Njenge-anesthesiologist, xa unxibelelana nezigulane okanye iintsapho zabo, kudla ngokukhankanywa ukuba intubation yoqhoqhoqho, kwaye ngokwemvelo ibhekisela kumatshini we-anesthesia, "ngumatshini obonelela ngeoksijini emva kokulala", abaninzi abane-anesthesiologists badla ngokuzisa umatshini wokuthomalalisa nge-anesthesia. amagama ambalwa.Umatshini we-anesthesia, ngokoqobo kuthetha ukwenza umatshini we-anesthesia, ngokwemiqathango ethandwayo, umatshini we-anesthesia usetyenziselwa i-inhalation anesthesia kunye nokulawulwa kokuphefumula kwezixhobo zonyango.
Umzobo 1: Umbono jikelele womatshini we-anesthesia wanamhlanje.
Imisebenzi yefilimu kunye nomabonakude idla ngokuvela kwitshefu ukugalela iyeza, ukugquma umlomo omnye uya kujikwa phezu kwendawo.Kufuneka kuqatshelwe ukuba iyelenqe elinjalo kuqala ibaxiwe kwaye virtual, kulandele le ndlela iyeza evulekileyo, ayikwazi ukulawula umthamo wamachiza, ayikwazi ukulawula ubunzulu i-anesthesia, kodwa kulula ukuba ndindisholo ngokwabo.Kodwa umatshini we-anesthetic wahlukile, unetanki ye-anesthetic volatilization, unokulungelelanisa ngokuchanekileyo i-inhalation ye-anesthetic concentration, kunye nomgca wokuphefumla ovaliweyo, ukuqinisekisa ukuba iyeza alivuzi.
Umzobo 2: Ukuphefumla itanki yokuphefumla i-anesthetic.
I-vaporizer (ekwabizwa ngokuba yi-evaporator) yinxalenye ephambili yomatshini we-anesthesia, efana nenjini yemoto.Ikhupha i-anesthetic engamanzi ibe yi-anesthetic yegesi, kwaye ilawule ukugxila kwayo, kwaye emva koko ixube neoksijini kwaye "ifunxa" kakuhle kwimiphunga yesigulana ukufezekisa injongo ye-anesthesia.
Ngophuhliso lwe-anesthesia, ukusuka kwizixhobo ezilula ukuya kwizixhobo eziyinkimbinkimbi, ukongeza kwizinto ezisisiseko zenkqubo yokubonelela ngegesi, inkqubo yokulawula ukuhamba, i-anesthesia evaporator kunye nesekethe ye-anesthesia, ngokuthe ngcembe ukongeza umatshini wokuphefumla, inkqubo yokukhupha igesi ye-anesthesia, kunye nolwazi oluhlakaniphile. inkqubo processing, inkqubo esweni ubomi kunye nezinye izixhobo eziphambili.
Nangona kunjalo, kungakhathaliseki ukuba ukubonakala komatshini we-anesthesia kutshintsha njani, indlela amalungu angaphakathi ahlanganiswe ngayo, kwaye unamandla kangakanani ukusetyenziswa kwemisebenzi, imisebenzi yayo emibini ebalulekileyo ayizange ikhutshwe kwaye ihlale iphuculwe kwaye iphuculwe, enye ngumsebenzi we-anesthesia, kwaye enye ngumsebenzi wokungenisa umoya wokuphefumla.
Umzobo 3: Isigulane sixhunyiwe kumatshini we-anesthesia ngokusebenzisa umbhobho wokuphefumula, kwaye inxalenye eluhlaza sisihluzo sokuphefumula.
Umsebenzi we-anesthetic uqondwa yitanki yokuvuselela, kwaye umsebenzi wokungena komoya uphunyezwa yi-ventilator.Xa imivumbo ixinzelelwe, ioksijini ecocekileyo okanye ioksijini yomoya exutywe nesibulali-zizolisi esisefuzileyo inyanzeliswa kwimiphunga yesigulana;Xa iimvumba zihlanjululwe, imiphunga ihoxiswa yi-elasticity yayo, ibuyisela igesi eseleyo kwi-alveoli kumatshini we-anesthesia, le nkqubo ifana nokuphefumla komntu, i-oksijeni kunye ne-carbon dioxide zitshintshiselwa ngapha nangapha kumbhobho wokuphefumla. inokuqinisekisa ukuba izigulane zifumana i-oksijini phantsi kwe-anesthesia, eyona ndlela yokuphila yezigulane.
I-anesthesia ephezulu iya kongeza ezinye izinzwa kule mibhobho ukuqinisekisa ukuxinwa kwe-oksijini, i-carbon dioxide concentration kunye ne-inhalation ye-anesthetic concentration, njl. umatshini akasebenzi okanye ukusilela okubangelwa iingozi hypoxia.
Umzobo 4: Izinto zokubeka iliso kunye nokuboniswa koomatshini be-anesthesia ephezulu.
Ukongeza ekuqinisekiseni le misebenzi mibini ingasentla, oomatshini bale mihla baxhotyiswe ngezixhobo ezahlukeneyo zokubeka iliso okanye abenzi boluvo ngokweemfuno zeklinikhi, njengokubeka iliso kutshintsho loxinzelelo lomoya, iimpawu ezibalulekileyo zeempawu, ukuphefumla igesi yokuthomalalisa nokuphefumla, ukugxininiswa kweoksijini, ukubonakaliswa ngokungangqalanga. ubunzulu be-anesthesia, idigri yokuphumla kwemisipha kunye nezinye iinkcukacha.Kukho nezixhobo ezikhuselekileyo zokukhusela i-hypoxia kunye ne-asphyxia, iinkqubo ze-alamu eziyimfuneko, iinkqubo zokususwa kwegesi ye-anesthesia kunye neenkqubo zokujonga i-carbon dioxide.Umatshini we-anesthesia ophezulu uxhotyiswe ngenkqubo yokulawula ulwazi lwe-anesthesia, enokufumana, ukuhlalutya kunye nokugcina ulwazi olunxulumene nekliniki ye-anesthesia kunye nolawulo lolawulo, ukuqokelela ngokuzenzekelayo ulwazi lwe-monitor kunye nokuvelisa ngokuzenzekelayo iirekhodi ze-anesthesia.
Umzobo 5: Isikrini sokujonga umatshini we-anesthesia wanamhlanje.
Njengoko kuthiwa "ubomi bomgca wokuqala kunye nokufa komgca wokuqala", izigulane kwimeko ye-anesthesia zixhomekeke kumatshini we-anesthesia oksijini, umgangatho wayo umisela umgangatho we-anesthesia kunye nokhuseleko lobomi besigulane, umatshini wokuthomalalisa osetyenziswayo iibrendi ezimbalwa zangaphandle zazilawula kwimarike, kodwa isabelo semarike sangoku somatshini wokuthomalalisa iintlungu siya phezulu nangaphezulu, ukubonelela ngokhuseleko olungakumbi kwizigulane zasekhaya.
Ixesha lokuposa: Dec-25-2023
