Ukucindezela okuqhubekayo kwe-airway, okubizwa ngokuthi i-CPAP, uhlobo lokusekela ukuphefumula, noma umoya wokuphuza umoya, osetshenziselwa iziguli ezikhulile kanye nezingane. Ezinganeni ezingakabiphi , i-CPAP inikezwa ngeqoqo lezintambo zangasese noma nge-mask encane ehambisana ne-snugly phezu kwekhala lomntwana.
Njenge- canal cannula , i-CPAP isetshenziselwa ukuhambisa ingcindezi yomoya emoyeni ekhayeni, okusiza ama-air bag emaphashini ahlale evulekile futhi kusiza ukuvimbela i-apnea.
I-CPAP ingaletha ingcindezi engaphezu kwe-canalula yama-nasal, ngakho-ke isetshenziswa kaningi ezinganeni eziphefumula ngokwabo ngokwabo ukuthi azidingi umoya we-ventilation, kodwa ezidinga ukwesekwa okungaphezulu kunezinhlinzeko ze-cannula. I-CPAP ingasetshenziselwa ukuletha izingxube eziphakeme ze-oksijini ezinganeni zangaphambi kwesikhathi ezingenazinkinga zokugcina amazinga omuhle oksijeni egazini lawo.
Indlela i-CPAP ihamba ngayo ku-Nose
Ngezingane, i-CPAP isetshenziselwa ukusebenzisa i-binasal cannula (ama-nasal prongs), i-canopharyngeal cannula eyodwa, noma i-mask soft nasal. Kulezi zindlela, ama-binasal short prongs anqunywe yizinyanga eziningi. Iningi lwakamuva, abacwaningi bebelokhu bezama ukusebenzisa i-helmet yokuphatha i-CPAP.
Izinyathelo zokuphikiswa kwe-CPAP
I-CPAP ingaba nezinyathelo zokulwela ezilandelayo:
- Uphawu olungaphansi kwamanzi
- Ukuphikiswa kokugeleza kokugeleza kokuphuma kwamanzi ngesikhathi sokuphela
- Ukulawula ukuphendula kwe-elekthronikhi
Kungaba yikuphi uhlobo lokumelana kwenza ukuphefumula kube lula kancanyana.
Izinhlelo ezihambayo eziguqukayo kanye nezinhlelo eziqhubekayo zokugeleza
I-CPAP yezohwebo ingahlukaniswa zibe izinhlobo ezimbili: izinhlelo zokugeleza eziguquguqukayo nezinhlelo zokugeleza okuqhubekayo.
- Izinqubo zokugeleza eziguquguqukayo : Izinhlelo zokugeleza eziguqukayo zibeka izinga le-CPAP ngokusebenzisa ukulungiswa okusheshayo kuzinga lokugeleza. Ukucindezela okukhiqizwa yizinhlelo zokugeleza okuguquguqukayo kubalwa ngokusebenzisa i-manometer egxile ku-alamu.
- Izinqubo zokugeleza eziqhubekayo : Izinqubo zokugeleza eziqhubekayo zilungisa izinga le-CPAP ngokusebenzisa i-valve esiteshini sokuphefumula ukuze ilandise ukumelana noma ngokubeka izibhamu eziphefumulayo ngaphansi kwamanzi. Zomi zombili lezi zinhlelo zidinga amanani aphezulu okugeleza okuqhubekayo ukufanisa ukugeleza kokuphefumula kwengane.
Inothi, izinhlelo ezilula zokugeleza eziphezulu zisebenza kahle futhi zicindezela ukuhlukahluka ngokusebenzisa lezi zindlela ezilula azilawulwa kahle.
Uhlobo luni lwe-CPAP oluhle kakhulu?
Akukafaneli ukucacisa kahle indlela "yokuhamba phambili" yokuphatha ye-CPAP. Ngamanye amazwi, abukho ubufakazi obunzima obuvumela ukusetshenziswa kwesimo somzimba esithile noma uhlelo lokugeleza. Kodwa-ke, ama-bubble systems (uhlobo lohlelo lokugeleza oluqhubekayo) lungcono kakhulu kunezinhlelo ze-Infant Flow Systems (uhlobo lwe-variable flow flow system) lapho ukwelapha izinsana ezine-respiratory distress syndrome (RDS). Ngokuqondile, ucwaningo oluthile lubonisa ukuthi abantwana abane RDS ababekwe kuma-bubble systems badinga isikhathi esincane ku-CPAP futhi kungenzeka ukuthi baphumelele ngempumelelo. (Ukukhulunywe ngamazwi yi-jargon yezokwelapha kusho ukususwa kwe-tube, kuleli cala, ukususwa kwe-tube ye-CPAP nesimo esibonakalayo.) Okunye okucwaningisisiwe nakho kwaphakamisa ukuthi izinhlelo zokubhola ziholela ekuqhumeni okwenziwe ngcono kwe-oxygenation.
I-CPAP isetshenziswa nini ezinsaneni?
I-CPAP ezinsaneni isetshenziswa ngokuyinhloko ukuphatha ukuphefumula kwesifo (RDS).
I-respiratory depression syndrome imiphumela uma umntwana ezalwa ngaphambi kwesikhathi futhi amaphaphu akhe engakaqali ngokugcwele. Amapayipi alawa makantsana akwanele ekufakeni i-surfactant, into elula eyanciphisa ukungezwani kwesimo emaphashini futhi yenza ukuphefumula.
> Imithombo:
> Agarwal S, Maria A, Roy MK, Verma A. Isivivinyo Esingakahleleki Ukuqhathanisa Ukusebenza Kwebhola ne-Ventilator I-CPAP Yesixazululo Esikhatsini Sesibili Sokuzalwa Kwesisindo Esiphansi Kakhulu Nezinkinga Zokuphefumula. Journal of Clinical and Diagnostic Research: JCDR . 2016; 10 (9): SC09-SC12. doi: 10.7860 / JCDR / 2016 / 20584.8572.
> Bahman-Bijari B, Malekiyan A, Niknafs P, Baneshi MR. I-Bubble-CPAP ngokumelene ne-Ventilatory-CPAP ku-Preterm Izinsana ezinezinkinga zokuphefumula. Journal Iranian of Pediatrics . 2011; 21 (2): 151-158.
> Ikomidi le-Fetus ne-Newborn. Ukuxhaswa ngokuphefumula Emantwaneni Esengaphambi Kokuzalwa. Izingane zokwelapha . 2013; 133 (1): 171-174. doi: 10.1542 / peds.2013-3442.