Ukwelashwa kwe-oksijeni ezinganeni

Izingane ezinenkinga yenhliziyo noma yamaphaphu zingadinga ukuphefumula inani lenyuka le-oxygen ukuze zithole amazinga ejwayelekile e-oxygen egazini lazo. Ukwelashwa kwe-oksijeni kunikeza izingane i-oxygen eyengeziwe.

I-oksijeni igesi amaseli emzimbeni wakho adinga ukusebenza kahle. Umoya esiwuphefumulayo ngokujwayelekile uqukethe i-21% oxygen. Singathola i-oxygen engafika ku-100%.

IFIKELELWA KANJANI I-OXYGEN?

Kunezindlela eziningi zokuletha umoya-mpilo enganeni. Iyiphi indlela esetshenziswayo encike ekutheni ingakanani i-oxygen edingekayo nokuthi ingane idinga umshini wokuphefumula. Ingane kufanele ikwazi ukuphefumula ngaphandle kosizo ukusebenzisa izinhlobo ezintathu zokuqala zokwelashwa komoya-mpilo ezichazwe ngezansi.

Isigqoko se-oxygen noma “ibhokisi eliyinhloko” lisetshenziselwa izingane ezikwazi ukuziphefumulela kodwa zisadinga umoya-mpilo owengeziwe. I-hood iyidome lepulasitiki noma ibhokisi eline-oxygen efudumele, emanzi ngaphakathi. Isigqoko sibekwa phezu kwekhanda lengane.

Kungasetshenziswa ithubhu elincane, elithambile, lepulasitiki elibizwa ngokuthi i-cannula yamakhala esikhundleni se-hood. Le tube inamaphini athambile angena kahle ekhaleni lengane. Umoya-mpilo ugeleza unqamule ishubhu.

Enye indlela uhlelo lwe-CPAP lwamakhala. I-CPAP imele ingcindezi yomoya oqhubekayo. Isetshenziselwa izingane ezidinga usizo oluthe xaxa kunalezo ezingaluthola kwi-oxygen hood noma nge-nasal cannula, kepha azidingi mshini oziphefumulela zona. Umshini we-CPAP uletha umoya-mpilo ngamashubhu anezinhlaka ezithambile zamakhala. Umoya ungaphansi kwengcindezi ephezulu, esiza imigwaqo yomoya namaphaphu ukuthi ahlale evulekile (afuthele).

Ekugcineni, umshini wokuphefumula, noma umshini wokuphefumula, ungadingeka ukuletha ukwanda komoya-mpilo nokuphefumulela umntwana. Umshini wokuphefumula unganikeza i-CPAP yodwa ngamaphini acinene, kodwa futhi ingaletha nokuphefumula enganeni uma ingane ibuthakathaka kakhulu, ikhathele, noma igula ukuba iphefumule. Kulokhu, umoya-mpilo ugeleza ngeshubhu elibekwe phansi kwepayipi lomoya lengane.

ZIYINI IZINGOZI ZE-OXYGEN?

Umoyampilo omningi noma omncane kakhulu ungaba yingozi. Uma amaseli emzimbeni ethola umoya-mpilo omncane, ukukhiqizwa kwamandla kuyehla. Ngamandla amancane kakhulu, amaseli kungenzeka angasebenzi kahle futhi angafa. Ingane yakho ingahle ingakhuli kahle. Izitho eziningi ezikhulayo, kufaka phakathi ubuchopho nenhliziyo, zingalimala.

I-oxygen eningi kakhulu nayo ingadala ukulimala. Ukuphefumula umoya-mpilo omningi kungalimaza iphaphu. Ezinganeni ezizalwa ngaphambi kwesikhathi, i-oxygen eningi egazini nayo ingaholela ezinkingeni ebuchosheni nasesweni. Izingane ezinezimo ezithile zenhliziyo zingadinga namazinga aphansi oksijini egazini.

Abahlinzeki bezokunakekelwa kwempilo yengane yakho bazoqapha eduze futhi bazame ukulinganisela ukuthi ingakanani i-oxygen ingane yakho eyidingayo. Uma unemibuzo mayelana nobungozi nezinzuzo zomoya-mpilo enganeni yakho, xoxa ngayo nomhlinzeki wengane yakho.

BUYINI UBUNGOZI BOKUTHOLA IZINHLELO ZE-OXYGEN?

Izinsana ezithola i-oksijini nge-hood zingabanda uma izinga lokushisa le-oksijeni lingafudumali ngokwanele.

Amanye ama-cannulas acinene asebenzisa i-oxygen epholile neyomile. Ngamazinga aphezulu okugeleza, lokhu kungacasula ikhala langaphakathi, kubangele ukuqhekeka kwesikhumba, ukuphuma kwegazi, noma ama-plugs amafinyila emakhaleni. Lokhu kungandisa ingozi yokutheleleka.

Izinkinga ezifanayo zingenzeka ngamadivayisi we-CPAP acinene. Futhi, amanye amadivayisi e-CPAP asebenzisa izingongolo ezibanzi zamakhala ezingashintsha isimo sekhala.

Imishini yokuphefumula inezingozi eziningana futhi. Abahlinzeki bengane yakho bazoqapha eduze futhi bazame ukulinganisa izingozi nezinzuzo zokusekelwa kokuphefumula kwengane yakho. Uma unemibuzo, xoxa ngalokhu nomhlinzeki wengane yakho.

Hypoxia - ukwelashwa komoya-mpilo ezinganeni; Isifo samaphaphu esingapheli - ukwelashwa komoya-mpilo ezinganeni; I-BPD - ukwelashwa kwe-oxygen ezinganeni; I-Bronchopulmonary dysplasia - ukwelashwa komoya-mpilo ezinganeni

• I-oksijeni hood
• Amaphaphu - usana

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USarnaik AP, uHeidemann SM, uClark JA. I-pathophysiology yokuphefumula kanye nomthethonqubo. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 373.