Umatshini wokuphefumla - iintsana

Umatshini wokuphefumla ngomatshini ngumatshini onceda ngokuphefumla. Eli nqaku lixoxa ngokusetyenziswa kwemitshini yokuphefumla kwiimveku.

KUTHENI UKUSETYENZISWA KWEENKONZO ZOKUSETYENZISWA KOMATSHINI?

I-ventilator isetyenziselwa ukubonelela ngenkxaso yokuphefumla kwiintsana ezigulayo okanye ezingekakhuli. Abantwana abagulayo okanye abazelwe ngaphambi kwexesha bahlala bengakwazi ukuphefumla ngokwaneleyo bebodwa. Basenokufuna uncedo kumatshini wokuphefumla ukuze babonelele "ngomoya olungileyo" (ioksijini) emiphungeni kwaye basuse umoya ombi "ombi" (icarbon dioxide).

SISETYENZISWA NJANI ISIPHUMELELO SOKUSETYENZISWA KOMATSHINI?

I-ventilator ngumatshini osecaleni kwebhedi. Iqhotyoshelwe kumbhobho wokuphefumla obekwe kwi-windpipe (trachea) yezigulana okanye iintsana ezizelwe ngaphambi kwexesha ezifuna uncedo lokuphefumla. Abanyamekeli banokuhlengahlengisa umoya njengoko kufuneka. Uhlengahlengiso lwenziwa ngokuxhomekeke kwimeko yomntwana, imilinganiselo yegesi yegazi, kunye ne-x-ray.

Zithini iingozi zobuchwephesha?

Uninzi lweentsana ezifuna uncedo lokuphefumlwa zineengxaki zemiphunga, kubandakanya ukungakhuli okanye imiphunga egulayo, esemngciphekweni wokonzakala. Ngamanye amaxesha, ukuhambisa ioksijini phantsi koxinzelelo kunokonakalisa iingxowa zomoya ezibuthathaka (alveoli) emiphungeni. Oku kungakhokelela ekuvuzeni komoya, okunokwenza ukuba kube nzima kumatshini wokuphefumla ukunceda umntwana aphefumle.

• Uhlobo oluqhelekileyo lokuvuza komoya lwenzeka xa umoya ungena kwisithuba phakathi komphunga kunye nodonga lwesifuba sangaphakathi. Oku kubizwa ngokuba yi-pneumothorax. Lo moya ungasuswa ngombhobho obekwe kwisithuba kude kuphole i-pneumothorax.
• Uhlobo olungaqhelekanga kakhulu lokuvuza komoya lwenzeka xa uninzi lweepokotho ezincinci zomoya zifumaneka kwithishu yemiphunga ejikeleze iisaka zomoya. Oku kubizwa ngokuba yi-pulmonary interstitial emphysema. Lo moya awunakususwa. Nangona kunjalo, ihlala ihamba kancinci iyodwa.

Umonakalo wexesha elide usenokwenzeka ngenxa yokuba imiphunga esandula kuzalwa ingekakhuli ngokupheleleyo. Oku kunokukhokelela kwisifo esingapheliyo semiphunga esibizwa ngokuba yi-bronchopulmonary dysplasia (BPD). Kungenxa yoko le nto abo babanonophelayo bejonga esweni umntwana. Baza kuzama "ukumncancisa" umntwana kwioksijini okanye banciphise iisetingi zokuphefumla xa kunokwenzeka. Indlela inkxaso yokuphefumla enikwa ngayo iya kuxhomekeka kwiimfuno zomntwana.

I-Vililator - iintsana; Iphefumla - iintsana

I-Bancalari E, uClaure N, uJain D. Unyango lokuphefumla kwangoku. Ku: Gleason CA, Juul SE, ii-eds. Izifo zika-Avery Zomntwana osandul 'ukuzalwa. Ngomhla we-10. IPhiladelphia, PA: Elsevier; I-2018: isahluko 45.

IDonn SM, Attar MA. Ukuncedwa komoya kwentsana kunye neengxaki zayo. Ku: UMartin RJ, uFanaroff AA, uWalsh MC, ii-eds. UFanaroff kunye noMartin's Neonatal-Perinatal Medicine: Izifo ze-Fetus kunye neentsana. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 65.