Kubva pakuchengetwa kwekubvuta kusvika kune ventilator Kuchengetedza
Mushure mekuvhiyiwa, iwe kana mudiwa wako angada kunamatira mishonga uye mamwe maitiro ekurapa kuporesa kuti udzivirire matambudziko. Izvi zvinogona kubva kune imwe nzira yekurapa neine inhaler kuCI kuchengetedzwa kwenhamo kune vanhu vanorwara vanoda ventilator kuti vabatsire nokufema kwavo kusvikira vaikwanisa kufema pachavo.
Ndezvipi Zvokufemira Vaongorori Do
Aya maitiro ekufuridzira uye mamwe akawanda anopiwa nemapfupa ekudzivirira mapfupa (RT), vashandi vekureji vadzidzisi vekoroji vanodzidziswa kuchengetedza mapapu uye kushandisa chirongwa chokuchengetedza pamwe chete nevamwe vesangano rezvehutano.
Vanogona kushanda nachiremba anotarisira munharaunda yezvipatara, a pulmonologist - chiremba anoongorora mukurapa kwemapapu, kana kuti vanogona kushanda munzvimbo yese yekuchengetedza varwere vakawanda vemarudzi akasiyana.
Basa raJobho rinopesana kubva panzvimbo yekuenda kunzvimbo. Mune zvimwe zvipatara, chirwere chekuporesa chinogona kupa zvose kuporesa, asi mune vamwe, vangagovana basa rekuita pamwe chete nevanamukoti. Kazhinji, iR RT inopa mishonga inopindira yakadai seyebulizer mishonga uye nebulizer mishonga uye inoshanda pamwe chete nevanamukoti sezvo basa ravo rinogona kuwirirana.
Zvikonzero Kufuridzira Utachiona Kunodiwa
Chero ani zvake ari pangozi yekudzidzira kuporesa, kana kuti ndiani akaita chirwere chakakomba chemapurmari, aizotapwa nechirwere chekuporesa muchipatara. Kurapa varwere, kazhinji, vari pangozi yakawanda yezvinetso zvokufema kupfuura yevhareji munhu.
Kuva padziviriri panguva yekuvhiyiwa, uye nzira yekudzoka kubva pakuvhiyiwa inowedzera mukana wekudzivirira zvirwere zvemapapu nezvimwe nyaya.
Vazhinji varwere vanovhiya vanogara usiku humwe kana kupfuura muchipatara mushure mekuvhiyiwa vanogona kutarisira kuva nerumwe rudzi rwekufema mukati mekugara kwavo.
Nzira Dzose dzeHupfuri Yekuporesa
Oxygen Therapy: Varwere vakawanda vanoda kuwedzera oksijeni mumaawa kana kunyange mazuva mushure mekuvhiyiwa.
Iyi oksijeni inogona kupiwa kuburikidza neanal cannula, mask, kana kunyange kuburikidza nemhepo inenge yakakodzera. Kuwanda kweokisijeni kunowanzogadziriswa nemapiritsi ekufema.
Inhalers: Aya ndiwo mishonga inoputika, imwe "chigumbuso" pane imwe nguva. Zvinowanzoshandiswa nevanhu vane astmma uye vanoshandiswa kuzarura mhepo, kupedza kudzivirira uye kuvhiringidza, uye kuderedza kana kudzivirira zviratidzo zveAsthma.
Nebulizer Mishonga: Ichi chimiro chemishonga inonzi aerosolized iyo inhaled for minutes or even an hour. Inobatsira kuzarura mhepo yepamhepo, kuderedza kutsamwa uye kunogona kuderedza kuputika. Nebulizer mishonga inogonawo kushandiswa kubatsira kubvisa kurwisa kweputi.
CPAP uye BiPAP: Idzi ndimi mashandisi anobatsira murwere kushandisa zviri nani kushandisa oxygen kuburikidza nekuvhara mhepo. Murwere anopfeka maskki inobatsira kudzivirira zvikamu zvepnea, mamiriro ezvinhu anowanikwa apo murwere anorega kupera achifema paanovata. CPAP uye BiPAP inogona kushandiswawo kune varwere vane chirwere chakakomba chirwere chisingafemere zvakanaka ivo pachavo asi hachirwere zvokuti vanoda ventilator. Mishonga yeBIPAP inowanzoshandiswa nevarwere vanorwara vane chirwere chemapapu, sezvo inogona kubatsira kuderedza kuwanda kweka carbon dioxide ingangodaro ichivakwa mumuviri.
Kuchengeta uye Kufuridza Kwakadzika: Vanachiremba vanoputira mweya vanodzidzisa nzira iyi kuvarwere vari kuoma nekubvisa zvinyorwa mumapapu avo. Murwere anoramba achifema zvakapfurikidza nekukanganiswa kwakasimba.
Nzira Yokukanganiswa: Vanhu vachangobva kuvhiyiwa vanoda kukwezva, asi kushingaira kunokwidza kunzvimbo kunokonzera kusanzwisiswa, kunyanya kubata pamuviri. Kudzidza kugunzva zvakanaka mushure mekuvhiyiwa , nekushandisa kubwinya, kunogona kukonzera kushanda uye kunorwadza.
Inokurudzira Midometry: Ichi chinhu chinoshandisa murwere kuti aise simba, iyo inobatsira kuzarura mhepo uye kudzivirira kudyalectasis .
Kubudirira: Kune varwere vasingakwanisi kubvisa zvinyorwa kubva mumhepo yavo nekukanganiswa, kutevera kunogona kuitwa. Izvi zvinowanzoitwa nekubatanidza chiduku chiduku kusvika kuchigunyu chinotonhorera nekuchiisa mumugwagwa. Izvi zvinogona kuitwa kuvarwere vanofema ivo pachavo kana kuti varipi vhairamu.
Ventilator Management: Kune varwere vasingakwanisi kufema pachavo, ventilator inogona kudiwa. Kune varwere vanoda ventirator , varwere vemafiro ekuputi vachanyanyobatanidzwa mukutarisira kwavo. The RTs, pamwe nevanamukoti, vane basa rekuchengetedza ventilator uye tubing iyo inosungirira murwere kumashini, ichipa kuporesa kumurwere pamwe nekutsvaira uye muromo.
Basa rePulmonary Tests: Izvi ndezviedzo zvinoitwa kuti zvione kuti mapapu emurwere ari kushanda sei. Iyi miedzo inowanzorairwa nechiremba kana mumwe mupiki asi inotungamirirwa ne RT.
Ropa Ropa Gases : Ichi chiyero chinowanikwa muropa rakabviswa kubva mumuti unogona kuziva kana murwere ari kuwana oxygen yakakwana, kuti vari kufema zvakadini, uye kana vachida rubatsiro runowedzera kufema kubva kuBiPAP, CPAP kana ventilator. Vanachiremba vanoporesa uye vanamukoti vanowanzotora kuwedzerwa ropa, uye vanowanzoita basa mukugadzirisa kana kupindira kuri kudiwa.
Intubation: Muzvipatara zvakawanda uye mune zvimwe zvivako, mafiro ekuputira ane basa rekuisa endotracheal tube, kufema inobvumira varwere kuti vagoiswa mufiti. Anesthesia vanotarisirawo vanoita basa iri kune varwere vari kuvhiyiwa vachishandisa anesthesia yakawanda.
Dzidzo: Varwere vazhinji vanoda ruzivo pamusoro pehutano hwavo, kusvuta kusvuta, nemishonga inorayirwa. Mafiropu ekufuridzirwa anowanzotarisirwa kuve nechokwadi kuti murwere anoziva nzira yekushandisa nebulizer kana inhaler, kukurudzira maitiro akanaka uye mamwe marudzi edzidzo.
> Kwakabva:
> National Institutes of Health. Kukanganisa Kwokuputira Kunobata Sei? https://www.nhlbi.nih.gov/health/health-topics/topics/rf/kuda.