Ua ʻike paha ʻoe iā ia ma kahi kiʻiʻoniʻoni, a i ʻole ma kahi lumi pilikia haukapila maoli (ETU), ke pilikia kekahi i ka hanu ʻana, kau lākou i kahi pale maka ma ko lākou maka a hāʻawi iā lākou i ka oxygen ma o kahi ʻeke liʻiliʻi e like me ka pōpō i hoʻopili ʻia iā ia. Hoʻohana pinepine ʻia kēia ʻano pale maka i ka wā e lawe ʻia mai ai kahi maʻi e ka ambulance. No laila, ua noʻonoʻo paha ʻoe i ke ʻano o ka pale maka kūikawā a me kāna hana? I kēia lā e kamaʻilio mākou e pili ana iā ia. Kāhea mākou iā ia he 'Non-Rebreather Mask'.
He aha ka Non-Rebreather Mask (NRM)?
I ka ʻōlelo maʻalahi, ʻo ka Non-Rebreather Mask (NRM) kahi mea lapaʻau i hoʻohana ʻia e hāʻawi koke
i kahi oxygen kiʻekiʻe loa i kekahi
i loko o kahi pilikia . He pale maka kēia i hoʻolālā ʻia e uhi i kou waha a me kou ihu. Hoʻopaʻa ʻia i kou maka me kahi kaula elastic e hoʻopuni ana i kou poʻo. Loaʻa i kēia pale maka kahi ʻeke liʻiliʻi i piha i ka oxygen i hoʻopili ʻia iā ia. Ua kapa ʻia kēia he 'Reservoir Bag'. Hoʻopili ʻia kēia ʻeke i kahi pahu oxygen ma o kahi paipu. ʻO ke kumu nui o kēia, ʻo ia ka hāʻawi koke ʻana i ka nui o ka oxygen i kekahi kanaka nona ka pae oxygen koko i hāʻule haʻahaʻa loa a hoʻopaʻa iā lākou.
Pehea ka hana ʻana o kēia pale maka? He aha ka mea kūikawā e pili ana iā ia?
ʻO ka hiʻohiʻona nui o kēia pale maka ʻo ia kāna ʻōnaehana
'one-way valve' . E noʻonoʻo iā ia e like me ka puka e wehe wale ana i hoʻokahi ʻaoʻao. Eia ka mea e hana ʻia:
- Ke hanu ʻoe, ʻo ka oxygen maʻemaʻe wale nō i hoʻopiha ʻia i loko o ka ʻeke waihona mai ka pahu oxygen e hele i loko o kou mau māmā .
- Ke hanu ʻoe i waho, hele aku ka ea i loaʻa ke kalapona ʻokikene ma o nā kiwikā ʻē aʻe ma nā ʻaoʻao o ka pale maka, a ʻaʻole e komo hou i loko o ka ʻeke oxygen.
- Eia kekahi, ʻaʻole komo ka ea maʻamau mai ke kaiapuni o waho i loko o ka pale maka.
ʻO ia ke kumu i kapa ʻia ai he 'Non-Rebreather'. ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke hanu i ka hanu āu e hoʻopuka ai. Ma muli o kēia, ua nui loa ka nui o ka oxygen āu e loaʻa ai, me ka hoʻoheheʻe ʻole ʻia e kekahi mea.
ʻO ka maʻamau, ʻo ka ea a mākou e hanu ai he 21% wale nō ka oxygen. ʻOiai ʻo ka pale maka oxygen maʻamau e hāʻawi ana ma waena o 40%-60%, hiki i kēia NRM ke hāʻawi i kahi pakeneka oxygen kiʻekiʻe (FIO2 - hapa o ka oxygen i hoʻoulu ʻia) o 60% a 90% .
I nā kūlana hea e hoʻohana ʻia ai ka NRM?
Hoʻohana ʻia kēia ʻoiai inā
hiki i ka mea maʻi ke hanu iā ia iho ., i kahi pilikia i ka wā e haʻahaʻa loa ai ka pae oxygen i loko o kona koko. Eia kekahi mau laʻana:
- Hanu ʻia ka uahi: Ke hanu ʻia ka uahi i ka wā o ke ahi.
- ʻAʻai make kalapona monoxide: Hiki ke hana ʻia kēia e kekahi mau ʻano uahi, ka ʻōpala o ke kaʻa, a pēlā aku. I kēia kūlana, pono e hāʻawi koke ʻia nā pae kiʻekiʻe o ka oxygen. Inā kānalua ʻia kēlā ʻano ʻawahia, he mea nui loa e kāhea koke aku i ke Kikowaena ʻIke ʻAi Make Lahui ma ka Halemai Lahui ʻo Colombo a ʻimi i ka ʻōlelo aʻo.
- ʻEha i nā māmā: Ke hōʻino ʻia ka umauma a me nā māmā e kahi ulia.
- ʻEha poʻo hui: He ʻeha poʻo koʻikoʻi loa a hoʻi hou.
- Nā maʻi hanu koʻikoʻi a mau loa e like me COPD a i ʻole Cystic Fibrosis : I nā hihia o ka hoʻonui ʻia ʻana o kēia mau maʻi.
He aha nā pono a me nā pilikia nui o kēia mask?
| ʻAno | Wehewehena |
|---|
| Pōmaikaʻi nui | ʻO ka hiki ke hāʻawi koke i ka oxygen kiʻekiʻe loa i ka mea maʻi hiki ke hoʻopakele i ke ola o ka mea maʻi e pilikia nei i ka hanu ʻana. |
| Ka pilikia nui | Ka hanu ʻana. ʻO kēia ka pilikia nui loa a weliweli loa o kēia pale maka. No ka mea, ʻaʻole ia e ʻae i ka ea o waho e komo, inā e hakahaka ka pahu oxygen, ʻaʻole e loaʻa i ka mea maʻi ka ea e hanu ai. No kēia kumu, hoʻohana mau ʻia kēia pale maka ma lalo o ka nānā pono ʻana o kahi limahana lapaʻau, e like me ke kauka a kahu maʻi paha, ma ka haukapila a i ʻole ETU. |
Hiki iaʻu ke hoʻohana i kēia mask ma ka home?
ʻAʻole loa. ʻO ka Non-Rebreather Mask kahi mea hana i hoʻohana wale ʻia i nā kūlana pilikia, ma kahi haukapila. ʻAʻole ʻōlelo ʻia no ka hoʻohana ʻana ma ka home ma muli o ka pilikia o ka hanu ʻana. Inā makemake ʻoe i ka mālama ʻana i ka oxygen ma ka home ma muli o kahi maʻi hanu mau, aia kekahi mau ʻano palekana ʻē aʻe no ka hana ʻana pēlā. No ka laʻana, kahi mea hana "Nasal Cannula" me ʻelua mau paipu liʻiliʻi i hoʻokomo ʻia i loko o ka ihu. E wehewehe kāu
kauka iā ʻoe i ke ʻano mālama oxygen kūpono loa no kou kūlana.
Nā hōʻailona o ka paʻakikī o ka hanu ʻana e pono ai ke kōkua koke ʻana o ke kauka
Inā pilikia ʻoe a i ʻole kekahi āu i ʻike ai i ka hanu ʻana a loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei,
e hele i ka ʻOihana Pilikia (ETU) o ka haukapila a i ʻole e ʻike koke i ke kauka .
| Hōʻailona | He wehewehe maʻalahi |
|---|
| Ke lilo nei nā lehelehe i ke keʻokeʻo a polū paha | ʻO kahi hōʻailona nui o ka loaʻa ʻole o ka oxygen i ke kino. |
| Ka hanu wikiwiki loa a paʻakikī paha | Inā me he mea lā e hakakā nei ʻoe e hanu. |
| Ka ʻō ʻana o ka ihu | ʻOi aku hoʻi i nā keiki ʻōpio, pehu ka puka ihu i ka wā paʻakikī ke hanu. |
| Nā leo ʻē i ka wā e hanu ana | Inā lohe ʻoe i ka wheezing a i ʻole nā leo ʻē aʻe. |
Inā pilikia ʻoe i ka hanu mau ʻana, e kamaʻilio me kāu kauka e pili ana i ia mea. He mea nui loa ka ʻimi ʻana i ke kumu a loaʻa ka lāʻau kūpono iā ʻoe.
Leka Lawe-Home
- He pale maka kūikawā ka Non-Rebreather Mask (NRM) e hāʻawi koke ana i kahi nui o ka oxygen i ka wā pilikia.
- Pale kēia i ka hanu āu e hoʻokuʻu aku ai mai ka hoʻi ʻana i loko, ʻo ia ke kumu e loaʻa ai iā ʻoe ka oxygen hou aku.
- ʻO ka pilikia nui loa me kēia, ʻo ia ka hiki ke hanu ʻia inā hakahaka ka pahu oxygen.
- No kēia kumu, hoʻohana wale ʻia kēia pale maka ma lalo o ka nānā ʻana o ke kauka ma ka haukapila. ʻAʻole kūpono ia no ka hoʻohana ʻana ma ka home.
- Inā loaʻa iā ʻoe kekahi ʻano pilikia hanu, e kamaʻilio me kāu kauka e pili ana i ia mea a loaʻa iā ʻoe ka lāʻau kūpono.
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