Mawotchi othandizira - makanda

Makina opumira ndi makina omwe amathandizira kupuma. Nkhaniyi ikufotokoza za kugwiritsa ntchito makina opumira m'makanda.

N'CHIFUKWA CHIYANI NTCHITO YOPHUNZITSIRA NTCHITO?

Mpweya wabwino umathandizira kupumira kwa ana odwala kapena omwe sanakhwime. Ana odwala kapena obadwa masiku asanakwanitse kupuma mokwanira paokha. Angafune thandizo kuchokera kwa makina opumira kuti apereke "mpweya wabwino" (oxygen) m'mapapu ndikuchotsa mpweya "woyipa" (mpweya woipa).

KODI NTCHITO YOPHUNZITSIRA NTCHITO YOFUNIKA BWANJI?

Mpweya ndi makina oyandikira bedi. Amalumikizidwa ndi chubu chopumira chomwe chimayikidwa mu chikwangwani (trachea) cha ana odwala kapena obadwa msanga omwe amafunikira kuthandizidwa kupuma. Omusamalira amatha kusintha makina opumira ngati pakufunika kutero. Zosintha zimapangidwa kutengera momwe mwana amakhalira, kuyeza kwa magazi, ndi ma x-ray.

KODI NDI CHIYANI CHOOPSA CHOPHUNZITSIRA NTCHITO?

Ana ambiri omwe amafunikira thandizo la mpweya amakhala ndi mavuto am'mapapo, kuphatikiza mapapu osakhwima kapena matenda, omwe ali pachiwopsezo chovulala. Nthawi zina, kupulumutsa oxygen ikamapanikizika kumatha kuwononga matumba a mpweya osalimba (alveoli) m'mapapu. Izi zitha kubweretsa kutuluka kwa mpweya, komwe kumapangitsa kuti zikhale zovuta kuti makina othandizira mpweya athandize mwana kupuma.

• Mtundu wodziwika bwino wokhuthika kwa mpweya umachitika mpweya ukamalowa pakati pa mapapo ndi khoma lamkati lamkati. Izi zimatchedwa pneumothorax. Mpweya uwu ukhoza kuchotsedwa ndi chubu choyikidwa mumlengalenga mpaka pneumothorax itachira.
• Mtundu wocheperako wampweya womwe umapezeka kwambiri m'matumba ang'onoang'ono amlengalenga amapezeka minyewa yam'mapapo mozungulira matumba amlengalenga. Izi zimatchedwa pulmonary interstitial emphysema. Mpweya uwu sungachotsedwe. Komabe, nthawi zambiri imatha yokha.

Kuwonongeka kwanthawi yayitali kumatha kuchitika chifukwa mapapu omwe angobadwa kumene sanakule bwino. Izi zitha kubweretsa matenda am'mapapo omwe amatchedwa bronchopulmonary dysplasia (BPD). Ichi ndichifukwa chake omusamalira amayang'anitsitsa mwanayo. Ayesa "kuyamwitsa" mwana kuchokera ku oxygen kapena kuchepetsa makina opumira ngati kuli kotheka. Kuchuluka kwa chithandizo chopumira kumaperekedwa kudzadalira zosowa za mwana.

Ventilator - makanda; Puma - makanda

Bancalari E, Claure N, Jain D. Mankhwala opatsirana opatsirana. Mu: Gleason CA, Juul SE, olemba. Matenda a Avery a Mwana Wongobadwa kumene. 10th ed. Philadelphia, PA: Elsevier; 2018: mutu 45.

Donn SM, Attar MA. Kuthandiza mpweya wabwino wa mwana wakhanda komanso zovuta zake. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine: Matenda a Mwana wosabadwa ndi Khanda. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 65.