Chii chisinga pinde mweya, mhando uye ndezvei

Zvemukati

• Chii ichochi
• Mhando huru
• 1. CPAP
• 2. BiPAP
• 3. PAV uye VAPS
• 4. Ngowani
• Kana zvisina kuratidzwa

Uninvasive ventilation, inonyatso kuzivikanwa seNIV, ine nzira yekubatsira munhu kufema kuburikidza nemidziyo isingaunzwe muhurongwa hwekufema, sezvinoitika kune intubation inoda mechina kufefetedza, inonziwo kufema. Nemidziyo. Iyi nzira inoshanda nekurerutsa kupinda kwe oxygen kuburikidza nemumhepo nekuda kwekumanikidza kwemhepo, kunoiswa nerubatsiro rwemaski, inogona kuve kumeso kana mhino.

Kazhinji, iyo pulmonologist inokurudzira isina-kuvhiringidza kufefetedza kune vanhu vane chirwere chisingaperi chepremonary, inonziwo COPD, asthma, pulmonary edema nekuda kwematambudziko emoyo uye yekudzivirira kurara kufema kwekurara, rudzi runonyanya kushandiswa kuve CPAP.

Mumamiriro ezvinhu apo munhu anonetseka kufema, pamwe nekudonha oxygen mazinga muropa kana asingafeme, mweya usinga pindise hauratidzwe, uye humwe hunyanzvi hunofanirwa kuitwa kuti uve nechokwadi chekuwedzera kweokisijeni.

Chii ichochi

Mhepo isina-invasive kufefetedza inoshanda kuvandudza kuchinjanisa gasi, ichirerutsa kufema kuburikidza nekumanikidza kunoitika pakuvhurika kwenzira dzemhepo uye kubatsira mukufamba kwemweya nekufema. Iyi nzira inogona kuratidzwa neye pulmonologist kana general practitioner uye inoitwa neye physiotherapist kana mukoti mune vanhu vane anotevera mamiriro:

• Kutadza kufema;
• Chisingaperi obstructive pulmonary chirwere;
• Pulmonary edema inokonzerwa nezvinetso zvemwoyo;
• Asthma;
• Chirwere chekuzvimba kwemapapu zvakanyanya;
• Kufema kunetseka muvanhu vasina immunocompromised;
• Varwere vaisakwanisa kuve intubated;
• Thoracic kushungurudzika;
• Chirwere chemabayo.

Kazhinji yenguva, isina-invasive kufefetedza mweya inoshandiswa pamwe chete nemishonga yekurapa uye ine zvakanakira kuve nzira inopa njodzi shoma yehutachiona, haidi kutonhodzwa uye inobvumira munhu kuti ataure, adye nekukosora panguva yekushandisa mask. . Sezvo zviri nyore kushandisa, pane anotakurika mamodheru anogona kushandiswa pamba, sezvazviri neCPAP.

Mhando huru

Iwo asiri-anovhiringidza ekuvhenekesa michina anoshanda seanofemedza mweya anoburitsa mweya, achiwedzera kumanikidza mumhepo, kufambisa gasi kuchinjanisa uye mamwe mamodheru anogona kushandiswa pamba. Kazhinji, izvi zvishandiso zvinoda mutemo chaiwo ne physiotherapy uye kumanikidzwa kunoiswa zvichienderana nemamiriro emunhu ekufema.

Mhando dzemidziyo inoshandiswa mune isina-invasive kufefetedza ine nzvimbo dzinoverengeka, ndiko kuti, kune mamask akasiyana kuitira kuti kumanikidza kwechigadzirwa kunoiswa pamusoro pemhepo, senge mhino, kumeso, ngowani-mhando masiki, anoiswa akananga mukati muromo. Nekudaro, mhando huru dzeNIV ndedzinotevera:

1. CPAP

CPAP ndiyo mhando yemhepo inovhuvhuta isingashande inoshanda nekushandisa kumanikidza kuramba uchifema, izvi zvinoreva kuti imwe chete yekumanikidza inoshandiswa, uye hazviite kugadzirisa huwandu hwenguva iyo munhu achazofema.

Ichi chishandiso chinogona kushandiswa nevanhu vane masimba pamusoro pekufema kwavo uye zvinopesana kune vanhu vane shanduko yemitsipa kana matambudziko ekufema anoita kuti kufema kudzora kunetse. CPAP inoshandiswa zvakanyanya kune vanhu vane apnea ekurara, sezvo ichibvumidza iyo nzira yemhepo kuti irambe yakavhurika nguva dzese, ichichengetedza kufamba kwemweya weoksijeni nguva dzese panguva iyo munhu akarara. Dzidza zvakawanda nezvekushandisa nekutarisira CPAP.

2. BiPAP

BiPAP, inonziwo Bilevel kana Biphasic Positive Pressure, inofarira kufema kuburikidza nekushandiswa kwekumanikidza kwakanaka pamatanho maviri, ndiko kuti, zvinobatsira munhu panguva yekufemerwa uye kupera kwechikamu, uye mwero wekufema unogona kudzorwa kubva kune pre tsananguro yeiyo physiotherapist .

Kupfuurirazve, kumanikidzwa kunokonzerwa nekufema kwemunhu uyezve, nerubatsiro rweBiPAP, zvinokwanisika kuchengetedza kufamba kwekufema kuenderera, kusabvumira munhu kuti aende asina kufema, achiratidzwa zvakanyanya kumatambudziko ekufema kutadza.

3. PAV uye VAPS

Iyo VAP, inozivikanwa seProportional Inobatsira Kufefetedza, ndiyo mhando yechigadzirwa chinonyanya kushandiswa muzvipatara muICUs uye chinoshanda kuchinjira kune zvinodiwa pakufema zvemunhu, saka mweya unoyerera, mwero wekufema uye kumanikidza kwainoita panzira dzemumhepo zvinochinja maererano kuedza kwemunhu kufema.

Iyo VAPS, iyo inonzi Support Pressure ine Yakavimbiswa Vhoriyamu, ndiyo mhando yeanofemereka zvakare anoshandiswa muzvipatara, ayo anoshanda kubva kumanikidza mutemo nachiremba kana physiotherapy, zvinoenderana nezvinodiwa nemunhu. Kunyangwe ichigona kushandiswa mune isina-invasive kufefetedza, ichi chishandiso chinonyanya kushandiswa kudzora kufema kwevanhu mune inopinda yekufema mweya, ndiko kuti, intubated.

4. Ngowani

Ichi chishandiso chinoratidzwa kune vanhu vane Chronic Obstructive Pulmonary Disease, vakapinda muIntensive Care Unit, pamusoro pekuve yekutanga sarudzo kune vanhu vane nzira yekuwana yakaoma, nekuda kwekushungurudzika kumeso, kana kune avo vasina kusimba kufefetedza kwakarongwa kwenguva refu.

Musiyano kune mamwe marudzi ein-invasive kufefetedza mweya mukana wekupa oxygen kumunhu nekukurumidza, kudzivirira migumisiro yakaipa uye kugona kupa chikafu kune iye munhu.

Kana zvisina kuratidzwa

Uninvasive ventilation inopesana mumamiriro ezvinhu apo munhu ane mamiriro akadai sekusungwa kwemoyo, kurasikirwa kwekuziva, mushure mekuvhiyiwa kumeso, kushungurudzika uye kupisa kumeso, kuvharika kwenzira dzendege.

Pamusoro pezvo, hanya inofanirwa kutorwa kushandisa nzira iyi mumadzimai akazvitakura, uye vanhu vari kufurwa nehubhu, vane kufutisa, kushungurudzika, kushungurudzika uye claustrophobia, inova ndiyo nguva iyo munhu paanonzwa kubatwa uye kutadza kugara mumba . Tsvaga zvimwe pamusoro pekuti claustrophobia inorapwa sei.