Q&A
Q: Kodi nditsegule dzenje lazinthu zambiri pa chigoba kuti ndilimbikitse kuthamangitsidwa kwa CO2?
A: Kutsegula mabowo ambiri pa chigoba kulimbikitsa kuthamangitsidwa kwa CO2 sikumalimbikitsa kuthamangitsidwa kwa CO2 mwa odwala.Komabe, pamene wodwala ali ndi CO2 yosungira kwambiri, yomwe imakhalabe yapamwamba pambuyo pa kusintha kokhazikika kwa makina osagwiritsa ntchito mpweya wabwino, magawo, ndi kusankha chigoba, ndipo chigoba chikugwirizana kwambiri ndi nkhope ya wodwalayo ndikutuluka pang'ono kwa mpweya, dzenje laling'ono likhoza kutsegulidwa kuonjezera kuchuluka kwa mpweya kutayikira mwangozi.Mbali imeneyi ya mpweya kutayikira akhoza kuchepetsa akufa danga chigoba, kuchepetsa mobwerezabwereza kupuma mpweya wa carbon dioxide ndi kulimbikitsa kukhetsa mpweya woipa, koma kusamala ziyenera kuchitidwa kuwunika mpweya kutayikira voliyumu kuti si lalikulu kwambiri, apo ayi izo zidzatero. kumabweretsa kulipidwa kwakukulu kwa mpweya, kuchulukitsitsa kwa odwala, kuthamanga kwa mpweya woyambira, kumapangitsa kuchepa kwa kuthamanga kwa mpweya, kusokoneza kuyenda kwa mpweya woyambira, nthawi yayitali yolumikizirana, kuyambitsa kuchedwa kapena choyambitsa chosasinthika, kapena choyambitsa cholakwika, makamaka chifukwa choyambitsa kukhudzidwa kwakukulu, komanso kumachepetsanso mpweya wabwino kapena kupangitsa kuti zisagwire ntchito.
Q: Pogwiritsa ntchito njira ya VCV, pamakhala kutsika kwapang'onopang'ono pamene kuthamanga kwa magazi kumakwera, koma mawonekedwe a mafunde amabwerera mwakale atatha kusinthira ku mapapo ofananitsa.
A: Kwa odwala omwe akudwala kwambiri omwe akulandira mpweya wabwino wa makina, kutuluka kwa airbag kumakhala koopsa kwambiri.Ngati kutuluka kwa airbag kuzindikirika pakapita nthawi, chithandizo chamsanga sichingabweretse mavuto aakulu.Ngati kutayikirako sikunadziwike pakapita nthawi kapena kuchuluka kwa kutulutsa kwa mpweya kumakhala kwakukulu, kungayambitse mpweya wosakwanira kwa odwala omwe akudwala kwambiri, zomwe zimapangitsa kuti mpweya wa carbon dioxide usungidwe ndi hypoxemia, zomwe zingayambitse mavuto aakulu ndipo zingakhale zoopsa kwa odwala kwambiri. odwala.
Q: Wodwalayo amakhazikika bwino ndipo magawowo amaikidwa moyenera, nchifukwa ninji kuthamanga kwa mpweya kumakhala koopsa kwambiri?
A: Ngati mutha kusanja kulimbana ndi makina amunthu, ndi zovuta za parameter.Ndiye nkhani zazikulu ziyenera kutchula zotsatirazi.
1. Mayendedwe olowera mpweya kapena mpweya umayambitsa
Dongosolo la mpweya wabwino nthawi zambiri limatsekedwa ndi dera losweka;dera limatsekedwa ndi madzi mu mpweya wopuma.Njira yodutsa mpweya imatsekedwa ndi zotsekemera;malo a chubu cha tracheal amasinthidwa ndipo kutsegula kuli pafupi ndi khoma la tracheal;chifuwa, etc.
Njira zochizira.
(1) Fufuzani kuti musamawononge dera la mpweya wabwino kuti likhale lopanikizika, kupotozedwa, ndi kudzikundikira kwa madzi mu chubu, sungani malo a chubu chopangidwa ndi chubu chotsika pang'ono kusiyana ndi mawonekedwe a tracheal chubu kuteteza condensate reflux, ndi kutaya condensate mu nthawi yake. kachitidwe.
(2) Kutulutsa mpweya wabwino.Odwala omwe amalandila chithandizo cha mpweya kudzera munjira yopangira mpweya amatha kutaya gawo lawo chifukwa cha epiglottis, kutsekeka kwa mucosal cilia, kufooka kwa chifuwa chachikulu, zovuta kwambiri kutulutsa sputum, sachedwa kutulutsa mpweya, ndi zina zotero, zomwe zimapangitsa kuti mpweya usavutike kapena kukulitsa matenda.Ngati katulutsidwe ka wodwalayo kuli kokakamira, ikani madontho a saline 5-10ml munjira ya mpweya kuti muchepetse katulutsidweko.Pofuna kupewa kudzikundikira yaing'ono airway katulutsidwe, kuchita mawotchi kupuma kwa kamphindi pambuyo saline madontho, kuti sitimadzipereka madzi angalowe yaing'ono airway kuchepetsa sputum ndi yambitsa ciliary ntchito ndiyeno kuchita kuyamwa.Yang'anani ntchito ya chonyowa, sungani kutentha kwa chinyezi 32 ~ 36 ℃, chinyezi 100%, ndipo nthawi zambiri njira ya chinyezi iyenera kukhala yosachepera 250ml kwa 24h kuteteza katulutsidwe kuti zisaume.
(3) Malingana ndi kutalika kwa gawo lowonekera la chubu la tracheal, sinthani malo a chubu ndikukonza chubu cha tracheal kapena tracheotomy cannula.Ngati chubu la tracheal ndi lopyapyala, perekani voliyumu yoyenera, chepetsani kuyenderera kwa mpweya ndikutalikitsa nthawi yolimbikitsira kuti mpweya uzikhala pansi pa 30cmH2O, ndikusintha chubu chokhuthala ngati kuli kofunikira malinga ndi momwe zilili.
(4) Pothandiza wodwala kutembenuka, munthu ayenera kuchita opaleshoni awiriawiri.Munthu m'modzi achotse chubu cha ulusi pa chotengera chothandizira mpweya, kugwira chubu cha ulusi ndi mkono umodzi ndikugwira paphewa la wodwalayo ndi dzanja linalo, ndikukokera matako a wodwalayo kumbali ya namwinoyo.Winayo akugwira msana ndi matako a wodwalayo kuti amuthandize mphamvu ndi kumupasa ndi mapilo ofewa.Konzaninso chubu mutatembenuza ndikuchitchinjiriza kwa chosungira.Pewani chubu chothandizira mpweya kuti zisakoke trachea ndi kukhumudwitsa chifuwa cha wodwalayo.
2. Zomwe zimayambitsa mpweya wabwino
Makamaka valavu yopumira yopumira kapena valavu yopumira, ndipo sensa yamagetsi imawonongeka.
Nthawi yotumiza: Sep-13-2022