Kodi mpweya wabwino ndiwotani, mitundu ndi chiyani?

Zamkati

• Ndi chiyani
• Mitundu yayikulu
• 1. CPAP
• 2. BiPAP
• 3. PAV ndi VAPS
• 4. Chisoti
• Ngati sizikuwonetsedwa

Mpweya wabwino wosadziwika, womwe umadziwika kuti NIV, umakhala ndi njira yothandizira munthu kupuma kudzera mu zida zomwe sizimalowetsedwa kupuma, monga momwe zimakhalira ndi kutenthetsa komwe kumafuna kupuma kwamakina, komwe kumatchedwanso kupuma. Njirayi imagwira ntchito pothandizira kulowa kwa mpweya kudzera mumayendedwe amlengalenga chifukwa cha kuthamanga kwa mpweya, komwe kumagwiritsidwa ntchito mothandizidwa ndi chigoba, chomwe chimatha kukhala nkhope kapena mphuno.

Kawirikawiri, pulmonologist amalimbikitsa kutulutsa mpweya wabwino kwa anthu omwe ali ndi matenda opatsirana am'mapapo, omwe amatchedwanso COPD, mphumu, edema yam'mapapo chifukwa cha mavuto amtima komanso matenda obanika kutulutsa tulo, mtundu womwe amagwiritsidwa ntchito kwambiri kukhala CPAP.

Zikakhala kuti munthu amavutika kupuma, mpweya ukugwa m'magazi kapena samapuma, mpweya wabwino suli wowonekera, ndipo njira zina ziyenera kuchitidwa kuti zitsimikizire kupezeka kwa oxygen.

Ndi chiyani

Mpweya wosalowererapo umathandizira kukonza kusinthana kwa gasi, kumathandizira kupuma kudzera kupsinjika komwe kumapangitsa kutseguka kwa mayendedwe amlengalenga ndikuthandizira mayendedwe a mpweya ndi mpweya. Njirayi ingasonyezedwe ndi pulmonologist kapena dokotala wamkulu ndipo amachitidwa ndi physiotherapist kapena namwino mwa anthu omwe ali ndi izi:

• Kulephera kupuma;
• Matenda osokoneza bongo;
• Edema ya m'mapapo chifukwa cha mavuto amtima;
• Mphumu;
• Ntenda yopuma movutikira;
• Kupuma kwamavuto mwa anthu osatetezedwa;
• Odwala omwe samatha kulumikizidwa;
• Zoopsa zoopsa;
• Chibayo.

Nthawi zambiri, mpweya wabwino womwe umasokoneza umagwiritsidwa ntchito limodzi ndi mankhwala osokoneza bongo ndipo uli ndi maubwino okhalabe njira yopewera chiopsezo chotenga kachilombo, sikutanthauza kutonthozedwa ndipo umalola munthuyo kuyankhula, kudya ndi kutsokomola pogwiritsa ntchito chigoba . Monga yosavuta kugwiritsa ntchito, pali mitundu yotsogola yomwe ingagwiritsidwe ntchito kunyumba, monga zilili ndi CPAP.

Mitundu yayikulu

Zipangizo zopanda mpweya wabwino zimagwira ntchito ngati ma ventilator omwe amatulutsa mpweya, kukulitsa kukakamiza munjira zapaulendo, kuthandizira kusinthana kwa gasi ndi mitundu ina ingagwiritsidwe ntchito kunyumba. Mwambiri, zida izi zimafunikira malamulo apadera a physiotherapy ndipo kupanikizika kumagwiritsidwa ntchito kutengera momwe munthu amapumira.

Mitundu yazida zomwe zimagwiritsidwa ntchito popuma mpweya wabwino zimakhala ndi maulalo angapo, ndiye kuti, pali masks osiyanasiyana kotero kuti kukakamizidwa kwa chipangizocho kumagwiritsidwa ntchito pamlengalenga, monga mphuno, nkhope, chisoti, chomwe chimayikidwa mwachindunji pakamwa. Chifukwa chake, mitundu yayikulu ya NIV ndi iyi:

1. CPAP

CPAP ndi mtundu wa mpweya wosagwira ntchito womwe umagwira ntchito popumira mopumira, izi zikutanthauza kuti gawo limodzi lokha limagwiritsidwa ntchito, ndipo sizotheka kusintha kuchuluka kwa nthawi yomwe munthuyo adzapuma.

Chipangizochi chitha kugwiritsidwa ntchito ndi anthu omwe amayang'anira kupuma kwawo ndipo chimatsutsana ndi anthu omwe ali ndi vuto la ubongo kapena kupuma komwe kumapangitsa kupuma kukhala kovuta. CPAP imagwiritsidwa ntchito kwambiri kwa anthu omwe ali ndi vuto la kupumula kwa tulo, chifukwa amalola kuti njira zapaulendo zizikhala zotseguka nthawi zonse, kupititsa mpweya nthawi zonse panthawi yomwe munthu wagona. Dziwani zambiri za momwe mungagwiritsire ntchito ndi kusamalira CPAP.

2. BiPAP

BiPAP, yomwe imadziwikanso kuti Bilevel kapena Biphasic Positive Pressure, imakondanso kupuma pogwiritsa ntchito kupsinjika kwabwino m'magulu awiri, ndiye kuti, kumathandiza munthu panthawi yolimbikitsidwa komanso kutha kwake, ndipo kuchuluka kwa kupuma kumatha kuwongoleredwa kuchokera kumatanthauzidwe a physiotherapist .

Kuphatikiza apo, kupsinjika kumayambitsidwa ndi kupuma kwa munthuyo kenako, mothandizidwa ndi BiPAP, ndizotheka kupitiliza kupuma mosalekeza, osalola kuti munthu azipuma osapuma, kuwonetsedwa kwambiri pakulephera kupuma.

3. PAV ndi VAPS

VAP, yotchedwa Proportional Assisted Ventilation, ndi mtundu wa chida chomwe chimagwiritsidwa ntchito kwambiri muzipatala ku ICUs ndipo chimagwira ntchito kusinthasintha zosowa za munthu, kotero mpweya ukuyenda, kupuma kwake komanso kupsinjika komwe imachita panjira zam'mlengalenga zimasintha malinga ndi khama la munthu kuti apume.

VAPS, yomwe imatchedwa Support Pressure yokhala ndi Guaranteed Volume, ndiye mtundu wa makina opumira omwe amagwiritsidwanso ntchito muzipatala, omwe amagwira ntchito kuchokera pakukakamizidwa ndi dokotala kapena physiotherapy, malinga ndi zosowa za munthuyo. Ngakhale atha kugwiritsidwa ntchito popuma mpweya, chida ichi chimagwiritsidwa ntchito kwambiri kuwongolera kupuma kwa anthu mumlengalenga wowopsa, ndiye kuti, wolowerera.

4. Chisoti

Chipangizochi chikuwonetsedwa kwa anthu omwe ali ndi Matenda Ophwanya Matenda Osiyanasiyana, omwe adalowa mu Intensive Care Unit, kuwonjezera pa kukhala njira yoyamba kwa anthu omwe njira yovutirayo ndi yovuta, chifukwa chakupsinjika kumaso, kapena kwa iwo omwe sagwira ntchito mpweya wabwino wakonzekera kwakanthawi.

Kusiyanitsa kwa mitundu ina ya mpweya wosagwira ntchito ndi mwayi wopereka mpweya kwa munthuyo mwachangu, kupewa zovuta zoyipa ndikutha kupereka chakudya kwa munthuyo.

Ngati sizikuwonetsedwa

Kutulutsa kosavomerezeka kumatsutsana pomwe munthuyo ali ndi zovuta monga mtima wam'mimba womangika, kutaya chidziwitso, atachitidwa opaleshoni kumaso, kuvulala komanso kuwotcha pankhope, kutsekeka kwa mayendedwe apandege.

Kuphatikiza apo, chisamaliro chiyenera kugwiritsidwa ntchito mwa amayi apakati, komanso anthu omwe akudyetsedwa ndi chubu, ndi kunenepa kwambiri, nkhawa, kusokonezeka komanso claustrophobia, ndipamene munthu amamva kuti wagwidwa ndikulephera kukhala m'nyumba . Pezani zambiri za momwe claustrophobia imathandizidwira.