I-ventilator iyisisetshenziswa sezokwelapha esisetshenziswa kakhulu esiza noma esithatha indawo yokuphefumula kwesiguli.Ngesikhathi sokufakwa kwe-ventilator, kunezindlela eziningi zokungenisa umoya ngemishini ongakhetha kuzo, ngayinye enezinkomba nezinzuzo ezithile.Lesi sihloko sizokwethula izindlela eziyisithupha ezijwayelekile zokungenisa umoya ngomshini futhi sihlole izinhlelo zabo zomtholampilo.

I-Intermittent Positive Pressure Ventilation (IPPV)

I-Intermittent Positive Pressure Ventilation iyindlela evamile yokukhipha umoya ngemishini lapho isigaba sokuphefumula sinokucindezela okuhle, futhi isigaba sokuphelelwa umoya sikuziro.Le modi isetshenziswa kabanzi ekulawuleni iziguli ezinezifo ezingamahlalakhona ezithikamezayo (COPD) nokunye ukwehluleka ukuphefumula.Ngokusebenzisa ukucindezela okuhle, imodi ye-IPPV ingathuthukisa ukushintshaniswa kwegesi nokusebenza kahle komoya, inciphise umthwalo wokusebenza emisipha yokuphefumula.

I-Intermittent Positive-Negative Pressure Ventilation (IPNPV)

I-Intermittent Positive-Negative Pressure Ventilation ingenye indlela evamile yokuphefumula kwemishini lapho isigaba sokuphefumula siwukucindezela okuhle, futhi isigaba sokuphelelwa umoya siwukucindezela okungalungile.Ukusetshenziswa kokucindezela okungalungile phakathi nesigaba sokuphelelwa umoya kungase kuholele ekuweni kwe-alveolar, okuholela ku-atelectasis ye-iatrogenic.Ngakho-ke, ukuqapha kuyelulekwa uma usebenzisa imodi ye-IPNPV ekusebenzeni komtholampilo ukuze kugwenywe imiphumela emibi engaba khona.

I-Continuous Positive Airway Pressure (CPAP)

I-Continuous Positive Airway Pressure iyindlela yokungenisa umoya eyimishini efaka ingcindezi eqhubekayo eqondile emzileni womoya kuyilapho isiguli sisakwazi ukuphefumula ngokuzenzakalelayo.Le modi isiza ukugcina i-patency yomoya ngokusebenzisa izinga elithile lokucindezela okuhle kuwo wonke umjikelezo wokuphefumula.Imodi ye-CPAP ivamise ukusetshenziselwa ukwelapha izimo ezifana ne-sleep apnea syndrome kanye ne-neonatal Respiratory Distress Syndrome ukuze kuthuthukiswe umoya-mpilo kanye nokunciphisa i-hypoventilation.

Ukungenisa komoya Okuphoqelekile Kwesikhashana kanye Nokungenisa Kamoya Okuphoqelekile Okuvumelanisiwe Kwesikhashana (IMV/SIMV)

I-Intermittent Mandatory Ventilation (IMV) iyimodi lapho umshini wokungenisa umoya ungadingi ukuphefumula okubangelwa isiguli, futhi ubude bokuphefumula ngakunye abushintshi.Ngakolunye uhlangothi, i-synchronized Intermittent Mandatory Ventilation (SIMV), ngakolunye uhlangothi, isebenzisa idivayisi yokuvumelanisa ukuletha ukuphefumula okuyisibopho esigulini ngokusekelwe kumingcele yokuphefumula ehleliwe ngenkathi ivumela isiguli ukuba siphefumule ngokuzenzakalelayo ngaphandle kokuphazanyiswa yi-ventilator.

Izindlela ze-IMV/SIMV zivame ukusetshenziswa ezimweni lapho amazinga aphansi okuphefumula agcinwa nge-oxygenation enhle.Le modi ivame ukuhlanganiswa ne-Pressure Support Ventilation (PSV) ukunciphisa umsebenzi wokuphefumula nokusetshenziswa komoya-mpilo, ngaleyo ndlela kuvinjwe ukukhathala kwemisipha yokuphefumula.

Ukuphefumula Ngemizuzu Eyimpoqo (MMV)

Ukuphefumula Ngamaminithi Okuphoqelekile kuyimodi lapho umshini wokungenisa umoya unikeza ingcindezi eqhubekayo ngaphandle kokuletha ukuphefumula okuyimpoqo lapho izinga lokuphefumula lesiguli lidlula umzuzu omisiwe wokuphefumula.Lapho izinga lokuphefumula kwesiguli elizenzakalelayo lifinyelela kumzuzu wokuphefumula omisiwe, umshini wokungenisa umoya uqala ukuphefumula okuyimpoqo ukuze andise umoya omncane wokuphefumula ufike ezingeni elifunekayo.Imodi ye-MMV ivumela ukulungiswa okusekelwe ekuphefumuleni okuzenzakalelayo kwesiguli ukuze kuhlangatshezwane nezidingo zokuphefumula.

I-Pressure Support Ventilation (PSV)

I-Pressure Support Ventilation iyindlela yokungenisa umoya ngomshini eletha izinga elinqunyiwe lokusekelwa kwengcindezi phakathi nomzamo ngamunye wokuphefumula owenziwa isiguli.Ngokunikeza ukwesekwa okwengeziwe kwengcindezi yokuphefumula, imodi ye-PSV ithuthukisa ukujula kogqozi kanye nevolumu ye-tidal, yehlisa umthwalo wokuphefumula.Ivamise ukuhlanganiswa nemodi ye-SIMV futhi isetshenziswe njengesigaba sokulumula ukuze kuncishiswe umsebenzi wokuphefumula nokusetshenziswa komoyampilo.

Kafushane, izindlela ezivamile zokungenisa komoya ngomshini zifaka umoya opholile ophakathi nendawo, Umoya Ongena Ngaphakathi Owe-Positive-Negative, Ukucindezela Okuqhubekayo Kwe-Airway, Ukuphefumula Okuphoqelekile Okuphoqelekile, Ukuphefumula Okuphoqelekile Okuvumelanisiwe, Ukuphefumula Ngemizuzu Ephoqelekile, kanye Nokuphefumula Kokusekela Ingcindezi.Imodi ngayinye inezinkomba nezinzuzo ezithile, futhi ochwepheshe bezokunakekelwa kwempilo bakhetha imodi efanele ngokusekelwe esimweni nezidingo zesiguli.Ngesikhathi kusetshenziswa i-ventilator, odokotela nabahlengikazi benza izinguquko ezifike ngesikhathi kanye nokuhlola okusekelwe ekuphenduleni kwesiguli kanye nezinkomba zokuqapha ukuze kuqinisekiswe ukwesekwa kokungena komoya okuyimishini.