Uburyo busanzwe bwa Mechanical Ventilation hamwe nuburyo bukoreshwa

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Umuyaga ni ibikoresho bisanzwe byubuvuzi bifasha cyangwa bisimbuza imikorere yubuhumekero bwumurwayi.Mugihe cyo gukoresha umuyaga uhumeka, hariho uburyo bwinshi bwo guhumeka imashini guhitamo, buri kimwe gifite ibimenyetso byihariye nibyiza.Iyi ngingo izatangiza uburyo butandatu busanzwe bwo guhumeka no gushakisha uburyo bwo kuvura.

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Guhinduranya Umuvuduko Uhoraho (IPPV)

Intermittent Positive Pressure Ventilation nuburyo busanzwe bwo guhumeka imashini aho icyiciro cyo guhumeka ari igitutu cyiza, naho icyiciro cyo kurangirira kiri kumuvuduko wa zeru.Ubu buryo bukoreshwa cyane mugucunga abarwayi bafite indwara zidakira zifata ibihaha (COPD) nibindi byananiranye.Ukoresheje igitutu cyiza, uburyo bwa IPPV burashobora kunoza guhanahana gaze no guhumeka neza, bikagabanya imirimo ikora kumitsi yubuhumekero.

Hagati yigihe cyiza-kibi cyumuvuduko ukabije (IPNPV)

Intermittent Positive-Negative Pressure Ventilation nubundi buryo busanzwe bwo guhumeka imashini aho icyiciro cyo guhumeka ari igitutu cyiza, naho icyiciro cyo kurangiriraho ni igitutu kibi.Gukoresha umuvuduko mubi mugihe cyicyiciro kirangiye birashobora gutuma alveolar isenyuka, bikaviramo atelectasis ya iatrogenic.Kubwibyo, kwitonda birasabwa mugihe ukoresheje uburyo bwa IPNPV mubikorwa byubuvuzi kugirango wirinde ingaruka mbi.

Gukomeza Umuyaga mwiza wo guhumeka (CPAP)

Umuvuduko ukabije wimyuka yumuyaga nuburyo bwo guhumeka bukoresha imbaraga zihoraho kumuyaga mugihe umurwayi agishoboye guhumeka wenyine.Ubu buryo bufasha kugumya guhumeka ukoresheje urwego runaka rwumuvuduko mwiza mugihe cyubuhumekero bwose.Uburyo bwa CPAP busanzwe bukoreshwa mukuvura indwara nka syndrome de apnea na syndrome de neonatal guhumeka neza kugirango ogisijeni igabanuke kandi igabanye hypoventilation.

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Ventilation Yigihe gito na Syncronised Intermittent Mandatory Ventilation (IMV / SIMV)

Intermittent Mandatory Ventilation (IMV) nuburyo uburyo bwo guhumeka budakenera guhumeka biterwa nabarwayi, kandi igihe cya buri mwuka ntigihoraho.Ku rundi ruhande, Syncronised Intermittent Mandatory Ventilation (SIMV), ikoresha igikoresho cyo guhuza kugirango ihumeke umurwayi uteganijwe hashingiwe ku bipimo by'ubuhumekero byateganijwe mu gihe yemerera umurwayi guhumeka bidatinze nta nkomyi ya ventilator.

Uburyo bwa IMV / SIMV bukoreshwa kenshi mugihe aho ubuhumekero buke bugumana hamwe na ogisijeni nziza.Ubu buryo bukunze guhuzwa na Pressure Support Ventilation (PSV) kugirango igabanye imirimo yubuhumekero no gukoresha ogisijeni, bityo irinde umunaniro wimyanya y'ubuhumekero.

Guhindura iminota mike (MMV)

Gutegekwa na Minute Ventilation nuburyo uburyo bwo guhumeka butanga umuvuduko uhoraho udatanga umwuka uteganijwe mugihe umuvuduko wubuhumekero wumurwayi wihitiyemo urenze umunota wateganijwe.Iyo umuvuduko wubuhumekero wumurwayi uhita agera kumunota wateganijwe, umuyaga uhumeka utangira guhumeka byateganijwe kugirango wongere umunota uhumeka kurwego rwifuzwa.Uburyo bwa MMV butuma ihinduka rishingiye ku guhumeka k'umurwayi guhita kugira ngo uhuze ibyifuzo by'ubuhumekero.

Inkunga y'ingutu (PSV)

Inkunga Yumuvuduko Ventilation nuburyo bwo guhumeka imashini itanga urwego rwateganijwe rwo gushyigikirwa nigitutu muri buri mbaraga zubushakashatsi bwakozwe numurwayi.Mugutanga izindi nkunga zingutu zitera imbaraga, uburyo bwa PSV bwongera ubujyakuzimu bwo guhumeka nubunini bwamazi, bikagabanya imirimo yubuhumekero.Bikunze guhuzwa nuburyo bwa SIMV kandi bigakoreshwa nkicyiciro cyo konsa kugirango ugabanye imirimo yubuhumekero no gukoresha ogisijeni.

Muncamake, uburyo busanzwe bwo guhumeka bukoreshwa harimo guhindagurika kwimyanya ndangagitsina, guhorana icyiza-kibi cyumuvuduko ukabije, Umuvuduko ukabije wumuyaga uhumeka, guhumeka hagati yigihe gito, guhumeka hagati yigihe gito, no guhumeka neza.Buri buryo bufite ibimenyetso byihariye nibyiza, kandi inzobere mu buvuzi zihitamo uburyo bukwiye ukurikije uko umurwayi ameze kandi akeneye.Mugihe cyo gukoresha umuyaga, abaganga nabaforomo bahindura kandi bagasuzuma mugihe gikwiye bitewe nigisubizo cy’umurwayi hamwe n’ibipimo ngenderwaho kugira ngo babone ubufasha bwiza bwo guhumeka.

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