ʻO ka lāʻau oxygen kahe kiʻekiʻee pili ana i ke ala o ka hāʻawi ʻana i ka lāʻau lapaʻau kūpono no nā maʻi ma o ka hāʻawi ʻana i ke kahe kiʻekiʻe, ka ʻike oxygen kūpono a me ka hoʻomehana ʻana a me ka humidifying ea-oxygen hui ʻia.Hiki iā ia ke hoʻomaikaʻi koke i ka pae oxygenation o ka mea maʻi a mālama i ka hana maʻamau o ke ea mucus cilia.
Hoʻohana nui ʻia ka lāʻau oxygen kahe kiʻekiʻe ma ke keʻena no ka hāʻule ʻana o ka hanu hypoxic acute, post-extubation oxygen therapy, acute heart failure, maʻi ea maʻi maʻi, a me kekahi mau kaʻina hanu invasive i ka hoʻomaʻamaʻa lapaʻau ma muli o kāna mau hopena physiological kūikawā.ʻOi aku ka maikaʻi no nā poʻe maʻi me ka hāʻule ʻole o ka hanu hypoxic, ʻoi aku ka maikaʻi o ka oxygen therapy ma mua o ka oxygen therapy maʻamau e pili ana i ka hoʻokiʻekiʻe ʻana i ke kaomi ʻāpana o ka oxygen, a ʻaʻole i emi ka hopena ma mua o ka ventila non-invasive, akā ʻoi aku ka maikaʻi o ka HFNC i ka hōʻoluʻolu a me ka hoʻomanawanui. ventila non-invasive.No laila, ua ʻōlelo ʻia ʻo HFNC ma ke ʻano he lāʻau hanu hanu mua no ia mau maʻi.
Nasal Cannula kiʻekiʻe (HFNC)pili i ke ʻano o ka oxygen therapy e hāʻawi pololei ana i ka ea a me ka oxygen i hui pū ʻia ke kinoea kahe kiʻekiʻe o kekahi ʻano oxygen i ka mea maʻi ma o ka nasal plug catheter me ka sila ʻole.Ua hoʻohana mua ʻia ʻo High-flow oxygen therapy (HFNC) ma ke ʻano he ʻano kākoʻo hanu no ka hoʻomau ʻana i ke kaomi maikaʻi maikaʻi (NCPAP) a ua hoʻohana nui ʻia i ka neonatal respiratory distress syndrome (NRDS), a ua loaʻa i kekahi hopena.Me ka hoʻohana nui ʻana o ka HFNC i nā pākeke, ʻike pū nā limahana lapaʻau i kāna mau pono kūʻokoʻa i ka hoʻohana ʻana i nā ʻano ʻokoʻa mai ka oxygen therapy maʻamau a me ka hoʻokele mechanical non-invasive.
Nasal high-flow oxygen therapy (HFNC) loaʻa nā hopena physiological kū hoʻokahi:
1. ʻO ka manaʻo o ka oxygen mau: ʻo ka nui o ke kahe o ka oxygen i hāʻawi ʻia e ka mea maʻamau haʻahaʻa haʻahaʻa oxygen therapy maʻamau ʻo 15L / min, ʻoi aku ka haʻahaʻa ma mua o ke kahe o ka hoʻoulu ʻana o ka mea maʻi, a ʻo ka lawa ʻole o ke kahe e hoʻohui ʻia e ka ea inhaled i ka manawa like, no laila inhale oxygen E hoʻoheheʻe nui ʻia ka ʻike a ʻaʻole ʻike ʻia ka ʻike kikoʻī.Loaʻa i ka mea hoʻoheheʻe hanu kiʻekiʻe ka mea hoʻoheheʻe oxygen ea i kūkulu ʻia a hiki ke hāʻawi i kahi kahe kinoea hui ʻia a hiki i 80L / min, ʻoi aku ka nui ma mua o ke kahe o ka inspiratory kiʻekiʻe o ka mea maʻi, no laila e hōʻoiaʻiʻo ai i ka neʻe mau o ka oxygen inhaled a a hiki i ka 100%;
2. ʻO ka hopena maikaʻi o ka mahana a me ka haʻahaʻa: Hiki i ka HFNC ke hāʻawi i ke kinoea kahe kiʻekiʻe ma 37 ℃ a me 100% haʻahaʻa haʻahaʻa, he mau mea maikaʻi loa ia i hoʻohālikelike ʻia me ka oxygen therapy kuʻuna;
3. Holoi i ka lua make o ka nasopharynx: Hiki i ka HFNC ke hāʻawi i ka 80L / min o ke kinoea, hiki ke hoʻoheheʻe i ka lua make o ka nasopharynx i kekahi ʻano, i hiki iā ia ke hāʻawi i ka ʻike oxygen kiʻekiʻe a me ke kinoea carbon dioxide haʻahaʻa. hiki ke hoʻomaikaʻi i ke koko oxygen.ʻO ke kuleana o ka saturation i ka hōʻemi ʻana i ka carbon dioxide;
4. E hana i kekahi puʻe ea maikaʻi: Ua ʻike kekahi poʻe noiʻi hiki i ka HFNC ke hoʻopuka i ke kaomi awelika ma kahi o 4cmH2O, a i ka wā e paʻa ai ka waha, hiki iā ia ke hana i ke kaomi a hiki i 7cmH2O.Hiki ke ʻike ʻia e hiki i ka HFNC ke hana i ka hopena like me ka hoʻomau ʻana i ke ea ea maikaʻi (CPAP).Eia naʻe, ʻaʻole like me CPAP, ʻo ka HFNC ke kuhikuhi ʻia i kahi kahe kahe mau e hoʻopuka ai i ke kaomi ʻana o ke ea, no laila, i ka hoʻohana ʻana i ka lāʻau lapaʻau, pono e pani ʻia ka waha o ka mea maʻi e hoʻokō i ka hopena i makemake ʻia;
5. ʻO ka hōʻoluʻolu maikaʻi a me ka hoʻomanawanui: Ua ʻike ka hapa nui o nā haʻawina ma muli o kona hopena maikaʻi a me ka haʻahaʻa a me ka maʻalahi o ka hoʻohana ʻana, ʻoi aku ka ʻoluʻolu a me ka hoʻomanawanui ʻana o ka nasal high-flow oxygen therapy ma mua o nā masks oxygen kiʻekiʻe a me ka non-invasive.
ʻO Sepray Nasal High Flow Oxygen Therapy OH series respiratory humidification therapy instrument e hāʻawi i ka lāʻau lapaʻau kūpono no nā poʻe maʻi ma o ka hāʻawi ʻana i ke kahe kiʻekiʻe, pololei ka oxygen a me ka hoʻomehana ʻana a me ka humidified ea-oxygen hui ʻia.
ʻOihana i hoʻohana ʻia:
ICU, keena hanu.ʻOihana ulia pōpilikia.Neurosurgery dept.Geriatrics dept.Cardiolology dept.
Ka manawa hoʻouna: Iulai-13-2020