Maganin iskar oxygen hanya ce ta gama gari a aikin likitancin zamani, kuma shine ainihin hanyar maganin hypoxemia.Hanyoyin maganin oxygen na asibiti na yau da kullum sun hada da oxygen catheter na hanci, oxygen oxygen mai sauƙi, Venturi mask oxygen, da dai sauransu. Yana da mahimmanci a fahimci halayen aiki na na'urorin kwantar da oxygen daban-daban don tabbatar da maganin da ya dace da kuma kauce wa rikitarwa.
Alamar da aka fi sani da maganin iskar oxygen shine m ko na kullum hypoxia, wanda za a iya haifar da shi ta hanyar kamuwa da cutar huhu, cututtuka na huhu na huhu (COPD), rashin ciwon zuciya, ciwon huhu, ko girgiza tare da mummunan rauni na huhu.Maganin iskar oxygen yana da amfani ga masu ƙonewa, carbon monoxide ko guba na cyanide, ƙwayar iskar gas, ko wasu cututtuka.Babu cikakken contraindication ga iskar oxygen far.
Nasal Cannula
Nasal catheter bututu ne mai sassauƙa da maki masu laushi guda biyu waɗanda aka saka a cikin hancin majiyyaci.Yana da nauyi kuma ana iya amfani dashi a asibitoci, gidajen marasa lafiya ko kuma wani wuri.Yawancin lokaci ana naɗe bututun a bayan kunnen mara lafiya kuma a sanya shi a gaban wuyansa, kuma za a iya gyara ƙugi mai zamewa don riƙe shi a wuri.Babban fa'idar na'urar catheter na hanci shine mara lafiya yana jin daɗi kuma yana iya magana, sha da cin abinci cikin sauƙi tare da catheter na hanci.
Lokacin da iskar oxygen ta isar da shi ta hanyar catheter na hanci, iskar da ke kewaye da ita tana haɗuwa da iskar oxygen ta nau'i daban-daban.Gabaɗaya, don kowane 1 L / minti na haɓakar iskar oxygen, ƙwayar iskar oxygen da aka shaka (FiO2) tana ƙaruwa da 4% idan aka kwatanta da iska ta al'ada.Duk da haka, ƙara samun iskar oxygen a cikin minti daya, wato, yawan iskar da ake shaka ko fitar da shi a cikin minti daya, ko shakar ta baki, na iya tsoma iskar oxygen, ta yadda za a rage yawan iskar da ake shaka.Ko da yake matsakaicin adadin isar da iskar oxygen ta hanyar catheter na hanci shine 6 L/min, ƙarancin iskar oxygen yana haifar da bushewar hanci da rashin jin daɗi.
Hanyoyin isar da iskar oxygen da ke ƙasa, irin su catheterization na hanci, ba takamaiman ƙididdigewa ba ne na FiO2, musamman idan aka kwatanta da isar da iskar oxygen ta hanyar iskar iska ta intubation na tracheal.Lokacin da adadin iskar gas ɗin da aka shaka ya wuce iskar oxygen (kamar a cikin marasa lafiya da ke da iska mai tsayi), mai haƙuri yana shakar iska mai yawa, wanda ya rage FiO2.
Oxygen Mask
Kamar catheter na hanci, abin rufe fuska mai sauƙi zai iya ba da ƙarin iskar oxygen ga marasa lafiya da ke numfashi da kansu.Abin rufe fuska mai sauƙi ba shi da buhunan iska, kuma ƙananan ramuka a kowane gefen abin rufe fuska suna ba da damar iska ta shiga yayin da kuke shaƙa da saki yayin da kuke fitar da numfashi.FiO2 an ƙaddara ta hanyar yawan kwararar iskar oxygen, dacewa da abin rufe fuska, da iskar mintuna na haƙuri.
Gabaɗaya, ana ba da iskar oxygen a saurin gudu na 5 L a cikin minti ɗaya, wanda ya haifar da FiO2 na 0.35 zuwa 0.6.Turin ruwa yana taruwa a cikin abin rufe fuska, yana nuna cewa majiyyaci yana fitar da numfashi, kuma da sauri ya ɓace lokacin da iskar gas ɗin sabo.Cire haɗin layin oxygen ko rage yawan iskar oxygen na iya haifar da majiyyaci don shakar isashshen iskar oxygen da kuma sake shakar carbon dioxide da aka fitar.Yakamata a magance wadannan matsalolin nan take.Wasu marasa lafiya na iya samun abin rufe fuska.
Mashin mara numfashi
Mashin numfashi wanda ba a maimaita shi ba shine abin rufe fuska da aka gyara tare da tafki na oxygen, bawul ɗin dubawa wanda ke ba da damar iskar oxygen ta gudana daga tafki yayin shakar numfashi, amma yana rufe tafki akan numfashi kuma yana ba da damar cika tafki da iskar oxygen 100%.Babu maimaita abin rufe fuska na numfashi da zai iya sa FiO2 ya kai 0.6 ~ 0.9.
Makullin numfashi mara maimaitawa ana iya sanye shi da bawul ɗin shayewar gefe ɗaya ko biyu waɗanda ke rufe numfashi don hana shakar da ke kewaye.Bude lokacin numfashi don rage shakar iskar gas da aka fitar da kuma rage haɗarin babban acidic carbon
Lokacin aikawa: Yuli-15-2023