Lub tshuab ua pa yog ib yam khoom siv kho mob uas feem ntau siv los pab lossis hloov tus neeg mob txoj kev ua pa.Thaum lub sij hawm siv lub tshuab ua pa, muaj ntau hom kev siv tshuab ua pa los ntawm kev xaiv, txhua qhov muaj qhov qhia tshwj xeeb thiab qhov zoo.Kab lus no yuav qhia txog 6 hom kev siv tshuab ua pa thiab tshawb nrhiav lawv cov kev siv tshuaj kho mob.
Intermittent Positive Pressure Ventilation (IPPV)
Intermittent Positive Pressure Ventilation yog ib hom kev siv tshuab ua pa uas lub tshuab nqus pa yog qhov zoo, thiab lub sijhawm tas sij hawm yog xoom siab.Hom no tau siv dav hauv kev tswj cov neeg mob uas muaj kab mob ntsws ntev (COPD) thiab lwm yam ua pa tsis ua haujlwm.Los ntawm kev siv lub siab zoo, IPPV hom tuaj yeem txhim kho kev sib pauv roj thiab kev ua pa kom zoo, txo cov kev ua haujlwm ntawm cov leeg ua pa.
Intermittent Positive-Negative Pressure Ventilation (IPNPV)
Intermittent Positive-Negative Pressure Ventilation yog lwm hom kev siv tshuab ua pa uas lub tshuab nqus pa yog qhov zoo, thiab lub sijhawm tas sij hawm yog qhov tsis zoo.Daim ntawv thov tsis zoo siab thaum lub sij hawm tas sij hawm yuav ua rau alveolar vau, ua rau iatrogenic atelectasis.Yog li ntawd, kev ceev faj yog qhia thaum siv IPNPV hom hauv kev kho mob kom tsis txhob muaj kev phom sij.
Nruam Cov Cuab Yeej Zoo Siab (CPAP)
Continuous Positive Airway Pressure yog ib hom kev siv tshuab ua pa uas siv lub siab zoo rau txoj hlab pa thaum tus neeg mob tseem muaj peev xwm ua pa tsis tu ncua.Hom no pab tswj txoj hauv kev patency los ntawm kev siv qee theem ntawm qhov zoo siab thoob plaws lub voj voog ua pa.CPAP hom feem ntau yog siv los kho cov mob xws li pw tsaug zog apnea syndrome thiab neonatal respiratory distress syndrome los txhim kho oxygenation thiab txo qis hypoventilation.
Intermittent Mandatory Ventilation thiab Synchronized Intermittent Mandatory Ventilation (IMV/SIMV)
Intermittent Mandatory Ventilation (IMV) yog hom uas lub tshuab ua pa tsis tas yuav tsum tau ua pa ntawm tus neeg mob, thiab lub sijhawm ua pa tsis tas mus li.Synchronized Intermittent Mandatory Ventilation (SIMV), ntawm qhov tod tes, siv lub tshuab synchronizing kom xa cov pa yuav tsum tau ua rau tus neeg mob raws li qhov ntsuas ua pa ua ntej thaum tso cai rau tus neeg mob ua pa tsis muaj kev cuam tshuam los ntawm lub tshuab ua pa.
IMV / SIMV hom feem ntau yog siv rau hauv cov xwm txheej uas tsis tshua muaj pa ua pa tau zoo nrog oxygenation.Hom no feem ntau ua ke nrog Kev Pabcuam Kev Ua Haujlwm Siab (PSV) kom txo qis kev ua pa ua pa thiab siv oxygen, yog li tiv thaiv kev ua pa ntawm cov leeg nqaij.
Yuav Tsum Ua Li Cas Minute Ventilation (MMV)
Yuav Tsum Ua Qhov Cuab Yeej Cuab Yeej yog ib hom uas lub tshuab ua pa muab lub siab zoo txuas ntxiv yam tsis tas yuav tsum ua pa thaum tus neeg mob qhov ua pa ntawm tus neeg mob siab tshaj qhov preset feeb qhov cua.Thaum tus neeg mob qhov kev ua pa ntawm tus kheej nce mus txog qhov cua nkag mus rau lub sijhawm ua ntej, lub tshuab ua pa pib ua pa yuav tsum ua kom lub sijhawm cua nkag mus rau qib uas xav tau.MMV hom tso cai rau kev hloov kho raws li tus neeg mob qhov ua tsis taus pa raws li qhov xav tau ntawm kev ua pa.
Pressure Support Ventilation (PSV)
Pressure Support Ventilation yog ib hom ntawm cov tshuab ua pa uas xa cov qib siab ntawm kev txhawb nqa thaum lub sij hawm txhua qhov kev tshoov siab los ntawm tus neeg mob.Los ntawm kev muab kev txhawb nqa kev txhawb siab ntxiv, PSV hom txhim kho qhov tob ntawm kev tshoov siab thiab dej ntws, txo cov pa ua pa.Nws yog feem ntau ua ke nrog SIMV hom thiab siv los ua lub sijhawm weaning kom txo qis kev ua pa thiab siv oxygen.
Hauv cov ntsiab lus, cov hom kev siv tshuab ua pa xws li Intermittent Positive Pressure Ventilation, Intermittent Positive-Negative Pressure Ventilation, Continuous Positive Airway Pressure, Intermittent Mandatory Ventilation, Synchronized Intermittent Mandatory Ventilation, Mandatory Minute Ventilation, thiab Pressure.Txhua hom muaj qhov qhia tshwj xeeb thiab qhov zoo, thiab cov kws kho mob xaiv hom tsim nyog raws li tus neeg mob tus mob thiab xav tau.Thaum siv lub tshuab ua pa, cov kws kho mob thiab cov kws saib xyuas neeg mob tau hloov kho raws sij hawm thiab kev ntsuam xyuas raws li tus neeg mob cov lus teb thiab kev soj ntsuam cov ntsuas kom ntseeg tau tias qhov zoo tshaj plaws ntawm lub tshuab ua pa.
