Wake wavakashela i- Intensive Care Unit (ICU) ? Mhlawumbe uke wakubona ku-movie—isiguli esisesimweni esibucayi esixhunywe emshinini osisiza ukuphefumula. Nakuba le mishini ingabukeka iyesabisa, iyimishini yezokwelapha esindisa impilo. Sibiza le divayisi ngokuthi i-ventilator. Ake sixoxe ngalokho okwenziwa yi-ventilator nokuthi kungani ngezinye izikhathi idingeka.
Kuyini i-Ventilator, Kalula Nje?
Kalula nje, umshini wokuphefumula uwumshini okusiza ukuphefumula lapho umzimba wakho ungakwazi ukukwenza kahle ngokwawo. Waziwa nangokuthi umshini wokuphefumula wemishini .
Cabanga ngamaphaphu akho njengamabhaluni amabili athambile. Uma uphefumula, lawa mabhaluni agcwalisa umoya-mpilo futhi anwebeke; uma uphefumula, ayakhipha umoya, akhiphe i-carbon dioxide , umzimba wakho ongasayidingi. Ngesikhathi sokugula okukhulu, izingozi, noma ukuhlinzwa okukhulu okudinga i-anesthesia ejwayelekile , umzimba wakho ungase ube nobunzima bokugcina le nqubo. Yilapho kungena khona umshini wokuphefumula ukuze usize.
Yenza imisebenzi emibili eyinhloko:
1. Ifaka umoya ocebile nge-oxygen emaphashini akho.
2. Kuyasiza ekukhipheni imfucuza yekhabhoni dayoksayidi emaphashini akho.
Abantu abaningi badidanisa umshini wokuphefumula nomshini wokuphefumula , kodwa lezi zinto zimbili ezahlukene. Umshini wokuphefumula inqubo lapho udokotela efaka khona ipayipi endaweni yakho yokuphefumula. Umshini wokuphefumula uwumshini wangempela oxhunywe kulowo mshini ukusiza ekuphefumuleni.
Ingabe kunezinhlobo ezahlukene zama-ventilator?
Yebo, kunezinhlobo eziningana zokungenisa umoya kuye ngesimo sesiguli. Ithimba lakho lezokwelapha lizonquma ukuthi iyiphi indlela efanele izidingo zakho ezithile.
| Uhlobo Lokungenisa Umoya | Incazelo Elula |
|---|---|
| Umoya Ongangenisi Umoya | Akukho payipi elifakwayo endaweni yomoya. Esikhundleni salokho, kufakwa imaski phezu kwekhala nomlomo, okuxhunywe kumshini wokuphefumula. Imishini ye-CPAP ne-BiPAP esetshenziselwa i-sleep apnea iyizibonelo ezivamile. |
| Umoya Ongenasidingo | Ipayipi lifakwa ngqo endaweni yomoya, kungaba ngomlomo (intubation) noma ngembobo encane yokuhlinzwa entanyeni (tracheostomy), bese lixhunywa emshinini. |
| I-Manual Resuscitator (isikhwama se-Ambu) | Ngokuvamile ibizwa ngokuthi 'isikhwama se-Ambu,' le divayisi icindezelwa ngesandla ukuze inikeze umoya. Isetshenziswa ngezikhathi eziphuthumayo noma uma umshini wokuphefumula oyinhloko ungatholakali. |
Kunini lapho kudingeka khona umshini wokuphefumula?
Kunezizathu eziningana zokuthi kungani isiguli singadinga ukwesekwa kokuphefumula kwesikhathi esifushane noma eside:
- Ukuhlinzwa : Ngesikhathi sokuhlinzwa okukhulu, umuthi osetshenziselwa i-anesthesia ejwayelekile ungakucindezela ukuphefumula kwakho, ngakho-ke umshini wokuphefumula uyathatha indawo uze uvuke.
- Ukwehluleka Kokuphefumula: Lesi yisimo lapho umzimba wakho ungakwazi ukugcina umoya-mpilo owanele noma ukuhlanza i-carbon dioxide ngokwawo.
- Izifo ezifana ne-COVID-19: Ngesikhathi sobhubhane, iziguli eziningi ezinomonakalo omkhulu wamaphaphu kanye nokuqongelela koketshezi kwakudinga ama-ventilator ukuze ziphefumule.
- Ezinye izimo zempilo:
- Ukulimala kobuchopho noma isifo sohlangothi
- I-pneumonia enzima
- I-COPD ( Isifo Esingapheli Sokuvimbela Amaphaphu )
- I-ARDS (i-Acute Respiratory Distress Syndrome)
- Ukusabela okukhulu kwe-allergy (i-Anaphylaxis)
- Izifo ze-neuromuscular (isb., i-Guillain-Barré syndrome)
- I-Coma
Kwenzekani uma usebenzisa umshini wokuphefumula?
Uma ngikhuluma iqiniso, akuyona into ekhululekile; ukuba nepayipi emlonyeni wakho kungakucindezela kakhulu. Kodwa-ke, ngeke uzizwe ubuhlungu. Odokotela bakunikeza imithi yokudambisa ukuze uhlale uzolile futhi ukhululekile. Ngezinye izikhathi, noma ngabe uphapheme, ungase uzizwe ukhathele. Uma isimo sibi kakhulu, ithimba lezokwelapha linganquma ukukugcina ulele ngenxa yezokwelapha ukuze umzimba wakho ululame.
Abasebenzi bezokwelapha bakuqapha ubusuku nemini, behlola umfutho wegazi lakho, izinga lokushaya kwenhliziyo , kanye namazinga omoya-mpilo. Udokotela wezokwelapha uzophinde asuse uketshezi oluphuma emaphashini akho esebenzisa ukumunca njengoba kudingeka.
Ngenxa yepayipi elisemphinjeni wakho, ngeke ukwazi ukukhuluma, ukudla, noma ukuphuza. Konke ukudla okunomsoco okudingekayo kunikezwa ngemithambo yegazi (IV) noma ngepayipi lokuncelisa.
Uma othandekayo wakho esebenzisa umshini wokuphefumula...
Lesi yisikhathi esicindezelayo esigulini nasemndenini waso. Uma othandekayo wakho ekulesi simo, nansi indlela ongamsekela ngayo:
- Hlala unethemba: Amandla akho angumthombo omkhulu wamandla kubo.
- Qhubeka ukhuluma: Cishe bangakuzwa. Izwi lakho linikeza induduzo enkulu.
- Bamba isandla sabo: Ukuthinta kwakho ngokomzimba kubasiza bazizwe beqinile.
- Basize baxhumane: Uma bephapheme, basize baxhumane ngezandla noma ngokubhala.
- Letha izinto zakho siqu: Into abayaziyo njengesikhwama somcamelo abasithandayo noma ingubo ingasiza ekwakheni umuzwa wenduduzo.
Yiziphi izinkinga ezingaba khona?
Nakuba umshini wokuphefumula uyithuluzi elisindisa impilo, izinkinga zingavela. Ithimba lakho lezokunakekelwa kwempilo liqeqeshwe kakhulu ukuqapha lezi zingozi nokuthatha izinyathelo zokuvimbela.
| Inkinga | Kwenzakalani? |
|---|---|
| Izifo | Amabhaktheriya angahamba aye emaphashini ngepayipi, okungaholela ku- Ventilator-Associated Pneumonia (VAP) . |
| Ukulimala Kwamaphaphu | Ukucindezeleka okuphezulu noma amazinga aphezulu omoya-mpilo kungacindezela amaphaphu abuthakathaka. Lokhu kungabangela ukuwohloka kwamaphaphu (i-Pneumothorax) noma ukwakheka koketshezi (i-Pulmonary Edema). |
| Ezinye izingozi | Ukungakwazi ukunyakaza isikhathi eside kungaholela ezilondeni zokulala noma ekuqhekekeni kwegazi . Ungase futhi ube nezinkinga zokuphambana kwengqondo noma zenkumbulo uma usuvukile, futhi izwi lakho lingase libe nomsindo ngemva kokususwa kwepayipi. |
Isiguli sikhishwa kanjani kumshini wokuphefumula?
Lena akuyona inqubo eyenzeka ngokuzumayo. Uma odokotela bakho sebeqiniseka ukuthi ungaphefumula ngokuphepha wedwa, bazonciphisa kancane kancane izinga lokusekelwa emshinini kuze kube yilapho ipayipi lisuswa. Le nqubo ibizwa ngokuthi 'ukukhumula.'
Ngemva kokususwa kwepayipi, kuvamile ukuzwa umphimbo obuhlungu kanye nezwi elibuhlungu. Ungase uzizwe nenkungu yengqondo noma ubuthakathaka bomzimba. Zonke lezi zimpawu zivame ukuba ngcono ngokuhamba kwesikhathi.
Khumbula, inqubo yokululama iyahlukahluka kumuntu nomuntu. Umthetho ojwayelekile uwukuthi ngosuku ngalunye oluchithwa kumshini wokuphefumula, kungathatha isonto ukululama ngokuphelele. Sicela uzibekezelele phakathi nalesi sikhathi.
Izinto Ezibalulekile Okufanele Uzicabangele
- Umshini wokuphefumula akuyona into yokwesaba; uyithuluzi elibalulekile lezokwelapha elisindisa izimpilo.
- Isetshenziselwa ukusekela amaphaphu lapho isiguli singakwazi ukuphefumula ngokuzimela.
- Nakuba ungakwazi ukukhuluma noma ukudla ngenkathi ufakwe ipayipi, inqubo ayibuhlungu ngenxa yokudambisa ubuhlungu.
- Nakuba kunezingozi, ithimba lakho lezokwelapha lihlala likuqapha ukuqinisekisa ukuphepha kwakho.
- Ukululama ngemva kokusebenzisa umshini wokuphefumula kuthatha isikhathi; yiba nesineke futhi ugxile entuthukweni yakho.
umshini wokuphefumula, iyini umshini wokuphefumula, umshini wokuphefumula we-ICU, ubunzima bokuphefumula, ukwesekwa kokuphefumula, ukufakwa kwepayipi, iyunithi yokunakekelwa okujulile
