The ventilator. Midziyo kuti chakagadzirwa afemeruke. Medical zvivako

Zvokuimba kufefetedza aponesa mamiriyoni upenyu, ndiyo imwe huru kurapwa. In ose dhipatimendi reanimation kana ndichibvunza kurapa haashandi imwe ventilator ari kubatsira munhu kukunda dzinonetsa nguva chirwere.

Kufema - ndiwo upenyu

Edza kuchengeta mweya yenyu, kutarira stopwatch. Munhu untrained munhu haagoni kufema hapana kupfuura 1 miniti, uye ipapo anouya befu. Champions kukurira maminitsi anopfuura 15, asi - mugumisiro emakore kudzidziswa.

Hatigoni kuchengeta mweya yenyu nokuti oxidative pezvakaitwa mumuviri wedu hakumboperi - chero bedzi tiri vapenyu, chokwadi. Kuramba rinoungana carbon dioxide, uye anofanira kuratidza. Kuramba vanoda okisijeni, pasina izvozvo upenyu pachahwo hazvibviri.

Chii vaiva vokutanga kufema midziyo?

Wokutanga ventilator simulated thorax kufamba, vachisimudza rumbabvu uye kuwedzera nerumbabvu keji. Rakanzi "chipfuva" uye zvinopfekwa pamusoro pachipfuva. Zvinoita kunaka mhepo kumanikidzwa, kureva mhepo involuntarily vakanwa munzvimbo kufema turakiti. Statistics sei zvinobudirira zvakanga, haana kurarama.

Zvadaro panguva emakore vaishandisa mano zvakadai nokuchengetedza mvuto. Anotinhwa mhepo, kumanikidza akanga kugadziridzwa "ne ziso". High kuitika zvemapapu atsamwira nokuda kwazvo kumanikidzwa zvitengeswa mhepo.

Modern zvokurapa mano kushanda zvakasiyana.

Chiedza jekiseni musanganiswa okisijeni uye mhepo. Kumanikidzwa musanganiswa akapfuudza zvemapapu zvishoma. Izvi nzira Apa zvinopesana physiology, asi nesimba raro kwazvo pamatunhu: vose vanhu nechokuita kuna unit, kufema - saka mhenyu.

How ano mano vari?

Mumwe ventilator ane kuzvidzora uye kuuraya dzakabatana. kuzvidzora chikwata - a kiibhodhi uye chidzitiro kuti anoratidza zvinyorwa zvose. Washer kwokutanga mhando nyore chimiro, pane nyore läpinäkyvä chubhu, mukati iro inobaya cannula. Movement of cannula kuratidza mwero kufema. Panewo kumanikidzwa geji, izvo zvinoratidza kwokudzvinyirira kwomunhu jekiseni nezvakasanganiswa.

Kuuraya chikwata - chine mano. Chokutanga, mukuru-kumanikidzwa mukamuri rokuvhenganisa wakachena okisijeni nevamwe magasi. Mukamuri, okisijeni vanogona kusvitsa kubva huru Mapaipi kana humburumbira. Centralized okisijeni zvitengeswa okugutsikana huru muzvipatara, apo pane okisijeni zvechitima. All dzimwe kugutsikana sepombi, asi kunaka hazvizivi afemeruke uyu haachinji.

Speed controller runodiwa gasi nezvakasanganiswa. sikuruwa ichi, izvo anochinja dhayamita pamusoro chubhu unokupai yakachena.

The mano dzinewo wakanaka vaiitawo kamuri uye kwetembiricha magasi. Panewo utachiona Sefa uye humectant.

Nokuti murwere kufema redunhu unokupai okisijeni-vapfumi gasi vasanganise zvinoyerera carbon dioxide.

Sezvo mudziyo wanamatira murwere?

It zvinoenderana ezvinhu munhu. Varwere akaramba pakuparadza uye matauriro, anogona kugamuchira okisijeni achipa upenyu-kuburikidza asingazivikanwi. The chikwata anogona kwenguva "fema" pane munhu ane mwoyo kurwisa, kunotevera kana kenza.

Vanhu vane chavanoziva, hunosumwa kupinda trachea chubhu - intubated kana tracheostomy ushande. The chete anoitwa vanhu vanoziva asi tine gravis, varwere kwakadaro haigoni kumedza uye taura yakazvimiririra. Muzviitiko zvose izvi, kuti ventilator - chete nzira yokupukunyuka.

Zvimwe zvokurapa mano

Various zvokurapa mano inoshandiswa intubation: laryngoscope pamwe akazvimirira chiedza uye endotracheal chubhu. Bata anotakura chiremba pamwe ruzivo yakakwana. Pakutanga akasuma laryngoscope - zano kuti anosandudzira epiglottis uye kuvapo kuti tsandanyama dzinobudisa inzwi. Kana chiremba anoona zvakajeka zviri trachea, kuti chubhu yacho kutarisirwa laryngoscopy. Nokuti kugadzira ari chubhu panguva yayo kuguma cuff riri inflated pamwe mhepo.

The chubhu iri akaiswa achishandisa muromo kana mhuno nemuromo asi yamunenge.

Medical midziyo zvirarame

Kuti aponese upenyu uye kuchengetedza utano, mumwe ventilator hakuna kukwana. Tinoda siyana dzokurapwa midziyo: defibrillators, endoscopes, rabhoritari midziyo, Ultrasound michina, uye zvakawanda.

The defibrillator anogona kudzorera mwoyo mutinhimira uye inoshanda kufamba kweropa. Vari nepokuongorora fanira emwoyo ambulances uye yevanorwara zvikuru dzakabatana.

Objective tinyatsonzwisisa hutano ezvinhu muviri hazvibviri pasina siyana analyzers: hematological, nokukanganisika analyzers uye homeostasis kuti zvinwiwa muviri.

Medical inokwanisa kuti kuongorora zvose kusarudza uye sarudza yakakodzera kurapwa neimwe nyaya.

Midziyo nokuti kununurwa zvikwata

Dambudziko, njodzi kana tsaona anogona kuitika chero nguva uye kuti munhu. Munhu yakaoma ezvinhu anogona kuponeswa, kana ichiwanika nokumutswa michina. The motokari zvokununura zvikwata Moe, njodzi mushonga uye cardiology "Nokukurumidza" kuva nechokwadi kuti inotakurika ventilator kuti unobvumira kutakura vacho kurarama mira zvipatara.

Portable mano vakasiyana ngadzirambe chete nekukura uye uwandu modes. okisijeni Kwakachena mumabhatiri sepombi, uwandu zvinogona kuva pamadiro huru.

Modes zviri kushandiswa inotakurika mudziyo kunodiwa anosanganisira kumanikidzwa uye vaibatsira kufefetedza.

Equipment amburenzi nokurapwa

Munyika kushandisa zvimwe zvinodiwa, uyewo wezvokurapa michina uye midziyo kupiwa mhinduro. Saka, motokari kunofanira mukuru denga, kuti mudonzvo kubatsira aigona kumira. Inoda senga ventilator, kupomba oximeters, ciliates nokuti dosing mushonga, catheters midziyo makuru, anoita kuti konikotomii, intracardiac kurudziro uye musana ponji.

chimbichimbi zviito uye muchina michina navanachiremba achaponesa upenyu hwevanhu kusvikira panguva muchipatara.

Akazvarwa mwana akararama

Kuberekwa munhu - kwete chete inokosha uye zvinofadza chiitiko mumhuri, asiwo nguva ngozi. Panguva nokuberekwa mwana ari pachena yokunyanyisa kushushikana, uye kazhinji zvinoda nokumutswa. Kuvandudzwa of achangoberekwa chete nevanhu ruzivo neonatologist, nekuti mutumbi richangobva akaberekwa mwana ane chaizvo zvinhu.

Pakarepo pashure pokuberekwa, chiremba anoyera 4 zvinodiwa:

• vaingoerekana kufema;
• kwemwoyo;
• rusununguko mafambiro;
• pulsation of achiine rukuvhute tambo.

Kana mwana inoratidza chiratidzo mumwechete upenyu, ipapo mukana yokupona chaizvo.

Kuvandudzwa of achangoberekwa

Chakagadzirwa kufefetedza achangoberekwa ane zvinhu: kakawanda kufema kufamba iri zvinobva 40 kusvika 60 (mu mukuru pa zororo 20), chinofema diaphragmatic. Mumapapu anogona kuramba zvikamu unopened, uye zvinokosha kukwanisa ndiyo Rine mamiririta 120-140 chete.

Nokuda idzi kushandisa mano mukuru nokuda unotipa simba vachangoberekwa zvisingabviri. Naizvozvo, afemeruke kupora musimboti pacharo mumwe, kureva yakakwirira Frequency ndege kufefetedza.

Chero ventilator nokuti vachangoberekwa zvakavakwa zvokuti zvinotoda kufema chomunda murwere kubva 100 kusvika 200 ml chinofema gasi ane kakawanda kupfuura 60 zvinogara / miniti. Musanganiswa zvaidyapo kuburikidza asingazivikanwi, intubation mu kudzvanyirira kuitika inoshandiswa.

Kunakisa nzira iyi kuti akaipa okuda anoramba ari pachipfuva. Zvakakosha chaizvo kuti upenyu, nokuti akachengetedzwa chakaipa physiology ari kufema hurongwa. Inflowing arterial ropa kunowedzerwa pamwe okisijeni yakawanda, iyo anowedzera wokurarama.

Modern mano ave nehanya, vachiita mashandiro synchronizing uye achichinja rusingaperi. Saka, vaingoerekana kufema uye yakanakisisa kwadzinoita kufefetedza rutsigiro ventilator. Guide kuti muchina anodzidzisa kuyera duku naTidhari vhoriyamu, kuitira kudzvinyirira vaingoerekana kufema vachangoberekwa. Izvi zvinoita kuchinja kushanda midziyo kuti ufambidzane mwana, kuti abate zvake mutinhimira youpenyu uye kuvabatsira kuti ajairane kwokunze kwezvakatipoteredza.