Mwisi ya anesthesia, umwanya wimashini ya anesthesia ntushobora guhungabana

Nka anesthesiologue, mugihe avugana nabarwayi cyangwa imiryango yabo, bikunze kuvugwa ko intubation ya tracheal, kandi mubisanzwe yerekeza kumashini ya anesthesia, "ni imashini itanga ogisijeni nyuma yo gusinzira", abahanga mubushakashatsi bwa anesthesiologue bakunze kwinjiza imashini ya anesthesia hamwe amagambo make.Imashini ya Anesthesia, ijambo ku rindi risobanura gukora imashini ya anesthesia, mu magambo akunzwe, imashini ya anesthesia ikoreshwa mu guhumeka anesteziya no gucunga ubuhumekero bwibikoresho byubuvuzi.

Igishushanyo 1: Reba muri rusange imashini ya anesthesia igezweho.

Ibikorwa bya firime na tereviziyo bikunze kugaragara ku gitambaro cyo gusuka imiti, gupfuka umunwa umwe bizahindurwa hejuru.Twabibutsa ko umugambi nk'uwo ubanza gukabya no kugaragara, hagakurikiraho ubu buryo bwo kuvura burakinguye, ntibushobora kugenzura urugero rw'ibiyobyabwenge, ntibushobora kugenzura ubujyakuzimu bwa anesteziya, ariko kandi biroroshye kwikanga.Ariko imashini itera anestheque iratandukanye, ifite ikigega cya anesthetic volatilisation, irashobora guhindura neza guhumeka kwinshi kwa anesthetic, hamwe numurongo uhumeka ufunze, kugirango ibiyobyabwenge bidatemba.

Igishushanyo 2: Guhumeka anesthetic ya vaporisation.

Vaporizer (nanone yitwa evaporator) nikintu cyingenzi cyimashini ya anesthesia, isa na moteri mumodoka.Ihinduranya anestheque yamazi muri anesthetic ya gaze, ikanagenzura ubunini bwayo, hanyuma ikavanga na ogisijeni hanyuma "ikonsa" neza mubihaha byumurwayi kugirango igere ku ntego ya anesteziya.
Hamwe niterambere rya anesteziya, kuva mubikoresho byoroheje kugeza kubikoresho bigoye, hiyongereyeho ibintu by'ibanze bya sisitemu yo gutanga gazi, sisitemu yo kugenzura imigezi, anesthesia evaporator hamwe n’umuzunguruko wa anesthesia, buhoro buhoro wongereho imashini ihumeka, sisitemu yo gukuramo gaze ya anesteziya, hamwe namakuru yubwenge. sisitemu yo gutunganya, sisitemu yo gukurikirana ubuzima nibindi bikoresho bigezweho.
Nubwo, uko isura yimashini ya anesteziya ihinduka, uko ibice byimbere byateranijwe, nuburyo bukomeye bwo gukoresha imikorere, ibikorwa byayo bibiri byingenzi ntabwo byigeze bitangwa kandi bigahora bitezimbere kandi binonosorwa, kimwe nigikorwa cya anesteziya, naho ubundi ni imikorere yubuhumekero.

Igishushanyo 3: Umurwayi yahujwe na mashini ya anesthesia binyuze mu muyoboro uhumeka, naho icyatsi kibisi ni akayunguruzo.

Imikorere ya anesthetic igerwaho nigikoresho cya volatilisation, nigikorwa cyo guhumeka kigerwaho na ventilator.Iyo inzogera zifunitse, umwuka mwiza wa ogisijeni cyangwa umwuka wa ogisijeni wo mu kirere uvanze na anesthetic ihumeka bihatirwa mu bihaha by’umurwayi;Iyo inzogera yagutse, ibihaha bisubizwa inyuma na elastique yabo, bigasubiza gaze isigaye muri alveoli kumashini ya anesthesia, iyi nzira isa no guhumeka kwabantu, ogisijeni na dioxyde de carbone ihinduranya imbere mumiyoboro ihumeka, iyo irashobora kwemeza ko abarwayi babona ogisijeni munsi ya anesthesia, aribwo buzima bwabarwayi.
Anesthesia yo mu rwego rwo hejuru izongeramo ibyuma bimwe na bimwe muri iyi miyoboro kugira ngo umwuka wa ogisijeni ube mwinshi, imyuka ya dioxyde de carbone hamwe no guhumeka anesthetic, n'ibindi, bizongera ibikoresho byo gutabaza kugira ngo wirinde umuvuduko ukabije w’imashini utera kwaguka kwa alveolar no guturika, ariko kandi birinda imashini ntabwo ikora cyangwa gutsindwa biterwa nimpanuka za hypoxia.

Igishushanyo 4: Gukurikirana ibintu no kwerekana imashini zo mu rwego rwo hejuru.

Usibye kwemeza imikorere ibiri yavuzwe haruguru, imashini za anesteziya zigezweho nazo zifite ibikoresho bitandukanye byo kugenzura cyangwa ibyuma bikurikirana ukurikije ibikenerwa n’ubuvuzi, nko gukurikirana ihinduka ry’umuvuduko w’umuyaga, ibimenyetso byerekana ibimenyetso byingenzi, guhumeka gaze ya anestheque no guhumeka, umwuka wa ogisijeni, kwerekana mu buryo butaziguye ubujyakuzimu bwa anesthesia, urwego rwo kuruhura imitsi nandi makuru.Hariho kandi ibikoresho byumutekano kugirango wirinde hypoxia na asphyxia, sisitemu zikenewe zo gutabaza, sisitemu yo gukuraho gaze isigaye ya anesthesia hamwe na sisitemu yo gukurikirana karuboni ya dioxyde.Imashini ya anesthesia yateye imbere kandi ifite sisitemu yo gucunga amakuru ya anesthesia, ishobora kwakira, gusesengura no kubika amakuru ajyanye nubuvuzi bwa anesthesia nubuyobozi bwubuyobozi, ihita ikusanya amakuru ya monitor hanyuma igahita itanga inyandiko za anesteziya.

Igishushanyo 5: Mugaragaza imashini igezweho ya anesthesia.

Nkuko byitwa "ubuzima bwo ku murongo wa mbere n'urupfu rwo ku murongo wa mbere", abarwayi bo muri leta ya anesthesia bishingikiriza kuri ogisijeni ya mashini ya anesthesia, ubwiza bwayo bugena ireme rya anesteziya n'umutekano w'ubuzima bw'umurwayi, imashini ya anesteya yahoze ari a ibirango bike by'amahanga byiganje ku isoko, ariko isoko ya anesthesia yimashini igenera isoko iragenda yiyongera, kugirango itange umutekano mwinshi kubarwayi bo murugo.