Chubhu yekusveta inoshandiswa kamwe chete inoshandiswa kuvarwere vekiriniki kutora sputum kana zvinobuda mu trachea. Basa rekusveta rinoshandiswa kamwe chete rinofanira kunge rakareruka uye rakagadzikana. Nguva yekusveta haifanirwe kudarika masekondi gumi nemashanu, uye mudziyo wekusveta haufanirwe kudarika maminetsi matatu.
Nzira yekushandisa chubhu yekusveta kamwe chete:
(1) Tarisa kana kubatana kwechikamu chimwe nechimwe chemudziyo wekusveta kwakanaka uye hapana mhepo inobuda. Batidza simba, vhura switch, tarisa mashandiro emupi weaspirator, uye gadzirisa kumanikidzwa kusina kunaka. Kazhinji, kumanikidzwa kwekusveta kwemunhu mukuru kunenge 40-50 kPa, mwana anosveta anenge 13-30 kPa, uye chubhu yekusveta inoraswa inoiswa mumvura kuti iedze kukwezva uye kusukira chubhu yeganda.
(2) Tendeudza musoro wemurwere kuna mukoti wobva watambanudza tauro rekurapa pasi peshaya.
(3) Isa chubhu yekusveta inoraswa nenzira yevheranda remuromo→ matama→ pharynx, woburitsa zvidimbu zvacho. Kana paine dambudziko rekusveta nemuromo, inogona kuiswa nepaburi remhino (varwere vasingabvumirwi vane dehenya rakatyoka), kurongeka kwacho kunobva pavheranda remhino kuenda kuburi remhino repazasi → muromo wemhino → muromo wemhino → muromo wemhino → trachea (inenge 20-25cm), uye zvinobuda zvinosvetwa chimwe nechimwe. Zviite. Kana paine trachea intubation kana tracheotomy, sputum inogona kusvetwa nekuisa mu cannula kana cannula. Murwere ane comatose anogona kuvhura muromo nechinhu chinodzvinyirira rurimi kana chinovhura asati akwezva.
(4) Kusveta mukati megumbo, murwere paanofema, kurumidza kuisa catheter, tenderedza catheter kubva pasi kuenda kumusoro, wobvisa zvinobuda mumhepo, wotarisa kufema kwemurwere. Paunenge uchikwezvwa, kana murwere akakosora zvakanyanya, mirira kwenguva usati wasveta. Sukurudza chubhu yekusveta chero nguva kuti isavhare.
(5) Mushure mekusvuta, vhara switch yekusvuta, rasa chubhu yekusvuta iri mubharero diki, uye dhonza girazi repaipi repaipi mubharero remubhedha kuti rive mubhodhoro rekuuraya utachiona kuti richeneswe, wopukuta muromo wemurwere. Tarisa huwandu, ruvara uye hunhu hwemushonga wekufema uye nyora pasi sezvinodiwa.
Chubhu yekusveta inoraswa chigadzirwa chisina utachiona, chinosveta ne ethylene oxide uye chinosveta kwemakore maviri. Chinongoshandiswa kamwe chete, chinoparadzwa mushure mekushandiswa, uye hachibvumirwi kushandiswa kakawanda. Nokudaro, chubhu yekusveta inoraswa haidi kuti murwere azvichenese uye azviuraye.
Nguva yekutumira: Chikunguru-05-2020
