Choyenera Kuyembekezera Pamene Ventilator Akufunika
Mpweya wozizira, womwe umatchedwanso kuti mpweya kapena kupuma, ndi chipangizo chamankhwala chomwe chimapereka wodwala mpweya wokwanira ngati sangathe kupuma payekha. Ventilator imaponyera mpweya m'mapapo ndikuyitulutsa kubwerera, monga momwe mapapo amachitira akamatha.
Pa opaleshoni iliyonse imene imafuna anesthesia, mpweya wabwino ndi wofunika.
Palinso nthawi yomwe mpweya umatha pambuyo pa opaleshoni, pamene wodwala sangathe kupuma yekha pokhapokha atatha.
Chifukwa Chiyani Mpweya Wopuma Ndi Wofunika Panthawi ya Opaleshoni?
Mankhwala a antiesthesia amagwira ntchito mwa kufooketsa minofu ya thupi pang'onopang'ono. Izi zimaphatikizapo minofu yomwe imatilola kuti tipewe ndi kutulutsa. Popanda mpweya wabwino, kupuma nthawi ya anesthesia sizingatheke. Odwala ambiri ali pa mpweya wabwino pamene opaleshoni ikuchitika, ndiye mankhwala amaperekedwa kuti athetse anesthesia. Pamene anesthesia ikasiya, wodwalayo amatha kupuma yekha ndipo amachotsedwa pa mpweya wabwino.
Chifukwa Chiyani Mpweya Wopuma Ungakhale Wofunikira Patatha Opaleshoni?
Mpweya wabwino ndi wofunikira pamene wodwala sangathe kupuma mokwanira kuti apereke oxygen ku ubongo ndi thupi.
Odwala ena, chifukwa cha kuvulala kapena matenda, sangathe kupuma mokwanira atatha opaleshoni kuchotsedwa pa mpweya wabwino.
Izi zikhoza kukhala chifukwa cha kupweteka kwa mapapu asanayambe opaleshoni, zomwe zingachitike pamene odwala awononge mapapo awo chifukwa cha matenda osokoneza bongo . Odwala omwe amasuta amakhalanso ndi maulendo apamwamba ofuna mpweya wotalika patapita nthawi opaleshoni itatha.
Izi zimachitikanso pamene wodwalayo akudwala kwambiri kuti asadzipumire yekha.
Izi zingachitike chifukwa cha zoopsa (monga ngozi yowopsa ya galimoto), matenda kapena vuto lina. Wodwala yemwe ali pa mpweya wabwino asanayambe opaleshoni akhoza kukhalabe pa mpweya wabwino pambuyo pa opaleshoni mpaka atachira mokwanira kuti apume bwinobwino.
Opaleshoni ina imafuna kuti wodwalayo akhale pa mpweya wabwino kwa kanthaŵi kochepa pambuyo pa opaleshoni monga gawo la ndondomekoyi. Mwachitsanzo, odwala opaleshoni yotseguka amatha kusunga mpweya mpaka atadzuka mokwanira kuti atuluke pamutu pawo ndipo amatha kutsatira malamulo osavuta. Iwo sapatsidwa mankhwala kuti asiye anesthesia, koma amaloledwa kudzivula okha, ndipo wodwalayo amachotsedwa pa mpweya wabwino pamene ali wokonzeka kupuma yekha.
Kutsegula
Pofuna kuikidwa pa mpweya wabwino, wodwalayo ayenera kuti atsekedwa . Izi zikutanthawuza kukhala ndi chubu chotsalira chomwe chimayikidwa mkamwa kapena mphuno ndikukwera pansi. Phukusiyi ili ndi tizilombo toyambitsa tizilombo toyambitsa matenda omwe timagwiritsidwa ntchito kuti tigwire chubu. Mpweya wabwino umagwiritsidwa ntchito ku chubu ndipo mpweya wabwino umapereka "mpweya" kwa wodwalayo.
Zomwe Zidzakhala Pamene Zidzakhala pa Ventilator
Ngati wodwala ali pa mpweya wothandizira atatha opaleshoni, nthawi zambiri mankhwala amaperekedwa kuti am'chepetse.
Izi zachitika chifukwa zingathe kukwiyitsa ndi kukwiyitsa wodwala kuti akhale ndi chubu chotsalira pamtunda ndikuwona mpweya wotulutsa mpweya m'mapapo. Cholinga ndikuteteza wodwalayo kukhala wodekha komanso wosasamala popanda kuwapuma kwambiri kuti asadzipumire yekha ndi kuchotsedwa pa mpweya wabwino.
Kupukuta Ventilator
Kuyeretsa ndi mawu ogwiritsidwa ntchito pokonza wina kuchokera kumoto. Odwala opaleshoni ambiri amachotsedwa pa mpweya wabwino mofulumira komanso mosavuta. Angaperekedwe ndi mpweya wochepa wa mpweya kuti pakhale ndondomeko yosavuta, koma amatha kupuma popanda zovuta.
Odwala omwe sangathe kuchotsedwa pamphepete mwamsanga atatha opaleshoni angafunike kusamba, zomwe ndizo momwe masinthidwe a mpweya amasinthidwa kuti alole wodwalayo kuti ayese kupuma yekha, kapena kuti mpweya uzigwira ntchito yochepa wodwala kuchita zambiri. Izi zikhoza kuchitika kwa masiku kapena masabata, pang'onopang'ono amalola wodwalayo kupuma bwino.
CPAP, kapena kupitilizika kwabwino kwa mpweya, ndi malo oteteza mpweya omwe amalola odwala kuchita ntchito yopuma ndi mpweya wokwanira kuti athandize ngati wodwalayo sakuchita bwino. Chiyeso cha CPAP, chomwe chimatanthauza kuti wodwalayo aikidwa pa chikhazikitso cha CPAP kwa nthawi yake, angagwiritsidwe ntchito kuti adziwe ngati wodwala angakhoze kulekerera kuchotsedwa pa mpweya wabwino.
Odwala ena omwe ali pa mpweya wabwino kwa nthawi yaitali angakhale pa CPAP masana, adzakhala ndi chithandizo chodzaza usiku kuti athe kupumula ndikupitirizabe kuchiza popanda kupuma ndi ntchito yopuma.
Kuchulukitsa Pambuyo Pokhala ndi Ventilator
Kuchulukitsa ndi njira yokhala ndi chubu yotsirizira. Panthawiyi, namwino amachotsa mlengalenga kuchoka mu chubu ndipo amamasula zida kapena tepi yomwe imagwiritsira ntchito chubu. Pambuyo pake chubu imachotsedwa pamlomo kapena mphuno ya wodwalayo. Pa nthawiyi amatha kupuma okha ndipo mpweya wabwino sungathe kupereka chithandizo chilichonse. Odwala ambiri amapatsidwa oksijeni kuti athandizidwe ndi ndondomekoyi, kaya mwa maski kapena pamtunda.
Odwala ambiri amatsokomola panthawiyi, koma sikumapweteka kwambiri. Odwala ambiri amadandaula ndi kupweteka kwa pakhosi, atayambitsidwa , kotero mankhwala opweteka, lozenges kapena mankhwala opweteka angagwiritsidwe ntchito, ngati wodwalayo angawalekerere ndipo angagwiritsidwe ntchito mosamala.
Kusamala Panthawi Yopuma
Kusamalira wodwala pa mpweya wabwino nthawi zambiri kumaphatikizapo kuteteza matenda ndi ululu wa khungu. Odwalawa nthawi zonse amakhala mu chipatala chachikulu (ICU) ndipo amatha kuyang'anitsitsa ndi kuyang'anitsitsa.
Kapepala kapena ndodo zimagwiritsidwa ntchito kuti pakhale magalimoto otsala, izi zimasinthidwa pamene zonyansa ndi chubu zimachokera kumbali imodzi pakamwa. Kusuntha chubu kumachitidwa pofuna kuteteza khungu ndi kuwonongeka kwa khungu kuchotsa chubu pamakutu a pakamwa.
Kusamalidwa kamodzi kumapangidwira kuti tipewe matenda. Nthawi zambiri pakamwa pamakhala kouma, choncho pakamwa pakatsukidwa ndi kutsekemera kuti ateteze mano komanso kuchepetsa mabakiteriya omwe amatha kupititsa m'mapapo ndikuyambitsa chibayo.
Mitsempha yam'thupi imayamwa kuchokera pakamwa kuti isalephere kulowa m'mapapu ndikuyambitsa chibayo . Zidutswa za m'mapapu zimayamwa pamene wodwala sangathe kukhwimitsa mpweya wotsekemera pamwamba pa mpweya wabwino.
Odwala omwe amafuna mpweya wabwino nthawi zambiri amadwala kapena amafooka kuti adzipangire okha, choncho kutembenuka nthawi zambiri kumakhalanso gawo la chisamaliro chachizolowezi.
Mankhwala amachiritso amaperekedwa kawirikawiri ndi mankhwala opuma opuma kapena othandizira, kuti atsegule mpweya, mpweya wochepa womwe ukhoza kupezeka ndikupangitsa kuti mapapo aliwonse akhale ndi mapapo.
Kusamalira Mpweya Wotentha Kwambiri
Kwa odwala omwe sangathe kuyamitsidwa kuchoka ku mpweya wabwino, tracheostomy ingakhale yofunikira. Pogwiritsa ntchito mankhwala osokoneza bongo sayenera kusungidwa kwa milungu yambiri, chifukwa zingathe kuwononga zitsulo kapena kutulutsa mphepo.
Kwa odwala omwe amayenera kukhala pa mpweya wotha nthawi yaitali, kutsegulidwa kwa opaleshoni kumapangidwa m'khosi ndipo mpweya wotsekemera umagwiriridwa pamenepo, m'malo mogwira ntchito kudzera mu chubu yomwe imayikidwa pakamwa.
Odwala amatumizidwa ku malo a Long Term Acute Care (LTAC) omwe amapereka chithandizo cha mpweya. Nyumbazi zimakhala ndi zigawo zomwe mpweya wotsalira ndizofunikira, ndipo njira yothandizira wodwalayo kupeza momwe angapume bwino ndi gawo la chisamaliro cha tsiku ndi tsiku.
> Chitsime:
> Kodi ziwopsezo za kukhala pa mpweya wotani? National Heart, Lung ndi Magazi Institute. Idapezeka mu September, 2015. http://www.nhlbi.nih.gov/health/health-topics/topics/vent/risks