E aʻo kākou e pili ana iā Heliox - kahi hui kinoea kūikawā i hāʻawi ʻia i ka poʻe pilikia i ka hanu ʻana.

Ua ʻike anei ʻoe i kekahi e paʻakikī ana i ka hanu ʻana a ua hoʻokomo ʻia i loko o ka ʻāpana mālama koʻikoʻi (ICU) o kahi haukapila? I kekahi manawa hoʻohana nā kauka i nā ʻano hana like ʻole e kōkua i kēlā poʻe e hanu. ʻO kēia hui kinoea kūikawā i hoʻohana ʻia i ia mau pilikia ua kapa ʻia ʻo Heliox. He mea hou paha kēia inoa iā ʻoe. No laila e kamaʻilio kākou e pili ana i kēia lā.

He aha ʻo Heliox?

I ka ʻōlelo maʻalahi, he hui kinoea kūikawā ʻo Heliox i hana ʻia ma ka hui ʻana i ʻelua mau kinoea, ʻo ka helium a me ka oxygen. Hāʻawi ʻia ia i nā poʻe maʻi e pilikia ana i ka hanu ʻana, ʻoiai i nā pilikia.

I kēia manawa ke noʻonoʻo nei paha ʻoe, "Hā mau mākou i ka oxygen, ʻeā? No ke aha e hoʻohui ai i ka helium i kēia?" He nīnau maikaʻi. E nānā kākou i ke kumu.

ʻO ka ea a mākou e hanu mau ai he 21% oxygen a me 78% nitrogen. ʻO ke koena ua hana ʻia me nā kinoea ʻē aʻe. ʻOiai ma ka haukapila, ke hāʻawi ʻia kekahi i ka oxygen, hāʻawi pinepine ʻia lākou i ka hui ʻana o ka oxygen a me ka nitrogen. Eia nō naʻe, ʻoi aku ka māmā o ke kinoea helium ma mua o ka nitrogen. E noʻonoʻo i kahi pōpō i piha i ka helium e piʻi aʻe i luna ke hoʻokuʻu ʻoe iā ia, ʻeā? He māmā loa ka helium.

No laila, i ka wā e pehu ai a paʻa ai nā ala ea o ke kanaka, i ka wā e hui pū ʻia ai ka oxygen me kēia kinoea helium māmā, hiki i kēlā hui kinoea ke hele maʻalahi ma o nā ala ea i paʻa me ka liʻiliʻi o ke ālai ʻana i loko o nā māmā. Hoʻemi nui kēia i ka hoʻoikaika e pono ai e hanu.

I ka manawa hea e hoʻohana ʻia ai ʻo Heliox?

ʻAʻole ʻo Heliox ka lāʻau lapaʻau no nā mea āpau. Eia nō naʻe, hiki iā ia ke kōkua i ka hoʻopaʻa ʻana i ke kūlana o ka mea maʻi ma ke kōkua ʻana iā lākou e hanu maʻalahi a hiki i ka holo pono ʻana o nā lāʻau ʻē aʻe a hoʻomaikaʻi i ko lākou kūlana. Aia ma lalo iho kekahi o nā kūlana e hiki ai i nā kauka ke hoʻohana i kēia lāʻau lapaʻau.

Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau?

Hāʻawi wale ʻia kēia kinoea Heliox i kahi mea maʻi ma ka haukapila, ma lalo o ka nānā ʻana a ke kauka. Hoʻoholo ke kauka i ke ʻano hana maikaʻi loa ma muli o ke kūlana o ka mea maʻi.

Hoʻohana nui ʻia nā ʻano hana penei:

• Ma o kahi Ventilator: Inā ʻaʻole hiki i ka mea maʻi ke hanu iā ia iho, hiki ke hāʻawi ʻia kēia hui ʻana i ka wā e ʻike ʻole ana ka mea maʻi a me ka hanu ʻana ma o kahi mīkini.
• Ma o ka pale maka: Inā ʻike ka mea maʻi, hiki ke hāʻawi ʻia kēia kinoea ma o kahi pale maka paʻa a pale i ka leaka.
• Ma o kahi cannula ihu: I kekahi mau hihia, hāʻawi ʻia kēia ma o kahi ʻōmole liʻiliʻi i kau ʻia i loko o kēlā me kēia puka ihu.

E hoʻololi ke kauka a i ʻole ka mea lapaʻau hanu i ka lakio o ka helium a me ka oxygen ma muli o ka nui o ka oxygen e pono ai ka mea maʻi. ʻO nā hui maʻamau i hoʻohana ʻia:

• 70% helium / 30% oxygen
• 60% helium / 40% oxygen

He aha nā pōmaikaʻi a me nā pōʻino o ka mālama ʻana me Heliox?

E like me kekahi lāʻau lapaʻau, loaʻa i kēia ʻano nā pono a me nā hemahema.

Nā Pōmaikaʻi

ʻO nā pono nui ʻelua o kēia:

1. Hoʻēmi i ka hoʻoikaika e pono ai e hanu: Hiki i ke kino ke hanu maʻalahi me ka ʻole o ka hoʻoikaika nui ʻana. Mālama kēia i ka ikehu o ka mea maʻi e hakakā i ka maʻi.

2. Hoʻēmi i ke ālai ʻana i ka ea e komo ana i loko o nā māmā: Ke ālai ʻia nā ala ea, aia kahi ālai nui i ke komo ʻana o ka ea maʻamau. Eia naʻe, ma muli o ka māmā o Heliox, ua hoʻēmi ʻia kēlā ālai ʻana a holo maʻalahi ka ea.

Nā hemahema

ʻO ka hemahema a i ʻole ka pilikia nui o kēia, ʻo ia ka pono o nā lako kūikawā a me nā limahana i aʻo maikaʻi ʻia e hāʻawi i kēia lāʻau.

Hiki ke loli nā ana a me nā hoʻonohonoho ʻana o nā mīkini oxygen ke hāʻawi ʻia ka heliox. ʻO kēia no ka mea he ʻokoʻa ka nui o ka helium mai ka naikokene. No laila, pono nā kauka a me nā limahana kahu maʻi e ʻike pono i kēia mau loli a hoʻoponopono pono i nā mīkini. Akā inā ʻike ʻoe i kēia, he lāʻau palekana loa ka heliox.