Wopanga Zida Zankhondo Zosasinthika Zofewa Zolimbitsa Endotracheal
Zopindulitsa Zamalonda
1. Nsonga yopindika imadutsa mosavuta pamamvekedwe a mawu kuposa chubu chokhala ndi chotsegula chodutsa.
2. Bevel ikuyang'ana kumanzere m'malo moyang'ana kumanja kuti ilole kuwona bwino nsonga ya ETT ikulowa m'gawo la mawonedwe kuchokera kumanja kupita kumanzere / pakati ndikudutsa mokweza mawu.
3. Diso la Murphy limapereka njira ina ya gasi
4. Cholumikizira chokhazikika cha 15mm chimalola kulumikizidwa kwa machitidwe osiyanasiyana opumira ndi mabwalo ophatikizika.
5. Mzere wa radio-opaque ndiwothandiza kutsimikizira malo okwanira chubu pa X-ray pachifuwa
6. Mpiringidzo wa Magill umapangitsa kuyika kwa chubu kukhala kosavuta monga mphirayo imatsatira matupi amtunda wapamwamba.
7. Zapangidwira ma airways ang'onoang'ono
8. Zosintha kwambiri kuposa machubu a ET, ocheperako komanso otsekeka akapindika pamakona, omwe ndi mwayi wawo waukulu kuposa ma ETT okhazikika.
9. Zopindulitsa mu njira ya fiberoptic kudzera pakamwa kapena m'mphuno. Popeza nthawi zambiri zimakhala zosavuta 'kuyendetsa njanji' kuchokera pamtunda chifukwa cha kusinthasintha kwawo kwakukulu.
10. Itha kukhala yothandiza kwa odwala omwe ali pachiwopsezo.
Kodi chubu endotracheal ndi chiyani?
Endotracheal chubu ndi chubu chosinthika chomwe chimayikidwa kudzera pakamwa kupita ku trachea (windpipe) kuthandiza wodwala kupuma. Kenako chubu cha endotracheal chimalumikizidwa ndi mpweya wabwino, womwe umatulutsa mpweya m'mapapo. Njira yoyika chubu imatchedwa endotracheal intubation. Machubu a Endotracheal akadali ngati zida za 'gold standard' zotchinjiriza ndi kuteteza njira ya mpweya.
Cholinga cha chubu cha endotracheal ndi chiyani?
Pali zifukwa zambiri zomwe chubu la endotracheal lingayikidwe, kuphatikizapo opaleshoni yokhala ndi mankhwala oletsa ululu, kuvulala, kapena matenda aakulu. Endotracheal chubu imayikidwa pamene wodwala sangathe kupuma yekha, pamene kuli kofunikira kuti apumule ndi "kupuma" munthu amene akudwala kwambiri, kapena kuteteza njira ya mpweya. Chubuchi chimasunga njira yolowera mpweya kuti mpweya ulowe ndi kutuluka m'mapapo.
Kodi chubu cholimbitsa endotracheal ndi chiyani?
Ma ETT olimbitsa mawaya kapena zida zankhondo amaphatikiza mphete zachitsulo zokhazikika zomwe zimayikidwa pakhoma la chubu kutalika kwake konse. Izi zidapangidwa kuti zipangitse chubu kusinthasintha ndikukana kinking ndikuyika. Amalimbikitsidwa kuti agwiritsidwe ntchito pa opaleshoni ya mutu ndi khosi, kumene malo opangira opaleshoni angafunikire kupindika ndi kuyenda kwa ETT. Amakhalanso othandiza polowera kudzera mu tracheostomy stoma yokhwima kapena njira yodutsa mpweya yomwe imagawidwa (monga momwe zimakhaliranso ndi tracheal reconstruction), kumene kusinthasintha kwa chubu kumalola kusokoneza pang'ono ndi malo opangira opaleshoni. Ngakhale kuti kink-resistant, machubuwa sakhala a kink- kapena obstruction-proof.Mwamwayi, ngati chubu ndi crimped kapena kinked, sangathe kubwerera ku mawonekedwe ake ndipo ayenera kusinthidwa.
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