Ndi kupita patsogolo kwaukadaulo wazachipatala, ma ventilator atuluka ngati zida zopulumutsa moyo kwa odwala omwe akulephera kupuma.Komabe, ndikofunikira kumvetsetsa kuti zidazi zimagwira ntchito m'njira zisanu ndi imodzi zosiyanitsira mpweya wabwino.Tiyeni tifufuze kusiyana pakati pa mitundu iyi.
Momwe mungagwiritsire ntchito mpweya wabwino
Njira zisanu ndi imodzi zopumira mpweya wamakina:
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- Mpweya Wapakati Wapakati (IPPV):
- Gawo lolimbikitsa ndilo kukakamiza kwabwino, pamene gawo lopuma ndi zero.
- Amagwiritsidwa ntchito makamaka kwa odwala omwe akulephera kupuma monga COPD.
- Mpweya Wapakatikati Wabwino ndi Woipa (IPNPV):
- Inspiratory phase ndi kukakamizidwa kwabwino, pamene gawo lopuma ndilo kupanikizika koipa.
- Chenjezo lofunika chifukwa cha kukomoka kwa alveolar;zomwe zimagwiritsidwa ntchito kwambiri mu kafukufuku wa labotale.
- Continuous Positive Airway Pressure (CPAP):
- Imasungabe kupanikizika kopitilira muyeso munjira ya mpweya panthawi yopuma.
- Itha kugwiritsidwa ntchito pochiza matenda monga matenda obanika kutulo.
- Kupuma Kovomerezeka Kwapang'onopang'ono ndi Kuyanjanitsidwa Kwapakatikati Kovomerezeka Kolowera mpweya (IMV/SIMV):
- IMV: Palibe kulunzanitsa, nthawi ya mpweya wosiyanasiyana pakupuma.
- SIMV: Kulunzanitsa komwe kulipo, nthawi ya mpweya wabwino yokonzedweratu, kulola kupuma koyambitsa odwala.
- Mandatory Minute Ventilation (MMV):
- Palibe mpweya wovomerezeka panthawi yomwe wodwala akupuma, komanso nthawi ya mpweya wosiyanasiyana.
- Mpweya wovomerezeka umachitika pamene mpweya wokhazikika wamphindi sunapezeke.
- Pressure Support Ventilation (PSV):
- Amapereka chithandizo chowonjezera chowonjezera panthawi ya kupuma kwa odwala.
- Nthawi zambiri amagwiritsidwa ntchito mu SIMV + PSV mode kuti achepetse ntchito yopuma komanso kugwiritsa ntchito mpweya.
Kusiyana ndi Kagwiritsidwe Ntchito:
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- IPPV, IPNPV, ndi CPAP:Makamaka ntchito kupuma kulephera ndi m`mapapo matenda odwala.Chenjezo likulangizidwa kuti mupewe zotsatira zoyipa.
- IMV/SIMV ndi MMV:Ndioyenera kwa odwala omwe amapuma mokhazikika, kuthandizira kukonzekera musanayamwitse, kuchepetsa ntchito ya kupuma, komanso kumwa mpweya.
- PSV:Amachepetsa kupuma katundu pa odwala-anayambitsa mpweya, oyenera osiyanasiyana kupuma kulephera odwala.
Ventilator kuntchito
Mitundu isanu ndi umodzi yopumira mpweya iliyonse imakhala ndi zolinga zapadera.Posankha njira, ndikofunikira kuganizira momwe wodwalayo alili komanso zomwe akufuna kuti asankhe mwanzeru.Mitundu iyi, monga momwe dokotala amalembera, iyenera kusinthidwa kuti ikhale yogwira mtima kwambiri.