Yini i-Perflubron: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Perflubron iyinhlanganisela yoketshezi eyenziwe ngama-fluorocarbon eyenziwe ngabantu eye yahlolisiswa ikakhulukazi ngezicelo zokuphefumula, nakuba ingatholakali njengomuthi oqhelekile womlomo. Le nhlanganisela ekhethekile isebenza ngokuthuthukisa ukulethwa komoya-mpilo emaphashini futhi inezakhiwo eziyingqayizivele eziyenza ibe usizo ezimweni ezithile zezokwelapha.

Ukuqonda i-perflubron kungakusiza ukuthi wenze izinqumo ezinolwazi uma udokotela wakho eke wakhuluma ngale ndlela yokwelapha. Ake sihlole ukuthi le nhlanganisela iyini, isebenza kanjani, nokuthi yini okufanele uyazi mayelana nokusetshenziswa kwayo okungenzeka nemiphumela yayo.

Yini i-Perflubron?

I-Perflubron iyinhlanganisela ecacile, engenambala yoketshezi eyingxenye yomndeni wezinhlanganisela ezibizwa ngokuthi ama-perfluorocarbons. Lawa ngamakhemikhali enziwe ngabantu angakwazi ukuncibilikisa amanani amakhulu omoya-mpilo ne-carbon dioxide, okwenza abe usizo ezicelosini ezithile zezokwelapha.

Le nhlanganisela yaqala ukuthuthukiswa ukuze isetshenziswe ekungenisweni komoya oketshezini, lapho isetshenziselwa ukugcwalisa amaphaphu ngengxenye ngamanzi esikhundleni somoya nje. Lokhu kusiza ukuthuthukisa ukushintshaniswa komoya-mpilo kubantu abanezinkinga ezinkulu zokuphefumula. Nakuba kungewona umuthi ojwayelekile womlomo ongawuthola ekhemisi lakho langakini, abacwaningi baye bafunda ukusetshenziswa kwawo okungenzeka ngezindlela ezihlukahlukene zezokwelapha.

Cabanga nge-perflubron njengethuluzi elikhethekile lezokwelapha kunomuthi ovamile. Yenzelwe izimo ezithile lapho ukwelashwa okuvamile kungase kunganele.

Isetshenziselwani i-Perflubron?

I-Perflubron isetshenziswa ikakhulukazi ezindaweni zokunakekelwa okubucayi kubantu abanezinkinga ezinkulu zokuphefumula. Isicelo esikhulu ukungeniswa komoya oketshezini, lapho sisiza khona abantu amaphaphu abo angasebenzi kahle ngenxa yokulimala noma isifo.

Lo mxube uye wafundwa ngezimo eziningi ezithinta ukuphefumula. Lokhu kuhlanganisa i-acute respiratory distress syndrome (ARDS), okuyilapho amaphaphu evuvukala kakhulu futhi engakwazi ukuhlinzeka ngomoya-mpilo owanele emzimbeni. Kuye kwacwaningwa nangokwelapha i-pneumonia enzima kanye nokunye ukulimala kwamaphaphu.

Abanye abacwaningi baye bahlola amandla awo okusetshenziswa kwezinye izinto, okuhlanganisa njenge-ejenti yokuqhathanisa ezinqubweni ezithile zokuthwebula izithombe zezokwelapha. Kodwa-ke, lezi zicelo zisesezingeni elikhulu lokuhlola futhi azitholakali kakhulu ekunakekelweni kwezokwelapha okuvamile.

Isebenza Kanjani I-Perflubron?

I-Perflubron isebenza ngokusebenzisa ikhono layo eliyingqayizivele lokuthwala umoya-mpilo ne-carbon dioxide. Uma isetshenziswa ekungenisweni komoya oketshezi, igcwalisa izikhwama zomoya ezincane emaphaphu akho (ezibizwa ngokuthi ama-alveoli) futhi isiza ukudlulisa umoya-mpilo ngempumelelo enkulu kunomoya kuphela.

Lo mxube ubhekwa njengokwelashwa okukhethekile kunokuba umuthi obuthakathaka noma oqinile ngomqondo wendabuko. Ukusebenza kwawo kuvela ezintweni zawo ezingokomzimba kunokuba kube nokusebenzisana kwamakhemikhali nezinhlelo zomzimba wakho.

Uketshezi ludala imvelo ehlukile emaphaphu engasiza ukunciphisa ukuvuvukala futhi ithuthukise ukushintshaniswa kwegesi. Lusiza ikakhulukazi lapho amaphaphu elimele noma egcwele uketshezi, njengoba lungasiza ukususa imfucumfucu futhi lunikeze ukulethwa okungcono komoya-mpilo emgudwini wegazi.

Kufanele Ngiyithathe Kanjani I-Perflubron?

I-Perflubron ngokuvamile ayithathwa ngomlomo njengomuthi ovamile. Kunalokho, iphethwe yizinto zokusebenza zezokwelapha ezikhethekile ezindaweni zasemitholampilo, ngokuvamile ngamasistimu okungenisa umoya ngomshini.

Uma uthola ukwelashwa nge-perflubron, kuzonikezwa ochwepheshe bezokwelapha abaqeqeshiwe abakuqapha eduze kuyo yonke inqubo. Ukuphathwa kudinga izinto zokusebenza ezikhethekile kanye nobungoti obutholakala kuphela emayunithi okunakekelwa okukhulu noma ezindaweni zokunakekelwa kokuphefumula okukhethekile.

Akukho miyalelo ejwayelekile yokuthatha le nto ekhaya, njengoba ingatholakali ukusetshenziswa komuntu siqu. Noma yikuphi ukwelashwa okubandakanya i-perflubron kungenzeka ngaphansi kokuqondiswa okungokwempilo okuqinile endaweni yasesibhedlela.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Perflubron?

Ubude bokwelashwa nge-perflubron buqondene ngokuphelele nesimo sakho sezempilo esithile nokuthi usabela kahle kangakanani ekwelashweni. Ukwelashwa kuvame ukuthatha noma yikuphi kusuka emahoreni ambalwa kuya ezinsukwini ezimbalwa, kodwa lokhu kuhlala kunqunywa ithimba lakho lezokwelapha.

Odokotela bakho bazogada ukuphefumula kwakho, amazinga omoya-mpilo, kanye nesimo esiphelele ngokuqhubekayo ngesikhathi sokwelashwa. Bazolungisa ubude ngokuya ngokuthi amaphaphu akho asabela kanjani nokuthi ngabe isimo sakho siyathuthuka yini.

Umgomo ukusebenzisa i-perflubron kuphela uma kudingekile ukusiza amaphaphu akho ukuthi aphole futhi asebenze kangcono. Uma ukuphefumula kwakho kuthuthuka ngokwanele, ithimba lakho lezokwelapha lizokushintsha kancane kancane ubuyele ezindleleni zokungenisa umoya ezijwayelekile.

Yiziphi Imiphumela Eceleni ye-Perflubron?

Imiphumela ejwayelekile eceleni yokwelashwa nge-perflubron ingabandakanya izinguquko zesikhashana emaphethini okuphefumula nokucasuka okuncane emoyeni. Abanye abantu bangase babe nokukhwehlela noma ukungakhululeki okuncane njengoba umzimba wabo uzivumela ekungenisweni komoya oketshezi.

Nawa amanye amiphumela ongase uyithole ngesikhathi sokwelashwa:

• Ushintsho lwesikhashana emaphethini okuphefumula
• Ukucasuka okuncane komphimbo noma emoyeni
• Iziqephu zokukhwehlela
• Ushintsho emazingeni omoya-mpilo (aqashwe eduze)
• Ukugcinwa kwamanzi kwesikhashana emaphaphu

Izinkinga ezingathi sína kodwa ezingavamile zingabandakanya ubunzima bokukhipha uketshezi emaphaphu noma ukusabela okungalindelekile entweni. Ithimba lakho lezokwelapha lizobheka lokhu ngokucophelela futhi lithathe isinyathelo ngokushesha uma kwenzeka noma yimiphi imiphumela engathi sína.

Njengoba i-perflubron isetshenziswa ezimweni zokunakekelwa okubucayi, noma yimiphi imiphumela eceleni ilinganiswa ngokumelene nezinzuzo ezingaba khona zokuthuthukisa ukuphefumula kwakho nokulethwa komoya-mpilo.

Obani okungafanele bathathe i-Perflubron?

Ukwelashwa nge-Perflubron akufaneleki kuwo wonke umuntu, futhi odokotela bakho bazohlola ngokucophelela ukuthi kufanele yini isimo sakho esithile. Abantu abanezifo ezithile zenhliziyo noma labo abangazinzile kungenzeka bangabi ngabazongenela kahle lokhu kwelashwa.

Izinto eziningana zingenza ukwelashwa nge-perflubron kungafaneleki kuwe:

• Ukwehluleka kwenhliziyo okukhulu noma ukungazinzi kwenhliziyo
• Izinhlobo ezithile zezifo zamaphaphu ezingeke zizuze ekungenisweni komoya oketshezi
• Ukungezwani komzimba nezinto ezenziwe nge-fluorocarbon
• Izimo lapho ukukhipha uketshezi kungaba yinkinga
• Ukukhulelwa (ukuphepha akukamiswanga)

Ithimba lakho lezokwelapha lizobheka nesimo sakho sempilo esiphelele nokuthi uqinile yini ngokwanele ukubekezelela lokhu kwelashwa okukhulu. Isinqumo ngaso sonke isikhathi sihlanganisa ukulinganisa izinzuzo ezingaba khona nezingozi esimweni sakho esithile.

Amagama e-Brand e-Perflubron

I-Perflubron yaziwa kakhulu ngegama layo lamakhemikhali kunamagama athile e-brand, njengoba ingatholakali kakhulu njengomuthi othengiswayo. Ezindaweni zocwaningo nasezikhungweni zezokwelapha ezikhethekile, kungase kubhekiselwe kuyo ngamakhodi ocwaningo ahlukahlukene noma amagama ezikhungo.

Le nto ngezinye izikhathi ibizwa ngegama layo lamakhemikhali noma ibhekiselwe emibhalweni yezokwelapha ngamagama ocwaningo. Uma wamukela ukwelashwa okubandakanya i-perflubron, ithimba lakho lezokwelapha lizochaza kahle ukuthi lisebenzisa yiphi ifomu lale nto.

Ngokungafani nemithi ejwayelekile, i-perflubron ayithengiswa ngaphansi kwamagama e-brand yabathengi njengoba isetshenziswa kuphela ezindaweni zezokwelapha ezikhethekile ngaphansi kokuqashwa okungokomsebenzi okuqinile.

Ezinye izindlela ze-Perflubron

Ezinye izindlela eziningana ziyatholakala zokwelapha izinkinga ezinkulu zokuphefumula, kuye ngesimo sakho esithile. Ukungenisa umoya okujwayelekile ngomshini kuseyindlela ejwayelekile yokusekela ukuphefumula ezigulini ezigulayo.

Ezinye izindlela zokwelapha odokotela bakho abangazicabangela zihlanganisa:

• Ukungenisa umoya okushintshashintshayo okunamandla amakhulu
• I-Extracorporeal membrane oxygenation (ECMO)
• Ukwelashwa nge-nitric oxide ekhutshwa ngomoya
• Ukwelashwa ngokubeka umzimba ngesisu
• I-Continuous positive airway pressure (CPAP)

Ukukhethwa kokwelashwa kuncike esimweni sakho esithile, ukuthi zinzima kangakanani izinkinga zakho zokuphefumula, nokuthi usabela kahle kangakanani ezindleleni ezihlukene. Ithimba lakho lezokwelapha lizosebenza nawe ukuthola ukwelashwa okufanele kakhulu isimo sakho.

Ingabe i-Perflubron ingcono kune-Ventilation evamile?

I-Perflubron inikeza ezinye izinzuzo eziyingqayizivele ngaphezu kwe-ventilation evamile ezimweni ezithile, kodwa akudingeki ukuthi ingcono kuwo wonke umuntu. Ukusebenza kahle kuncike esimweni sakho esithile nokuthi amaphaphu akho asabela kanjani ekwelashweni okuhlukene.

I-Perflubron ingase ibe usizo olukhulu uma i-ventilation evamile inganikezi ukulethwa komoya-mpilo okwanele noma uma amaphaphu akho alimele kakhulu. Ngezikhathi ezithile ingafinyelela ezindaweni zamaphaphu lapho i-ventilation esekelwe emoyeni ingakwazi ukufinyelela ngempumelelo.

Noma kunjalo, i-ventilation evamile isahlala iyindlela yokwelapha ejwayelekile ezinkingeni eziningi zokuphefumula ngoba isungulwe kahle, itholakala kabanzi, futhi isebenza kahle eningi leziguli. I-Perflubron ngokuvamile icatshangelwa uma ukwelashwa okujwayelekile kungasebenzi kahle ngokwanele.

Imibuzo Evame Ukubuzwa Mayelana ne-Perflubron

Ingabe i-Perflubron iphephile ukusetshenziswa isikhathi eside?

I-Perflubron ayihloselwe ukusetshenziswa isikhathi eside futhi ngokuvamile isetshenziswa kuphela izikhathi ezimfushane ngesikhathi sezimo zezokwelapha eziqinile. Ukuphepha kokusetshenziswa isikhathi eside akukamiswanga, futhi yakhelwe njengokungenelela kwesikhashana ukusiza amaphaphu akho ukuthi aphole.

Ithimba lakho lezokwelapha lizokuqapha eduze ngesikhathi sokwelashwa futhi likushintshele ekwelashweni okuvamile ngokushesha nje lapho isimo sakho sithuthuka. Umgomo uhlala ukusebenzisa i-perflubron isikhathi esifushane esidingekayo ukuze kuzuzwe izinzuzo zokwelapha.

Kumele Ngenzeni Uma Ngihlangabezana Nezinkinga Ngesikhathi Sokwelashwa Nge-Perflubron?

Uma uthola ukwelashwa nge-perflubron, uzobe usesikhungweni sezokwelapha ngokuqapha okuqhubekayo, ngakho noma yiziphi izinkinga zizobonwa futhi zixazululwe ngokushesha yithimba lakho lezempilo. Akudingeki ukhathazeke ngokulawula izinkinga uwedwa.

Abasebenzi bezokwelapha bazobe beqapha izimpawu zakho ezibalulekile, amaphethini okuphefumula, kanye namazinga omoya-mpilo njalo. Baqeqeshwe ukubona nokuphendula kunoma yiziphi izinkinga ngokushesha nangempumelelo.

Yini Okufanele Ngiyilindele Ngesikhathi Sokululama Ekwelashweni Nge-Perflubron?

Ukwelulama ekwelashweni nge-perflubron ngokuvamile kuhilela ukuguqukela kancane kancane ekungenisweni komoya okujwayelekile njengoba amaphaphu akho ethuthuka. Le nqubo ilawulwa ngokucophelela yithimba lakho lezokwelapha ukuze kuqinisekiswe ukuthi ukuphefumula kwakho kuhlala kuzinzile.

Ungase uhlangabezane nokukhwehlela okuthile noma ukucasuka komphimbo njengoba uketshezi lususwa emaphashini akho, kodwa lokhu kujwayelekile futhi kungokwesikhashana. Odokotela bakho bazokwazi ukuqapha inqubekela phambili yakho futhi balungise ukunakekelwa kwakho njengoba kudingeka ngesikhathi sokululama.

Ingabe Ukwelashwa Nge-Perflubron Kungamiswa Nini?

Ukwelashwa nge-perflubron kungamiswa lapho ukusebenza kwamaphaphu akho kuthuthuka ngokwanele ukuze kugcinwe amazinga omoya-mpilo afanele ngokungeniswa komoya okujwayelekile. Lesi sinqumo senziwa njalo yithimba lakho lezokwelapha ngokusekelwe esimweni sakho esithile nokuphendula ekwelashweni.

Isikhathi siyahlukahluka kumuntu ngamunye, kodwa odokotela ngokuvamile bafuna ukuthuthuka emazingeni omoya-mpilo, ukuncipha kokuvuvukala emaphashini, kanye nokuzinza okuphelele ngaphambi kokuguqukela ezindleleni zokungenisa umoya ezijwayelekile.

Ingabe Zikhona Imiphumela Yesikhathi Eside Ngemva Kokwelashwa Nge-Perflubron?

Abantu abaningi abahlangabezani nemiphumela yesikhathi eside ekwelashweni nge-perflubron, njengoba le nto yakhelwe ukuthi isuswe ngokuphelele emaphashini. Kodwa-ke, odokotela bakho bazokuqapha nganoma yimiphumela engaba khona ngesikhathi sokululama kwakho.

Ukugxila ngemva kokwelashwa kusekusizeni amaphaphu akho aqhubeke nokuphola futhi abuyele ekusebenzeni okuvamile. Noma yikuphi ukunakekelwa okulandelayo kuzolungiswa esimweni sakho esithile kanye nesimo esingaphansi esidinga ukwelashwa nge-perflubron.