A Onye na-agbanwe mmiri ọkụ (HME)bụ otu ụzọ na-enye ndị okenye tracheostomy ọrịa iru mmiri. Idobe ụzọ ikuku mmiri dị mkpa n'ihi na ọ na-enyere ihe nzuzo dị mkpa aka ka enwere ike ịcha ha. Ekwesịrị iji ụzọ ndị ọzọ na-enye mmiri mmiri n'okporo ụzọ ikuku mgbe HME adịghị.
Ngwa nkeIhe nzacha HEM
A na-eji nlezianya megharịa akụkụ nke nzacha HME iji hụ na arụmọrụ kacha mma. Dịka, nzacha ndị a nwere ụlọ, mgbasa ozi hygroscopic, yana oyi akwa nzacha nje/viral. Emebere ụlọ ahụ iji chekwaa nzacha n'ime ụlọ onye ọrịa ahụsekit iku ume. A na-emekarị mgbasa ozi hygroscopic site na ihe hydrophobic nke na-ejide nke ọma ma na-ejigide mmiri na-ekuku ume. N'otu oge ahụ, oyi akwa nje bacteria/viral filter na-arụ ọrụ dị ka ihe mgbochi, na-egbochi nkwụsị nke microorganisms na-emerụ ahụ.
Njirimara nka nka nke nzacha HME:
A na-eji ihe nzacha HME mee ihe na sekit iku ume ndị ọrịa iji zere mmetọ ọ bụla.
Kwesịrị ekwesị maka ndị ọrịa iku ume na mberede nwere tube tracheostomy.
Mpaghara nzacha dị irè: 27.3cm3
Ọdụ ụgbọ mmiri Luer maka nlele gas dị mfe yana okpu ejikọtara iji kpochapụ ihe egwu nke enweghị ebe.
Udi ergonomic gburugburu na-enweghị akụkụ dị nkọ na-ebelata akara nrụgide.
Nhazi kọmpat na-ebelata ibu sekit.
Nguzogide dị ala na-eruba na-ebelata ọrụ iku ume
Na mkpokọta nwere oyi akwa ụfụfụ ma ọ bụ akwụkwọ nke nwere nnu hydroscopic dị ka calcium chloride
Ihe nzacha nje na nje virus nwere ezigbo nzacha nke> 99.9%
HME nwere arụmọrụ iru mmiri> 30mg.H2O/L
Jikọọ na ọkọlọtọ 15mm njikọ na endotracheal tube
Usoro nke kpo oku na humidification
Nwere oyi akwa ụfụfụ ma ọ bụ akwụkwọ nke nwere nnu hygroscopic dị ka calcium chloride
Gas agwụla agwụ na-ajụ oyi ka ọ na-agafe akpụkpọ ahụ, na-ebute condensation na mwepụta nke oke ume nke vaporisation na oyi akwa HME.
Site n'ike mmụọ nsọ na-ekpo ọkụ na-ekpo ọkụ na-ekpochapụ condensate ma mee ka gas dị ọkụ, nnu hygroscopic na-ahapụ ụmụ irighiri mmiri mgbe ike ikuku dị ala.
Ya mere, a na-ahazi ikpo ọkụ na iru mmiri site na mmiri dị n'ime gas mebie ya na isi okpomọkụ nke onye ọrịa.
Igwe nzacha dịkwa ugbu a, ma ọ bụ chaja elektrọnik ma ọ bụ oyi akwa hydrophobic na-atọ ụtọ, nke ikpeazụ na-enyere aka ịlaghachi mmiri na gas ka condensation na evaporation na-apụta n'etiti oghere.
Usoro nke filtration
A na-enweta nzacha maka ihe ndị buru ibu (> 0.3 µm) site na mmetụta inertial na interception
Mgbasa Brownian na-ejide ụmụ irighiri ihe ndị pere mpe (<0.3 µm).
Ngwa nke HME Filters
A na-eji ha eme ihe n'ụlọ ọgwụ, ụlọ ọgwụ na ebe nlekọta ụlọ. A na-etinyekarị ihe nzacha ndị a n'ime sekit ventilashị, sistemu iku ume anesthesia, na tubes tracheostomy. Ntughari ha na ndakọrịta na akụrụngwa iku ume dị iche iche na-eme ka ha bụrụ akụkụ dị mkpa nke nlekọta iku ume.
Dị ka a na-eduga soplaya na emeputa nkeọgwụ consumables, Shanghai Teamstand Corporation na-agba mbọ ịnye ihe nzacha HME dị elu nke na-egbo mkpa siri ike nke ndị ọkachamara ahụike. Emebere ngwaahịa ha na-elekwasị anya na nkasi obi ndị ọrịa, nrụpụta ụlọ ọgwụ na njikwa ọrịa, na-eme ka ha bụrụ nhọrọ ntụkwasị obi maka ụlọ ọrụ ahụike gburugburu ụwa.
Anyị na-enye nhọrọ HMEF dị ukwuu na nke zuru oke na arụmọrụ dị iche iche, nha na ụdị iji hụ na nhọrọ ndị ahịa kacha elu ka ọ na-emezu ihe niile achọrọ ụlọ ọgwụ.
Oge nzipu: Eprel-22-2024