Yintoni eyokungenisa umoya engenayo, iintlobo kunye nokuba yenzelwe ntoni

Umxholo

• Yenzelwe ntoni
• Iindidi eziphambili
• 1. I-CPAP
• 2. IBiPAP
• 3. I-PAV kunye neVAPS
• 4. Isigcina-ntloko
• Xa kungaboniswanga

Ukungenisa umoya okungafunekiyo, okwaziwa ngcono njenge-NIV, kubandakanya indlela yokunceda umntu ukuba aphefumle ngezixhobo ezingafakwanga kwinkqubo yokuphefumla, njengoko kunjalo nge-intubation efuna umoya wokungenisa umoya, obizwa ngokuba kukuphefumla. Le ndlela isebenza ngokuququzelela ukungena kweoksijini kwindlela yomoya ngenxa yoxinzelelo lomoya, olusetyenziswa ngoncedo lwesigqumathelo, esinokuba bubuso okanye impumlo.

Ngokubanzi, i-pulmonologist icebisa ukuba kungene umoya ongenayo ungenelelo kubantu abanesifo esinganyangekiyo semiphunga, esibizwa ngokuba yi-COPD, isifuba, i-edema yemiphunga ngenxa yeengxaki zentliziyo kunye nesithintelo se-apnea syndrome, lolona hlobo lusetyenziswayo luyi-CPAP.

Kwiimeko apho umntu enengxaki yokuphefumla, iqondo le-oksijini eliwa egazini okanye engaphefumli, umoya ongangenisi moya awubonakaliswanga, kwaye kufuneka kwenziwe nezinye iindlela zokuqinisekisa ukongezwa kweoksijini.

Yenzelwe ntoni

Ukungenisa umoya okungafunekiyo kusebenza ekuphuculeni ukutshintshiselana ngerhasi, ukuququzelela ukuphefumla ngoxinzelelo olukhoyo ekuvulekeni kweendlela zomoya kunye nokunceda kwiintshukumo zokuphefumla nokuphefumla. Le ndlela ingabonakaliswa ngugqirha wezomphunga okanye ugqirha jikelele kwaye yenziwa ngugqirha womzimba okanye umongikazi kubantu abanezi meko zilandelayo:

• Ukungaphumeleli kokuphefumla;
• Isifo esinganyangekiyo semiphunga;
• Ukudumba kwemiphunga okubangelwa ziingxaki zentliziyo;
• Isifuba;
• Isifo esimandundu soxinzelelo lwamalungu okuphefumla;
• Ukuphefumla ubunzima kubantu abangafezekanga;
• Izigulana ezingakhange zisebenze;
• Ukwenzakala Thoracic;
• Ukukrala kwemiphunga.

Uninzi lwexesha, umoya ongenayo ungenelelayo usetyenziswa ngokudibene nonyango lweziyobisi kwaye unezibonelelo zokuba yindlela enikezela umngcipheko omncinci wosulelo, ayifuni ukulala kwaye ivumela umntu ukuba athethe, atye kwaye akhohlele ngexesha lokusebenzisa imaski. . Njengoko kulula ukuyisebenzisa, kukho iimodeli eziphathekayo ezinokusetyenziswa ekhaya, njengokuba kunjalo nge-CPAP.

Iindidi eziphambili

Izixhobo zokungenisa umoya ezingezizo ezokuhlasela zisebenza njengee-ventilator ezikhupha umoya, zonyusa uxinzelelo kwiindlela zomoya, zilungiselela ukutshintshiselana ngegesi kunye nezinye iimodeli ezinokusetyenziswa ekhaya. Ngokubanzi, ezi zixhobo zifuna umgaqo othile nge-physiotherapy kwaye uxinzelelo lusetyenziswa ngokuxhomekeke kwimeko yokuphefumla komntu ngamnye.

Iindidi zezixhobo ezisetyenziswa ekungeneni komoya okungangenisiyo zinonxibelelwano oluninzi, oko kukuthi, kukho iimaski ezahlukeneyo ukuze uxinzelelo lwesixhobo lufakwe kwiindlela zomoya, ezinje ngeempumlo, ubuso, iimaski zohlobo lwesigcina-ntloko, ezibekwe ngqo umlomo. Ke, ezona ntlobo ziphambili ze-NIV zezi:

1. I-CPAP

I-CPAP luhlobo lomoya ongangenisi moya osebenzayo ngokusebenzisa uxinzelelo oluqhubekayo ngexesha lokuphefumla, oku kuthetha ukuba kusetyenziswa inqanaba loxinzelelo olunye kuphela, kwaye akunakwenzeka ukulungelelanisa inani lamaxesha umntu aza kuphefumla ngalo.

Esi sixhobo sinokusetyenziswa ngabantu abalawula ukuphefumla kwabo kwaye siyaphikisana nabantu abaneenguqu zemithambo-luvo okanye iingxaki zokuphefumla ezenza nzima ukuphefumla. I-CPAP isetyenziswa ngokubanzi kubantu abane-apnea yokulala, njengoko ivumela i-airways ukuba ihlale ivulekile ngamaxesha onke, ukugcina ukuhamba kweoksijini rhoqo ngexesha umntu elele ngalo. Funda ngakumbi malunga nendlela yokusebenzisa nokunyamekela i-CPAP.

2. IBiPAP

I-BiPAP, ekwabizwa ngokuba yi-Bilevel okanye i-Biphasic Positive Pressure, ikhetha ukuphefumla ngokusebenzisa uxinzelelo oluqinisekileyo kumanqanaba amabini, oko kukuthi, iyamnceda umntu ngexesha lokuphefumlelwa kunye nokuphelelwa lixesha, kwaye inqanaba lokuphefumla linokulawulwa kwinkcazo yangaphambili ye-physiotherapist .

Ngapha koko, uxinzelelo lubangelwa ngumzamo wokuphefumla komntu kwaye, ngoncedo lwe-BiPAP, kunokwenzeka ukugcina ukunyakaza kokuphefumla ngokuqhubekekayo, kungavumeli umntu ukuba ahambe engaphefumli, kubonisiwe kakhulu kumatyala okusilela kokuphefumla.

3. I-PAV kunye neVAPS

I-VAP, eyaziwa ngokuba yiProportional Assanced Ventilation, luhlobo lwesixhobo esisetyenziswa kakhulu kwizibhedlele ezikwii-ICU kwaye isebenza ngokuhambelana neemfuno zokuphefumla zomntu, ke ukuhamba komoya, inqanaba lokuphefumla kunye noxinzelelo olwenza kwiindlela zomoya ziyatshintsha ngokwe iinzame zomntu zokuphefumla.

I-VAPS, ebizwa ngokuba yiNkxaso yoXinzelelo ngeVolumu eQinisekisiweyo, luhlobo lwe-ventilator ekwasetyenziswa nasezibhedlele, esebenza kulawulo loxinzelelo ngugqirha okanye i-physiotherapy, ngokweemfuno zomntu lowo. Nangona inokusetyenziselwa umoya ongenayo ungenayo, esi sixhobo sisetyenziselwa ngakumbi ukulawula ukuphefumla kwabantu kwomoya ongenayo, oko kukuthi, kufakwe ngaphakathi.

4. Isigcina-ntloko

Esi sixhobo sibonisiwe kubantu abaneZifo eziNgapheliyo zePulmonary Disease, abangena kwiCandelo loKhathalelo oluKhulu, ukongeza ekubeni lukhetho lokuqala kubantu ekunzima ukufikelela kubo, ngenxa yomothuko ebusweni, okanye kwabo bangangenisi umoya ocwangcisiweyo ixesha elide.

Umahluko kwezinye iintlobo zokuphefumla okungangenisiyo luncedo lokubonelela ngeoksijini emntwini ngokukhawuleza okukhulu, ukuthintela iziphumo ezibi kunye nokukwazi ukubonelela ukutya emntwini.

Xa kungaboniswanga

Ukungenisa umoya okungafunekiyo kuyaphikiswa kwimeko apho umntu eneemeko ezinje ngokubanjwa kwentliziyo, ukulahleka kwengqondo, emva kotyando ebusweni, umothuko kunye nokutsha ebusweni, ukuphazamiseka kwendlela yomoya.

Ukongeza, ukhathalelo kufuneka luthathwe ekusebenziseni le ndlela kubafazi abakhulelweyo, nakubantu abatyiswa ityhubhu, ngokutyeba okungaginyisi mathe, unxunguphalo, ukuphazamiseka kunye ne-claustrophobia, kulapho umntu anemvakalelo yokubanjiswa kunye nokungakwazi ukuhlala endlini . Fumana okunye malunga nendlela i-claustrophobia iphathwa ngayo.