High-flow oxygen therapyinoreva nzira yekupa kurapa kuyerera kunoshanda kune varwere nekupa kuyerera kwepamusoro, kwakaringana okisijeni yekuisa uye kudziya uye kunyorovesa mhepo-okisijeni yakasanganiswa gasi.Inogona kukurumidza kuvandudza mwero weokisijeni wemurwere uye kuchengetedza yakajairika kushanda kweairway mucus cilia.
High-flow oxygen therapy inoshandiswa zvakanyanya mukiriniki yeacute hypoxic kufema kutadza, post-extubation oxygen therapy, acute heart failure, chronic airway disease, uye mamwe maitiro ekufema anopinda mumakiriniki maitiro nekuda kwemaitiro ayo akasiyana ehupenyu.Kunyanya kuvarwere vane acute hypoxic kufema kutadza, high-flow oxygen therapy iri nani pane yechinyakare okisijeni kurapwa maererano nekusimudza okisijeni chikamu chekumanikidza, uye mhedzisiro yacho haisi shoma pane isiri-invasive ventilation, asi HFNC ine kunyaradza kuri nani uye kushivirira kupfuura. kwete-invasive ventilation.Naizvozvo, HFNC inokurudzirwa seyekutanga-mutsara kufema kurapwa kune vakadaro varwere.
Yakakwira-kuyerera Nasal Cannula (HFNC)inoreva rudzi rweokisijeni therapy iyo inoendesa zvakananga mweya neokisijeni yakasanganiswa high-flow gas yeimwe oxygen concentration kumurwere kuburikidza nenasal plug catheter isina chisimbiso.High-flow oxygen therapy (HFNC) yakatanga kushandiswa senzira yekutsigira kufema kune inoenderera mberi yakanaka yekumanikidza mhepo (NCPAP) uye yakashandiswa zvakanyanya muNeonatal Respiratory Distress Syndrome (NRDS), uye yakawana imwe mhedzisiro.Nekuwedzera kwekushandiswa kweHFNC muvakuru, vashandi vekurapa vanoonawo mabhenefiti ayo akasiyana mukushandiswa kwakasiyana kubva kune akajairwa okisijeni kurapwa uye isiri-invasive mechanic ventilation.
Nasal high-flow oxygen therapy (HFNC) ine yakasarudzika physiological mhedzisiro:
1. Kugadziriswa kweokisijeni nguva dzose: chiyero chekuyerera kweokisijeni chinopiwa nechekare-yepasi-kuyerera kweokisijeni therapy device inowanzoita 15L / min, iyo yakaderera zvikuru kupfuura iyo chaiyo yepamusoro yekufema kuyerera kwemurwere, uye kusakwana kwekuyerera kunowedzerwa ne mweya wakafemerwa panguva imwe chete, saka inhale okisijeni Iyo yekumisikidza ichaderedzwa zvakanyanya uye iyo chaiyo yekumisikidza haizivikanwe.Iyo yepamusoro-inoyerera yekufema yekufema mudziyo ine yakavakirwa mumhepo okisijeni mixer uye inogona kupa yakasanganiswa gasi kuyerera inosvika 80L/min, iyo yakakura kupfuura peak inspiratory kuyerera kwemurwere, nekudaro kuve nechokwadi chekugara kuunganidzwa kweiyo inhaled oxygen uye. kusvika ku100%;
2. Tembiricha yakanaka uye humidity mhedzisiro: HFNC inogona kupa yakanyanya kuyerera gasi pa37 ℃ uye 100% hunyoro hwehukama, iyo ine zvakanakira zvikuru zvichienzaniswa neyekare okisijeni kurapwa;
3. Kushambidza mhango yakafa ye nasopharynx: HFNC inogona kupa kusvika ku80L / min yegesi, iyo inogona kutsvaira mhango yakafa ye nasopharynx kune imwe nhanho, kuitira kuti inogona kupa huwandu hweokisijeni uye yakaderera carbon dioxide gas, iyo. inogona kuvandudza ropa reokisijeni.Basa rekuzara mukuderedza carbon dioxide;
4. Gadzira imwe mhepo yakanaka yemhepo: Vamwe vatsvakurudzi vakaona kuti HFNC inogona kubudisa avhareji yekumanikidza inenge 4cmH2O, uye kana muromo wakavharwa, inogona kuunza kudzvinyirira kusvika ku7cmH2O.Zvinogona kuoneka kuti HFNC inogona kuburitsa mhedzisiro yakafanana kune inoenderera yakanaka airway pressure (CPAP).Zvisinei, kusiyana neCPAP, HFNC inotarirwa pahuwandu hwekuyerera nguva dzose kuti ibudise kusagadzikana kwemhepo yemhepo, saka mukushandiswa kwekliniki, muromo wemurwere unofanira kuvharwa kuti uwane mhedzisiro yaunoda;
5. Kunyaradza kwakanaka uye kushivirira: Zvidzidzo zvakawanda zvakawana kuti nekuda kwekushisa kwakanaka uye humidity effect uye nyore nyore kushandiswa, nasal high-flow oxygen therapy device ine nyaradzo iri nani uye kushivirira kudarika high-flow oxygen masks uye isina-invasive .
Sepray Nasal High Flow Oxygen Therapy OH yakatevedzana yekufema humidification therapy chiridzwa inopa inoshanda kuyerera kurapa kuvarwere nekupa yakanyanya-kuyerera, chaiyo okisijeni iko uye inodziya uye yakanyoroveswa mhepo-okisijeni yakasanganiswa gasi.
Madhipatimendi akashandiswa:
ICU, Dhipatimendi reKufema.Emergency dept.Neurosurgery dept.Geriatrics dept.Cardiolology dept.
Nguva yekutumira: Jul-13-2020