BAVU kana bhuku rekumutsiridza: chii chiridzwa ichi?
Iyo BAVU, kana manual resuscitator, chigadziro chekurapa chinoshandiswa kufemesa munhu muchiitiko chekusungwa kwekufema. Ese masevhisi ekukurumidzira anofanirwa kuve akashongedzerwa nawo. Tsvaga kuti BAVU inoshandiswa sei kuchengetedza hupenyu.
Chii chinonzi BAVU, kana resuscitator yemanyorero?
A BAVU, kana kuti Self-Filling Balloon neOne-Way Valve, inonziwo manual resuscitator, chigadziro chekurapa chinoshandiswa munguva dzechimbichimbi kubudisa mweya (kuendesa oxygen) kumunhu ari mukuputika kwekufema kana kuti ane matambudziko makuru ekufema. Inonyanyobatanidzwa kune tsime reokisijeni. BAVUs inogona kuwanikwa mune chero ambulensi, chipatara kana dhipatimendi rekukurumidzira. Iyo BAVU yakakosha senge defibrillator. Chishandiso ichi chinombonziwo "AMBU", zvichireva zita rechiratidzo chakakurumbira. Inogona kushandiswa kamwe chete kana kushandiswa zvakare.
Zvinoumba
Iyo BAVU inowanzo umbwa ne:
- chifukidzo chemvura, chekukura kwakasiyana zvichienderana nemurwere, yakagadziridzwa kune chimiro chemuromo kuitira kuti mhepo irege kupukunyuka;
- vhavha yenzira imwe chete inoparadzanisa mweya wakaputika (Co2) kubva kumhepo yakafuridzirwa (oxygen);
- tangi rekuchengetedza iro rinochengeta oxygen uye inowedzera kugadzikana kwayo. Nenzira yakanaka, inogona kuchengeta kusvika ku100% oksijeni;
- chivharo chekumanikidza kudzivirira hyperventilation (kunyanya mumhando dzevana);
- tubing inoendesa oksijeni ine hutano mumuromo memurwere;
- antibacterial filter (optional).
BAVU inoshandiswa nei?
Bharumu rinozvizadza nevharuvhu yenzira imwe inoshandiswa kuendesa okisijeni kunzira dzemhepo dzemurwere ari mukutambudzika kwekufema. Inogonawo kushandiswa kusunungura nzira dzemhepo (ropa, kurutsa, nezvimwewo). Iyi midziyo yekurapa yakagadzirirwa vanopindura nekukurumidza uye vashandi vekurapa muzvipatara. Muzviitiko zvakakomba, inogona kuwedzera 100% yeokisijeni nekuda kwetangi rayo rekuchengetedza. Zviri nyore kushandisa uye hazvidi chero gasi rakamanikidzwa, iro rinovimbisa kushandiswa kwakanyanya mumamiriro ese ezvinhu.
Kunyanya kushanda kupfuura muromo kumuromo
Kutarisana nekusungwa kwemoyo kana kuoma kwekufema, BAVU inoshanda zvakanyanya kupfuura muromo kusvika kumuromo uye zvakare yakachengeteka zvakanyanya (nekudaro kudzivirira chero njodzi yekusvibiswa nemuponesi). Inovandudzawo kushanda kwemoyo uye kufema kumuka uye inowedzera mikana yekurarama. Inogona kushandiswa kuwedzera kune defibrillator (otomatiki kana semi-otomatiki).
Kubudirira kwayo uye nyore kushandisa kunoita kuti ive imwe yemidziyo yekurapa inonyanya kushandiswa.
Veruzhinji vane hanya kana vari panjodzi
Iyo BAVU inogona kushandiswa kuchengetedza munhu akabatwa necardiopulmonary kusungwa kuwedzera kune yemoyo masaja asiwo kununura munhu anenge anyura. A resuscitator ane yakakodzera oxygen mask uye kushandiswa kwakakodzera kunovimbisa kukurumidza uye kunoshanda chiito kuchengetedza hupenyu hwemurwere anotyisidzirwa nekudzipwa.
BAVU inoshandiswa sei?
Matanho ekushanda
Iyo BAVU ibhuku rekushandisa rinogona kushandiswa nemaoko maviri. Mununuri, akatendeuka uye akazendamira kune uyo akabatwa, anoshandisa kumanikidza nguva dzose neruoko rumwe kuti abudise mhepo mumhepo uye kugadzira oxygenation iye akabata mask pamhino nerumwe ruoko uye nemuromo wemurwere kuti ave nechokwadi chakakwana chisimbiso.
Zvinonzi: mune nzira yeokisijeni, muponesi anoshandisa chanza cheruoko rwake neminwe yake mina kuti oxygenate murwere. Chigunwe hachishandiswe mukuvhiya uku. Pakati pesimba rimwe nerimwe remhepo, muponesi anofanira kutarisa kana chipfuva chemunhu akabatwa chichikwira.
Iyo oxygenation yemunhu ane dambudziko rekufema inoitwa mumatanho mana:
- Airway clearance
- Kuiswa kwemaski isingapinde mvura kubva mumhino kuenda kuchirebvu
- Insufflation
- Exsufflation
Nguva yekuishandisa?
Iyo BAVU inoshandiswa isati yasvika kana mushure mekupinda mukati, ichimirira mechanical ventilator, kana kutakura kwekukurumidzira kwemunhu ari musungwa wemwoyo, achimirira boka rekusimudzira. Tempo chaiyo ndeye 15 kufema paminiti yevakuru uye 20 kusvika ku30 kufema kune vacheche kana vacheche.
Chenjedzo kutora
BAVU inofanira kushandiswa nemaoko maviri, kunyanya kuitira kuti ichengetedzwe zvakanaka pamuromo nemhino. Munyaya yeBAVU inoshandiswa zvakare, midziyo inofanira kunge yakanyatsogadziriswa (mask uye valve inosanganiswa) mushure mekushandisa imwe neimwe. Kana ikashandiswa zvisina kunaka, BAVU inogona kukonzera kurutsa, pneumothorax, hyperventilation, nezvimwewo. Zvakakosha kuti ugone kushandiswa kwayo.
Ungasarudza sei BAVU?
BAVU inofanirwa kunyatsoenderana nechimiro chemurwere. Mask yakakurisa kana diki inogona kukonzeresa matambudziko mazhinji. Maresuscitators saka ane masks ehukuru hwakasiyana kubva kune vachangozvarwa kusvika kune vakuru. Vanogadzirisawo zvinoenderana nekuvaka kwemurwere.
Paunenge uchitenga, zvinofanirwa kuve nechokwadi kuti masks anoenderana neBAVU mustock.