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M'dziko la opaleshoni, malo a makina ochititsa dzanzi sangathe kugwedezeka

Monga opaleshoni ya opaleshoni, polankhula ndi odwala kapena mabanja awo, nthawi zambiri amatchulidwa kuti tracheal intubation, ndipo mwachibadwa amatanthauza makina ochititsa dzanzi, "ndi makina omwe amapereka mpweya pambuyo pogona", ambiri odwala opaleshoni nthawi zambiri amayambitsa makina ochititsa dzanzi. mawu ochepa.Makina ochititsa dzanzi, kwenikweni amatanthauza kupanga makina ochititsa dzanzi, m'mawu otchuka, makina ochititsa dzanzi amagwiritsidwa ntchito pokoka mankhwala ochititsa dzanzi komanso kupuma kwa zida zamankhwala.

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Chithunzi 1: Mawonedwe ambiri a makina amakono a anesthesia.

Mafilimu ndi TV ntchito zambiri kuonekera pa mpango kutsanulira mankhwala, kuphimba pakamwa wina ndi mzake adzatembenuzidwa pa zochitika.Tikumbukenso kuti chiwembu choyamba mokokomeza ndi pafupifupi, kenako njira mankhwala lotseguka, sangathe kulamulira mlingo wa mankhwala, sangathe kulamulira kuya kwa opaleshoni, komanso zosavuta dzanzi okha.Koma makina ochititsa dzanzi ndi osiyana, ali ndi mankhwala ochititsa volatilization thanki, akhoza ndendende kusintha inhalation wa ndende mankhwala ochititsa dzanzi, ndi chatsekedwa kupuma mzere, kuonetsetsa kuti mankhwala si kutayikira.

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Chithunzi 2: Kukoka mpweya wochititsa mantha vaporization thanki.

The vaporizer (yomwe imatchedwanso evaporator) ndi chigawo chachikulu cha makina ochititsa opaleshoni, ofanana ndi injini ya galimoto.Iwo vaporizes madzi mankhwala ochititsa mu mpweya mankhwala ochititsa, ndi amazilamulira ndende yake, ndiyeno kusakaniza ndi mpweya ndi bwino "ziyamwa" mu mapapu a wodwalayo kukwaniritsa cholinga cha opaleshoni.
Ndi chitukuko cha opaleshoni, kuchokera zida zosavuta zida zovuta, kuwonjezera pa zinthu zofunika za dongosolo gasi kotunga, otaya ulamuliro dongosolo, opaleshoni evaporator ndi opaleshoni dera, pang`onopang`ono kuwonjezera mpweya makina, opaleshoni dongosolo utsi mpweya kuchotsa, komanso wanzeru zambiri. processing dongosolo, moyo polojekiti dongosolo ndi zipangizo zina zapamwamba.
Komabe, ziribe kanthu momwe mawonekedwe a makina opangira opaleshoni amasinthira, momwe ziwalo zamkati zimasonkhanitsidwa, ndi mphamvu yogwiritsira ntchito ntchito, ntchito zake ziwiri zofunika kwambiri sizinasiyidwe ndikukonzedwa nthawi zonse ndikuwongolera, imodzi ndi ntchito ya anesthesia, ndipo ina ndi ntchito yopumira mpweya wabwino.

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Chithunzi 3: Wodwalayo amalumikizidwa ndi makina a anesthesia kupyolera mu chitoliro chopuma, ndipo gawo lobiriwira ndilo fyuluta yopuma.

Ntchito ya anesthetic imazindikiridwa ndi thanki ya volatilization, ndipo ntchito ya mpweya imazindikiridwa ndi mpweya wabwino.Mvuvu ikakanikizidwa, mpweya weniweni kapena mpweya wa mpweya wosakanikirana ndi mankhwala oletsa ululu umakakamizika kulowa m'mapapu a wodwalayo;Pamene mvuvuzi dilated, mapapu ndi retracted ndi elasticity awo, kubwezera mpweya yotsalira mu alveoli kwa opaleshoni makina, ndondomeko imeneyi ndi ofanana ndi kupuma kwa munthu, mpweya ndi mpweya woipa amasinthidwa mmbuyo ndi mtsogolo mu chitoliro chopumira. amatha kuonetsetsa kuti odwala amapeza mpweya pansi pa anesthesia, yomwe ndi njira yamoyo ya odwala.
High-mapeto opaleshoni adzawonjezera masensa ena mipope kuonetsetsa ndende mpweya, mpweya woipa ndende ndi inhalation mankhwala ochititsa ndende ndende, etc., adzawonjezera Alamu chipangizo kupewa monyanyira mawotchi kuthamanga kumabweretsa kukula kwa alveolar ndi kuphulika, komanso kupewa makina sagwira ntchito kapena kulephera chifukwa cha ngozi hypoxia.

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Chithunzi 4: Kuyang'anira zinthu ndi mawonetsedwe a makina apamwamba kwambiri oletsa ululu.

Kuphatikiza pakuwonetsetsa ntchito ziwiri zomwe tafotokozazi, makina amakono opanga opaleshoni amakhala ndi zida zosiyanasiyana zowunikira kapena zowunikira molingana ndi zosowa zachipatala, monga kuyang'anira kusintha kwa kuthamanga kwa mpweya, zizindikiro zofunika kwambiri, kupuma kwa gasi wochititsa manyazi komanso kutulutsa mpweya, kusungunuka kwa mpweya wa okosijeni, kuwonetsa mosadziwika bwino. kuya kwa anesthesia, digiri yopumula minofu ndi zina zambiri.Palinso zipangizo zotetezera kuti muteteze hypoxia ndi asphyxia, machitidwe a alamu ofunikira, machitidwe otsalira a anesthesia otsalira gasi ndi machitidwe owunikira carbon dioxide.Makina apamwamba a anesthesia alinso ndi kasamalidwe ka chidziwitso cha anesthesia, omwe amatha kulandira, kusanthula ndi kusunga zidziwitso zokhudzana ndi kasamalidwe ka mankhwala ochititsa dzanzi komanso oyang'anira, kusonkhanitsa zidziwitso zowunikira ndikungopanga zolemba za anesthesia.

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Chithunzi 5: Chowonera makina amakono a anesthesia.

Monga otchedwa "mzere woyamba moyo ndi woyamba mzere imfa", odwala mu boma la opaleshoni kudalira opaleshoni makina mpweya, khalidwe lake limatsimikizira ubwino wa opaleshoni ndi chitetezo cha moyo wa wodwalayo, opaleshoni makina ntchito ochepa zopangidwa yachilendo ankalamulira msika, koma panopa mankhwala ochititsa opaleshoni makina kumasulira gawo msika akukwera ndi apamwamba, kupereka chitetezo zambiri odwala zoweta.


Nthawi yotumiza: Dec-25-2023

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