Nooca hawo-mareenka ee loo isticmaalo cudurrada kala duwan ayaa kala duwan.Guud ahaan, hawo-qaade toos ah oo hal-heer ah ayaa loo isticmaalaa bukaannada khuuraya;hawo-mareenka labada heer ee ST ee cudurada sambabada.Haddii ay tahay bukaan khuuraya kakan, waxa laga yaabaa inay lagama maarmaan noqoto in la isticmaalo hawo-mareenka Bilevel.Nooca hawo-mareenka ee loo isticmaalo cudurrada kala duwan ayaa kala duwan.Waxaa jira qaabab badan oo kala duwanhawo-qaade aan duullaan lahayn.Kuwa soo socdaa waxa ay qeexayaan habka hawo-mareenka.Waxaad dooran kartaa hawo-mareenka aan fiicneyn ee adiga kugu habboon sida ay tahay xaaladdaada.
Hawo-qaaduhu wuxuu leeyahay CPAP, S, T, S/T, sida soo socota:
1. Habka CPAP ee hawo-mareenka: Habka cadaadiska marin-haweedka togan ee joogtada ah
CPAP: Habka Cadaadiska Wanaagsan ee Waddada Hawo-mareenka-Cadaadiska Wadnaha Hawo-mareenka oo Joogto ah, Bukaanku waxa uu leeyahay Neefsasho iskiis ah oo xooggan, hawo-mareenku wuxuu bixiyaa cadaadis isku mid ah marxaladaha dhiirigelinta iyo kuwa dhicisoobay si uu u caawiyo bukaanka Furitaanka marin-haweedka.Waxaa inta badan loo isticmaalaa bukaanada qaba OSAS hurdo la'aan hurdo la'aan, neefsasho kedis ah oo xoog leh, iyo gargaar yar oo ka yimaada hawo-mareenka.Wax kicin ah ma jiro, ma beddelan, jidhka bini'aadamku si xor ah ayuu u neefsadaa, cadaadiska waxaa lagu xakameynayaa cadaadis joogto ah, cadaadiska marxaladda dhiirigelinta iyo marxaladda neefsashada ayaa siman.Neefsashada la caawiyay (taageerada cadaadisku waa 0) + xakamaynta cadaadiska waa hab caadi ah oo la isticmaalo oo aan duullaan ahayn.Saamaynta jireed waxay u dhigantaa PEEP (cadaadiska dhamaadka-dhammaadka togan): kordhiso mugga haraaga shaqada, hagaajinta u hoggaansanaanta;la dhimo isticmaalka awoodda waxyiga leh, wanaaji kicinta;u ilaali marin-haweedka sare ee furan.
2. Habka hawo-mareenka:
Habka neefsashada iskeed u madax bannaan --- Habka neefsashada degdegga ah, bukaanku wuxuu leeyahay neefsasho kedis ah ama wuxuu kicin karaa hawo-qaaduhu inuu si iskeed ah u neefsado, hawo-qaaduhu wuxuu bixiyaa oo keliya IPAP iyo EPAP, bukaanku wuxuu xakameeyaa inta jeer ee neefsashada iyo saamiga dhiirigelinta / waqtiga dhiirigelinta si madax-bannaan loogu talagalay bukaannada qaba neefsashada iskeed u wanaagsan ama bukaannada qaba apnea hurdada dhexe.Neefsashada kediska ah: hawo-bixiyeha iyo inta jeer ee neefsashada bukaanka ayaa si buuxda isku mid ah.Haddii neefsashada kediska ah ee bukaanku ay joogsato, hawo-qaaduhu sidoo kale wuu joojinayaa shaqada.Xakamaynta cadaadiska (cadaadiska joogtada ah): Ku ilaali IPAP hore u-dhigtay (cadaadiska marin hawomareenka togan) cadaadiska hawo-mareenka, oo ilaali EPAP hore u-yeelay (cadaadiska marin-haweedka dhacay) xakamaynta, waana hab caadi ah oo aan duullaan ahayn.
3. Habka hawo-mareenka:
Habka hawo-qaadista waqtiga T Habka xakamaynta wakhtiga-Qaabka xakamaynta wakhtiga, bukaanku ma laha neefsasho kedis ah ama ma kicin karo hawo-qaaduhu inuu si madax-bannaan u neefsado, hawo-qaaduhu wuxuu si buuxda u koontaroolaa neefsashada bukaanka, wuxuu bixiyaa IPAP (cadaadiska wajiga hawada ee togan), EPAP (expiratory). marin-haweedka wajiga Cadaadis togan), BPM, Ti (waqtiga dhiirigelinta / saamiga wakhtiga dhicitaanka).Habkan waxaa inta badan loo isticmaalaa bukaanada aan lahayn neefsasho kedis ah ama awoodooda neefsashadu ay daciif tahay.Kicinta wakhtiga: Hawo-qaaduhu waxa uu ku shaqeeyaa inta jeer ee hore loo dejiyay oo lama mid aha neefsashada kediska ah ee bukaanka.Xakamaynta cadaadiska (cadaadiska joogtada ah): Ku ilaali IPAP-ga hore (cadaadiska marin-haweedka togan) cadaadiska hawo-mareenka, oo ilaali EPAP hore u-yeelay (cadaadiska hawo-mareenka dhicisoobay) ee hawo-qaadiyaha cadaadiska Wakhtiga beddelka: xakamaynta neefsashada + xakamaynta cadaadiska, aan- hab weerar oo dhif ah ayaa la isticmaalaa.
4. Habka S/T ee hawo-mareenka:
Qaabka hawo-qaadista iskeed u madaxbannaan/waqtiga S/T Degdegga ah/Waqtiga beddelka tooska ah ee waqtiga --- Qaabka beddelka tooska ah/Waqtiga loo qabtay.Marka wareegga neefsashada bukaanku uu ka yaraado muddada u dhiganta inta jeer ee hawo-qaadista, waxay ku jirtaa qaabka S;marka wareegga neefsashada bukaanku uu ka weyn yahay inta jeer ee hawo-qaadista, waxay ku jirtaa qaabka T.Barta beddelka tooska ah: muddada u dhiganta inta jeer ee hawo-qaadista sida: BPM=10 jeer/daqiiqo, wareegga neefsiga=60 ilbiriqsi/10=6 sekan, ka dib hawo-qaaduhu waxa uu sugayaa 6 ilbiriqsi, haddii uu bukaanku ku kicin karo hawo-qaadiyaha 6 gudahood ilbiriqsiyo, hawo-mareenka Waa qaabka shaqada S, haddii kale waa qaabka T.Habkani waa midka ugu badan ee la isticmaalo waxaana loo isticmaalaa bukaanno kala duwan.a.Neefsashada kediska ahi waxa ay kicisaa marka inta jeer ee neefsashada iskeed ah>loo dajiyay inta jeer ee hawo-mareenka.Hawo-mareenka iyo inta jeer ee neefsashada bukaanka ayaa si buuxda u wada siman yahay.Heerka socodka cadaadiska cadaadiska waa la bedelay.b.Inta jeer ee neefsashada ee kediska ah
Waqtiga boostada: Jul-14-2020