A Isishintshi Somswakama Wokushisa (i-HME)kuyindlela eyodwa yokunikeza umswakama kubantu abadala abane-tracheostomy. Ukugcina umswakama womoya kubalulekile ngoba kusiza uketshezi oluncane ukuze lukwazi ukukhwehlela. Ezinye izindlela zokunikeza umswakama womoya kufanele zisetshenziswe lapho i-HME ingekho.
Izingxenye zeIzihlungi ze-HEM
Izingxenye zezihlungi ze-HME zakhiwe ngokucophelela ukuqinisekisa ukusebenza kahle. Ngokuvamile, lezi zihlungi zakhiwa yindlu, imidiya ye-hygroscopic, kanye nesendlalelo sesihlungi sebhaktheriya/segciwane. Indlu yakhelwe ukuvikela isihlungi ngokuphephile ngaphakathi kwesiguli.isifunda sokuphefumulaImidiya ye-Hygroscopic ngokuvamile yenziwa ngezinto ezithinta amanzi ezibamba futhi zigcine umswakama ophumayo ngempumelelo. Ngesikhathi esifanayo, ungqimba lwesihlungi sebhaktheriya/igciwane lusebenza njengesithiyo, luvimbela ukudlula kwamagciwane nezinhlayiya eziyingozi.
Izici Zobuchwepheshe Zezihlungi ze-HME:
Isihlungi se-HME sisetshenziswa kumasekethe okuphefumula esiguli ukuze kugwenywe noma yikuphi ukungcoliswa okuxubile.
Ifanele iziguli eziphefumula ngokungazelelwe ezine-tracheostomy tube.
Indawo yokuhlunga ephumelelayo: 27.3cm3
I-Luer Port ukuze kube lula ukuthatha isampula yegesi nge-cap eboshiwe ukuze kuqedwe ingozi yokungatholakali.
Isimo esiyindilinga se-ergonomic esingenazo iziphetho ezibukhali kunciphisa izimpawu zokucindezela.
Umklamo omncane wehlisa isisindo sesekethe.
Ukumelana okuphansi nokugeleza kunciphisa umsebenzi wokuphefumula
Ngokuvamile kuqukethe ungqimba lwegwebu noma iphepha elifakwe usawoti we-hydroscopic njenge-calcium chloride
Izihlungi zamagciwane kanye namagciwane kufanele zibe nokusebenza kahle kokuhlunga okungu->99.9%
I-HME esebenza kahle ngomswakama >30mg.H2O/L
Ixhuma kusixhumi esijwayelekile esingu-15mm esisepayipini le-endotracheal
Indlela yokushisa nokufaka umswakama
Iqukethe ungqimba lwegwebu noma iphepha elifakwe usawoti ofana ne-calcium chloride
Igesi ephelelwe yisikhathi iyaphola njengoba iwela ulwelwesi, okuholela ekujiyeni nasekukhululweni kwe-enthalpy enkulu yokuhwamuka iye kungqimba lwe-HME.
Uma uphefumulelwe, ukushisa okumuncwayo kuyayihwamukisa i-condensate bese kufudumeza igesi, usawoti othambile ukhipha ama-molecule amanzi lapho ingcindezi yomhwamuko iphansi.
Ngakho-ke ukufudumala kanye nomswakama kulawulwa okuqukethwe umswakama kwegesi ephelelwe yisikhathi kanye nokushisa okuyinhloko kwesiguli.
Kukhona nesendlalelo sesihlungi, kungaba ungqimba olushajwe ngogesi noma ungqimba olugobile olungenamanzi, lokhu kusiza ukubuyisela umswakama kugesi njengoba ukujiya kanye nokuhwamuka kwenzeka phakathi kwezimbobo.
Indlela yokuhlunga
Ukuhlunga kutholakala ezinhlayiyeni ezinkulu (>0.3 µm) ngokufaka kanye nokuvimba okungenayo i-inertial
Izinhlayiya ezincane (<0.3 µm) zibanjwa ukusabalala kwe-Brownian
Ukusetshenziswa kwezihlungi ze-HME
Zisetshenziswa kabanzi ezibhedlela, emitholampilo, nasezindaweni zokunakekelwa kwasekhaya. Lezi zihlungi zivame ukufakwa kumasekethe okuphefumula, izinhlelo zokuphefumula ze-anesthesia, kanye namashubhu e-tracheostomy. Ukuguquguquka kwazo kanye nokuhambisana kwazo nemishini ehlukahlukene yokuphefumula kuzenza zibe yingxenye ebalulekile yokunakekelwa kokuphefumula.
Njengomhlinzeki ohamba phambili kanye nomkhiqizi weizinto ezisetshenziswayo zezokwelapha, i-Shanghai Teamstand Corporation izibophezele ekuhlinzekeni izihlungi ze-HME ezisezingeni eliphezulu ezihlangabezana nezidingo eziqinile zochwepheshe bezempilo. Imikhiqizo yabo iklanyelwe ukugxila ekududuzeni isiguli, ukusebenza kahle kwezokwelapha kanye nokulawula ukutheleleka, okwenza kube ukukhetha okuthembekile kwezikhungo zezempilo emhlabeni jikelele.
Sinikeza ukukhetha okubanzi nokuphelele kwama-HMEF anokusebenza kahle okuhlukahlukene, osayizi kanye nezimo ukuqinisekisa ukukhetha okuphezulu kwamakhasimende ngenkathi kuhlangatshezwana nazo zonke izidingo zezokwelapha.
Isikhathi sokuthunyelwe: Ephreli-22-2024