Nebulizer Wamankhwala

Poyerekeza ndi njira yachizolowezi chomwa mankhwala ochizira mphumu ndi matenda ena opuma, nebulizer yamankhwala imapangitsa madzi amadzimadzi kukhala tinthu tating'onoting'ono, ndipo mankhwalawo amalowa m'mapapo ndi m'mapapo kudzera kupuma mpweya, potero amalandira chithandizo chopweteka, chofulumira komanso chothandiza.

Zifukwa 5 Zogwiritsa Ntchito Nebulizer Yachipatala

  1. Ana ochulukirachulukira omwe ali ndi matenda opuma, makamaka ana omwe amakhala ndi chifuwa chokhazikika, monga ana omwe nthawi zonse amatsokomola, amathandizidwa ndimankhwala osokoneza bongo kapena jakisoni, ana amavutika kumwa mankhwala, amawopa jakisoni, ndipo amatenga mankhwala kudzera m'misempha kapena magazi pang'onopang'ono, ana Alemekezeke kwakutali nthawi;
  2. Ndizovuta kupita kuchipatala kukafola kukalembetsa, kudikirira kwa nthawi yayitali, ndipo pali chiopsezo chotenga matenda m'dera la chipatalacho;
  3. Ngati mankhwalawa akuyenda mthupi lonse, atha kukhala ndi zovuta zina, zomwe sizothandiza kuti ana akule bwino.
  4. Mobwerezabwereza matenda, jakisoni pafupipafupi mchere; zovuta kumwa mankhwala kunyumba, pang'onopang'ono zotsatira; nthawi yomweyo, mankhwalawa ali ndi poizoni atatu, ndipo kugwiritsa ntchito nthawi yayitali kumangodalira
  5. Pali zipatala zambiri zomwe zapanga chithandizo cha ma aerosol, chomwe sichopweteka komanso chothandiza poyerekeza ndi mankhwala achikhalidwe kapena jakisoni.

kusankhaMMed Medical Nebulizer Mawonekedwe

ChoiceMMed Medical Nebulizer imagwirira ntchito limodzi ndi mankhwalawa kudzera pa atomizer, pogwiritsa ntchito mpweya wa jet kukhudza madzi azitsamba kukhala tinthu tating'onoting'ono, tomwe timayimitsidwa pakuyenda kwa mpweya, ndikulowetsa munjira yopumira kudzera mu chubu cholumikiza, kupondereza ma atomized particles opangidwa ndi atomizer. Ndipo sikophweka kugundana ndikuphatikizana, thupi la munthu ndilabwino kupumira, ndipo limalowa mu bronchus, mapapo ndi ziwalo zina, zomwe ndizoyenera makamaka kuchiza matenda am'mapapo am'munsi.

  • Ntchito yofunika kwambiri
  • Chosinthika atomizing chikho
  • Chabwino atomizing tinthu
  • Mawonekedwe odekha
  • Zotsalira zochepa za mankhwala
  • Kugwiritsa ntchito kwambiri atomizing

Pali mitundu itatu ya ma atomu a zamankhwala, mitundu ikuluikulu ndi ma atomizer ophatikizira (mpweya wothinikizira mpweya ma atomizer) ndi ma atomu opanga, ndipo inayo ndi ma mesom atomizer (onse ndi ma atomizer ophatikizira ndi ma Ultrasonic atomizer, aang'ono, osavuta kunyamula)

Akupanga Medical Nebulizer Technology

Nebulizer ya akupanga atomizer ilibe mwayi wosankha tinthu tating'onoting'ono, chifukwa chake tinthu tating'onoting'ono tomwe timapanga mankhwala titha kungoyikidwa m'mapazi apakamwa monga pakamwa ndi pakhosi, komanso chifukwa kuchuluka kwa m'mapapu ndikochepa, sitingathe kuchiza matenda am'munsi oyipitsa. Nthawi yomweyo, chifukwa cha tinthu tating'onoting'ono tating'onoting'ono tomwe timapangidwa ndi akupanga atomizer komanso kufulumira kwa atomization, wodwalayo amapumitsa nthunzi yambiri yamadzi kuti ipangitse mpweya kupuma. Zouma mumatumbo opumira zomwe poyambilira zidatsekereza bronchus idakulitsidwa pambuyo poyamwa chinyezi ndikuwonjezera njira ya kupuma Kukana kumatha kuyambitsa hypoxia, ndipo akupanga nebulizer ipangitsa kuti yankho lachipatala lipange madontho amadzi ndikukhazikika pakhoma lamkati, lomwe ndi osati yogwira matenda ochepa kupuma thirakiti, ndipo ili ndi kuchuluka kwakukulu kwa mankhwala, komwe kumayambitsa zinyalala.

Compression Medical Nebulizer Technology

Mmene Ntchito

Mpweya wothinikizidwa ndi mpweya wa atomizer wamagetsi umagwiritsa ntchito mpweya wopanikizika kuti apange mpweya wothamanga kwambiri kudzera pamphuno kakang'ono. Thirakitilo linanyinyirika.

Mesh Medical Nebulizer Technology

Mmene Ntchito

Pogwedeza mwamphamvu mpaka pansi pa vibrator, madzi amadzaza kudzera m'mabowo a mutu wopopera, ndikupopera mankhwalawa pogwiritsa ntchito mawonekedwe opukutira mutu. Ili ndi mtundu waposachedwa kwambiri wa atomizer ndipo ili ndi compression. Makhalidwe a atomizer ndi akupanga atomizer, njira yopopera ndiyo kugwiritsa ntchito kakang'ono akupanga kugwedera ndi mauna kutsitsi mutu kapangidwe kupopera, ndi banja mankhwala atomizer ana ndi mphumu, zosavuta kunyamula kulikonse.

Zamgululi Related

Ma nebulizers azachipatala amagwiritsidwa ntchito kwambiri pochiza matenda osiyanasiyana akumpweya komanso kupuma kwapansi, monga kuzizira, malungo, chifuwa, mphumu, zilonda zapakhosi, pharyngitis, rhinitis, bronchitis, pneumoconiosis ndi matenda ena a trachea, bronchi, alveoli, ndi chifuwa.


Mankhwala, nebulizer (American English) kapena nebuliser (British English) ndi chida choperekera mankhwala chomwe chimagwiritsidwa ntchito kuperekera mankhwala osokoneza bongo omwe amaphatikizika m'mapapu. Nebulizer amagwiritsidwa ntchito ngati mankhwala ochizira mphumu, cystic fibrosis, COPD ndi matenda ena okhudzana ndi kupuma. Amagwiritsa ntchito mpweya, wothinikizidwa ndi mpweya kapena mphamvu ya akupanga kuti athane ndi mayankho ndi kuyimitsa pang'ono m'malovu aerosol omwe amatha kulowetsedwa molunjika pakamwa pa chipangizocho. Aerosol ndi msanganizo wamagesi ndi tinthu tokhala ngati madzi kapena amadzimadzi.

Ntchito zamankhwala

Mtundu wina wa nebulization

malangizo

Malangizo osiyanasiyana a mphumu, monga Global Initiative for Asthma Guidelines [GINA], Maupangiri aku Britain pa kasamalidwe ka Asthma, The Canada Canada Pediatric Asthma Consensus Guidlines, ndi Maupangiri aku United States a Diagnosis ndi Chithandizo cha mphumu iliyonse imalimbikitsa mulingo wothandizirana ndi mankhwala. mankhwala a nebulizer operekedwa. European Respiratory Society ivomereza kuti ngakhale ma nebulizer amagwiritsidwa ntchito mu zipatala komanso kunyumba akuwonetsa kuti kugwiritsidwa ntchito koteroko sikungakhale umboni.

mogwira

Umboni waposachedwa ukuwonetsa kuti ma nebulizers sagwira ntchito kuposa ma metered-dose inhalers (MDIs) okhala ndi ma spacers. MDI yokhala ndi spacer itha kupindulitsa ana omwe ali ndi mphumu yovuta. Zomwe apezazi zikunena makamaka za chithandizo cha mphumu osati mphamvu ya ma nebulisers nthawi zambiri, monga COPD mwachitsanzo. Kwa COPD, makamaka poyesa kuwonjezeka kapena kuwonongeka kwamapapu, palibe umboni wosonyeza kuti MDI (ndi spacer) idapereka mankhwala Ndiwothandiza kwambiri kuposa kuperekera mankhwala omwewo ndi nebulizer. European Respiratory Society idanenanso za chiwopsezo chokhudzana ndi kukula kwakumaso komwe kumachitika chifukwa chogulitsa zida za nebulizer mosiyana ndi yankho la nebulized. Apeza kuti kuchita izi kumatha kusiyanasiyana kukula kwa madontho kakang'ono ka 10 kapena kupitilira apo posintha kuchoka ku makina osagwira ntchito a nebulizer kukhala oyenera kwambiri. kuthamanga kwambiri, makamaka mu mphumu yovuta; komabe, zomwe zaposachedwa zikusonyeza kuti mitengo yamapapo yamatumba ndiyofanana. Kuphatikiza apo, kuyesanso kwina kunapeza kuti MDI (yokhala ndi spacer) inali ndi gawo locheperako pazotsatira zamankhwala poyerekeza ndi nebulizer (onani Clark, et al. Maumboni ena). Kupitilira kugwiritsidwa ntchito kwa matenda am'mapapo am'mapapo, ma nebulizers atha kugwiritsidwanso ntchito kuthana ndi zovuta monga kupuma kwa zinthu zapoizoni. Chimodzi mwazitsanzo zotere ndi chithandizo cha kupuma mpweya wa nthunzi za poizoni wa hydrofluoric acid (HF). Calcium gluconate ndi njira yoyamba yothandizira HF kuwonekera pakhungu. Pogwiritsira ntchito nebulizer, calcium gluconate imatha kuperekedwa m'mapapu ngati aerosol yothana ndi kawopsedwe ka nthunzi ya HF.

Kutulutsa kwa Aerosol

Mphamvu ya mapapu ake ndikuwonetsa mphamvu ya aerosol zimadalira kwakukulu kapena kakulidwe. Nthawi zambiri, laling'onoting'ono limakhala ndi mwayi waukulu wolowerera ndere komanso kusungidwa. Komabe, ngati tinthu tating'onoting'ono tambiri tating'onoting'ono 0.5 μm pali mwayi wopewa kuphatikizidwa kwathunthu ndikutsitsidwa. Mu 1966 gulu lotchedwa Task Group on Lung Dynamics, lomwe limakhudzidwa kwambiri ndi zoopsa za kupumira kwa poizoni, linapereka lingaliro la kufotokozera kwa tinthu tating'onoting'ono m'mapapu. Izi zikutanthauza kuti tinthu tating'onoting'ono ta mamilimita 10 titha kulowa mkamwa ndi mmero, chifukwa tinthu tating'onoting'ono 5- 10 μm timasintha kuchoka pakamwa kupita pamayendedwe a airway kumachitika, ndipo tinthu tating'onoting'ono timapitirira 5 μm nthawi zambiri m'misewu yotsika ndipo ndiyoyenera ma eerosols a mankhwala.

Mitundu ya nebulizer

Ndege yamakono

Vial ya 0.5% albuterol sulfate inhalation solution ya nebulizing Pneumatic Jet nebulizer Ma nebulizer omwe amagwiritsidwa ntchito kwambiri ndi buluu wa jet, omwe amatchedwanso "atomizer". [10] Ma Jet nebulizer amalumikizidwa ndi ma tubing kupita ku mpweya wothinikizidwa, nthawi zambiri umakakamiza mpweya kapena mpweya kuti usunthike pamtunda wapamwamba kudzera mumadzi amadzimadzi kuti usinthe kukhala aerosol, yomwe kenako imalowetsedwa ndi wodwalayo. Pakadali pano zikuwoneka kuti pali chizolowezi pakati pa madotolo kuti asankhe mankhwala olembetsedwa a Metered Dose Inhaler (pMDI) kwa odwala awo, m'malo mwa jet nebulizer yomwe imapanga phokoso lochulukirapo (nthawi zambiri 60 dB pakugwiritsa ntchito) ndipo siyosavuta kunyamula chifukwa kulemera kwakukulu. Komabe, ma jet nebulizer amagwiritsidwa ntchito kwambiri kwa odwala kuchipatala omwe amavutika kugwiritsa ntchito ma inhalers, monga milandu ikuluikulu ya matenda kupuma, kapena matenda a mphumu. Ubwino wawukulu wa nebetizer ya jet ndikugwirizana ndi mtengo wake wotsika wogwira. Ngati wodwala amafunikira kumwa mankhwala tsiku ndi tsiku kugwiritsa ntchito pMDI kungakhale okwera mtengo. Masiku ano opanga angapo akwanitsanso kuchepetsa kulemera kwa nyambo ya batire mpaka magalamu 635 (22.4 oz), ndipo potero anayamba kuyilemba ngati chida chosavuta kunyamula. Poyerekeza ndi onse omwe akupikisanapo ndi ma bulugamu, phokoso ndi kulemera kwakukulu komabe ndikubwezeretsa kwakukulu kwambiri kumbuyo kwa ndege ya jet. Mayina amalonda ogulitsa ma jet amaphatikizira a Maxin. Soft mist inhaler Kampani yachipatala Boehringer Ingelheim idapanganso chida chatsopano chotchedwa Respimat Soft Mist Inhaler mu 1997. Tekinoloji yatsopanoyi imapereka mlingo kwa wogwiritsa ntchito, monga madzi am'munsi mwa inhaler amatembenuzidwira mozungulira ma degree a 180 ndi dzanja, ndikuwonjezera kumangika pakasupe kuzungulira chidebe chamadzi chosinthika. Wogwiritsa ntchito akayambukira pansi pa inhaler, mphamvu yochokera kuchitsime imatulutsidwa ndikuwumiriza kukakamiza kosinthasintha kwamadzimadzi, ndikupangitsa kuti madzi azitulutsa timizere tiwiri, ndikupanga ndowe yofewa kuti ikulowetsedwe. Chipangizocho chilibe mafuta ambiri ndipo sipafunikira batri / mphamvu yogwiritsira ntchito. Kukula kwa ma droplet kukula kwake kunayesedwa mpaka ma 5.8 micrometer, zomwe zimatha kuwonetsa zovuta zina zabwino kwa mankhwalawa wofinya kuti afike m'mapapu. Mayeso apitawa atsimikizira kuti sizinali choncho. Chifukwa chovutira kwambiri vutoli, Soft Mist Inhaler kwenikweni imachita bwino kwambiri poyerekeza ndi pMDI wamba. Mu 2000, mikangano idakhazikitsidwa ku European Respiratory Society (ERS) kuti imveketse bwino / kufutukula tanthauzo lawo la nebulizer, popeza zofalitsa za Soft Mist Inhaler zatsopano zitha kulembedwa ngati "nebulizer yoyendetsedwa ndi dzanja" ndi "pMDI yoyendetsedwa ndi dzanja" ". Magetsi Akupanga funde nebulizer Akupanga mawonekedwe a nebulizers adapangidwa mu 1965 ngati mtundu watsopano wa nebulizer yoyenda. Ukadaulo womwe umakhala mkati mwa nebulizer yamagalimoto ndikuti pakhale oscillator wamagetsi opanga ma frequency ambiri omwe akupanga, omwe amachititsa kugwedeza kwamakina kwa chinthu cha piezoelectric. Vutoli limalumikizana ndi madzi osungira ndipo kuthamanga kwake kwakanthawi kumakwanira kuti kutulutsire nthunzi.Pamene amapanga ma aerosols kuchokera kugwedebulo lamagetsi m'malo mogwiritsa ntchito compressor yolemera, amakhala ndi kulemera pafupifupi magalamu 170 (6.0 oz) . Ubwino wina ndikuti kugwedeza kwamphamvu ndikungokhala chete. Zitsanzo za mitundu yamakono ya ma nebulizer ndi: Omron NE-U17 ndi Beurer Nebulizer IH30. Vibrating mesh technology Chinthu chatsopano chatsopano chomwe chidapangidwa pamsika wa nebulizer cha 2005, ndikupanga kwa akupanga Vibrating Mesh Technology (VMT). Ndi ukadaulo wa maula / nembanemba yokhala ndi mabowo okwanira 1000-7000 laser imanjenjemera pamwamba pa madzi osungiramo madzi, ndipo potero imakakamiza kuti pakhale dontho labwino m'malovu. Ukadaulo uwu umagwira ntchito bwino kuposa kukhala ndi piezoelectric chinthu choyambira pansi pa madzi osungiramo madzi, ndipo potero nthawi zakufupikirazo zamankhwala zimakwaniritsidwa. Mavuto akale omwe amapezeka ndi nebulizer yamagalimoto, omwe amakhala ndi zinyalala zochuluka kwambiri komanso samatha kuyatsa mankhwala, amapezanso njira yatsopano yokhuza ma batire. Ma nebulizer opezeka a VMT akuphatikizapo: Pari eFlow, Respironics i-Neb, Beurer Nebulizer IH50, ndi Aerogen Aeroneb.

Kuwonetsa zotsatira zonse 12

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