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Zingaphi iimonitha ezifunwa yi-ventilator ngexesha lesithsaba esitsha?

Ngokuqhambuka kwehlabathi lobhubhani omtsha wesithsaba, ii-ventilators ziye zaba yimveliso eshushu nebalaseleyo.Imiphunga ngawona malungu ekujoliswe kuwo ahlaselwa yi-coronavirus entsha.Xa unyango oluqhelekileyo lwe-oksijini lusilela ukufikelela kwisiphumo sonyango, i-ventilator ifana nokuzisa amalahle ekhephuni ukubonelela ngenkxaso yokuphefumla kwizigulana ezigula kakhulu.

"Ukujonga ukubonakaliswa kweklinikhi yemeko entsha ye-coronary pneumonia, ezinye izigulana zineempawu ezibuthathaka kakhulu ekuqaleni kokuqala, kwanobushushu bomzimba bebungekho phezulu kakhulu, kwaye bekungekho zibonakaliso zikhethekileyo, kodwa emva kweentsuku ezi-5-7, kuye kwavela. iya kuba mbi kakhulu. ”U-Lu Hongzhou, ilungu leQela leNgcali leSizwe leNgcali yoNyango lweNzululwazi yeNew Coronary Pneumonia kunye nonjingalwazi kwiZiko lezeMpilo lezeMpilo laseShanghai, uthe.

Sinokubakhusela njani ababukhali kwabalulamileyo okokuqala?Ngaphandle kwendawo yonyango yethutyana, kuthekani ngobudlelwane obuhambelanayo phakathi kwabahloli kunye nezixhobo zokungenisa umoya kwiwadi ye-ICU kuhambo nakwi-ICU?Zingaphi iimonitha ekufuneka zixhotyiswe ngazo?Masimamele ilizwi leengcali zaseShenzhen.

indawo yokuhlangula yethutyana

Nangona zizigulana ezibukhali nezibalulekileyo kuphela ezifuna ii-ventilators.Nangona kunjalo, ukuba izigulane ezineempawu ezincinci aziphathwanga ngexesha, zinokuthi zikhule zibe zizifo ezinzima, kwaye umlinganiselo wezigulane ezineempawu ezincinci zikhulu kakhulu.

“Isixhobo sokungenisa umoya yinkqubo yenkxaso yemiphunga, kwaye iliso liliso lophuhliso kunye notshintsho lwesifo.Idlala indima ebalulekileyo yesilumkiso kwangethuba ekugwebeni xa isigulana sikwisixhobo sokuphefumla, sikhupha isingxobo sokuphefumla, kwaye sivavanya esisisifo esibi kakhulu.”Lu Hong Umlawuli wayenza yacaca.Kubantu abadala kunye nabatyebileyo abanezifo eziphantsi, uMlawuli uLiu Xueyan ukholelwa ukuba i-monitor kufuneka isetyenziswe ukubamba utshintsho lwesifo ngexesha kwisigaba sokuqala.

Uhambo

Imeko yezigulane ezinenyumoniya entsha ye-coronary ikhula ngokukhawuleza, kwaye ukuthutha kuye kwaba ngundoqo ekusindiseni ubomi bezigulane.Phakathi kweewadi kunye neewadi, phakathi kwezibhedlele, izibhedlele ezichongiweyo, kunye nezinye izibonelelo zoncedo lokuqala, uMlawuli uLu Hong wabonisa ukuba ezi nkqubo zothutho ziye zabeka phambili iimfuno eziphezulu zokuhlola i-oxygenation.

Ukongezelela, ukusuleleka okuphezulu kungenye yeempawu eziphambili zesithsaba esitsha.Kuxelwe ukuba bamalunga nama-20,000 abasebenzi bezonyango eSpain ngoku bosulelwe yile ntsholongwane intsha yesithsaba, ngaphezulu kwe-8,000 yabasebenzi bezonyango e-Itali, kunye nabasebenzi bezonyango abangaphezu kwama-300 eBelarus.“Inkqubo yokubeka iliso ingathatha indawo yenxalenye yomsebenzi wabasebenzi bezonyango, kwaye inokuqonda iimpawu ezibalulekileyo zesigulana ngaphandle kokuqhagamshelana nesigulana.”UMlawuli uLiu Xueyan ukholelwa ukuba iliso lidlala indima yokukhusela kwizigulana ezosulelekileyo kunye nabasebenzi bezonyango.

ICU

Uninzi lwezigulana ezigula kakhulu ezinenyumoniya entsha ye-coronary ziya kukhula ukungaphumeleli kokuphefumla okukhulu, i-sepsis, ukothuka, kunye nokusilela kwamalungu amaninzi, kwaye kufuneka bamkelwe kwi-ICU ukuze baqwalaselwe kwaye banyangwe.UMlawuli uLiu Xueyan uthe unyango lwezigulana ezigula kakhulu ezinenyumoniya entsha ye-coronary ayivavanyi nje kuphela inqanaba lokhathalelo lwezonyango, kodwa ikwaxhomekeke ekubeni iimpawu ezibalulekileyo zesigulana, i-hemodynamics, i-blood oxygen saturation kunye nezinye iiparameters zinokufumaneka ngokuchanekileyo, ngokwenyani. ngexesha nangexesha elifanelekileyo.yaba nendima ebalulekileyo kuyo.

Uwumisa njani umlinganiselo wemonitha kwi-ventilator

“Abajongi zizixhobo ezingxamisekileyo kwi-ICU.Ngokweemfuno zemigangatho yolwakhiwo lwe-ICU, iimonitha kunye nezixhobo zokungenisa umoya kufuneka zimiselwe kumlinganiselo we-1: 1, nokuba kungexesha lesithsaba esitsha okanye ngamaxesha aqhelekileyo. "UMlawuli uLiu Xueyan uthe.

Okwangoku, inani lezigulana ezinezithsaba ezitsha eziqatha kumazwe angaphandle liphindaphindeke kabini, kwaye kukho ukunqongophala okukhulu kwee-ventilators.Ezinye izibhedlele zinciphisa ukusetyenziswa kwee-ventilators kwezo zinexabiso lonyango.Ngenxa yale meko, iingcaphephe ziyavuma ukuba ukubaluleka kweemonitha kugqame ngakumbi.Isibhedlele kufuneka siqinisekise ukuba ibhedi nganye yesibhedlele ixhotyiswe ngemonitha.Kwizigulane ezincinci, ezithuthwayo kunye nezinzima, utshintsho kwiimeko zabo lunokuthi lubanjwe okokuqala, ukwenzela ukuba kuqinisekiswe ukuba ibhedi nganye ixhotyiswe nge-monitor.Nciphisa kwaye unciphise umngcipheko owenziwe yi-COVID-19.

Zingaphi iimonitha ezifunwa yi-ventilator ngexesha lesithsaba esitsha?


Ixesha lokuposa: Apr-07-2022