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Uhlobo lwe-ventilator olusetshenziselwa izifo ezahlukene luhlukile.Ngokuvamile, i-ventilator enezinga elilodwa isetshenziselwa iziguli ezihona;i-ventilator yemodi ye-ST enamazinga amabili yezifo zamaphaphu.Uma kuyisiguli esihona esiyinkimbinkimbi, kungase kudingeke ukuthi kusetshenziswe i-Bilevel ventilator.Uhlobo lwe-ventilator olusetshenziselwa izifo ezahlukene luhlukile.Kukhona izindlela eziningii-ventilator engangenisi.Okulandelayo kuchaza imodi ye-ventilator.Ungakhetha i-ventilator engahlaseli ekulungele ngokwesimo sakho.

I-ventilator inezinhlobo ze-CPAP, S, T, S/T, kanje:

1. Imodi ye-CPAP ye-ventilator: imodi yomfutho womoya eqhubekayo

I-CPAP: I-Continuous Positive Positive Airway Pressure Mode-Continuous Positive Airway Pressure, isiguli sinokuphefumula okunamandla okuzenzakalelayo, umshini wokungenisa umoya uhlinzeka ngomfutho ofanayo ezigabeni zokuphefumula neziphefumulayo ukuze usize isiguli Ukuvula indlela yokuphefumula.Isetshenziselwa kakhulu iziguli ezine-OSAS obstructive sleep apnea syndrome, ukuphefumula okunamandla okuzenzekelayo, kanye nosizo oluncane kuphela oluvela kumshini wokuphefumula.Ayikho i-trigger, akukho ukushintsha, umzimba womuntu uphefumula ngokukhululekile, ukucindezela kulawulwa ukucindezela okuqhubekayo, futhi ukucindezela kwesigaba sokuphefumula kanye nesigaba sokuphefumula kuyalingana.Ukuphefumula okusizwayo (ukusekelwa kwengcindezi ngu-0) + ukulawula ingcindezi kuyindlela evame ukusetshenziswa kakhulu engahlaseli.Imiphumela ye-physiological ilingana ne-PEEP (ingcindezi yokuphela kokuphelelwa umoya): ukwandisa ivolumu yensalela yokusebenza, uthuthukise ukuhambisana;ukunciphisa ukusetshenziswa kwamandla okuphefumulayo, ukuthuthukisa ukucupha;gcina indlela evulekile yomoya ophezulu.

2. Imodi ye-S ye-ventilator:

Imodi ye-S ye-autonomous ventilation Imodi yokuphefumula ezenzakalelayo --- Imodi yokuphefumula ezenzakalelayo, isiguli siphefumula ngokuzenzakalelayo noma ingabangela umshini wokuphefumula ukuba uzikhiphe ngokuzenzakalelayo, umshini wokuphefumula uhlinzeka nge-IPAP ne-EPAP kuphela, isiguli silawula imvamisa yokuphefumula kanye nesilinganiso sokuphefumula/isikhathi sokuphefumula. ngokuzenzakalelayo Ezigulini ezinokuphefumula okuhle okuzenzakalelayo noma iziguli ezinomoya ophakathi nendawo wokulala.Isiqalo sokuphefumula esizenzakalelayo: I-ventilator kanye nemvamisa yokuphefumula kwesiguli kuvumelaniswa ngokugcwele.Uma ukuphefumula kwesiguli okuzenzakalelayo kuma, umshini wokungenisa umoya nawo uyayeka ukusebenza.Ukulawula ingcindezi (ingcindezi eqhubekayo): gcina i-IPAP emisiwe (umfutho womoya ophefumulayo) kumshini wokuphefumula ophefumulayo, futhi ugcine i-EPAP (umfutho womoya ophumayo ophumayo) ingcindezi kumshini wokukhipha umoya. control, futhi iyimodi evamile engahlaseli.

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3. Imodi ye-T ye-ventilator:

Imodi yokukhipha umoya isikhathi T Imodi yokulawula isikhathi-Imodi yokulawula isikhathi esinesikhathi, isiguli asiphefumuli ngokuzenzakalelayo noma asikwazi ukubangela umshini wokuphefumula umoya ukuthi uphefumule ngokuzimela, umshini wokungenisa umoya ulawula ngokugcwele ukuphefumula kwesiguli, unikeza i-IPAP (i-IPAP (positive inspiratory phase inspiratory pressure pressure), EPAP (expiratory). indlela yomoya yesigaba Ukucindezela okuhle), BPM, Ti (isikhathi sokuphefumula/isilinganiso sesikhathi sokuphelelwa umoya).Le modi isetshenziselwa kakhulu iziguli ezingenakho ukuphefumula okuzenzakalelayo noma amandla azo okuziphefumulela abuthakathaka.Ukucupha isikhathi: I-ventilator isebenza ngefrikhwensi esethiwe futhi ayivumelaniswa nokuphefumula kwesiguli okuzenzakalelayo.Ukulawula ukucindezela (ingcindezi eqhubekayo): Gcina i-IPAP esethiwe (umfutho womoya ophefumulayo) kumshini wokuphefumula ophefumulayo, futhi ugcine i-EPAP ehleliwe (umfutho womoya ophumayo ophefumulayo) kumshini wokukhipha umoya Ukushintsha isikhathi sokucindezela: lawula ukuphefumula + ukulawulwa kwengcindezi, okungeyona- imodi yokuhlasela ayivamisile ukusetshenziswa.

4. Imodi ye-S/T ye-ventilator:

Imodi yokungenisa umoya ezizimele/isikhathi S/T Imodi yokushintsha ezenzakalelayo/Enesikhathi esizenzakalelayo --- Imodi yokushintsha ezenzakalelayo/Enesikhathi.Uma umjikelezo wokuphefumula kwesiguli ungaphansi kwenkathi ehambisana nemvamisa yokufaka umoya eyisipele, kuba kumodi engu-S;lapho umjikelezo wokuphefumula wesiguli mkhulu kunemvamisa yokufaka umoya eyisipele, ukumodi ye-T.Indawo yokushintshashintsha ngokuzenzakalelayo: isikhathi esihambisana nemvamisa yokufaka komoya eyisipele njengalokhu: BPM=10 izikhathi/min, umjikelezo wokuphefumula=imizuzwana engu-60/10=6 imizuzwana, bese umshini wokungenisa umoya ulinda imizuzwana engu-6, uma isiguli singakwazi ukucupha isisetshenziswa sokuphefumula phakathi kwe-6. imizuzwana, i-ventilator Kuyimodi yokusebenza kuka-S, ngaphandle kwalokho imodi ye-T.Le modi isetshenziswa kakhulu futhi isetshenziselwa iziguli ezahlukahlukene.a.Ukuphefumula okuzenzakalelayo kubangela lapho imvamisa yokuphefumula ezenzakalelayo>imvamisa yokusetha kabusha ye-ventilator.I-ventilator kanye nemvamisa yokuphefumula kwesiguli kuvumelaniswa ngokugcwele.Izinga lokugeleza lokulawula ukucindezela liyashintshwa.b.Imvamisa yokuphefumula okuzenzakalelayo


Isikhathi sokuthumela: Jul-14-2020