Kodi Endotracheal Chube ndi chiyani? Ntchito, Mitundu, ndi Buku Lophunzitsira Kuikamo Thupi

Kodi chubu cha Endotracheal n'chiyani?

An chubu cha endotrachealndi yosinthasinthachipangizo chachipatalaAmayikidwa mu trachea (mpweya) kuti mpweya ukhale wotseguka, makamaka panthawi ya opaleshoni kapena chisamaliro chadzidzidzi. Amalola kuti mpweya, mpweya woletsa ululu, ndi mankhwala ena ziperekedwe mwachindunji m'mapapo.

Chifukwa Chiyani Timagwiritsa NtchitoMachubu a Endotracheal?

Ma ETT ndi ofunikira pazochitika zosiyanasiyana zachipatala, monga:

Kutsekeka kwa njira yopumira (chinachake chogwidwa munjira yopumira, choletsa kuyenda kwa mpweya).
Kulephera kugwira ntchito kwa mtima (kutayika kwadzidzidzi kwa ntchito ya mtima).
Khosi lanu, mimba kapena chifuwa chanu zimavulala kapena kuvulala, zomwe zimakhudza njira yopumira.
Munthuyo akalephera kupuma mwachibadwa akakhala kuti sakudziwa kalikonse kapena akudwala kwambiri.
Kuchita opaleshoni yomwe ingakulepheretseni kupuma nokha.
Kulephera kupuma kwakanthawi.
Chiwopsezo cha chilakolako.

Zigawo za Endotracheal Chube

Zigawo zofunika kwambiri za chubu cha endotracheal ndi izi:

• Thupi la chubu: Yopangidwa ndi pulasitiki kapena rabala, yoyikidwa mu trachea
• Kapu: Imafufumitsidwa kuti itseke njira yopumira komanso kuti isatuluke mpweya
• Baluni yoyendetsa ndege: Imawonetsa kupanikizika kwa cuff
• Cholumikizira cha 15mm chonse: Imalumikizidwa ndi ma ventilator kapena matumba amanja
• Diso la Murphy: Zimathandiza kuti mpweya uyende ngakhale nsonga yake itatsekedwa

Mitundu ya Machubu a Endotracheal

Ma ETT amabwera m'njira zosiyanasiyana zomwe zimagwirizana ndi zosowa za wodwala komanso momwe opaleshoni imachitikira:

• Machubu opindika kapena osapindika
• Machubu a pakamwa kapena a m'mphuno
• Machubu okonzedwa kale (RAE)
• Machubu olimbikitsidwa
• Machubu a lumen awiri(DLTs) zodzipatula m'mapapo

Kusiyana Pakati pa Intubation ndi Endotracheal Tube

Ambiri amasokoneza mawu awa, koma amatanthauza zinthu zosiyana:

• Kulowetsa m'chubu: ndi njira yachipatala yomwe chubu chimayikidwa mu mphuno (trachea) kudzera pakamwa kapena mphuno.Pa nthawi zambiri zadzidzidzi, imayikidwa kudzera pakamwa.
• Chubu cha Endotrachea: Chipangizo chogwiritsiridwa ntchito chomwe chimayikidwa panthawi yopumira

Momwe Mungapitirire ndi Intubation (Gawo ndi Gawo)

Njira yopangira machubu imafuna njira zotsatirazi:

1. Konzani zida zonse zofunika
2. Perekani mpweya kwa wodwalayo
3. Perekani mankhwala ochepetsa ululu ndi opumitsa minofu
4. Kuwona m'maganizo mwanu mawu pogwiritsa ntchito laryngoscope
5. Ikani chubu cha endotracheal mu trachea
6. Ikani mpweya m'chiwuno kuti mutseke njira yopumira
7. Tsimikizani malo ake pogwiritsa ntchito capnography ndi auscultation
8. Mangani chubu ndi chowunikira

Ubwino wa Machubu a Endotracheal

Zingathandize kuti njira yodutsa mpweya ikhale yotseguka, kotero madokotala amatha kupereka mpweya, mankhwala, kapena mankhwala oletsa ululu kwa odwala ena omwe ali ndi vuto lalikulu kapena osadziwa bwino.

Thandizani kupuma m'matenda ena monga chibayo, emphysema, kulephera kwa mtima, mapapo ogwa ndi zina zotero.

Thandizani kuchotsa zotsekeka panjira yopumira.

Pezani mawonekedwe abwino a njira yopumira ya pamwamba pa mpweya kwa wopereka chithandizo.

Tetezani mapapu a anthu ena omwe sangathe kuteteza njira zawo zopumira ndipo ali pachiwopsezo chopuma madzi (aspiration).

N’chifukwa Chiyani Muyenera Kusankha Machubu Otayidwa a Endotracheal?

Ma ETT otayidwakupereka chitetezo chowonjezereka komanso zosavuta:

• Kuwongolera bwino matenda
• Chotsani zosowa zoyeretsera kapena zoyeretsera
• Yotsika mtengo komanso yosunga nthawi
• Imapezeka m'makulidwe osiyanasiyana kuti igwirizane bwino

Njira Zabwino Kwambiri Zosankhira ndi Kugwiritsa Ntchito

Sankhani ETT yoyenera kutengera:

• Zaka za wodwala ndi kapangidwe ka mpweya
• Ndondomeko ndi nthawi yokonzedweratu
• Kugwirizana kwa zinthu (kotetezeka ku MRI, kopanda latex, ndi zina zotero)

Nthawi zonse tsimikizirani malo oyenera pogwiritsa ntchito zithunzi ndi zizindikiro zachipatala kuti mupewe mavuto.

Mapeto

Thechubu cha endotrachealndi chida chofunikira kwambiri pa mankhwala oletsa ululu komanso chisamaliro chadzidzidzi. Kudziwa momwe mungasankhire mtundu woyenera, kugwiritsa ntchito njira yothira machubu mosamala, komanso kuyang'anira momwe amagwiritsidwira ntchito kumathandiza kuti wodwalayo azitha kuchita bwino komanso kuti mpweya wabwino usamayende bwino. Pitirizani kutsatira njira zabwino kwambiri kuti mugwiritse ntchito bwino chipangizochi chofunikira kwambiri chachipatala.

Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)

Kodi cholinga cha chubu cha endotracheal ndi chiyani?

Amagwiritsidwa ntchito kusunga mpweya wotseguka komanso kulola kuti mpweya ulowe m'thupi kapena kuti munthu alandire mankhwala oletsa ululu.

Kodi chubu cha endotracheal chimasiyana bwanji ndi chopukutira m'mimba?

Chubu cha endotracheal ndi chipangizo, pomwe kulowetsa chubucho mu trachea ndi njira yolowera m'chubucho.

Kodi pali mitundu yosiyanasiyana ya machubu a endotracheal?

Inde, kuphatikizapo machubu opindika, osapukutidwa, opaka pakamwa, amphuno, osagwira laser, komanso okhala ndi lumen ziwiri.

Kodi kugwiritsa ntchito ma ETT otayidwa ndi zinthu zina n'kwabwino?

Ma ETT otayidwa amachepetsa chiopsezo cha matenda ndikuchotsa njira zoyeretsera, zomwe zimapangitsa kuti zikhale zotetezeka komanso zogwira mtima.