He rereke te ahua o te whakamaarama mo nga mate rereke.I te nuinga o te korero, ka whakamahia te rewharewha aunoa taumata-kotahi mo nga turoro e ngongoro ana;te reanga ST e rua-taumata mo nga mate pukupuku.Mena he mate ngongo uaua ake, me whakamahi pea i te Bilevel ventilator.He rereke te ahua o te whakamaarama mo nga mate rereke.He maha nga ahuatanga owhakakorikori-kore.Ko nga korero e whai ake nei e whakaatu ana i te ahua o te hiko.Ka taea e koe te kowhiri i te rewharewha-kore e tika ana mo koe i runga i to ahuatanga.
He CPAP, S, T, S/T nga tikanga o te ventilator, penei:
1. Te aratau CPAP o te hau: aratau pehanga ara pai tonu
CPAP: Tonu Tonu Positive Airway Pressure Aratau-Continuous Positive Airway Pressure, he kaha te manawa ohorere o te manawanui, he rite tonu te pehanga a te kaiwhakawhanau i roto i nga wahanga whakaihiihi me te tukunga hei awhina i te manawanui Whakatuwherahia te huarahi rererangi.Ko te nuinga o te waa e whakamahia ana mo nga turoro me te OSAS obstructive sleep apnea syndrome, kaha te manawa ohorere, me te awhina iti noa mai i te hiko.Karekau he keu, karekau he hurihanga, ka manawa noa te tinana o te tangata, ka whakahaeretia te pehanga ki te pehanga tonu, ka rite te pehanga o te wahanga whakaihiihi me te wahanga whakaha.Ko te manawa awhina (ko te 0 te tautoko pehanga) + ko te whakahaere pehanga he aratau kore-whakakino.He rite nga paanga-a-tinana ki te PEEP (te pehanga mutunga-whakamutunga pai): whakanuia te rōrahi toenga mahi, whakapai ake i te hanganga ture;whakaitihia te kohi hiko whakaihiihi, whakapai ake i te whakaoho;kia mau tonu te ahua tuwhera o runga.
2. aratau S o te whakarorohiko:
S mode of autonomous ventilation Aratau manawa manawa noa --- Aratau manawa manawa noa, he manawa ohorere te manawanui, ka taea ranei e te manawanui te whakaoho kia rere motuhake, ka tukuna e te kaiwhakawhanau te IPAP me te EPAP anake, ma te manawanui e whakahaere te auau manawa me te tauwehenga whakahihiri/wa manawa whakahihiri. motuhake Mo nga turoro he pai te manawa mahorahora, mo nga turoro ranei e mau ana i te moe moe puku.Te pupuhi manawa noa: Kua tino tukutahia te whakawha me te auau manawa o te manawanui.Mena ka mutu te manawa ohorere o te manawanui, ka mutu ano te mahi a te hau.Te whakahaere i te pehanga (te pehanga tonu): pupuri i te IPAP kua whakaritea (te pehanga pai o te huarahi rererangi) te pehanga ki runga i te rewharewha whakahihiko, me te pupuri i te EPAP (te pehanga pai o te rere o te manawa) kua tautuhia te pehanga i runga i te hau whakamomori He huringa tere rere, awhina manawa + pehanga te mana whakahaere, a he ahua noa te aratau kore-kino.
3. T aratau whakarorohiko:
aratau whakawera wa T Aratau whakahaere wa-Aratau whakahaere taima, karekau he manawa o te manawanui, kare ranei e taea e te tuuroro te whakaha haere motuhake, ka tino whakahaerehia e te kaiwhakawhanau te manawa o te manawanui, ka whakarato i te IPAP (positive inspiratory phase airway pressure), EPAP (expiratory). te wahanga rererangi Te pehanga pai), BPM, Ti (te wa whakahiato/te wa whakangao).Ka whakamahia tenei aratau mo nga turoro kaore he manawa noa, he ngoikore ranei te kaha o te manawa.Te whakaoho i te wa: Ka mahi te rewharewha i te auau tatūkē, ā, kāore i te tukutahi ki te manawa ohorere o te tūroro.Te whakahaere i te pehanga (te pehanga tonu): Kia mau ki te IPAP (te pehanga pai o te huarahi rererangi) kua tautuhia ki runga i te rewharewha whakahihiko, me te pupuri i te EPAP (te pehanga pai o te rere o te manawa) i runga i te rewharewha Whakawhiti i te wa pehanga: te whakahaere i te manawa + te pehanga, kore- he iti rawa te whakamahi i te aratau whakaeke.
4. aratau S/T o te whakarorohiko:
aratau whakahuri aunoa/wa S/T Mokowhiti/Wai te aratau whakahuri aunoa --- Momoho/Wa te aratau whakawhiti aunoa.A, no te iti iho o te huringa manawa o te manawanui i te wa e rite ana ki te auau o te hau whakahiato, kei te aratau S;i te mea he nui ake te huringa manawa o te manawanui i te auau whakangao, kei te aratau T.Ira whakahuri aunoa: ko te wa e rite ana ki te auau o te hau whakaahuru penei: BPM=10 nga wa/min, huringa manawa=60 hēkona/10=6 hēkona, ka tatari te hauhau mo te 6 hēkona, mena ka taea e te manawanui te whakaoho i te hau i roto i te 6 hekona, ko te ventilator Ko te aratau mahi S, ki te kore he aratau T.Ko tenei aratau te mea tino whakamahia, ka whakamahia mo nga momo turoro.a.Ka puta te manawa noa i te wa e rere ana te manawa o te manawa> te auau tatūkē o te hau.Kua tino tukutahia te reanga manawa me te auau manawa o te manawanui.Ka hurihia te tere o te rere o te pehanga.b.Te auau manawa noa
Wā tuku: Hūrae-14-2020