Q&A
Umbuzo: Ngaba ndimele ndivule umngxuma osebenza ngeendlela ezininzi kwimaski ukukhuthaza ukugxothwa kwe-CO2?
A: Ukuvula imingxuma emininzi kwimaski ukukhuthaza ukugxothwa kwe-CO2 akukhuthazi ngokwenene ukugxothwa kwe-CO2 kwizigulane.Nangona kunjalo, xa isigulana sinokugcinwa okubukhali kwe-CO2, ehlala iphezulu emva kohlengahlengiso olusemgangathweni lwemowudi ye-ventilator engahlaseli, iiparamitha, kunye nokukhethwa kwemaski, kwaye imaski ihambelana ngokuqinileyo nobuso besigulana kunye nokuvuza komoya okuncinci, umngxuma omncinci unokuvulwa ukwandisa ubungakanani bokuvuza komoya ngokungeyonjongo.Le nxalenye yokuvuza komoya inokunciphisa indawo efileyo kwimaski, ukunciphisa ukuphefumla okuphindaphindiweyo kwe-carbon dioxide kwaye ikhuthaze ukukhutshwa kwe-carbon dioxide, kodwa kufuneka kuthathelwe ingqalelo ukubeka iliso umthamo wokuvuza komoya ukuba ungabi mkhulu kakhulu, ngaphandle koko uya ukukhokelela kwimbuyekezo yokuhamba komoya ngokugqithiseleyo, ukunyuka kwezigulane ezixinzelelekileyo, i-ventilator baseline drift, ekhokelela ekunciphiseni koxinzelelo lomoya, ukuphazamisa ukuhamba komoya we-airway basal, ixesha elide lokuvumelanisa, ukulibaziseka kokuqalisa okanye i-asynchronous trigger, okanye i-trigger engasebenziyo, ngakumbi kwi-trigger yoxinzelelo. eyona mpembelelo inkulu, kwaye iya kunciphisa ukusebenza kakuhle kokungena komoya okanye iyenze ingasebenzi.
Umbuzo: Ngexesha lokusetyenziswa kwemodi ye-VCV, kukho ukuhla kwengcinezelo ngaxeshanye xa izinga lokuhamba likhuphuka, kodwa i-waveform ibuyela ngokuqhelekileyo emva kokutshintshela kwimiphunga efanisiweyo.
A: Kwizigulana ezigula kakhulu ezifumana umoya wokuphefumla ngoomatshini, ukuvuza kwengxowa yomoya kuhlala kuyingozi kakhulu.Ukuba ukuvuza kwe-airbag kufunyenwe ngexesha, unyango olukhawulezayo aluyi kubangela imiphumo emibi.Ukuba ukuvuza akubonakali ngexesha okanye umthamo wokuvuza komoya mkhulu, kunokubangela ukungena komoya okwaneleyo kwizigulana ezigula kakhulu, okukhokelela ekugcinweni kwe-carbon dioxide kunye ne-hypoxemia, enokukhokelela kwimiphumo emibi kwaye inokubeka ubomi esichengeni ngokugula kakhulu. izigulane.
Umbuzo:Isigulane sihlaliswe kakuhle kwaye iiparitha zibekwe ngokufanelekileyo, kutheni i-alarm yoxinzelelo lwe-airway iphezulu?
A: Ukuba unokukhuphela ngaphandle ukujongana nomatshini womntu, kunye neengxaki zeparameter.Emva koko imiba ephambili kufuneka ibhekiselele koku kulandelayo.
1. Isekethe ye-Ventilator okanye izizathu zomoya
Isekethe ye-ventilator ivame ukuvalelwa yisekethe eqhekekileyo;isiphaluka sivalwe ngamanzi kwisiphaluka sokuphefumla.Umzila womoya uvalwe ziimfihlo;isikhundla sombhobho we-tracheal sitshintshiwe kwaye ukuvulwa kusondele kwindonga ye-tracheal;ukukhohlela, njl.
Amanyathelo onyango.
(1) Khangela ukuba ungabandakanyi i-ventilation circuit ekugxininiseni, ukuphazamiseka, kunye nokuqokelelwa kwamanzi kwi-tube, gcina indawo yetyhubhu edibeneyo ingaphantsi kancinane kunendawo ye-tracheal tube interface ukukhusela i-condensate reflux, kunye nokulahla i-condensate ngexesha elifanelekileyo. indlela.
(2) Sula iimfihlo zokuphefumla.Izigulana ezenza unyango lokuphefumla nge-airway eyenziweyo ziya kuphulukana nendima yazo ngenxa ye-epiglottis, ukuvaleka kwe-cilia ye-mucosal, ukukhohlela okubuthathaka, kunzima kakhulu ukukhupha isikhohlela, ukugcinwa komgaqo womoya, njl.Ukuba ukukhutshwa kwesigulane kuncangathi, faka i-5 ~ 10ml ye-saline drops kumzila womoya ukuze udibanise ukukhutshwa.Ukuthintela ukuqokelelana kwe-airway encinci, yenza ukuphefumla ngomatshini umzuzwana emva kokuhla kwe-saline, ukwenzela ukuba ulwelo oluxutyiweyo lungene kwindlela encinci yomoya ukuhlambulula isikhohlela kunye nokuvula umsebenzi we-ciliary uze wenze ukufunxa.Jonga umsebenzi we-humidifier, gcina ubushushu be-humidification 32～36℃, ukufuma 100%, kwaye ngokubanzi isisombululo sokufuma kufuneka singabi ngaphantsi kwe-250ml kwi-24h ukunqanda ukukhuselwa ukuba komiswe.
(3) Ngokobude bendawo evezwe ityhubhu ye-tracheal, lungisa indawo ye-tracheal tube kwaye ulungise ityhubhu ye-tracheal okanye i-tracheotomy cannula.Ukuba ityhubhu yoqhoqhoqho ibhityile, nika umthamo wamaza ofanelekileyo, unciphise umyinge wokuqukuqela okuphefumlelayo kwaye wandise ixesha lokuphefumlela ukugcina uxinzelelo lomoya ungaphantsi kwe-30cmH2O, kwaye buyisela ityhubhu engqindilili ukuba kuyimfuneko ngokwemeko ethile.
(4) Xa enceda isigulana ukuba sijike, umntu ufanele atyande ngababini.Umntu omnye kufuneka asuse ityhubhu ephothiweyo kwisibambi somoya, abambe ityhubhu ephothiweyo ngengalo enye aze abambe igxalaba lesigulana ngesinye isandla, aze atsale iimpundu zesigulana ngobunono kwicala likamongikazi.Omnye umntu ubambe umqolo neempundu zesigulana ukuze ancedise ngamandla aze aphelise isigulana ngemiqamelo ethambileyo.Lungisa kwakhona ityhubhu emva kokuguqula kwaye uyikhusele kumnini.Thintela ityhubhu yokungenisa umoya ekutsaleni uqhoqhoqho kunye nokucaphukisa ukhohlokhohlo lwesigulane.
2. Ezakhe izizathu zeVentilator
Ngokukodwa i-valve yokuphefumula yokuphefumula okanye ukungasebenzi kwevalve yokuphefumula, kwaye inzwa yoxinzelelo yonakalisiwe.
Ixesha lokuposa: Sep-13-2022