Momwe mungasankhire chosungira mpweya

Kuchuluka kwa okosijeni mu okosijeni

Anthu ambiri molakwika amasokoneza kuchuluka kwa okosijeni mu chosungira mpweya ndi kuchuluka kwa okosijeni mu mpweya wopumira, poganiza kuti ndi lingaliro lomwelo. Ndipotu, ndi zosiyana kotheratu. Kuchuluka kwa okosijeni mu chosungira mpweya kumatanthauza kuchuluka kwa okosijeni komwe kuli, kapena m'mawu a layman, kuyera kwa mpweya wotuluka ndi chosungira mpweya. Zosungira mpweya zosiyanasiyana zimakhala ndi kuchuluka kosiyana kwa okosijeni. Pofuna kuonetsetsa kuti kugwiritsidwa ntchito kwa nthawi yayitali komanso zotsatira zake zochizira, tikulimbikitsidwa kusankha chosungira mpweya chomwe chikukwaniritsa muyezo wa kuchuluka kwa okosijeni wotuluka wa 93±3%.

Mpweya wochuluka kwambiri wa okosijeni wotulutsa mpweya

Anthu ambiri sakudziwa bwino tanthauzo la 1L oxygen concentrator, 3L oxygen concentrator, ndi 5L oxygen concentrator. Ndipotu, ndi kuchuluka kwa mpweya wokwanira pa mphindi iliyonse komwe oxygen concentrator ingapereke poganizira kuti mpweya wokwanira umakhala wokwanira. Pamene kuchuluka kwa mpweya wosinthidwa kupitirira kuchuluka kwa mpweya wotuluka, kuchuluka kwa mpweya kudzachepa, ndipo mphamvu ya mpweya wopuma idzachepanso, kapena sidzagwira ntchito.

Poganizira kuti akukwaniritsa muyezo wa dziko lonse wa 93±3% wa okosijeni, chosungira mpweya chikhoza kugawidwa m'magulu 1L, 3L, 5L, ndi zina zotero. Monga miyezo yofotokozera kuchuluka kwa mpweya ndi momwe chosungira mpweya chimagwirira ntchito:

Chosungira mpweya cha 1L

Chosungira mpweya cha 1L ndi chosungira mpweya chomwe chimatulutsa mpweya wa 1L/mphindi, bola ngati mpweya wa oxygen ukugwirizana ndi muyezo. Mtundu uwu wa chosungira mpweya ndi wotsika mtengo ndipo ndi woyenera kwa amayi apakati omwe amafunikira mpweya wa oxygen wamba komanso ogwira ntchito zamaganizo omwe amagwira ntchito ndikuphunzira kwa nthawi yayitali (monga ophunzira, ogwira ntchito m'maofesi). Chimagwiritsidwa ntchito makamaka pazaumoyo ndipo nthawi zambiri chimapereka chithandizo cha mpweya kwa mphindi pafupifupi 30 kuti chichepetse kutopa kwakanthawi ndikupangitsa anthu kukhala ndi mphamvu zambiri.

Chosungira mpweya cha 3L

Chosungira mpweya cha 3L chimatha kukwaniritsa miyezo ya mpweya wamankhwala, ndi mpweya wotuluka kwambiri wa 3L/min. Izi zikutanthauza kuti, mpweya wotuluka ukhoza kusinthidwa kukhala 0-3L/min, ndipo ukhoza kukhala wochepa koma osati wochulukirapo. Kuthamanga kwa mpweya sikungakwezedwe kuposa 3L/min, apo ayi mpweya wotuluka udzakhala wosakhazikika.

Mtundu uwu wa okosijeni uli ndi mitengo yosiyana chifukwa cha mitundu yosiyanasiyana. Ndi woyenera kupumira mpweya kunyumba kwa okalamba kapena kuchiza mpweya kwa odwala matenda osatha (monga matenda a mtima ndi mitsempha yamagazi, kuthamanga kwa magazi, hyperglycemia, kunenepa kwambiri, ndi zina zotero). Cholinga chachikulu ndikuwonjezera kuchuluka kwa mpweya m'magazi ndikuletsa matenda ena.

Chosungira mpweya cha 5L

Pamene mpweya wokwanira wa oxygen concentrator wa 5L wafika pa muyezo woyenera, mpweya wokwanira wa oxygen ukhoza kufika pa 5L/mphindi. Ndi woyenera odwala matenda a mtima ndi mapapo (monga matenda osatha a mapapo ndi cor pulmonale). Pamene mpweya wokwanira wa oxygen wa 5L wafika pa muyezo woyenera, mpweya wokwanira wa oxygen ukhoza kufika pa 5L/mphindi. Ndi woyenera odwala matenda a mtima ndi mapapo (monga matenda osatha a mapapo ndi cor pulmonale).

Mwachitsanzo, kupatula mphamvu ya zinthu monga kupuma movutikira komanso kuchuluka kwa mpweya m'mphuno, mpweya ukapumidwa kudzera mu kannula ya m'mphuno, kuchuluka kwa mpweya (%) komwe kumafika m'mapapo a wodwalayo = 21 + 4 * kuchuluka kwa mpweya wozungulira mpweya m'chiwiya chosungira mpweya * kuchuluka kwa mpweya wozungulira mpweya m'chiwiya chosungira mpweya.

Ngati imagwiritsidwa ntchito pochiza, ndi bwino kugula chosungira mpweya chokhala ndi mpweya wochepa wa 3L. Kwa odwala omwe amafunikira chithandizo cha mpweya kwa nthawi yayitali, ndi bwino kugwiritsa ntchito chosungira mpweya chochepera 5L. Sikuti chimakhala ndi mphamvu zambiri zosinthika ndipo chimapereka mpweya wochepa ndipo mpweya wochepa ukhoza kukhazikika pa 90%, potero kukwaniritsa cholinga chabwino chochiritsira.

Nthawi yoperekera mpweya nthawi zonse

Ngati ndi chosungira mpweya chomwe chimagwiritsidwa ntchito posamalira thanzi, nthawi zambiri chimakhala chaching'ono, sichigwira ntchito bwino pochotsa kutentha, ndipo sichingagwire ntchito kwa nthawi yayitali. Chosungira mpweya chamankhwala chochuluka chomwe chimagwiritsidwa ntchito pochiza chimatha kugwira ntchito maola 24 patsiku popanda kusokoneza.

Odwala omwe ali ndi COPD komanso omwe ali ndi vuto la kupuma nthawi yayitali amafunika kupuma mpweya kwa maola 15 tsiku lililonse, choncho amafunika kugula chosungira mpweya chomwe chingapereke mpweya kwa nthawi yayitali kuti asalephere kukwaniritsa zosowa zawo za chithandizo.

Kuchuluka kwa phokoso la okosijeni

Ndikoyenera kusankha chosungira mpweya chokhala ndi phokoso lochepa. Phokoso liyenera kukhala lochepera ma decibel 45-48. Kupanda kutero, lingakhudze ena onse, makamaka usiku. Mlingo wowongolera phokoso umagwirizana ndi mulingo wa wopanga chosungira mpweya komanso kuchuluka ndi kapangidwe ka chosungira mpweya. Kawirikawiri, zosungira mpweya zazikulu zimakhala ndi phokoso lochepa chifukwa zimakhala ndi malo okwanira osungira zinthu zoteteza mawu ndi kapangidwe ka mkati kuti zichepetse phokoso.

Pamene chosungira mpweya chikugwira ntchito, yesetsani kuti chisaike pamalo ang'onoang'ono kapena pansi pa matabwa, chifukwa izi zidzawonjezera ma echo kapena phokoso lina lowonjezera. Kwa anthu omwe amamva phokoso kwambiri, chosungira mpweya chikhoza kukhala kutali ndi choperekera mpweya ndipo chimalumikizidwa kudzera mu chubu chachitali chopumira mpweya.

Momwe mungasankhire chosungira mpweya

Musanagule chosungira mpweya, kuwonjezera pa kumvetsetsa magawo ofunikira a chosungira mpweya, chiyenera kukhala ndi njira yokhazikika komanso yothandiza yoperekera mpweya, komanso samalani mfundo zotsatirazi:

Dziwani momveka bwino chifukwa chake mukufunikira mpweya

Kaya ndi ya chisamaliro chaumoyo kapena chithandizo, sankhani chosungira mpweya malinga ndi zosowa zanu chomwe chingakwaniritse kuchuluka kwa mpweya womwe mumalandira, nthawi yopumira mpweya tsiku lililonse ndi zina. Mwachitsanzo, odwala omwe ali ndi vuto la kupuma kapena mtima, hypoxemia, COPD ndi matenda ena ayenera kusankha chosungira mpweya chapamwamba chomwe chimagwira ntchito maola 24 patsiku ndikusunga kuchuluka kwa mpweya m'thupi. Ngati ndinu mayi woyembekezera kapena wophunzira amene nthawi zambiri amagwiritsa ntchito ubongo wake mopitirira muyeso, nthawi zambiri mungasankhe chosungira mpweya cha 1-2L chotsika mtengo komanso chotsimikizika bwino.

Kugogomezera "mtengo" wa okosijeni

Tiyenera kusankha zosungira mpweya wa oxygen zamitundu yosiyanasiyana malinga ndi zosowa za matendawa komanso kuthekera kwachuma, ndiko kuti, tiyenera kuganizira "mtengo" ndi "mtengo" pamodzi, ndikupewa kutsata "mtengo" wotsika mosasamala ndikunyalanyaza "mtengo" wazinthu zofunika kwambiri zaukadaulo, zomwe zingayambitse zotsatira zoyipa. Mofananamo, palibe chifukwa chowononga ndalama kuti mugule yokwera mtengo kwambiri m'malo mwa yoyenera kwambiri.

Kuchita zinthu moyenera kumabwera poyamba, osati kukongola

Zipangizo zosungira mpweya m'nyumba ndi zipangizo zachipatala komanso zosungira thanzi, osati zinthu zowonetsera kukongola. Musanyengedwe ndi kugwa mumsampha wa mabizinesi ena omwe amasankha mawonekedwe apamwamba ngati malo ogulitsa chifukwa chosowa ukadaulo, koma zomwe kwenikweni sizothandiza.

Makamaka kwa iwo omwe amafunika kupuma mpweya kwa nthawi yayitali, makinawo ayenera kukhala okhoza kugwira ntchito mosalekeza. Ndi bwino kusankha makina okhala ndi kukula koyenera, magwiridwe antchito abwino kwambiri, kapangidwe ka mkati kokonzedwa bwino komanso malo abwino ochotsera kutentha.

Ntchito ya atomization

Makamaka kwa odwala matenda opuma monga COPD ndi mphumu, sikuti imangokwaniritsa zosowa za okosijeni yokha, komanso imachita chithandizo chopumira cha nebulizer kunyumba mosavuta komanso mosavuta, kusunga nthawi yopita kuchipatala mobwerezabwereza komanso kuyima pamzere, komanso kuchepetsa mtengo wa chithandizo chamankhwala.

Sankhani wopanga kampani wamphamvu komanso wotchuka

Posankha chosungira mpweya, ndi bwino kusankha wopanga kapena kampani yosungira mpweya yokhala ndi mphamvu zambiri, mbiri yabwino, chitsimikizo cha khalidwe, komanso chitukuko chokhazikika kwa nthawi yayitali. Ndi bwino kusankha ndikukonzekera ndi ntchito yabwino kwambiri yogulitsa pambuyo pa malonda m'deralo. Kaya ndi kampani yakunyumba kapena yakunja, kukonza pambuyo pa malonda ndi kusintha ziwalo ndikofunikira kwambiri. Wopanga chizindikiro wotsimikizika yekha ndi amene angatsimikizire chitukuko chokhazikika ndi ntchito zosamalira pambuyo pa malonda. Nthawi yomweyo, iyenera kugulidwa kudzera m'njira zovomerezeka komanso ndi njira zonse kuti zitsimikizire chitetezo chabwino.

Malangizo Ogwiritsira Ntchito Mpweya Wopatsa Mpweya

Ma concentrator a oxygen ali ndi "mantha anayi"

Chifukwa chake, mukamagwiritsa ntchito chosungira mpweya, onetsetsani kuti simukupsa ndi moto, tsogolerani kuwala kwamphamvu (dzuwa), ndi malo otentha kwambiri; Samalani kusintha, kuyeretsa ndi kupha tizilombo toyambitsa matenda a m'mphuno, chosungira mpweya, chotenthetsera ndi chotenthetsera kuti mupewe matenda osiyanasiyana komanso kutsekeka kwa chosungira mpweya; Ngati chosungira mpweya sichikugwiritsidwa ntchito kwa nthawi yayitali, magetsi ayenera kuzimitsidwa, madzi omwe ali mu botolo lotenthetsera mpweya ayenera kutsanulidwa, pamwamba pa chosungira mpweya chiyenera kupukutidwa bwino, kuphimbidwa ndi chivundikiro cha pulasitiki, ndikusungidwa pamalo ouma popanda kuwala kwa dzuwa; Musananyamule makinawo, tsanulirani madziwo mu kapu yotenthetsera mpweya. Madzi kapena chinyezi chomwe chili mu chosungira mpweya chidzawononga zinthu zofunika (monga ma sieve a molecular, compressors, ma valve olamulira gasi, ndi zina zotero).

Mukapuma mpweya, samalani ndi kupereka kutentha koyenera komanso chinyezi.

Kusunga kutentha kwa37°Cndipo chinyezi cha 95-100% m'njira yopumira n'chofunikira kuti njira yopumira ya mucociliary igwire bwino ntchito. Chifukwa chake, mpweya wopumira uyenera kudutsa mu botolo lotenthetsera ndi zida zotenthetsera zofunika kuti mupewe kupuma mpweya wouma komanso wozizira womwe ungalimbikitse ndikuwononga mucosa ya mpweya, kupangitsa kuti sputum iume, ndikukhudza ntchito ya "chofufutira" cha cilia.

Pamene chosungira mpweya cha oxygen chayatsidwa, musaike flow meter float pa zero; mukamapuma mpweya, samalani kuti muwone ngati flow meter float ili pamalo oyenera.

Ngati jenereta ya okosijeni ya molekyulu sigwiritsidwa ntchito kwa nthawi yayitali, ntchito ya sefa ya molekyulu idzachepa, kotero chisamaliro chiyenera kuperekedwa pa ntchito yoyambira ndi kukonza.

Mphamvu ya okosijeni iyenera kutsekedwa ikagwiritsidwa ntchito kapena ikagwiritsidwa ntchito. Izi sizingochepetsa kugwiritsa ntchito makina ndi mphamvu, komanso zimateteza moto.

Pamene chosungira mpweya chikugwira ntchito, chiyenera kuyikidwa bwino ndi malo osachepera 20cm mu radius mbali zonse, ndipo malo ozungulira ayenera kuyang'anira mpweya wabwino komanso mpweya wabwino.

Anthu osiyanasiyana, mikhalidwe yosiyanasiyana, amafunikira mpweya wosiyanasiyana.

Mwachitsanzo, odwala omwe ali ndi vuto la carbon dioxide (monga COPD kuphatikiza ndi kulephera kupuma kwanthawi yayitali) ayenera kupumidwa ndi mpweya wokwanira. Kawirikawiri, kuchuluka kwa mpweya m'thupi sikuyenera kupitirira 3L/min, ndipo 1-2L/min ndikoyenera, chifukwa kupuma ndi mpweya wokwanira kumatha kubweretsa kupsinjika kwa kupuma mwa odwala otere ndikuwonjezera vuto lawo. Ngakhale kupuma ndi mpweya wabwino kwa amayi apakati, muyeneranso kumvera upangiri wa dokotala ndikupewa kupuma mpweya wokwanira m'thupi kwa nthawi yayitali.

Ma oxygen concentrators angagwiritsidwe ntchito pa chisamaliro chaumoyo komanso chithandizo cha mpweya wonse (kuphatikizapo plateau hypoxia, matenda opuma, matenda a mtima ndi mitsempha yamagazi, ndi zina zotero), koma sangagwiritsidwe ntchito pothandizira moyo wapamwamba panthawi yopulumutsa.