Umhlahlandlela Womkhiqizi Ezinhlotsheni Ezihlukene Zemaski Ye-oksijeni Nokusetshenziswa Kwazo - ZhongXing

Emhlabeni wezinto zokwelapha, zimbalwa izisetshenziswa eziyisisekelo nezisekela ukuphila njenge imaski ye-oksijini. Kubaphathi bokuthenga abafana no-Mark Thompson e-USA, ukuthola ilungelo Amadivayisi wokulethwa komoya-mpilo kuwumthwalo wemfanelo obalulekile othinta ngokuqondile ukunakekelwa kwesiguli. Kodwa akuwona wonke ama-masks adalwe alinganayo. I uhlobo lwe-oxygen mask ezikhethelwa isiguli kuncike ekuqondeni kwazo ukuphefumula izidingo, ngokuhlinzeka ngesengezo esithambile umoya ohlanzekile ekuletheni okusindisa impilo umoya-mpilo ophakeme ukugxila ku- isimo esiphuthumayo. Njengo-Allen, umkhiqizi we ukunakekelwa kokuphefumula imikhiqizo e-China, ngiqondise ukukhiqizwa kwenqwaba Ukulethwa komoya-mpilo izinhlelo. Ngiyawuqonda umehluko ocashile kodwa obalulekile ekwakhiweni, Izinga Lokugeleza, kanye nomsebenzi. Lo mhlahlandlela uzovula i- izinhlobo ezahlukene zamaski oksijini, ukuchaza ukuthi ziyini, zisetshenziswa nini, nokuthi ungakhetha kanjani ezifanele, uqinisekisa ukuthi uhlonyiselwe ukwenza izinqumo ezingcono kakhulu zokuthenga isikhungo sakho sezempilo.

Iyini I-Oxygen Therapy futhi Kungani Kunezinhlobo Eziningi Kangaka Zemaski Yomoya-mpilo?

Therapy we-oksijini wukwelashwa okuhlinzeka isiguli nge I-O oxygen eyengeziwe lapho umzimba wabo ungakwazi ukuthola okwanele ngokwawo umoya wekamelo. Lokhu ukungenelela okuvamile nokubalulekile kwezinhlobonhlobo eziningi izimo zokuphefumula,kusuka isifo se-chronic obstructive pulmonary (Up.) kuze Ukwehluleka kokuphefumula kwe-acute. Umgomo ilula: ukwandisa ukugxila komoya-mpilo emaphashini nasegazini, ukunciphisa umsebenzi wokuphefumula nokuqinisekisa ukuthi izitho ezibalulekile zithola umoya ohlanzekile badinga.

Isizathu sokuthi ziningi izinhlobo ezahlukene zamaski oksijini ukuthi izidingo zeziguli ziyahlukahluka kakhulu. Isiguli esilulama ekuhlinzweni singase sidinge kuphela ukuthuthukiswa okuncane umoya-mpilo ophansi, kuyilapho isiguli sisesimweni esibi ukuhlupheka okuphefumulayo kungase kudinge okuphakeme kakhulu ngangokunokwenzeka Ukuhlushwa kwe-oksijini. Sisinye imaski ye-oksijini noma idivayisi yakhelwe ukuba Hambisa umoya-mpilo ebangeni elithile le Izinga Lokugeleza na- ukugxilisa ingqondo. Ukukhetha idivayisi kuyakuvumela Ochwepheshe bezempilo ukuthunga i Therapy we-oksijini ngokunembile esimweni sesiguli, ukugwema izingozi kokubili kokukhipha umoya-mpilo kanye nokukhipha umoya-mpilo ngokweqile. Lezi Izinhlelo ze-oksijini zokulethwa angamathuluzi abalulekile enza lokhu kwelashwa okunembayo kwenzeke.

I-Cannula Yamakhala: Ukukhetha Okulula Komoya-mpilo Ogeleza Kaphansi

Le khasi I-Nasal Cannula ingenye evame kakhulu futhi ebonakalayo Amadivayisi wokulethwa komoya-mpilo. Akuyona imaski nhlobo, kodwa ucezu oluvumelana nezimo ukubopha nabancane ababili Ama-prongs we-nasal leyo ingene emakhaleni. Ishubhu libe selibopha phezu kwezindlebe futhi livikelwe ngaphansi kwesilevu. Inzuzo yayo eyinhloko induduzo nokulula. Iziguli zingakhuluma, zidle, futhi ziphuze ngenkathi zamukela umoya-mpilo omncane ukwelashwa, okwenza kube kuhle isikhathi eside ukusetshenziswa kwe-oxygen.

A I-Nasal Cannula a Ukugeleza okuphansi idivayisi, ngokuvamile esetshenziselwa Izinga Lokugeleza izilungiselelo eziphakathi kuka-1 no-6 wamalitha ngomzuzu (LPM). Lokhu kunikeza i Ukuhlushwa kwe-oksijini cishe ama-24% kuya ku-44%. Ngoba nesiguli siyaphefumula umoya wekamelo azungeze qholosha izimbobo, ngqo ukugxilisa ingqondo zingahluka. A I-Nasal Cannula kuyisinqumo esiphelele seziguli ezizinzile, ezingekho ekucindezelekeni okukhulu, futhi ezidinga ukwanda okunesizotha kwezifo zabo amazinga we-oksijini. Senza izinhlobo ezahlukene, kuhlanganise a I-PVC yamakhala ye-oxygen cannula elahlayo kokubili izingane kanye nabantu abadala, eyenzelwe ukunethezeka nokusebenza okuthembekile. Ubulula be emakhaleni idivayisi iyenza ibe yisisekelo cishe kuzo zonke izilungiselelo zokunakekelwa kwezempilo.

Imaski Yobuso Elula: Isinyathelo Esikhuphukayo Ekulethweni komoyampilo

Lapho isiguli sidinga kancane umoya-mpilo ophakeme ukugxilisa ingqondo ukwedlula a I-Nasal Cannula anganikeza, isinyathelo esilandelayo ngokuvamile imaski yobuso elula. Lena ipulasitiki engasindi, ecacile imaski evala ikhala nomlomo futhi ibanjwe endaweni nge ibhande elastic ekhanda. Inezimbobo ezincane emaceleni ezivumelayo umoya ocinile ukuphunyuka futhi uvumele isiguli sidwebe kwezinye umoya wekamelo.

Imaski yobuso elula zisetshenziselwa Izinga Lokugeleza izilungiselelo phakathi kuka-6 no-10 LPM, iletha i Ukuhlushwa kwe-oksijini cishe 40% kuya ku-60%. Kubalulekile ukuthi ungasebenzisi a Izinga Lokugeleza ngaphansi kwe-6 LPM ngalokhu imaski yakhelwe, njengoba kungaholela ekwakhekeni kwe-carbon dioxide ephuma kwesiguli ukukhipha umthetho. Lezi amamaski asetshenziswa kakhulu iziguli ezidinga isikhathi esifushane Therapy we-oksijini, isibonelo, ngesikhathi sokululama ngemuva kokuhlinzwa noma ku- isimo esiphuthumayo isimo sokuthutha. Banikeza ephakeme futhi enokwethenjelwa ukugeleza komoya-mpilo kune-cannula kodwa anembe kancane kunamaski athuthuke kakhulu.

I-Venturi Mask: Yokugxilisa Oxygen Okuqondile

Le khasi I-Venturi mask, eyaziwa nangokuthi imaski yokungenisa umoya, idivayisi yokuya lapho a udokotela wezokwelapha udinga ukuletha a umoya-mpilo oqondile ukugxilisa ingqondo. Lokhu kubaluleke kakhulu ezigulini ezine- Up.. Kulaba bantu, ukwamukela futhi umoya-mpilo omningi bangacindezela umoya wabo wemvelo wokuphefumula, okuyingozi. I I-Venturi mask ixazulula le nkinga ngomklamo ohlakaniphile.

Le khasi I-Venturi imaski isebenza ngokusebenzisa isipesheli isivalwana noma umbala-coded i-adaptha phansi kwe-mask. Njengoba umoya ohlanzekile igeleza ngesivinini esikhulu ngembobo ewumngcingo i-adaptha, idala i-vacuum edonsayo (ngena) inani elithile le umoya wekamelo. Umbala ngamunye unekhodi I-Venturi i-adaptha yakhelwe ukuxuba i Ukunikezwa komoya-mpilo ngomoya ukuze kuzuzwe fixed, okuthembekile ukugxilisa ingqondo (isb., 24%, 28%, 35%, 40%, 50%), kungakhathaliseki ukuthi iphethini yokuphefumula kwesiguli. Lokhu kunemba kwenza i- I-Venturi ithuluzi elibalulekile ekulawuleni okungamahlalakhona ukuphefumula izimo kanye nokuvimbela izinkinga kusuka Therapy we-oksijini.

Imaski Engaphili kabusha: Iletha I-oksijeni Ephezulu Ezimweni Ezibucayi

Uma isiguli singenile -hlabayo ukucindezeleka futhi kudinga esiphezulu ngangokunokwenzeka Ukuhlushwa kwe-oksijini, Abahlinzeki bezempilo phendukela ku imaskhi engavuthiwe. Leli uhlobo lwe-oxygen mask kuyingxenye ebalulekile yemishini isimo esiphuthumayo umuthi, ukuvuselela, futhi ukunakekelwa okubucayi. Le khasi imaskhi engavuthiwe ivala ikhala nomlomo futhi ihlanganisa enkulu Isikhwama se-Reservoir enamathiselwe phansi.

Le khasi imaski yakhelwe ngochungechunge lwe ama-valve endlela eyodwa. Eyodwa isivalwana uhlala phakathi kwe-mask ne- Isikhwama se-Reservoir, okuvumela isiguli ukuba siphefumule ngokuhlanzekile umoya ohlanzekile esikhwameni kodwa bavimbele umoya wabo owukhiphe ungaphindeli phakathi ama-valve endlela eyodwa zitholakala ezimbobeni zokukhipha umoya ezinhlangothini zemaski, zivumela umoya ocinile ukuphunyuka kodwa ukuvimbela umoya wekamelo ekuhogeleni. Lolu hlelo lwe ama-valve endlela eyodwa iqinisekisa ukuthi isiguli siphefumula cishe u-100% umoya ohlanzekile. A non-rebreather isetshenziselwa okusezingeni eliphezulu Izinga Lokugeleza izilungiselelo (10-15 LPM) futhi ingaletha i Ukuhlushwa kwe-oksijini kuze kufike ku-95%. Lezi imaski ngokuvamile ibhuloho elithuthuke kakhulu ukuphefumula ukusekela njenge I-BiPAP umshini noma umoya wemishini.

Iyini Imaski Ye-Rebreather Eyingxenye Futhi Yehluke Kanjani?

Ingxenye phefumula kabusha imaski ibukeka ifana kakhulu ne-a imaskhi engavuthiwe, njengoba nayo ine- Isikhwama se-Reservoir. Nokho, kunomehluko oyinhloko ekwakhiweni kwayo nasekusebenzeni kwayo. Ingxenye phefumula kabusha akanayo a indlela eyodwa isivalwana phakathi kwe-mask ne- Isikhwama se-Reservoir. Lokhu kusho ukuthi lapho isiguli siphefumula, ingxenye yokuqala yokuphefumula kwaso—ecebile umoya ohlanzekile kusuka endaweni efile ye-anatomical ye- njengoba- igeleza ibuyele emuva Isikhwama se-Reservoir futhi ixube nokuhlanzekile umoya ohlanzekile kusukela ekunikezeni.

Lo mklamo uvumela isiguli ukuthi "siphefumule kabusha" okunye okwaso sebenzisa i-oxygen, ukulondoloza ukunikezwa ngenkathi uletha okuphezulu ukugxilisa ingqondo. Ingxenye phefumula kabusha imaski ingaletha i Ukuhlushwa kwe-oksijini 60% kuya ku-80% at Izinga Lokugeleza kusuka ku-6 kuye ku-10 LPM. Inikeza a umoya-mpilo ophakeme ukugxilisa ingqondo ukwedlula a imaski yobuso elula kepha ngaphansi kwe-a non-rebreather. Lezi amamaski asetshenziselwa iziguli eziwadingayo ukugxila okuphezulu iwa- umoya ohlanzekile kodwa abekho ekugxekeni ukuphefumula ukwehluleka. Ukukhetha phakathi kwe-a non-rebreather kanye nengxenye phefumula kabusha kuncike ekutheni kanjani umoya-mpilo omningi le khasi Isiguli izimfuno zesimo.

Ochwepheshe Bezempilo Bayikhetha Kanjani Idivayisi Efanele Yokudiliva I-oksijeni?

Ukukhetha i- umoya-mpilo olungile idivayisi yisinqumo somtholampilo esisekelwe ekuhloleni okuphelele kwesiguli. Ochwepheshe bezempilo cabangela izici eziningana ukufanisa idivayisi nezidingo zesiguli ukuze iphumelele umoya-mpilo.

• Isidingo Somoya-mpilo: Isici esiyinhloko siyimfuneko yesiguli Ukuhlushwa kwe-oksijini. Isiguli esine-hypoxemia encane singase siqale ngokuthi I-Nasal Cannula, ngenkathi umuntu onesibi ukuhlupheka okuphefumulayo izobekwa ngokushesha ku-a imaskhi engavuthiwe.
• Isimo Sesiguli Nokuzinza: Isiguli esizinzile esinesifo esingamahlalakhona njenge Up. odinga ukunemba, izinga eliphansi umoya ohlanzekile uyikhandidethi eliphelele a I-Venturi mask. Isiguli esingazinzile e isimo esiphuthumayo idinga phezulu, ngokushesha ukugeleza komoya-mpilo of a non-rebreather.
• Induduzo nokubekezelelana: Okweziguli ezidinga isikhathi eside Therapy we-oksijini, induduzo ibalulekile. A I-Nasal Cannula ivumela inkululeko eyengeziwe kunokugcwele imaski ye-oksijini, okungenza abanye abantu uzizwa une-claustrophobic.
• Iphethini yokuphefumula: Iphethini yokuphefumula yesiguli ingathinta Ukuhlushwa kwe-oksijini ilethwe ngu Ukugeleza okuphansi amadivaysi afana na I-Nasal Cannula noma imaski elula. Ezigulini ezinokuphefumula okungavamile, idivayisi egeleza kakhulu noma esebenza kahle njenge- I-Venturi mask kuyisinqumo esingcono.

Izinselelo Ezivamile Iziguli Ezibhekana Nazo Lapho Zisebenzisa Imaski Ye-oksijeni

Lapho I-oxygen masks ibalulekile ingomane esetshenziswa ekwelapheni ezimweni eziningi, azinazo izinselele. Ngokombono wokuklama nowokukhiqiza, sihlala sisebenzela ukuthuthukisa ukunethezeka nokusebenziseka. Iziguli zingakwazi ngezinye izikhathi uzizwa une-claustrophobic lapho imaskhi ivala ikhala nomlomo. Lokhu kungabangela ukukhathazeka futhi kungase kubaholele ekususeni imaski, kuphazamise zabo Therapy we-oksijini.

Ukucasuka kwesikhumba kungenye inkinga evamile. Ingcindezi evela ku- ibhande elastic futhi imaski ngokwayo ingabangela izilonda noma ububomvu, ikakhulukazi ngokusetshenziswa isikhathi eside. Omile emakhaleni ukudlula kuyisikhalazo esivamile ne I-Nasal Cannula, njengokuqhubekayo ukugeleza komoya-mpilo kungaba omiswe. Ukunciphisa lokhu, i- umoya ohlanzekile kungenziwa humidified. Ukuqinisekisa ukulingana okufanele nakho kubalulekile; imaski exege kakhulu izovuza umoya ohlanzekile, ukunciphisa okusebenzayo ukugxilisa ingqondo, kuyilapho leyo eqine kakhulu ayikhululekile. Ukudala intofontofo umoya ohlanzekile idivayisi eletha ukwelashwa okuphumelelayo iwumgomo oqhubekayo. Esimeni sasesibhedlela, lezi zinselele zilawulwa kanye neminye imisebenzi yokunakekelwa okubucayi, njengokusula njengoba nge a Ukuncoma ishubhu.

Ngokombono Womkhiqizi: Yini Echaza Imaski Ye-oksijeni Yekhwalithi?

Njengomkhiqizi ohlinzeka ngokuningiliziwe izixazululo zokunakekelwa kokuphefumula, ikhwalithi ishunyekiwe kuzo zonke izinyathelo zenqubo yethu. Lapho isibhedlela noma imithombo yokusabalalisa Amadivayisi wokulethwa komoya-mpilo, babeka ithemba labo ekuphepheni nasekusebenzeni komkhiqizo.

Ikhwalithi imaski ye-oksijini noma I-Nasal Cannula kuchazwa ngu:

• Izinto Zezinga Lezokwelapha: Idivayisi kumele yenziwe ngezinto ezithambile, ezithambile, ezithambile, ne-hypoallergenic ukunciphisa ukucasuka kwesikhumba nokuqinisekisa ukunethezeka kwesiguli. Wonke amapulasitiki kumele angabi nobuthi futhi angabi naphunga.
• Ubunjiniyela bokunemba: Okwamadivayisi afana ne- I-Venturi mask, the ama-adaptha kufanele ziklanywe ngendlela eqondile ukuze kuqinisekiswe ukuthi ziletha okunembayo nokuthembekile Ukuhlushwa kwe-oksijini. Le khasi amavalve phakathi kwa- abangaphefumuli kufanele ibe yikhwalithi ephezulu ukuze isebenze kahle.
• Idizayini ye-Ergonomic: Okuhle imaski yakhelwe ukwakha uphawu oluvikelekile kodwa olukhululekile. Izici ezifana nesiqeshana sekhala esiguquguqukayo kanye nezintambo ezithambile, eziklanywe kahle zifaka isandla kulwazi olungcono lwesiguli nokuthobela kangcono Therapy we-oksijini.
• Ukwakhiwa Okucacile Nokuqina: Imaski kufanele icace ukuze ivumele Abahlinzeki bezempilo ukuqapha izindebe nekhala lesiguli. Konke ukuxhumana kwe ukubopha kufanele ivikeleke ukuvimbela ukunqanyulwa ngephutha ku- Ukunikezwa komoya-mpilo.

Ikusasa Lokulethwa Kweoksijini: Izinto Ezintsha Ekunakekelweni Kokuphefumula

Inkambu ye ukuphefumula ukunakekelwa kuhlala kuvela. Nakuba eziyisisekelo Izinhlobo ze-Oxygen Mask okuxoxwe ngazo lapha kuhlala kuyisisekelo se Therapy we-oksijini, emisha iyaqhubeka nokuthuthukisa imiphumela yesiguli kanye nenduduzo. Ukugeleza okuphezulu emakhaleni i-cannula (HFNC) amasistimu, isibonelo, angaletha ukufudumeza nokuswakama umoya ohlanzekile ngamanani okugeleza aphezulu kakhulu, ahlinzeka kangcono umoya-mpilo nokunethezeka kunamaski endabuko ngokuqinisekile iziguli ezidinga leli zinga lokusekela.

Ubuchwepheshe be-Smart nabo bungena esikhaleni, ngezinzwa ezikwazi ukuqapha ukuphefumula kwesiguli futhi zilungise ngokuzenzakalelayo ukugeleza komoya-mpilo. Umgomo uhlale uwukunikeza indlela yokwelapha ephumelela kakhulu nengangeneleli kancane ngangokunokwenzeka. Njengabakhiqizi, sizibophezele ekubeni yingxenye yalolu hlelo olusha, sisebenzisana nabo Ochwepheshe bezempilo ukuthuthukisa isizukulwane esilandelayo se Amadivayisi wokulethwa komoya-mpilo eziphephile, ezinethezekile, futhi ezisebenza kangcono izinhlobo ezihlukahlukene zomoya-mpilo ukwelapha okudingekayo kwezokwelapha zesimanje.

Ukuthathwa Key

• I-NASAL CANCUNA: Ukuze ukhululeke, umoya-mpilo ophansi (1-6 LPM), ilungele iziguli ezizinzile.
• Imaski yobuso elula: Okumaphakathi ukugxila kwe-oksijini (40-60%) at a Izinga Lokugeleza kwe-6-10 LPM.
• IMask ye-Venturi: Inketho engcono kakhulu yokulethwa a umoya-mpilo oqondile ukugxilisa ingqondo, okubalulekile ku Up. iziguli.
• Imaski engenalo kabusha: A isimo esiphuthumayo idivayisi yokuletha okuphezulu ngangokunokwenzeka Ukuhlushwa kwe-oksijini (kufika ku-95%) ezimeni ezibucayi.
• Imaski Yereferemu Engxenye: Iletha phezulu umoya ohlanzekile (60-80%) futhi igcina ezinye umoya ohlanzekile ngokuvumela isiguli ukuthi siphinde siphefumule ingxenye yokuqala yokuphefumula kwaso.
• Ukukhetha Okulungile Kungokomtholampilo: Le khasi uhlobo lwe-oxygen mask ukusetshenziswa kunqunywa izidingo zezokwelapha eziqondile zesiguli, isimo, kanye nenduduzo.