Uxinzelelo oluqhubekayo lwe-airway, olubizwa ngokuthi yi-CPAP, luhlobo lwenkxaso yokuphefumula, okanye umoya wokungenisa umoya, osetyenziswa kwizigulane zabantu abadala kunye nabantwana. Kwiintsana zangaphambi kwexesha , i-CPAP ihanjiswa ngokusetyenzwa kweengxube zamanzi okanye nge-mask encinci ehambelana nephunga lomntwana.
Njengomdlavuza wamanzi , i-CPAP isetyenziselwa ukuhambisa uxinzelelo lomoya kumphunga wengane, encedisa i-bags emoyeni kwimiphunga evulekile kwaye inceda ukukhusela i-apnea.
I-CPAP ingakwazi ukuhambisa ingcinezelo engaphezulu kunokuba i-canal, ibe isetyenziswe rhoqo kwiintsana eziphefumula ngokwabo ngokwabo ukuba azidingi ukunyusa umoya, kodwa zifuna inkxaso engaphezulu kune-cannula. I-CPAP ingasetyenziselwa ukunikela iindawo eziphezulu ze-oksijini ukuya kwiintsana ezingaphambi kwexesha ezinengxaki yokugcina amanqanaba e-oksijeni entle egazini labo.
Indlela iPopAP ihamba ngayo kwiNose
Ngentombazana, i-CPAP isetyenziselwa ukusebenzisa i-binasal cannula (i-nasal prongs), i-canopharyngeal cannula enye, okanye i-mask ephathekayo. Kule ndlela, iincinasal prongs ezincinci zikhethwa ngamagcisa amaninzi. Uninzi kuninzi, abaphandi baye bazama ukusebenzisa i-helmet yokulawula i-CPAP.
Imilinganiselo yokuHlanywa kweCopAP
I-CPAP ingaba nale miqathango yokhuselo:
- Uphawu lwangaphantsi kwamanzi
- Ukuchasana nokuchasana nokuguquka kwamanzi ngexesha lokuphela
- Ulawulo lwempompo
Kuyaxeka ukuba luhlobo luni lokunyanzeliswa olwenza lula ukuphefumula intsana.
IiNkqubo zoMbane eziTshintshayo kunye neeNkqubo zokuHlola eziqhubekayo
I-CPAPs zentengiso zinokuhlulwa zibe zimbini iintlobo: iinkqubo zokuhamba eziguquguqukayo kunye neenkqubo eziqhubekayo zokuhamba.
- Iinkqubo ezihambayo ezihambayo: Iinkqubo ezihambayo ezihambayo zibeka isilinganiselo seCAPAP usebenzisa ukulungiswa okukhawulezayo kwinqanaba lokuhamba. Uxinzelelo oluveliswe ngeendlela ezijikelezayo ezilinganiswayo lubalwa ngokusebenzisa i-manometer ekhishwe kwi-alamu.
- Iinkqubo ezihambayo eziqhubekayo : Iinkqubo eziqhubekayo zokuhamba zilungelelanise iqondo leCPAP ngokusebenzisa i-valve kwisiphaluka sokuphefumula ukuze ulungise ukumelana okanye ngokubeka i-tubing yokuphefumula phantsi kwamanzi. Zombini ezi zixhobo zifuna ukuphakama kwamazinga aphezulu okujikeleza ukutshatshela ukuhamba komntwana ophakamileyo.
Ingqalelo, iindlela ezilula zokuhamba zihamba kakuhle kwaye zineengcinezelo ezahlukahlukeneyo zisebenzisa ezi nkqubo zilula zilawulwa kakuhle.
Luhlobo luni lwe-CPAP oluhle?
Asisayi kuqonda ngokucacileyo indlela "engcono" yolawulo lwe-CPAP. Ngamanye amagama, akukho bungqina obunzima obuvumela ukusetyenziswa kwenkqubo ethile yomnatha okanye inkqubo yokuhamba. Nangona kunjalo, iinkqubo ze-bubble (uhlobo lohambo oluqhubekayo) lunokuba luhle kunokuba i-Infant Flow Systems (uhlobo lwe-flow flow flow system) xa unyanga iintsana ezine-respiratory syndrome (RDS). Ngokukodwa, uphando oluthile lubonisa ukuba iintsana ezine-RDS ezibekwe kwiinkqubo zobuninzi zifuna ixesha elincinane kwi-CPAP kwaye zinokwenzeka ukuba ziphumelele ngempumelelo. (Ukugqithiselwa kwintetho yonyango kuthetha ukuthatyathwa kwetyhubhu, kulo mzekelo, ukususwa kwetyhubhu ye-CPAP kunye nesikhombisi-ndlela.) Ezinye iziphumo ziye zaphakamisa ukuba izixhobo zombhobho zenza ukuba i-oxygenation engcono.
I-CPAP isetyenziswa nini kwiintsana?
I-CPAP kwiintsana zisetyenziselwa ukuphatha unyango lweengxaki zokuphefumula (RDS).
I-respiratory distress syndrome ifumaneka xa umntwana ezalwa ngaphambi kokuba imiphunga yakhe ingakhuliswa ngokupheleleyo. Imiphunga yale ntsana ayinalo kwi-intactantant, into etyumkileyo eyenza ukunciphisa ubuso emiphakeni kwaye yenza ukuphefumula.
> Imithombo:
> Agarwal S, uMaria A, uRoy MK, iVerma A. Uvavanyo olungalindelekanga Ukuqhathaniswa nokusebenza kweBhotile kunye neVentilator I-CPAP ye-Nasal ye-Nasal eLawulayo kakhulu i-Neonates ne-Distraction Distress. I-Journal ye-Clinical and Diagnostic Research: JCDR . 2016; 10 (9): SC09-SC12. i-doi: 10.7860 / JCDR / 2016 / 20584.8572.
> Bahman-Bijari B, Malekiyan A, Niknafs P, Baneshi MR. I-Bubble-CPAP kunye ne-Ventilatory-CPAP kwiintsana zase-Preterm ezinexinzelelo zokuphefumula. Iranian Journal of Pediatrics . 2011; 21 (2): 151-158.
> IKomidi ye-Fetus neNtsana. Inkxaso yokuphefumula kwiintsana zangaphambi kokuzalwa. Pediatrics . 2013; 133 (1): 171-174. i-doi: 10.1542 / iipeds.2013-3442.