Wake wambona umuntu e- ambulensini noma egumbini lezimo eziphuthumayo (ETU) esibhedlela, onenkinga yokuphefumula, egqoke imaski ebusweni bakhe, futhi ephethe isikhwama esincane esinamathiselwe kuyo ukuze simnike umoya-mpilo ? Yilokho okuvame ukubizwa ngokuthi iMaski Engaphindi Ibuye . Lena idivayisi yezokwelapha ebaluleke kakhulu esetshenziselwa ukusindisa izimpilo ezimweni eziphuthumayo. Ngakho-ke, ake sixoxe ngalokhu kalula nangokucacile namuhla.
Kalula nje, iyini iMask Engaphindi Ibuye (i-NRM)?
Imaski Engaphindi Ibuye, noma i-NRM njengoba odokotela beyibiza kanjalo, iyimaski yobuso ekhethekile esetshenziselwa ukuhlinzeka umuntu ngokushesha nge-oxygen eningi kakhulu, ngokuvamile esimweni esiphuthumayo.
Cabanga ngakho njengemaski yobuso. Yenzelwe ukulingana nomlomo wakho nekhala. Iboshwe ebusweni bakho ngebhande elinwebekayo elizungeza ikhanda lakho. Kufakwe isikhwama esincane, esibonakalayo esigcwele umoya-mpilo. Lokhu kubizwa ngokuthi 'isikhwama sokugcina amanzi'. Lesi sikhwama sibe sesixhunywa ethangini lomoya-mpilo ngepayipi. Lokhu kuvame ukusetshenziswa esibhedlela, ikakhulukazi e-Emergency Treatment Unit (ETU) noma kwi-ambulensi ehambisa isiguli esibhedlela.
Isici esikhulu sale mask ama-valve ahamba ngendlela eyodwa avumela umoya ukuthi udlule ohlangothini olulodwa kuphela . Lokhu kusho ukuthi uma uphefumula, umoya-mpilo ohlanzekile kuphela ovela esikhwameni se-oxygen ungena emzimbeni wakho, futhi umoya owukhiphayo ( i-carbon dioxide ) awubuyeli esikhwameni, kodwa uphuma ngamanye ama-valve akumaski. Lokhu kusho ukuthi awuphefumuli umoya owukhiphe. Futhi, umoya ovela endaweni engaphandle awungeni kumaski. Ngakho-ke, amaphaphu akho athola iphesenti eliphezulu lomoya-mpilo elingaxutshwe nalutho.
Isetshenziswa nini le mask?
Imaski Engaphindi Iphefumule Ngokuvamile isetshenziswa lapho izinga lomoya-mpilo egazini lomuntu liphansi kakhulu, kodwa usengakwazi ukuphefumula yedwa . Lena akuyona idivayisi ephefumula njenge-ventilator, kodwa kunalokho enezela umoya-mpilo owengeziwe ekuphefumuleni okuthathayo.
Nazi ezinye zezibonelo zezimo eziphuthumayo ezinjalo:
- Ukuhogela intuthu: Cabanga usindisa umuntu ovaleleke emlilweni wendlu. Umuntu uhogele intuthu eningi, okungalimaza amaphaphu akhe futhi kubangele ukwehla okukhulu kwamazinga omoya-mpilo egazini lakhe. Esimweni esinjalo, le maski isetshenziselwa ukunikeza umoya-mpilo ngokushesha.
- Ubuthi be- carbon monoxide(Ubuthi be-carbon monoxide): Ngezinye izikhathi, uma imoto iqaliswa endaweni engenawo umoya, njengalapho ijeneretha isebenza, ukuphefumula igesi ye-carbon monoxide kungabangela ubuthi obukhulu. Lesi yisimo esiyingozi kakhulu. Le maski ibalulekile ukuze kuhlinzekwe umoya-mpilo ophezulu ezimweni ezinjalo.
- Ukulimala emaphashini: Umuntu olimale kakhulu esifubeni nasemaphashini ngenxa yengozi enkulu yemoto angase abe nobunzima bokuphefumula. Lokhu kuyasetshenziswa nakulezo zimo.
- Ubuhlungu bekhanda obuhlangene: Lokhu kuyindaba ekhethekile. Lokhu kuyikhanda elibuhlungu kakhulu, elingabekezeleleki. Ezinye izifundo zithole ukuthi ukunikeza umoya-mpilo omningi ngesikhathi salolu hlobo lwekhanda kunikeza impumuzo.
- Ukwanda kwesifo sokuphefumula esibi nesingapheli: Uma umuntu onezifo ezingamahlalakhona njenge -COPD ( Chronic Obstructive Pulmonary Disease ) noma i-Cystic Fibrosis eba nesimo esibi ngokuzumayo futhi enenkinga yokuphefumula , ungeniswa esibhedlela futhi anikezwe umoya-mpilo ngale mask.
Okubalulekile: Uma usola ukuthi wena noma othile omaziyo uphefumule i-carbon monoxide noma enye igesi enobuthi, kubaluleke kakhulu ukushayela ucingo iNational Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko ngokushesha ngaphambi kokuya esibhedlela.
Uyini umehluko phakathi kweMask Engaphindi Ibuye kanye nezinye izinhlobo zamamaski omoya-mpilo?
Kungenzeka ukuthi uke wabona ezinye izinhlobo zamamaski omoya-mpilo ezibhedlela. Izinhlobo ezimbili eziyinhloko yi-Non-Rebreather Mask kanye ne-Partial Rebreather Mask. Umehluko omkhulu phakathi kwalezi ezimbili ukuthi ungakanani umoya ophefumulayo.
Ake sibheke leli thebula ukuze sichaze lokhu kabanzi.
| Isici | Imaski Engaphindi Iphefumule (i-NRM) | Imaski Yokuvuselela Ukuphefumula Okuyingxenye |
|---|---|---|
| Amavalvu | Kukhona ama-valve ahamba ngendlela eyodwa asebenza ohlangothini olulodwa kuphela. | Kukhona ama-valve anezindlela ezimbili. |
| Umoya ophefumulayo | I-oxygen emsulwa kuphela ephuma ethangini le-oxygen. Akukho moya wangaphandle ongenayo. | I-oxygen esethangini le-oxygen ixubene nomoya omncane ophumayo kanye nomoya omncane wangaphandle. |
| Amaphesenti omoya-mpilo owamukelwe (FIO2) | Kuphezulu kakhulu (cishe 60% - 90%). | Iphakeme, kodwa iphansi kune-NRM (cishe i-40% - 60%). |
| Ingozi yokuminyana | Ingozi inkulu uma ithangi lomoya-mpilo liphela. | Ingozi iphansi ngoba umoya wangaphandle ungangena. |
Kuyini i-FIO2?
Leli gama elithi FIO2 (Ingxenye Ye-Oxygen Ephefumulelwe) lingase libe lisha kuwe. Kalula nje, lisho "iphesenti lomoya-mpilo emoyeni esiwuphefumulayo." Umoya esivame ukuwuphefumula uqukethe cishe u-21% womoya-mpilo. Imaski Engaphindi Iphefumule ingandisa leli nani libe ngu-90%. Lokho kukhombisa ukuthi le divayisi inamandla kangakanani.
Yiziphi izinzuzo kanye nokubi okuyingozi kakhulu kwalokhu?
Izinzuzo
Inzuzo enkulu newukuphela kwayo yale mask ukuthi ingaletha ngokushesha ukugcwala okuphezulu komoya-mpilo esigulini. Leli khono livame ukuba likhulu ekusindiseni impilo yomuntu omazinga akhe omoya-mpilo egazini ehle kakhulu ngendlela eyingozi.
Ububi Nezingozi
Ingozi enkulu nenkulu kakhulu yokusebenzisa imaski engaphindi iphefumule ukuminyana .
Cabanga nje, ngale mask, ungaphefumula umoya-mpilo osethangini lomoya-mpilo kuphela. Akukho moya ophuma ngaphandle. Ngakho-ke, uma ngesizathu esithile ithangi lomoya-mpilo liphela, isiguli singacinana futhi sife ngisho nokufa ngoba akukho omunye umoya wokuphefumula.
Ngenxa yalesi sizathu, isiguli esigqoke iMask Engaphindisi Ukuphefumula kumele siqashwe ngokucophelela ngudokotela noma abasebenzi abahlengikazi, abazoqapha njalo izinga lethangi lomoya-mpilo.
Ingabe lesi sifihla-buso asikwazi ukusetshenziswa ekhaya?
Lutho neze. Imaski Engaphindi Ibuye Akuyona into yokusetshenziswa ekhaya. Ngenxa yezingozi ezinkulu ezishiwo ngenhla, isetshenziswa kuphela ezibhedlela, emagumbini ezimo eziphuthumayo, nangaphansi kokuqondisa ngqo kwabasebenzi bezokwelapha.
Uma wena noma othile emndenini wakho edinga ukwelashwa nge-oxygen ekhaya ngenxa yesimo sokuphefumula esingamahlalakhona, kunezinye izinto eziphephile ezingasetshenziswa. Isibonelo, i-nasal cannula (idivayisi enamapayipi amabili amancane afakwa ekhaleni). Nakuba inikeza inani elincane le-oxygen, kuphephile ukuyisebenzisa ekhaya ukuze isetshenziswe isikhathi eside. Ungakhuluma nodokotela wakho ngalokhu bese ukhetha indlela yokwelapha efaneleka kakhulu kuwe.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Uma wena noma othile omaziyo enobunzima bokuphefumula futhi enesinye noma ngaphezulu sezimpawu ezilandelayo, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Izindebe ziphenduka zibe mhlophe noma zibe luhlaza okwesibhakabhaka.
- Ukuphefumula ngokushesha kakhulu noma ukuba nobunzima bokuphefumula.
- Ukuqhuma kwekhala lapho uphefumula.
- Ukuzwa 'ukukhala kwekhwela', ukuphefumula, noma omunye umsindo ongavamile lapho uphefumula.
Lezi kungaba izimpawu eziyisixwayiso zokuthi umzimba awutholi umoya-mpilo owanele, ngakho ungazinaki.
Umlayezo Wokuya Nawe Ekhaya
- Imaski Engaphindi Ibuye (i-NRM) iyithuluzi lezokwelapha elikhethekile elihlinzeka ngomthamo ophezulu womoya-mpilo esimweni esiphuthumayo.
- Ngenxa yokuthi inama-valve ahamba ngendlela eyodwa, uphefumula umoya-mpilo omsulwa kuphela.
- Ingozi enkulu ngalokhu ukuthi kungenzeka ukuthi umuntu angakwazi ukuminyana uma ithangi lomoya-mpilo liphela. Ngakho-ke, ukubhekwa kwezokwelapha kubalulekile.
- Imaski Engaphindi Ibuye Ayikwazi ukusetshenziswa ekhaya nganoma yisiphi isizathu. Ikhawulelwe ezibhedlela kuphela.
- Uma uphelelwa umoya isikhathi eside, khuluma nodokotela wakho mayelana nezinketho zokwelapha ezifanele.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho