Usoro ọgwụgwọ oxygen dị eluna-ezo aka n'ụzọ nke inye ọgwụgwọ na-agba ọsọ dị irè maka ndị ọrịa site n'inye oke ikuku oxygen na-ekpo ọkụ na ikpo ọkụ na ikuku oxygen ngwakọta gas.Ọ nwere ike imeziwanye ọkwa oxygenation nke onye ọrịa ngwa ngwa ma nọgide na-arụ ọrụ nkịtị nke imi cilia ikuku.
A na-eji ọgwụgwọ ikuku oxygen dị elu mee ihe n'ụlọọgwụ maka nnukwu iku ume iku ume hypoxic, ọgwụgwọ oxygen post-extubation, nnukwu nkụchi obi, ọrịa ikuku na-adịghị ala ala, na ụfọdụ usoro iku ume na-efe efe na omume ụlọ ọgwụ n'ihi mmetụta physiological pụrụ iche ya.Karịsịa maka ndị ọrịa nwere nnukwu iku ume iku ume hypoxic, usoro ọgwụgwọ oxygen dị elu dị mma karịa ọgwụgwọ oxygen ọdịnala n'ihe gbasara iwelite nrụgide akụkụ oxygen, yana nsonaazụ ya adịghị ala karịa ikuku ikuku na-adịghị emerụ ahụ, mana HFNC nwere nkasi obi na nnabata ka mma karịa. ventilashion na-adịghị emerụ ahụ.Ya mere, a na-atụ aro HFNC ka ọ bụrụ usoro ọgwụgwọ iku ume maka ndị ọrịa dị otú ahụ.
Cannula imi na-eru elu (HFNC)na-ezo aka n'ụdị ọgwụgwọ oxygen na-ebunye ikuku na ikuku oxygen agwakọta gas na-erute ikuku nke ụfọdụ ikuku oxygen nye onye ọrịa site na catheter imi na-enweghị akara.A na-eji usoro ọgwụgwọ oxygen dị elu (HFNC) mee ihe dị ka nkwado iku ume ọzọ na-aga n'ihu na ikuku ventilashị nke ọma (NCPAP) ma jiri ya mee ihe na ọrịa nhụjuanya iku ume ọhụrụ (NRDS), ma ọ nwetala ụfọdụ mmetụta.Site na iji HFNC na-abawanye na ndị okenye, ndị ọrụ ahụike na-amatakwa uru ya pụrụ iche n'iji dị iche na ọgwụgwọ oxygen nkịtị na ikuku ikuku na-adịghị emebi emebi.
Usoro ọgwụgwọ oxygen na-asọpụta nke imi (HFNC) nwere mmetụta anụ ahụ pụrụ iche:
1. Ịtụle ikuku oxygen na-adịgide adịgide: ọnụọgụ ikuku oxygen na-enye site na ngwaọrụ ọgwụgwọ ikuku oxygen dị ala na-emekarị bụ 15L / min, nke dị nnọọ ala karịa n'ezie ọnụ ọgụgụ kasị elu nke ume ume nke onye ọrịa, na ọnụ ọgụgụ na-ezughị ezu ga-agbakwunye ya. ikuku na-ekunye n'otu oge ahụ, ya mere kukuo ikuku oxygen A ga-eme ka ịta ahụ dịkwuo njọ ma amaghị ihe ọ ga-eme.Ngwá ọrụ ọgwụgwọ iku ume dị elu nwere igwe ikuku oxygen wuru n'ime ya ma nwee ike ịnye ikuku gas agwakọta ruo 80L / min, nke dị ukwuu karịa oke ume ume nke onye ọrịa, si otú ahụ na-eme ka ị nweta ikuku oxygen na-ekpo ọkụ mgbe niile. ihe ruru 100%;
2. Ezi okpomọkụ na iru mmiri mmetụta: HFNC nwere ike inye elu eruba gas na 37 ℃ na 100% ikwu iru mmiri, nke nwere oké uru tụnyere omenala oxygen ọgwụgwọ;
3. Ịsacha oghere nwụrụ anwụ nke nasopharynx: HFNC nwere ike inye ihe ruru 80L / min nke gas, nke nwere ike igbasa oghere nwụrụ anwụ nke nasopharynx ruo n'ókè ụfọdụ, nke mere na ọ nwere ike inye nnukwu ikuku oxygen na obere carbon dioxide gas, nke nwere ike melite ọbara oxygen.Ọrụ nke saturation na mbenata carbon dioxide;
4. Mepụta ụfọdụ nrụgide ikuku dị mma: Ụfọdụ ndị nchọpụta achọpụtala na HFNC nwere ike ịmepụta nrụgide dị ka 4cmH2O, na mgbe ọnụ na-emechi ọnụ, ọ nwere ike ịmepụta nrụgide ruru 7cmH2O.Enwere ike ịhụ na HFNC nwere ike ịmepụta mmetụta yiri nke ahụ na nrụgide ikuku na-aga n'ihu (CPAP).Otú ọ dị, n'adịghị ka CPAP, HFNC na-achọ ka ọ na-agba ọsọ na-aga n'ihu na-eme ka ikuku ikuku na-adịghị agbanwe agbanwe, ya mere, n'iji ụlọ ọgwụ eme ihe, a ghaghị imechi ọnụ onye ọrịa iji nweta mmetụta a chọrọ;
5. Ezi nkasi obi na ndidi: Ọtụtụ nnyocha achọpụtala na n'ihi na ọ dị mma okpomọkụ na iru mmiri mmetụta na mfe nke ojiji, na imi elu-eruba oxygen ọgwụgwọ ngwaọrụ nwere mma nkasi obi na ndidi karịa elu-eruba oxygen masks na-abụghị invasive .
Sepray Nasal High Flow Oxygen Therapy OH usoro iku ume humidification ngwa ngwá na-enye irè eruba ọgwụgwọ maka ndị ọrịa site n'inye elu-eru eru, kpọmkwem oxygen itinye uche na warmed na humidified ikuku-oxygen agwakọta gas.
Ngalaba etinyere
ICU, ngalaba iku ume.Ụlọ ọrụ mberede.Ụlọ ọrụ neurosurgery.Geriatrics dept.Cardioloji dept.
Oge nzipu: Jul-13-2020