Umoya wokungenisa umoya sisenzo sokubonelela ngokuphefumla okungafunekiyo kubantu abangenawo amandla okuphefumla ngokwabo.

I-ventilator, eyinokuba ngumatshini okanye umbane oqhutywe ngombane, iphosa ngomoya ngokusemandleni kwimiphunga. Emva koko uvumela umoya ukuba uphume njengomntu oqhelekileyo ukuphefumla.

Ukunyusa umoya kubonelelwa kubantu abangakwazi ukuphefumula ngokuzimeleyo, njengabo banezifo, emva kokuhlinzwa, okanye nzakala kunye neyeza ngxamisekileyo.

Nazi izikhokelo zibekwe ngamaqumrhu olawulo ukuqinisekisa ukuba inkqubo efanelekileyo yokuchithwa kwemimoya efanelekileyo, efanelekileyo nefanelekileyo ubume bobugcisa ventil mechanical, e imeko zoxinzelelo, nangona kunjalo, akuzona zonke iimeko ezilinganayo. Kukho amaxesha apho kufuneka unikezele ukungena komoya ngaphandle kwayo izixhobo, amaxesha amaninzi, ngokusetyenziswa kwe isikhwama sebhagi. Kwiimeko apho udibana naloo mva, nantsi ezinye zeenkcukacha ezibalulekileyo zokukhumbula:

1. ukumisela le imfuneko yokuphuphuma umoya - isinyathelo esona siphumelelo sokungena kwintambo sinquma isidingo sesinye. Umnikezeli kufuneka agcine engqondweni imbonakalo eyenza ukuphuphuma kwangoko. Lezo zinokuba yi-cyanosis, ishintshile izinga lokuqonda, ukungakwazi ukugcina umzamo wokuphefumula, kunye nezinga lentliziyo elincinci. Ezi zilandelayo zibhekiswe kulo bradycardia, sisayinwe kakhulu emva kwexeshaukungakwazi ukuphefumula kwaye idla ngokungaqhelekanga. Ngapha koko, oku kubonisa ukuboshwa kwenyama kunye neziqinisekiso ngokukhawuleza ukuhlaziywa.

 

2. Isixhobo esibaluleke kakhulu sokuhlola nokubeka iliso - Okokuqala, izinga lokuphefumula, apho ukunyuka okunyukayo kwandipha ukubola. Sibini i-oxygen saturation, apho ukunciphisa amanqanaba e-oksijeni okwenyukayo kubonisa ukungaphumeleli.

 

3. Ukusetyenziswa kweendlela zokuhamba ngeendlela ezinjenge-Oropharyngeal Airway (OPA) kunye neNasopharyngeal Airway (NPA) akuboneleli(Berg, 2010). Ukuba ezi zixhobo azifumaneki, ungadikibalali njengoko isicatshulwa se-valve esikolweni singanele.

 

4. The Izixhobo ezifanelekileyo zibalulekileyo ekuphuculeni umoya. Kuphakanyisiwe ukuba imaski ye-valve mask (BVM) kufuneka icaciswe ukuze ukhangele nantoni na bu yisela. Ubungakanani obufanelekileyo bungenza uphawu oluqinileyo phezu kwempumlo nomlomo. Kufuneka ukuba i-valfing valve kwaye umthombo we-oxygen ukuvumela ukuphefumula ngokukhawuleza.

5. Khumbula oko Injongo ephambili yokuphuphuma umoya ukugcina umoya owaneleyo.  Oku kubonakaliswa ngumbuthano we-oksijini ongaphantsi kwama-90%. Ukuba i-oxygen saturation ihluleka ukufezekisa umphumo oyifunayo, qwalasela i-mask efanelekileyo. Ukuphonononga uphawu lwe-mask seal, ubungakanani bemaski, ukubeka kwayo okanye umhlathi, okanye ukunyameka njengoko kuyimfuneko.

 

 

 

 

Umbhali:

UMichael Gerard Sayson

UmNesi oBhalisiweyo onesidanga seNzululwazi kwiDigital Nursing evela kwiYunivesithi yaseSaint Louis kunye ne-Master of Science kwiDigital Nursing, eMkhulu kuLawulo loNesi noLawulo. Amaphepha okubhalwa kwe-2 kunye ne-authored 3. Ukuziqhelanisa nomsebenzi wobongikazi ngaphezulu kweminyaka emi-5 ngoku ngononophelo oluthe ngqo nolungathanga ngqo.