Na nɔmal tin fɔ mek yu fil bad, wɔri, ɔ fred we yu yɛri se dɛn dɔn put pɔsin we yu lɛk na di Intensive Care Unit (ICU) pan ‘ventilator.’ Bɔku tɛm, bɔku pan dis fred kin kɔmɔt frɔm di tin dɛn we wi nɔ no. Fɔ tru, dis mashin na impɔtant tin fɔ fɛt fɔ sev pɔsin in layf. Na Nirogi Lanka, wi want fɔ ɛp yu fɔ ɔndastand wetin na ‘ventilator’—ɔ wetin di mɛdikal pɔblisha dɛn kɔl ‘Mechanical Ventilation’—ɛn aw i de wok, we dɛn ɛksplen am wit simpul, klia wɔd dɛn.
Fɔ tɔk am simpul wan, wetin na ventilator?
Vɛntileta na mashin we de sɔpɔt yu fɔ blo we yu nɔ ebul fɔ blo fayn fɔ yusɛf. Tink bɔt am lɛk se yu de yuz stik fɔ mek yu leg brok; jכs lεk aw kruk de sכpכt yu wet fכ εp yu fכ muv, na so ventilator de tek ova pat כ כl di wok fכ brith fכ yu lכng.
Di tin we impɔtant pas ɔl na dat, ventilator nɔto mɛrɛsin fɔ sik. Na wan we fɔ sɔpɔt layf . I de wok fɔ mek yu respiratory wok stebul we ɔda tritmɛnt ɛn mɛrɛsin dɛn de ɛp yu bɔdi fɔ wɛl.
Fɔs, ventilator de du dɛn wok ya:
- I de gi di ɔksijɛn we yu bɔdi nid insay yu lɔng.
- I de ɛp fɔ pul di kabon dayɔgzayd we pasmak, we na west gas, na yu sistɛm.
- de gi di prεshכn we nid fכ kip di sכm sכm εya sak dεm na yu lכng dεm (alveoli) opin εn fכ wok fayn fayn wan.
Yu dɔktɔ dɛn kin ajɔst di mashin in sɛtin bay di patikyula mɛrɛsin we yu nid.
Intubation ɛn Ventilation na di sem?
Nɔ, dis na tin we pipul dɛn kin kɔnfyus. Pan ɔl we bɔku tɛm dɛn kin apin togɛda, dɛn na tu difrɛn tin dɛn we kin apin.
- Intubation: Dis na di mεdikal prosidכs we dכkta de pas tכb tru yu mכt εn insay yu windpaip (trachea).
- Mɛkanikal Ventilashɔn: Dis de tɔk bɔt di akt we yu de kɔnɛkt da tiub de to di ventilatɔ mashin fɔ ɛp yu fɔ blo.
Insay sɔm tin dɛn, dɛn kin gi briz bak tru wan fes mask we tayt, we nɔ nid fɔ gɛt invasive tyub.
Wetin na di kayn we aw di briz kin blo?
Ventilatɔ de ɛp yu fɔ blo bay we i de push di briz insay yu lɔng dɛn we yu de yuz pɔsitiv prɛshɔn. Dɛn kin du dis bay tu men we dɛn. Wi dɔn sɔma dis dɔŋ ya fɔ mek yu ɔndastand am izi wan.
| Tayp fɔ Ventilayshɔn | Simpul Ɛksplen |
|---|---|
| Invasiv Mɛkanikal Ventileshɔn | Dis we ya na fɔ put wan tiub insay yu aywe. dis tכb de pas tru yu mכt (intubeshכn) כ tru wan sכmכl כspitul insishכn na di nεk (tracheostomy) εn kכnekt am to di ventilεta. |
| Ventilayshɔn we nɔ de invayv | Insay dis we, dɛn kin put mask fayn fayn wan oba yu fes ɛn kɔnɛkt am to di ventilatɔ fɔ push di briz insay yu lɔng. Divays dɛm lɛk CPAP ɔ BiPAP®, we dɛn kin yuz bɔku tɛm ivin na os, kin insay dis kategori. |
Udat nid sɔpɔt frɔm ventilator?
Dɛn kin nid fɔ yuz ventilatɔ ɛnitɛm we yu nɔ ebul fɔ blo fayn fɔ yusɛf. Di tin dɛn we kin apin we kin apin na:
- We yu de du di ɔpreshɔn: Jɛnɛral anestezi mɛrɛsin kin mek yu nɔ ebul fɔ blo fayn. Ventilator de ɛp fɔ mek yu ebul fɔ blo ɔltɛm ɛn sef wan ɔl di tɛm we yu de du di wok.
- Siviɔs Lɔng Infɛkshɔn ɔ Sik: Kɔndishɔn lɛk nyumonia, COVID-19, Acute Respiratory Distress Syndrome (ARDS), ɔ krɛse sik lɛk COPD.
- Imejɛnsi Situeshɔn: If yu aywe nɔ de wok ɔ yu nɔ de blo fayn bikɔs ɔf trauma ɔ mɛdikal imejensi, lɛk siriɔs anafylaksis.
- Bren Injury: Kɔndishɔn lɛk strok ɔ kɔma kin ambɔg di bren in signal dɛm we de tɛl yu lɔng dɛm fɔ blo.
- Gas Imbalans: We yu gɛt denja lɛvɛl fɔ kabon dayɔgzayd (hypercapnia) ɔ low ɔksijɛn (hypoxemia) na yu blɔd.
- Fɔ mek yu nɔ gɛt aspireshɔn: Fɔ mek it, saliva, ɔ wata nɔ go insay yu lɔng we yu tu sɛd fɔ protɛkt yu yon aywe.
Wetin kin apin we yu de pan ventilatɔ?
Bikɔs yu nid fɔ de wach yu ɔltɛm, gud gud wan, bɔku tɛm, wan spɛshal tim we gɛt dɔktɔ dɛn, nɔs dɛn, ɛn pipul dɛn we de mɛn yu we de mek yu ebul fɔ blo go de kia fɔ yu na wan Intensiv Keya Yunit (ICU) .
Monitoring
Yu go notis bɔku mashin dɛn we dɛn tay pan yu. Dɛn tin ya kin wach yu blɔd prɛshɔn, yu at rit, yu brith, ɛn ɔksijɛn ɔltɛm. Yu go gɛt bak rutin chest X-ray ɛn blɔd tɛst.
Fɔ sɔk
Fɔ mek di say we yu de blo klia, yu nɔs tim go yuz wan tin tiub (kateta) bɔku tɛm fɔ pul di mɔkus we pasmak. Dis kin mek yu kɔf. Pan ɔl we dis kin tan lɛk se i nɔ fayn fɔ di wan dɛn we yu lɛk, i impɔtant fɔ mek yu aywe klin ɛn fɔ mek yu nɔ gɛt di sik.
Medikeshɔn, Nutrishɔn, ɛn Hajin
sכm mεdikeshכn dεm kin kכmכt dairekt to yu lכng dεm tru di brith tכb (aerosolized). biכs yu nכ kin it, yu go gεt likid nyutrishכn tru wan nasogastric tכb (wan tכb we de pas tru di nos to di bεlε). Dɛn kin gi wata we nid fɔ de insay di bɛlɛ.
Yu de wek?
Wi gol na fɔ mek yu fil fayn, kol, ɛn wach as yu ebul. Bɔt i go dipen pan yu kɔndishɔn, wi kin nid fɔ kip yu na dip sɛdated stet fɔ alaw yu bɔdi fɔ gɛt di rɛst we i nid fɔ wɛl. Sɔntɛnde, fɔ mek yu nɔ gɛt aksidɛntal injuri —lɛk fɔ pul yu briz tiub—wi kin nid fɔ kɔntrol yu an dɛn saful wan. Dɛn kin du dis jɔs fɔ mek yu sef.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Jɔs lɛk ɛni mɛdikal intavɛnshɔn, yus fɔ ventilatɔ kin kam wit ɔl tu di bɛnifit ɛn inhɛrɛnt risk.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| I de pul di fyzikal tray fɔ blo, alaw yu bɔdi fɔ pe atɛnshɔn fɔ fɛt infɛkshɔn ɛn fɔ wɛl. | baktri dεm kin travul along di brith tכb insay di lכng dεm, we kin mek infεkshכn lεk ventilator-associated nyumonia. |
| I de mek shɔ se yu bɔdi gɛt di rayt ɔksijɛn ɛn i de pul di kabon dayɔgzayd we pasmak. | di prεshכn we dεn nid fכ inflate di lכng dεm kin, insay sכm kes dεm, mek di lכng injuri we kכmכt frכm di prεshכn. |
| de kip di sכm sכm εya sak dεm (alveoli) na yu lכng dεm opin εn wok. | di potenshal fכ di briz fכ lik insay di spεs we de rawnd di lכng, we de mek i kכlaps (Pneumothorax). |
| I de mek di say we di briz de blo fayn ɛn opin ɔltɛm. | I kin put strɛs pan di at in wok ɛn impɛtɛkt yu blɔd prɛshɔn. |
Sɔm bad bad tin dɛn we kin apin to pɔsin we sik, i nɔ kin ebul fɔ blo fɔ insɛf. Dɔn bak, if yu put pɔsin we nɔ gɛt op fɔ wɛl na ventilator, dat kin mek di pɔsin we de day lɔng lɔng tɛm we i nɔ nid. Insay dɛn kayn tin ya we nɔ izi fɔ yu, i rili impɔtant fɔ mek yu tɔk to yu dɔktɔ opin wan fɔ mek yu disayd fɔ du di bɛst tin fɔ di pɔsin we yu lɛk.
Aw dɛn kin pul pɔsin we sik na ventilator?
wans yu fambul in kכndyushכn bכku εn di dכkta dεn kכnfכm se dεn rεdi fכ brith dεn wan, di prכsεs fכ "wean" de bigin. Wi kin ridyus di sɔpɔt we di mashin de gi wi smɔl smɔl fɔ tɛst if di pɔsin we sik ebul fɔ kɔntinyu fɔ blo insɛf. if ɔltin go fayn, dɛn kin pul di ɛndotrakial (ET) tiub sef wan.
Duya mɛmba se i nɔmal fɔ mek di pɔsin gɛt trot we de at ɔ in vɔys we de ala fɔ sɔm dez afta dɛn dɔn pul di tiub.
Impɔtant Takeaways frɔm Nirogi Lanka
- Mekanikal ventileshɔn nɔto mɛrɛsin fɔ wan sik; na layf-sכpכt sistεm we de εp fכ brith we di bכdi de hεl.
- No nid nɔ de fɔ panik. Wan spɛshal tim we gɛt masta sabi pipul dɛn na di Intensiv Keya Yunit (ICU) de wach di pɔsin we yu lɛk gud gud wan.
- Jɔs lɛk ɛni ɔda mɛrɛsin, prɔblɛm dɛn de, bɔt wi mɛdikal tim de wok tranga wan fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn ɛvri step.
- If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, duya tɔk to yu dɔktɔ opin wan. Dɛn de fɔ ɛksplen ɔltin to yu.
- Fɔ dɔn, wi de ɛnkɔrej ɔlman fɔ tɔk to dɛn famili bɔt wetin dɛn want bɔt mɛrɛsin we dɛn gɛt wɛlbɔdi, so dat dɛn go no wetin yu lɛk if siriɔs mɛrɛsin apin.
Ventilator, mɛkanikal ventileshɔn, layf sɔpɔt, ICU, intensiv kia yunit, brith, intubation, tracheostomy, ARDS, nyumonia, respiratory distress, imejensi kia
