Nigute ushobora guhitamo umwuka wa ogisijeni

Oxygene yibanze ya ogisijeni

Abantu benshi bibeshye bitiranya umwuka wa ogisijeni wa ogisijeni hamwe na ogisijeni ya ogisijeni ihumeka, bakibwira ko ari igitekerezo kimwe. Mubyukuri, baratandukanye rwose. Umwuka wa ogisijeni wibanze kuri ogisijeni bivuga urugero rwa ogisijeni irimo, cyangwa mu magambo y’abalayiki, ubuziranenge bw’umusemburo wa ogisijeni ukomoka kuri ogisijeni. Imyunyungugu itandukanye ya ogisijeni ifite imyuka itandukanye ya ogisijeni. Kugirango hamenyekane igihe kirekire nogukoresha ingaruka zo kuvura, birasabwa guhitamo hamwe na ogisijeni yibanze byujuje ubuziranenge bwa ogisijeni ya 93 ± 3%.

Umwuka mwinshi wa ogisijeni ukomoka kuri ogisijeni

Abantu benshi ntibasobanutse neza icyo intumbero ya 1L ya ogisijeni, 3L ya ogisijeni, na 5L ya ogisijeni isobanura. Mubyukuri, ni cyo gipimo ntarengwa cyo gutembera kwa ogisijeni ku munota intumbero ya ogisijeni ishobora gutanga hashingiwe ku kuba ogisijeni yemewe. Iyo umuvuduko wahinduwe urenze igipimo ntarengwa cya ogisijeni isohoka, intumbero ya ogisijeni izagabanuka, kandi ingaruka zo guhumeka umwuka wa ogisijeni nazo zizagabanuka, cyangwa nta ngaruka.

Hashingiwe ku kuzuza ibipimo by’igihugu bya 93 ± 3% bya ogisijeni, intumbero ya ogisijeni irashobora kugabanywamo 1L, 3L, 5L, n’ibindi.

1L

Umuyoboro wa 1L wa ogisijeni ni intumbero ya ogisijeni ifite ogisijeni ntarengwa ya 1L / min, mu gihe umwuka wa ogisijeni wujuje ubuziranenge. Ubu bwoko bwa ogisijeni yibanze ntabwo buhendutse kandi burakwiriye kubagore batwite bakeneye guhumeka ogisijeni rusange hamwe nabakozi bo mumutwe bakora kandi biga igihe kirekire (nkabanyeshuri, abakozi ba kizungu-bakozi). Ikoreshwa cyane mubuvuzi kandi irashobora gutanga ubuvuzi bwa ogisijeni muminota 30 kugirango igabanye umunaniro wigihe gito kandi itume abantu bagira ingufu.

3L

3L ya ogisijeni yibanze irashobora kuba yujuje ubuziranenge bwa ogisijeni yubuvuzi, hamwe na ogisijeni ntarengwa ya 3L / min. Nukuvuga ko umuvuduko wa ogisijeni ushobora guhinduka murwego rwa 0-3L / min, kandi birashobora kuba bike ariko ntibirenze. Igipimo cyo gutembera ntigishobora kwiyongera hejuru ya 3L / min, bitabaye ibyo ogisijeni isohoka izaba idahindagurika.

Ubu bwoko bwa ogisijeni yibanze ifite ibiciro bitandukanye kubera ibirango bitandukanye. Irakwiriye kuvura ubuzima bwo mu rugo umwuka wa ogisijeni uhumeka ku bageze mu za bukuru cyangwa kuvura ogisijeni ku barwayi bafite indwara zidakira (nka hypoxia de cardiovasculaire na cerebrovascular hypoxia, hypertension, hyperglycemia, umubyibuho ukabije, n'ibindi) Intego nyamukuru ni ukongera ubwuzure bwa ogisijeni mu maraso no kwirinda izindi ndwara zimwe na zimwe.

5L

Iyo intumbero ya ogisijeni ya 5L ya ogisijeni igeze ku gipimo gisanzwe, umusaruro mwinshi wa ogisijeni urashobora kugera kuri 5L / min. Irakwiriye abarwayi bafite indwara zifata umutima (nkindwara zidakira zifata ibihaha na cor pulmonale). Iyo umwuka wa ogisijeni ya 5L ya ogisijeni igeze ku gipimo gisanzwe, umusaruro mwinshi wa ogisijeni urashobora kugera kuri 5L / min. Irakwiriye abarwayi bafite indwara zifata umutima (nkindwara zidakira zifata ibihaha na cor pulmonale).

Kurugero, ukuyemo ingaruka ziterwa nabarwayi nkigipimo cyubuhumekero nubunini bwamazi, mugihe ogisijeni ihumeka binyuze mumazuru, umwuka mwiza wa ogisijeni (%) ugera mubihaha byumurwayi = 21 + 4 * umuvuduko wa ogisijeni wikwirakwizwa rya ogisijeni * yibanze kuri ogisijeni yibanda kuri ogisijeni.

Niba ikoreshwa muburyo bwo kuvura, birasabwa kugura intumbero ya ogisijeni hamwe na ogisijeni isohoka munsi ya 3L. Ku barwayi bakeneye kuvura ogisijeni igihe kirekire, birasabwa gukoresha umwuka wa ogisijeni utari munsi ya 5L. Ntabwo ifite gusa intera nini ishobora guhinduka kandi irashobora gutanga kandi imyuka ya ogisijeni irashobora guhagarara neza hejuru ya 90%, bityo ikagera ku ntego nziza yo kuvura.

Igihe gikomeza cyo gutanga ogisijeni

Niba ari umwuka wa ogisijeni ukoreshwa mubuvuzi gusa, akenshi usanga ari muto mubunini, ufite imikorere mibi yo gukwirakwiza ubushyuhe, kandi ntishobora gukora igihe kirekire. Imiti myinshi ya ogisijeni ikoreshwa mu kuvura irashobora gukora amasaha 24 kuri 24 nta nkomyi.

Abarwayi bafite COPD hamwe no kunanirwa k'ubuhumekero budakira bakeneye gukodeshwa amasaha 15 yo guhumeka umwuka wa ogisijeni buri munsi, bityo rero bakaba bakeneye kugura intungamubiri ya ogisijeni ishobora gutanga ogisijeni igihe kirekire kugirango birinde kunanirwa kwivuza.

Urusaku rwinshi rwa ogisijeni

Birasabwa guhitamo intumbero ya ogisijeni ifite urusaku ruke. Urusaku rugomba kuba munsi ya décibel 45-48. Bitabaye ibyo, birashobora kugira ingaruka kubandi bose hamwe nabandi, cyane cyane kuri noght. Urwego rwo kugenzura urusaku rufitanye isano nurwego rwumushinga wa ogisijeni hamwe nubunini n'imiterere ya ogisijeni. Mubisanzwe, imyuka minini ya ogisijeni ifite urusaku rwo hasi kuko ifite umwanya uhagije wo kubamo ibikoresho byo kubika amajwi hamwe nimbere kugirango bigabanye urusaku.

Iyo intumbero ya ogisijeni ikora, gerageza kutayishyira mu mwanya muto cyangwa hasi mu giti, kuko ibyo bizongera urusaku cyangwa urundi rusaku rwiyongera. Ku bantu bumva cyane urusaku, intumbero ya ogisijeni irashobora kuba kure y’umwuka wa ogisijeni kandi igahuzwa binyuze mu muyoboro muremure wa ogisijeni.

Nigute ushobora guhitamo umwuka wa ogisijeni

Mbere yo kugura intumbero ya ogisijeni, usibye gusobanukirwa ibipimo byingenzi bigize intumbero ya ogisijeni, igomba kuba ifite sisitemu ihamye kandi ikora neza, kandi ikanitondera ingingo zikurikira:

Sobanura neza impamvu ukeneye ogisijeni

Byaba ari ubuvuzi cyangwa ubuvuzi, hitamo umwuka wa ogisijeni ukurikije ibyo ukeneye bishobora guhuza umuvuduko mwinshi wa ogisijeni, igihe cyo guhumeka ogisijeni ya buri munsi nibindi bipimo. Kurugero, abarwayi bafite ubuhumekero budashira cyangwa kunanirwa k'umutima, hypoxemia, COPD nizindi ndwara bagomba guhitamo icyerekezo cyo kwa muganga cya ogisijeni gishobora gukora amasaha 24 kumunsi kandi kigakomeza umwuka wa ogisijeni kugeza kurwego rusanzwe. Niba uri umugore utwite cyangwa umunyeshuri ukunze gukoresha ubwonko bwe, muri rusange ushobora guhitamo igiciro gito ugereranije, cyiza-cyiza cya 1-2L.

Wibande ku "gaciro" yibitekerezo bya ogisijeni

Tugomba guhitamo umwuka wa ogisijeni wo mu byiciro bitandukanye dukurikije ibikenewe byindwara nubushobozi bwubukungu, ni ukuvuga ko tugomba gutekereza "igiciro" n "" agaciro "hamwe, kandi tukirinda gukurikirana buhumyi" igiciro "gito mugihe twirengagije" agaciro "ibintu byingenzi bya tekiniki, bizatera ingaruka mbi. Mu buryo nk'ubwo, nta mpamvu yo guta umutungo gusa kugirango ugure imwe ihenze aho kuyikoresha neza.

Imyitozo iza imbere, ntabwo ari ubwiza

Murugo ogisijeni yibikoresho byubuvuzi nubuzima bwiza, ntabwo aribintu byerekana ubwiza. Ntukarabe ubwonko kandi ugwe mumutego wubucuruzi bumwe na bumwe buhitamo isura nziza nkaho igurishwa kubera kubura ikoranabuhanga, ariko mubyukuri ntabwo ari ingirakamaro.

Cyane cyane kubakeneye guhumeka ogisijeni igihe kirekire, imashini igomba kuba ishobora gukora ubudahwema. Nibyiza guhitamo imashini ifite ubunini buringaniye, imikorere myiza, imiterere yimbere yimbere hamwe nubushyuhe bwiza bwo gukwirakwiza.

Igikorwa cya Atomisation

By'umwihariko ku barwayi bafite indwara z'ubuhumekero nka COPD na asima, ntishobora guhaza gusa ibikenerwa byongerwaho ogisijeni, ariko kandi byoroshye kandi byoroshye kuvura imiti ihumeka ya nebulizer murugo, bikabika igihe cyo gusura inshuro nyinshi ibitaro no gutonda umurongo, ndetse bikanagabanya amafaranga yo kwivuza.

Hitamo uruganda rukora imbaraga n'icyubahiro

Mugihe uhisemo umwuka wa ogisijeni, birasabwa guhitamo uruganda rukora ogisijeni cyangwa ikirango gifite imbaraga zikomeye, izina ryiza, ibyiringiro byiza, hamwe niterambere rirambye. Nibyiza guhitamo no gutunganya hamwe na serivise nziza nyuma yo kugurisha mukarere. Yaba ikirango cyo murugo cyangwa mumahanga, nyuma yo kugurisha kubungabunga no gusimbuza ibice nibyingenzi. Gusa uruganda rukora ibicuruzwa rwemeza rushobora kwemeza iterambere rirambye na serivisi yo kubungabunga ibicuruzwa. Muri icyo gihe, igomba kugurwa binyuze mu nzira zemewe kandi hamwe nuburyo bwuzuye kugirango irinde neza.

Icyitonderwa cyo gukoresha umwuka wa ogisijeni

Oxygene yibanze kuri "ubwoba bune"

Kubwibyo, mugihe ukoresheje umwuka wa ogisijeni, menya neza ko utaba kure yumuriro, uyobora urumuri rukomeye (urumuri rwizuba), hamwe nubushyuhe bwo hejuru; Witondere gusimbuza, gusukura no kwanduza urumogi rwamazuru, urumogi wa ogisijeni, ubuhehere hamwe nubushyuhe kugirango wirinde kwandura no gufunga urumogi; Iyo intumbero ya ogisijeni idakoreshejwe igihe kirekire, amashanyarazi agomba kuzimwa, amazi yo mu icupa ry’amazi agomba gusukwa, hejuru y’imyuka ya ogisijeni igomba guhanagurwa neza, igapfundikirwa igipfundikizo cya pulasitike, ikabikwa ahantu humye nta zuba ry’izuba; Mbere yo gutwara imashini, suka amazi mu gikombe. Amazi cyangwa ubuhehere mu gipimo cya ogisijeni byangiza ibice byingenzi (nka sikeli ya molekile, compressor, valve igenzura gaze, nibindi)

Mugihe uhumeka ogisijeni, witondere gutanga ubushyuhe bukwiye nubushuhe

Kugumana ubushyuhe bwa37°C.n'ubushuhe bwa 95-100% mumyanya y'ubuhumekero birakenewe mumikorere isanzwe ya sisitemu ya mucociliary. Kubera iyo mpamvu, umwuka wa ogisijeni uhumeka ugomba kunyura mu icupa rya humidifier hamwe n’ibikoresho bikenerwa byo gushyushya kugirango wirinde guhumeka umwuka wa ogisijeni wumye kandi ukonje ushobora gukurura no kwangiza mucosa yo mu kirere, ugatera urusenda gukama, kandi bikagira ingaruka ku mikorere ya “scavenger” ya cilia.

Iyo umwuka wa ogisijeni ufunguye, ntugashyire metero yatemba ireremba kuri zeru; mugihe cyo guhumeka umwuka wa ogisijeni, witondere kugenzura niba metero ireremba ireremba neza

Niba amashanyarazi ya molekile ya ogisijeni adakoreshwa igihe kinini, ibikorwa bya sikile ya molekile bizagabanuka, bityo rero hagomba kwitonderwa gutangira no kubungabunga ibikorwa.

Amashanyarazi ya ogisijeni yibanze agomba guhagarikwa mugihe adakoreshejwe cyangwa adakoreshwa. Ibi ntibigabanya gusa gukoresha imashini ningufu, ahubwo binagamije umutekano wumuriro.

Iyo umwuka wa ogisijeni ukora, ugomba gushyirwaho neza hamwe n'umwanya uri munsi ya 20cm muri radiyo kumpande zose, kandi ibidukikije bigomba kwitondera guhumeka neza hamwe nubuziranenge bwikirere.

Abantu batandukanye, ibintu bitandukanye, bakeneye ogisijeni zitandukanye.

Kurugero, abarwayi bafite dioxyde de carbone (nka COPD ihujwe no kunanirwa guhumeka karande) bagomba guhabwa umwuka uhumeka wa ogisijeni. Muri rusange, umuvuduko wa ogisijeni ntugomba kurenza 3L / min, kandi 1-2L / min birakwiye, kubera ko umwuka wa ogisijeni uhumeka cyane ushobora gutera ihungabana ry’ubuhumekero ku barwayi nkabo kandi bikarushaho kuba bibi. Nubwo guhumeka umwuka wa ogisijeni ari byiza ku bagore batwite, ugomba kandi kwitondera inama za muganga kandi ukirinda guhumeka buhumyi umwuka wa ogisijeni mwinshi cyane igihe kirekire.

Imyunyungugu ya Oxygene irashobora gukoreshwa mubuvuzi no kuvura ogisijeni rusange (harimo hypoxia plateau, indwara zubuhumekero, indwara zifata umutima nimiyoboro yubwonko, nibindi), ariko ntibishobora gukoreshwa mubuzima bwiterambere mugihe cyo gutabara.