izindaba

Izinzuzo eziningi zesistimu yokumunca evaliwe

Ukusulwa kokuphuma kwemigudu yokuphefumula kuyinqubo evamile futhi kubalulekile ekuvimbeleni izifo zokuphefumula, i-atelectasis, nokugcinwa kwe-patency yomoya.Iziguli eziphefumula ngomshini kanye neziguli ezifakwe ngaphakathi zisengozini yokwanda koketshezi njengoba zilaliswa, zilala phansi, futhi zinezixhumi eziyimishini ezivimbela ukuphuma ngokuzenzekelayo kokuphuma komchamo.Ukumunca kungasiza ekugcineni futhi kusungulwe ukushintshana kwegesi, umoya-mpilo owanele, kanye nokungena komoya we-alveolar.(Virteeka Sinha, 2022)

Ukumunca i-Endotracheal ngamasistimu okumunca avulekile noma avaliwe kuwumkhuba ojwayelekile ekunakekeleni iziguli ezifakwe i-ven-tilated.Kunezinzuzo ezihlukahlukene zokusebenzisa isistimu ye-catheter suction evaliwe (CSCS) phezu kwesistimu yokudonsa evulekile.(Neeraj Kumar, 2020)

Kusukela ngo-1987, u-GC Carlon wahlongoza ukuthi inzuzo engaba khona yezinhlelo zokumunca ezivaliwe ukuvimbela ukusatshalaliswa kwezimfihlo ezingcolile, ezihlakazwayo lapho isiguli sinqanyulwa kumshini wokuphefumula kanye nokugeleza kwegesi ephefumulayo kuqhubeka.Ngo-2018, u-Emma Letchford ubuyekeze ngosesho lwedatha ye-elekthronikhi yezindatshana ezishicilelwe phakathi kukaJanuwari 2009 noMashi 2016, waphetha ngokuthi amasistimu okumunca avaliwe angase avimbele kangcono inyumoniya ehlobene ne-ventilator-sekuphuzile.I-subglottic secretion drainage inciphisa izehlakalo zenyumoniya ezihambisana nama-ventilator.

Amasistimu okumunca avaliwe kulula ukuwasebenzisa, adla isikhathi esincane, futhi abekezelelwa kangcono iziguli.(Neeraj Kumar, 2020) Ngaphezu kwalokho, kunezinye izinzuzo eziningi zesistimu yokuncela evaliwe kwezinye izici zokwelapha.U-Ali Mohammad pour (2015) uqhathanise izinguquko ebuhlungu, i-oxygenation, kanye ne-ventilation elandela ukumunca kwe-endotracheal ngezinhlelo zokudonsa ezivulekile nezivaliwe ezigulini ze-postconary artery bypass grafting (CABG) futhi wembula ukuthi i-oxygenation yeziguli kanye nokukhipha umoya kugcinwa kangcono ngesistimu yokudonsa evaliwe.

Izithenjwa

[1] Sinha V, Semien G, Fitzgerald BM.I-Surgical Airway Suctioning.2022 Meyi 1. Ku: StatPearls [I-inthanethi].I-Treasure Island (FL): I-StatPearls Publishing;2022 Jan–.PMID: 28846240.

[2] Kumar N, Singh K, Kumar A, Kumar A. Imbangela engajwayelekile ye-hypoxia ngenxa yokususwa okungaphelele kwesistimu ye-catheter yokumunca evaliwe ngesikhathi somoya we-COVID-19.I-J Clin Monit Comput.2021 Dec;35(6):1529-1530.doi: 10.1007/s10877-021-00695-z.Epub 2021 Apr 4. PMID: 33813640;I-PMCID: PMC8019526.

[3] I-Letchford E, i-Bench S. I-pneumonia ehambisana ne-Ventilator kanye nokumunca: ukubuyekezwa kwezincwadi.Br J Nurs.2018 Jan 11;27(1):13-18.doi: 10.12968/bjon.2018.27.1.13.I-PMID: 29323990.

[4] U-Mohammadpour A, u-Amini S, u-Shakeri MT, uMirzaei S. Ukuqhathanisa umphumela wokudonsa kwe-endotracheal evulekile futhi evaliwe ebuhlungu kanye ne-oxygenation ezigulini ze-post CABG ngaphansi kwe-ventilation yemishini.I-Iran J Nurs Midwifery Res.2015 Mar-Apr;20(2):195-9.I-PMID: 25878695;I-PMCID: PMC4387642.

[5]Carlon GC, Fox SJ, Ackerman NJ.Ukuhlolwa kwesistimu yokumunca uqhoqhoqho.Crit Care Med.1987 May;15(5):522-5.doi: 10.1097/00003246-198705000-00015.PMID: 3552445.