Mechanical ventilator - vacheche

Mechnical ventilator muchina unobatsira nekufema. Ichi chinyorwa chinokurukura nezvekushandisa kwema mechanical ventilator muvacheche.

NEI CHINYANYA CHINOGONESESA CHINOSHANDISA?

Mhepo inofema inoshandiswa kupa rubatsiro rwekufema kuvana vanorwara kana vasati vabva zera. Vanorwara kana vasati vazvarwa vacheche kazhinji havagone kufema zvakanaka zvakakwana pachavo. Vangangoda rubatsiro kubva kumhepo inofema kuti vape "mweya wakanaka" (oxygen) kumapapu uye kubvisa mweya "wakashata" wakaburitswa mweya (kabhoni dhayokisaidhi).

MITAMBI YEMAHARA INOSHANDISWA SEI?

Mhepo inofema mweya muchina uri padivi pemubhedha. Inosungirirwa pombi yekufema iyo inoiswa mumhepo (trachea) yevanorwara kana vacheche vasati vasvika vanoda rubatsiro kufema. Vanochengeta vanogona kugadzirisa mweya wekufema pazvinenge zvichidiwa. Kugadziriswa kunoitwa zvinoenderana nemamiriro emwana, kuyerwa kweropa kuyerwa, uye x-ray.

NDEZVIPI DZINGO DZENYAYA YENYANZO YEMAHARA?

Vazhinji vacheche vanoda mweya wekubatsira mweya vane mamwe matambudziko emapapu, kusanganisira mapapu asina kusimba kana anorwara, ari panjodzi yekukuvara. Dzimwe nguva, kuendesa oxygen pasi pekumanikidza kunogona kukuvadza mweya usina kusimba masaga (alveoli) mumapapu. Izvi zvinogona kutungamira mukubuda kwemhepo, izvo zvinogona kuita kuti zviomere mweya wekubatsira mwana kufema.

• Rudzi rwakajairika kwazvo rwekudonha kwemhepo kunoitika kana mweya uchipinda munzvimbo pakati pemapapu uye mukati memadziro echifuva. Izvi zvinonzi pneumothorax. Mhepo iyi inogona kubviswa nehubhu yakaiswa muchadenga kusvikira pneumothorax yapora.
• Rudzi rwusina kujairika rwekudonha kwemhepo kunoitika kana homwe diki diki dzemweya dzinowanikwa mumatumbu emapapu akatenderedza masaga emhepo. Izvi zvinonzi pulmonary interstitial emphysema. Mhepo iyi haigoni kubviswa. Zvisinei, inowanzoenda zvishoma nezvishoma pachayo.

Kukuvara kwenguva refu kunogona kuitikawo nekuti mapapu achangozvarwa haasati akwana zvakakwana. Izvi zvinogona kutungamira kuchirwere chisingaperi chemapapu chinonzi bronchopulmonary dysplasia (BPD). Ichi ndicho chikonzero nei vachengeti vachinyatsoongorora mwana. Vachaedza "kurumura" mwana kubva kuoxygen kana kudzikisira maseturu ekufema kana zvichibvira. Yakawanda sei rubatsiro rwekufema rwunopihwa zvinoenderana nezvinodiwa nemwana.

Ventilator - vacheche; Respirator - vacheche

Bancalari E, Claure N, Jain D. Neonatal mweya wekufema. Mune: Gleason CA, Juul SE, eds. Zvirwere zveAvery zveMucheche. 10th ed. Philadelphia, PA: Elsevier; 2018: chits.

Donn SM, Attar MA. Inobatsira kufefetedza kweaneonate uye matambudziko ayo. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga: Zvirwere zveMucheche neMucheche. 11th ed. Philadelphia, PA: Elsevier; 2020: chits. 65.