Gas na likitanci yana nufin iskar da ake amfani da ita wajen jiyya.Wasu ana amfani da su kai tsaye don magani;wasu ana amfani da su don maganin sa barci;wasu ana amfani da su don tuka kayan aikin likita da kayan aikin;wasu ana amfani da su don gwaje-gwajen likita da kwayoyin cuta da al'adun amfrayo.Yawanci ana amfani da su shine oxygen, nitrous oxide, carbon dioxide, argon, helium, nitrogen da matsa lamba.
Yanayin da amfani da iskar gas na likita:
1. Oxygen (Oxygen) Tsarin kwayoyin halitta na oxygen shine O2.Yana da ƙarfi oxidizer da haɓaka konewa.Lokacin da babban taro oxygen ci karo da maiko, zai sami karfi da iskar shaka dauki, samar da high zafin jiki, kuma ko da ƙone da fashe.Sabili da haka, an jera shi azaman nau'in haɗarin wuta na Class B a cikin "Lambar don Tsarin Kariyar Wuta na Gine-gine".
Duk da haka, iskar oxygen kuma ita ce mafi mahimmancin abu don ci gaba da rayuwa, kuma ana amfani da shi a likitance don ƙarin oxygen ga marasa lafiya hypoxic.Numfashin iskar oxygen mai tsafta kai tsaye yana cutar da jikin ɗan adam, kuma yawan iskar oxygen don amfani na dogon lokaci gabaɗaya baya wuce 30-40%.Marasa lafiya na yau da kullun suna shakar iskar oxygen ta kwalabe masu humidifying;marasa lafiya marasa lafiya suna shakar iskar oxygen ta hanyar iska.Hakanan ana amfani da iskar oxygen a cikin ɗakuna masu yawan gaske don magance cututtukan ruwa, gubar gas, da kuma lalata magunguna.
Tsarin kwayoyin halitta na nitrous oxide shine N2O.Gas ne mara launi, mai kamshi, kuma mai kamshi.Bayan an sha iska kadan, tsokar fuska za ta kumbura sannan sai furcin dariya ya bayyana, don haka aka fi sani da iskar dariya (gas-gas).
Nitrous oxide baya aiki kuma baya lalacewa a zafin jiki;duk da haka, zai oxidize aluminum, karfe, jan karfe gami da sauran karafa lokacin zafi;zai lalata polypropylene sama da 60 ° C.
Nitrous oxide zai bazu zuwa nitrogen da oxygen lokacin da zafin jiki ya wuce 650 ℃, don haka yana da tasirin konewa.A yanayin zafi mai zafi, matsa lamba sama da yanayi 15 zai sa maiko ya ƙone.
Gas mai dariya yana ɗan narkewa a cikin ruwa, cikin sauƙi mai narkewa a cikin acetone, methanol da ethanol, kuma ana iya ba da shi kuma a shayar da shi ta hanyar maganin alkaline kamar babban chlorine bleaching foda da ash soda.
Bayan an shaka dan kadan na nitrous oxide, yana da maganin sa barci da analgesic sakamako, amma yawan yawan numfashi na iya haifar da shaƙewa.A likitance, ana amfani da cakuda nitrous oxide da oxygen (mixing ratio: 65% N2O + 35% O2) a matsayin maganin sa barci, kuma ana shakar shi ga majiyyaci ta hanyar rufaffiyar hanya ko na'urar iska.A lokacin maganin sa barci, yi amfani da ingantattun matakan iskar oxygen da nitrous oxide na mita don saka idanu ga mahaɗin mahaɗin biyu don hana majiyyaci daga asphyxiation.Lokacin dakatar da numfashi, dole ne a ba majiyyacin iskar oxygen fiye da minti 10 don hana hypoxia.
Yin amfani da nitrous oxide azaman maganin sa barci yana da fa'idodin gajeriyar lokacin shigar, sakamako mai kyau na analgesic, saurin dawowa, kuma babu wani tasiri akan numfashi, hanta da ayyukan koda.Amma yana da tasirin hanawa kaɗan a kan myocardium, shakatawa na tsoka bai cika ba, kuma maganin sa barci yana da rauni.Nitrous oxide kadai a matsayin maganin sa barci ya dace da ƙananan ayyuka kamar hakar hakori, gyare-gyaren karaya, ƙaddamar da ƙurji, suturar tiyata, zubar da ciki na wucin gadi, da bayarwa mara zafi.A cikin manyan ayyuka, ana amfani dashi sau da yawa a hade tare da barbiturates, succinylcholine, opiates, cyclopropane, ether, da dai sauransu don inganta tasirin.
Hakanan ana amfani da iskar gas ɗin dariya azaman mai sanyaya, wakili mai gano ɗigogi, wakili mai kumfa, mai kare abinci, wakili mai tallafawa konewa, da sauransu.
3. Carbon dioxide
Tsarin kwayoyin halitta na carbon dioxide shine CO2, wanda aka fi sani da carbon dioxide.Gas mara launi ne, mai tsami, da ƙarancin guba.Ba ya aiki a zafin jiki, mai narkewa cikin ruwa, kuma mai narkewar sa shine 0.144g/100g ruwa (25 ℃).A 20 ° C, carbon dioxide zai iya zama ruwa mara launi ta hanyar danna shi zuwa 5.73 × 106 Pa, wanda sau da yawa ana matsawa kuma ana adana shi a cikin silinda.Ana iya sanya Carbon dioxide zuwa bushewar ƙanƙara ta hanyar matsawa (5.27 × 105Pa) da sanyaya (a ƙasa -56.6 ℃).Za'a iya ƙara busasshen ƙanƙara kai tsaye zuwa gas a 1.013 × 105 Pa (matsi na yanayi) da -78.5°C.Lokacin da ruwa carbon dioxide ya ƙafe da sauri a ƙarƙashin raguwar matsi, wani ɓangare na iskar gas ɗin zafi yana sa ɗayan ɓangaren ya mutu ya zama mai ƙarfi kamar dusar ƙanƙara, wanda ke matsar da ƙanƙara kamar dusar ƙanƙara zuwa ƙaƙƙarfan ƙanƙara (bushewar ƙanƙara).
Matsakaicin aminci na abun ciki na carbon dioxide a cikin iska shine 0.5%.Idan ya wuce 3%, zai shafi jiki.Idan ya wuce 7%, zai haifar da suma.Idan ya wuce 20%, zai haifar da mutuwa.
A likitance, ana amfani da carbon dioxide don kunna rami na ciki da hanji don laparoscopy da fiber colonoscopy.Bugu da ƙari, ana amfani da ita don noma kwayoyin cuta (bacteria anaerobic) a cikin dakin gwaje-gwaje.Hakanan za'a iya amfani da carbon dioxide mai ƙarfi a cikin cryotherapy don magance cataracts da cututtukan jijiyoyin jini.
Carbon dioxide ba mai ƙonewa ne, ba mai ƙonewa, kuma ya fi iska nauyi (yawancin 1.977g/L a ƙarƙashin madaidaicin yanayi, wanda ya kai ninki 1.5 na iska), wanda zai iya rufe saman abubuwa kuma ya ware iska, don haka yana ana amfani da shi sau da yawa Wuta yana kashe wuta, ana amfani da shi don waldawar carbon dioxide (wanda ake amfani da shi don ware iskar oxygen), da dai sauransu. Za a iya amfani da busasshen ƙanƙara azaman firji, cakudawar haifuwa, kuma ana amfani da shi don ruwan sama na wucin gadi.
4. Argon
Tsarin kwayoyin halittar argon shine Ar.Gas ne mara launi, mara wari kuma mara guba mara guba.Ba shi da ƙonewa, ba ya ƙonewa, kuma ba ya amsawa da sauran abubuwa ta hanyar sinadarai, don haka ana iya amfani da shi don kare karafa daga oxidation.
Gas ɗin argon yana ionized cikin ion iskar gas ɗin argon a ƙarƙashin aikin babban mita da matsa lamba.Wannan ion gas na argon yana da kyakkyawan aiki kuma yana iya ci gaba da watsa halin yanzu.Gas na argon da kansa zai iya rage yawan zafin jiki na rauni yayin aiki, kuma ya rage oxidation da carbonization (hayaki, eschar) na nama mai lalacewa.Sabili da haka, ana amfani da shi sau da yawa don yawan mita a magani.
Kayan aikin tiyata kamar wukar argon.
Hakanan ana amfani da Argon a cikin walda mai kariya ta argon, fitilu masu kyalli, masana'antar da'ira, da sauransu.
5. Helium (helium)
Tsarin kwayoyin halittar helium shine He.Hakanan iskar gas ce mara launi, mara wari kuma mara guba.Ba shi da ƙonewa, ba ya ƙonewa, kuma ba ya amsawa da sauran abubuwa ta hanyar sinadarai, don haka ana iya amfani da shi don kare karafa daga oxidation.A likitance, ana yawan amfani da shi a cikin kayan aikin tiyata kamar wukake na helium mai tsayi.
6. Nitrogen
Tsarin kwayoyin halitta na nitrogen shine N2.Ba shi da launi, mara wari, mara guba, iskar gas mara ƙonewa.Ba ya aiki a yanayin zafi na ɗaki kuma baya amsawa da sinadarai tare da ƙarfe na gama gari.Sabili da haka, ana amfani da nitrogen mai tsabta don hana lalata ƙarfe, kamar cika kwararan fitila, anti-tsatsa da cika iska na abubuwa, adanawa, kariya ta walda, maye gurbin gas, da sauransu. , abubuwan fashewa, takin nitrogen, da dai sauransu, kuma yana da fa'idar amfani.
Yin amfani da likitanci don fitar da kayan aikin likita da kayan aikin.
Ana yawan amfani da sinadarin nitrogen a cikin cryotherapy a tiyata, stomatology, gynecology, and ophthalmology don magance hemangioma, kansar fata, kuraje, basur, kansar dubura, polyps daban-daban, cataracts, glaucoma, da insemination na wucin gadi.
7. Matsewar iska (iska)
Ana amfani da iskar da aka matse don isar da wutar lantarki don kayan aikin tiyata na baka, kayan aikin kashin baya, na'urorin iska, da sauransu.
Baya ga iskar gas guda 7 da aka saba amfani da su, akwai kuma wasu iskar gas na musamman na likita:
8. Maganin ciwon kai
Ana amfani da iskar xenon na likitanci a cikin injin bututun CT.Gas na xenon yana motsa ionization ta hanyar ɗaukar makamashi, kuma ions nasa suna hanzari a cikin filin lantarki kuma ya buga farantin karfe don samar da hasken X.Saboda shayewa da watsawa na X-ray na kyallen jikin mutum sun bambanta, sai ya wuce Kwamfuta tana aiwatar da bayanan jikin mutum bayan an yi hasashe X-rays, sannan kuma hoton jiki ya kasance mai juzu'i ko uku. ana iya kamawa.
9. Krypton
An fi amfani dashi azaman kayan taimako don haɓaka tushen laser a cikin asibitoci don ƙara ƙarfin asalin tushen laser na asali, don samun ƙarin ingantacciyar ganewar asali da maganin cututtuka ta likitocin.
10. Neon
Ana amfani da shi musamman wajen tsaftacewa da maye gurbin na'urorin tiyatar Laser da aka saba amfani da su a asibitoci.Ana ƙayyade takamaiman buƙatun ta nau'ikan tiyata na laser daban-daban a cikin asibiti.
11. Gas mai gauraya
▲N2+CO2 ko CO2+H2
An fi amfani da shi don al'adun ƙwayoyin cuta na anaerobic a asibitoci, wanda ke aiki da manufar al'ada kwayoyin da ake bukata ta hanyar abinci mai gina jiki, yana sauƙaƙe gano nau'in kwayoyin cuta, kuma ya cika ka'idodin gano kwayoyin cutar, wanda ya dace da ganewar asali da magani.
▲5-10% CO2/Air
An yi amfani da shi a cikin tsarin jijiyoyin jini, manufar ita ce ingantawa da kuma hanzarta ci gaba da yaduwar jini na kwakwalwar kwakwalwa, da kuma kula da kwanciyar hankali na kwakwalwar kwakwalwa.
▲Medical ternary gauraye gas
An fi amfani dashi don al'adun tantanin halitta da al'adun amfrayo.Gas ne da aka saba amfani dashi a cibiyoyin haihuwa na asibiti da sauran sassa.
12. Gas na taimakon jini
Ana amfani da shi musamman don kare rarrabuwa da kwanciyar hankali na abubuwan da ke cikin jini yayin auna jini, ta yadda za a iya lissafin daidai adadin kowane bangare, kamar jan jini, farin jini, da sauransu.
13, iskar iskar huhu
Ana amfani da shi musamman don tiyatar huhu don faɗaɗa ƙara, sauƙaƙe aikin da kuma hana atrophy na huhu daga ƙarami.
14. Disinfection da sterilization gas
15. Excimer Laser gas
16. Fitar da iskar gas da sharar ruwa
Sharar ruwa
Sharar ruwan da aka samar a cikin maganin sun haɗa da sputum, pus da jini, ascites, najasar wanki, da dai sauransu, waɗanda za a iya tattarawa da sarrafa su ta hanyar tsotsawa.
Gas sharar bacci
Gabaɗaya yana nufin haɗaɗɗun iskar gas ɗin da majiyyaci ke fitarwa yayin maganin sa barci.Babban abubuwan da ke cikin sa sune nitrous oxide, carbon dioxide, iska, enflurane, sevoflurane, isoflurane da sauran iskar gas.
Gas mai sharar barci yana da illa ga ma'aikatan lafiya.A lokaci guda kuma, ƙananan acid abubuwan da ke cikin iskar gas ɗin suna da tasiri mai lalacewa akan kayan aiki, don haka iskar gas ɗin anesthetic ɗin da mai haƙuri ya fitar.
Yakamata a tattara, sarrafa ko kuma a shafe shi ta hanyar Tsarin Scavenging Gas na Anesthetic kuma a fitar dashi a wajen ginin.
A halin yanzu, hanyar magani da aka saba amfani da ita ita ce sharar iskar gas mai anesthetic tare da kunna carbon sannan a ƙone shi.
Lokacin aikawa: Nuwamba 16-2021