Mwisi yimashini ya anesthesia, hariho ikintu cyoroheje ariko gikomeye kizwi nka APL (Adjustable Pressure Limiting) valve.Iki gikoresho kidasuzuguritse, gikunze gukoreshwa naba anesthetiste mugihe cyubuvuzi, kigira uruhare runini mukurinda umutekano ningaruka zo guhumeka abarwayi.
Ihame ryakazi rya APL Valve
Umuyoboro wa APL ukora ku ihame ryoroshye ariko ryingenzi.Igizwe na disiki yuzuye isoko, kandi imikorere yayo ikubiyemo guhindura umuvuduko mukuzunguruka.Muguhindura ipfundo, impagarara zimpeshyi bityo igitutu gikoreshwa kuri disiki kirashobora guhinduka.Umuyoboro ukomeza gufungwa kugeza umuvuduko wumuzunguruko uhumeka, ugereranywa numwambi wicyatsi, urenze imbaraga zikoreshwa nisoko, zerekanwa numwambi wijimye.Gusa rero, valve irakingura, yemerera gaze cyangwa igitutu kirenze.Gazi yasohowe na valve ya APL mubusanzwe yerekeza kuri sisitemu yo gusiba, bigatuma imyuka irenze ikurwa mubyumba ikoreramo.
Porogaramu ya APL Agaciro
Kugenzura Anesthesia Imashini Ubunyangamugayo
Imikorere imwe yingenzi ya APL valve ni mukugenzura ubusugire bwimashini ya anesthesia.Uburyo butandukanye, ukurikije amabwiriza yabakozwe, burashobora gukoreshwa.Kurugero, nyuma yo guhuza imashini ya anesthesia numuyoboro uhumeka, umuntu arashobora gufunga valve ya APL, akabuza Y-umuhuza wumuzunguruko uhumeka, hanyuma agahindura umwuka wa ogisijeni hamwe na valve yihuta kugirango ugere kumuvuduko wumuyaga usoma cm 30H2O.Niba icyerekezo gikomeje gushikama byibuze amasegonda 10, bisobanura ubudakemwa bwimashini.Mu buryo nk'ubwo, umuntu arashobora kugerageza imashini ashyiraho valve ya APL kuri cm 70H2O, gufunga umwuka wa ogisijeni, no kwishora vuba.Niba umuvuduko ugumye kuri cm 70H2O, byerekana sisitemu ifunze neza.
Guhumeka abarwayi-Byihuse
Mugihe cyo guhumeka k'umurwayi bidatinze, valve ya APL igomba guhinduka kuri “0” cyangwa “Spont.”Igenamiterere rifungura byimazeyo valve ya APL, urebe ko umuvuduko uri mumuzinga uhumeka ukomeza kuba hafi zeru.Ibi bikoresho bigabanya abarwayi barwanya ubundi bahura nabyo mugihe cyo guhumeka kwizana.
Kwinjiza Ventilation Yagenzuwe
Guhumeka intoki, valve ya APL ihindurwa mugihe gikwiye, mubisanzwe hagati ya cm 20-30H2O.Ibi nibyingenzi nkumuvuduko wumuyaga uhumeka ugomba kubikwa munsi ya cm 35H₂O.Iyo utanze umwuka mwiza uhumeka umufuka uhumeka, niba igitutu mugihe cyo guhumeka kirenze igiciro cyagenwe cya APL, valve ya APL irakinguka, bigatuma gaze irenze igahunga.Ibi byemeza ko igitutu kigenzurwa, bikarinda kugirira nabi umurwayi.
Kubungabunga imashini zikoreshwa mugihe cyo kubaga
Mugihe cyo guhumeka, imashini ya APL irarengerwa, kandi igenamiterere ryayo ntirigira ingaruka nke.Ariko, mu rwego rwo kwirinda, biramenyerewe guhindura valve ya APL kuri “0” mugihe cyo kugenzura imashini.Ibi byorohereza inzibacyuho yo kugenzura intoki nyuma yo kubagwa kandi bigufasha kwitegereza guhumeka bidatinze.
Kwagura ibihaha munsi ya Anesthesia
Niba ifaranga ry'ibihaha rikenewe mugihe cyo kubagwa, valve ya APL yashyizwe ku gaciro kihariye, ubusanzwe hagati ya cm 20-30H₂O, bitewe n'umuvuduko ukenewe wa tekinike.Agaciro gatuma ifaranga rigenzurwa kandi rikirinda umuvuduko ukabije ku bihaha by’umurwayi.
Mu gusoza, mugihe valve ya APL ishobora gusa nkaho itagaragara kwisi yimashini ya anesteziya, uruhare rwayo ni ntagushidikanya.Ifasha mu mutekano w'abarwayi, guhumeka neza, no gutsinda muri rusange inzira z'ubuvuzi.Gusobanukirwa nuburyo bwa valve ya APL nibisabwa bitandukanye ni ngombwa kubashinzwe gutera aneste ninzobere mu buvuzi kugira ngo abarwayi babeho neza.
