Mankhwala ochititsa dzanzi makina: mitundu, maonekedwe. zida zamakono zachipatala

Nthawi zina munthu amakumana ndi mavuto aakulu ndi umoyo wanu, pamene mankhwala ambiri ndi opaleshoni. Kugwira ntchito pa thupi lililonse sizigwira ntchito popanda mankhwala, mwinamwake wodwala adzaona ululu umene mapeto kutaya moyo wake. Pali mitundu ingapo ya mankhwala, koma kwabasi, ndiponso Chamuyaya anali ndi zipangizo zina zapadera. makina mankhwala, ndipo ndicho chipangizo m'kachipinda opaleshoni, mukhoza mofulumira kupanga mtima ochititsa dzanzi ambiri, imene ikuchitika alowererepo iliyonse. Koma chimene chimapanga chipangizo ichi?

Mankhwala ochititsa dzanzi makina: kodi ndi chipangizo ichi?

Zida kuti kupereka mankhwala ochititsa - ichi zipangizo zachipatala, amene anafuna kupereka mankhwala oletsa ululu ambiri. chipangizo ichi angatchedwe kupereka dongosolo ochititsa dzanzi. Ngati m'mbuyomu magwiridwe a zipangizozi anali kuonetsetsa kuti angathe kupereka mpweya mankhwala ochititsa ndi mpweya thandizo moyo mu dera mtima, zipangizo zamakono zachipatala mwayi kwambiri. Iwo osati mungapange kotunga mpweya ndi mpweya mankhwala ochititsa mu mpweya kapena madzi, komanso kubala polojekiti mabuku zizindikiro zofunika:

• kuthamanga kapepala kakuti kupuma;
• ikuyenda ndi ndende mpweya;
• basi kupanga mpweya wabwino m'mapapo a mtima.

Chifukwa chakuti mbali ya ntchito yovuta kwambiri ndi ochititsa dzanzi ambiri amaona kofunika, Komanso, n'kofunika kuchita kupuma yokumba. Pa ntchito ya zida za ulimi wamakono kwa nyengo zina za nthawi m'malo ntchito ya minofu kupuma thupi la munthu, zipangitsa oxygenation ndi mpweya wabwino. Mankhwala ochititsa dzanzi ntchito kupereka kwa endotracheal chubu kapena mankhwala ochititsa dzanzi chigoba.

Komanso chipangizo limalola kulamulira voliyumu ndi kuthamanga, koma njira zosiyanasiyana akhoza Mwachitsanzo, mwina kuyendetsedwa kapena mpweya wabwino wothandiza, kuthamanga kulamulidwa kapena amapereka, ndi ntchito zina.

ntchito mankhwala ochititsa dzanzi makina pati?

zida ochititsa dzanzi ntchito osati kwa zikunena opaleshoni, komanso pa chithandizo cha pathologies zosiyanasiyana kwambiri omwe pali kuphwanya ntchito yofunika kwambiri ya thupi:

• congestive mtima kulephera;
• wonongeka pa mundawo kupuma: chibayo, chifuwa cha mphumu, m'mapapo edema;
• mantha;
• chikomokere;
• limati convulsive wa etiology osiyanasiyana;
• lalikulu kuvulala ndi amayaka;

• matenda opatsirana, makamaka botulism, kafumbata ndi ena;
• mitundu pachimake poyizoni.

The yodziyimira payokha ochititsa dzanzi dongosolo ali modes angapo ntchito:

• Imakhala kufinya zabwino zomwe akudyetsedwa mosalekeza;
• kuthamanga zabwino, koma umagwiritsidwa ntchito zigawo ziwiri;
• kaphatikizidwe pamwamba ntchito ziwiri.

Mitundu ya zipangizo yobereka ochititsa dzanzi

Panopa, nambala yaikulu zipangizo zimene zimathandiza madokotala osati pokhapokha ngati kuli koyenera ambiri ochititsa dzanzi (ochititsa dzanzi), komanso madokotala amene ali ndi kuchiza odwala ndi pathologies zovuta.

Pofuna kuthandiza madokotala mankhwala, opanga kupereka mitundu yambiri ya zipangizo:

• pansi;
• khoma;
• wonyamulikayu.

zitsanzo pansi zili ndi dongosolo la Kukhazikitsa ndi kuthandiza mu mawonekedwe a mawilo zimene zathandiza kuti iwo asavutike m'chipatala.

Zosintha Wall amapezeka kawirikawiri ntchito akuphunzitsa ukhondo ndege Helicopters, ambulansi ndi ambulansi chitsanzo ano.

Kunyamula kapena yodziyimira payokha unalinganizidwa Owapulumutsa ndi ogwira mwadzidzidzi kwambiri zofunika ndi wolemera zida, zimene zingakuthandizeni kulikonse kuthandiza wodwala ndi digiri iliyonse ya kukula kwa matendawa.

Komanso, zipangizo yodziyimira payokha Komanso okonzeka ndi mabatire zomwe zimathandiza chipangizo mu chikhalidwe chirichonse ntchito maola angapo mosalekeza. Komanso, zipangizo zonse zingasiyane malingana, umene gulu la odwala akulimbana. Mwachitsanzo, ana zipangizo amenewa amatchedwa neonatal ndi kukhala ndi chiwerengero cha ntchito zina.

Mfundo zikugwira ntchito makina ochititsa dzanzi

zomera mankhwala ochititsa ntchito mfundo ya jekeseni. Amathandiza kudyetsa kuchuluka kwa mapapo wodwala mankhwala ochititsa mu mawonekedwe a mafuta, olumikizidwa kwa mpweya kapena mpweya umodzi wokha. Onse mwachindunji zimadalira zinthu: m'pofunika kuchita opaleshoni kapena odwala kwambiri pachikhalidwe, onetsetsani kuti kuganizira wodwalayo zaka, kulemera, ndi matenda okhudzana.

IVL anachita zabwino yotsiriza expiratory kuthamanga 5-10-15 masentimita madzi ndime, koma kuwerenga zinalembedwa. N'zotheka kuchita kupuma yokumba kwa maola angapo, ndipo nthawi zina masiku kapena zaka. Palinso zipangizo mkulu-pafupipafupi. Iwo anabwera mu njira zosiyanasiyana: voliyumu, inkjet ndi ostsillyarnye.

Inkjet chipangizo ndi zambiri ntchito, ndipo akutumikira angapo m'zinthu kupuma mwa 100-300 mphindi pa. Choncho tikhoza kuchepetsa katundu mtima, kusintha otaya magazi ndi kuwombola mpweya mu mapapo. Ntchito mpweya makina akhale limodzi ndi mpweya wamba.

Luso makhalidwe a zipangizo ochititsa dzanzi

Palibe zipangizo bwino, amene pamodzi sayansi angapo (opaleshoni, opaleshoni ndipo kuwatsitsimula) kuposa zida za mankhwala ochititsa. zipangizo Zimenezi zakhala ntchito kwa nthawi yaitali, koma zipangizo zamakono zili ntchito zosiyanasiyana ndi kuthandiza ngakhale Zikavuta kwambiri. Zovuta ano imakhala m'magulu otere:

• kuthamanga;
• dosimeter;
• dzanzi evaporator mu madzi mawonekedwe;
• Ophatikizidwa othandizira amene ali modes angapo opaleshoni;
• kupuma dera ndi absorbent;
• Muzisonyeza kuti njira yowunikira;
• aspirator;
• chopangira chinyezi kupuma kusakaniza.

Dosimeter ndi evaporator n'zofunika kuti chabwino-konza mlingo wa mankhwala. Nthawi zambiri ntchito makina mtundu, mmene osakaniza mlingo otaya walembedwa ndi zimatengedwa ndi. Evaporator - chidebe wapadera, ndi mmenemo adziwonetsa nthunzi madzi mankhwala ochititsa.

Osefukira otaya ntchito komanso othandizira m'bukuli ndi momwe kusunga mankhwala.

NKHANI zipangizo ochititsa dzanzi

Lero, opaleshoni ndi chisamaliro mankhwala ovuta apita zotsogola. Tikuthokoza chakuti zida zamakono amalola nthawi yochepa kuthandiza odwala ndi kudwala kwambiri. Nthawi zambiri ntchito mu zipatala kothandiza ndiponso ndalama ochititsa dzanzi unit. Iwo ali gulu la kamangidwe, zomwe zimathandiza kuti kusankha zigawo ku zofunika zina katswiri ndipo limatchula za ntchito.

Komanso, aliyense alipo pa makina mphindi ochititsa dzanzi ndi kusiyana kwawo:

• Mtundu wa othandizira mankhwala ochititsa. Ndipo iwo ndi ziwiri: pneumatic ndi magetsi, ndipo palibe zimakupiza amaperekedwa ndi ena zitsanzo.
• View flowmeter: makina kapena zamagetsi.
• Osiyana ntchito mpweya: mpweya, mpweya, nitrous oxide xenon, ndi ena.
• Kutheka kapena ndikosatheka ntchito otsika-otaya mankhwala ochititsa dzanzi.
• Kuchuluka kwa nthawi kuti amalola chipangizo ntchito autonomously.
• Makulidwe.
• Kusiyana malingana ndi zaka za wodwalayo.

Kusiyana kwina n'kofunika kulimbikitsidwa zida disinfection. Opanga kubala zitsanzo zimene zimafuna disinfection kusanthula dera kupuma, ndipo pali anthu kumene mavuto ngati safuna kutenga.

Koma kuti timvetse molondola mbali ya makina mankhwala, m'pofunika kuti tikambirane za mitundu otchuka.

Zida kwa mankhwala ochititsa dzanzi "Polinarkon"

chipangizo ichi kwa alimi zoweta, ndi chimodzi cha otchuka. Masiku ano, madokotala ambiri asiya ndemanga zabwino za chipangizo ichi, chifukwa amathandiza kuonetsetsa mpweya wa wodwala limodzi la madera 4. Iwo mwangwiro Integrated ndi zipangizo zimene zimapereka mpweya yokumba, koma koposa zonse iwo akuyerekezedwa ndi makina onga: RC-5 kapena 6, fezi-5 limene pamapeto pake limachititsa optimally kusintha ndi kusunga lolamulidwa voliyumu ya m'mapapo. zitsanzo izi zimapezeka pa mtengo.

Mankhwala ochititsa dzanzi makina Fabius Plus

chipangizo ichi kwa Mlengi German "Draeger" makamaka otchuka. Amene kale anatha kuyesa ntchito, nakhuta. chipangizo Izi zida ndi zimakupiza E-potulukira, amene amathandiza modes angapo mpweya wabwino:

• Buku / mowiriza;
• kulamulira voliyumu;
• ndi kulamulira zonse kuthamanga;
• mothandizidwa kuthamanga;
• Maloboti mpweya zina.

Mankhwala ochititsa dzanzi makina "Draeger Fabius" - ali electrically lotengeka wagawo ndi pisitoni ndi makina ankalamulira. Zina ndi ndi batire, ndi kuthamangira autonomously yochulukirapo 45. Limeneli liyenera Ndi yosavuta ndi mwachilengedwe aliyense mawonekedwe.

Zofunika "Fabius"

Kuti timvetse molondola kodi ubwino chipangizo ichi, ndi bwino kulongosola ntchito yake:

• mosalekeza kuwunika O2 ndende pa kudzoza;
• zonse kuwunika kupuma mphindi voliyumu ndi pafupipafupi;
• kuyan'anila mosalekeza za kuthamanga pachimake kapepala kakuti kupuma;
• Plateau kuthamanga.

Kunena zimene wagawo izi ndi zosiyana ndi anthu ena ambiri, muyenera kusankha mbali kanukanu:

• ndi okonzeka ndi kuwonetsera mtundu, kusonyeza zithunzi ndi magawo digito;
• izo yodalirika ndiponso otetezeka makina ozungulira dongosolo;
• n'zotheka imodzi phiri evaporators awiri Mpweya dzanzi;
• Iye ali m'manja, kotero dokotala n'zosavuta wokha bungwe mulingo woyenera workspace;
• yabwino m'munsi ophimba, sipangakhalenso pabwino, ndiponso mtundu wina zida.

Koma chirichonse chipangizo kapena atapereka mankhwala, wodwala aliyense ayenera kudziwa kuti akhoza kuwononga thupi.

General ochititsa dzanzi: mmene thupi

Ngakhale kuti mankhwala oletsa ululu wakhala analowa molondola ndi akatswiri anesthetist, ayenera kukumbukira kuti kumayambiriro kwake zikuphatikizapo ena zingachitike, kuphatikizapo:

• hypotension;
• gag reflex;
• arrhythmia;
• ubongo edema;
• asphyxia;
• zosokonezeka mu dongosolo m'mapapo;
• yotupa njira;
• aimpso kulephera;
• disruptions mu m'thupi, amene amaonetsetsa ubongo.

Odwala iwo wokha, anadziwana ndi ambiri mankhwala, zotsatira zake thupi anafotokoza motere: anamwazikana tcheru, tsankho imfa kukumbukira, mavuto ndi kulankhula. Odwala ena nkhawa wofatsa, irritability, mantha, kusowa tulo.

Makamaka mankhwala oletsa ululu kwambiri imagwira ana, akazi, kuswa ana, ndi okalamba.

Reviews madokotala

Mankhwala ochititsa makina kuchita kuposa kamodzi ntchito ndi madokotala, anesthetists ndi resuscitators. Mu ndemanga zawo, zipangizo kuti zida ndi kugwira ntchito mu nthawi lakutali Soviet, si bwino ndipo othandiza. Koma tsopano, pamene luso si chilili, zinthu zasintha, zipangizo zamakono zili ndi ubwino zambiri, kotero kuti madokotala angathandize anthu ngakhale odwala kwambiri. Ndi thandizo lawo, ife anakwanitsa kuchepetsa imfa za adwala.

Pomaliza

Kufotokoza, tikhoza kunena motsimikiza kuti zipangizo zamakono za mtundu uliwonse - ndi chipangizo yabwino kukuthandizani osati mwamsanga ntchito mankhwala oletsa ululu kwa munthu, komanso kuthandiza umoyo wa ena ndi matupi. Komanso, ndi thandizo lawo, dzanzi ali ndi mwayi kusankha mlingo mulingo woyenera wodwala makamaka. zipangizo mankhwala ochititsa a mtundu uliwonse akhoza kugwiritsidwa ntchito ndi anthu oyenerera, m'chipatala kapena foni kupulumutsidwa ndi magulu panjira.