I-Canal Cannulas neNendlela Eyisebenzisayo Ngabantwana Abangaphambi Kokuqala
Ukuphefumula okunzima kungenye yezinselele ezivame kakhulu izingane ezingaphambi kwesikhathi . Kukhona ukungenelela okuningi iqembu lezokunakekelwa kwezingane ezingasetshenziswa ukusiza izingane ekuphefumuleni, kusukela ekuphefumuleni okusizwa umoya oqhumayo ekucindezelweni okuqhubekayo kwe-airway (CPAP).
Iyini i-Canal Canal?
Abahlinzeki bokunakekelwa kwengane bakho bazocabangela ngokucophelela ukuthi yiluphi uhlobo lwezokusekela oluhambelana nezidingo zakhe, ngenhloso yenkinga nangaphambi kokucabanga kwengqondo.
Enye yezingenelelo ezincane kakhulu ezinobudlova, eyaziwa ngokuthi i-cannula yangasese, isetshenziselwa uma kudingeka kuphela okwanele oksijini. Kwezinye izimo, ukugeleza kwe-air of the cannula kungasiza abantwana abane-apnea (ukuyeka ukuphefumula) khumbula ukuphefumula. Kwezinye izimo, i-cannula isetshenziselwa izinkathi eziningana ezinganeni ezingaphambi kwesikhathi, ngisho nangemva kokuba zikhishwe futhi zisemakhaya.
I-cannula yomzimba ingumuthi omncane, weplastiki ohambisa oksijini ngokuqondile ekhaleni ngokusebenzisa ama-prong amabili amancane. Isetshenziselwa iziguli ezikhulile kanye nabantwana njengendlela yokusekelwa kokuphefumula .
Yiziphi Izibonakaliso Zengane Esengakapheli Ingabe Inesidingo Sangasula?
Igumbi lomoya njalo liqukethe u-21% oksijeni, futhi ama-cannula asemanzi asetshenziselwa ama-NICU amaningi angaphumelela ku-oxygen ehlanzekile (100%). Ngaphandle kwe-oxygen eyanele, isimo esibizwa ngokuthi i-hypoxia singakhula. Izimpawu ze-hypoxia, noma i-oxygen ephansi, ingafaka:
- Ukwandisa izinga lokuphefumula nenhliziyo
- Izinguquko ezingeni lokuqaphela
- Ukuphumula
- I-Cyanosis (izindebe ze-bluish nama-nailbeds)
Ama-cannulas angamahloni angasiza kanjani ukunakekela izingane ezingakafiki?
Ama-canalula asetshenziswayo asetshenziselwa ukuhambisa i-oksijeni lapho ukugeleza okuphansi, okuphansi noma okuphakathi okudingekayo, futhi isiguli sisesimweni esisimeme. Ku- NICU , ama-cannulas emiswini cishe ahlale ehambisa umoya ofudumele, ohlaziyekile.
I-oksijini abayinikezayo ingasiza izingane ngezindlela ezimbili. Okokuqala, ama-cannulas emiswini anika ukucindezela okuncane njengoba umoya we-oxygen uphazamisa emakhaleni, okungawasiza amaphaphu abantwana ukuba ahlale enganaki futhi angabakhumbuza ukuba baphefumule. Abazali bangase bakuzwe lokhu okubizwa ngokuthi "ukugeleza" noma inani elithile "lamalitha." Okwesibili, bangakwazi ukuletha isilinganiso esiphezulu kune-oksijeni ukuze basize izingane zithinte imizimba yazo.
Lapho umntwana ephefumula, uthola ingxube yomoya ekamelweni kanye ne-oksijeni evela e-cannula yamanzi. Ukuhlushwa okwenziwe yi-oksijeni ingane ephefumulela kuyo kuhloswe ukugeleza komoya okwenziwe nge-canal (nasemanzini angaphansi kwe-oxygen encane), ubukhulu bomntwana (abantwana abakhulu bathola i-oxygen encane emaphashini abo), nokuthi ngabe I-blender ekhethekile isetshenziselwa ukuxuba umoya-mpilo emoyeni.
Ezinye izinsana ezingenakulungiswa nge- CPAP therapy ziyobekezelela kangcono ingqimba yomzimba. Ngaphezu kwalokho, uma kuqhathaniswa nezinsana ezithola i-CPAP, labo abanikezwa i-cannula yangasese kungenzeka ukuthi banciphise ukuhlukaniswa kwesisu, bangakwazi kalula ukubeletha ngamabele noma amabhodlela, futhi bajabulele kalula izinzuzo zokuxhumana okuqinile nabazali.