Oomatshini bokubulala iintlungu zizixhobo ezibalulekileyo zokubonelela nge-anesthesia ekhuselekileyo nesebenzayo kwizigulane ngexesha leenkqubo zotyando.Enye into ebalulekileyo yaba matshini yinkqubo yokuphefumla, enoxanduva lokuhambisa ioksijini kunye neegesi ze-anesthetic kwisigulana.Kukho iintlobo ngeentlobo zeenkqubo zokuphefumla ezikhoyo, nganye ineengenelo zayo kunye nezinto ezingeloncedo ngayo.Ke, yeyiphi eyona nkqubo ifanelekileyo yokuphefumla kumatshini wokuthomalalisa iintlungu?
Olunye ukhetho oludumileyo yiinkqubo yokuphefumla isangqa.Le nkqubo isebenzisa isiphaluka esivaliweyo ukuze iphinde ijikeleze iigesi eziphumayo, ukunciphisa inkunkuma kunye nokugcina iigesi ze-anesthetic.Inkqubo yesangqa ikwabandakanya i-carbon dioxide absorber, esusa i-carbon dioxide kwiigesi eziphumayo ngaphambi kokuba ziphinde zijikelezwe.Isiphumo sisixokelelwano esisebenza kakuhle kwaye esinexabiso eliphezulu esinikezela ngezixa ezichanekileyo zeoksijini kunye neegesi ze-anesthetic kwisigulane.
Enye inketho yinkqubo yeMapleson, esebenzisa uluhlu lweetyhubhu kunye neevalvu ukuhambisa iigesi ezintsha kwisigulane kunye nokususa iigesi eziphumayo.Le nkqubo iguquguqukayo kwaye ingasetyenziswa kunye nabantu abadala kunye nabantwana, iyenza ibe lukhetho oludumileyo kwiindawo ezininzi zonyango.Nangona kunjalo, inkqubo ye-Mapleson inokusebenza ngaphantsi kwenkqubo yesangqa, kwaye inokufuna amazinga aphezulu okuhamba ukuze kugcinwe amanqanaba aneleyo oksijini kunye ne-anesthesia.
Inketho yesithathu yinkqubo ye-Bain, efana nenkqubo ye-Mapleson kodwa iquka ityhubhu ye-coaxial ehambisa iigesi ezintsha ngokuthe ngqo kwi-airway yesigulane.Le nkqubo iyaziwa ngokusebenza kwayo kunye nokukwazi ukubonelela ngamanqanaba achanekileyo nachanekileyo e-anesthesia, okwenza kube lukhetho oludumileyo kwiingcali ezininzi zonyango.
Ekugqibeleni, inkqubo yokuphefumla efanelekileyo yomatshini wokuthomalalisa i-anesthetic iya kuxhomekeka kwizinto ezahlukeneyo, kubandakanywa neemfuno ezithile zesigulane, uhlobo lotyando olwenziwayo, kunye nokukhethwa kweqela lezonyango.Iingcali zonyango kufuneka ziqwalasele ngononophelo ezi zinto xa zikhetha inkqubo yokuphefumla yomatshini wazo wokuthomalalisa iintlungu ukuze ziqinisekise iziphumo ezingcono ezinokubakho kwizigulana zabo.
Ukuba unomdla wokufunda ngakumbi malunga neentlobo ezahlukeneyo zeenkqubo zokuphefumla ezifumanekayo koomatshini bokuthomalalisa iintlungu okanye ufuna uncedo ekukhetheni inkqubo efanelekileyo kwiziko lakho lezonyango, qhagamshelana nomthengisi wezixhobo zokuthomalalisa iintlungu okanye uthethe nesebe lesibhedlele sokuthomalalisa iintlungu ukuze ufumane isikhokelo.
Ukuqukumbela, ukukhetha inkqubo yokuphefumula echanekileyo kumatshini we-anesthetic sisigqibo esibalulekileyo esinokuchaphazela ukhuseleko lwesigulane kunye neziphumo.Ngokuqwalasela ngokucophelela ukhetho kunye nokukhetha inkqubo ehambelana kakuhle neemfuno zezigulane zabo, abaqeqeshi bezonyango banokubonelela nge-anesthesia ekhuselekileyo nesebenzayo ngexesha leenkqubo zotyando.
