High-flow oxygen faryana nufin hanyar samar da ingantaccen magani ga marasa lafiya ta hanyar samar da babban kwarara, daidaitaccen iskar oxygen da dumama da humidifying iska-oxygen gauraye gas.Yana iya sauri inganta matakin oxygenation na majiyyaci kuma ya kula da aikin yau da kullun na cilia na iska.
Ana amfani da maganin iskar oxygen mai girma sosai a cikin asibiti don rashin gazawar numfashi na hypoxic, maganin oxygen bayan extubation, raunin zuciya mai rauni, cututtukan iska na yau da kullun, da wasu hanyoyin numfashi masu ɓarna a cikin aikin asibiti saboda tasirinsa na musamman.Musamman ga marasa lafiya tare da gazawar numfashi na hypoxic, babban aikin iskar oxygen yana da matukar kyau fiye da tsarin iskar oxygen na gargajiya dangane da haɓaka matsin lamba na ɓangaren oxygen, kuma tasirin bai yi ƙasa da samun iska ba, amma HFNC yana da mafi kyawun kwanciyar hankali da haƙuri fiye da iskar shaka mara amfani.Don haka, ana ba da shawarar HFNC azaman maganin numfashi na farko ga irin waɗannan marasa lafiya.
Cannula Nasal mai kwarara (HFNC)yana nufin wani nau'in maganin iskar oxygen wanda kai tsaye ke isar da iska da iskar oxygen gauraye mai yawan iskar iskar iskar iskar oxygen ga majiyyaci ta hanyar filogin hanci ba tare da hatimi ba.An fara amfani da maganin iskar oxygen mai girma (HFNC) azaman madadin tallafin numfashi ga ci gaba da samun iska mai kyau (NCPAP) kuma an yi amfani da shi sosai a cikin rashin damuwa na numfashi na jarirai (NRDS), kuma ya sami wani tasiri.Tare da karuwar amfani da HFNC a cikin manya, ma'aikatan kiwon lafiya suma sun san fa'idodin sa na musamman a cikin amfani da daban-daban da na yau da kullun na iskar oxygen da iskar injuna mara lalacewa.
Maganin iskar oxygen mai hawan hanci (HFNC) yana da tasirin ilimin lissafi na musamman:
1. Constant oxygen maida hankali: da oxygen kwarara kudi bayar da na gargajiya low-flow oxygen far na'urar ne kullum 15L/min, wanda ya yi nisa da nisa fiye da ainihin kololuwa inspiratory kwarara na majiyyaci, kuma rashin isasshen kwarara kudi za a supplemented da iskar da ake shaka a lokaci guda, don haka shakar iskar oxygen Za a narkar da maida hankali sosai kuma ba a san takamaiman matakin ba.Na'urar kwantar da hankali mai zurfi tana da mahaɗar iskar oxygen da aka gina a ciki kuma tana iya samar da iskar gas mai gauraya har zuwa 80L / min, wanda ya fi girma mafi girma na majiyyaci, ta haka ne ke tabbatar da yawan iskar oxygen da aka shaka har zuwa 100%;
2. Kyakkyawan zafin jiki da sakamako mai zafi: HFNC na iya samar da iskar gas mai girma a 37 ℃ da 100% zafi, wanda yana da fa'ida mai girma idan aka kwatanta da maganin oxygen na gargajiya;
3. Wanke mataccen rami na nasopharynx: HFNC na iya samar da iskar gas har zuwa 80L/min, wanda zai iya watsar da mataccen kogon nasopharynx zuwa wani matsayi, ta yadda zai iya samar da isasshen iskar oxygen da karancin iskar carbon dioxide, wanda iya inganta jini oxygen.Matsayin jikewa a cikin rage carbon dioxide;
4. Samar da wani tabbataccen matsi na iska: Wasu masu bincike sun gano cewa HFNC na iya samar da matsakaicin matsa lamba na kusan 4cmH2O, kuma idan an rufe baki, yana iya haifar da matsa lamba har zuwa 7cmH2O.Ana iya ganin cewa HFNC na iya haifar da irin wannan tasiri ga ci gaba da matsa lamba na iska (CPAP).Duk da haka, ba kamar CPAP ba, HFNC yana da niyya a yawan adadin kuzari don samar da matsa lamba na iska mara kyau, don haka a cikin amfani da asibiti, dole ne a rufe bakin majiyyaci don cimma sakamakon da ake so;
5. Kyakkyawan ta'aziyya da haƙuri: Yawancin binciken sun gano cewa saboda yanayin zafi mai kyau da yanayin zafi da sauƙi na amfani, na'urar kwantar da iskar oxygen ta hanci tana da mafi kyawun kwanciyar hankali da juriya fiye da maɗauran iskar oxygen da kuma marasa lalacewa.
Sepray Nasal High Flow Oxygen Therapy OH jerin numfashi humidification far kayan aiki samar da tasiri kwarara far ga marasa lafiya ta samar da high-flow, daidai oxygen taro da warmed da humidified iska-oxygen gauraye gas.
Sassan da aka Aiwatar:
ICU, Respiratory Dept.Ma'aikatar gaggawaMa'aikatar Neurosurgery.Geriatrics dept.Cibiyar ilimin zuciya.
Lokacin aikawa: Yuli-13-2020