"Iminyaka engaphezu kwengu-20 yoMkhiqizi Wezintambo Zezokwelapha Ochwepheshe eShayina"

ividiyo_img

IZINDABA

Ukuvumelana kochwepheshe mayelana nokuqapha umoya ophuthumayo we-carbon dioxide

YABELANA:

Ukuqapha kokuphela kwe-carbon dioxide (EtCO₂) kuyinkomba yokuqapha engasebenzi kahle, elula, yesikhathi sangempela futhi eqhubekayo. Ngokunciphisa imishini yokuqapha, ukuhlukahluka kwezindlela zokuthatha amasampula kanye nokunemba kwemiphumela yokuqapha, i-EtCO₂ isetshenziswe kabanzi emsebenzini wezokwelapha womnyango wezimo eziphuthumayo. Ukusetshenziswa kwayo kwezokwelapha kungokulandelayo: 

1. Nquma indawo yokufaka intubhu

Ukubeka umoya wokwenziwa, ngemva kokufakwa kwe-endotracheal, sebenzisa i-monitor ye-EtCO₂ ukuze wahlulele indawo yokufaka i-intubation. Ukubeka i-nasogastric tube: ngemva kokufakwa kwe-nasogastric tube, sebenzisa i-bypass EtCO₂ monitor ukuze usize ukubeka i-pipeline ukuze wahlulele ukuthi ingena yini endaweni yomoya ngephutha. Ukuqapha i-EtCO₂ ngesikhathi sokudluliselwa kweziguli ezine-endotracheal intubation ukusiza ukwahlulela i-ectopic ye-endotracheal airway kungathola ukukhishwa kwe-ectopic kwe-endotracheal intubation ngesikhathi esifanele futhi kunciphise ingozi yokudluliselwa.

2. Ukuhlolwa komsebenzi wokuphefumula

Ukuqapha isimo somoya ophansi kanye nokuqapha ngesikhathi sangempela kwe-EtCO₂ ngesikhathi somoya ophansi womoya ogelezayo kungathola ukugcinwa kwe-carbon dioxide ngesikhathi esifanele futhi kunciphise imvamisa yokuhlolwa kwegesi yegazi emithanjeni. Ukuqapha iziguli ezisengozini enkulu ezine-hypoventilation kanye ne-EtCO₂ ezigulini ezine-deep sedation, analgesia noma anesthesia. Ukwahlulela kokuvinjelwa komoya: sebenzisa i-EtCO₂ monitor ukuze wahlulele ukuvinjelwa okuncane komoya. Ukuthuthukisa izimo zomoya ophansi kanye nokuqapha okuqhubekayo i-EtCO₂ kungathola ukuvinjelwa komoya ophakeme noma ukungeneli komoya okwanele ngesikhathi esifanele futhi kuqondise ukwenziwa ngcono kwezimo zomoya ophakeme.

I-Micro Capnometer

3. Ukuhlolwa komsebenzi wokujikeleza kwegazi

Hlukanisa ukubuyiselwa kokujikeleza kwegazi okuzenzakalelayo. Qapha i-EtCO₂ ngesikhathi sokuvuselelwa kwenhliziyo namaphaphu ukuze usize ukwahlulela ukubuyiselwa kokujikeleza kwegazi okuzenzakalelayo. Hlukanisa ukwehla kokuvuselelwa bese uqapha i-EtCO₂ ukuze usize ukwahlulela ukwehla kokuvuselelwa. Hlukanisa ukusabela kwamandla bese uhlola ngokubambisana ukusabela kwamandla usebenzisa i-EtCO₂.

I-Micro Capnometer

4. Ukuxilongwa okusizayo

Ukuhlolwa kwe-embolism yamaphaphu, i-EtCO₂ iqashwe ngesikhathi sokuhlolwa kwe-embolism yamaphaphu. I-Metabolic acidosis. Ukuqapha i-EtCO₂ ezigulini ezine-metabolic acidosis kuthatha indawo yokuhlaziywa kwegesi yegazi kancane.

5. Ukuhlolwa kwesimo

Gada i-EtCO₂ ukuze usize ekuhloleni isimo. Amanani angavamile e-EtCO₂ abonisa ukugula okubucayi.

I-EtCO₂, i-detector kulula ukuyisebenzisa futhi ingasetshenziswa njengereferensi ye-triage ephuthumayo ukuthuthukisa ukuphepha nokunemba kwe-triage ephuthumayo.

I-Micro Capnometer

I-MedLinket inohlu oluphelele lwemishini yokuqapha i-carbon dioxide yokuphefumula ekugcineni kanye nezinto ezisekelayo, kufaka phakathi izinzwa zokugeleza kwe-carbon dioxide zokuphefumula ekugcineni kanye nezinzwa zokugeleza eceleni, isibonisi se-carbon dioxide sokuphefumula ekugcineni, ithubhu lokuhlola, ithubhu lomoya-mpilo wamakhala, indebe yokuqoqa amanzi nezinye izesekeli, ezisetshenziselwa ukuqapha i-EtCO₂. Kunezinketho ezahlukahlukene kanye nokubhaliswa okuphelele. Uma ufuna ukwazi kabanzi ngenzwa ye-carbon dioxide yokuphefumula ekugcineni ye-MedLinket, sicela uxhumane nathi ~

Inzwa ye-EtCO₂ eyinhloko kanye neseceleni (3)


Isikhathi sokuthunyelwe: Septhemba-26-2021

QAPHELA:

1. Imikhiqizo ayikhiqizwanga futhi ayigunyaziwe ngumkhiqizi wemishini yokuqala. Ukuhambisana kusekelwe ezicacisweni zobuchwepheshe ezitholakala emphakathini futhi kungahluka kuye ngemodeli yemishini kanye nokucushwa kwayo. Abasebenzisi belulekwa ukuthi baqinisekise ukuhambisana ngokuzimela. Ukuze uthole uhlu lwemishini ehambisanayo, sicela uxhumane nethimba lethu lenkonzo yamakhasimende.
2. Iwebhusayithi ingabhekisela ezinkampanini zangaphandle kanye nemikhiqizo engahlobene nathi nganoma iyiphi indlela. Izithombe zomkhiqizo zenzelwe izinjongo zokubonisa kuphela futhi zingase zihluke ezintweni zangempela (isb., umehluko ekubukekeni kwesixhumi noma umbala). Uma kwenzeka noma yikuphi ukungafani, umkhiqizo wangempela uzonqoba.