakanaka.
Imwe nzvimbo yakakosha ye Kushandisa kweHFNNC iri muchikamu chekutumira-chekutsauka. Varwere vakarumurwa kubva kumuchina wekuchinjika Njodzi Yakakwira yekugadzirisa kwekufema. Hfnnc inogona kushandiswa seye prophylactic chiyero kana kurapwa kwekutumira-kubvisa Kutambudzika kwekufema. The the Mhedzisiro yePostextubation High-Flow Nasal Tsigiro yakafananidzwa neyakajairika oksijeni uye kunyange Noninvasive Ventilation, Nezvimwe zvidzidzo zvinoratidza zvikwaniriso mukudzivirira kudzoserwa, kunyanya mune imwe subgroups. Semuenzaniso, iyo Postextubation yakakwira-kuyerera nasal cannula vs standard oxygen nharo inoenderera, asi Hfnnc kazhinji inopa nyaradzo iri nani uye yakavimbika Fio2.
Kupfuura izvi, Hfnnc zvakare inoshandiswa kune varwere vane marudzi ema Acute yekufema kutadza. oxygenation. Zviri zvakare kuwana chikamu mumamiriro ekusagadzikana kunge copd anowedzera (kunyange NIV achiwanzotanga-mutsara pano) uye muPediatric varwere. Kuwanda kwe Hfnnc, kugadzikana kwaro kwekushandiswa, uye nyaradzo yekushivirira kunobatsira pakuwedzera kwekuwedzera. Chinangwa chinogara chichipa zvakakwana Omygen kurapwa uye rutsigiro paunenge uchidzora iyo basa rekufema uye kudzivisa kukwira kune zvimwe zvinosanganisika matanho kana zvichibvira. Sarudzo yekushandisa HFNC kurapa inofanira kugara ichivakirwa pakunyatsoongorora kiriniki yezvido zveumwe neumwe munhu uye nepamusoro petsitsi.
7. Inogona HFNC inobatsira kuderedza kudikanwa kwekusvirwa nemuchina wekusvikirwa nemhepo?
Uyu mubvunzo unorema uye nzvimbo yakakosha yekutsvaga uye kiriniki kufarira. Mukana we Hfnnc Kuti uderedze kukosha kwekusvikirwa nemakaniki emuchina (IMV), uye matambudziko aro akabatana seyeutsigiro-yakabatana pneumonia, ndeimwe yetarisiro dzayo dzinonakidza. Kune vamwe vanhu vane murwere, kunyanya avo vane acute hypoxemic yekufema kutadza, Uchapupu hunoratidza izvozvo Hfnnc anogona kunyatso kuderedza iyo chiyero chekupinda Kana uchienzaniswa nekunyoreswa kurapwa kurapwa uye, mune zvimwe zviitiko, kunyangwe Noninvasive Ventilation (NIV). Kugona kwe Hfnnc kupa yakagadzikana Fio2, Deredza nzvimbo yakafa, ipa imwe peturu, uye kuderera basa rekufema Zvese zvinobatsira pakukwanisa uku.
Miedzo mikuru mizhinji yakafemera basa re Hfnnc mukudzivirira intubation. Nepo mhedzisiro inogona kusiyana zvichienderana neboka rakananga murwere uye kuomarara kwavo Acute yekufema kutadza, zvakawanda zvidzidzo zvakaratidza maitiro akanaka. Semuenzaniso, mukati varwere vane acute hypoxemic kufema mamiriro, kutanga kwekutanga kwe Hfnnc inogona kuvasimbisa uye kudzivirira kuwedzera kuderera uko kwaizoita kuti ibube. Zvakakosha kuti uzive izvozvo Hfnnc haisi panacea; Kana murwere kufema chiyero chinotadza kuvandudza kana yavo oxygenation inoenderera mberi nekuwedzera kunyangwe yakakwana HFNC kurapa, ndobva ndasvika kuIMV inogona kunge ichiri kudiwa. Hfnnc inopa Kutsigira Kurapa, kutenga nguva kune mamwe marapirwo ekutora maitiro kana kuti kune mamiriro ezvinhu ekugadzirisa.
Nekudaro, kubudirira kwe Hfnnc Mukudzivira kupindira hinges hinge pamisarudzo yakakodzera yemurwere uye kutarisa kwepedyo. Izvo hazvina kukodzera kune varwere vane yakanyanya hypercapnic kufema kutadza (uko NIV ingave iri nani) kana avo vari kukurumidza kudzora kana kutadza kudzivirira kwavo Airway. Asi kune vazhinji Varwere vane kutadza kwekufema, kunyanya yeiyo hypoxemic rudzi, Hfnnc inopa yakakosha, isingasviki yekusanzwisisika sarudzo. Nekuvandudza oxygenation uye kuderedza kushushikana kwemuviri kwekufema, HFNC kurapa inogona kubatsira varwere vadzivise njodzi uye kusagadzikana kwekutyisa. Izvi zvinoita kuti chishandiso chakakosha mu manejimendi ekutadza kwekufema mu kutarisirwa kwakanyanya kurongeka uye kupfuura.
8. Ndezvipi zvinhu zvinobatsira zveHFNC mumakiriniki akasiyana siyana uye kuendesa oksijeni?
Hfnnc inopa zvinoverengeka zvinoshanda zvinoshanda zvakakonzera kuuraya kwaro munzvimbo dzakasiyana-siyana, kubva kumakamuri emergency kusvika kuGeneral Wards uye kutarisirwa kwakanyanya zvikamu. Imwe yeakakosha zvakanyanya inovandudzwa nyaradzo yemurwere uye kushivirira kana uchienzaniswa nemamwe mafomu ekufema anotsigira, kunyanya Noninvasive Ventilation (NIV) masks. Masks eNIV anogona kunge akasimba, kukonzeresa kumanikidza maronda, uye ita kuti zviome kune varwere kuti vadye, vanonwa, kana kutaurirana. Hfnnc, Kununurwa kuburikidza nePlet nasal prongs, kazhinji kazhinji zvakashivirira zviri nani. Iyi nyaradzo yakagadziridzwa inogona kutungamira mukuteerana zviri nani ne Omygen kurapwa, izvo zvakakosha pakubudirira kwayo. Varwere vanogona kutaura, vanodya, uye vanonwa zvakanyanya nyore vachigamuchira Hfnnc, kuvandudza ruzivo rwavo rwakawanda uye kushandira pamwe pamwe nekurapwa.
Imwe betsero inoshanda ndeyekunyora kwekunyorwa kwayo uye manejimendi zvichienzaniswa nemakaniki emhepo. Nepo Hfnnc Masystems ane hunyanzvi zvishandiso zvekuyerera, ivo vanowanzo nyore kumisikidza uye vanokwanisa kubata vashandi vanokweretesa. Iyo interfaces haina kushoma yakaoma, uye yegumi chiyero chinoyerera uye Fio2 yakatwasuka. Uku kusununguka kwekushandisa kunogona kuve kwakanyanya kubatsira mumakiriniki akabatikana kana nzvimbo apo vashandi vangave vasina ruzivo rwekurapa kurapa. Uyezve, nekuti Hfnnc inopa inoenderana uye yakavimbika chidimbu cheokisijeni yakafuridzirwa, Rinorerutsa Kukwirisa kweOxygen uye kutarisa. VaKuriniki inogona kuve nechivimbo chekuti murwere ari kugamuchira iyo yakarongedzwa okisijeni mwero, kuderedza kusagadzikana kwakabatana ne DIEDEGEN DILULItion inoonekwa ine magadzirirwo akajairika.
Kuwanda kwe Hfnnc zvakare inowedzera kune izvo zvinoshanda zvinoshanda. Inogona kushandiswa kune dzakasiyana dzevarwere, kubva vakuru uye vediatric varwere kune avo vane dzakasiyana siyana dzekutsiva dze Kutambudzika kwekufema. Iyo inoshanda sebhiri rakanakisa pakati pemapfumo-akaderera okisijeni uye zvimwe zvinosanganisira kurapa. Semuenzaniso, inogona kushandiswa kune varwere vasiri vanorwara zvakakwana nekuda kweNIV kana intubation asi vanoda kutsigirwa kwakawanda kupfuura chiyero Nasal Cannula inogona kupa. Uku kuchinja kunoita Hfnnc Chinhu chakakosha cheizvozvo nzira yekufema yekufema. The the yakaderera basa rekufema uye yakavandudzwa oxygenation Inopa inogona kutungamira kuchipatara chipfupi chasara uye zvirinani zvabuda Varwere Vachengete, kugadzira Yakakwira kuyerera nasal cannula inotsigira kurapwa sarudzo inoshanda uye inoshanda.
9. Kubva pane yedu fekitori pasi: kuvimbisa mhando muNASAL Cannulae yeHFANC
Sekureva kwaAllen, kunomiririra fekitari nemitsetse minomwe yekugadzira muChina, ndinogona kukuudza kuti kugadzira kwekurapa kunzvera, kunyanya izvo zvezvishandiso zvakashata zvakaita Hfnnc, inoda kuzvipira kusingazungunuke. Kana zvasvika Nasal Cannulae zvakananga zvakagadzirirwa Yakakwira kuyerera nasal cannula Therapy, zvinhu zvinoverengeka zviri kure. Izvo zvigadzirwa zvinofanirwa kunge zviri giredhi-giredhi, biocompable, uye nyoro kuti uve nechokwadi chekunyaradza murombo, kunyanya sezvo izvi nasal prongs zviri mukuwisana zvakananga neyekutarisa nasal mucosa kwenguva yakareba. Isu tinotarisa pane kugadzira zvishandiso senge zvedu Serile Nasal Okiseni Cannula Neonatal 2mm Giredhi II Medical nekufunga uku kumberi. Kugadzirwa kweVatongi vezvataurwa zvakare kwakadzoreredza - ivo vanofanirwa kukwana zvakanaka uye vakachengeteka vasina kukonzera kudzvinyirira kusingafadzi, uchiri kubvumira kushanda Kukwirisa kweOxygen panguva Yakakwira inoyerera mitengo.
Kuvimbika kwezvese Hfnnc Dunhu, kusanganisira iyo tubing uye inobatanidza, yakakosha. Inofanira kukwanisa kubata iyo yekupisa, rakanyorova kuyerera gasi pasina kinking, kubhururuka, kana kukonzera kunyanyisa kutenderwa. Shuwa, pane inodiwa (kunyangwe vazhinji Hfnnc Murwere emurwere akacheneswa pane kusimba, zvichienderana nehurongwa uye protocols yemuno), chimwe chinhu chisiri chinotarisirwa. Maitiro edu ekugadzira anoomerera kuSturent International zviyero zveSou Isu tinonzwisisa izvozvo varwere vane acute zvinonakidza nyaya, kuvimbika kwezvinhu zvese zvega zvega HFNC kurapa yakakosha.
Uyezve, kuenderana mukugadzirwa kiyi. Batch yega yega ye Nasal Cannulae kana zvimwe Hfnnc zvikamu zvinofanirwa kusangana nemhando imwechete yakakwirira. Izvi zvinosanganisira kurongeka kwemhando yepamusoro ekutora pamatanho akawanda ekugadzira, kubva pakuongorora kwezvinhu zvekuongororwa kwekupedzisira kuongororwa kwechigadzirwa chekupedzisira. Isu tinoisa mari muDembanfaced tekinoroji uye kudzidziswa kwevashandi kuti vave nechokwadi chekuti zvese Hfnnc Chigadzirwa chasiya nzvimbo yedu, ingave iri nyore Nasal Cannula kana chinhu chakaomarara chikamu che okisijeni kurapwa uye kusanzwisisika ventilation kuenderera, zvinoita sekutarisirwa. Uku kuzvipira kune mhando isu Yakakwira-inoyerera oxygen nzira yekuzvitakura. Iyi yekutarisa pane mhando inotambanudza kune yedu yese huwandu, kusanganisira Medical Suction Unganidza Tube 1.8mm naYankuer, Kuona kuita kwakavimbika pane zvese zvatinongoita zvatinonamata.
10. Kufunga Key kwekuviga: Ruzivo rwakavimbika HFNC Systems uye zvinhu
Zvemabhaja ekutakura saMark Thompson muUSA, kana chero munhu ane mhosva yekukohwa Hfnnc Masisitimu uye Anopesesa Zvipatara, Makiriniki, kana masangano ehutano, kufunga kwakakosha kwekufunga kunoitika. Yekutanga, pasina mubvunzo, iri Hunhu hwekusimbisa uye kuyananisa kutevedzera. Iwe unofanirwa kuve nechokwadi chekuti iyo Hfnnc zvishandiso nezvakavapo, kunyanya Nasal Cannulae nematunhu, sangana nemanyowa ekurapa ekurapa. Tarisa certification senge iso 13485, CE Maka, uye FDA clearance kuti inoshanda kupi. Semugadziri, tinonzwisisa izvi zvinodiwa uye tongai zvigadzirwa zvedu, senge zvedu Hfnnc-Chibvumirano Nasal oxygen Cannulas, Sangana neaya mabhenji epasi rose. Kuona izvi zvitupa zvakananga neyemagadziri kana kuburikidza neyechitatu-yechitatu-bato cheki inhanho yakaoma.
Wechipiri, funga nezve kuita uye maficha ye Hfnnc system. Inopa huwandu hwakawanda hwe Rates Rates uye chaicho Fio2 kudzora? Ndiyo humidiziti system inoshanda uye yakavimbika mukukwanisa kwayo kunyaradza gasi? Zvakadiniko nezvesarudzo yemurwere eInterface - pane dzakasiyana-siyana saizi dze nasal prongs inowanikwa kuti ienderane nevarwere vakasiyana, kubva vakuru uye vediatric varwere? Mushandisi-hushamwari hwevashandi vekiriniki zvakakoshawo - zviri nyore sei chiedza chinoyerera Kumisikidza, kushanda, uye kwakachena? Izvi zvinhu zvakananga zvinokanganisa kushanda kwe HFNC kurapa uye iyo basa rekushanda pane hutano hwevanopa. The the max kuyerera kugona, iko kurongeka kwe gasi rinoyerera rate Dhirivhari, uye kugona kwemaitiro kuchengetedza Airway Dzvinyirira zvinhu zvese zvehunyanzvi kuti uongorore.
Pakupedzisira, mutengesi kuvimbika uye kutsigirwa akakosha. Iwe unoda mutengesi uyo anogona kuve nechokwadi chekutengesa keteni yekupa, kunyanya yezvikamu zvinorambidzwa zve Hfnnc system. Ndezvipi nguva dzavakatungamira? Chii chinonzi track yavo rekodhi yekuenda-nguva kuburitsa? Kunze kwezviito, funga nezvevaperi-kutengesa rubatsiro, kudzidzisa zviwanikwa, uye waranti. Kubata nemubatsiri wemugadziri kana kugovera uyo anonzwisisa maitiro ekutsoropodza e Omygen kurapwa uye zvigadzirwa zve Acute yekufema kutadza inogona kudzivirira kutemwa nemusoro kwakawanda. Mutengo unogara uri chinhu chinogara chiri chinhu, asi chinofanira kunge chiri pakati nepakati nezvehunhu, kuvimbika, uye kukosha kwakazara Hfnnc Sistimu inounza kutarisirwa murombo. Semuenzaniso, zvishoma zvishoma zvinodhura asi yakavimbika kwazvo Yakakwira kuyerera nasal cannula iyo inovandudza zvibodzwa zvemurwere uye inoderedza njodzi yekunetsa kana iyo chiyero chekupinda inopa zvirinani kureba-kukosha kukosha. Kuvaka hukama hwakasimba nevatengesi vanoonekera nezve yavo yekugadzira uye mhando maitiro e Hfnnc uye zvinoenderana OmyGen Kuzvitakura Systems kiyi ye Yakanyanya Care Coned Med uye kutsoropodza madhipatimendi.
Key kutoraya pane yakakwira-kuyerera Nasal Cannula (HFNC) Kurapa:
- HFNCE inozivisa yakakwira kuyerera mareti ekupisa uye akanyorova mweya / oxygen sanganisa, anodarika murwere ekurudzira anodikanwa kuti agadzikane fio2.
- Kiyi mechanisms inosanganisira ISSOF yeNASPHARYngeal yakafa nzvimbo, chizvarwa chezvinonhuwira mweya wekumanikidza kumanikidzwa, uye kuwirirana fio2 kuburitsa.
- Yakakwana kunyorera inokosha Kuti unyaradzo murwere, hutano hwedenga, uye hfnc kutsamwa.
- Kuyerera kuyerera kunokanganisa fio2 kugadzikana, yakafa nzvimbo clearance, uye basa rekufema.
- HFNC inoratidzwa kune acute hypoxemic yekufema kutadza, tsigiro yekutumira, uye mamwe mamiriro acho anodikanwa kurapa okisijeni.
- Inogona kunge inogona kuderedza kukosha kwekusvikirwa nemhepo Mune varwere vakasarudzwa vakasarudzwa vane acute yekufema kutadza.
- Zvinoshanda zvinoshanda zvinosanganisira kuvandudza nyaradzo yekunyaradza, kusununguka kwekushandisa, uye kuwanda kuyambuka makiriniki akasiyana siyana.
- Mhando yekugadzira yeHFNC zvikamu, kunyanya Nasal Cannulae, yakakosha Kuti uchengeteke uye kushanda zvakanaka, uchikumbira kuomerera kune zviyero zvegiredhi.
- Kubata kunofanirwa kutarisa pane zvemhando, kudzora kutevedzera, maitiro ekuita, uye mutengesi kuvimbika Kana uchisvika hfnc system.
Kuongorora uku kwe Hfnnc inoratidza basa rayo rakakosha mukukutarisirwa kwemazuva ano. Semugadziri, isu paZongxing vanodada nekupa munda uyu nekupa zvakakwirira-zvemhando yepamusoro zvekurapa zvinotsigira zvinoshanda Yakakwira kuyerera nasal cannula kurapwa, kubatsira kuvandudza oxygenation uye zvinobuda murwere pasi rese.
Kutumira Nguva: May-20-2025