Manual Ventilation, 5 Zvinhu Zvicharamba Zvichenjerera

Kuputika ndeimwe yenzira dzinonyanya kukosha kuponesa uye inopa mweya unofanirwa kufema kumurwere. Wakafanirwa kuifunga rini?

Kufefetedza chiito chekupa mweya wekufemera kune vanhu vasina kugona kufema zvakanaka vega.

Muchina, iyo inogona kunge iri magetsi kana magetsi anoshandiswa magetsi, inonyatsonyorovesa mweya mumapapu. Ipapo inobvumira mweya kuti ibude sehupenyu hwemunhu.

Kuputika kunopiwa kune vanhu vasingakwanisi kufema vakazvimiririra, sevaya vane chirwere, mushure mekuvhiyiwa, kana vakatsigirwa kukuvadzwa uye zvechiremba pakarepo.

Pane zvekutevedzera inogadzwa nehurumende inodzora kuti ive nechokwadi chekuti yakakodzera, yakarurama, uye inobudirira purogiramu yemhepo kuburikidza nekushandiswa kwe mamiriro-of-nounyanzvi mechanical ventilators, mu mamiriro ezvinhu anonetsa, zvisinei, zvisizvo zvose hazvina kuenzana. Kune nguva apo iwe unofanirwa kupa kupinza kwemhepo pasina midziyo, kazhinji nguva, kuburikidza nekushandiswa kwe bag valve. Muzviitiko apo iwe unosangana nechekupedzisira, heino mamwe emashoko ekuyeuka:

1. ona ari chidimbu chekudzivirira - nhanho yekutanga kune ventiroyo inoratidza kudiwa kweiyo. Mupiki anofanira kuchengetedza mupfungwa zviratidzo izvo zvinoita kuti vhenyati yakakurumidza. Izvozvo zvinogona kuva magetsi, kushandiswa kwehutano hwekuziva, kusakwanisa kuchengetedza kuporesa, nekushaya kwemaitiro emwoyo. Iyo yekupedzisira inotaurwa kune iyo bradycardia, iri chiratidzo chekupedzisira kwe respiratory insufficiency uye inowanzorambwa. Kusiyana naizvozvo, izvi zvinoratidza cardiopulmonary arrest uye inobvumidza pakarepo kudzorerazve.

 

Emergency drill: ventilation ne resuscitator bag. Zvisikwa zvisina kukwana zvinobatsira kuona kana pane kudzoka.

2. Chinhu chakakosha zvikuru chekuongorora nokuongorora - Chokutanga ndechekufema, umo kunowedzera kupfuuridza kunoreva kuora. Chechipiri ndeye oxygen saturation, uko kupera kwema oksijeni ekusimudza mazinga kunoratidza kukundikana kubhadharisa.

 

3. Kushandiswa kwezvikwata zvomumigwagwa yakadai seOropharyngeal Airway (OPA) uye Nasopharyngeal Airway (NPA) hazvipi zvinyanyokoshas (Berg, 2010). Kana izvi zvishandiso zvisingawanikwi, usaora mwoyo sezvo chikwata chevhagi yeggivha chingakwanikana.

 

4. The Zvigadzirwa zvakakodzera ndicho chinhu chinokosha chekubudirira kwemavhenyumu. Iko kunoratidzirwa kuti chikwama chevhagivha yebhagi (BVM) inofanira kunge yakajeka kuitira kuti chionekwe chero chipi zvacho regurgitation. Kukura kwakakodzera kunogona kusimbisa chisimbiso chakasimba pamhino nemuromo. Inofanira kuva a non-rebreathing valve uye mudziyo weokisijeni kubvumira kufema kwepakati.

Emergency drill: kana pane mvura, a kunyanya chikwata ndiyo inoshandiswa kushandisa.

5. Yeuka izvozvo chinangwa chikuru chekuvhenekera ndechekuchengetedza oksijeni yakakwana.  Izvi zvinoratidzwa ne oxygen saturation yeasati iri pasi pe90%. Kana kukasidzana kweioksijeni kukakundikana kuzadzisa zvakakosha, funga maskiti akakwana. Ongorora chidimbu chechivharo chakakodzera, chimiro chemasikisi, chigadziro chayo kana chinangwa chechirasi, kana kunyorera sezvinodiwa.

 

 

 

 

Munyori:

Mikael Gerard Sayson

Akanyoreswa Mukoti neBachelor yeSainzi muDhigiri reNursing kubva kuSaint Louis University uye Master weSainzi muNursing Degree, Major mu Nursing Administration neManagement. Authored 2 thesis mapepa uye akabatanidzwa-akanyorwa 3. Kudzidzira mukoti basa kweanopfuura makore mashanu ikozvino neakananga uye zvisina kunangana kuchengetwa kwevanamukoti.

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