Ngaba ujonge ukuba ungayiqondi indlela ephezulu yokuhamba kwe-neasa yeoksijini inkxaso yokuphefumla? Eli nqaku ligqogqa nzulu kwiinzuzo, izicelo kunye nezibonelelo zolu ncedo lwe-shoyndgen phambili. Siza kuphonononga ukuba kutheni iba ngumdlalo wezempilo, ukuhambisa indlela efanelekileyo nesebenzayo yokuhambisa ioksijini eyongezelelweyo. Qhubeka ufunda ukufumanisa ukuba i-UNigh-Pigh-Pugh-Playsula Unyangound Chinause inokuphucula njani iziphumo zonyango kunye nokhathalelo lokuphefumla.
1. Yintoni i-NUASNAL ye-NUALAN CANDULA OKYANGEN HOPRAPY kwaye kutheni iyinkqubo ephezulu yokuhambisa ioksijini?
Unyango oluphezulu lwe-nilal lulal Ngokungafaniyo neenkqubo zokuhambisa zesiko, i-HFNC inokukhulula ioksijini ngamaxabiso aphezulu okuqala, amaxesha amaninzi ukususela kwi-3 ukuya kwi-50 amaxesha ukuhamba kwe-nasal cannula. Oku kubanakho ukuhambisa ioksijini ephezulu yeoksijini yile nto ibeka phambili kwaye iyenza inkqubo ephezulu yokuhambisa ioksijini kwiimeko ezininzi zekliniki.
Iindlela zemveli, ezinjenge-cannulas elula okanye imaski yobuso, zithathwa njengezingaphantsi kweoksijini yeoksijini. Ezi nkqubo zichitha ioksijini kwiireyithi ezihambayo ukuya kuthi ga kwiilitha ezi-6 ngomzuzu (i-LPM). Ngokwahlukileyo, ukuhamba-hamba okuhambahamba kwe-chalal canula kungazisa irhafu yokuhamba ukuya kuthi ga kwiilitha ezingama-60 ngomzuzu, kwaye ngamanye amaxesha nangaphezulu nangaphezulu. Eli nqanaba liphezulu lokuhamba linika izibonelelo ezininzi. Okokuqala, kunokuhlangabezana kakuhle neemfuno zokuphefumlelwa kwesigulana, ngakumbi kwiimeko zonyusa umgangatho wokuphefumla okanye uxinzelelo. Okwesibini, ioksijini eshushu kunye neoksijini echetyiweyo ihanjiswe ngokuhamba kwamampuma inceda ekuphuculeni intuthuzelo yesigulana kunye nokunciphisa ukomisa i-MUCOSA, umba oqhelekileyo onyango lweoksijini. Ngenxa yokukwazi kwayo ukuhambisa ngakumbi kwaye kufikeleleke kwi-OXYGEN Unyango lwe-OXYGEN, i-HFNC iyanda kwizicwangciso ezahlukeneyo zempilo.
2. Kukwenza njani unyango lwe-cannila ephezulu ye-cannula yahluka njani kwi-Oqid ye-OXYGEN YOLUNGU?
Umahluko osisiseko phakathi kokuhamba kwe-neasal ye-cannula ye-cannula kunye nokuhamba okuphantsi kweoksijini kulele kwiqondo lokuhamba kweoksijini elinikezelwe kwisigulana. Iinkqubo eziphantsi eziphantsi, njenge-cannulas ezisemgangathweni, zenzelwe ukuhambisa ioksijini kwiindawo zokuhamba ukuya kuthi ga kwi-6 i-LPM. Oku kulungele izigulana ezifuna isixa esincinci seoksijini eyongezelelweyo. Nangona kunjalo, uxinzelelo lweoksijini ethuswe ziinkqubo zokuhamba eziphantsi zinokwahluka kwaye zixhomekeke kumgangatho wokuphefumla kwesigulana kunye nevolumu ye-tidal. I-cannula elula ye-nasal inokubonelela ngempumelelo iqhekeza eliqinisekileyo leoksijini (FIO2), kwaye oku kuhlala kungalawulwa ngokuchanekileyo.
Ukuhamba okuphezulu kwe-Nasal Cannula, kwelinye icala, kusetyenziswa isixhobo esikhethekileyo sokuhambisa i-oxyning kunye neoksijini efihlakeleyo kwiimvavanyo ukusuka kwi-15 ukuya kwi-LPM isusela kwi-15 i-LPM, kwaye ngamanye amaxesha nangaphezulu. Ukuhamba okuphezulu kakhulu kubonelela nge-oxygen eguquguqukayo neyisimo sengqondo esibonakalayo kwisigulana. Ngaphaya koko, inkalo eshushu kunye ne-fihrodired ye-Nasal ye-Nasal ye-Balnula ye-Anula ye-OSnula ibalulekile ibalulekile. Ioksijini yemveli ephantsi, ngakumbi xa inikelwe ngoxinzelelo oluphezulu, lunokomile kwaye lucaphukise kwiindinyana zempumlo kunye neendlela zomoya. Ioksijini efudumeleyo kunye neoksijini efudumeleyo inceda ukukhusela ukomisa i-mucosa ye-Nasal Mucosa, inciphisa ukumelana kwendlela, kwaye iphucule imvume ye-MUCUS-inkqubo yokucoca i-sucus. Oku kwenza ukuba ukuhamba okuhamba kweendlela ze-cannula ezikhululekileyo kakhulu kwaye kuluncedo loluvo lonyango lweoksijini, ngakumbi kwizigulana ezifuna inkxaso yeoksijini okanye ephezulu yenkxaso yeoksijini.
3. Zeziphi izibonelelo eziphambili zokunyanga ezimbini ze-cannila ze-cannula yezigulana ezifuna unyango lweoksijini?
Unyango oluhamba-nyuka lwe-nilal cannula lubonelela ngesininzi sezibonelelo zezigulana ezifuna unyango lwe-OXYGEN. Enye yezona zibonelelo ziphambili kukuphucula ioksijini. Ngokuhambisa ioksijini kwiirhafu eziphezulu zokuhamba, i-HFNnc ingadibana okanye igqithe kwizinto ezikhuthazayo zokuhamba kwesigulo, ukuqinisekisa ukuba isitali esizinzileyo nesiphezulu seoksijini ephefumlelweyo. Oku kuyingenelo ikakhulu kwizigulana ngoxinzelelo lokuphefumla okanye abo basebenza nzima ukuphefumla. Umzekelo, isigulana esine-pumonia okanye i-sypmiratory yokuphepha i-actoriratory (ii-ards) inokuba nenqanaba lokuphefumla eliphezulu kakhulu kwaye lifuna inani elikhulu leoksijini. Ukuhamba okuphezulu kwe-Nasal Cannula kunyango kunokuhambisa ngeoksijini efunekayo kwezi meko.
Elinye ingenelo elibalulekileyo luphuculwe intuthuzelo yesigulana. Ioksijini eshushu kwaye i-fihledition inesifo seenqwelomoya ezininzi xa ithelekiswa neoksijini eyomileyo, ebandayo kwiinkqubo zemveli. Oku kunciphisa ukomisa impumlo, ukucaphukisa, kunye nokungonwabi, ukuphucula unyamezelo lwezigulana kunye nokuthotyelwa konyango lweoksijini. Izigulana ziyakwazi ukutya, ukuthetha, kunye nokukhohlela ngokulula nge-canalal cannula kuthelekiswa nemaski yobuso obuqinileyo, ekhuthaza ngakumbi intuthuzelo yabo.
Ngapha koko, ukuhamba okuphezulu kwe-chalal cannula kungawunciphisa umsebenzi wokuphefumla. Ukuhamba kwegesi ephezulu kunokwenza inani elincinci lengcinezelo ye-Airway, enceda ukugcina iindlela ezincinci zomoya kwimiphunga zivulekile kwaye zinciphisa umzamo ofunekayo ukuphefumla. Oku kuluncedo kakhulu kwizigulana ezinemeko ezinje ngesifo esinganyangekiyo esiphelweni (COPD) okanye ukungaphumeleli kwentliziyo, apho kuphefumla khona. Izifundo zeklinikhi ziye zabonisa ukuba ukuhamba kwe-Nasal Cannula i-Nasal Cannula kungayinciphisa imfuno yokuhluthwa kunye nokungena koomatshini kwizifundo ezithile zesigulana, ezikhokelela kwiziphumo ezingcono kunye nezibhedlele ezimfutshane zesibhedlele. Ngokubanzi, ukudityaniswa kokuphuculwa kweoksijini ephuculweyo, intuthuzelo ephuculweyo, kwaye inciphise umsebenzi wokuphefumla kwenza ukuba i-cannula ye-cannula inonyango olunamandla kwisixhobo esinamandla kukhathalelo lokuphefumla.
4. Kuziphi iimeko zezonyango ezihamba-nqanaba elihamba ngenqwelomoya
Unyango oluphezulu lwe-nilal cannula luye lwayindlela ekhethiweyo yeoksijini kuluhlu olubanzi lweemeko zonyango, ngakumbi kwiimeko apho abaguli bafuna inkxaso eninzi yokuphefumla. Isicelo esinye esiqhelekileyo sikunyango lokungaphumeleli kokuphefumla okukhulu. Izigulana ezinemeko ezinje ngePneumonia, i-ranchiolitis (ngakumbi ebantwaneni), ukwandiswa okukhulu kwe-Copd kuhlala kungenelwa kwi-cannula yonyango. Kwezi meko, inokunceda ekuphuculeni ioksijini, ukunciphisa uxinzelelo lokuphefumla, kwaye okunokwenzeka okunokwenzeka ukuba uphephe isidingo sokungenelela okungaphezulu.
Inkxaso yemva kokuthuphuma yenye indawo ephambili apho i-cannung ephezulu ye-nasal isetyenziswa ngakumbi. Emva kokuba isigulana sikwindawo yokungena kwi-ventilation kwaye ikhutshiwe (i-tube yokuphefumla isusiwe), isengozini yoxinzelelo lokuphefumla okanye ukusilela. Izifundo ezininzi, kubandakanya nophando malunga ne-PotTexTubation i-Norulay Speend Annubation Post-Post Actubation inciphise ioksijini ye-oxygen ephantsi okanye ioksijini elula. Oku kubaluleke kakhulu kwizigulana ezithathwa njengemngciphekweni omkhulu kwiingxaki zokuphefumla emva kokukhuphela.
Kwisebe likaxakeka, i-cannula ye-challa ye-Nasal ephezulu inokuba lixabisekile kwioksisi yeoksigumbe kwizigulana ezivelela ngoxinzelelo olukhulu lokuphefumla. Ivumela ungenelelo lokungenelela okukhawulezayo nolungeleleneyo lweoksijini ngaphandle kwesidingo seemaski ezifanelekileyo, ezinokuhlaziywa kakubi. Ngapha koko, kwizicwangciso zokhathalelo lwe-pillitive, i-cannula ye-surnula ehamba ngeenyawo inokubonelela ngonyango oluhle nolusebenzayo lweoksijini kwizigulana ezinesigaba sokuphefumla, ukuphucula umgangatho wazo wokuphelisa ukungaduki. Ukusebenza ngokuqatha kunye nokusebenza kakuhle kweCanala ye-Nasal Runnula kusenza sibe sisixhobo esibalulekileyo kwiingcali ezahlukeneyo zonyango kunye nomonde ofuna inkxaso ebalulekileyo yokuphefumla.
5. Ukuhamba kwe-challa ye-Nasal ephezulu yokuphucula isigulana somonde kunye nokunyamezelwa konyamezelo kuthelekiswa njani nezinye izixhobo zokuhambisa ioksijini?
Ukuthuthuzelwa kwesigulana kunye nokunyamezelana kuphuculwe kakhulu nge-NUASNAL HAALONICHIPUROUROUP ePhutula ithelekiswa nezinye izixhobo ezininzi zokuhambisa ioksijini, ngakumbi imaski yobuso bemveli. Esinye sezizathu eziphambili kule ntuthuzelo ephuculweyo kukungcungcutheka kunye nokufudumeza kweoksijini. Unyango lweoksijini yendabuko, ngakumbi kumazinga aphezulu okuhamba, ukuhambisa irhasi eyomileyo, engafakwanga ngqo kwiindinyana zempumlo. Oku kunokukhokelela ekulopheni okubalulekileyo kwe-mucosa yempumuko, ebangela ukungaphumli, iimpumlo, kunye nokndelwa kwemveliso ye-mucus. Ioksijini evuthayo kwi-Nasal ye-Nasal Cannula Coutula ichasa le phumela, ukugcina i-mucosaral hydration kunye nentuthuzelo.
Ubuso be-Mask, ngelixa ikwazi ukuhambisa ugxininiso lweoksijini, idla ngokuziva i-Cloustic kwaye ithintele izigulana. Banokwenza ukuba kube nzima ukutya, ukusela, okanye ukunxibelelana ngokufanelekileyo. Ngokwahlukileyo, i-cannula ye-nasal, nokuba i-prong ye-prong isetyenziselwa ukuhamba okuphezulu, ayinamsebenzi. Izigulana zinokutya ngokulula, zithetha, kwaye zikhohlela ngaphandle kokuphazamisa unyango lweoksijini yabo xa usebenzisa i-cannula ye-nilal ye-nasalla. Oku kuyingenelo ikakhulu kwizigulana ezifuna inkxaso yeoksijini yexesha elide okanye abo baphaphileyo kwaye banxibelelana.
Ngapha koko, i-nasal canula ivumela ukuba kukhutshwe ingqibelelo engcono. Ngeemaski zobuso, iimfihlo zinokuhlala phantsi kwemaski, enokubakho ekwanda umngcipheko wokonwaba okanye ukungonwabi. Uhlobo oluvulekileyo lwe-canalal canula luvumela ukuba inyuselwa lezinto ezilula zeendlela, ukukhuthaza ucoceko lwase-moya. Ukudityaniswa kweokhiyidifikidiedition kunye neyenkozo elifudumeleyo, ulwazi oluncinci, kunye nokuphuculwa kokutya kunye nokunxibelelana kwenza ukhetho oluhamba-nye lwe-nasalas kakhulu xa kuthelekiswa nezixhobo ezininzi zokuhambisa ioksijini. Olu thuthuzelo luphuculweyo lunokukhokelela ekuthotyelweni koogulelo, ixesha elide lonyango xa kufuneka, kwaye lilonke ngamava afanelekileyo nge-oxygen.
I-6.
Ireyithi yokuhamba esetyenziswa kwi-Nasal ye-Nasal ye-Basnula Osnula ye-OSMYGEN iguqulwe kakhulu kwaye ixhomekeke kwiimfuno zomlingane ngamnye kunye nemeko yekliniki. Ngokungafaniyo ne-cannula ye-cannula ephantsi, apho amaxabiso okuhamba ahlala khona kwi-6 i-LPM, iinkqubo eziziindlela eziziindawo eziphezulu zinokuhambisa iirhafu ukuya kuthi ga kwi-60 i-LPM, kwaye kwezinye iimeko ziphezulu. Ireyithi yokuqesha yokuqala ihlala ihleli isekwe ngokusekwe kuxinzelelo lokuphefumla kunye namanqanaba e-oxygen. Indawo yokuqala yokuqala inokuba malunga ne-20-30 i-LPM, kodwa esi sisikhokelo nje ngokubanzi kwaye kufuneka sibekwe umntu ngamnye.
Ireyithi yokuhamba ityaliwe ngononophelo, okanye ihlengahlengiswe, isekwe ekubekwenibeleni okuqhubekayo kwempendulo yeklinikhi yesigulana. Iiparamitha eziphambili zibeka iliso kwi-Oxygen Watsion (I-SPO2), iqondo lokuphefumla, ireyithi yentliziyo kunye nomsebenzi wokuphefumla. Injongo kukufezekisa kwaye ugcine ubume obufanelekileyo we-oxygen (ngaphezulu kwe-92-94%, kodwa iithagethi zingahluka ngokuxhomekeka kwimodeli yokuphefumla. Ukuba ukugcinwa kweoksijini yeoksijini kuphezulu okanye basabonisa iimpawu zokuzama ukuphefumla, inqanaba lokuhamba linokwanda ngokuthe ngcembe. Ngokuchaseneyo, ukuba i-Oxegen Watsion ihlala iphezulu kwaye isigulana sikhululekile, inqanaba lokuhamba linokuncitshiswa kwinqanaba eliphantsi kakhulu.
Uhlengahlengiso lwexabiso lokuhamba yinkqubo eguqukayo efuna ukuqaphela kunye nokugwetywa kweklinikhi. Ayisiyo nje ekufezekiseni i-oxygen ye-oxygen ye-oxygen, kodwa malunga nokuvavanywa komfanekiso wekliniki. Izinto ezifana noyena nobangela woxinzelelo lokuphefumla, ubudala boguli, kwaye naziphi na izinto ezixineneyo nazo naziphi na izinto ezinefuthe kulungelelwaniso lokuhamba. Uvavanyo oluqhelekileyo kunye nesishumi ngoochwephesha bezempilo kubalulekile ukwenza i-Nasala yonyango oluphezulu kwaye baqinisekise ukuba ifezekisa iimfuno zokuphefumla izigulana.
I-7. Ngaba i-cannila ye-challa ye-challala isebenza kakuhle kulawulo lweoksijini yeNgxaki kunye nokuFunda kwePlari?
Ewe, i-cannula ye-Nasal ephezulu ye-Nasala isebenza kakuhle kulawulo lwe-Achygen kuNgxanyano kunye nokulawula izigulana ngoxinzelelo lokuphefumla. Ukufika kwayo ngokukhawuleza kwesenzo kunye nokukwazi ukuzisa ugxininiso oluphezulu lweoksijini ngokukhawuleza kwenza isixhobo esibalulekileyo kwiimeko zongxamiseko. Kwiimeko ze-hypoxemia egudileyo (amanqanaba e-oksijini ephantsi) okanye uxinzelelo oluphezulu lokuphefumla, ukuhanjiswa kwe-oksigen kunye nempumelelo kunye nokusebenza kweoksijini kubalulekile. I-cannula ehamba phambili ye-Nasal canula inokubonelela ngale nkxaso ngokukhawuleza, ihlala isebenza kakuhle ngakumbi kunenkqubo yokuhamba emveli okanye imaski ebusweni.
Kwiisetingi zikaxakeka njengezemigangatho yexesha likaxakeka okanye iYunithi yoKhathalelo oluBanzi, izigulana zinokuveza ngeemeko ezahlukeneyo ukubandezeleka, njengokucaphukisa i-asthma, i-pumonia enkulu, okanye ukungaphumeleli kwentliziyo enkulu. Kwezi meko, usebenzisa i-cannula yendlela ephezulu ye-Nasal Cornula ivumela unyango lwe-Oxygen. Amaxabiso aphezulu okuhamba anokuphucula amanqanaba e-OCYgenn kwaye anciphise eminye yomsebenzi wokuphefumla, ukubonelela ngenkxaso ebalulekileyo ngelixa amanyathelo onyango aphunyezwa.
Xa kuthelekiswa nezinye izixhobo ze-oxygen ezifana nemaski engaphendulwanga, i-Nught-Handsula i-Nunnula ibonelela ngeenzuzo ezininzi kwindawo enobunzima. Kubonakala ngcono ngokubanzi, ukuvumela ixesha elide lokufaka isicelo ngaphandle kokungalunganga. Ikwavumela unxibelelwano olulula kunye nokufikelela kwithayini yomlomo, ebaluleke kwimeko eguqukayo. Ngapha koko, ioksijini eshushu kunye neoksijini eshushu inokuba yingenelo kwasekuqaleni, ukunciphisa ukucaphukisa indlela yendlela kunye nokuphucula indlela yokuphefumla. Ngelixa i-cannula yokuhamba kweNasal ingabi ilungele yonke imeko yokuphefumla engxamisekileyo.
8. Yeyiphi imingcipheko enokubakho kunye nokuqwalaselwa xa usebenzisa ukuhamba kwe-nasal cannula i-cannula?
Ngelixa i-Nasal ye-Nasal Cannula ikhuselekile kwaye inesidima, kukho umngcipheko, kukho umngcipheko kunye nokuqwalaselwa kwababoneleli bezempilo kufuneka baqaphele. Inqaku elinye elibalulekileyo kukubanakho kwe-barotrauma, okanye ukulimala kwe-leng kuxinzelelo olugqithisileyo. Nangona i-cannula ye-cannula iphambili i-Nasala ihambisa amanqanaba asezantsi e-Airway athelekiswa nomoya, ireyithi ephezulu kakhulu, ngakumbi kwizigulana ezinemigangatho ethile, enokulimala. Ke ngoko, ukubek'esweni ngononophelo koomatshini wokuphefumla kunye nokuhamba kwenqanaba elifanelekileyo kubalulekile.
Olunye ukuqwalaselwa ngumngcipheko wetyhefu ye-oxygen. Ngelixa ixhaphake kancinci ngeoksinyanya i-fioula i-fio2 yeendlela eziphezulu ze-FIO, ivelise imaski, i-oxgods ephezulu yeoksijini inokukhokelela kwityhefu yeoksijini yeoksijini. Oku kunenkxalabo xa usebenzisa ukuhamba kwe-nasal ephezulu ye-cannula yexesha elindisiweyo kwizicwangciso eziphezulu kakhulu zefio2. Inxalenye yeoksijini ephefumlelweyo kufuneka ihlawulwe phantsi kwakamsinya nje emva kokuba enokwenzeka kwikliniki ukunciphisa lo mngcipheko.
Ukucaphukisa i-Nasal kunye nokuSoma, nangona kuchaziwe kuneoksijini eyomileyo, kusenokwenzeka kwezinye izigulana, ngakumbi ukusetyenziswa ixesha elide. Ngelixa inkqubo yokuthobeka yenzelwe ukunciphisa oku, uvavanyo oluqhelekileyo lwe-Nasal Mucosa kunye nohlengahlengiso olufanelekileyo kumanqanaba okuthobeka kubalulekile. Kwiimeko ezinqabileyo, abaguli banokuvelisa ukucaphukisa i-nascal okanye iimpundu ezincinci.
Okokugqibela, kubalulekile ukuba siqonde ukuba i-cannula freenula ye-nilal canula ayisiyonto yokufakelwa komoya kuzo zonke iimeko. Kwizigulana ezinokuphefumla kakhulu zokuphefumla ezingaphenduliyo kwi-HFNnc okanye ezichasene nokusetyenziswa kwayo, ukunyuka kwangexesha kwixesha elifanelekileyo kulwakhiwo lomatshini kubalulekile. Ukulibazisa ukungakhathali xa kufuneka ngokwenene kunokuba nemiphumo emibi. Ke ngoko, ukukhetha ngomonde, kunye nokubeka iliso ngokuqhubekayo, kunye nokuqonda okucacileyo kwezinto ezibonakalayo kunye nokunqongophala kokuhamba kweenqwelo moya eziphezulu ze-Nasal Cannula kubalulekile kwisicelo esikhuselekileyo nesiphumelelayo.
9. Kukwenza njani ukuhamba kweendlela zokuhamba kwe-neasal canulassula ye-oksijini kunye nomsebenzi wokuphefumla?
Unyango oluphezulu lwe-nilal cannula lunefuthe elibonakalayo kwi-oxygen wat kunye nomsebenzi wokuphefumla opheleleyo kwizigulana ezifuna ioksijini yongezi. Enye yeendlela eziphambili zokuphucula ioksijini ihambisa ngokufanelekileyo ioksijini yongemiphunga kwimiphunga. I-canalas yemveli yemveli, ngakumbi kumazinga aphezulu okuhamba, ingasebenzi kakuhle ekunikezeni ioksijini ngenxa ye-dilution enomoya wegumbi kunye nokwahluka kwimodeli yokuphefumla isigulana. Ukuhambahamba kwe-neasal ehamba phambili, kunye nokukwazi kwayo ukubonelela ngexabiso lokuhamba ukuya kuthi ga kwi-60 i-LPM, kungcono ukuhlangabezana ne-Ispiratory yokuhamba kwegumbi, ngaloo ndlela kunciphisa iqhekeza le-oxygen, eguqula ngokuthe ngqo ekuphuculeni ioksijini yeoksijini.
Ngaphandle kweoksijini, ukuhamba kwe-NUSnung ephezulu kungaphucula neminye imiba yomsebenzi wokuphefumla. Irhasi efudumeleyo nefihlakeleyo inokunciphisa ukumelana nokunganyangeki kwendlela kunye nokuphucula imvume ye-MUCECRARY. Ngokunciphisa ukunyangwa kwendlela yenqwelomoya, kuya kuba lula ukuba abaguli baphefumle, banciphise umsebenzi wokuphefumla. Ukuphuculwa kwe-MUCECRECRECRECRERERECYCLERECY SCORY Kukuphucula uCentere unceda ukucoca imfihlo evela kwiindlela zomoya, eziluncedo kakhulu kwizigulana ezinosulelo lokuphefumla okanye iimeko ezinxulumene nokwakhiwa kwe-mucus.
Ngapha koko, ukuhamba kweoksijini enikezelweyo ngeproxs zempumlo kunokwenza uxinzelelo olunobulali kwiindlela zomoya. Olu luxinzelelo oluqinisekileyo, nangona luncinci, lunokunceda ukugcina i-alveli (i-tist air sungs kwimiphunga) ivulekile, ukuphucula ukutshintshiselana ngegesi kunye nokunciphisa i-temclelis (imiphunga). Esi siphumo siyafana, kodwa sibhengezwe kunokuba, qhubeka uxinzelelo loxinzelelo lwe-moya (CPAP) okanye umoya wonxibelelwano.
Izifundo zeklinikhi ziye zabonisa ukuba i-UNASAL CORDINOPUPUPOPUP inokuthi iphucule ukumiselwa kweoksijini, kwaye inciphise umsebenzi wokuphefumla kwizigulana ezinemeko ezahlukeneyo zokuphefumla. Olu phuculo lomsebenzi wokuphefumla ngegalelo kwiziphumo ezingcono zesigulana, imfuno encitshisiweyo yokunyuka kwinkxaso yokuphefumla ehlaselayo, kunye nokuphuculwa kwentlalo-ntle yokuphefumla.
I-10. Liyintoni ikamva le-cannula ehamba phambili ye-nisal canula kwi-oxygen yonyango kunye nokhathalelo lokuphefumla?
Ikamva le-cannula ye-challal ephezulu kwi-OXYGENNOLUNTUKO kunye nokukhathalela ukuphefumla kuyayithembisa kakhulu, ngophando oluqhubekayo kunye nokuphucula ubuchwephesha kunye nokuphucula ukusebenza kwawo kunye nokuphucula ukusebenza kakuhle. Enye into ephambili yophuhliso lwexesha elizayo kukuphazamisa itekhnoloji kwaye izixhobo ngokwazo. Abavelisi bayasebenza ngokuqhubekayo ekwenzeni iinkqubo ze-HFNncy ngakumbi, eziphathwayo, kunye neendleko. Ukunyuka kweTekhnoloji yokufudumazeka kunye nokufudumeza kunokuphucula ukuthuthuzela izigulana kunye nokunciphisa iingxaki ezinokubakho.
Uphando luqhubeka nokuphonononga iinkqubo ezintsha zeklinikhi ze-cannula ye-neasal ye-Nasal. Ngelixa ukusetyenziswa kwayo ekungaphumlweni okukhulu kunye nenkxaso yemva kokutyitwe kumiselwe kakuhle, izifundo zinokuphanda amandla ayo kwezinye iindawo ezifana neoksithane ngaphambi kwexesha ngaphambi kokuba i-insoation, kunye neemeko ezithile zentliziyo. Ukusebenza kakuhle kweCanala ye-Nasal ephezulu kwizigulana ezahlukeneyo zesigulana kunye noseto lweklinikhi luhlolwa ngenkuthalo.
Olunye ulwalathiso oluchulumanco ngumdibaniso we-cannula ye-neasal ndnulas ephezulu kunye nolunye uhlobo lwenkxaso yokuphefumla. Ukudibanisa i-HFNNS kunye nokungena kwe-ventila engafikelelekiyo (iNIV) okanye ukuyisebenzisa ngokudibeneyo kunye nonyango oluthile lwekhemesti kunokuphelisa iziphumo zokuphefumla kwizigulana ezithile zesigulana. Iindlela ezenziwa ngobuntu kwi-Nasal Speend Comnula unyango, ukulungisa amaxabiso okuhamba kunye ne-fio2 ngokusekwe kwiimpawu zomntu ngamnye kunye nokuhlolwa kwexesha lokwenyani, kunokwenzeka ukuba zixhaphake kakhulu.
Njengoko ukuqonda kwethu kwe-phology ephefumlayo kunye neendlela zentshukumo ye-cannula ehamba nzulu, kwaye njengetekhnoloji ekwakuhlekisayo, i-HFNC ilungele ukudlala indima ephambili kunyango lwe-OXYGENN kunye nononophelo lokuphefumla kwiminyaka ezayo. Ukusetyenziswa kwayo gwenxa, ukusebenza kwawo, kunye nendalo egulayo kuyenza ibe lilitye lolawulo lokuphefumla kwale mihla, kwaye intsha kunye ne-Internations inokuthi ikwazi ukuqinisa isikhundla sayo kwiNkqubo yokuHanjiswa kwe-Othygen.
Iqhosha le-Geaways:
- I-NEASA YASEKHAYA LOKUGQIBELA (HFNnc) Unyango Ukuhambisa i-wicyn efihliweyo kunye neoksijini efihlakeleyo kwiireyithi ezihamba kancinci kune-neasal yemveli, amaxesha ama-3-50 abakhulu.
- I-HFNC ibonelela ngokuhanjiswa kweoksijini ephezulu Ngokudibana neemfuno zokukhuthaza, ukubonelela ngamaqhekeza oguqukayo weoksijini ephefumlelweyo, kunye nokuphucula ukumiselwa kweoksijini.
- Intuthuzelo yesigulana iphuculwe kakhulu Nge-HFNNn ngenxa yeoksisi eshushu kwaye i-fuidified yeoksijini, ukunciphisa ukomisa impumlo kunye nokucaphuka xa kuthelekiswa nonyango lweoksijini.
- I-HFNN iyasebenza kwiimeko ezahlukeneyo zonyango, kubandakanya ukungaphumeleli kokuphefumla okukhulu, inkxaso emva kwexesha, kunye nolawulo lwe-Accin kaxakeka.
- Ixabiso lokuhamba kwi-HFNnc liyinto nganye kunye neshumi Ngokusekwe ekubekweni kweliso ekwakheni ukuqiniswa kweoksijini, inqanaba lokuphefumla, kunye nomsebenzi wokuphefumla.
- Ingozi enokubakho ye-HFNCS iphantsi Kodwa kubandakanya ityhefu ye-barotrama kunye netyhefu yeoksijini, kunyanzelisa ukubekwa kweliso ngononophelo kunye nokulungelelaniswa kwenqanaba elifanelekileyo lokuhamba.
- I-HFNNCY ifuthe kwimpembelelo yokuphefumla Ngokuphucula ioksijini, ukunciphisa umsebenzi wokuphefumla, kunye nokuphucula imvume ye-MUCECRARINGE.
- Ikamva le-HFNnc liqaqambile, ngophando oluqhubekayo kunye nokuhambela phambili kwezobuchwephesha ukwandisa izicelo zayo kunye nokuphucula ukusebenza kakuhle kukhathalelo lokuphefumla.
Eli nqaku lelo nqaku lolwazi kuphela kwaye alisebenzi ngengcebiso kwezonyango. Soloko unxibelelana nengcali yezempilo eqeqeshiweyo ukuze ufumane unyango kunye nonyango.
Ikhonkco langaphakathi:
Ngolwazi oluthe kratya malunga nezixhobo ezinokuthengiswa kwezonyango, hlola uluhlu lwethu lomgangatho ophezulu Iqela le-goubet yeqela le-Gauze kwaye Ubuso boNyango lweMicimbi yoNyango. Sikwabonelela ngeentlobo Amaphepha ebhedi yezonyango Ilungele izibhedlele kunye neeklinikhi. Qwalasela I-Sterle Suture ngenaliti kwiimfuno zakho zoncedo lwakho. Unonophelo lokuphefumla, bethu I-PVC ye-PVC ye-PVC ye-Axcgen ye-OXCYNULA ibonelela ngokuhanjiswa kweoksijini.
I-POSTAL: FEB-05-2025