Mtundu wa mpweya wogwiritsa ntchito matenda osiyanasiyana ndi wosiyana.Nthawi zambiri, makina opangira mpweya amodzi amagwiritsidwa ntchito kwa odwala omwe ali ndi snoring;mpweya wolowera munjira ziwiri wa ST wamatenda am'mapapo.Ngati ndi wodwala wofowoka kwambiri, pangafunike kugwiritsa ntchito mpweya wabwino wa Bilevel.Mtundu wa mpweya wogwiritsa ntchito matenda osiyanasiyana ndi wosiyana.Pali mitundu ingapo yampweya wabwino wosasokoneza.M'munsimu akufotokoza akafuna mpweya wabwino.Mutha kusankha cholowera mpweya chosasokoneza chomwe chili choyenera kwa inu malinga ndi momwe mulili.
Mpweya wolowera mpweya uli ndi mitundu ya CPAP, S, T, S/T motere:
1. CPAP mode of ventilator: mosalekeza positive airway pressure mode
CPAP: Njira Yopitirirabe Yabwino ya Airway Pressure Mode-Continuous Positive Airway Pressure, wodwalayo amakhala ndi kupuma kwamphamvu kwadzidzidzi, mpweya wabwino umapereka mphamvu yofanana mu magawo olimbikitsa ndi opuma kuti athandize wodwalayo Kutsegula njira ya mpweya.Amagwiritsidwa ntchito makamaka kwa odwala omwe ali ndi OSAS obstructive sleep apnea syndrome, kupuma mwamphamvu modzidzimutsa, komanso kuthandizidwa pang'ono ndi chothandizira mpweya.Palibe choyambitsa, palibe kusintha, thupi la munthu limapuma momasuka, kupanikizika kumayendetsedwa kupanikizika kosalekeza, ndipo kupanikizika kwa gawo lothandizira ndi gawo lopuma mpweya ndi lofanana.Kupumira kothandizidwa (kuthandizira kupanikizika ndi 0) + kuwongolera kuthamanga ndi njira yomwe imagwiritsidwa ntchito kwambiri yosasokoneza.Zotsatira za thupi ndizofanana ndi PEEP (kuthamanga kwabwino kwa mapeto a kupuma): kuonjezera mphamvu yotsalira yogwira ntchito, kupititsa patsogolo kutsata;kuchepetsa kugwiritsa ntchito mphamvu zolimbitsa thupi, kuwonjezera kuyambitsa;sungani njira yakumtunda yotseguka.
2. S mode ya mpweya wabwino:
S mode of autonomous ventilation Njira yopumira yokha --- Njira yopumira yokhayokha, wodwalayo amapuma modzidzimutsa kapena amatha kuyambitsa mpweya wabwino kuti ukhale wodziyimira pawokha, mpweya wabwino umangopereka IPAP ndi EPAP, wodwalayo amalamulira pafupipafupi kupuma ndi chiŵerengero cholimbikitsa / nthawi yopuma. autonomously Kwa odwala kupuma bwino modzidzimutsa kapena odwala chapakati kugona tulo.Choyambitsa kupuma mwachisawawa: Mpweya wolowera mpweya ndi kupuma kwa wodwalayo zimayendera limodzi.Kupuma kwa wodwalayo kukasiya kugwira ntchito, makinawo amasiyanso kugwira ntchito.Kuwongolera kupanikizika (kuthamanga kosalekeza): sungani IPAP (kuthamanga kwa mpweya wabwino) kupanikizika pa mpweya wabwino, ndikusunga EPAP (expiratory airway positive pressure) kupanikizika pa mpweya wotulutsa mpweya Ndi kusintha kwa kuthamanga kwa mpweya, kupuma kumathandiza control, ndipo ndi njira yodziwika bwino yosasokoneza.
3. T wolowera mpweya:
nthawi ya mpweya wabwino T Njira yoyendetsera nthawi-Nthawi yoyendetsera nthawi, wodwalayo alibe kupuma modzidzimutsa kapena sangathe kuyambitsa mpweya wokwanira kuti azitha kupuma payekha, mpweya wabwino umayendetsa bwino kupuma kwa wodwalayo, umapereka IPAP (positive inspiratory phase airway pressure), EPAP (expiratory). Gawo la airway Positive pressure), BPM, Ti (inspitory time/expiratory time ratio).Mchitidwewu umagwiritsidwa ntchito makamaka kwa odwala omwe samapuma mwachisawawa kapena omwe mphamvu yawo yopuma imakhala yofooka.Kuyambitsa nthawi: Mpweya wolowera mpweya umagwira ntchito pafupipafupi ndipo sunagwirizane ndi kupuma kwapang'onopang'ono kwa wodwala.Kuwongolera kupanikizika (kupanikizika kosalekeza): Pitirizani kukhala ndi IPAP (kuthamanga kwa mpweya wabwino) kupanikizika pa mpweya wotsitsimutsa, ndikusunga EPAP (expiratory airway positive pressure) pa mpweya wotuluka mpweya Kusinthasintha kwa nthawi: kulamulira kupuma + kulamulira kupanikizika, osati mode invasive ntchito kawirikawiri.
4. S/T mode ya mpweya wabwino:
zodziyimira pawokha/nthawi mpweya mpweya mode S/T Modzidzimutsa / Nthawi yosintha yodziwikiratu --- Modzidzimutsa/Kusintha kwanthawi yake.Pamene kupuma kwa wodwalayo kuli kochepa kuposa nthawi yomwe ikufanana ndi maulendo afupipafupi a mpweya wabwino, imakhala mu S mode;pamene kupuma kwa wodwalayo kuli kokulirapo kuposa kubwereza pafupipafupi kwa mpweya wabwino, kumakhala mu T mode.Malo osinthira okha: nthawi yofanana ndi nthawi yosungira mpweya wabwino monga: BPM = 10 nthawi / mphindi, kupuma = masekondi 60 / 10 = masekondi 6, ndiye mpweya wodutsa mpweya umadikirira masekondi 6, ngati wodwalayo angayambitse mpweya mkati mwa 6. masekondi, mpweya wabwino Ndi S ntchito mode, apo ayi ndi T mode.Njirayi ndi yomwe imagwiritsidwa ntchito kwambiri ndipo imagwiritsidwa ntchito kwa odwala osiyanasiyana.a.Kupuma kodzidzimutsa kumayambitsa pamene kupuma modzidzimutsa>kukhazikitsa pafupipafupi kwa mpweya wabwino.Mpweya wolowera mpweya komanso kupuma kwa wodwalayo kumalumikizidwa bwino.Kuthamanga kwa kuthamanga kwa kuthamanga kumasinthidwa.b.Kupuma modzidzimutsa
Nthawi yotumiza: Jul-14-2020