The words of the lungs | You can also use a ventilator at home. How to choose?

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The lung master's qi is full of essence inside, and the qi is combined with breathing. The lungs are "delicate and dirty", are not dry, and are susceptible to external evils. They are not suitable for cold and heat. Therefore, lung disease is the most common and is also troubled by the people. The words of the lungs will be regularly pushed to the prevention, treatment, treatment, and lung rehabilitation of the lung disease, and protect your "relaxing breathing every day" to escort. Welcome to continue to pay attention!

The words of the lungs of the lungs 1002

Lao Zheng, who has repeatedly coughing, sputum, and asthma, has recently been diagnosed with chronic obstructive pulmonary disease with chronic obstructive pulmonary disease in the Department of Respiratory and Message Medicine of Traditional Chinese Medicine Hospital of Guangdong Province. Respiratory failure. When he was buying online, he made difficulties. It turned out that the types of ventilator on the market were dazzling, and the price of different types of ventilator was obvious. In the face of Lao Zheng, who was blank, Xiaoyan hurried forward to science popularization to help him worry.

1. What is a non -invasive ventilator?

Non -invasive ventilator is relative to a ventilator. It is a device that can effectively replace or control human respiratory function, increase lung ventilation, improve respiratory function, maintain smooth airway, alleviate respiratory muscle fatigue and save cardiac reserves. Different from the ventilator, non -invasive ventilator does not require tracheal intubation or bronchial cutting, and can be used with nasal masks (or masks) and non -invasive ventilator only through a pipe.

2. What are the modes of non -invasive ventilator?

The non -invasive ventilator used by my department is "dual -horizontal airway positive pressure ventilator" (referred to as BIPAP ventilator), which generally comes with autonomous trigger mode (S mode), time control mode (T mode) and autonomous trigger time control mode (ST mode). The ST mode is a comprehensive application of S mode and T mode, that is, add spare breathing frequency on the basis of autonomous trigger. If there is no autonomous breathing within a certain time, the ventilator will supplement the breathing frequency according to the preset spare breathing frequency. It is clinical. The most commonly used model.

The non -invasive ventilator is also equipped with a continuous airway positive pressure ventilation mode (CPAP mode). This mode is to keep the airway unobstructed through a single level positive pressure ventilation, and is mostly used to treat sleep respiratory suspension syndrome and related diseases. If the non -invasive ventilator has only a CPAP mode or the CPAP mode that automatically adjusts the pressure, then this ventilator should be a sleep ventilator, and its effect cannot meet the clinical needs of patients with chronic lung blocking, chronic respiratory failure, etc. Intersection

Third, the working principle of dual -horizontal airway positive pressure ventilator?

The working principle of the dual -level airway positive pressure ventilator is to set and adjust the inhalation pressure (IPAP) and the exhale pressure (EPAP) respectively to ensure the foundation of sufficient moisture volume. The amount of ventilation is reduced to reduce the carbon dioxide level while reducing the breathing muscle load.

"Why do you have to give a stress support when exhaling? Do you not fight the exhaled airflow?" A lot of patients and family members expressed confusion about this issue, and thought that this could cause poor breathing. In fact, the pressure when exhalation supports the opening of the upper airway, eliminating obstructive sleep apnea, and preventing alveoli from falling.

Fourth, how to set parameters of dual -level airway positive pressure ventilator?

The setting parameters of non -invasive ventilator include iPAP, EPAP (Positive Pressure), Rise Time (pressure rising time), TI (inhalation time), F (reserve air frequency) and so on. After purchasing the machine, the patient should consult a specialist or professional engineer to set up according to the patient's personal situation and the required moisture amount, and adjust the data feedback based on the use of the ventilator and the data feedback of the ventilator. Do not set or change the parameters by yourself.

Under the patience and guidance of the small lung, Lao Zheng finally understood how to buy non -invasive ventilator and set the ventilator parameters with the help of the doctor. Through the telephone follow -up, I learned that Lao Zheng's ventilator at home was well worn and the quality of life was greatly improved.

Healthy trick

What should I do if my non -invasive ventilator is used during use?

Long -term use of non -invasive ventilator is prone to dry tongue. Pay attention to supplement sterilization water into the humidifier that comes with the ventilator and open the humidification function during use. In addition, Chinese medicine can be given to the tea drinking tea, which can play the effect of nourishing yin and dryness.

Drug composition: Xuan Ginseng 10g Schisandra 5g Ophiopogon 10g of wolfberry 10g 10g, soak warm water for 15-20 minutes of offspring tea drinks.

Medical Guidance: Xu Yinji, Director of Disposal and Critical Medicine, Daide Road General Hospital of Guangdong Province

• Chief physician, professor, master's tutor

• Director of the Division of Division of Disposal and Critical Medicine, Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine

• Professor Professor of the Master of the Chinese Medical Medicine

• Vice President of the Fever Branch of the Chinese National Medicine Society

• Deputy Chairman of the Breathing Special Committee of the Guangdong Provincial Chinese Medicine Society

• Vice Chairman of the Guangdong Female Physician Association Respiration and Critical Critical Critical Special Committee

• Young famous Chinese Medicine Hospital of Traditional Chinese Medicine, Yangcheng Good Doctor, Guangzhou Power Middle -aged Doctor

• Good at: Childbella, asthma, chronic cough, deficiency people with colds, dilatation, lung fibrosis, pulmonary hypertension, pulmonary embolism and other diseases such as Chinese and Western medical treatment and traditional Chinese medicine recovery

Author: Cai Junxiang

Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital's Deputy Chief Physician and Master's Graduate Student. Members of the Infectious Society of Respiratory Diseases Branch of the Guangdong Medical Association, director of the High School Professional Committee of the World Chinese Medicine Association, member of the Respiratory Disease Committee of the Guangdong Provincial Chinese Medicine Society, members of the Guangdong Provincial Clinical Medicine Society and Member National assistance in Hubei ’s second batch of TCM medical teams. Good at: combined traditional Chinese and western medicine to treat respiratory and critical illness, lung infection, chronic obstructive pulmonary disease, asthma, respiratory failure, chronic cough, bronchial expansion, etc.

Cough Cosmetic Slow Disease Management Clinic

Cough and asthma Slow Disease Management Outpatient Clinic is located on the eighth floor of the training building of Dade Road General Hospital of Guangdong Province. Patients with chronic diseases provide drug treatment, lung rehabilitation, diet guidance, and health education to protect and manage the health of patients with cough and asthma.

Supply: Division and Critical Medicine (PCCM) of Daide Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine (PCCM)

Medical Guidance: Xu Yinji

Author: Cai Junxiang

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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