Isikhokelo soMvelisi kwiintlobo ezahlukeneyo zeemaski zeoksijini kunye nokusetyenziswa kwazo-ZhongXing

Kwihlabathi lezixhobo zonyango, zimbalwa izixhobo ezisisiseko kwaye zigcina ubomi njenge I-OXYYGN TIMK. Kubaphathi beentengo abanjengoMark Thompson e-USA, ukufumana ilungelo Izixhobo zokuHanjiswa kweXygen luxanduva olubalulekileyo oluchaphazela ngokuthe ngqo ukhathalelo lwesigulane. Kodwa ayizizo zonke iimaski ezenziwe zilingana. I uhlobo lwe-oxygen mask ikhethelwe isigulana sixhomekeke kuhlobo lwazo ukuphefumla iimfuno, ekuboneleleni ngezongezelelo ezithambileyo ioksijini ekuhambiseni ukusindisa ubomi Ioksijini ephezulu ugxininiso kwi Ingxamiseko. NjengoAllen, umenzi we ukhathalelo lokuphefumla iimveliso e China, ndiye yongamela imveliso ezingenakubalwa Ukuhanjiswa kweoksijini iinkqubo. Ndiyawuqonda umahluko ofihlakeleyo kodwa obalulekileyo kuyilo, umgangatho wohambo, kunye nomsebenzi. Esi sikhokelo siza kutyhila i iintlobo ezahlukeneyo zeemaski zeoksijini, ukucacisa ukuba ziphi, xa zisetyenziswa, kunye nendlela yokukhetha okulungileyo, ukuqinisekisa ukuba uxhotyiselwe ukwenza ezona zigqibo zokuthenga ezifanelekileyo kwiziko lakho lezempilo.

Yintoni i-Oxygen Therapy kwaye kutheni kukho iintlobo ezininzi zeMaski ye-Oxygen?

Unyango lweoksijini lunyango lwezamayeza olubonelela umguli Ioksijini eyongezelelweyo xa umzimba wabo ungakwazi ukufumana okwaneleyo ngokwawo umoya wegumbi. Olu lungenelelo oluqhelekileyo nolubalulekileyo kuluhlu olubanzi lwe iimeko zokuphefumla, ukusuka isifo semiphunga esingapheliyo (Copd) ukuya Ukusilela kokuphefumla okukhulu. Injongo ilula: ukwandisa i uxinzelelo lweoksijini kwimiphunga kunye negazi, ukunciphisa umsebenzi wokuphefumla kunye nokuqinisekisa ukuba amalungu abalulekileyo afumana ioksijini Bafuna.

Isizathu sokuba zininzi iintlobo ezahlukeneyo zeemaski zeoksijini kukuba iimfuno zezigulane ziyahluka kakhulu. Isigulana esichachayo kutyando sinokufuna ukonyuswa kancinci ioksijini ehamba kancinci, ngelixa isigulane sigula kakhulu Uxinzelelo lokuphefumla inokufuna okona kuphezulu kunokwenzeka uxinzelelo lweoksijini. Nganye I-OXYYGN TIMK okanye isixhobo senzelwe ukuba ihambise ioksijini kuluhlu oluthile lwe umgangatho wohambo kwaye ugxininiso. Ukhetho lwesixhobo luvumela Iingcali zezempilo ukulungisa i Unyango lweoksijini ngokuchanekileyo kwimeko yesigulane, ukuphepha iingozi zombini ngaphantsi kwe-oxygenation kunye ne-oxygenation engaphezulu. Ezi Inkqubo yokuhambisa ioksijini zizixhobo ezibalulekileyo ezenza olu nyango luchanekileyo lwenzeke.

I-Cannula Yeempumlo: Ukhetho olulula lwe-Oxygen ePhantsi

I i-nasal cannula yenye yezona ziqhelekileyo kwaye ziyaziwa Izixhobo zokuHanjiswa kweXygen. Ayisiyo imaski kwaphela, kodwa sisiqwengana esiguquguqukayo se ityhubhu ngamabini amancinci I-Prongs ye-Nasal loo nto ukungena ezimpumlweni. Umbhobho ke ujike phezu kweendlebe kwaye ukhuselekile phantsi kwesilevu. Inzuzo yayo ephambili kukuthuthuzela kunye nokulula. Abaguli bayakwazi ukuthetha, ukutya, nokusela ngelixa besamkela ioksijini encinci unyango, nto leyo eyenza ukuba ilungele ixesha elide ukusetyenziswa kweoksijini.

A i-nasal cannula yi ukuhamba kancinci isixhobo, esiqhele ukusetyenziselwa umgangatho wohambo izicwangciso phakathi kwe-1 kunye ne-6 ilitha ngomzuzu (LPM). Oku kuzisa i uxinzelelo lweoksijini malunga nama-24% ukuya kuma-44%. Kuba isigulana sikwaphefumla ngaphakathi umoya wegumbi malunga ne prong ukuvuleka, kanye ugxininiso inokwahluka. A i-nasal cannula lukhetho olugqibeleleyo kwizigulane ezizinzile, ezingekho kwixinzelelo olunzima, kwaye zifuna ukunyuka okuthobekileyo kwabo Inqanaba leoksijini. Senza iintlobo ezahlukeneyo, kubandakanywa a I-PVC elahlayo ye-oxygen cannula zombini iintsana kunye nabantu abadala, eyenzelwe intuthuzelo kunye nokusebenza okuthembekileyo. Ukulula kwe ngeempumlo isixhobo siyenza ibe yeyona nto iphambili kuyo yonke indawo yokhathalelo lwempilo.

IMask yobuso obulula: Inyathelo lokuNyusa kwi-Oxygen Delivery

Xa isigulane sifuna kancinci ioksijini ephezulu ugxininiso kune i-nasal cannula inokubonelela, inyathelo elilandelayo lidla ngokuba yi iimaski zobuso ezilula. Le yiplastiki ekhaphukhaphu, ecacileyo imaski evala impumlo kunye nomlomo kwaye ibanjwe endaweni nge umtya we-elastic entloko. Inemingxuma emincinci emacaleni evumelayo umoya ovuthiweyo ukubaleka kwaye kananjalo uvumele isigulana sidwebe kwezinye umoya wegumbi.

Iimaski zobuso ezilula zisetyenziselwa umgangatho wohambo izicwangciso phakathi kwe-6 kunye ne-10 LPM, ukuhambisa i uxinzelelo lweoksijini malunga nama-40% ukuya kuma-60%. Kubalulekile ukuba ungasebenzisi a umgangatho wohambo ngaphantsi kwe-6 LPM nale imaski yenziwe, njengoko kunokukhokelela ekwakhiweni kwekharbon diokside evela kumguli ukuphefumla. Ezi iimaski zisetyenziswa ngokuqhelekileyo kwizigulane ezidinga ixesha elifutshane Unyango lweoksijini, umzekelo, ngexesha lokubuyisela emva kokuhlinzwa okanye kwi- Ingxamiseko imeko yezothutho. Banikezela ngomgangatho ophezulu kunye nothembekileyo Ukuhamba kweoksijini kune-cannula kodwa azichanekanga kancinane kuneemaski eziphambili.

IMaski yeVenturi: Yeyokugxilwa kweOxygen echanekileyo

I Imaski yeVenturi, ekwaziwa ngokuba sisigqubuthelo somoya, sisixhobo sokuya kwisixhobo xa a Ingcali yezonyango kufuneka unikeze a ioksijini echanekileyo ugxininiso. Oku kubaluleke kakhulu kwizigulane ezine Copd. Kwaba bantu, ukufumana kwakhona ioksijini eninzi inokucinezela isantya sabo sendalo sokuphefumla, nto leyo eyingozi. I Imaski yeVenturi isombulula le ngxaki ngoyilo olukrelekrele.

I Venturi imaski isebenza ngokusebenzisa eyodwa ivalve okanye umbala-coded iadaptha kwisiseko semaski. Njengoko ioksijini iqukuqela ngesantya esiphezulu kwintunja emxinwa iadaptha, yenza ivacuum etsala ngaphakathi (ngenisa) isixa esithile se umoya wegumbi. Umbala ngamnye unekhowudi Venturi iadaptha yenzelwe ukuxuba i Isibonelelo seoksijini ngomoya ukufezekisa esisigxina, ethembekileyo ugxininiso (umzekelo, i-24%, i-28%, i-35%, i-40%, i-50%), kungakhathaliseki ukuba iphethini yokuphefumula kwesigulane. Oku kuchanekileyo kwenza i Venturi isixhobo esibalulekileyo ekulawuleni ezingapheliyo ukuphefumla iimeko kunye nokuthintela iingxaki ukusuka Unyango lweoksijini.

I-Mask ye-Non-Rebreather Mask: Ukuhambisa i-Oxygen ephezulu kwiiMeko eziBalulekileyo

Xa isigulana singaphakathi ubuhlungu ubunzima kwaye ifuna okona kuphezulu kunokwenzeka uxinzelelo lweoksijini, Ababoneleli bezempilo jikela kwi Imaski engaphenduleki. Le uhlobo lwe-oxygen mask sisixhobo esibalulekileyo kwi Ingxamiseko iyeza, ukuvuselela, kwaye inkathalo ebalulekileyo. I Imaski engaphenduleki igqume impumlo nomlomo kwaye ibandakanya enkulu ibhegi ye-reservoir iqhotyoshelwe emazantsi.

I imaski yenziwe ngothotho lwe iivalve zendlela enye. Nye ivalve uhlala phakathi kwemaski kunye ne ibhegi ye-reservoir, evumela isigulana ukuba siphefumle ngokucocekileyo ioksijini ebhegini kodwa bethintela impefumlo yabo ephumayo ukuba ingabuyeli ngaphakathi iivalve zendlela enye zibekwe kwizibuko zokukhupha umoya kumacala emaski, zivumela umoya ovuthiweyo ukubaleka kodwa ukuthintela umoya wegumbi ukusuka ekuphefumlweni. Le nkqubo ye iivalve zendlela enye iqinisekisa ukuba isigulana siphefumla phantse i-100% ioksijini. A i-non-propreather isetyenziselwa phezulu umgangatho wohambo izicwangciso (10-15 LPM) kwaye inokuhambisa i uxinzelelo lweoksijini ukuya kuthi ga kuma-95%. Ezi iimaski zihlala zikhona ibhulorho ukuya phambili ngakumbi ukuphefumla inkxaso njenge BiPAP umatshini okanye umoya wokungenisa umoya ngoomatshini.

Yintoni iMask yokuHlaziya ngokuyinxenye kwaye yahluke njani?

Inxenye ukuphefumla kwakhona imaski ibonakala ifana kakhulu ne-a Imaski engaphenduleki, njengokuba nayo ine- ibhegi ye-reservoir. Nangona kunjalo, kukho umahluko ophambili kuyilo kunye nomsebenzi wayo. Inxenye ukuphefumla kwakhona akanayo i Indlela enye ivalve phakathi kwemaski kunye ne ibhegi ye-reservoir. Oku kuthetha ukuba xa isigulana siphefumla, inxalenye yokuqala yokuphefumula kwaso-esityebi kuyo ioksijini ukusuka kwindawo efileyo ye-anatomical umoya-ibuyela emva kwi ibhegi ye-reservoir kwaye ixube nokusulungekileyo ioksijini ukusuka kunikezelo.

Olu yilo luvumela isigulane ukuba "siphefumle kwakhona" ezinye zazo sebenzisa ioksijini, ukugcina unikezelo ngelixa uhambisa okuphezulu ugxininiso. Ngokuyinxenye ukuphefumla kwakhona imaski inokuhambisa i uxinzelelo lweoksijini of 60% ukuya 80% at umgangatho wohambo ye-6 ukuya kwi-10 LPM. Inika a ioksijini ephezulu ugxininiso kune iimaski zobuso ezilula kodwa ngaphantsi kwe i-non-propreather. Ezi iimaski zisetyenziselwa izigulane ezizifunayo Ukugxininisa okuphezulu ye ioksijini kodwa abagxeki ukuphefumla ukusilela. Ukhetho phakathi kwe-a i-non-propreather kunye nenxenye ukuphefumla kwakhona kuxhomekeke kwindlela ioksijini eninzi i isigulana iimfuno zemeko.

Ingaba abasebenzi bezempilo bakhetha njani iSixhobo esiLungileyo sokuHanjiswa kweOxygen?

Ukukhetha i ioksijini elungileyo isixhobo sisigqibo seklinikhi esekelwe kuvavanyo olucokisekileyo lwesigulane. Iingcali zempilo qwalasela izinto ezininzi ukuze isixhobo sihambelane neemfuno zomguli ukuze sisebenze ioksijini.

• Imfuno yeoksijini: Umba ophambili yimfuneko yesigulana uxinzelelo lweoksijini. Isigulana esine-hypoxemia ephakathi sinokuqala nge- i-nasal cannula, ngoxa umntu enobunzima Uxinzelelo lokuphefumla iya kubekwa ngoko nangoko kwi-a Imaski engaphenduleki.
• Imeko yesigulana kunye nozinzo: Isigulana esizinzile esinemeko engapheliyo efana Copd ofuna ukuchaneka, umgangatho ophantsi ioksijini ngumgqatswa ofezekileyo a Imaski yeVenturi. Isigulane esingazinzanga kwi- Ingxamiseko ifuna phezulu, kwangoko Ukuhamba kweoksijini ye i-non-propreather.
• Intuthuzelo kunye noNyamezelo: Kwizigulane ezifuna ixesha elide Unyango lweoksijini, intuthuzelo ngundoqo. A i-nasal cannula ivumela inkululeko engakumbi kunezele I-OXYYGN TIMK, enokwenza abanye abantu ndiziva ndine-claustrophobic.
• Ipatheni yokuphefumla: Indlela yokuphefumla yesigulana inokuchaphazela uxinzelelo lweoksijini ihanjiswa ngu ukuhamba kancinci izixhobo ezifana a i-nasal cannula okanye imaski elula. Kwizigulane ezinokuphefumla okungaqhelekanga, i-high-flow okanye i-fixed-performance device efana ne- Imaski yeVenturi lukhetho olungcono.

Imingeni eqhelekileyo izigulane ezijongana nazo xa zisebenzisa imaski yeoksijini

Ngelixa iimaski zeoksijini zibalulekile kuba esetyenziswa kunyango kwiimeko ezininzi, azinayo imingeni. Ukususela kumbono woyilo kunye nokuvelisa, sihlala sisebenzela ukuphucula induduzo kunye nokusetyenziswa. Izigulane zinako ngamanye amaxesha ndiziva ndine-claustrophobic xa imaski igqume impumlo nomlomo. Oku kunokubangela unxunguphalo kwaye kunokubakhokelela ekususeni imaski, kubaphazamise Unyango lweoksijini.

Ukucaphuka kwesikhumba ngomnye umcimbi oqhelekileyo. Uxinzelelo oluvela kwi umtya we-elastic kwaye imaski ngokwayo inokubangela izilonda okanye ubomvu, ngokukodwa ngokusetyenziswa kwexesha elide. A owomileyo ngeempumlo Isicatshulwa sisikhalazo rhoqo kunye ne i-nasal cannula, njengokuqhubekayo Ukuhamba kweoksijini iyakwazi ukomisa. Ukunciphisa oku, i ioksijini inokufuma. Ukuqinisekisa ukulingana okufanelekileyo nako kubalulekile; imaski ekhululekile kakhulu iya kuvuza ioksijini, ukunciphisa ukusebenza ugxininiso, ngoxa leyo ixinene kakhulu ayikhululekanga. Ukudala indawo ekhululekile ioksijini isixhobo esinika unyango olusebenzayo yinjongo eqhubekayo. Kwimeko yesibhedlele, le mingeni ilawulwa kunye neminye imisebenzi yokhathalelo olubalulekileyo, njengokucoca umoya nge Ukukhupha ityhubhu.

Ukusuka kwimbono yoMvelisi: Yintoni echaza iMask ye-Oxygen esemgangathweni?

Njengomvelisi obonelela ngokubanzi izisombululo zokhathalelo lokuphefumla, umgangatho ufakwe kuyo yonke inyathelo lenkqubo yethu. Xa isibhedlele okanye imithombo yomthengisi Izixhobo zokuHanjiswa kweXygen, babeka ithemba labo kukhuseleko kunye nokusebenza kwemveliso.

Umgangatho I-OXYYGN TIMK okanye i-nasal cannula ichazwa ngu:

• Izixhobo zodidi lwezonyango: Isixhobo kufuneka senziwe kwizinto ezithambileyo, ezithambileyo, kunye ne-hypoallergenic ukunciphisa ukucaphuka kwesikhumba kunye nokuqinisekisa ukuthuthuzelwa kwesigulana. Zonke iiplastiki kufuneka zingabi netyhefu kwaye zinganuki.
• Ubunjineli obuchanekileyo: Kwizixhobo ezifana ne Imaski yeVenturi, iiadaptha kufuneka zenziwe ngobunjineli ngokweenkcukacha ezichanekileyo zokuqinisekisa ukuba zinikezela ngokuthe ngqo kwaye zithembekile uxinzelelo lweoksijini. I ivali ngaphakathi abangaphefumliyo kufuneka ibe kumgangatho ophezulu ukuze isebenze ngokuchanekileyo.
• Uyilo lwe-Ergonomic: Entle imaski yenziwe ukwenza itywina elikhuselekileyo kodwa elikhululekile. Iimpawu ezifana nekliphu yempumlo ebhetyebhetye kunye neentambo ezithambileyo, eziyilwe kakuhle zinegalelo kumava angcono esigulane kunye nokuthotyelwa okungcono Unyango lweoksijini.
• Ulwakhiwo olucacileyo noluZinzileyo: Imaski kufuneka icace ukuvumela Ababoneleli bezempilo ukujonga imilebe kunye neempumlo zesigulane. Yonke imidibaniso ye ityhubhu kufuneka ikhuseleke ukuthintela ukuqhawulwa ngempazamo kwi Isibonelelo seoksijini.

Ikamva lokuNikezelwa kweoksijini: Izinto ezintsha kwiNkekelo yokuPhumla

Intsimi ye ukuphefumla Ukhathalelo luhlala luvela. Ngelixa isiseko Iindidi zeoksijini kuxoxwe apha kuhlala kusisiseko se Unyango lweoksijini, izinto ezintsha ziyaqhubeka nokuphucula iziphumo zesigulane kunye nentuthuzelo. Ukuhamba okuphezulu ngeempumlo icannula (Hfnc) iinkqubo, umzekelo, zinokuzisa ubushushu kunye nomswakama ioksijini kumazinga aphezulu kakhulu okuhamba, ukubonelela ngcono ioksijini kunye nentuthuzelo kuneemaski zemveli ngokuqinisekileyo izigulane ezifunayo eli nqanaba lenkxaso.

Itekhnoloji ye-Smart nayo ingena kwindawo, kunye nezivamvo ezinokubeka iliso ekuphefumleni kwesigulana kwaye zilungelelanise ngokuzenzekelayo Ukuhamba kweoksijini. Injongo isoloko kukubonelela ngolona nyango lusebenzayo kunye nolona luncinci lungenelelayo lunokwenzeka. Njengabavelisi, sizimisele ukuba yinxalenye yolu tshintsho, sisebenza kunye Iingcali zezempilo ukuphuhlisa isizukulwana esilandelayo se Izixhobo zokuHanjiswa kweXygen ezikhuselekileyo, zikhululekile, kwaye zisebenza ngakumbi kwi iintlobo ezahlukeneyo zeoksijini unyango olufunekayo kumayeza anamhlanje.

Iqhosha lezitshixo

• I-Nasal Cannula: Ukuze ukhululeke, ioksijini ehamba kancinci (1-6 LPM), ilungele izigulane ezizinzileyo.
• Imaski yobuso elula: Ephakathi Uxinzelelo lweoksijini (40-60%) kwi-a umgangatho wohambo ye 6-10 LPM.
• Imaski yeVenturi: Olona khetho lulungileyo lokuhambisa a ioksijini echanekileyo ugxininiso, ibalulekile kwi Copd izigulane.
• Imaski engaphenduleki: A Ingxamiseko isixhobo sokunikezela ngeyona nto iphezulu kunokwenzeka uxinzelelo lweoksijini (ukuya kuma-95%) kwiimeko ezinzima.
• Imaski ye-Rempleyhest: Ihambisa phezulu ioksijini (60-80%) kwaye igcina ezinye ioksijini ngokuvumela isigulane ukuba siphinde siphefumle inxalenye yokuqala yokuphefumula kwabo.
• Ukhetho oluLungileyo lwezonyango: I uhlobo lwe-oxygen mask esetyenziswayo ixhomekeke kwiimfuno zonyango zesigulana, imeko, kunye nentuthuzelo.