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Tiyeni tiphunzire za Heliox - mpweya wapadera wosakaniza womwe umaperekedwa kwa anthu omwe akuvutika kupuma.

Tiyeni tiphunzire za Heliox - mpweya wapadera wosakaniza womwe umaperekedwa kwa anthu omwe akuvutika kupuma.

Kodi mudawonapo munthu amene akuvutika kupuma ndipo walowetsedwa mu chipinda chosamalira odwala kwambiri (ICU) m'chipatala? Nthawi zina madokotala amagwiritsa ntchito njira zosiyanasiyana kuti athandize anthu otere kupuma. Mpweya wapaderawu womwe umagwiritsidwa ntchito pazidzidzidzi zotere umatchedwa Heliox. Dzinali likhoza kukhala latsopano kwa inu. Tiyeni tikambirane za izi lero.

Kodi Heliox ndi chiyani?

Mwachidule, Heliox ndi mpweya wapadera wopangidwa posakaniza mpweya iwiri, helium ndi oxygen, pamodzi. Umaperekedwa kwa odwala omwe akuvutika kupuma, makamaka pakagwa ngozi.

Tsopano mwina mukuganiza kuti, "Nthawi zambiri timapuma mpweya, sichoncho? N'chifukwa chiyani timawonjezera helium pa izi?" Funso labwino. Tiyeni tiwone chifukwa chake.

Mpweya umene timapuma nthawi zambiri umakhala pafupifupi 21% ya mpweya ndi 78% ya nayitrogeni. Mpweya wotsalawo umapangidwa ndi mpweya wina. Ngakhale kuchipatala, munthu akapatsidwa mpweya, nthawi zambiri amapatsidwa mpweya wosakaniza ndi nayitrogeni. Komabe, heliamu ndi mpweya wopepuka kwambiri kuposa nayitrogeni. Tangoganizirani baluni yodzazidwa ndi heliamu yomwe imakwera mmwamba mukaisiya, sichoncho? Helium ndi yopepuka kwambiri.

Choncho, pamene njira za mpweya za munthu zatupa komanso zadzaza, mpweya ukasakanikirana ndi mpweya wopepuka wa helium, mpweya umenewo ukhoza kuyenda mosavuta m'njira za mpweya zomwe zadzaza komanso popanda kutsekeka kwambiri kupita m'mapapo. Izi zimachepetsa kwambiri khama lofunika kuti munthu apume.

Kunena zoona, mpweya wa helium umapangitsa kuti mpweya ulowe mosavuta m'mapapo. Monga nayitrogeni, helium ndi mpweya wopanda mphamvu womwe sugwirizana ndi matupi athu. Izi zikutanthauza kuti thupi limangotenga mpweya womwe uli mu chisakanizocho ndikutulutsa helium ndi mpweya wotuluka.

Kodi Heliox imagwiritsidwa ntchito liti?

Heliox si mankhwala a matenda onse. Komabe, ingathandize kulimbitsa thanzi la wodwalayo mwa kuwathandiza kupuma mosavuta mpaka mankhwala ena atagwira ntchito ndipo thanzi lawo litayamba bwino. Nazi zina mwa zinthu zomwe madokotala angagwiritse ntchito mankhwalawa.

Matenda Kufotokozera kosavuta
Matenda Ovuta Kwambiri Okhudza Kupuma (ARDS) Matenda adzidzidzi omwe mapapu amawonongeka kwambiri, amadzazidwa ndi madzi, ndipo sangathe kupuma okha.
Kutsekeka kwa Njira Yopumira Pamene njira yodutsa mpweya yatsekedwa ndi chotupa, chinthu chachilendo (monga chidutswa cha chakudya), kapena pazifukwa zina.
Matenda a asthmatic (Status Asthmaticus) Kuukira kwa mphumu komwe kumakhala koopsa kwambiri kotero kuti sikungathe kuthetsedwa ngakhale ndi chithandizo chamankhwala wamba, ndipo kungakhale koopsa ngakhale moyo.
Matenda osatha oletsa kupuma (COPD) Kupuma movutikira kumawonjezeka mwadzidzidzi chifukwa cha matenda osatha obstructive pulmonary disease.
Matenda Ochepetsa Kupsinjika Maganizo Akangolowa m'madzi akuya mwadzidzidzi, thovu la nayitrogeni limapangika m'magazi mwawo chifukwa cha kusintha kwa kuthamanga kwa magazi. Izi zimadziwikanso kuti "mapindo."
Stridor Pambuyo pa Kutulutsa Magazi Popeza yaikidwa chubu kuti ithandize kupuma, ndikuchotsedwa, pakhosi pake pamatupa ndipo pamakhala phokoso lamphamvu, 'groo-groo' popuma.

Kodi chithandizochi chimaperekedwa bwanji?

Mpweya wa Heliox uwu umaperekedwa kwa wodwala m'chipatala chokha, moyang'aniridwa ndi dokotala. Dokotala ndiye amasankha njira yabwino kwambiri kutengera momwe wodwalayo alili.

Njira zotsatirazi zimagwiritsidwa ntchito kwambiri:

  • Kudzera mu Ventilator: Ngati wodwalayo sangathe kupuma yekha, mankhwalawa angaperekedwe pamene wodwalayo ali chikumbumtima ndipo akupuma kudzera mu makina.
  • Kudzera mu chigoba cha nkhope: Ngati wodwalayo ali ndi chidziwitso, mpweya uwu ukhoza kuperekedwa kudzera mu chigoba cholimba komanso chosatulutsa madzi.
  • Kudzera mu kannula ya m'mphuno: Nthawi zina, izi zimaperekedwanso kudzera mu chubu chaching'ono chomwe chimayikidwa mu mphuno iliyonse.

Dokotala kapena katswiri wothandiza kupuma amasinthasintha chiŵerengero cha helium ndi mpweya kutengera kuchuluka kwa mpweya womwe wodwalayo akufunikira. Zosakaniza zomwe zimagwiritsidwa ntchito nthawi zambiri ndi izi:

  • 70% heliamu / 30% mpweya
  • 60% heliamu / 40% mpweya

Kodi ubwino ndi kuipa kwa chithandizo cha Heliox ndi kotani?

Monga chithandizo chilichonse, ichi chili ndi zabwino ndi zovuta zake.

Ubwino

Ubwino waukulu wa izi ndi:

1. Amachepetsa mphamvu yofunikira yopumira: Thupi limatha kupuma mosavuta popanda kuchita khama lalikulu. Izi zimapulumutsa mphamvu ya wodwalayo yolimbana ndi matendawa.

2. Amachepetsa kutsekeka kwa mpweya wolowa m'mapapo: Pamene njira zopumira mpweya zatsekedwa, pamakhala kutsekeka kwakukulu kwa mpweya wabwinobwino wolowa. Komabe, chifukwa cha kupepuka kwa Heliox, kutsekeka kumeneko kumachepa ndipo mpweya umayenda mosavuta.

Zoyipa

Vuto lalikulu kapena vuto lalikulu la izi ndilakuti zimafuna zida zapadera ndi antchito ophunzitsidwa bwino kuti apereke chithandizochi.

Miyeso ndi malo a makina okosijeni amatha kusintha akaperekedwa ndi heliox. Izi zili choncho chifukwa kuchuluka kwa helium ndi kosiyana ndi kwa nayitrogeni. Chifukwa chake, madokotala ndi ogwira ntchito yosamalira ana ayenera kudziwa bwino za kusinthaku ndikusintha makinawo moyenera. Koma ngati mukudziwa izi, heliox ndi mankhwala otetezeka kwambiri.

Uthenga Wopita Nawo Kunyumba

  • Heliox ndi chisakanizo cha helium ndi oxygen. Imagwiritsidwa ntchito pazidzidzidzi pomwe kupuma kumakhala kovuta.
  • Popeza mpweya wa helium womwe uli m'chipalechi ndi wopepuka kwambiri, umathandiza kunyamula mpweya mosavuta kupita ku mapapo kudzera m'njira zotupa komanso zodzaza mpweya.
  • Izi sizichiritsa matendawa mwachindunji. Komabe, zimathandiza wodwalayo kupuma mosavuta komanso zimathandiza kuti vutoli likhale lolimba mpaka mankhwala ena ndi mankhwala atagwira ntchito.
  • Chithandizochi chimaperekedwa kuchipatala chokha, motsogozedwa ndi dokotala. Chidzaperekedwa pokhapokha ngati dokotala wanu akuona kuti n'kofunikira.
  • Izi zimafuna zida zapadera ndi maphunziro, kotero si zipatala zonse zomwe zingakhale ndi malo awa.

Heliox, mavuto opuma, chithandizo cha okosijeni, helium, mphumu, COPD, matenda opuma
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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