Bharuni reAmbu, kubva muchidimbu cheAuxiliary Manual Breathing Unit, ibhodhoro rinozvikudza rinoshandiswa kutsigira basa rekufema. Acronym yakagadzirwa nekambani yakatanga kuiisa pamusika muna 1956

Icho chimwe chezviridzwa zvakanyanya kushandiswa munjodzi zvese sekufambisa mukudzoreredza uye kutsigira kufema kune varwere vasina kukwana mapapu ventilation.

Iyo chiridzwa inokurudzirwa zvikuru kuti ishandiswe yakabatana neokisijeni kana paine kudikanwa kwekuwedzera oxygenation yemurwere.

Ngationei zvimwe nezve maitiro uye mashandisiro eiyo Ambu bhegi.

Ambu ballon: maitiro

Iyo Ambu resuscitation bhegi chiridzwa chinosanganisira bhegi rinozvikudza repurasitiki rakabatana kumagumo aro kune maviri enzira imwe mavharuvhu.

Rimwe remavharuvhu aya rinobvumira mweya kupinda mukati mebharumu, imwe vharafu inotungamira mhepo kunze.

Izvi zvinodzivirira kufema, izvo zvinosanganisira kufema mweya wakabuditswa.

Pakupera kwekupedzisira, bharumu reAmbu resuscitation rine universal 15 mm kureba yekubatanidza kuti ive nechokwadi chekubatanidza kune akasiyana airway manejimendi michina yakadai semasiki, endotracheal tubes, tracheostomy cannulae, HME mafirita, catheter mounts.

Chimiro chemabharumu anozvikudza ndechekuti anowanikwa muhukuru hwakasiyana, kuitira kuti agone kuchinjirwa kune akasiyana maumbirwo echiso, uye kuti anogona kuiswa neokisijeni cylinder uye/kana reservoir.

Iyo yekupedzisira ine chibharumu umo oxygen inoungana pasina tsvina ichimirira kupinda mubharumu rinozvikudza kuti rizonyura.

Mu ambu ventilation yemurwere anenge atova nenzira yekufema yakasimwa, sefa yeHME inofanira kubatanidzwa isati yabatanidza bharumu rinozvikudza kumudziyo.

Ichi chishandiso chinopa kupisa kwemhepo uye humidification.

Mukuwedzera, inokurudzirwawo kushandisa corrugated chubhu kuitira kufefetedza zviri nani, kuitira kuti chigadziro chinoshandiswa kugadzirisa nzira yekufambisa mhepo haisi pasi pemakakatanwa.

Izvi zvinodzivirira extubation, izvo zvinogona kuitika nekuda kwechubhu iri pasi pekunetsekana.

Kana murwere asina mhepo inopinda mumhepo, kufefetera kunogona kuitwa uchishandisa mask yekumeso.

Izvi zvinoiswa pamusoro pemuromo nemhino kuitira kuti zvose zvifukidzwe uye zvinobvumira mweya kupinda mumuti wemapapu.

Maitiro ekushandisa iyo Auxiliary Manual Breathing Unit (Ambu)

Mushure mekubatanidza bharumu yeAmbu yekuzviwedzera kumurwere, mutyairi anomanikidza bharumu kuti ibudise kudzvanywa kwepamusoro mukati kupfuura kumanikidzwa kwemhepo.

Kunyange zvazvo kufambisa uku kuchiitwa, kuyerera kwemhepo kunogadzirwa izvo zvinobvumira proximal imwe-nzira valve kuzarura uye distal imwe-nzira valve kuvhara, kutumira kuyerera kune murwere.

Kana bharumu raburitswa, kudzvanya kwakashata kwakagadzirwa mukati kunogadzira zvinopesana nemavharuvhu uye inovhara iyo proximal valve uku iyo distal ichivhura.

Nenzira iyi chibharumu chinogona kuzadzwazve.

Kuti ushandise bhegi reAmbu, enda sezvinotevera:

• Muponesi anoisa mask pachiso chemurwere, achiita shuwa kuti mipendero inokwana zvakakwana paganda pamuromo nemhino.
• Mask inoiswa pachiso chemunhu kuburikidza nekuita "EC" maneuvre, iyo inosanganisira kuisa minwe mitatu pasi pechirebvu kunyatsoparadzira musoro. Mukuwedzera, zvigunwe zviviri zvinofanira kunge zviri pamusoro pemasikisi kuti zvibate panzvimbo uye kudzivirira mweya kubva pakupukunyuka panguva yekudzivirira.
• Dzvanya neruoko rumwe pabharumu uchifananidzira kufemerwa kwekumanikidza: mweya unosundirwa mubharumu kuburikidza nevharuvhu woenda mumapapu omurwere.
• Munguva yekufema, bharumu rinowedzera zvakare pakarepo uye valve inodzivirira kudzoka kwemweya we carbonated.
• Kana bharumu razara nemhepo zvakare, rinogona kushandiswa zvakare nekuridzvanya.

Munguva yekumanikidzwa kwekufambisa kwe ambu resuscitation, kuchenjerera kukuru kunofanira kutorwa nehuwandu hunofuridzirwa uye kushandiswa kunoshandiswa.

Izvi zvinodikanwa nokuti munhu mukuru anozviwedzera resuscitators ane simba re 1600 ml, asi murwere anofanira kupiwa vhoriyamu ye500-600 ml.

Izvi zvinoreva kuti bharumu rinozvikudza harifanire kunge rakaora mwoyo zvakazara, asi kungomanikidzwa neruoko rumwe chete kuti ribudise vhoriyamu chaiyo.

Kuwedzera kwebharumu kudzvanywa kunogona kuita kuti madziro ealveoli atambanuke uye anogona kuvakuvadza, zvichiita kuti mweya uunzwe munzvimbo dzekuwedzera-alveolar uye zvichitungamira mukuumbwa kwemhepo munzvimbo yepleural.

Kuputsika zvishoma kana kuperera kwemapapu kungaguma.

Pamusoro peiyo ambu bharumu yevakuru, kune zvakare amburu yevana, iyo inoitirwa vana.

Pamusoro pezvo, zvakakosha kuziva kuti, senge zvese zvakasimbiswa neEC-midziyo yekurapa uye yekuvhiya, ine zuva rekupera.

Izvi zvinowanzo ratidzwa pachiputiriso pamwe nehourglass kana nenguva yechokwadi kubva pazuva rekugadzirwa.

Verenga Uyewo:

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Manual Ventilation, 5 Zvinhu Kuti Uchengete Mupfungwa

FDA Inotendera Recarbio Kurapa Chipatara-Chakawana Uye Ventilator-Yakabatana Bacterial Pneumonia

Pulmonary Ventilation Mune Maamburenzi: Kuwedzera Murwere Kugara Nguva, Zvakakosha Kunaka Mhinduro

Kusvibiswa kweMicrobial Pamusoro peAmbulance Surfaces: Yakabudiswa Dhata Uye Zvidzidzo

Source:

MA.Nì