Chithandizo cha oxygen chochulukaamatanthauza njira yoperekera chithandizo chamankhwala chogwira ntchito kwa odwala popereka mpweya wochuluka, wolondola wa okosijeni ndi kutentha ndi kunyowetsa mpweya wosakanikirana wa oxygen.Iwo akhoza mwamsanga kusintha wodwala oxygenation mlingo ndi kukhala yachibadwa ntchito ya airway ntchofu cilia.
Thandizo la okosijeni lapamwamba kwambiri limagwiritsidwa ntchito kwambiri m'chipatala chifukwa cha kulephera kwa kupuma kwa hypoxic, post-extubation oxygen therapy, kulephera kwa mtima kwa mtima, matenda aakulu a mpweya, ndi njira zina zopumira m'chipatala chifukwa cha zotsatira zake zapadera za thupi.Makamaka kwa odwala pachimake hypoxic kupuma kulephera, mkulu-otaya mpweya mankhwala ndi bwino kwambiri kuposa chikhalidwe mpweya mankhwala ponena kukweza mpweya pang'ono kuthamanga, ndipo zotsatira zake si zochepa kuposa sanali invasive mpweya wabwino, koma HFNC chitonthozo bwino ndi kulolerana kuposa. mpweya wosasokoneza.Chifukwa chake, HFNC ikulimbikitsidwa ngati njira yoyamba yothandizira odwala otere.
High-flow Nasal Cannula (HFNC)amatanthauza mtundu wa chithandizo cha okosijeni chomwe chimapereka mwachindunji mpweya ndi mpweya wosakanikirana kwambiri wa mpweya wina wa okosijeni kwa wodwala kudzera mu catheter ya pulagi ya m'mphuno popanda chisindikizo.High-flow oxygen therapy (HFNC) poyambilira idagwiritsidwa ntchito ngati njira yothandizira kupuma yopitilira mpweya wabwino (NCPAP) ndipo idagwiritsidwa ntchito kwambiri mu neonatal kupuma kwapang'onopang'ono (NRDS), ndipo yakwaniritsa zina.Pogwiritsa ntchito kwambiri HFNC mwa akuluakulu, ogwira ntchito zachipatala amazindikiranso ubwino wake wapadera pakugwiritsa ntchito zosiyana ndi mankhwala wamba wa okosijeni komanso mpweya wabwino wosagwiritsa ntchito makina.
Chithandizo cha nasal high-flow oxygen therapy (HFNC) chimakhala ndi zotsatira zapadera za thupi:
1. Kuphatikizika kwa okosijeni nthawi zonse: kuchuluka kwa mpweya wa okosijeni woperekedwa ndi chipangizo chachikhalidwe chochepetsera mpweya wa okosijeni nthawi zambiri ndi 15L / min, yomwe imakhala yotsika kwambiri kusiyana ndi nsonga yeniyeni ya kupuma kwa wodwalayo, ndipo kuthamanga kosakwanira kudzawonjezeredwa ndi Mpweya wopumira nthawi yomweyo, kotero kuti mupume mpweya wa okosijeni Kukhazikika kumachepetsedwa kwambiri ndipo ndende yake siidziwika.Chida chothandizira kupuma kwapamwamba chimakhala ndi chosakaniza cha mpweya wa okosijeni ndipo chikhoza kupereka mpweya wosakanikirana mpaka 80L / min, womwe ndi waukulu kuposa nsonga yopuma ya wodwalayo, potero kuonetsetsa kuti nthawi zonse mumakhala mpweya wabwino komanso mpweya wabwino. mpaka 100%;
2. Kutentha kwabwino ndi chinyezi: HFNC ikhoza kupereka mpweya wothamanga kwambiri pa 37 ℃ ndi 100% chinyezi chachibale, chomwe chili ndi ubwino waukulu poyerekeza ndi mankhwala ochiritsira okosijeni;
3. Kutsuka zibowo zakufa za nasopharynx: HFNC ikhoza kupereka mpaka 80L / min ya gasi, yomwe imatha kutulutsa mpweya wakufa wa nasopharynx mpaka kufika pamlingo wina, kotero kuti ukhoza kupereka mpweya wambiri wa okosijeni ndi mpweya wochepa wa carbon dioxide, umene amatha kusintha mpweya wa magazi.Udindo wa machulukitsidwe kuchepetsa mpweya woipa;
4. Pangani mpweya wabwino wothamanga: Ofufuza ena apeza kuti HFNC ikhoza kutulutsa mphamvu pafupifupi pafupifupi 4cmH2O, ndipo pamene pakamwa patsekeka, imatha kutulutsa mpaka 7cmH2O.Zitha kuwoneka kuti HFNC imatha kubweretsanso zotsatira zofananira ndi kuthamanga kwa mpweya wabwino (CPAP).Komabe, mosiyana ndi CPAP, HFNC imayang'ana pakuyenda kwanthawi zonse kuti ipangitse kuthamanga kwa mpweya wosakhazikika, kotero pakugwiritsira ntchito kwachipatala, pakamwa pa wodwalayo kuyenera kutsekedwa kuti akwaniritse zomwe akufuna;
5. Chitonthozo chabwino ndi kulolerana: Kafukufuku wambiri wapeza kuti chifukwa cha kutentha kwake ndi kutentha kwake komanso kutentha kwake komanso kugwiritsa ntchito mosavuta, chipangizo cha m'mphuno cha mpweya wa oxygen chimakhala ndi chitonthozo ndi kulolerana bwino kuposa masks othamanga kwambiri a okosijeni komanso osasokoneza .
Sepray Nasal High Flow Oxygen Therapy OH mndandanda wa kupuma kwa humidification therapy chida chimapereka chithandizo chogwira ntchito kwa odwala popereka othamanga kwambiri, ndende ya okosijeni yeniyeni komanso mpweya wosakanikirana ndi mpweya wonyezimira.
Madipatimenti Ogwiritsidwa Ntchito:
ICU, dipatimenti yopumira.Dipatimenti yazangozi.Dipatimenti ya Neurosurgery.Dipatimenti ya Geriatrics.Dipatimenti ya Cardioology.
Nthawi yotumiza: Jul-13-2020