Iterambere ry’ikoranabuhanga mu buvuzi, umwuka uhumeka wagaragaye nkibikoresho bikiza ubuzima abarwayi bafite ikibazo cyo guhumeka.Ariko, ni ngombwa kumva ko ibyo bikoresho bikora muburyo butandatu bwo guhumeka.Reka ducukumbure itandukaniro riri muri ubu buryo.
Imikoreshereze ya Ventilator
Uburyo butandatu bwo gukanika imashini ya Ventilator:
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- Umuvuduko mwiza wigihe gito (IPPV):
- Icyiciro cyo guhumeka nigitutu cyiza, mugihe icyiciro cyo kurangiriraho ari zeru.
- Ahanini ikoreshwa kubarwayi bananirwa guhumeka nka COPD.
- Hagati yigihe cyiza kandi kibi cyumuvuduko (IPNPV):
- Icyiciro cyo guhumeka ni igitutu cyiza, mugihe icyiciro cyo kurangiriraho ari igitutu kibi.
- Icyitonderwa gikenewe kubera kugwa kwa alveolar;bikunze gukoreshwa mubushakashatsi bwa laboratoire.
- Gukomeza Umuyaga mwiza wo guhumeka (CPAP):
- Ikomeza umuvuduko ukabije mumuyaga mugihe cyo guhumeka bidatinze.
- Birakenewe kuvura ibintu nka gusinzira.
- Ventilation Yigihe gito na Syncronised Intermittent Mandatory Ventilation (IMV / SIMV):
- IMV: Nta guhuza, igihe cyo guhumeka gihinduka mugihe cyo guhumeka.
- SIMV: Syncronisation irahari, igihe cyo guhumeka cyagenwe mbere, cyemerera guhumeka gutangirwa nabarwayi.
- Gutegekwa iminota mike (MMV):
- Nta guhumeka byateganijwe mugihe cyo guhumeka gutangijwe nabarwayi, nigihe cyo guhumeka bihinduka.
- Guhumeka byateganijwe bibaho mugihe hateganijwe umunota uhumeka utagerwaho.
- Inkunga y'ingutu (PSV):
- Itanga infashanyo yinyongera mugihe cyo guhumeka-abarwayi.
- Bikunze gukoreshwa muburyo bwa SIMV + PSV kugirango ugabanye akazi k'ubuhumekero no gukoresha ogisijeni.
Itandukaniro hamwe nibisabwa:
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- IPPV, IPNPV, na CPAP:Byibanze bikoreshwa mubibazo byubuhumekero nabarwayi barwaye ibihaha.Icyitonderwa kirasabwa kwirinda ingaruka zishobora kubaho.
- IMV / SIMV na MMV:Birakwiye kubarwayi bafite guhumeka neza, gufasha mukwitegura mbere yo konka, kugabanya imirimo yubuhumekero, no gukoresha ogisijeni.
- PSV:Kugabanya umutwaro wubuhumekero mugihe uhumeka watangijwe nabarwayi, ubereye abarwayi bananirwa guhumeka.
Umuyaga ku kazi
Uburyo butandatu bwo guhumeka buriwese akora intego zidasanzwe.Mugihe uhitamo uburyo, nibyingenzi gusuzuma imiterere yumurwayi nibisabwa kugirango hafatwe umwanzuro mwiza.Ubu buryo, nkibisobanuro bya muganga, bigomba guhuzwa numuntu kugiti cye kugirango bigaragaze imbaraga zabyo.