Ịkwụsị ọkụ na ihe ikuku oxygen na ikuku¶
Nọmba mberede dị iche na mba. Ibe a na-eji 911, nọmba maka United States na Canada. Ọtụtụ mba ndị ọzọ na-eji 112, 999, ma ọ bụ nọmba ọzọ. Chọta nọmba maka obodo gị.
Mgbe grid eletrik daa n'oge oke mmiri ozuzo, okpomọkụ, ma ọ bụ mmechi akụrụngwa, ezinụlọ na-adabere na ikuku oxygen na-anọpụ iche, igwe ikuku ventilashị, ngalaba BiPAP/CPAP, ma ọ bụ igwe na-aṅụ ikuku na-eche ihe mberede ahụike dị oke mkpa ihu. N'adịghị ka batrị na-ebugharị obere concentrators ma ọ bụ gas cylinders abịakọrọ, ọkọlọtọ ọkọlọtọ 5-liter na 10-liter ala-eguzo n'ụlọ oxygen concentrators na-adọta 300 ka 600 watts nke na-aga n'ihu ọzọ alternating ugbu a (AC) ike na nwere ** efu n'ime batrị ndabere batrị **. Kpọmkwem nkeji nkeji mgbidi gị na-efunahụ ọkụ eletrik, onye na-etinye uche na-eguzo na-ada ụda mkpu piezoelectric nwere batrị dị elu wee kwụsị imepụta ikuku oxygen kpamkpam.
Maka onye toro eto ma ọ bụ onye na-arịa ọrịa na-adịghị ala ala nke na-adịghị ala ala (COPD), fibrosis pulmonary, heart failure, ma ọ bụ neuromuscular iku ume ndabere, ọbara oxygen saturation (\(SpO_2\)) nwere ike ịdaba n'okpuru pasent 88 n'ime nkeji nke nkwụsịtụ mmiri, na-eduga na nnukwu hypoxemia, hypercapnic iku ume ọdịda, obi arrhythmia, ma ọ bụ ọnwụ nke obi mgbawa. Ijikwa ọkụ na-akwado ndụ na-achọ ka ị gbanwee nwayọọ nwayọọ na akwụkwọ ndụ akwụkwọ ndụ / ọlaọcha na-akwado oxygen cylinders (E-tanks ma ọ bụ M-60 tankị), na-agbakọ kpọmkwem nkeji oge ole nrụgide tank gị fọdụrụ na pound kwa square inch (PSI) ga-adịru na ọnụ ọgụgụ nke lita-kwa nkeji (LPM) ị kwadoro, na-egbochi nnukwu mmiri mmiri na-ekpo ọkụ na-ekpo ọkụ na batrị CPAP mgbe ị na-akpọ ndị na-ekpo ọkụ ọkụ na batrị CPAP. (DME) ndị na-ebubata ma ọ bụ bupụ ya n'ụlọ ọgwụ ma ọ bụ ebe nchaji nwere ikike tupu tankị gị akpọọ nkụ.
Mee nke a ugbu a¶
- ** Kpọọ ndị ọrụ mberede ozugbo ma ọ bụrụ na onye ọrịa ahụ gosipụtara ihe ịrịba ama ọ bụla nke nhụjuanya iku ume ma ọ bụ hypoxia siri ike.** Ọ bụrụ na onye ọrịa ahụ nwere egbugbere ọnụ na-acha anụnụ anụnụ ma ọ bụ mbọ aka (cyanosis), nnukwu gasping ma ọ bụ mkpụmkpụ ume, mgbagwoju anya, enweghị ike ikwu okwu n'ahịrịokwu zuru oke, ọgụgụ oximeter pulse ($ SpO_2$) na-agbada n'okpuru pasent 88 (ma ọ bụ n'okpuru ebe a na-ahụ maka ikuku oxygen), n'agbanyeghị ventilashị nke onye ọrịa nwere nkeji 6 ma ọ bụrụ na onye na-ahụ maka nlekọta ahụike na-erughị nkeji 6. nke ndụ batrị fọdụrụ na-enweghị ike ndabere, kpọọ nọmba mberede mpaghara gị (
911na United States na Canada,112gburugburu European Union,999na United Kingdom) na-eji anyị nọmba mberede ndekọ. - ** Gbanwee eriri imi ma ọ bụ mkpuchi tubing nke onye ọrịa site na onye na-ahụ maka ọkụ eletrik nwụrụ anwụ na ikuku oxygen cylinder gị abịakọrọ ozugbo. Kpọọ ka ọ̀tụ̀tụ̀ ọsọ ọsọ nke lita-kwa nkeji (LPM) gị kpọmkwem.
- ** Gbanyụọ ma wepụ ihe ikuku oxygen na-akwụghị ọtọ na mgbidi mgbidi.
OFFna-emechi ụda mkpu na-aga n'ihu na-ada ụda oti mkpu, na ịpụpụ ụdọ ọkụ na-echebe bọọdụ sekit compressor nke n'ime ụlọ nke concentrator site na voltaji na-emebi emebi mgbe ike grid ike na-adaghachi na mberede. - ** Gbakọọ kpọmkwem awa gị fọdụrụ nke ikuku oxygen ugbu a site na iji PSI nlele na ọnụego eruba.** Lelee nlele nrụgide gburugburu na tankị nchekwa gị (otu tank zuru ezu na-agụ ihe dịka ** 2,000 ruo 2,200 PSI ** / 138 ruo 152 mmanya). Na ọkọlọtọ ọkọlọtọ ** E-cylinder *** (ihe dị ka 680 lita ikike), tank PSI zuru ezu 2,000 na-agba ọsọ na-aga n'ihu na ** 2 LPM na-ewe ihe dịka 5.0 ruo 5.5 awa **, ebe na ** 4 LPM ọ na-adị naanị awa 2.5 **. Ekwela ka ọkọnọ gị daa n'okpuru 500 PSI (mpaghara uhie) na-enweghị atụmatụ mbugharị na mmegharị.
- Kpọọ nọmba ngwa ngwa ngwa ahụike Durable Medical Equipment (DME) oxygen supplier 24/7 mberede izipu ma ọ bụrụ na outage ga-agafe 50 pasent nke gị tank ọkọnọ. Onye ọ bụla Medicare-ccredited na NHS/ógbè oxygen na-eweta na-achọrọ idowe 24-hour na oku iku ume technician maka mberede cylinder resupply. Kpọọ ha mgbe ị ka nwere awa 4 ruo 6 nke gas fọdụrụ, ọ bụghị mgbe tank ikpeazụ gị tọgbọrọ chakoo.
- ** Gbanyụọ humidifier na-ekpo ọkụ na tubing na-ekpo ọkụ na CPAP, BiPAP, na ndị na-eku ume ọkụ n'ụlọ ka ọ bụrụ oge batrị ugboro atọ.* Ịgbanwe ntọala okpomọkụ humidifier gaa na
0 / OFF(ma ọ bụ ikewapụ ọnụ ụlọ humidifier na-ekpo ọkụ kpamkpam) na-abawanye oge nke ọdụ batrị DC ndabere site na awa 2.5 ruo awa 8 ruo 14 **.
Nzọụkwụ-site-nzọụkwụ: Ịgbanwe site na eletriki concentrator gaa na ndabere oxygen cylinder¶
Onye ọrịa ọ bụla nyere ọgwụgwọ ikuku oxygen n'ụlọ kwesịrị ịnwe ma ọ dịkarịa ala otu nnukwu cylinder nkwado ndabere (ihe M-60 ma ọ bụ H/K tank) ma ọ bụ obere igwe E-cylinders abụọ n'ụgbọ ụkwụ nwere ụkwụ nke ụlọ ọrụ DME ha na-ebunye kpọmkwem maka nkwụsị ọkụ. Ọ bụrụ na ọ dịtụbeghị mgbe ị meghere ikuku oxygen gbawara agbawa na mbụ, soro usoro a n'enweghị nsogbu.
1. Kwadebe cylinder ma nyochaa mmanụ ma ọ bụ griiz (Ọkụ & Mgbochi Mgbawa)¶
A na-echekwa oxygen oxygen agbakwunyere n'ime aluminom ma ọ bụ cylinder ígwè na nrụgide dị egwu, ruo ** 2,015 ruo 2,200 pound kwa square inch (PSI) *** (139 ruo 152 mmanya). Ọ bụ ezie na ikuku oxygen n'onwe ya abụghị mmanụ ọkụ, ikuku oxygen na-arụ ọrụ dị ọcha na-akpata ọ bụla nke mmanụ mmanụ, griiz, Vaseline, ude mmiri, ma ọ bụ mmanụ esi nri na ** ịgbanye n'otu oge na ihe mgbawa ** site na ikpo ọkụ adiabatic mkpakọ mgbe valvụ meghere.
- Sachaa ma kụọ aka gị tupu ị na-ejikwa oxygen regulator ma ọ bụ valvụ tank ka ọ ghara ude mmiri, Vaseline, ma ọ bụ griiz nri metụ aka na akwa ọla.
- ** Chekwaa cylinder ahụ nke ọma:** Gbaa mbọ hụ na cylinder ahụ nọ ọdụ nke ọma n'ime ụgbọ E-cart ya, ihe nkwụnye ala, ma ọ bụ tọgbọrọ n'elu kapeeti ka ọ ghara ịdaba. Ọ bụrụ na cylinder dị ogologo abịakọrọ na-ada ma kpachapụ valvụ elu ọla ya, ọ na-atụgharị ghọọ torpedo dị elu na-egbu egbu nke nwere ike ịkụ ọkpọ site na mgbidi akọrọ.
2. Tinye ma ọ bụ nyochaa oxygen regulator na washer (Bodok Seal)¶
Ọtụtụ tankị ndabere ụlọ nke ọgbara ọhụrụ enweelarị ihe na-achịkwa usoro ịgbasa. Ọ bụrụ na ịchọrọ ịkwaga onye nhazi site na tank efu gaa na tank ọhụrụ zuru ezu:
- ** Wepụ teepu uzuzu plastik na valvụ post n'olu cylinder ọhụrụ.
- ** Lelee Sistemụ Nchekwa Pin-Index (PISS) na igwe mgbanaka O-ring:** Lelee n'ime yok nke onye na-ahụ maka ikuku oxygen gị. Enwere obere ndozi ọla abụọ dabara adaba na oghere dabara n'olu tank, gbakwunyere akwa mkpuchi roba na ọla dị mkpa (** Bodok akara ***) n'elu ọnụ ọnụ mbata ọla. ** Nyochaa na kpọmkwem otu igwe na-asachapụ adịghị adị ugbu a **, ọ bụrụ na onye na-asa ihe na-efu efu, ikuku oxygen dị elu ga-eji nhịhịa na-eme ka ọ daa pụta; ọ bụrụ na a na-achịkọta ihe nzacha abụọ na mberede ọnụ, akara ahụ ga-ada ma gbapụ.
- ** Wepụ yok onye na-achịkwa n'elu olu tank ***, tinye ntụtụ abụọ ahụ n'ime oghere abụọ dị n'akụkụ akụkụ valvụ ahụ, ma mee ka nnukwu T-handle ịghasa azụ nke yoke ahụ nke ọma site na aka ruo mgbe ọ ga-adaba.
3. Mepee valvụ cylinder ma tọọ mmiri mmiri (LPM)¶
- **Kwenye n'aka na atọrọ ọpịpị ọrịre nke onye nhazi
0(gbanyụọ) *** tupu imeghe valvụ cylinder isi. - ** Tinye eriri rọba plastik nwere oghere (T-wrench) ***, nke ejiri eriri bead na-ejikọta ya na onye na-ahụ maka njikwa, n'elu stem brass dị larịị dị larịị dị n'elu cylinder.
- ** Tụgharịa ihe nkesa tank ahụ n'aka aka ekpe (gaa n'aka ekpe) nwayọ** site na ọkara ruo otu ntụgharị zuru oke. Ị ga-ahụ agịga na nlele nrụgide gburugburu na-awụli elu ruo ** 2,000 PSI ** (na mpaghara akwụkwọ ndụ akwụkwọ ndụ).
-
- Ọ bụrụ na ị nụ ụda na-ada ụda n'olu:* Mechie valvụ elu n'akụkụ elekere ozugbo, mee ka yoke T-screw sie ike, ma ọ bụ lelee igwe na-asa rọba.
- Kụnye tub nke imi ma ọ bụ ndọtị nke onye ọrịa n'otu n'otu n'ime oghere oghere dị nhịahụ na onye na-achịkọta ya. (Ndụmọdụ: N'oge ọkụ ọkụ mgbe ị na-agba ọsọ na gas na-enweghị njedebe, ** wepụ tubing mgbatị ala 15-mita / 50-foot n'ogologo ** nke ị na-ejikarị eletrịkị concentrator na jikọọ onye ọrịa 2.1-mita / 7-ụkwụ nasal cannula ozugbo na tank ụgbọ ala n'akụkụ oche ha; nke a na-egbochi ịbanye n'ahịrị).
- ** Tụgharịa pịa-pịa nọmba na onye na-achịkwa** ka ọ bụrụ otu lita nke onye ọrịa kwuru kpọmkwem (dịka ọmụmaatụ,
2 LPMma ọ bụ3 LPM). Na-enwe mmetụta ma ọ bụ gee ntị n'oghere imi iji gosi na ikuku oxygen na-agba ọsọ, ma tinye cannula na onye ọrịa.
flowchart TD
A["Igwe ọkụ eletrik na-eji ngwa nkwado ndụ daa n'ụlọ"] --> B{"Kedu ngwaọrụ onye ọrịa na-eji?"}
B -->|Stationary Oxygen Concentrator| C["Gbanwee Cannula ka ọ bụrụ E-cylinder ma ọ bụ tank M-60 ozugbo"]
B -->|Home Mechanical Ventilator| D["Chọpụta batrị dị n'ime ma jikọọ ụlọ akụ batrị DC mpụga"]
B -->|CPAP or BiPAP Machine| E["Gbanyụọ humidifier kpụ ọkụ n'ọnụ & Hose dị ọkụ ka ọ bụrụ oge ojiri batrị DC atọ"]
C --> F["Gbanyụọ & Kwupụ ihe nchekwa ihe nwuru anwu ka ọ kwụsị oti mkpu na mmebi ọnya"]
F --> G["Gụọ Tank PSI Gauge & Gbakọọ awa fọdụrụ na LPM edepụtara"]
D --> H{"A na-atụ anya na ọpụpụ ga-agafe 50% nke nkwado ndabere na mpaghara batrị?"}
E --> H
G --> H
H -->|Yes| I["Kpọọ DME Supplier 24/7 Dispatch & Utility Medical Baseline Line Ugbu a"]
H -->|No| J["Nyochaa SpO2 & Chekwaa Ike Oxygen / Batrị"]
I --> K{"Tank <500 PSI ma ọ bụ batrị Vent <60 nkeji na-enweghị mbubata?"}
K -->|Yes| L["Kpọọ 911/112/999 ma ọ bụ pụọ n'ụlọ ọgwụ / ebe a kwadoro"]
K -->|No| J
Ịgbakọ ogologo oge nchekwa ikuku oxygen gị ga-adịru¶
Echela oge ole ị ga-ahapụ na cylinder oxygen abịakọrọ. Ogo cylinder ọ bụla nwere ihe arụrụ arụ ** Ihe ngbanwe tankị ** dabere na oke mmiri dị n'ime ya. Site n'ịbawanye nrụgide nlele gị ugbu a (mwepu ihe nchekwa nchekwa PSI 200) site na ihe tankị wee kewaa site na ọnụego ị na-erute na Liters kwa nkeji (LPM), ị maara kpọmkwem oge ị ga-agba ọsọ na nkeji:
- ** Ihe E-Cylinder Tank Factor:**
0.28(Ikike zuru oke ~ 680 lita na 2,200 PSI; obere cylinder aluminum cylinder, ~ 66 cm / 26 sentimita asatọ n'ogologo, eji na ụgbọ ala wheel). - ** M-60 Ihe na-akpata Silinder Tank:**
0.83(Ikike zuru oke ~ 1,700 lita na 2,200 PSI; tankị na-akwụghị ụgwọ, ~ 58 cm / 23 sentimita asatọ n'ogologo, dayameta sara mbara). - ** H ma ọ bụ K Jumbo Cylinder Tank Factor:**
3.14(Ikike zuru oke ~ 6,900 lita na 2,200 PSI; tankị dị elu dị arọ, ~ 130 cm / 51 sentimita asatọ n'ogologo). - ** Ihe kpatara tankị D-Cylinder:**
0.16(Ikike zuru oke ~ 415 lita; obere tankị obere akpa-akpa).
Tebụlụ ogologo oge ikuku oxygen na-atụ aka (na-aga n'ihu na-aga n'ihu)¶
Tebụlụ dị n'okpuru na-egosi oge ọsọ ọsọ ** dị mma iji rụọ ọrụ (ruo na nchekwa nchekwa PSI 200)** maka nnukwu cylinders ndabere ụlọ na-agba ọsọ na ** Na-aga n'ihu **:
| Ụdị Silinder & Nrụgide | Na 1 LPM | Na 2 LPM | Na 3 LPM | Na 4 LPM | Na 5 LPM | Na 6 LPM |
|---|---|---|---|---|---|---|
| ** Igwe ọkụ E-Sylinder (zuru ezu: 2,000 PSI)** | ~ 8 elekere 20 nkeji (Nkeji 504) | ~4 elekere 10 nkeji (Nkeji 252) | ~ 2 elekere 48 min (nkeji 168) | ~ 2 elekere 05 nkeji (Nkeji 126) | 1 elekere 40 nkeji (100 min) | ~1 elekere 24 nkeji (nkeji 84) |
| ** Igwe ọkụ E-Sylinder (ọkara: 1,000 PSI)** | ~ 3 elekere 44 (nkeji 224) | ~1 elekere 52 nkeji (Nkeji 112) | ~ 1 elekere 15 nkeji (nkeji 75) | ~ nkeji 56 | ~ 45 min | ~ 37 min |
| ** E-Sylinder nwere ike ibugharị (mpaghara uhie: 500 PSI)** | ~1 elekere 24 nkeji (nkeji 84) | ~ 42 nkeji | ~28 min | ~21 nkeji | ~ 17 min | ~ 14 min |
| ** Ọkara M-60 Tank (zuru ezu: 2,000 PSI)** | ~24 elekere 50 min | ~ elekere 12 nkeji iri abụọ na ise | ~8 elekere 18 min | ~ elekere 6 nkeji iri na atọ | ~4 elekere 58 min | ~4 elekere 09 min |
| ** Jumbo H/K tank (zuru ezu: 2,000 PSI)** | ~ elekere 94 (ụbọchị 3.9) | ~ elekere 47 (ụbọchị 1.9) | ~ 31 elekere 20 min | ~ elekere 23 nkeji iri atọ | ~18 elekere 50 min | ~ 15 elekere 40 min |
Iji ngwaọrụ nchekwa oxygen (OCD / Pulse-Dose Regulator) na ndụ tankị okpukpu atọ.¶
Ọ bụrụ na obere E-cylinder ma ọ bụ D-cylinder gị nwere ** Pneumatic ma ọ bụ Electronic Oxygen Conserving Regulator (OCD) , nke na-ebunye ikuku oxygen a tụrụ naanị na otu millisecond ka ị na-amalite iku ume site na imi gị kama ịwụfu oxygen n'ime ụlọ ka ị na-ekupụ ume, na-atụgharị onye na-ahụ maka njikwa na-atụgharị. "Continuous" ka "Pulse / Conserve" na-agbatị ndụ otu E-cylinder site na pasent 300 (site na awa 4.2 ruo ihe karịrị awa 12 ruo 15 na Setting 2).
Onye na-aghaghị ịgbanwee gaa na nchịkwa nchekwa nke Pulse-Dose Conserving Regulator
Agbanwela onye ọrịa site na Na-aga n'ihu na-aga n'ihu na-ahụ maka nchekwa nchekwa Pulse-Dose n'oge mwepu ọkụ ma ọ bụrụ na nke ọ bụla n'ime ihe ndị a metụtara:
- ** Onye ọrịa ga-ehi ụra ma ọ bụ na-eji oxygen inline na igwe CPAP/BiPAP: ** Ọtụtụ ndị mmadụ na-eku ume n'ọnụ ha mgbe ha na-ehi ụra, na-enweghị ike ịkpalite ihe mmetụta imi imi na ihe nchekwa pulse-dose, na ndị na-achịkwa pulse-dose apụghị ịrụ ọrụ n'ime tube CPAP. Jiri ** Na-aga n'ihu na-aga n'ihu ** n'oge ụra ma ọ bụ jiri CPAP/BiPAP.
- ** Onye ọrịa ahụ nwere ume iku ume ngwa ngwa ma ọ bụ oke COPD siri ike ** nke na-esighi ike ịkpalite valvụ mkpali na-akpali akpali.
- ** Onye ọrịa na-eji akwa tracheostomy, ihe mkpuchi Venturi, ma ọ bụ ihe nkpuchi ihu dị mfe:** Ndị na-echekwa pulse-dose na-arụ ọrụ ** naanị** nwere ọkọlọtọ otu-lumen ma ọ bụ dual-lumen nasal cannula.
Ị nwere ike ịgbatu mmiri lita onye ọrịa (LPM) iji mee ka tank ahụ dị ogologo?¶
** Naanị iji nlezianya na nleba anya Pulse Oximeter (\(SpO_2\)) na-aga n'ihu.** Ekwela ịkpọ onye ọrịa na-achọ 4 LPM gbadaa na 1 LPM na-enyochaghị saturation oxygen n'ọbara ha.
- Ọ bụrụ na ị nwere mkpịsị aka ** Pulse Oximeter ** na onye ọrịa na-anọdụ ala na-ezu ike n'oche kwụ ọtọ (ọchịchọ oxygen na-agbada site na 25 ruo 40 pasent mgbe ị na-anọdụ ala kpamkpam ma e jiri ya tụnyere ịgagharị n'ụlọ), lelee $SpO_2 $.
- Maka ọtụtụ ndị ọrịa COPD, ndị dọkịta na-edepụta ebumnuche izu ike \(SpO_2\) n'etiti 88% na 92% (maka ndị na-abụghị COPD fibrosis ma ọ bụ ndị ọrịa obi, na-abụkarị 92% ruo 96%). Ọ bụrụ na onye ọrịa na 3 LPM na-anọdụ ala na-ezu ike yana \(SpO_2\) nke 96%, onye dibịa ma ọ bụ DME na-ahụ maka iku ume na ekwentị nwere ike inye ikike ịgbada mmiri ahụ ruo nwa oge ruo 2 LPM ** mgbe ị na-ezu ike** ma ọ bụrụhaala na ị na-enyocha pulse oximeter ọ bụla nkeji 15 wee chọpụta $SpO_2 ma ọ bụ n'elu 9% nọrọ na nchekwa. Ekwela ka \(SpO_2\) daa n'okpuru 88%.
Ijikwa igwe ikuku ikuku, tracheotomies, na igwe mmiri ara¶
Mwepu ọkụ na-emetụta ihe mgbochi (tracheostomy) ma ọ bụ ikuku ikuku na-adịghị emebi emebi (dịka Philips Trilogy, ResMed Astral, Breas Vivo, ma ọ bụ VOCSN) bụ ihe mbụ 1 nchekwa ndụ.
1. Ịghọta ihe nhazi batrị ventilashị nke atọ¶
Ndị na-eku ume ikuku na-akwado ndụ nke oge a anaghị anwụ ozugbo mgbe ike mgbidi kwụsịrị; a na-eji sistemu batrị oyi akwa arụ ọrụ:
- ** Batrị Lithium-ion edobere nke dị n'ime: *** Ewubere n'ime chassis ventilashị; na-enyekarị ** 3 ruo 4 awa ** oge ojiri gaa mgbe ahụike siri ike.
- ** Ihe a na-ewepụ / Hot-Swappable Click-In Battery:** Ngwunye batrị mbughari etinyere n'azụ ma ọ bụ akụkụ nke ikuku ventilashị (dị ka batrị Trilogy detachable), na-enye mgbakwunye ** 3 ruo 4 awa ** (ngụkọta awa 6 ruo 8 mgbe batrị abụọ chajịrị na nke ọhụrụ).
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** Mpụga okirikiri DC Batrị Bank ma ọ bụ ọdụ ike Portable (LiFePO4):** Ejikọtara site na eriri igwe ikuku 12V/24V DC ma ọ bụ brik ike AC, na-enye *12 ruo awa 24+ nke nkwado ndabere ogologo.
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** Lezienụ anya maka mmebi batrị ịka nká: ** Lithium-ion ventilator batrị na-atụfu ihe ruru pasenti 30 ruo 40 nke ikike ha nwetara mgbe ọnwa 18 ruo 24 nke na-aga n'ihu na ike AC. Akara ngosi ihuenyo na-egosi "Ogwe 4 / 100%" na batrị dị afọ 3 nwere ike ịdaba na mberede na "Oti mkpu batrị dị ala" ka naanị nkeji 90 gachara. ** Lelee ngwa ngwa dijitalụ nke ikuku ventilashị "Oge oge ịgba ọsọ fọdụrụ na nkeji/ nkeji"** n'ihuenyo nyocha ụlọ ọgwụ.
2. Akụrụngwa dị n'akụkụ akwa dị mkpa maka onye ọrịa ikuku ventila ụlọ ọ bụla¶
Tupu anyanwụ daa ma ọ bụ batrị agbada, tinye ihe anọ ndị a ozugbo n'ihe ndina onye ọrịa ma ọ bụ tray oche nkwagharị ka iru aka:
- ** Akpa Resuscitator Bag (Ambu Bag / BVM) na Tracheostomy Swivel Adapter na Face Mask: ** Ọ bụrụ na batrị ventilator niile daa tupu EMS abịarute, onye na-elekọta ya ga-ewepụ ozugbo sekit ventilator site na tracheostomy hub, tinye ** Akpa-Valve-Mask (Ambu bag the tube) 1 ozugbo ma ọ bụ tinye ya ozugbo na tracheostomy. ihe nkpuchi n'imi na ọnụ maka ndị ọrịa na-adịghị emerụ ahụ), ma fesaa akpa ahụ nke ọma otu ugboro n'otu oge ** 5 ruo 6 sekọnd (ume 10 ruo 12 kwa nkeji)**, na-ekiri ka obi na-ebili nwayọọ nwayọọ na-eji nke ọ bụla emetụ, ruo mgbe ndị ọrụ ahụike na-eweghara.
- ** Akwụkwọ ntuziaka / batrị na-akwado ụgbọ elu ụgbọ elu: ** Igwe ọkụ eletrik (dị ka DeVilbiss Vacu-Aide) ga-agbanyerịrị na batrị DC nke dị n'ime ha, ma ọ bụ na ị ga-enwerịrị ihe ntinye aka na-agbanye aka (dị ka Res-Q-Vac)** n'akụkụ ihe ndina iji kpochapụ ihe nkwụnye ọkụ na tube n'oge tracheo.
- ** Passive Heat and Moisture Exchanger (HME / "Swedish Nose"):** Mgbe mwepu ọkụ na-amanye gị ịgbanyụ mmiri ọkụ eletrik na-ekpo ọkụ ọkụ (dị ka Fisher & Paykel MR850) iji chekwaa ike batrị, afụla ikuku ọkpọkọ ozugbo n'ime tracheostomy tube, nke na-akpọnwụ ngwa ngwa n'ime oghere siri ike. Wepụta ngwa ngwa ** ihe nzacha HME na-agafe agafe ("thermavent / imi artificial")** inline na ọdụ tracheostomy iji weghara ma megharịa ikpo ọkụ na mmiri nke onye ọrịa site na iji ọkụ eletrik efu.
- Mapụtara Tracheostomy Tubes (Otu nha + Otu nha dị obere) na Obturator: Debe oriọna ọkụ na-enwu ọkụ (ọ bụghị ọkụ ọkụ ejiri aka, n'ihi na ịgbanwe tube trach egbochiri chọrọ aka abụọ) n'akụkụ akwa.
Na-agba ọsọ CPAP, BiPAP, na ihe ntinye n'ọdụ ọkụ nwere ike ibugharị & ndị ntụgharị ụgbọ ala.¶
Ịghọta ọkụ eletrik na ntụgharị ike na-enye gị ohere ịgbatị ọdụ batrị lithium nwere ike ibugharị (dị ka Jackery, EcoFlow, Bluetti, ma ọ bụ Goal Zero) ma ọ bụ ụgbọ ala 12-volt ọzọ na-adọba ụgbọala ruo ụbọchị.
| Ngwa ahụike | Ihe osise a na-ahụkarị (Watts) | Ọ nwere ike ịgba ọsọ na ụlọ akụ batrị 300W ruo 500W? | Atụmatụ ike mberede kacha mma |
|---|---|---|---|
| ** CPAP / BiPAP (Humidifier na-ekpo ọkụ ON)** | ** 70W ruo 110W *** | Ee, naanị otu abalị (~ 4 ruo 6 awa na ngwugwu 500Wh) | Na-emebi 60% ruo 75% nke ikike batrị na-ekpo ọkụ na ịtụgharị DC ka ọ bụrụ AC |
| ** CPAP / BiPAP (Humidifier Gbanyụọ + 12V/24V DC Cable)** | ** 15W ruo 25W *** | ** Ee, maka abalị 3 ruo 5 zuru oke** (awa 24 ruo 35 na ngwugwu 500Wh) | Gbanyụọ humidifier (ma ọ bụ jiri ngafe mmiri na-agafe agafe) wee jiri eriri ihe ntụgharị sịga siga ** $25 DC-na-DC* kama iji plọg mgbidi AC 120V. |
| ** Ihe nchekwa ikuku oxygen na-ebugharị (POC, ọmụmaatụ, Inogen / Caire)** | * 35W ruo 60W** (Ọkpụrụkpụ akwara) | ** Ee, maka awa 8 ruo 14 ** na ọdụ batrị 500Wh | Tinye ụdọ nkwụnye ụgbọ ala POC ** 12V DC n'ime ọdụ ọkụ nwere ike ibugharị ma ọ bụ ụgbọ na-agba ọsọ n'èzí. |
| ** Ihe nleba anya ụlọ 5-lita kwụ ọtọ (dịka, Invacare / Respironics EverFlo)** | ** 300W ruo 400W na-aga n'ihu *** (ịmalite mmalite 600W) | ** Mba *** (na-ewepu batrị 500Wh n'ime ~ nkeji 70) | Na-achọ nnukwu ọdụ ọkụ ** 1,500Wh ruo 2,000Wh + LiFePO4** (maka awa 4 ruo 5) ma ọ bụ ** 2,000W Pure Sine Wave Inverter Generator ** n'èzí, ma ọ bụ gbanwee gaa na tankị gas E/M-60. |
| ** Onye na-ahụ maka ụlọ 10-Liter dị elu (dịka, AirSep NewLife Intensity 10)** | ** 550W ruo 650W na-aga n'ihu *** | ** Mba** | Gbanwee ozugbo na ** Jumbo H/K ma ọ bụ M-60 ikuku oxygen cylinders ***; na-achọ onye na-ebu ibu dị n'èzí ma ọ bụrụ na nkwụsị na-adịru ụbọchị |
Kedu ihe kpatara ị ga-eji jiri ihe ntụgharị dị ọcha nke Sine Wave maka akụrụngwa ahụike¶
Ọ bụrụ na ị jikọọ ihe ikuku oxygen kwụ ọtọ, ventilator, ma ọ bụ CPAP AC ike brik na gas generator ma ọ bụ batrị ụgbọ ala 12-volt inverter, ** chọpụta na inverter na-arụpụta "Pure Sine Wave" (True Sine Wave) ọkụ eletrik **, ọ bụghị "Mgbanwe Sine Wave."
- Ndị ntụgharị ụgbọ ala dị ọnụ ala $40 na ndị na-emepụta ihe owuwu mepere emepe na-emepụta ihe dị ugbu a “Modified Sine Wave”.
- Ịdọkwụnye ihe mkpakọ ikuku oxygen na-achịkwa nke microprocessor ma ọ bụ ihe ntụgharị ikuku nke nwere mmetụta n'ime ihe ntụgharị Sine Wave gbanwere na-ebute oke ikpo ọkụ na-ekpo ọkụ, ụgbọ okporo ígwè na-adịghị agbanwe agbanwe, ikuku dị n'ime ya, na mbibi na-adịgide adịgide nke ngwaọrụ ahụike n'ime nkeji iri atọ. Na-achọ mgbe niile "Sine Wave dị ọcha" (<3% Total Harmonic Distortion) ebipụtara na inverter ma ọ bụ ọdụ ike enwere ike ibugharị.
Ejila igwe na-emepụta gas nwere ike ibugharị n'ime ebe a na-adọba ụgbọala, ihe owuwu ụzọ mbata, ma ọ bụ n'ime 6 mita (ụkwụ 20) nke windo.
N'ime oge oyi ọ bụla na oke ifufe na-ekpo ọkụ, ezinụlọ dum, karịsịa ndị agadi nọ n'ụlọ oxygen, na-egbu egbu ** Carbon Monoxide (CO) nsi ** n'ihi na mmadụ na-etinye mmanụ ụgbọala ma ọ bụ propane generator n'ime ebe a na-adọba ụgbọala nwere oghere na ọnụ ụzọ meghere, na okpuru ulo, ma ọ bụ na patio kpuchie na mpụga windo ime ụlọ. Carbon monoxide na-ejikọta haemoglobin n'ime ọbara ** ugboro 200 karịa oxygen **, na-ebute asphyxia na-egbu egbu ọbụlagodi mgbe onye ọrịa na-eyi cannula oxygen. Debe igwe ọkụ ọkụ ọ bụla na-ere mmanụ ** opekata mpe mita 6 (ụkwụ 20) n'èzí pụọ n'ọnụ ụzọ niile, windo, na oghere ***, tụọ iyuzucha ahụ n'ụlọ ahụ, ma debe mkpu CO nke na-arụ ọrụ batrị ozugbo n'akụkụ akwa onye ọrịa.
Ịdenye aha maka Utility Medical Baseline Priority na US emPOWER Mmemme¶
Ị nwere ike chekwaa mweghachi grid ụzọ, ịdọ aka ná ntị ịgbachi agbachi, ọnụego ọkụ eletrik ebelata, na nnyefe batrị mberede na-akpaghị aka site na ịdenye aha ngwa ahụike gị tupu ma ọ bụ n'oge mmemme:
- ** Ngwa ọkụ eletrik "Baseline ahụike / nlekọta dị oke mkpa / ndekọ ọrụ mbụ":**
- United States: Kpọtụrụ ụlọ ọrụ na-ahụ maka ọkụ eletrik gị (dị ka PG&E, SCE, Con Edison, Duke Energy, Oncor, ma ọ bụ FPL) wee nyefee Medical Baseline Allowance / Life-Support Equipment Asambodo bịanyere aka na ya dọkịta gị ma ọ bụ NP/PA. Nke a na-egosi smart mita gị dị ka ebe obibi nkwado ndụ ** (na-achọ ụzọ onye ga-aga n'ihu na-akụ aka tupu emebere atụmatụ nchekwa nchekwa ọha, mweghachi sekit dị mkpa, ọnụego ọkụ eletrik dị ala, yana, na steeti dị ka California n'okpuru * PG&E/SCE Portable Battery Program*, ** free butere 1,000Wh batrị batrị *).
- United Kingdom: Debanye aha n'efu na ** Ndebanye aha Ọrụ Ndị Isi (PSR)** yana ma ndị na-eweta ike gị yana onye ọrụ netwọk nkesa ọkụ eletrik mpaghara gị (site na ịkpọ
105). - Canada & Australia: Debanye aha dị ka onye ahịa nkwado ndụ ** jiri akụrụngwa mpaghara gị (Hydro One, BC Hydro, Hydro-Québec) ma ọ bụ onye nkesa Australia (Ausgrid, Endeavor Energy) iji nweta nchebe nkwụsị nke iwu na nzaghachi mbupu ụzọ.
- ** Ngalaba Ọkụ na mpaghara / EMS "Njikere Nleba / Ndebanye aha Pụrụ Iche":** Kpọọ obodo gị ma ọ bụ ógbè gị nọmba ezipụ ọkụ na-abụghị ihe mberede wee rịọ ka tinye adreesị gị na ** Kọmputa-Aided Dispatch (CAD) Vulnerable / Oxygen-Ventilator Registry**. N'ime ụbọchị ịgbanyụ ọkụ n'ime obodo ma ọ bụ oke oyi, ndị ọrụ mgbanyụ ọkụ na-eme nyocha ahụike na nyocha nrụgide tank na adreesị ndị edebanyere aha na-akpaghị aka.
- HHS emPOWER Program (United States): N'oge gọọmentị etiti kwupụtara ọdachi, ngalaba ahụike ọha na FEMA na-eji HHS emPOWER Medicare dataset iji chọpụta ezinụlọ ọ bụla nọ na koodu ZIP metụtara nke debanyere akwụkwọ Medicare maka igwe ikuku ventilashị, ikuku oxygen, ma ọ bụ igwe dialysis, na-ebuga ikuku oxygen na-ejuju gwongworo na ụgbọ ala ndị ahụ ozugbo.
Ajụjụ a na-ajụkarị¶
Igwe ikuku oxygen dị n'ụlọ m nwere batrị nchekwa etinyere n'ime ya mgbe ọkụ na-apụ?
Mba. Nnukwu nkwụnye n'ụlọ oxygen concentrators (dị ka 5-liter na 10-liter n'ala nkeji) chọrọ 300 ka 600 watts nke na-aga n'ihu mgbidi ọkụ eletrik na-agba ọsọ ha n'ime ikuku compressors na molekul sieve akwa, na ha nwere efu ndabere batrị na-emepụta oxygen. Obere batrị 9-volt dị n'ime ụfọdụ ihe nleba anya ochie na-enye ike naanị ụda ịdọ aka na ntị ọdịda ọdịda. Oge ike na-apụ, ị ga-ewepụrịrị tubing cannula nke imi gị na concentrator ma tinye ya na akwụkwọ ndụ akwụkwọ ndụ / ọlaọcha ndabere gị abịakọrọ oxygen cylinder.
Kedu ihe kpatara ikuku oxygen m ji na-akụ ụda na-aga n'ihu n'oge mgbụsị akwụkwọ, oleekwa otu m ga-esi kwụsị ya?
A na-achọ ihe nchekwa ikuku oxygen na-akwụghị ụgwọ site na ụkpụrụ nchekwa ka ọ na-ada ụda na-aga n'ihu mgbe ọ bụla ọkụ eletrik na-egbutu mgbe igwe ọkụ eletrik ka nọ n'ọnọdụ "ON", na-eme ka ndị ọrịa na-ehi ụra mara na ikuku oxygen akwụsịla. Ozugbo ị gbanyechara tubing cannula gị n'enweghị nsogbu na tankị ikuku oxygen gị, pịa bọtịnụ ike n'ihu nke concentrator gaa na ọnọdụ " Gbanyụọ "iji mechie mkpu ahụ, ma wepụ igwe ahụ na mgbidi mgbidi iji chebe ya pụọ na ọkụ ọkụ mgbe ọkụ eletrik laghachi.
Ogologo oge ole ka otu tank ikuku oxygen na-ebugharị E-cylinder ga-adịru na lita 2 kwa nkeji (LPM)?
E-cylinder ọkọlọtọ zuru oke (na-agụ 2,000 ruo 2,200 PSI na nlele nchịkwa) na-ejide ihe dị ka lita 680 nke oxygen ahụike abịakọrọ. Na-agba ọsọ na-aga n'ihu na-aga n'ihu na 2 lita kwa nkeji (2 LPM), otu E-cylinder zuru ezu na-enye ihe dị ka awa 4.2 ruo 5.0 nke ikuku oxygen na-adịghị mma tupu ya eruo mpaghara nchekwa nchekwa 200 ruo 500 PSI. Na 4 LPM na-aga n'ihu, otu tank ahụ na-adị naanị ihe dịka awa 2 na nkeji 5. Ọ bụrụ na ị na-eji usoro nchekwa pulse-dose akwadoro mgbe ị na-amụ anya ma na-anọdụ ala, E-tank zuru ezu nwere ike ịdịru awa 12 ruo 15 na Ntọala 2.
Kedu otu m ga-esi mee ka batrị CPAP ma ọ bụ BiPAP dịgidere site na nkwụsị ọkụ ọtụtụ ụbọchị?
Mee ihe abụọ ozugbo: nke mbụ, gbanyụọ kpamkpam (ma ọ bụ wepụ) ụlọ mmiri na-ekpo ọkụ na-ekpo ọkụ na eriri ọkụ ọ bụla, n'ihi na ikpo ọkụ na mmiri na-eri ihe ruru pasent 75 ruo 80 nke ọkụ eletrik igwe. Nke abụọ, kama ịtinye eriri mgbidi 120V AC nke CPAP gị mgbe niile n'ime oghere inverter AC na ụlọ akụ batrị gị (nke na-efunahụ pasent 20 nke ike na-agbanwe DC na AC wee laghachi na DC), jiri eriri ihe ntụgharị sịga-ọkụ $25 12V/24V DC mere maka ụdị CPAP gị. Ọnụ ụzọ abụọ a na-agbatị ọdụ batrị 500Wh dị n'etiti site na 1 abalị ruo 4 ma ọ bụ 5 abalị zuru oke nke ụra.
Kedu ihe m ga-eme ma ọ bụrụ na tankị ikuku oxygen na-adị ala (n'okpuru 500 PSI) na ike ahụ ka dị?
Echela ruo mgbe tank gị ruru efu. Ozugbo ị dara n'ime awa 4 ruo 6 ikpeazụ nke oxygen (ma ọ bụ mgbe tank ikpeazụ gị na-eru nso 500 PSI na nlele), kpọọ 24/7 onye na-eweta oxygen na-ebuga ikuku mberede 24/7 iji rịọ maka nkwụsịtụ cylinder mberede. Ọ bụrụ na okporo ụzọ enweghị ike ịgafe ma ọ bụ onye na-eweta DME enweghị ike iru gị n'oge, kwaga ozugbo ka ị ka nwere ikuku oxygen fọdụrụ n'ụlọ ọgwụ, ebe a na-ekpo ọkụ / ebe a na-ekpo ọkụ nke ime obodo nwere ebe eletriki (na-ebute ihe nkwụnye nkwụnye gị n'ime ụgbọ ala), ma ọ bụ ọdụ ọkụ mpaghara, ma ọ bụ kpọọ 911/112/999 maka njem ahụike mberede.
Ọ dị mma ikwunye ihe ikuku oxygen n'ime eriri ndọtị jikọtara na generator?
Dị ka ọ na-adịkarị, ndị na-emepụta ihe na-adụ ọdụ ka ịtinye ihe ikuku oxygen na-akwụsị ozugbo n'ime oghere mgbidi n'ihi na eriri ndọtị ezinụlọ dị gịrịgịrị na-ekpo ọkụ n'okpuru ibu compressor 400-watt na-aga n'ihu ma belata voltaji na moto. Otú ọ dị, n'oge ihe mberede mberede mgbe ị na-agba ọsọ site na n'èzí Pure Sine Wave inverter generator (dobere ma ọ dịkarịa ala mita 6 / 20 n'èzí site na windo), ị nwere ike iji otu ihe dị arọ 12-nlele ma ọ bụ 10-nlele (AWG) na-agbanye eriri ngwa n'èzí na-erughị 7.5 ruo 15 mita (25 ruo 50 feet). Ejikọtala ọtụtụ eriri daisy ọnụ ma ọ bụ tinye igwe na-ekpo ọkụ n'ime otu eriri.
Ntuziaka emetụtara¶
- Ọkụ ọkụ
- Ọkụ ọkụ oyi na-akwụsị, ịgbanyụ ọkụ ogologo oge, na grid kwụsịrị
- Nchekwa Generator na carbon monoxide
- Nkwarụ na mkpa ahụike
- Atụmatụ ihe mberede ndị okenye
- Nọmba mberede
enyochara isi mmalite¶
- ** U.S. Nchịkwa nri na ọgwụ ọjọọ (FDA, United States): *** Ngwaọrụ ahụike eji ụlọ: Otu esi akwado ma jikwaa nkwụsị ọkụ maka ngwaọrụ ahụike chọrọ ọkụ eletrik* na Pulse Oximeter Accuracy and Limitations Guide.
- ** U.S. Ngalaba ahụike na ọrụ mmadụ, nchịkwa maka nkwado atụmatụ na azịza (HHS ASPR, United States):** HHS emPOWER Mpempe akwụkwọ Eziokwu: Na-akwado ndị na-erite uru Medicare dabere na ọkụ eletrik na ọdachi.
- ** American Association for Respiratory Care (AARC) na American Thoracic Society (ATS, United States):** * Ntuziaka nlekọta ahụike maka ikuku ikuku nke ụlọ, ọgwụgwọ ikuku oxygen na-adị ogologo oge (LTOT), na oge nchịkọta Cylinder .
- ** Centers for Medicare & Medicaid Services (CMS, United States):*** Ngwa ahụike na-adịgide adịgide, Prosthetics, Orthotics, and Supplies (DMEPOS) Ụkpụrụ Ogo: Onye na-eweta 24/7 Iwu ịnweta ikuku oxygen mberede*.
- ** National Fire Protection Association (NFPA, United States) na UK Health and Safety Executive (HSE, United Kingdom):** * Nchekwa nchekwa na nchekwa nke igwe mkpuchi oxygen na ụlọ na mgbochi mgbochi Adiabatic *.