Khawucinge ngomntu omthandayo—mhlawumbi umntwana omncinci one-asthma okanye ilungu losapho elikhulileyo—ngequbuliso ezama ukuphefumla, ephefumla nzima, okanye efumana uhlaselo olukhulu lokuphefumla. Uloyiko ngaloo mzuzu luyoyikisa. Namhlanje, sifuna ukuthetha ngongenelelo olukhethekileyo, oluhlala lusindisa ubomi olusetyenziswa ngoogqirha kwiindawo zesibhedlele kwezi meko zinzima: iHeliox .
Ngamafutshane: Yintoni iHeliox?
IHeliox ngumxube wehelium kunye neoksijini. Kwiimeko ezingxamisekileyo ezibandakanya ubunzima obukhulu bokuphefumla, iingcali zonyango zisebenzisa lo mxube ukunceda ekunciphiseni umgudu womzimba ochithwa ngumzimba wakho ekuphefumleni.
Phantsi kweemeko eziqhelekileyo, umoya owuphefumlayo uqulethe malunga ne-21% yeoksijini kunye ne-78% yeoksijini. Kwanasesibhedlele, ioksijini eyongezelelweyo idla ngokuziswa yodwa okanye ixutywe ne-nitrogen. Nangona kunjalo, i-helium ineempawu ezikhethekileyo: ilula kakhulu (incinci kakhulu) kune-nitrogen.
Cinga ngale ndlela: ukuba indlela yakho yomoya (indlela yomoya yokufikelela emiphungeni yakho) ixinene ngenxa yokudumba, isifuba, okanye ukuvaleka, kufana nokuzama ukunyanzela ulwelo olujiyileyo, njengobusi, ngetyhubhu emxinwa, evalekileyo—ifuna uxinzelelo olukhulu. I-nitrogen isebenza njengolwelo olujiyileyo. Ngenxa yokuba i-helium ilula kakhulu kwaye incinci—njengamanzi—ihamba ngemigudu yomoya exineneyo kwaye ingaxhathisi kangako. Oku kuvumela ioksijini ebalulekileyo ukuba ifikelele emiphungeni yakho ngokulula nokuba imigudu yakho yomoya ixinene.
I-Helium yigesi engasebenziyo, oko kuthetha ukuba ayisebenzi emzimbeni wakho. Umzimba wakho uthatha nje ioksijini ephuma kumxube uze ukhuphe i-helium, esebenza njenge "sithuthi" sokuthwala ioksijini ukuya apho ifuneka khona kakhulu.
Isetyenziswa nini iHeliox?
Kubalulekile ukuqonda ukuba iHeliox ayilonyango lwesifo esisisiseko. Endaweni yoko, lunyango oluxhasayo olwenzelwe ukuzinzisa ngelixa amanye amayeza asindisa ubomi (afana nee-asthma inhalers okanye ii-nebulizers) esebenza. Cinga ngayo njengento enceda umntu osokola emanzini—ikugcina uphila de uncedo lwezonyango luzinzise imeko yakho. Apha ngezantsi kukho itheyibhile echaza iimeko eziqhelekileyo apho ugqirha wakho anokucinga ukusebenzisa iHeliox.
| Imeko Yezonyango | Ingcaciso elula |
|---|---|
| Isimo se-Asthmaticus | Uhlaselo lwesifuba olusongela ubomi olungaphenduliyo kunyango oluqhelekileyo, nto leyo ebangela ukucutheka okukhulu kwendlela yomoya. |
| Ukuvalwa kwendlela yomoya | Xa indlela yakho yomoya ivalwe sisiqwenga (ithumba) okanye yinto yangaphandle (umz., isuntswana lokutya). |
| Ukwanda kweCOPD | Ubunzima bokuphefumla obukhulayo ngequbuliso kwizigulane ze-COPD, ezidla ngokubangelwa lusulelo. |
| I-ARDS (i-Acute Respiratory Distress Syndrome) | Ukwenzakala okukhulu kwemiphunga ngenxa yosulelo okanye ukwenzakala apho imiphunga izaliswe lulwelo, nto leyo eyenza kube nzima ukuphefumla. |
| IStridor emva kokukhupha amanzi | Izandi zokuphefumla ezivakalayo okanye ezivakalayo ezibangelwa kukudumba komphimbo emva kokuba ityhubhu yokuphefumla isusiwe emva kotyando. |
| Ukugula Kokunciphisa Uxinzelelo (“Ukugoba”) | Xa i-nitrogen egazini isenza amaqamza emva kokuba abantu abantywila emanzini anzulu babuyela kumphezulu ngokukhawuleza. |
Lusetyenziswa njani olu nyango?
Ugqirha wakho uya kugqiba indlela engcono yokubonelela ngonyango lweHeliox ngokusekelwe kwiimfuno zakho zempilo:
- Nge-Ventilator: Ukuba awukwazi ukuphefumla wedwa, oku kusetyenziswa ngelixa uthomalalisiwe ukunceda ukuphefumla kwakho.
- NgeMask yoBuso: Ihanjiswa ngemaski ekhethekileyo efanelana kakuhle nempumlo yakho nomlomo.
- Nge-Asal Cannula: Ihanjiswa ngetyhubhu encinci ebekwe phantsi kwempumlo yakho.
Ugqirha okanye ingcali yokuphefumla ilungisa umlinganiselo we-helium kunye ne-oxygen ngokweemfuno zakho. Imixube eqhelekileyo ibandakanya i-70% ye-helium/30% ye-oxygen okanye i-60% ye-helium/40% ye-oxygen.
Zithini iingenelo kunye nemingeni?
Iinzuzo
Inzuzo ephambili, njengoko benditshilo, kukunciphisa umgudu womzimba ofunekayo ukuze uphefumle. Xa ukuphefumla kuba nzima, izihlunu zesifuba sakho kunye nesisu sakho zisebenza ixesha elide. I-Heliox iyawunciphisa lo mthwalo, inika umzimba wakho ukuphumla okufunekayo ngelixa inciphisa ukumelana nokuhamba komoya ngeendlela ezinciphileyo.
Imingeni
Umceli mngeni ophambili kukuba olu nyango lufuna izixhobo ezikhethekileyo kunye nabasebenzi bezonyango abaqeqeshwe kakhulu. Useto oluqhelekileyo lokuhambisa ioksijini ludla ngokufuna uhlengahlengiso xa kusetyenziswa iHeliox, ngoko ke iqela lethu eNirogi Lanka liqeqeshwe ngokukodwa ukulawula olu hlengahlengiso ngokukhuselekileyo kuwe.
Nceda uqiniseke: njengesigulana, akukho nto unokoyika kuyo. Ekubeni iingcali zethu zonyango zinolwazi oluhle ngolu nyango, iingozi zincinci logama nje uphantsi kweliso labo ngqo.
Uza kuhlala kolu nyango ude ukwazi ukuphefumla kakuhle wedwa okanye ungatshintshelwa kunyango oluqhelekileyo lweoksijini. Ixesha lakho lokuchacha lixhomekeke ekubeni imeko yakho engaphantsi (njenge-asthma) ilawulwa ngokukhawuleza kangakanani.
Umyalezo oya nawo ekhaya
- IHeliox ngumxube wehelium kunye neoksijini esetyenziswa ezibhedlele ukunyanga iingxaki zokuphefumla ezinzima.
- Isebenza kuba i-helium ikhaphukhaphu kune-nitrogen, nto leyo evumela ioksijini ukuba ifikelele kwimiphunga yakho ngokulula ngokusebenzisa iindlela zomoya ezixineneyo.
- Lunyango lwexeshana, oluxhasayo olunika uncedo ngexesha leengxamiseko, alulonyango lwesifo esisisiseko ngokwaso.
- Ihlala ibonelelwa ngabasebenzi abaqeqeshiweyo besebenzisa izixhobo ezikhethekileyo phantsi kweliso likagqirha.
- Ukuba wena okanye umntu omaziyo unengxaki yokuphefumla enzima, eyona ndlela ilungileyo yokwenza oku kukukufowunela iinkonzo zongxamiseko okanye uye kwicandelo longxamiseko elikufutshane nawe ngoko nangoko. Amaqela ethu ezonyango akulungele ukubonelela ngononophelo olungxamisekileyo olufunayo.
I-Heliox, ubunzima bokuphefumla, izifo zokuphefumla, i-asthma, i-COPD, ukhathalelo olungxamisekileyo, i-ETU, unyango lwe-oksijini, ukuphefumla
