Kuenderera mberi kwakanaka kwemhepo, iyo inowanzonzi CPAP, inorudzi rwekufema, kana kushandiswa kwemhepo, inoshandiswa mune vanhu vakuru uye vacheche varwere. Muvana vasati vachangopera , CPAP inowanikwa kuburikidza nehutachiona hwemanical or through a small mask inofanirwa kuputika pamhino yemwana.
Kungofanana neanal cannula , CPAP inoshandiswa kuendesa nguva dzose mumhepo mumhino yemwana, iyo inobatsira bhazi dzemafiri mumapapu dzinogara dzakasununguka uye dzinobatsira kudzivirira apnea.
CPAP inogona kukurudzira kudzvinyirira kudarika nasal cannula, saka inowanzoshandiswa mumucheche ari kufema zvakanaka zvekuti ivo havadi mhepo inokonzera mhepo, asi avo vanoda rubatsiro rwakawanda kudarika cannula inopa. CPAP inogona kushandiswawo kupa huwandu hwekukanda kwe okisijeni kumucheche asina mwana asati aine dambudziko rekuchengetedza zvakanaka maokisijeni muropa ravo.
Iyo iyo CPAP inokwira sei kuNose
Nevana, CPAP inoshandiswa kushandisa binasal cannula (nasal prongs), rimwe chete nasopharyngeal cannula, kana chidimbu chisina kunaka. Nezvizvi, nzira shomanana dzinokonzerwa nevanakiriniki vakawanda. Chazhinji munguva pfupi yapfuura, vatsvakurudzi vave vachiedza kushandisa helmiti yekupa CPAP.
CPAP Resistance Measures
CPAP inogona kuva nematanho anotevera ekudzivirira:
- Underwater seal
- Kuyerera kushorwa kumvura inoyerera ichidzoka panguva yekupera
- Electronic feedback control
Izvozvo zvinoshandiswa kuti mararamiro anoita kuti kufema kuve nyore nyore kwechecheche.
Variable Flow Systems uye Inoramba Ichiyerera Maitiro
Zvemabhizimisi CPAPs dzinogona kugoverwa mumarudzi maviri: kushanduka kunyura kwezvirongwa nekuenderera mberi kwekuyerera.
- Variable Flow Systems: Variable flow flow systems inogadzira hutachiona hwePCAP uchishandura zvakakurumidza mukuyerera kwezinga. Kushingaira kunokonzerwa nekushanduka-shanduka-shandiswa kunotaridzika uchishandiswa kushandisa manometer yakagadzirirwa kusvika kune alamu.
- Kuenderera mberi Mvura Dzakagadziriswa: Kuramba kwekuyerera kunogadzirisa huwandu hweCPAP kana kushandisa vhavha muvharo rinopedza simba kuti rienzanise kusagadzikana kana nekuisa tubhi rinoputira pasi pemvura. Zvose izvi maitiro anoda mizinga yakakwirira yekuramba ichiyerera kuti ifanane necheche runyoro rwekufuridzirwa kwekufema.
Nemazwi, nyore nyore-kutsika-shanduka kune unyanzvi hwekushanda uye kushandiswa kwezvinoshandiswa uchishandisa masero matsva haatongorongedzwi.
Ndechipi Chinyorwa chePCAP Chakanakisisa?
Tisati tanyatsotsanangura nzira "yakanakisisa" yekutungamirira kweCPAP. Mune mamwe mazwi, hapana humwe humwe humwe humwe humwe humwe humwe humwe humwe humwe humwe hunokosha hunoita kuti kushandiswa kwechinhu chakasvibiswa kana kushambadzira. Zvisinei, bubble systems (rudzi rwekuenderera mberi kwekuyerera) inogona kuva nani pane Infant Flow Systems (rudzi rwekusiyana-siyana kwehutano) pavanorapa vacheche vane kupemha dambudziko (RDS). Kunyanya, kumwe kutsvakurudza kunoratidza kuti vana vane RDS vakaiswa pahuturu hunoshandiswa hunoda nguva shoma paCPAP uye yakave yakanyanya kufanirwa kubudirira. (Extubation is medical medicine inoreva kuti kubviswa kwehuipi, mumamiriro ezvinhu aya, kubviswa kwePCAP tube uye chinongedzo.) Zvimwe zvidzidzo zvakare zvakaratidza kuti mabhodhi anoguma anogadzirisa kuwedzera oxygenation.
Ndeipi Apo CPAP Inoshandiswa Mucheche?
CPAP mucheche inonyanya kushandiswa kuporesa kuporesa dambudziko syndrome (RDS).
Kufuridzira chirwere chinokonzerwa nemapfupa chinokonzera kana mwana aberekwa nguva isati yasvika uye mapapu ake haafaniri kukura zvakakwana. Mapapu emucheche aya haana kukwana mu-surfactant, chinhu chinotsvedza chinoderedza kusangana kwepasi mumapapu uye kunobvumira kupemha.
> Sources:
> Agarwal S, Maria A, Roy MK, Verma A. Dambudziko reRandomized Kuenzanisa Kubudirira kweBhuni neVentimeri Yakasvibiswa Nasal CPAP muKuderera Kwakanyanya Kuderedza Weight Neonates neKuzvidya Mwoyo. Nyaya yeKliniki uye Kuongororwa Ongororo: JCDR . 2016; 10 (9): SC09-SC12. doi: 10.7860 / JCDR / 2016 / 20584.8572.
> Bahman-Bijari B, Malekiyan A, Niknafs P, Baneshi MR. Bubble-CPAP vs. Ventilatory-CPAP mu Preterm Makana ane Kushungurudzika Kwemapfupa. Iranian Journal of Pediatrics . 2011; 21 (2): 151-158.
> Komiti yeHusus neNcheche. Kufuridzirwa Kutsigirwa mu Preterm Makana paKuberekwa. Pediatrics . 2013; 133 (1): 171-174. doi: 10.1542 / peds.2013-3442.