BAVU, kapena manual resuscitator, ndi chipangizo chachipatala chomwe chimagwiritsidwa ntchito potulutsa mpweya wa munthu pamene akugwidwa ndi kupuma. Ntchito zonse zadzidzidzi ziyenera kukhala nazo. Dziwani momwe BAVU imagwiritsidwira ntchito kupulumutsa miyoyo.

BAVU, kapena Baluni Yodzidzaza ndi Njira imodzi, yomwe imatchedwanso manual resuscitator, ndi chipangizo chachipatala chomwe chimagwiritsidwa ntchito pakagwa mwadzidzidzi (kutulutsa mpweya) kwa munthu yemwe ali ndi kupuma kwa kupuma kapena ali ndi vuto lalikulu la kupuma. Ndi bwino kulumikizidwa ndi gwero la okosijeni. BAVUs amapezeka mu ambulansi iliyonse, chipatala kapena dipatimenti yadzidzidzi. BAVU ndi yofunika kwambiri ngati defibrillator. Chipangizocho chimatchedwanso "AMBU", ponena za dzina la mtundu wotchuka. Itha kugwiritsidwa ntchito kamodzi kapena kubwerezedwanso.

zikuchokera

BAVU nthawi zambiri imapangidwa ndi:

• chigoba chopanda madzi, cha kukula kosiyana malinga ndi wodwala, chosinthidwa ndi mawonekedwe a pakamwa kuti mpweya usatuluke;
• valve yanjira imodzi yomwe imalekanitsa mpweya wotuluka (Co2) kuchokera ku mpweya wouziridwa (oxygen);
• tanki yosungiramo madzi yomwe imasunga oxygen ndikuwonjezera ndende yake. Moyenera, imatha kusunga mpweya wa 100%;
• valavu yochepetsera kuthamanga kuti muteteze hyperventilation (makamaka mu zitsanzo za ana);
• chubu chomwe chimapereka mpweya wabwino m'kamwa mwa wodwalayo;
• fyuluta ya antibacterial (ngati mukufuna).

Buluni yodzidzaza yokha yokhala ndi valavu ya njira imodzi imagwiritsidwa ntchito popereka mpweya kumayendedwe a mpweya wa wodwala yemwe ali ndi vuto la kupuma. Itha kugwiritsidwanso ntchito potsegula njira zodutsa mpweya (magazi, kusanza, ndi zina). Izi ndi zida zachipatala zomwe zimapangidwira anthu obwera mwadzidzidzi komanso ogwira ntchito zachipatala m'zipatala. Pazovuta kwambiri, zimatha kuwonjezera 100% ya oxygenation chifukwa cha tanki yake yosungiramo. Ndiosavuta kugwiritsa ntchito ndipo safuna mpweya uliwonse wothinikizidwa, womwe umatsimikizira kugwiritsa ntchito bwino muzochitika zonse.

Zothandiza kwambiri kuposa pakamwa pakamwa

Poyang'anizana ndi kumangidwa kwa mtima kapena kupuma movutikira, BAVU imakhala yogwira mtima kwambiri kuposa pakamwa pakamwa komanso imakhala yotetezeka (motero kupeŵa chiopsezo chilichonse choipitsidwa ndi wopulumutsa). Zimathandiziranso kugwira ntchito kwa mtima ndi kupuma komanso kumawonjezera mwayi wokhala ndi moyo. Itha kugwiritsidwa ntchito kuwonjezera pa defibrillator (yodziwikiratu kapena semi-automatic).

Kuchita bwino kwake komanso kugwiritsa ntchito mosavuta kumapangitsa kuti ikhale imodzi mwazinthu zogwiritsidwa ntchito kwambiri pazachipatala.

Anthu okhudzidwa kapena omwe ali pachiwopsezo

BAVU ikhoza kugwiritsidwa ntchito kupulumutsa munthu wogwidwa ndi mtima wamtima komanso kutikita minofu yamtima komanso kupulumutsa munthu amene wamira. Resuscitator yokhala ndi chigoba choyenera cha okosijeni ndikugwiritsa ntchito moyenera zimatsimikizira kuchitapo kanthu mwachangu komanso kothandiza kuti apulumutse moyo wa wodwala yemwe akuwopsezedwa ndi kupuma.

Magawo a ntchito

BAVU ndi chida chamanja chomwe chingagwiritsidwe ntchito ndi manja awiri. Wopulumutsayo, wotembenuzidwa ndikutsamira kwa wozunzidwayo, amagwiritsa ntchito kupanikizika pafupipafupi ndi dzanja limodzi kuti apereke mpweya mumlengalenga ndikupanga oxygenation pamene akugwira chigoba pamphuno ndi dzanja lina ndi pakamwa pa wodwalayo kuti atsimikizire chisindikizo changwiro.

Ndiko kuti: mu njira ya oxygenation, wopulumutsa amagwiritsa ntchito chikhatho cha dzanja lake ndi zala zake zinayi kuti apereke oxygen kwa wodwalayo. Chala chachikulu sichigwiritsidwa ntchito. Pakati pa kupanikizika kulikonse kwa mpweya, wopulumutsayo ayenera kuyang'ana ngati chifuwa cha wovulalayo chikukwera.

Mpweya wa okosijeni wa munthu wokhala ndi vuto la kupuma umachitika m'magawo anayi:

1. Airway chilolezo
2. Kuyika kwa chigoba chosalowa madzi kuchokera kumphuno kupita kuchibwano
3. Kuwotcha
4. Kutuluka

Mungagwiritse ntchito liti?

BAVU imagwiritsidwa ntchito isanayambe kapena itatha intubation, podikirira makina opangira mpweya, ngati akuyendetsa mwadzidzidzi munthu akumangidwa kwa mtima, akudikirira gulu lotsitsimula. Tempo yolondola ndi kupuma 15 pamphindi kwa akulu ndi 20 mpaka 30 kupuma kwa makanda kapena makanda.

Njira zopewera kutenga

BAVU iyenera kugwiritsidwa ntchito ndi manja onse, makamaka kuti isamalidwe bwino pakamwa ndi pamphuno. Pankhani ya BAVU yogwiritsidwanso ntchito, zidazo ziyenera kutetezedwa bwino (mask ndi valve zikuphatikizapo) pambuyo pa ntchito iliyonse. Ngati itagwiritsidwa ntchito molakwika, BAVU ikhoza kuyambitsa kusanza, pneumothorax, hyperventilation, ndi zina zotero. Ndikofunikira kudziwa bwino ntchito yake.

BAVU iyenera kusinthidwa kuti igwirizane ndi momwe wodwalayo alili. Chigoba chomwe chili chachikulu kwambiri kapena chocheperako chingayambitse zovuta zambiri. Choncho otsitsimula ali ndi masks amitundu yosiyanasiyana kuyambira akhanda mpaka akuluakulu. Amasinthanso mogwirizana ndi momwe wodwalayo amamangira.

Pogula, ziyenera kutsimikiziridwa kuti masks akugwirizana ndi BAVU yomwe ili m'gulu.