Emkhakheni wezokwelapha zesimanje, ama-ventilators ngokungangabazeki angamathuluzi ezokwelapha abalulekile.Basebenza njengabaqaphi abaqotho, abahlale bekulungele ukunikeza usizo lokuphefumula ezigulini.
Njengendlela ephumelelayo yokufaka umoya wokwenziwa, ama-ventilator adlala indima ebalulekile ekuvimbeleni nasekwelapheni ukwehluleka ukuphefumula, ekwehliseni izinkinga, nasekweluleni ukuphila kweziguli.Kodwa-ke, izinzwa zokugeleza kuma-ventilators, asebenza njengamatshe ayigugu, ziyizingxenye ze-elekthronikhi ezizwela kakhulu ezidinga ukunakekelwa okucophelelayo.
Ukunganaki ekunakekeleni okujwayelekile nasekubulaweni amagciwane kungaholela ekulimaleni kwezinzwa ngisho nokungcoliswana okuphambene, kubeke ubungozi ezigulini ezithembele kuma-ventilators ukuze bathole ukwesekwa kokuphefumula okuphephile.
Ngakho-ke, kubalulekile ukwazisa nokunakekela izinzwa zokugeleza kuma-ventilators.Ukuhlanza njalo nokubulala amagciwane kwezinzwa kufanele kwenziwe ukuze kugcinwe ukuhlanzeka nokuhlanzeka.Ukwengeza, ukuhlolwa kokuzwela ngezikhathi ezithile kuyadingeka ukuze kuqinisekiswe ukuqapha okunembile kwezimo zokuphefumula zeziguli.
Ukubulala amagciwane, izibulala-magciwane ezifanele kanye nezindlela ezifanele kufanele zisetshenziswe.Isibonelo, indawo yenzwa ingasulwa kahle ngotshwala bezokwelapha obungama-75%, noma ukuvala inzalo kwesitimu esinomfutho omkhulu kungasetshenziswa.Kufanele kuqashelwe ukuvikela izibulala-magciwane ukuthi zingangeni ezingxenyeni zangaphakathi zenzwa ukugwema umonakalo.
Kusukela ngawo-1990, izinzwa zokugeleza zidlale indima ebalulekile kuma-ventilators, zibona ukukhula okusheshayo kobuchwepheshe bokungenisa umoya.Namuhla, izinzwa zokugeleza seziphenduke izingxenye ezijwayelekile kuma-ventilators aphakathi kuya phezulu.Ngekhono labo lokuzwa elibukhali, baguqula ukugeleza kwegesi ehogelwe futhi ekhishwa umoya ibe amasignali kagesi, inikeze idatha enembile kumjikelezo wokucubungula isignali ukuze kuqashwe isikhathi sangempela kanye nokuboniswa kwevolumu ye-tidal, umoya omncane, kanye nezinga lokugeleza.
Emkhakheni wezokwelapha zasemtholampilo, izinzwa ezigeleza ngokuyinhloko zisetshenziselwa ukuthwebula nokuhumusha izimpawu zebhayoloji yabantu, ukuhlinzeka ochwepheshe bezokunakekelwa kwempilo ngolwazi lwesiguli olunembile nolunembile.Kuma-ventilators, njengengxenye ewumgogodla, izinzwa zokugeleza zinika amandla ukuqapha ngesikhathi sangempela izimo zokuphefumula zeziguli, zihlinzeka ngemininingwane yokuphefumula enembile ukusiza odokotela ekwenzeni izinhlelo zokwelashwa ezinembe kakhudlwana.Ukuba khona kwabo kuvumela ochwepheshe bezokunakekelwa kwempilo ukuthi bahlole kalula isimo sokuphefumula seziguli ukuze bathole ukungenelela okufika ngesikhathi nangempumelelo.
Izingxenye ezikhethekile zama-ventilators, kufaka phakathi ama-valve aphefumulayo kanye nezinzwa zokugeleza ekugcineni kokuphelelwa umoya, zidinga ukunakwa ngesikhathi sokukhipha amagciwane kusetshenziswa imishini efana ne-I-Anesthesia Breathing CircuitUkubulala amagciwaneUmshini.Ngenxa yemvelo ebucayi yenzwa, kuyancomeka ukususa inzwa ukuze ugweme ukulimala okungadingekile.
Izindlela zokubulala amagciwane zingabandakanya:
Izihlungi zamagciwane: Kungcono ukusebenzisa izihlungi zebhaktheriya ngesikhathi sokufakwa kwenzwa ukuze kuqinisekiswe ukutholwa okunembile nokwelula isikhathi sokuphila senzwa.Nokho, ukusetshenziswa isikhathi eside kwezihlungi zebhaktheriya kungandisa ukumelana nokuphelelwa umoya, okudinga ukushintshwa njalo.
Ukukhipha amagciwane ngotshwala: Ngemuva kokusetshenziswa, kubalulekile ukuthi ungacwilisi ngokushesha inzwa otshwaleni ukuze ubulawe amagciwane.Kufanele ivunyelwe ukuba iphole ngokwemvelo okungenani imizuzu engama-30.Lokhu kungenxa yokuthi intambo eshisayo yezinga eliphezulu lokushisa (efika ku-400°C) izosha uma ichayeke otshwaleni.Ngesikhathi sokuhlanza nokubulala amagciwane, kunconywa ukucwiliswa ngobumnene, ugweme ukuzamazama okunamandla oketshezini ukuze kuvinjelwe ukuphuka kwentambo.Uma inzwa idinga ukucwiliswa ku-70% wotshwala, kufanele icwiliswe ihora elilodwa bese yomiswa emoyeni ngokwemvelo, ngaphandle kokusebenzisa ama-swabs kakotini ukuze kwesule.
Kafushane, ezinzwa zokugeleza, kubalulekile ukuzivumelanisa nezindlela ezahlukahlukene zokubulala amagciwane, ucabangele ukusebenza kahle kwezindleko phakathi nokusetshenziswa, futhi wandise isikhathi sazo sokuphila.Izikhungo zezempilo kumele zicubungule ngokucophelela lezi zici ezibalulekile lapho kukhethwa ama-ventilators.
Kodokotela bemitholampilo kanye nonjiniyela be-biomedical, ukuba nolwazi lokunakekelwa okujwayelekile nokunakekelwa kwezinzwa zokugeleza kuma-ventilators kunenzuzo enkulu ekusebenziseni kwabo, ukuxazulula izinkinga, ukuhlanza, nokubulala amagciwane.Isebenza njengokhiye oguquguqukayo ovula izizinda zokusetshenziswa kwe-ventilator, ukulungiswa, ukuxazulula izinkinga, nokuhlanzeka.Lolu lwazi alugcini nje ngokuthuthukisa ikhono labo lokusebenzisa nokugcina ama-ventilators kodwa futhi lusebenza njengosizo olubalulekile ekuxazululeni izinkinga lapho kudingeka.
Amagama angukhiye avamile: ama-ventilator, izinzwa zokugeleza, ukunakekelwa, ukubulala amagciwane, ukungcoliswa, ukuhlanzeka, inhlanzeko, okokuhlunga amagciwane, ukubulala amagciwane ngotshwala, ochwepheshe bezokunakekelwa kwempilo, ukuqapha kwesikhathi sangempela, izinhlelo zokwelapha, onjiniyela be-biomedical.
