No ke aha e pono ai i nā ventilators a me nā mea hana oxygen ke hoʻohālikelike i nā ʻāpana oxygen koko?
ʻO ka ventilator he mea hiki ke hoʻololi a hoʻomaikaʻi paha i ka hanu kanaka, hoʻonui i ka pulmonary ventilation, hoʻomaikaʻi i ka hana hanu, a hoʻemi i ka hoʻohana ʻana i ka hana hanu. Hoʻohana maʻamau ia no nā poʻe maʻi me ka hāʻule ʻole o ka pulmonary a i ʻole ke ala ea ʻaʻole hiki ke hanu maʻamau. ʻO ka hana inhalation a me ka exhalation o ke kino kanaka kōkua i ka mea maʻi e hoʻopau i ke kaʻina hana hanu o ka exhalation a me ka inhalation.
ʻO ka oxygen generator he mīkini palekana a maʻalahi no ka unuhi ʻana i ka oxygen maʻemaʻe kiʻekiʻe. He mea hoʻoheheʻe oxygen kino maʻemaʻe ia, e hoʻopaʻa a hoʻomaʻemaʻe i ka ea e hana i ka oxygen, a laila hoʻomaʻemaʻe a hāʻawi i ka mea maʻi. He kūpono ia no nā maʻi hanu, nā maʻi naʻau a me nā lolo. No nā poʻe maʻi me ka maʻi vascular a me ke kiʻekiʻe hypoxia, ka mea nui e hoʻoponopono i nā hōʻailona o ka hypoxia.
Ua ʻike ʻia ʻo ka hapa nui o nā mea maʻi i make me ka maʻi maʻi maʻi Covid-19 he nui ka hemahema o ke kino i hoʻokumu ʻia e ka sepsis, a ʻo ka hōʻike ʻana i ka hemahema o nā kino he nui i loko o ka māmā he acute respiratory distress syndrome ARDS, ʻo ka nui o ka hopena o kahi kokoke i 100% . No laila, ʻo ka mālama ʻana i ka ARDS hiki ke ʻōlelo ʻia ʻo ia ke kumu o ka mālama kākoʻo no nā maʻi me Covid-19 pneumonia. Inā ʻaʻole mālama maikaʻi ʻia ka ARDS, make koke ka mea maʻi. I ka wā o ka mālama ʻana i ka ARDS, inā he haʻahaʻa ka oxygen saturation o ka mea maʻi me ka nasal cannula, e hoʻohana ke kauka i kahi ventilator e kōkua i ka hanu ʻana, ʻo ia ka mea i kapa ʻia ʻo mechanical ventilation. Hoʻokaʻawale hou ʻia ka hoʻoheheʻe ʻana i ka mīkini i loko o ka invasive assisted ventilation a me ka non-invasive assisted ventilation. ʻO ka ʻokoʻa ma waena o nā mea ʻelua he intubation.
ʻO ka ʻoiaʻiʻo, ma mua o ka puka ʻana o ka maʻi maʻi maʻi Covid-19, ʻo ka "oxygen therapy" he mea lapaʻau koʻikoʻi koʻikoʻi no ka poʻe maʻi me nā maʻi hanu a me nā maʻi cardiovascular. ʻO ka Oxygen therapy e pili ana i ka mālama ʻana i ka inhaling oxygen e hoʻonui i ka pae o ka oxygen koko a kūpono i nā maʻi hypoxic āpau. I waena o lākou, ʻo nā maʻi o ka ʻōnaehana hanu a me ka ʻōnaehana cardiovascular nā maʻi nui, ʻoi aku ka nui o ka mālama ʻana i ka maʻi obstructive pulmonary maʻi (COPD), ua hoʻohana ʻia ka oxygen therapy ma ke ʻano he mea koʻikoʻi adjuvant therapy i ka ʻohana a me nā wahi ʻē aʻe.
ʻO ka mālama ʻana iā ARDS a i ʻole ka mālama ʻana o COPD, pono nā ventilator a me nā concentrators oxygen. No ka hoʻoholo inā pono e hoʻohana i kahi ventilator waho e kōkua i ka hanu ʻana o ka mea maʻi, pono e nānā i ka saturation oxygen koko o ka mea maʻi i ka wā o ke kaʻina hana holoʻokoʻa e hoʻoholo ai i ka hopena o ka "oxygen therapy".
ʻOiai he mea maikaʻi ka inhalation o ka oxygen i ke kino, ʻaʻole hiki ke mālama ʻia ka pōʻino o ka ʻona o ka oxygen. ʻO ka ʻawaʻawa o ka oxygen e pili ana i kahi maʻi i hōʻike ʻia e nā loli pathological i ka hana a me ke ʻano o kekahi mau ʻōnaehana a i ʻole nā ʻāpana ma hope o ka hoʻohu ʻana o ke kino i ka oxygen ma luna o kekahi kaomi no kekahi manawa. No laila, hiki ke hoʻoponopono ʻia ka manawa inhalation oxygen a me ka oxygen o ka mea maʻi e ka nānā ʻana i ka saturation oxygen koko i ka manawa maoli.
Ka manawa hoʻouna: Feb-10-2023
