Mīkini hoʻoiho mīkini - pēpē

ʻO ka mīkini ʻenekini mīkini he mīkini e kōkua me ka hanu ʻana. Kūkākūkā kēia ʻatikala i ka hoʻohana ʻana o nā ea hoʻohanohano mechanical i nā pēpē.

NO KA MEA I KĀKAHI MEA MEA MEKONIKA?

Hoʻohana ʻia kahi ventilator e hāʻawi i ke kākoʻo hanu no nā pēpē maʻi a makua ʻole paha. ʻAʻole hiki i nā pēpē maʻi a mau paha ke hanu maikaʻi iā lākou iho. Pono paha lākou i kōkua mai ka ʻenekini e hāʻawi i ka "ea maikaʻi" (oxygen) i nā akemāmā a e lawe aku i ka ea i hoʻopuehu ʻia "hewa" (carbon dioxide).

PEHEA KE KOA VENTILATOR ME MEI E HOA AI?

ʻO ka ventilator kahi mīkini moe. Hoʻopili ʻia ia i ka paipu hanu e hoʻokomo ʻia i loko o ka puka makani (trachea) o nā pēpē maʻi a mau ʻole paha e pono ke kōkua i ka hanu ʻana. Hiki i nā mea mālama ke hoʻoponopono i ka ventilator e pono ai. Hana ʻia nā hoʻoponopono ma muli o ke kūlana o ka pēpē, nā ana kinoea koko, a me nā kukuna x.

He aha nā pilikia o kahi mīkini ʻenehana?

ʻO ka hapa nui o nā pēpē e pono ai i ke kōkua ʻana o ka ventilator i kekahi mau pilikia o ka lolo, me nā mākua ʻole a maʻi paha, e makaʻala ana no ka ʻeha. I kekahi manawa, hiki i ka hāʻawi ʻana i ka oxygen ma lalo o ke kaomi ke hōʻino i nā ʻeke ea palupalu (alveoli) i nā māmā. Hiki i kēia ke alakaʻi i nā kahe o ka ea, kahi e paʻakikī ai i ka ʻea e kōkua i ka pēpē hanu.

• Kū ka ʻano maʻamau o ka leak i ke ea i ke ākea ma waena o ka māmā a me ka paia o ka umauma o loko. Kapa ʻia kēia he pneumothorax. Hiki ke hoʻoneʻe ʻia kēia ea me kahi ʻōmole i hoʻonoho ʻia i loko o ke ākea a hiki i ka wā e hoʻōla ai ka pneumothorax.
• Hana ʻia kahi ʻano liʻiliʻi liʻiliʻi o ka lewa ke loaʻa nā ʻeke liʻiliʻi o ka lewa i loko o ka aʻa māmā e pili ana i nā ʻeke ea. Kāhea ʻia kēia ʻo pulmonary interstitial empysema. ʻAʻole hiki ke hemo i kēia ea. Eia nō naʻe, hele mālie ia iā ia iho.

Hiki paha ke hōʻino i kahi wā lōʻihi no ka mea ʻaʻole hoʻomohala piha ʻia nā māmā hou. Hiki i kēia ke alakaʻi i ka maʻi maʻi mau loa i kapa ʻia ʻo bronchopulmonary dysplasia (BPD). ʻO kēia ke kumu e nānā pono ai nā mea mālama i ka pēpē. E hoʻāʻo lākou e "wean" i ka pēpē mai ka oxygen a hoʻēmi paha i nā hoʻonohonoho ventilator ke hiki. Hāʻawi ʻia ka nui o ke kākoʻo hanu i nā pono o ka pēpē.

Ventilator - pēpē; Respirator - pēpē

ʻO Bancalari E, Claure N, Jain D. Neonatal respiratory respiratory. I: Gleason CA, Juul SE, eds. Nā maʻi o Avery o ke keiki hānau. 10 o ka lā. Piladelapia, PA: Elsevier; 2018: chap 45.

ʻO Donn SM, Attar MA. Kōkua i ka ea o ka neonate a me nā pilikia. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine: Nā maʻi o ka Fetus a me ka pēpē. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 65.