Izesekeli zomshini wokubulala izinzwa zidlala indima ebaluleke kakhulu ekuqinisekiseni ukulethwa okuphephile nokuphumelelayo kwe-anesthesia ezigulini.Phakathi kwalezi zinsiza, umjikelezo wokuphefumula ubamba ukubaluleka okubalulekile njengoba wenza kube lula ukulethwa komoyampilo kanye namagesi okubulala izinzwa ngenkathi kususwa i-carbon dioxide.
Ukusebenza Kweziyingi Zokuphefumula:
Amasekhethi okuphefumula, njengengxenye ebalulekile yemishini yokubulala izinzwa, enza imisebenzi eminingana ebalulekile ngesikhathi sokuphathwa kwe-anesthesia.Ukuqonda indima yabo kubalulekile ukuze ubambe ukubaluleka kwazo njengezesekeli.Imisebenzi eyinhloko yamasekhethi okuphefumula ihlanganisa:
Ukulethwa Kwe-Oxygen Ne-Anesthetic Gas:
Inhloso eyinhloko yomjikelezo wokuphefumula ukuletha ingxube ye-oxygen namagesi okubulala izinzwa esigulini.La magesi alawulwa ngokucophelela futhi alungiswe ngokuvumelana nezidingo zesiguli kanye nenqubo yokuhlinzwa.Umjikelezo wokuphefumula uqinisekisa ukulethwa okunembile kwala magesi ukuze kugcinwe ukujula okufunayo kokubulala izinzwa.
Ukuqedwa kweCarbon Dioxide:
Phakathi ne-anesthesia, umzimba wesiguli ukhiqiza i-carbon dioxide, okudingeka iqedwe ukuze kugcinwe indawo yokuphefumula ephephile futhi ezinzile.Isekhethi yokuphefumula yenza kube lula ukukhishwa kwe-carbon dioxide ngokusebenzisa izindlela ezihlukahlukene, njengokugeleza kwegesi okusha (FGF) okwanele noma ukusetshenziswa kwezinto ezimunca i-soda lime.
Izinzuzo Zeziyingi Zokuphefumula Njengezesekeli Zomshini Wokubulala Izinzwa:
Ukuphepha Kwesiguli:
Amasekhethi okuphefumula adlala indima ebalulekile ekugcineni ukuphepha kwesiguli ngesikhathi sokuphathwa kwe-anesthesia.Ngokuletha ukugxila okunembile kwe-oksijeni namagesi okubulala izinzwa, izifunda ziqinisekisa ukuthi iziguli zithola amazinga afanele we-anesthesia ngenkathi zigcina i-oxygenation eyanele.Ukususwa okusebenzayo kwe-carbon dioxide nakho kunomthelela endaweni ezinzile yokuphefumula, ukunciphisa ingozi yezinkinga.
Ukujwayela Izinqubo Ezihlukene:
Amasekhethi okuphefumula omshini wokubulala izinzwa anikeza ukuguquguquka nokuzivumelanisa nezimo ukuze kuhlangatshezwane nezinqubo ezihlukahlukene zokuhlinzwa.Izinhlobo ezahlukene zamasekhethi okuphefumula, njengeziyingi ezivulekile, ezivalwe kancane, nezivaliwe, zingakhethwa ngokusekelwe ezidingweni ezithile zenqubo, izici zesiguli, kanye nezintandokazi zokubulala izinzwa.Lokhu kuvumelana nezimo kuthuthukisa ukuguquguquka nokusebenza ngempumelelo kokulethwa kwezinzwa.
Ukulawula Igesi Yokubulala Imfucuza:
Amasekhethi okuphefumula adlala indima ekunciphiseni ukukhishwa kwamagesi abulala izinzwa endaweni yegumbi lokusebenza.Ngokuletha amagesi ngokuphumelelayo esigulini kanye nokwenza lula ukususwa kwawo, amasekhethi okuphefumula asiza ukunciphisa ukuchayeka kuma-ejenti okubulala izinzwa, ukuvikela kokubili abahlinzeki bezempilo neziguli.
Ukuhambisana Nokuhlanganiswa:
Imishini yesimanje yokubulala izinzwa yenzelwe ukuhlanganisa ngaphandle komthungo nezinhlelo ezihlukahlukene zokuphefumula.Lokhu kuhambisana kuqinisekisa ukuthi amasekhethi okuphefumula asebenza kahle ngaphakathi kokusethwa komshini wokubulala izinzwa, okuthuthukisa ukusebenza kohlelo lonke kanye nokusebenziseka kalula.
Isiphetho:
Izesekeli zomshini wokubulala izinzwa, ikakhulukazi amasekhethi okuphefumula, ziyizingxenye ezibalulekile ezifaka isandla ekulawuleni okuphephile nokusebenzayo kokubulala izinzwa.Ngokuletha ukugxila okunembile komoyampilo kanye namagesi okubulala izinzwa kuyilapho kuqeda ngempumelelo i-carbon dioxide, amasekhethi okuphefumula athuthukisa ukuphepha kwesiguli futhi anikeze ukuguquguquka ezinqubweni zokuhlinzwa ezihlukahlukene.Abahlinzeki bezokunakekelwa kwempilo kufanele babone ukubaluleka kwamasekhethi okuphefumula njengezesekeli zomshini wokulalisa izinzwa futhi baqinisekise ukukhetha kwawo okufanele, ukusetshenziswa kwawo, kanye nokunakekelwa kwawo ukuze kuthuthukiswe imiphumela yokulethwa kwezinzwa.
