Ke aʻo e pili ana i nā ea

ʻO ka ventilator kahi mīkini e hanu ai iā ʻoe a kōkua paha iā ʻoe e hanu. Kāhea ʻia ia he mīkini hanu a he hanu paha. ʻO ka ventilator:

• Hoʻopili ʻia i kahi kamepiula me nā puʻupuʻu a me nā pihi e kāohi ʻia e kahi therapist respiratory, kahu, a kauka paha.
• Loaʻa nā paipu e hoʻohui i ke kanaka ma o ka paipu hanu. Hoʻokomo ʻia ka paipu hanu i ka waha o ke kanaka a i ʻole i kahi wehe ma o ka ʻāʻī i loko o ka puka makani (trachea). Kapa ʻia kēia wehe he tracheostomy. Pono pinepine ia no ka poʻe pono e noho i ka ventilator no kahi manawa lōʻihi.
• Hana i ka walaʻau a me nā pū waikaua e makaʻala ai i ke kime mālama ola ke pono e hoʻoponopono a hoʻololi ʻia paha kekahi mea.

Loaʻa i kahi kanaka ka lāʻau e noho ʻoluʻolu ʻoiai ma ka ventilator, keu hoʻi inā he puʻuwai hanu ko lākou waha. Hoʻokumu paha ka lāʻau i ka hiamoe nui o nā kānaka e wehe i ko lākou mau maka a i ʻole e makaʻala no nā minuke he nui.

ʻAʻole hiki i ka poʻe ke kamaʻilio ma muli o ka pahu hanu. Ke ala pono lākou e wehe i ko lākou mau maka a neʻe, hiki iā lākou ke kamaʻilio i ke kākau ʻana a i kekahi manawa me ka heluhelu lehelehe.

E loaʻa i nā poʻe ma nā mea hoʻāhu nā uea a me nā paipu he nui ma luna o lākou. He makaʻu paha kēia, akā kōkua kēia mau kaula a me nā paipu e nānā pono iā lākou.

Hiki paha i kekahi poʻe ke kaohi. Hoʻohana ʻia kēia mau mea e pale aku iā lākou mai ka huki ʻana i nā paipu nui a me nā uea.

Kau ʻia ka poʻe ma luna o nā ea inā ʻaʻole hiki iā lākou ke hanu iā lākou iho. ʻO kēia no kekahi o nā kumu aʻe:

• E hōʻoia i ka lawa ʻana o ka oxygen o ke kanaka a ke hoʻopau nei ʻo ia i ke kalapona kalapona.
• Ma hope o ke kahakaha ʻana, pono paha i ka poʻe i kahi ea e hanu ai no lākou ke loaʻa ka lāʻau iā lākou e hiamoe ai a hoʻi ʻole ko lākou hanu i ka maʻamau.
• He maʻi a ʻeha paha kā kekahi kanaka a ʻaʻole hiki iā ia ke hanu maʻamau.

ʻO ka hapa nui o ka manawa, pono ka mea hoʻāhuahua wale no kahi manawa pōkole - mau hola, nā lā, a mau pule paha. Akā i kekahi mau hihia, pono ka ventilator i mau mahina, a i kekahi mau makahiki.

I ka haukapila, nānā pono ʻia kahi kanaka ma luna o ka ʻea e nā poʻe lawelawe olakino e like me nā kauka, nā kahu maʻi, a me nā mea kōkua hanu.

ʻO ka poʻe e pono ai nā ea no nā wā lōʻihi e noho paha i nā wahi mālama wā lōʻihi. Hiki paha i kekahi poʻe me kahi tracheostomy ma ka home.

Nānā pono ʻia ka poʻe ma luna o ka mea hoʻāholo no nā maʻi maʻi māmā. Ke hoʻopili ʻia i kahi ventilator, paʻakikī ka paʻakikī o ke kanaka i ke kuke ʻana i ka hua. Inā hōʻiliʻili ka mucus, ʻaʻole lawa ka oxygen i nā māmā. Hiki i ka mucus ke alakaʻi i ka maʻi puluma. No ka hemo ʻana o ka huaʻū, pono ʻia kahi kaʻina hana i kapa ʻia ʻo ke kuʻi. Hana ʻia kēia ma ka hoʻokomo ʻana i kahi puʻupuʻu lahilahi i loko o ka waha o ka kanaka a i ʻole ka ʻāʻī e wehe ai i ka mucus.

Ke hoʻohana ʻia ka mea hoʻāhu ma mua o kekahi mau lā, hiki i ke kanaka ke loaʻa ka meaʻai ma o nā paipu i loko o kahi aʻa a i ʻole ko lākou ʻōpū.

Ma muli o ka hiki ʻole i ke kanaka ke ʻōlelo, pono e hana i nā hana kūikawā e kiaʻi iā lākou a hāʻawi iā lākou i nā ala ʻē aʻe e launa ai.

ʻO MacIntyre NR. Ea hoʻokomo ea. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 101.

Slutsky AS, Brochard L. ʻĀpana ea. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 97.

• Nā maʻi Tracheal