Ngokuthuthuka kobuchwepheshe bezokwelapha, ama-ventilators avele njengamathuluzi okusindisa impilo ezigulini ezihluleka ukuphefumula.Kodwa-ke, kubalulekile ukuqonda ukuthi la madivaysi asebenza ngezindlela eziyisithupha ezihlukene zokungenisa umoya.Ake sihlole umehluko phakathi kwalezi zindlela.
Isimo sokusebenzisa i-Ventilator
Izindlela Eziyisithupha Zokuvula Kagesi Kwemishini Yemishini Yokuphefumula:
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- I-Intermittent Positive Pressure Ventilation (IPPV):
- Isigaba sokuphefumula siwukucindezela okuhle, kuyilapho isigaba sokuphelelwa umoya siwumfutho oyiziro.
- Isetshenziselwa ikakhulukazi iziguli ezihluleka ukuphefumula njenge-COPD.
- I-Intermittent Positive and Negative Pressure Ventilation (IPNPV):
- Isigaba sokuphefumula siwukucindezela okuhle, kuyilapho isigaba sokuphelelwa umoya siwukucindezela okungalungile.
- Ukuqapha kuyadingeka ngenxa yokuwa okungenzeka kwe-alveolar;evame ukusetshenziswa ocwaningweni lwaselabhorethri.
- I-Continuous Positive Airway Pressure (CPAP):
- Igcina ingcindezi eqhubekayo eqondile endleleni yokuphefumula ngesikhathi sokuphefumula okuzenzakalelayo.
- Isebenza ekwelapheni izimo ezifana ne-apnea yokulala.
- Ukungenisa komoya Okuphoqelekile Kwesikhashana kanye Nokuvunyelaniswa Kwesikhashana Okuphoqelekile Kokungenisa umoya (IMV/SIMV):
- I-IMV: Akukho ukuvumelanisa, isikhathi sokungenisa umoya esiguquguqukayo ngomjikelezo wokuphefumula ngamunye.
- I-SIMV: Ukuvumelanisa kuyatholakala, isikhathi sokungenisa umoya sinqunywe kusengaphambili, okuvumela ukuphefumula okuqalwe yisiguli.
- Ukungena komoya Ngamaminithi Okuphoqelekile (MMV):
- Akukho ukungena komoya okuyimpoqo ngesikhathi sokuphefumula okuqalwa yisiguli, kanye nesikhathi sokuphefumula esiguquguqukayo.
- Ukungena komoya okuyimpoqo kwenzeka lapho ukungena komoya osesikhathini esimisiwe kungatholakali.
- I-Pressure Support Ventilation (PSV):
- Inikeza ukwesekwa kwengcindezi eyengeziwe phakathi nokuphefumula okuqalwe yisiguli.
- Okuvame ukusetshenziswa kumodi ye-SIMV+PSV ukunciphisa umsebenzi wokuphefumula nokusetshenziswa komoyampilo.
Umehluko kanye Nezimo Zokusebenza:
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- IPPV, IPNPV, ne-CPAP:Ngokuyinhloko isetshenziselwa ukuhluleka kokuphefumula kanye neziguli zezifo zamaphaphu.Ukuqapha kuyelulekwa ukugwema imiphumela emibi engase ibe khona.
- I-IMV/SIMV ne-MMV:Ifanele iziguli ezinokuphefumula okuhle okuzenzakalelayo, ezisiza ekulungiseleleni ngaphambi kokulunyulwa, ezinciphisa umsebenzi wokuphefumula, nokusebenzisa umoya-mpilo.
- I-PSV:Yehlisa umthwalo wokuphefumula ngesikhathi sokuphefumula okuqalwa yisiguli, kulungele iziguli ezihlukene zokuphefumula.
I-Ventilator emsebenzini
Izindlela eziyisithupha zokungenisa umoya zama-ventilator ngayinye inezinjongo ezihlukile.Lapho ukhetha imodi, kubalulekile ukucabangela isimo sesiguli kanye nezimfuneko ukuze wenze isinqumo esihlakaniphile.Lezi zindlela, njengencwadi kadokotela, zidinga ukulungiselelwa komuntu ngamunye ukuze zikhiphe ukusebenza kwazo okuphezulu.