Kodi makina a anesthesia akutha?Momwe mungayang'anire dongosolo la kupuma

Ntchito ya aliyense Chowona Zanyama makina opaleshoni ayenera kufufuzidwa nthawi zonse.Zotsatirazi ndi momwe mungawunikire makina anu opumira, omwe amayenera kuyesedwa musanagwiritse ntchito.
Ndikofunikira kuyesa makina anu ogonetsa kuti akutuluka kuti muwonetsetse kuti makinawo akugwira ntchito bwino akamagwiritsidwa ntchito.Nkhaniyi ikufotokoza momwe mungayang'anire dongosolo la kupuma la makina a opaleshoni ya Chowona Zanyama.Nkhani ina ikufotokoza momwe mungayang'anire dongosolo la kuthamanga ndi dongosolo losakaza.
Njira yopumira imakhala ndi zigawo zonse zofunika kuti apereke mankhwala opha tizilombo toyambitsa matenda kwa wodwalayo.Musanagwiritse ntchito, fufuzani mbali zonse za kupuma kuti zitsimikizire kuti sizinawonongeke.Chifukwa ndiye gwero lochulukirachulukira pamakina ogontha (onani kapamwamba), ndikofunikira kuti muyese kuyesa kupuma panjira iliyonse musanagwiritse ntchito.
Dera lopumira limalumikizidwa ndi valavu yoyang'anira inhalation ndi exhalation (check valve), valve pop-up (valvu yochepetsera kuthamanga), thumba lamadzi, choyezera kuthamanga, valavu yolowera (yosapezeka pamakina onse) ndi tank CO2 Absorbent.Mtundu wodziwika kwambiri wa dera lopumira lomwe limagwiritsidwa ntchito kwa veterinarian ndi dongosolo lozungulira, lomwe limapangidwa kuti mpweya uziyenda mbali imodzi yokha.Kukonzekera kwa payipi yopumira kumatha kukhala mapaipi awiri olumikizidwa ndi chidutswa chofanana ndi Y (chidutswa chofanana ndi Y), kapena kapangidwe ka coaxial chokhala ndi payipi yopumira mkati mwa payipi yotulutsa mpweya (zambiri F).
Lumikizani chubu chimodzi chopumira ku valavu yopumira, lumikizaninso valavu yowunikira mpweya, ndiyeno mulumikize thumba la kakulidwe ka wodwalayo kukamwa kwa thumba.Kapenanso, chigawo chilichonse cha dera lopumiranso chikhoza kuyesedwa payekha pogwiritsa ntchito njira zotsatirazi:
Chithunzi 1A.Yesani zigawo za kupuma popanda kugwiritsa ntchito hoses kapena matumba osungira.(Vetamac test kit) (Chithunzi mwachilolezo cha Michelle McConnell, LVT, VTS [Anaesthesia ndi Analgesia])
Chithunzi 1B.Yesani chubu chopumira ndi pulagi padoko la chikwama chosungiramo madzi.(Vetamac test kit) (Chithunzi mwachilolezo cha Michelle McConnell, LVT, VTS [Anaesthesia ndi Analgesia])
Chithunzi 1C.Yesani thumba losungiramo madzi ndi mapulagi pa ma valve oyendera mpweya ndi mpweya.(Vetamac test kit) (Chithunzi mwachilolezo cha Michelle McConnell, LVT, VTS [Anaesthesia ndi Analgesia])
Tsekani valavu ya pop-up ndikutseka kumapeto kwa dera ndi chala chanu kapena chikhatho.Osagwiritsa ntchito ma valve otsekera omwe amatuluka pofufuza kuthamanga.Mavavuwa amapangidwa kuti azithamanga akafika pamphamvu inayake, kotero amatha kulepheretsa kuunika kowona kwa machitidwe opumira osatulutsa.
Lembani dongosolo ndi okosijeni potsegula mita yothamanga kapena kukanikiza valavu ya oxygen purge mpaka kuthamanga kwa 30 cm H2O kufika pamagetsi othamanga.Pamene kuthamanga uku kufika, zimitsani flowmeter.Ngati mugwiritsa ntchito chitoliro chotulutsa mpweya chomwe chatchulidwa mu njira ina ya sitepe 1, musagwiritse ntchito valavu ya oxygen.Kuthamanga kwadzidzidzi kumatha kuwononga zida zamkati zamakina a anesthesia.
Ngati palibe kutayikira mu kupuma, kukakamiza kuyenera kukhala kosasintha kwa masekondi 15 (Chithunzi 2).
Chithunzi 2. Kuthamanga kwadongosolo la rebreathing system (Wye wapawiri payipi kasinthidwe), kuthamanga n'zotsimikizira kusungidwa pa 30 cm H2O.(Chithunzi mwachilolezo cha Darci Palmer, BS, LVT, VTS [Anaesthesia ndi Analgesia])
Pang'onopang'ono tsegulani valavu ya pop-up ndikuwona kuthamanga kwa thumba losungirako.Izi zimawonetsetsa kuti makina osakaza ndi valavu ya pop-up zimagwira ntchito bwino.Osangochotsa dzanja lanu padoko la odwala.Kutsika kwadzidzidzi kwamphamvu kumatha kuwononga mbali zina za makina oletsa ululu.Zingayambitsenso fumbi loyamwa kuti lilowe mu chubu chopumira ndipo lingakhudze mpweya wa wodwalayo.
Ma valve oyendera mpweya ndi mpweya amagwirira ntchito limodzi kuti atsimikizire kuti mpweya umayenda mbali imodzi yokha mu dongosolo lonse la kupuma.Amapangidwa ndi zinthu zozungulira, zopepuka, zomwe nthawi zambiri zimatchedwa ma disc, zomwe zimayikidwa mkati mwa dome lowonekera kuti muzitha kuziwona zikuyenda.Valavu ya njira imodzi imayikidwa pamakina a anesthesia pamalo opingasa kapena ofukula.Kulephera kwa mavavuwa kungayambitse mpweya wochuluka wa CO2, zomwe zimakhala zovulaza kwa wodwalayo pogwiritsa ntchito makina oletsa ululu.Choncho, musanagwiritse ntchito makina onse a anesthesia, mphamvu ya valve ya njira imodzi iyenera kuyesedwa.
Pali njira zambiri zoyesera valavu yowunikira, koma imodzi yomwe ndimayidziwa bwino ndi njira yochepetsera kuthamanga, monga momwe tafotokozera pansipa.
Valve yowunikira yathunthu imalepheretsa gasi kubwereranso kumakina.Ngati palibe kutayikira, chikwamacho chidzakhalabe chofufuma (Chithunzi 3).
Chithunzi 3. Kuwunika kukhulupirika kwa valve yoyang'anira kuyamwa.Ngati palibe kutayikira, thumba la posungira lidzakhalabe lofuulidwa.(Chithunzi mwachilolezo cha Darci Palmer, BS, LVT, VTS [Anaesthesia ndi Analgesia])
Valavu yowunikira mpweya wathunthu iyenera kuteteza mpweya kutuluka mu makina.Ngati palibe kutayikira, thumba liyenera kukhala lofutukuka (Chithunzi 4).
Chithunzi 4. Kuwunika kukhulupirika kwa valve yowunikira mpweya.Ngati palibe kutayikira, thumba la posungira lidzakhalabe lofuulidwa.(Chithunzi mwachilolezo cha Darci Palmer, BS, LVT, VTS [Anaesthesia ndi Analgesia])
Momwe mungapezere kutayikira.Mukamayesa kukakamiza pa makina a anesthesia, madzi a sopo angathandize kudziwa komwe kumachokera.Tsatirani kutuluka kwa mpweya kudzera mu makina opangira opaleshoni ndikupopera madzi a sopo m'malo onse omwe angakhale gwero la kutayikira.Ngati pali kutayikira, madzi a sopo amayamba kuwira kuchokera pamakina (Chithunzi 5).
Chowunikira chowunikira mufiriji (chogulidwa ku Amazon pamtengo wochepera $30) chingagwiritsidwe ntchito kuzindikira mpweya wa hydrocarbon wa halogenated.Chipangizochi sichimawerengera kuchuluka kwake kapena zigawo zake pa miliyoni imodzi ya chokokera, koma ndizovuta kwambiri kuposa kuyesa kwa "kununkhiza" pokhudzana ndi kutayikira komwe kuli kumunsi kwa evaporator.
Chithunzi 5. Madzi a sopo opopera pa thanki ya CO2 amatulutsa thovu, kusonyeza kuti chisindikizo cha rabara cha thanki chikutha.(Chithunzi mwachilolezo cha Darci Palmer, BS, LVT, VTS [Anaesthesia ndi Analgesia])
Masitepe oti mufufuze kuthamanga kwa mpweya wopumiranso (kasinthidwe ka F hose).Universal F ili ndi payipi ya inhalation (coaxial kasinthidwe) mkati mwa payipi yotulutsa mpweya, kotero payipi imodzi yokha imalumikizidwa ndi wodwalayo, koma kumapeto kwa makina, mapaipi amalekanitsidwa, kotero payipi iliyonse imalumikizidwa ndi gawo lake lolingana.Ku valavu.Tsatirani zomwe tafotokozazi kuti muwone kukakamizidwa kwa Wye dual hose configuration.Kuphatikiza apo, njira yoyesera yamkati ya chubu iyenera kukhala yofanana ndi Bain coaxial circuit (onani pansipa).
Magawo opumira osabwerezabwereza amagwiritsidwa ntchito kwa odwala ang'onoang'ono kuti achepetse kukana kupuma panthawi ya mpweya wabwino.Mabwalowa sagwiritsa ntchito zotengera mankhwala kuti achotse CO2, koma amadalira kuchuluka kwa mpweya watsopano kuti atulutse mpweya wa CO2 wokhala ndi mpweya kunja kwa dongosolo.Choncho, zigawo za mpweya wosabwerezabwereza sizikhala zovuta kwambiri.Maulendo awiri osabwerezabwereza omwe amagwiritsidwa ntchito pachipatala cha Chowona Zanyama ndi Bain coaxial circuit ndi Jackson Rees circuit.
Kuwunika kwamphamvu kwa mpweya wosabwerezabwereza (Bain coaxial pogwiritsa ntchito Bain block).Dera la Bain coaxial nthawi zambiri limagwiritsidwa ntchito limodzi ndi chipika cha Bain chomwe chimatha kukhazikitsidwa pamakina ochititsa dzanzi.Izi zimathandiza kuti dera ligwiritse ntchito doko losungiramo madzi, choyezera kuthamanga, ndi valve pop-up.
Tsatirani masitepe 2 mpaka 5 omwe afotokozedwa pamwambapa kuti muwone dera lopumiranso.Chonde dziwani kuti ngakhale kupanikizika kumakhalabe kosalekeza, palibe chitsimikizo kuti chubu chamkati cha coaxial circuit sichidzatuluka.Pali njira ziwiri zowunika machubu amkati: kuyesa kotsekereza ndi kuyesa kwa oxygen.
Gwiritsani ntchito chofufutira cha pensulo kapena syringe plunger kuti mutseke chubu chamkati chomwe chili kumapeto kwa masekondi osapitilira 2 mpaka 5.
Kutengera kukula kwa chubu chamkati, si mitundu yonse ya ma coaxial mabwalo omwe angatsekedwe.Chubu chamkati chiyenera kuyang'aniridwa mosamala musanagwiritse ntchito chilichonse kuti chitsimikizidwe kuti chikugwirizana bwino ndi wodwalayo komanso mapeto onse a makina.Ngati pali vuto ndi kukhulupirika kwa chubu chamkati, dera liyenera kutayidwa.Kulephera kwa chubu chamkati kudzawonjezera kwambiri malo omwe amafa makina, zomwe zingayambitse mpweya wambiri wa CO2.
Yambitsani valavu ya oxygen ndikuyang'ana chikwama chosungiramo madzi.Ngati chubu chamkati sichili bwino, thumba la posungira liyenera kuchepetsedwa pang'ono (Venturi effect).
Ngati chubu chamkati chilekanitsa ndi mapeto a makina a dera, thumba la posungira likhoza kufufutidwa m'malo mophwanyidwa panthawiyi.
Kuwunika kwapanikizi kopumira kosabwerezabwereza (Jackson Rees).Njira yomweyi yomwe yafotokozedwa pamwambapa yozungulira (Wye dual hose configuration) rebreathing circuit ingagwiritsidwe ntchito poyesa kuthamanga kwa dera la Jackson Rees losapumira.Valavu ya pop-up ikhoza kukhala batani lopanikizidwa pa thumba lamadzimadzi kapena valavu yomwe imasuntha pakati pa malo otseguka ndi otsekedwa.Dera lokhazikika la Jackson Rees siligwiritsa ntchito choyezera kuthamanga.Chifukwa chake, kuti muyese kuthamanga kwa dera, thumba la posungira liyenera kudzaza kwa masekondi 15 mpaka 30 kuti muwone ngati pali kutayikira.Valavu ya pop-up iyenera kutsegulidwa kuti ichepetse kupanikizika kwa dera, m'malo mochotsa dzanja pa doko la odwala.Izi zidzayesa ntchito yanthawi zonse ya valve pop-up.Chiyerekezo champhamvu chotayika chikhoza kugulidwa ndikugwiritsidwa ntchito pa dera la Jackson Rees (Chithunzi 6).Mpweya wopimira ungagwiritsidwe ntchito kuyesa kupanikizika kwa dera la Jackson Rees mofanana ndi maulendo ena opuma.
Chithunzi 6. Kuyeza kwamphamvu kotayidwa pa dera la Jackson Rees losapumiranso.(SafeSigh Pressure Gauge-Vetamac) (Chithunzi mwachilolezo cha Michelle McConnell, LVT, VTS [Anaesthesia ndi Analgesia])
Allen M, Smith L. Kuwunika ndi kukonza zida.Ku Cooley KG, Johnson RA, Eds: Veterinary Animation and Monitoring Equipment.Hoboken, New Jersey: John Wiley & Sons;2018: 365-375.
Darci Palmer anakhala anesthesia ndi analgesic veterinary technologist mu 2006. Iye akutumikira monga mlembi wamkulu wa Veterinary Technical College of Anesthesia ndi Analgesia.Darci ndi mlangizi wa Veterinary Support Personnel Network (VSPN) komanso woyang'anira gulu la Facebook Veterinary Anesthesia Nerds.


Nthawi yotumiza: Nov-15-2021