Artificial ventilation

Mhepo inonyanya kukosha kumunhu kupfuura mvura kana zvokudya, nokuti pasina iye anogona kurarama kwemaminetsi mashoma. Mumamiriro ezvinhu apo munhu anorega kufema, nzira chete yekubatsira ndeyokuita mhepo inoputika.

Zviratidzo zvekushandiswa kwemavhenekeri ekugadzira

Kutarisa kwakadaro kunokosha mumamiriro ezvinhu ekuti munhu haakwanisi kufema ari oga, ndiko kuti, kuita shanduko yegesi pakati pealveoli yemapapu uye mamiriro ezvinhu: kugamuchira oksijeni, nekupa carbon dioxide.

Mhepo inofanirwa kupisa inogona kudiwa mumamiriro ezvinhu anotevera:

• kana kupfurikidza kuzvifema kunopedzerwa nemishonga (munguva yekushanda kwenguva yakareba pasi pechirwere aneshehesia) kana munhu ari mu coma mu postoperative period;
• nekukuvadzwa kwakakonzera kutadza kuputika;
• ane zvirwere zvemapapu (pneumonia, pulmonary edema );
• kana hutachiwana hwekutanga, hunokonzera kukundikana kana kukanganisa kumapapu;
• chisinganzwisisiki kupemha kusakundikana.

Kana kufema kwepanyama kunokanganiswa nekuda kwekunzwa kwekunze, kushungurudzika kana kurwiswa kwakaoma kwechirwere ( nekurohwa ), kupera kwemafuro emapapu kunoda, uye kuputika kwebasa kunobatsira pneumonia, kusingaperi kuporesa kusakundikana, panguva yekushandura kune mumwe munhu akazvimiririra.

Nzira Dzakakosha dzekugadzirisa maitiro

Hezvino nzira yokurwira nayo oxygen kumapapu:

1. Zviri nyore - nzira "muromo kumuromo" kana "muromo kumaputi".
2. Zvigadzirwa zvekushandisa: bhudziro rinoputika (inowanzo kana self-inflating kupumha bhegi ine maskijeni mask), mupfuri wekutengesa nzira yekushandisa.
3. Intubation - dissection ye trachea uye kuiswa kwehuputi muchipinda.
4. Electrostimulation ye diaphragm - kufema kunoitika semugumisiro we periodic kukurudzira kwemazwi anonzi diaphragm kana kuti diaphragm pachayo nekubatsirwa kwekunze kana kushandiswa kwemasero, iyo inokonzera kukanganisa kwayo.

Nzira yekuita mavhenekeri anoitwa sei?

Kana zvichidikanwa, zvinobvira kuitisa nzira imwe chete uye hardware imwe nekubatsirwa kwebhuku rinoputika. Zvose zvese zvinowanikwa muzvipatara kana ma ambulensi.

Neine mhepo yakanyanyisa yokuputika, zvinodiwa kuita izvi:

1. Isa murwere pane imwe nzvimbo yakadzika, uye musoro wake wakagadzirirwa kuitira kuti zvikwanise kubudiswa kumashure. Izvi zvingabatsira kudzivirira rurimi kuti rurege kuzarura mukova weharukoni.
2. Mira kumativi. Nechanza chimwe chete, zvakakosha kuvhara mapapiro emhino, panguva imwe chete ichidzorera musoro zvishoma, uye wechipiri - kuzarura muromo, kuderedza chinja pasi.
3. Tora kufema kwakadzika, zvakanaka kuti unamatira miromo yako kumuromo wemunhu wacho uye kubudisa zvakanyanya. Musoro wako unofanirwa kuiswa pakarepo, sezvo kubuda kunofanira kutevera.
4. Kuwedzerwa kwejairo yemhepo kunofanirwa kuva makumi maviri nemaviri paminiti.

Zvakakosha kuongorora mamiriro ekurapa. Kunyanya kukoshesa kunofanira kubhadharwa kune ruvara rweganda. Kana ikashandura bhuruu, zvinoreva kuti okisijeni haikwani. Chinhu chechipiri chekucherechedza chinofanira kunge chiri chigamba, kureva, kufamba kwayo. Nemhepo yakakodzera yekudzivirira iyo inofanira kusimuka ndokuburuka. Kana nzvimbo yepigastric inowira, zvinoreva kuti mhepo haina kuenda kumapapu, asi inopinda mudumbu. Muchiitiko ichi, unofanirwa kugadzirisa nzvimbo yemusoro.

Nzira yechipiri inowanikwa nyore nyore yekubvongodzwa kushandiswa kwetirotonos mask ane bhegi remhepo (somuenzaniso: Ambu kana RDA-1). Muchiitiko ichi, zvakakosha kusungira maski zvakasimba zvakasimba kumeso uye kushandisa oxygen nguva dzese.

Kana iwe usingakwanisi kuita mapapu ekugadzira mapapiro munguva yakakodzera, ichakonzera migumisiro yakaipa, kusvika pamugumisiro unouraya.