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.
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.
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-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 ~
Isikhathi sokuthunyelwe: Septhemba-26-2021



