Mechini le lisebelisoa tse bolaeang likokoana-hloko tsa phefumoloho ea anesthesia li bapala karolo ea bohlokoa ho netefatsa polokeho le boiketlo ba mokuli nakong ea opereishene.Leha ho le joalo, li boetse li beha likotsi tse ka bang teng tsa phetiso ea tšoaetso haeba li sa hlokomeloe le ho hloekisoa hantle.Tataisong ena, re tla fana ka tlhahisoleseling mabapi le mefuta e fapaneng ea lipotoloho tsa phefumoloho ea anesthesia, likarolo tsa tsona, le mokhoa oa ho khetha potoloho e nepahetseng bakeng sa liopereishene tse fapaneng.Hape re tla fana ka lintlha tse mabapi le mekhoa ea ho bolaea likokoana-hloko le lihlahisoa tse khethehileng kapa mechine e ka sebelisoang ho bolaea likokoana-hloko.Ho feta moo, re tla sebetsana le matšoenyeho le lipotso tse tloaelehileng mabapi le ts'ebeliso ea mochini o thethefatsang bohloko bakeng sa bakuli ba COVID-19 le ho fana ka likhothaletso tsa ho fokotsa kotsi ea phetiso.

Mefuta ea mechine e bolaeang likokoana-hloko e phefumolohang ea Anesthesia

Ho na le mefuta e 'meli e meholo ea lipotoloho tsa phefumoloho ea anesthesia: e bulehileng le e koetsoeng.Li-circuits tse bulehileng, tse tsejoang hape e le li-circuits tse sa phefumoloheng, li lumella likhase tse tsoang ho tsoa ho tsoa tikolohong.Hangata li sebelisoa bakeng sa mekhoa e khutšoanyane kapa ho bakuli ba nang le matšoafo a phetseng hantle.Li-circuits tse koetsoeng, ka lehlakoreng le leng, li tšoara likhase tse tsoang ebe li li khutlisetsa ho mokuli.Li loketse lits'ebetso tse telele kapa ho bakuli ba nang le ts'ebetso ea matšoafo e senyehileng.

Ka har'a mekhahlelo ena e 'meli, ho na le li-subtypes tse' maloa tsa lipotoloho, ho kenyelletsa:

1. Mapleson A / B / C / D: Tsena ke lipotoloho tse bulehileng tse fapaneng ka moralo oa tsona le mekhoa ea phallo ea khase.Hangata li sebelisoa bakeng sa anesthesia ea ho phefumoloha ka tšohanyetso.
2. Bain circuit: Ena ke potoloho e bulehileng e lumellang hore ho be le moea o ikemetseng le o laoloang.
3. Tsamaiso ea selikalikoe: Ena ke potoloho e koetsoeng e nang le mokelikeli oa CO2 le mokotla o phefumolohang.Hangata e sebelisoa bakeng sa anesthesia e laoloang ea ventilation.

Ho khetha potoloho e loketseng ho itšetlehile ka lintlha tse ’maloa, tse kang boemo ba mokuli, mofuta oa ho buuoa le khetho ea ngaka e robatsang ka lithethefatsi.

Mekhoa ea ho thibela likokoana-hloko

Ho bolaea likokoana-hloko ka mokhoa o nepahetseng oa mechine le lisebelisoa tsa anesthesia ho bohlokoa ho thibela ho ata ha tšoaetso.Mehato e latelang e lokela ho lateloa:

1. Hloekisa libaka ka sesepa le metsi ho tlosa litšila le lithōle tse bonahalang.
2. Dibolaya dikokwana-hloko ka sebolaya dikokwana-hloko se dumeletsweng ke EPA.
3. Lumella libaka hore li omelle moeeng.

Ho bohlokoa ho hlokomela hore li-disinfectants tse ling li ka senya lisebelisoa tse itseng kapa likarolo tsa mochini o bolaeang likokoana-hloko oa potoloho ea anesthesia.Ka hona, ho kgothaletswa ho sheba litaelo tsa moetsi bakeng sa mekhoa le lihlahisoa tse khethehileng tsa ho thibela likokoana-hloko.

Matšoenyeho a COVID-19

Tšebeliso eamechine ea phefumoloho ea anesthesia ea potoloho ea disinfectionbakeng sa bakuli ba COVID-19 e hlahisa matšoenyeho mabapi le phetisetso e ka bang teng ea vaerase ka li-aerosol tse hlahisoang nakong ea lits'ebetso tsa intubation le extubation.Ho fokotsa kotsi ena, mehato e latelang e lokela ho nkoa:

1. Sebelisa thepa e loketseng ea ho itšireletsa (PPE), ho kenyeletsoa li-respirator tsa N95, liatlana, mese, le lithebe tsa sefahleho.
2. Sebelisa li-circuits tse koetsoeng neng kapa neng ha ho khoneha.
3. Sebelisa li-filters tsa moea tse sebetsang hantle haholo (HEPA) ho tšoara li-aerosol.
4. Lumella nako e lekaneng bakeng sa phapanyetsano ea moea pakeng tsa bakuli.

Qetello

Tlhokomelo e nepahetseng, ho thibela likokoana-hloko, le tšebeliso ea mechine le lisebelisoa tsa anesthesia li bohlokoa bakeng sa polokeho ea mokuli le taolo ea tšoaetso maemong a kliniki.Lingaka tsa Anesthesiologists li lokela ho tloaelana le mefuta e fapaneng ea lipotoloho tsa phefumoloho 'me li khethe tse loketseng mokuli e mong le e mong le opereishene.Hape ba lokela ho latela mekhoa e nepahetseng ea ho bolaea likokoana-hloko le ho nka mehato ea ho fokotsa kotsi ea tšoaetso nakong ea lits'ebetso tsa bakuli ba COVID-19.