Ukwelashwa komoyampilo okugeleza okuphezuluibhekisela endleleni yokuhlinzeka ngokwelapha okugeleza okuphumelelayo ezigulini ngokunikeza ukugeleza okuphezulu, ukugxiliswa kwe-oksijeni okunembile kanye nokufudumala nokuswamisa igesi exutshwe ne-air-oxygen.Ingakwazi ukuthuthukisa ngokushesha izinga le-oxygenation yesiguli futhi igcine ukusebenza okuvamile kwe-airway mucus cilia.
Ukwelashwa komoya-mpilo okugeleza kakhulu kusetshenziswa kabanzi emtholampilo ngenxa yokwehluleka ukuphefumula kwe-hypoxic acute, ukwelashwa komoya-mpilo ngemuva kokukhishwa, ukwehluleka kwenhliziyo okunamandla, isifo sokuphefumula esingapheli, kanye nezinqubo ezithile zokuphefumula ezihlaselayo emisebenzini yomtholampilo ngenxa yemiphumela yayo eyingqayizivele yomzimba.Ikakhulukazi ezigulini ezinokwehluleka kokuphefumula okunamandla kwe-hypoxic, ukwelashwa komoya-mpilo okugeleza okuphezulu kungcono kakhulu kunokwelashwa kwe-oksijini yendabuko mayelana nokukhuphula umfutho wengxenye ye-oxygen, futhi umphumela awukho ngaphansi kokungena komoya okungahlaseli, kodwa i-HFNC inokunethezeka nokubekezelela okungcono kunomoya ohlanzekile. ukungena komoya okungenasidingo.Ngakho-ke, i-HFNC iyanconywa njengokwelashwa kokuphefumula komugqa wokuqala ezigulini ezinjalo.
I-High-flow Nasal Cannula (HFNC)ibhekisela ohlotsheni lokwelapha komoya-mpilo oluletha ngokuqondile umoya nomoya-mpilo oxutshwe negesi yokugeleza okuphezulu kokugxiliswa komoyampilo othile esigulini ngekhethetha yepulaki yamakhala ngaphandle kwesivalo.I-High-flow oxygen therapy (HFNC) ekuqaleni yayisetshenziswa njengendlela yokusekela ukuphefumula esikhundleni sokuphefumula umoya oqhubekayo (NCPAP) futhi yayisetshenziswa kakhulu ku-neonatal Respiratory Distress Syndrome (NRDS), futhi izuze umphumela othile.Ngokusetshenziswa okwandayo kwe-HFNC kubantu abadala, abasebenzi bezokwelapha babuye babone izinzuzo zayo eziyingqayizivele ekusebenziseni okuhlukile kokwelashwa komoya-mpilo okuvamile kanye nokukhipha umoya ngemishini okungahlanyisi.
I-Nasal high-flow oxygen therapy (HFNC) inemiphumela ehlukile yomzimba:
1. Ukugxiliswa komoyampilo njalo: izinga lokugeleza komoyampilo elinikezwa idivayisi yokwelapha umoya-mpilo egeleza kancane evamile ngokuvamile i-15L/min, ephansi kakhulu kunokugeleza kokuphefumula okuphezulu okuphezulu kwesiguli, futhi izinga lokugeleza elinganele lizokwengezwa umoya uhogele ngesikhathi esifanayo, ngakho-ke phefumula umoya-mpilo Ukugxila kuzohlanjululwa kakhulu futhi ukugxila okuqondile akwaziwa.Umshini wokwelapha ophefumulayo ophezulu unomshini owakhelwe ngaphakathi wokuphefumula umoya-mpilo futhi unganikeza ukugeleza kwegesi okuxubile okufika ku-80L/min, okungaphezu kokugeleza kokuphefumula okuphezulu kwesiguli, ngaleyo ndlela kuqinisekisa ukugcwala okuqhubekayo komoyampilo ehogeliwe futhi kuze kufike ku-100%;
2. Ukushisa okuhle nomphumela womswakamo: I-HFNC inganikeza igesi yokugeleza okuphezulu ku-37℃ kanye nomswakama ohlobene no-100%, onezinzuzo ezinhle kakhulu uma kuqhathaniswa nokwelashwa komoyampilo wendabuko;
3. Ukugeza umgodi ofile we-nasopharynx: I-HFNC inganikeza igesi efika ku-80L/min, engasusa imbobo efile ye-nasopharynx ngezinga elithile, ukuze inikeze ukugxila okuphezulu kwe-oksijeni kanye negesi ephansi ye-carbon dioxide, okuyinto ingathuthukisa umoya-mpilo wegazi.Indima ye-saturation ekunciphiseni i-carbon dioxide;
4. Khiqiza umfutho othile womoya omuhle: Abanye abacwaningi bathole ukuthi i-HFNC ingakhiqiza ukucindezela okuphakathi okungaba ngu-4cmH2O, futhi lapho umlomo uvaliwe, ingakhiqiza ukucindezela okufika ku-7cmH2O.Kungabonakala ukuthi i-HFNC ingakhiqiza umphumela ofanayo ku-continuous positive airway pressure (CPAP).Kodwa-ke, ngokungafani ne-CPAP, i-HFNC ihloselwe izinga lokugeleza njalo ukuze kukhiqizwe umfutho womoya ongazinzile, ngakho-ke ekusetshenzisweni komtholampilo, umlomo wesiguli kufanele uvalwe ukuze uzuze umphumela oyifunayo;
5. Ukunethezeka okuhle nokubekezelelana: Ucwaningo oluningi luye lwathola ukuthi ngenxa yomphumela walo omuhle wokushisa nomswakama kanye nokusebenziseka kalula, idivayisi yokwelapha i-oksijini egeleza kakhulu emakhaleni inokunethezeka nokubekezelela okungcono kunamaski oksijini ageleza kakhulu futhi angahlaseli .
I-Sepray Nasal High Flow Oxygen Therapy OH uchungechunge lwethuluzi lokwelapha lokuphefumula umswakama lunikeza ukwelapha okugeleza okuphumelelayo ezigulini ngokunikeza ukugeleza okuphezulu, ukugcwala komoyampilo okunembile kanye negesi exutshwe komoya-mpilo onomoya ofudumele efudumele futhi eswamisiwe.
Iminyango esetshenzisiwe:
I-ICU, umnyango wokuphefumula.Umnyango wezimo eziphuthumayo.Umnyango we-Neurosurgery.Umnyango we-Geriatrics.Umnyango we-Cardioology.
Isikhathi sokuthumela: Jul-13-2020