Ka ventilator. Nakeke no kaʻimi hoʻopunipuni ka hanu. iaeoaeuiiai eiiieaena e

Mechanical hoʻokomo ea Ua hoʻopakele miliona o ola, ka mea, o kekahi o ka nui 'inikua kaʻina hana. Ma keia oihana keia oihana o ke reanimation a mālama nui Inc 'Aʻole e holopono ana kekahi ventilator ua kōkua ke kanaka e lanakila i ka pilikia minute o ka maʻi.

Hanu - keia mea ke ola

E ho'āʻo i ka paa i kou hanu, e nana ana i ka stopwatch. An untrained kanaka hiki ole hanu i oi aku 1 minuke, a laila, hele mai kekahi hanu nui. Au A Kupa ku hou ma mua o 15 minuke, akā, ia mea - i ka hopena o ka makahiki o ke aʻo.

Mākou hiki ole ke hoopaa i kou hanu, no ka mea oxidative keʻano o ka hanaʻana i loko o ko mākou kino,ʻaʻole aɃe - like loa me mākou e ola ana, o ka papa. Mau accumulates i carbon dioxide, a me ka mea pono i ka hōʻike. Mau e pono ai oxygen, me ka mea ola ia mea hiki ole.

He aha e noho ana i ka mua hanu i hoʻomākaukauʻia?

Ke ventilator mua simulated thorax neʻe, ua leha iwiaoao, a hoʻonui i ka iwiʻaoʻao nā hīnaʻi manu. Ua Ua kapaʻia ka "pale umauma" a ua poholeʻia ma luna o ka pahu. Ua hana io ea puʻe,ʻo ia hoʻi, ka lewa involuntarily i omo i loko o ka naehana'āpana. 'Ikepili helu ma Pehea ka hoʻokō ia ia, i ole ola.

A laila, i kenekulia hoʻohana i punihei e like me forging upa makani. Puhi lewa, i ka'aloʻahiʻa i like "ma ka maka". High mea hiki wale mai o ke akemāmā rupture ma muli o ke excessive puʻe lako hou lewa.

Hoikehonua, 'inikua manaʻo hana okoa.

Ka malamalama ua injected i ka läÿau, o ka o oxygen a me ka lewa. Ka puʻe o ka hui iki aku i ka akemāmā. Kēia hana i kekahi mea ku ole i ka physiology, akā, i ka ikaika o kona loa kiʻekiʻe: a pau kanaka i pili i ka pa alima, hanu - pela ola.

Pehea i kēia manaʻo?

Kēlā me kēia ventilator i ka hooponopono ana a me ka hooko huahelu. hooponopono pa alima - he pōkole, a me ka pale i SafeSearch a pau mooolelo. Kauai mua Ke Ana Hoʻohālike simpler 'ole, aia no he mea moakaka Tube, maloko, a kolo ana i ka cannula. Holo ana o ka cannula hōʻike naehana kōmi. Aia Ua hoi he manaʻo koikoi moʻokūʻikena, a hōʻike i ka puʻe o ka injected ukuhiia.

Hooko pa alima - he lākou o na manao ona. Mua o nā mea a pau, he kiʻekiʻe-puʻe keena no ka hoʻohuihui maemae o oxygen me nā kinoea. I ke keʻena, e ke lako i oxygen, mai ke kikowaena pipeline paha paukūʻolokaʻa. Centralized oxygen ma na lako hoomaona mai la oia i ka nui Ho 'Oponopono, he mea ka oxygen AYN. All'ē aʻe maʻiʻo nā paukūʻolokaʻa, akā, i ka mea e like ai o kaʻimi hoʻopunipuni ka hanu o keia, aole ia e loli ana.

Speed eiioeieeae ua koi kinoea ukuhiia. Kēia hoʻohewa, i EUIAaIN ke anawaena o ka Tube haawi i ka ka oxygen.

Na manao maalea hoi i maikai paʻipaʻiʻia ai e keena a me ka hoʻomehana kinoea. Aia Ua hoi ka koʻohune Kānana, a me ka humectant.

No ka mea hoʻomanawanui ua ha kaapuni haawi oxygen ma-waiwai kinoea läÿau, a me ka hookuuia o carbon dioxide.

E like me ka mea ua pili i ka hoʻomanawanui?

Ua hilinaʻi nui ma luna o ke ano o ke kanaka. E hoomanawanui i ka poe i mālama moni 'ia a me ka olelo, ke loaa ke ola-e haawi ana i oxygen ma o ka ea paha. Ke pa alima hiki ka manawa "hanu" kahi o ke kanaka me ka naau kaua, trauma a maʻi 'aʻai.

People ma unconscious, ua hoʻolauna i loko o ka trachea şarkı - intubated paha tracheostomy hana. Ke oia ua hana no ka poʻe o ka poe manao akā, he gravis, ua hoʻomanawanui iki mai hiki ole ke ale wale iho, a olelo kū kaʻawale. Ma nā mea a pau kēia mau hihia a pau, i ka ventilator - ka wale ala e ola.

Additional 'inikua manaʻo

Mai Ke Kula Kaiapuni 'inikua manaʻo e hoʻohana no ka intubation: laryngoscope me kuokoa kau iho a me ka endotracheal Tube. Manipulation hāpai i kekahi kauka me ka lawa ka hoao ana. Initially hoʻolauna laryngoscope - he mea e pushes ka epiglottis a transcending na kaula vocal. I ka wa a ke kauka i ike maopopo iho la i ka mea i loko o ka trachea, ke Tube iho ua lawelawe ma ka laryngoscopy. No ka hoʻopunipuni ka Tube ma kona hope cuff mea inflated me ka lewa.

Ke Tube ua hookomoia ma ka waha a me ka ihu, ma ka waha akā, Ua oi pono.

Lapaʻau o lako a pan no ka sustaining ola

E hoola ola a me ka malama ola, he ventilator mea,ʻaʻole lawa. Mākou Pono okoa 'inikua? Ieaoa: defibrillators, endoscopes, keʻena hoʻokolohua pono, ultrasound machines, a oi.

Ke defibrillator ke hoihoi aku i ka naau pāpana a me ka hoʻokō holo. Ka mea, i lako pono me ka OAXA cardiological ambulances a me ka mālama nui malama huahelu.

Pahuhopu auhau o ke ola ana o ke kino, ua hiki ole me na analyzers likeʻole: hematological, biochemical analyzers a me homeostasis o ke kino fluids.

Lapaʻau 'enehana apono' oe, e makaikai i na mea a pau i ke koho, a koho i ka mea kūpono iapaau ana i loko o kēlā me kēia hihia.

Nakeke no ka hoʻopakele no kēlā me kēia

Catastrophe, kūlohelohe a me ka ulia kānāwai i kekahi manawa, a me kekahi. Man ma ka noho pilikia ano hiki ke ola, ina ia mea loaʻa resuscitation lako a pan. Na kaa o ka hoʻopakele eiiaiaeu Moe, hewa lapaʻau a me ka cardiology "koke" eʻoiaʻiʻo e i ka lawe ventilator e leie aku, e lawe aku i nā mōhai ola mai i wahi Ho 'Oponopono.

Lawe i na mea maalea i okoa mai paa wale ma ka nui a me ka helu o nā 'ole. Pure oxygen ma waihonakala i loko o nā paukūʻolokaʻa, ka helu o ka i hiki e ana nui.

'Ole o ka pono o ka lawe mea ua koi' ia e ka lolouila puʻe wale akula kēlā, a kokua hoʻokomo ea.

Lako a pan no ka pilikia 'inikua lawelawe

Ma ke ao nei aponoia kekahi mau hae, a pēlā hoʻi me 'inikua lako a pan a me na mea paahana, no ka pilikia i nā pane. No laila, i ke kaʻa e ia he kiʻekiʻe hale, a hiki i ke koʻokoʻo, e kōkua ke kū mai. Pono ka amo ventilator, pana oximeters, ciliates no dosing ka lapaʻauʻia, catheters no na moku nui, nā pūʻulu no konikotomii, intracardiac stimulation a me spinal puncture.

pilikia hana a me ka mīkini lako a pan 'inikua limahana pono ho'ōla kanaka ola, a hiki i ka manawa o ka hospitalization.

Hânau 'ia i ke keiki e ola

I ka hanau ana o ke kanaka - ole wale no ka hoʻokumu a me ka pīhoihoi kekahi hanana i loko o ka 'ohana, akā, i ka mea weliweli wā. I hanau i ke keiki ua i paku ole ia i lōʻihi stress, a me ka pinepine koi resuscitation. Hou ana o ke keiki wale ma ka hoao ana i ka neonatologist, no ka mea, i ke kino o ke keiki Puhi hanau mai kekahi hiʻona.

Koke ma hope o ka hānau, ke kauka loiloi i ka 4 ana hoʻohālike.

• noho'na makaainana i ulu hanu;
• naau kōmi;
• Kuokoa neʻeʻana;
• pulsation o ka piko.

Inā he keiki hōʻike ma ka liʻiliʻi loa kekahi hoailona o ke ola, alaila, ka loa kiʻekiʻe ka pahiki o ke ola.

Hou ana o ke keiki

ʻimi hoʻopunipuni hoʻokomo ea keiki i nā hiʻona: ke alapine (frequency) o ka hanu neʻe mea i loko o ka laulā mai ka 40 a hiki i 60 (i loko o kekahi kanaka makua i maha i 20), ha diaphragmatic. ʻO ia maʻiʻaʻai ke noho unopened'āpana, a me ka nui nona mea wale 120-140 ml.

No ka mea, mai o kēia mau hiʻona i ka hoʻohana 'ana o ka makua manao maalea no revitalizing nā pēpē i hiki ole. No laila, ka hanu ola rula iho i kekahi, o kiʻekiʻe alapine (frequency) mokulele hēkī hoʻokomo ea.

Kekahi ventilator no nā pēpē i kūkulu ai ka mea e lawe i ka ÷ naehana hanu'āpana o ka hoʻomanawanui mai ka 100 a hiki i 200 ml o ha kinoea me ke alapine (frequency) i oi mamua o 60 pōʻaiapuni / minuke. I ka läÿau, Ua hanaiia ma o ka ea paha, intubation i ka uhi mea hiki wale mai ua hoʻohana 'ia.

I ka pono o keia iaoia mea i ka io puʻe koe i loko o ka pahu. He nui loa no ke ola, no ka mea, o ka malamaia maʻamau physiology o ka naehana nenoaiu. ua waiwai Inflowing arterial koko me ka o oxygen like ka nui me ka hiki, i maoli ke ola kōmi.

Hoikehonua, manaʻo i kiʻekiʻe pā lonoaʻili, ka mea, e lawe mai i ka hana o synchronizing a adapting a eia i. Penei, noho'na makaainana i ulu hanu, a me ka maikaʻi loa pololei o ka hoʻokomo ea kākoʻo ventilator. Alakai i ka mīkini aʻo e ana i ka mea uuku kai ka leo, no laila, i ole e uhi noho'na makaainana i ulu hanu keiki. Kēia i mea e hiki ai, e hoʻomaʻa i ka hana o ka nakeke no ke keiki kekahi, e hopu i kona pāpana iho o ke ola, a kōkua iā lākou, e ke hakuloli i ka mawaho kaiapuni.