Yu go mɔs dɔn go si pɔsin na di intensiv kia yunit (ICU). Ɔ at ɔl yu dɔn si fim usay dɛn huk pɔsin we sik to mashin wit tiub na in mɔt. Sɔntɛm yu go dɔn fred smɔl ɔ yu want fɔ no mɔ we yu si dat. Wan pan di mashin dɛn we impɔtant pas ɔl na di mashin we de mek pɔsin blo. Pan ɔl we bɔku pipul dɛn kin fred am, fɔ tru, na tin we de sev pipul dɛn layf. So tide, lɛ wi tɔk bɔt wetin na ventilator, ɔ insay mɛrɛsin, ``Mɛkanikal Ventilashɔn'', wetin mek dɛn nid am, ɛn ɔltin we gɛt fɔ du wit am na wan rili simpul we.
Fɔ tɔk am simpul wan, wetin na ventilator?
Vɛntileta na mashin we de ɛp yu fɔ blo, ɔ tek ova di wok ɔltogɛda, we yu nɔ ebul fɔ blo yusɛf. Jɔs lɛk aw krach de sɔpɔt yu wet we yu gɛt brok leg, na so wan ventilator de sɔpɔt yu lɔng dɛn.
Dis mashin de du tri men tin dɛn:
- I de gi yu lɔng dɛn di ɔksijɛn we dɛn nid.
- I de ɛp yu lɔng dɛn fɔ pul di kabon dayɔgzayd we yu nɔ want we kin gɛda na yu bɔdi.
- di sכm sכm εya sak dεm (alveoli) dεm we de insay yu lכng dεm de gi di prεshכn we yu nid fכ kip dεm opin we dεn nכ kכlכp.
Dɔktɔ dɛn kin ajɔst di sɛtin dɛn fɔ dis mashin fɔ fit yu kɔndishɔn ɛn gi yu di sɔpɔt we yu nid.
Di tin we impɔtant pas ɔl na dat, ventilator nɔto mɛrɛsin fɔ sik. I jɔs de mek yu nɔ ebul fɔ blo fayn te yu bɔdi fɛt di sik ɛn wɛl. Insay da tɛm de, yu dɔktɔ dɛn kin gi yu ɔda tritmɛnt fɔ yu sik.
"Intubation" en "Ventilation" na tu difren tin?
Yɛs, pan ɔl we dɛn tu tin ya kin apin togɛda bɔku tɛm, dis kin min tu tin dɛn we kin apin.
- Intubation: Dis na we dɔktɔ put tiub tru yu mɔt ɔ yu nos, dɔŋ yu winda paip (trachea) ɛn insay yu lɔng. dεn kכl dis bak ``εndotracheal tube`` כ ET tכb.
- Mɛkanikal Ventileshɔn: Dis de tɔk bɔt di we aw dɛn kin kɔnɛkt di tiub we dɛn bin dɔn put bifo tɛm to ventilatɔ mashin, we kin ɛp yu fɔ blo.
Sɔntɛnde, instead fɔ put tiub lɛk dis, yu kin kɔnɛkt to di ventilatɔ tru wan fes mask we fit tayt oba yu fes. Wi go tok abaut dat in a bit.
Wetin na di men kayn tritmɛnt fɔ ventilatɔ?
Di ventilatɔ dɛn we dɛn de yuz tide de yuz pɔsitiv prɛshɔn fɔ fos di briz fɔ go insay di lɔng dɛn. Wi kin du dis tu men we dɛn.
| Di kayn tritmɛnt we dɛn kin gi | Fɔ tɔk am simpul wan... |
|---|---|
| Invasiv Mɛkanikal Ventileshɔn | Dis min se yu fɔ put wan tiub insay yu aywe ɛn kɔnɛkt am to ventilatɔ. yu kin put dis tiub tru yu mכt (intubeshכn) כ tru sכm sכm pat na yu nεk (tracheostomy) . |
| Ventilashɔn we nɔ de invayv | Dis kin yuz mask we fit fayn fayn wan rawnd di fes. Dɛn kin tay dis mask na di ed wit strap dɛn. di briz we de kכmכt na di ventilator de go insay di lכng dεm tru dis mask. Divays dɛm lɛk (CPAP) ɔ (BiPAP®) we dɛn kin yuz na os sɛf de pan dis kayn. |
Ustɛm dɛn nid fɔ yuz ventilatɔ?
Yu kin nid di ɛp fɔ ventilator pan ɛni siriɔs tin we yu nɔ ebul fɔ blo fayn fɔ yusɛf. Fɔ ɛgzampul:
- We dɛn de du big ɔpreshɔn: We yu de ɔnda jenɛral anestezi, yu nɔ kin ebul fɔ blo bɛtɛ. So, dɛn go gi yu di ɛp frɔm ventilator we dɛn de du di ɔpreshɔn.
- Siriɔs lɔng infɛkshɔn ɔ kɔndishɔn: Nyumonia, COVID-19, Akyu Respiratory Distress Syndrome (ARDS), ɛn Chronic Obstructive Pulmonary Disease (COPD) we di kɔndishɔn de wɔs.
- Imejɛnsi ɔ mɛdikal kɔndishɔn: Ɛni imejensi we de blok di say we di briz de blo ɛn mek i nɔ izi fɔ blo. Fɔ ɛgzampul, wan bad bad alɛji (anaphylaxis).
- Bren damej ɔ sik: Insay kes dɛm lɛk strok ɛn traumatik bren injuri, di bren nɔ kin ebul fɔ sɛn signal fayn fayn wan to di lɔng dɛm fɔ blo.
- Di chenj dɛn we de apin na di blɔd gas balans: If di kabon dayɔgzayd we de na di blɔd go bɔku (hypercapnia) ɔ di ɔksijɛn go dɔŋ (hypoxemia), dɛn nid fɔ yuz ventilator fɔ kɔntrol dis sik.
- Protɛkt di say we yu de blo:If pɔsin we de na kɔma vɔmit saliva ɔ it frɔm in mɔt, i kin go insay in lɔng. Fɔ mek dis nɔ apin, dɛn kin put wan aspirashɔn tyub fɔ protɛkt di say we di briz de blo.
Aw lɔŋ yu go gɛt fɔ de pan ventilatɔ?
Dis dipen ɔl pan di kɔndishɔn we mek yu nid fɔ gɛt ventilatɔ. I kin bi sɔm awa, sɔm dez, sɔm wiks. Sɔntɛm, yu kin gɛt fɔ de de fɔ sɔm mɔnt ɔ ivin fɔ lɔng tɛm. Di gol fɔ di mɛdikal tim na fɔ pul yu kɔmɔt na di ventilatɔ kwik ɛn sef wan . Te da tɛm de, dɛn go de wach yu kɔndishɔn ɔltɛm.
Tipikli, if i tan lɛk se yu go nid fɔ de pan ventilatɔ fɔ pas tu wiks, dɔktɔ dɛn go pul di tiub na yu mɔt ɛn put wan tiub tru wan smɔl say we dɛn kɔt na yu nɛk (tracheostomy). Dis na we we pɔsin kin fil fayn ɛn we kin tek lɔng tɛm fɔ di pɔsin.
Wetin kin apin we yu kɔnɛkt am to ventilatɔ?
Dis prɔses kin apin na wan intensiv kia yunit (ICU).
1. Fɔs, dɛn go gi yu mɛrɛsin fɔ mek yu fil fayn fɔ ɛp yu fɔ rilaks ɛn fil se yu de slip. Na di sem tɛm, dɛn go gi yu wan paralayt fɔ mek yu bɔdi nɔ muv we dɛn de put di tiub insay.
2. Dɔn dɔktɔ put wan tiub (ET tiub) tru yu mɔt insay yu winda paip.
3. Fɔ dɔn, dɛn kin kɔnɛkt di tiub to di ventilatɔ mashin. Dɔn di mashin kin bigin fɔ blo fɔ yu.
If ɛnitin apin we nɔ izi fɔ du, dɛn kin gɛt fɔ du dis difrɛn we smɔl, kwik kwik wan.
Wetin ɔda tin kin apin we yu de pan ventilatɔ?
We yu de pan ventilator, na wan tim we gɛt spɛshal tren fɔ dɔktɔ dɛn go kia fɔ yu. Sɔm ɔda tin dɛn de we kin apin insay dis tɛm.
Klos monitarin
Yu go kɔnɛkt to ɔda monita dɛn fɔ wach aw yu bɔdi de wok.
- Blɔd prɛshɔn
- At rit we yu de bit
- Di rεspiretכri rεt
- Di ɔksijɛn we de na di blɔd
Dɛn kin wach dɛn tin ya ɔltɛm. Dɛn kin du ɛkstrem rayt na di chɛst bak fɔ chɛk aw di lɔng dɛn de ɛn dɛn kin du blɔd tɛst fɔ chɛk di ɔksijɛn we de na di blɔd.
Fɔ sɔk
Di tiub we yu de blo kin mek di mכkus bכku na yu aywe. So, bɔku tɛm di nɔs dɛn kin put ɔda tin tyub (kateta) insay di tiub fɔ pul di mכkus we kin gɛda. Yu kin kɔf smɔl ɛn nɔ kin fil fayn insay dis tɛm. Dis kin mek di wan dɛn we de wach am nɔ fil fayn smɔl, bɔt i impɔtant fɔ mek yu ebul fɔ blo klia wan.
It we gi wɛlbɔdi
Yu nɔ go ebul fɔ it ɔ drink bikɔs yu gɛt tiub na yu mɔt. So, dɛn go gi yu likwid nyutrishɔn tru wan tin tiub we de kɔmɔt na yu nos to yu bɛlɛ. כda wata dεm go gi tru wan salin sכlushכn insay wan vein.
Mobilizayshɔn
Bikɔs i nɔ fayn fɔ de na bed ɔltɛm, di mɛdikal tim go mek yu muv. Sɔntɛnde, if yu de na di pozishɔn fɔ du dat, dɛn go ivin tray fɔ mek yu waka rawnd smɔl.
Yu kin kɔnshɛns we yu de pan ventilatɔ?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Dɔktɔ dɛn kin tray fɔ mek yu fil fayn ɛn mek yu nɔ gɛt wanwɔd as dɛn ebul, ɛn dɛn kin tray fɔ mek yu no mɔ as dɛn ebul. Bɔt if yu kɔndishɔn tranga, yu kin nid fɔ `dip sɛdate` fɔ gi yu bɔdi tɛm fɔ rɛst ɛn wɛl. sכmtεm, yu an dεm kin `rεstrayn` fכ mek yu nכ aksidεntli put insay tכb. Dis na fɔ yu yon sef.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Lɛk ɛni mɛrɛsin, tritmɛnt fɔ ventilator gɛt bɛnifit ɛn risk.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk dɛn we kin apin |
|---|---|
| Yu nɔ want fɔ gɛt fɔ wok tranga wan fɔ blo. So yuz ɔl di ɛnaji we yu bɔdi gɛt fɔ mɛn di sik. | baktri dεm kin travul tru di aywe dεm to di lכng dεm εn mek infεkshכn (e.g. nyumonia). |
| Yu go mɔs gɛt di ɔksijɛn we yu nid, ɛn dɛn go pul di kabon dayɔgzayd. | Di prɛshɔn we de kɔmɔt frɔm di ventilator kin pwɛl di lɔng dɛn sɔntɛnde. |
| i de mek di ay sak dεm na di lכng dεm nכ kכlכg. | Wan wik say na di lכng kin pank, we kin mek di lכng kכllaps (pneumothorax) . |
| Kip di say we di briz de blo opin ɛn sef. | Di at wok ɛn di blɔd prɛshɔn kin afɛkt. |
Wan impɔtant pɔynt de. Sɔntɛnde, di sikman in sik kin so bad dat i nɔ kin izi fɔ mek i wɛl. If na so i bi, we yu kɔnɛkt to ventilatɔ, dat kin jɔs mek di pɔsin we de day lɔng. Dis kin mek di pɔsin ɛn di famili sɔfa we nɔ nid fɔ apin. If na so i bi, yu dɔktɔ go tɔk to yu bɔt dis ɛn gayd yu fɔ disayd fɔ du di bɛst.
Wetin na PEEP ɛn CPAP?
Yu go mɔs dɔn yɛri dɛn tu wɔd ya.
- PEEP (Positive End-Expiratory Pressure): Dis na sɛtin we de na ventilatɔ mashin. insay sɔm mεdikal kכndyushכn dεm, we wi de blo, di εya sak dεm na di lכng dεm (alveoli) de kכmplit kכmplit. Di PEEP sɛtin de kip dɛn ay sak dɛn de opin bay we yu de put smɔl prɛshɔn ivin we yu de blo. Dis kin mek di ɔksijɛn we de go insay di blɔd bɔku.
- CPAP (Continuous Positive Airway Pressure): Dis min se yu de kɔntinyu fɔ gi di sem kayn pɔsitiv prɛshɔn to di aywe dɛn we yu de blo insay ɛn kɔmɔt. Bɔrku tɛm dɛn kin yuse am fɔ kɔndishɔn lɛk slip apnea, as nɔ-invasive ventilation method (tru mask).
Fɔ tɔk am simpul wan, PEEP na di prɛshɔn we dɛn kin put pan pɔsin we gɛt ventilatɔ we i de blo. CPAP na kɔntinyu prɛshɔn we dɛn kin put we dɛn de inhal ɛn we dɛn de blo.
Ventilator na impɔtant tin we go sev yu layf if siriɔs sik ɔ imejensi apin. Pan ɔl we i nɔ de mɛn di sik, i de gi yu bɔdi di tɛm ɛn sɔpɔt we i nid fɔ fɛt di sik ɛn wɛl.
Mɛsej we dɛn kin kɛr go na os
- Ventilator na mashin we de sev yu layf we de ɛp yu fɔ blo we yu nɔ ebul fɔ blo fɔ yusɛf.
- Dis nɔ de mɛn di sik, bɔt i de gi di bɔdi di tɛm ɛn stebul we i nid fɔ fɛt di sik ɛn wɛl.
- Yu kin kɔnɛkt yu to ventilatɔ tru wan breathing tube (invasive) ɔ tru wan mask (non-invasive).
- We yu de pan ventilatɔ, wan tim we gɛt spɛshal dɔktɔ dɛn na di Intensiv Keya Yunit (ICU) go tek kia ɔf yu gud gud wan.
- Pan ɔl we dis tritmɛnt gɛt prɔblɛm dɛn, bɔku tɛm na di wangren tin we pɔsin kin du fɔ sev pɔsin in layf.
- If yu ɔ ɛnibɔdi na yu famili gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, tɔk to yu dɔktɔ opin wan bɔt am.
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