Fungidzira mumwe munhu waunoda—zvichida mwana mudiki ane asthma kana nhengo yemhuri yakwegura—achingoerekana atambura kufema, achifema, kana kuti achibatwa nechirwere chekufema chakanyanya. Kutya panguva iyoyo kwakaoma. Nhasi, tinoda kutaura nezvenzira yakasarudzika, inowanzo ponesa hupenyu inoshandiswa navanachiremba muzvipatara mumamiriro ezvinhu aya akaoma: Heliox .
Zvichitaurwa zviri nyore: Chii chinonzi Heliox?
Heliox musanganiswa wehelium neokisijeni. Kana paine dambudziko rekufema zvakanyanya, vanachiremba vanoshandisa musanganiswa uyu kubatsira kurerutsa simba remuviri rinopedzerwa nemuviri wako pakufema.
Mumamiriro ezvinhu akajairwa, mweya waunofema une oxygen inosvika 21% uye nitrogen inosvika 78%. Kunyangwe muchipatara, okisijeni yekuwedzera inowanzo endeswa yega kana kusanganiswa nenitrogen. Zvisinei, helium ine hunhu hwakasiyana: yakareruka zvakanyanya (isina kukora zvakanyanya) kupfuura nitrogen.
Funga nezvazvo nenzira iyi: kana nzira yako yekufema (nzira yekuti mweya usvike kumapapu ako) yakamanikana nekuda kwekuzvimba, asthma, kana kuvharika, zvakafanana nekuedza kumanikidza mvura yakakora, sehuchi, kuburikidza nechubhu yakamanikana, yakavharika—inoda kumanikidzwa kukuru. Nitrogen inoshanda semvura yakakora iyoyo. Nekuti helium yakareruka uye yakatetepa—semvura—inoyerera nepakati penzira dzekufema dzakamanikana isina simba rakawanda. Izvi zvinobvumira okisijeni inokosha kusvika kumapapu ako zviri nyore kunyangwe nzira dzako dzekufema dzakamanikana.
Helium imhepo isina simba, zvichireva kuti haishande pamwe chete nemuviri wako. Muviri wako unongotora okisijeni kubva mumusanganiswa wacho woburitsa helium, iyo inoshanda se "mota" yekutakura okisijeni kuenda kwainonyanya kudiwa.
Heliox inoshandiswa rini?
Zvakakosha kunzwisisa kuti Heliox haisi mushonga wechirwere chiripo. Asi, imishonga inotsigira yakagadzirirwa kukusimbisa uku mimwe mishonga inoponesa hupenyu (yakadai seasthma inhalers kana nebulizers) ichishanda. Funga nezvayo senzira yekubatsira munhu ari kutambudzika mumvura—inokuchengetedza kusvika imwe rubatsiro rwezvekurapa rwagadzirisa mamiriro ako ezvinhu. Pazasi pane tafura inoratidza mamiriro ezvinhu akajairika apo chiremba wako angafunga kushandisa Heliox.
| Mamiriro Ekurapa | Tsananguro Iri Nyore |
|---|---|
| Chinzvimbo cheAsthmaticus | Kurwiswa kweasthma kunotyisidzira hupenyu kusingapindure kurapwa kwakajairika, zvichikonzera kuvharika kwakanyanya kwenzira dzekufema. |
| Kuvharirwa kweNzira Dzemhepo | Kana nzira yako yekufema yavharwa nebundu (bundu) kana chimwe chinhu chekunze (semuenzaniso, chidimbu chechikafu). |
| Kuwedzera kweCOPD | Kuoma kwekufema kwakangoerekana kwawedzera muvarwere vane COPD, kazhinji kunokonzerwa nehutachiona. |
| ARDS (Acute Respiratory Distress Syndrome) | Kukuvara kwakanyanya kwemapapu nekuda kwehutachiona kana kukuvara uko mapapu anozadzwa nemvura, zvichiita kuti zviome kufema. |
| Stridor mushure mekubuda kwemvura | Kufema nehasha kana ruzha rwekufema rwakakwirira rwunokonzerwa nekuzvimba kwehuro mushure mekunge chubhu yekufema yabviswa mushure mekuvhiyiwa. |
| Kurwara Kwekudzikamisa Kunzwa Kwepfungwa (“The Bends”) | Kana nitrogen iri muropa ikaita maburi mushure mekunge vashambira mumvura yakadzika vanodzokera pamusoro nekukurumidza. |
Kurapwa uku kunoitwa sei?
Chiremba wako achasarudza nzira yakanakisisa yekupa Heliox therapy zvichienderana nezvinodiwa zvehutano hwako:
- Kuburikidza neVentilator: Kana usingakwanise kufema wega, izvi zvinoshandiswa paunenge wakarara kuti zvikubatsire kufema.
- Kuburikidza neFace Mask: Inounzwa kuburikidza nemasiki akakosha anokwana zvakanaka pamhino nemuromo.
- Kuburikidza neNasal Cannula: Inounzwa kuburikidza nechubhu diki inoiswa pasi pemhino dzako.
Chiremba kana chiremba wekufema anogadzirisa chiyero chehelium neoxygen zvichienderana nezvaunoda. Misanganiswa yakajairika inosanganisira 70% helium/30% oxygen kana 60% helium/40% oxygen.
Ndezvipi zvakanakira nematambudziko?
Mabhenefiti
Chinhu chikuru chakanakira, sezvandambotaura, ndechekuderedza simba remuviri rinodiwa kuti munhu akwanise kufema. Kana kufema kwava kuoma, tsandanyama dzechipfuva nedzemudumbu dzinoshanda kwenguva yakareba. Heliox inoderedza mutoro uyu, ichipa muviri wako zororo raunoda uku ichideredza kuramba kwemhepo kuburikidza nepasuru dzakamanikana.
Matambudziko
Dambudziko guru nderekuti kurapa uku kunoda michina yakasarudzika uye vashandi vekurapa vakadzidziswa zvakanyanya. Maitiro ekupa okisijeni akajairika anowanzoda kugadziriswa pakushandisa Heliox, saka timu yedu kuNirogi Lanka yakadzidziswa zvakananga kugadzirisa izvi zvakachengeteka kwauri.
Ndapota iva nechokwadi chekuti: semurwere, hapana chekutya. Sezvo nyanzvi dzedu dzezvekurapa dzichinyatsoziva nezvekurapa uku, njodzi dziripo hadzina kunyanya kuderera chero bedzi uri pasi pavo zvakananga.
Ucharamba uri pakurapwa uku kusvika wava kugona kufema zvakanaka uri wega kana kuti wava kukwanisa kudzokera kukurapa kwakajairika kweoxygen. Nguva yako yekupora inoenderana nekuti chirwere chako (chakadai seasthma) chinodzorwa nekukurumidza sei.
Mharidzo Yekuenda Nayo Kumba
- Heliox musanganiswa wehelium neokisijeni zvinoshandiswa muzvipatara kurapa matambudziko makuru ekufema.
- Inoshanda nekuti helium yakareruka kupfuura nitrogen, zvichiita kuti okisijeni isvike kumapapu ako zviri nyore kuburikidza nenzira dzakamanikana dzemhepo.
- Inzira yekurapa kwenguva pfupi, inotsigira kupa rubatsiro panguva dzenjodzi, kwete mushonga wechirwere chiripo.
- Nguva dzose inopihwa nevashandi vakadzidziswa vachishandisa michina yakasarudzika vachitarisirwa nachiremba.
- Kana iwe kana mumwe munhu waunoziva ari kusangana nematambudziko ekufema zvakanyanya, nzira yakanakisisa yekuita ndeyekufonera masevhisi ekukurumidzira kana kuenda kudhipatimendi rekukurumidzira riri pedyo nekukasika. Mapoka edu ekurapa akagadzirira kukupa rubatsiro rwekukurumidzira rwaunoda.
Heliox, matambudziko ekufema, zvirwere zvekufema, asthma, COPD, emergency care, ETU, oxygen therapy, kufemera nemhepo
