Umuyaga ni iki?
Muri make ,.guhumekani bumwe mu buryo bukomeye bwo kuvura abarwayi bafite ibibazo by'ubuhumekero. Igikorwa nyamukuru cyumuyaga gifashwa imashini ihumeka, kugirango ifashe abarwayi guhumeka bisanzwe. Iyo abantu bafite ikibazo cyo guhumeka, umuyaga urashobora kwigana umuvuduko wabantu no kohereza imyuka itandukanye ya ogisijeni (21% -100%) mugihaha no guhanahana imyuka buri gihe kugirango ifashe abarwayi kunoza sitasiyo ya hypoxia, kubika karuboni ya dioxyde.
Umuyaga, uzwi kandi nk'imashini ihumeka cyangwa imashini ihumeka, ni ibikoresho by'ubuvuzi bifasha abarwayi badashobora guhumeka bonyine. Ibi birashobora guterwa n'indwara, nk'umusonga ukabije cyangwa kunanirwa mu myanya y'ubuhumekero, cyangwa kubera ko barimo gukorerwa ubuvuzi bubasaba kwicara no kugenzura umwuka wabo.
Umuyaga ukora usunika umwuka - ukungahaye kuri ogisijeni wongeyeho - mu bihaha, hanyuma ukongera ugasohoka. Inzira ifasha umurwayi gufata ogisijene ihagije no kwirukana dioxyde de carbone ihagije, ibintu bibiri byingenzi bigize inzira yo guhumeka.
Ventilator irashobora kuba ibikoresho bikiza ubuzima mubuvuzi bukomeye nubuvuzi bwihutirwa. Bakunze gukoreshwa mugihe habaye ikibazo cyo guhumeka neza - aho usanga urugero rwa ogisijeni mu maraso iba mike cyane cyangwa urugero rwa dioxyde de carbone ikaba myinshi. Ibi birashobora kubaho bitewe nubuzima butandukanye butandukanye, harimo indwara zikomeye z ibihaha, indwara zifata ubwonko, hamwe nihungabana rikomeye.
Muri make, abahumeka bafite uruhare runini mubuvuzi. Bashobora gusobanura itandukaniro ryubuzima nurupfu kubarwayi badashobora guhumeka bonyine. Gusobanukirwa uburyo bakora nibigize, nkibyuma byayungurujwe, nibyingenzi kubagize uruhare mukubikoresha no kubibungabunga.
Ihame ryibanze ryakazi rya Ventilators
Umuyaga ni imashini ifasha cyangwa igasimbuza guhumeka bidatinze. Ifasha muguhana ogisijeni na karuboni ya dioxyde, bigereranya neza inzira ya physiologique yo guhumeka.
Ubwoko butandukanye bwa Ventilator
Ventilator ziza muburyo butandukanye, ubunini, n'ubwoko. Mubisanzwe bashyizwe mubikorwa ukurikije imikorere yabo, uburyo bwo guhumeka, hamwe n’aho bakoreshwa. Dore ubwoko bumwe busanzwe:
1. Umuyaga utera
Nibihumeka bikoreshwa muburyo bukomeye bwo kwita kubintu nkibice byitaweho cyane (ICU). Zitanga umwuka mubi abarwayi bicaye cyangwa bafite ubushobozi bwo guhumeka bikabije. Guhumeka bitera bisaba umuyoboro (endotracheal cyangwa tracheostomy tube) winjijwe mumyuka yumurwayi.
2. Ventilator zidatera
Umuyaga udahumeka ufasha abarwayi guhumeka batanga umwuka wumuvuduko ukoresheje mask yo mumaso, mask yizuru, cyangwa umunwa. Ibi bikunze gukoreshwa kubarwayi bafite ikibazo cyo guhumeka gake cyane, nk'abafite indwara zidakira zifata ibihaha (COPD) cyangwa gusinzira.
3. Ventilator zigendanwa cyangwa zitwara abantu
Nibintu byoroheje, bihumeka neza bigenewe kugenda. Bakunze gukoreshwa mugihe cyo gutwara abarwayi imbere yibitaro cyangwa hanze yacyo, nko kwimurira umurwayi muri ambulance ku ishami ryihutirwa.
4. Inzu yo guhumeka
Bizwi kandi nka domiciliary ventilators, ibi byagenewe abarwayi bakeneye ubufasha bwigihe kirekire murugo. Izi mashini mubisanzwe ntizigoye kurenza ICU ihumeka kandi zagenewe gukoreshwa neza kubarwayi n'abarezi.
5. Ventilator ya Neonatal
Byashizweho byumwihariko kubiranga physiologique idasanzwe yimpinja nimpinja, umuyaga wa neonatal ukoreshwa mubice byitaweho cyane (NICUs). Bafite uburyo bwihariye nibiranga umutekano kugirango bahumeke neza kandi bafite umutekano kubana bavutse.
Buri bwoko bwa ventilator ikora intego yihariye kandi yagenewe guhuza abarwayi bakeneye. Ubwoko bwakoreshejwe buzaterwa nubuvuzi nurwego rwimfashanyo umurwayi akeneye.
Ventilator irashobora gushyirwa muburyo butandukanye. Hariho izina ritandukanye ryumuyaga ukurikije inzira zitandukanye zo gutondeka. Kubisaba, umuyaga urashobora kugabanywamo umuyaga wubuvuzi hamwe nu mwuka wo murugo. Umuyaga uhumeka ukoreshwa ukurikiranwa n’abakozi b’ubuvuzi ku barwayi bafite ibibazo by’ubuhumekero na Barotrauma kimwe n’abarwayi bakeneye ubufasha bwo guhumeka, kuvura guhumeka no gutabarwa kwa mbere no kuzura. Umuyaga wo mu rugo ukoreshwa mu kugabanya uburibwe, hypopnea na apnea yo gusinzira iyo abarwayi basinziriye. Yakoreshaga kubantu bafite ikibazo cyubuhumekero bworoheje no kubura ubuhumekero kugirango bafashe kwivuza. Ntabwo ikoreshwa mubidukikije gusa, ahubwo ikoreshwa no mubuvuzi.
Igabanyijemo umuyaga utera kandi udahumeka ukurikije guhuza. Umuyaga utera ni uburyo bwiza bwo guhumeka neza wubaka inzira yubukorikori (Nasal cyangwa endotracheal intubation na tracheotomy). Umuyaga utera ubusanzwe ukoreshwa muri ICU kugirango ukize abarwayi bafite ikibazo cyubuhumekero bukabije. Umuyaga udahumeka wubaka inzira yubukorikori hifashishijwe mask yo mu kanwa, mask yizuru, umuyoboro wizuru, nibindi. Byakoreshwaga cyane cyane mubitaro byita kumurugo, inzu rusange hamwe nimiryango ivura abarwayi bafite ikibazo cyubuhumekero bworoheje kandi buciriritse.
Gucumura Ibyuma Akayunguruzo n'uruhare rwabo muri Ventilator
Niki Icuma Cyuma Cyungurura
Ibyuma byungururani ubwoko bwihariye bwo kuyungurura bukozwe mu ifu yicyuma yashyutswe (cyangwa yacumuye) kugirango ikore imiterere ihamye. Akayunguruzo kazwiho kuramba, imbaraga, kandi neza.
Akamaro ka Byuma Byuma Byungurura muri Ventilator
Ikintu cyingenzi muri sisitemu iyo ari yo yose ihumeka. Nibyingenzi kuko ishinzwe kweza umwuka winjizwa mumahaha yumurwayi. Noneho, niba dutekereje ku bwoko bwibintu bishobora kuba mu kirere - umukungugu, bagiteri, virusi - tumenya akamaro k'uruhare.
Kuki Icuma Cyuma Cyungurura?
Ibyuma byungurujwe byungurura biragaragara kubwimpamvu nke. Imwe, ziraramba bidasanzwe. Ibyo biterwa nuko bikozwe mubyuma, bishobora kwihanganira kwambara no kurira. Babiri, barakora neza mugushungura uduce duto, tubikesha inzira yo gucumura ikora ubunini bumwe kandi buhoraho.
Akamaro ko gukoresha ibyuma byungurujwe muyungurura ntibishobora kuvugwa. Ntabwo bashungura umwuka gusa, ahubwo banarinda imashini zoroshye muri ventilateur ubwayo. Niba umukungugu, kurugero, wagombaga kwinjira mumyuka, ushobora kwangiza ibice byayo, bigatuma unanirwa.
Umutekano n'Ubwiza
Undi murimo wingenzi wicyuma cyungurujwe mumashanyarazi ni ibyiringiro byumutekano nubuziranenge. Akayunguruzo kemeza ko umwuka mwiza, usukuye, n'umutekano wonyine uhabwa abarwayi. Ibi birakomeye, cyane cyane mubyerekeranye nubuvuzi aho guhura na bagiteri, virusi, cyangwa umwanda bishobora gutera ibibazo cyangwa byongera umurwayi.
Mu gusoza, uruhare rwicyuma cyungurujwe muyungurura ni ngombwa. Kuramba kwabo, gukora neza, hamwe nubwishingizi bwumutekano batanga bituma baba igice cyingenzi mugushushanya no mumikorere yumuyaga.
Uburyo Icuma Cyuma Cyungurura Byakoreshejwe muri Ventilator
Ibyuma byungurujwe byungurura bigira uruhare runini mumikorere no gukora neza. Igikorwa cyabo nyamukuru nukuyungurura no kweza umwuka uhabwa umurwayi. Ariko nigute ukora iki mubikorwa? Reka tubice:
Kwinjira mu kirere no kuyungurura
Iyo umuyaga ufata umwuka, uyu mwuka ubanza kunyura muyungurura ibyuma. Akayunguruzo kazi ni ugukuraho ibice byose, bagiteri, virusi, cyangwa ibindi byanduza ikirere.
Imiterere yicyuma cyayungurujwe, cyakozwe muburyo bwo gushyushya ibyuma kugeza bihujwe, ni urufunguzo rwo gukora neza. Iyi nzira irema ibintu byinshi cyane hamwe nubunini bwa pore. Nkigisubizo, akayunguruzo gashobora gutega no gukuraho n’umwanda muto cyane mugihe wemerera umwuka kunyuramo.
Kurinda Ibigize Ventilator
Akayunguruzo k'icyuma kayungurura kandi karinda ibice byimbere. Mugukuraho umwanda hamwe nuduce twinshi mugihe cyo gufata ikirere, birinda ibyo bikoresho kugera kandi bishobora kwangiza imashini zoroshye ziri muri ventilator.
Kubungabunga no Kuringaniza
Iyindi nyungu yo gukoresha icyuma cyungurujwe muyungurura ni uko zikomeye kandi zikoreshwa. Barashobora kwihanganira ubushyuhe bwo hejuru, bigatuma bukoreshwa muburyo bwo kuboneza urubyaro hagati yimikoreshereze. Ubu bushobozi bufite agaciro cyane cyane mubuzima, aho kubungabunga ibikoresho bidafite akamaro.
Muri make, ibyuma byungurujwe byungurujwe bikoreshwa muguhumeka kugirango bishungure umwuka winjira, urinde ibice byimbere byumuyaga, kandi byubahirize isuku n’isuku. Imiterere yihariye yabo ibagira ikintu ntagereranywa mumikorere yibi bikoresho bikiza ubuzima.
Kubireba uruganda rukora ibikoresho byubuvuzi byumwuga, bizatwara iminsi irenga 40 kugirango bitange umwuka kubera ubwubatsi bwimbere bukomeye. Irimo ibihumbi n'ibikoresho, hariho akantu gato ariko gakenewe- guhumeka disiki hagati yabo. Akayunguruzo gakoreshwa mugushungura umukungugu numwanda kugirango ushire o2 isukuye mubihaha byabarwayi nka o2 unyuze mumiyoboro.
Hano harakomeye mubisobanuro byinshi hamwe nicyitegererezo cyo guhumeka no gushungura disiki kugirango uhitemo. Umuyaga wacu wakozwe mubuvuzi 316L ibyuma bidafite ibyuma, bifite ibyiza byo guhumeka neza, kuramba, ubunini bwa pore imwe, kurwanya ruswa, guhumeka neza no kugaragara neza. HENGKO nisoko nyamukuru itanga micro-sinteri idafite ibyuma bishungura hamwe nubushyuhe bwo hejuru bwibyuma byungurura isi. Dufite ubwoko bwinshi bwubunini, ibisobanuro nubwoko bwibicuruzwa wahisemo, ibintu byinshi-bigoye kandi bigoye gushungura ibicuruzwa nabyo birashobora gutegurwa nkuko ubisabwa.
Ibyiza bya Byuma Byuma Byungurura muri Ventilator
1. Gukora neza cyane
Ubunini bwubunini bwa pore mumashanyarazi yungurujwe, bitewe nuburyo bwo gucumura, butanga urwego rwo hejuru rwo kuyungurura neza. Iyi miterere ituma muyungurura ikuraho neza na microscopique, itanga umwuka mwiza kubarwayi.
2. Kuramba no kuramba
Akayunguruzo k'ibyuma muyunguruzi biraramba cyane. Yakozwe mu byuma nk'icyuma cyangwa umuringa, ibyo muyungurura birashobora kwihanganira umuvuduko mwinshi n'ubushyuhe, bigatuma bidashobora kwambara no kurira. Kuramba bigabanya gukenera gusimburwa kenshi, biganisha ku kuzigama amafaranga mugihe kirekire.
3. Kurwanya Ruswa
Ibyuma bikoreshwa muburyo bwo gucumura mubisanzwe birwanya ruswa, bigatuma ibyo bishungura biberanye nibidukikije aho bishobora guhura n’imiti itandukanye cyangwa ubuhehere.
4. Kurwanya Ubushyuhe
Akayunguruzo k'icyuma muyunguruzi karashobora kwihanganira ubushyuhe bwo hejuru, bigatuma bukoreshwa muburyo bwo kuboneza urubyaro. Ibi nibyingenzi mubuvuzi aho kubungabunga ibikoresho bya sterile ari ngombwa kugirango wirinde kwandura.
5. Kuvugururwa no gukoreshwa
Akayunguruzo k'icyuma gashungura karashobora gusukurwa no gukoreshwa, bigatuma bahitamo ibidukikije. Isuku irashobora gukorwa kenshi mugukaraba inyuma, gusukura ultrasonic, cyangwa ubundi buryo.
6. Imikorere ihoraho
Guhuzagurika mubunini bwa pine yubushakashatsi bwibyuma byungurura byemeza imikorere yizewe kandi ihamye, ituma umwuka mwiza uhabwa abarwayi igihe cyose.
Mugusoza, ibyiza byicyuma cyungurujwe muyungurura ni byinshi. Gukora neza kwabo, kuramba, kwangirika no kurwanya ubushyuhe, kongera gukoreshwa, hamwe nibikorwa bihoraho bituma bahitamo neza kubihumeka, bigira uruhare runini mumutekano no gukora neza mubikoresho byubuvuzi bikomeye.
Ibibazo
1. Akayunguruzo gacumuye ni iki kandi gakora gute muri ventilator?
Akayunguruzo k'icyuma ni ubwoko bwa filteri ikozwe mu ifu y'icyuma yashyutswe kandi ikanda hamwe muburyo buzwi bwo gucumura. Iyi nzira ikora imiterere ikomeye, yuzuye kandi ifite ingano nini kandi ihamye, ikaba ari nziza kubikorwa byo kuyungurura. Muri ventilateur, iyi filteri ikoreshwa mugusukura umwuka winjiye mubihaha byumurwayi. Irabikora mu gufata no gukuraho uduce, bagiteri, virusi, cyangwa ibindi byanduza ikirere, byemeza ko umwuka mwiza gusa, usukuye ugera ku murwayi.
2. Kuki icyuma cyungurujwe cyungururwa gikundwa mumyuka ihumeka kuruta ubundi bwoko bwa filteri?
Ibyuma byungurujwe byungururwa bikundwa na ventilateri kubera ibyiza byabo byinshi. Uburyo bwiza bwo kuyungurura, bitewe nubunini bwa pore, butuma bakuraho neza umwanda muto. Zirashobora kandi kuramba cyane, zishobora kwihanganira umuvuduko mwinshi nubushyuhe nta gutesha agaciro, ibyo bikaba byongera ubuzima bwabo kandi bikagabanya gukenera gusimburwa kenshi. Byongeye kandi, zirashobora gusukurwa no gukoreshwa, ibyo bikaba bifite akamaro mubijyanye nubukungu nibidukikije.
3. Ese gushungura ibyuma byungurura mumashanyarazi bishobora guhindurwa?
Nibyo, icyuma cyungurujwe cyungurujwe gishobora guhindurwa. Kimwe mu byiza byayunguruzo nubushobozi bwabo bwo guhangana nubushyuhe bwo hejuru. Ibi bituma bakoreshwa muburyo butandukanye bwo kuboneza urubyaro, nka autoclaving cyangwa ubushyuhe bwumye, bifite akamaro kanini mubuzima kugirango babungabunge ibikoresho bidafite imbaraga kandi birinde kwandura.
4. Ni ibihe byuma bisanzwe bikoreshwa mugukora ibyuma byungurujwe byumuyaga?
Ibyuma bikoreshwa mugukora ibyuma byungurujwe byungurura umuyaga biratandukanye, ariko ibyuma bidafite ingese numuringa nibisanzwe. Ibyo byuma byatoranijwe kugirango birambe, birwanya ruswa, hamwe nubushobozi bwo guhangana nubushyuhe bwo hejuru, ibyo byose nibiranga nkenerwa kubiyungurura bikoreshwa mubikoresho byubuvuzi nka ventilator.
5.Ni ubuhe buryo bukenewe bwo kubungabunga ibyuma byungurura ibyuma bikoreshwa mu guhumeka?
Akayunguruzo k'icyuma kayungurura gasaba kuyitaho buri gihe kugirango irebe neza kandi irambe. Ibi mubisanzwe birimo gukora isuku kugirango ukureho ibice byafashwe hamwe na sterisizione kugirango ukureho ibintu byose bishobora kwanduza. Uburyo bwo gukora isuku bushobora kubamo gukaraba inyuma, gusukura ultrasonic, cyangwa gukoresha igisubizo kiboneye. Akayunguruzo karashobora kandi gusimburwa nkuko bikenewe, nubwo gukomera kwabo no kongera gukoreshwa akenshi bigabanya gukenera gusimburwa kenshi.
Mu gusoza, icyuma cyungurura icyuma kigira uruhare runini mu mikorere yumuyaga, bituma abarwayi batanga umwuka mwiza, usukuye. Kuramba kwabo, gukora neza, no kongera gukoreshwa bituma bakora ikintu ntagereranywa cyibikoresho byubuvuzi bikiza ubuzima.
Fata imikorere ya Ventilator yawe kurwego rukurikira hamwe na HENGKO
Ukeneye ibyuma byujuje ubuziranenge byungurujwe byungurura umuyaga wawe? Ntukongere kureba! HENGKO, izina rikomeye mu nganda, kabuhariwe mu gutanga ibyuma byo hejuru-byacuzwe byuma byungurura bikwiranye nibyo ukeneye byihariye.
Ntabwo dutanga gusa ubuziranenge budasanzwe, ariko kandi twishimira ibyo twiyemeje guhaza abakiriya. Itsinda ryinzobere ryacu ryiteguye kugufasha mubyo ukeneye byose bya OEM, bikwemeza ko ubona neza sisitemu zo guhumeka.
Kuberiki utuza kuri make mugihe ushobora kugira ibyiza? Twandikire nonaha kurika@hengko.comhanyuma utangire kuzamura imikorere yumuyaga wawe hamwe na HENGKO isumba ibyuma byungurujwe.
Igihe cyo kohereza: Kanama-13-2020