Imashini n'ibikoresho bya Anesthesia bihumeka bigira uruhare runini mukurinda umutekano wumurwayi no guhumurizwa mugihe cyo kubaga.Nubwo bimeze bityo ariko, birashobora no guteza ingaruka zo kwandura iyo bidakurikijwe kandi byanduye neza.Muri iki gitabo, tuzatanga amakuru kubwoko butandukanye bwa anesthesia ihumeka, imiterere yabyo, nuburyo bwo guhitamo umuzunguruko ukwiye kubagwa bitandukanye.Tuzatanga kandi ibisobanuro birambuye kubikorwa byo kwanduza no kwangiza ibicuruzwa cyangwa imashini zishobora gukoreshwa mu kwanduza.Byongeye kandi, tuzakemura ibibazo rusange nibibazo bijyanye no gukoresha imashini ya anesteziya kubarwayi ba COVID-19 tunatanga ibyifuzo byo kugabanya ibyago byo kwandura.
Ubwoko bwa Anesthesia guhumeka imashini zangiza
Hariho ubwoko bubiri bwingenzi bwa anesthesia ihumeka: gufungura no gufunga.Gufungura imiyoboro, bizwi kandi ko bidasubira inyuma, bituma imyuka ihumeka ihungira mu bidukikije.Bikunze gukoreshwa muburyo bugufi cyangwa kubarwayi bafite ibihaha bizima.Ku rundi ruhande, imiyoboro ifunze, ifata imyuka ihumeka ikongera ikayisubiza umurwayi.Birakwiriye kubikorwa birebire cyangwa kubarwayi bafite imikorere yibihaha.
Muri ibi byiciro byombi, hari subtypes nyinshi zumuzunguruko, harimo:
1. Mapleson A / B / C / D: Izi nizunguruka zifunguye zitandukanye muburyo bwazo no muburyo bwa gazi.Bakunze gukoreshwa muburyo bwo guhumeka bidatinze.
2. Inzira yumuzunguruko: Uyu ni umuzenguruko ufunguye utuma habaho guhumeka neza.
3. Sisitemu y'uruziga: Uyu ni umuzunguruko ufunze ugizwe na CO2 ikurura hamwe n umufuka uhumeka.Bikunze gukoreshwa muburyo bwo guhumeka neza.
Guhitamo umuzunguruko ukwiye biterwa nimpamvu nyinshi, nkuburyo umurwayi ameze, ubwoko bwo kubaga, hamwe n’ibyifuzo bya anesthesiologue.
Uburyo bwo Kwanduza
Kurandura neza imashini n'ibikoresho bya anesteziya ni ngombwa mu gukumira ikwirakwizwa ry'indwara.Intambwe zikurikira zigomba gukurikizwa:
1. Sukura hejuru yisabune namazi kugirango ukureho umwanda n imyanda.
2. Kurandura ubuso hamwe na EPA yemewe na disinfectant.
3. Emerera ubuso guhumeka.
Ni ngombwa kumenya ko imiti yica udukoko ishobora kwangiza ibikoresho bimwe na bimwe bigize anesthesia ihumeka imashini zangiza.Kubwibyo, birasabwa kugisha inama amabwiriza yakozwe nuburyo bwihariye bwo kwanduza indwara.
COVID-19 Ibibazo
Ikoreshwa ryaanesthesia guhumeka imashini zangizakubarwayi ba COVID-19 batera impungenge impungenge zishobora kwanduza virusi binyuze muri aerosole ikorwa mugihe cyo gutangiza no kwagura.Kugira ngo iyi ngaruka igabanuke, hagomba gufatwa ingamba zikurikira:
1. Koresha ibikoresho bikingira umuntu (PPE), harimo ubuhumekero bwa N95, gants, amakanzu, n'ingabo zo mu maso.
2. Koresha imiyoboro ifunze igihe cyose bishoboka.
3. Koresha akayunguruzo keza cyane (HEPA) muyungurura kugirango ufate aerosole.
4. Emerera umwanya uhagije wo guhanahana ikirere hagati yabarwayi.
Umwanzuro
Kubungabunga neza, kwanduza, no gukoresha imashini nibikoresho bya anesteziya ni ngombwa mu kurinda abarwayi no kurwanya indwara mu mavuriro.Anesthesiologiste agomba kuba amenyereye ubwoko butandukanye bwimyuka ihumeka hanyuma agahitamo igikwiye kuri buri murwayi no kubagwa.Bagomba kandi gukurikiza uburyo bukwiye bwo kwanduza no gufata ingamba zo kugabanya ibyago byo kwandura mugihe cy’abarwayi ba COVID-19.
