Kodi chubu ndi chiyani? Chitsogozo chomvetsetsa ndikugwiritsa ntchito izi

Yambitsitsani:

M'munda waKuyendetsa kwa Alecethesia Airway, endotracheal chubuamatenga gawo lofunikira. Izi ndizofunikiraZitha Zachipatalaimagwiritsidwa ntchito m'njira zosiyanasiyana, monga kupereka mwayi kwa trachea panthawi ya opaleshoni kapena otsogolera mpweya wabwino mozama odwala. Munkhaniyi, tisanthula mwatsatanetsatane machubu a Endotratheal, ndikuyang'ana zigawo zawo, kupanga, mapindu, koposa zonse, momwe mungasankhire ndi kuzigwiritsa ntchito bwino. Pakutha kwa nkhaniyi, owerenga azimvetsetsa mwakuya chubu endotratheal ndi kufunikira kwake mu chipatala.

Zigawo za endotracheal chubu:
Chubu cha endotracheal chimapangidwa ndi zigawo zingapo zomwe zimagwira ntchito limodzi. Zinthu zoyambirira zimaphatikizapo chubu chokha, cuff yolemeretsa, ndi zolumikizira. Chubu nthawi zambiri chimapangidwa pulasitiki zosinthika kapena mphira ndipo zimatha kuyikidwa mosavuta mu trachea. Zolumikizira ndizofunikira pakulumikiza machubu kupita ku zida zina, monga mpweya, kuti azitha kupuma mochita kupanga. Chubu chikayikidwa bwino mu trachea, cuff yotopetsa yomwe ili pafupi ndi kutsiriza kwa chubu itayamwa, ndikupanga Chisindikizo cha Airtight ndi zinthu zovulaza ndi kuzimitsa mpweya m'mapapu.

Mapangidwe ndi kusiyanasiyana:
Mababu a endotrachheal amapezeka mu mitundu yosiyanasiyana ya mapangidwe osiyanasiyana amakhala ndi anthu osiyanasiyana komanso zochitika zamankhwala. Mapangidwe odziwika kwambiri ndi chubu cholumikizidwa cha endotracheal momwe chimathandizira chisindikizo choteteza ndikuchepetsa chiopsezo chofunafuna. Komabe, panjira zina kapena odwala, machubu osokoneza bongo osavomerezeka angagwiritsidwe ntchito. Kuphatikiza apo, pamakhala mapangidwe apadera, monga machubu osemphana ndi a Laser-all-a Lumet a Lumet, chifukwa cha opaleshoni yapadera. Ndikofunikira kusankha kapangidwe ka chubu yoyenera kutengera zaka za wodwalayo, chikhalidwe, opaleshoni, komanso zofunikira zilizonse zoperekedwa ndi azaumoyo.

Ubwino wa endotracheal chubu:
Ubwino wa ma tubeni a endotratheal ndi ambiri komanso ofunika. Choyamba, amapereka mpango wotetezeka pakuchita opaleshoni, amakhalabe oxjenation, ndikuonetsetsa kuti mpweya wabwino ukhale wokwanira. Kutha kumeneku ndikofunikira makamaka pamene odwala omwe achitiridwa opareshoni pansi pa mankhwala osokoneza bongo, komwe kuwongolera mpweya kumafunikira. Matauni a endotratheal amathandizira kupereka mpweya wodzoza, mpweya, ndi mankhwala othandizira m'mapapu a wodwalayo, akukulitsa luso lawo. Kuphatikiza apo, iwo amawoneka bwino kwambiri, amapereka mwayi woyamwa, komanso kuteteza mpweya kuchokera ku zotsekeka.

Ubwino wogwiritsa ntchito endotracheal chubu:
Matauni otayika endotratheal ali ndi zabwino zowonjezera pamata machubu osinthika chifukwa amachotsa zoopsa zomwe zimakhudzana ndi kuyeretsa ndi kutsuka. Pogwiritsa ntchito otayika mababu, opereka thanzi amatha kukhalabe ndi miyezo yapamwamba yamatenda opatsirana ndikuchepetsa mwayi wodetsa nkhawa. Kuphatikiza apo, machubu otayika amafuna kuti asakonze ndikukonza, kupulumutsa malo azaumoyo nthawi ndi zinthu zofunika. Kupezeka kwa machubu otayika m'masamba osiyanasiyana kumachepetsa chiopsezo chogwiritsa ntchito chubu chosayenera.

Kusankha mwaluso ndi kugwiritsa ntchito machubu a endotratheal:
Pali zinthu zingapo zomwe ziyenera kulingaliridwa mukamasankha intracraal intubation. Izi zikuphatikiza zaka za wodwala komanso matenda azachipatala, njira yokonzedwa kapena njira zothandizira zaumoyo, komanso zomwe amakhulupirira zaumoyo. Kukula koyenera kwa chubu ndikofunikira kuti mupewe zovuta monga endomeraal chubu cholekanitsidwa kapena kutulutsa mpweya. Kugwiritsa ntchito njira yoyenera komanso kutsatira malangizo a intubation ndi cuff, ndikofunikira kuonetsetsa kuti ndikwaniritse zolinga zabwino. Kuwunika pafupipafupi, kuphatikizapo chifuwa x-ray, chimatha kutsimikizira kuyika koyenera kwa catheter ndikuwona zovuta zilizonse.

Pomaliza:
Mwachidule, endotracheal chubu ndi chinthu chofunikira kwambiriZitha ZachipatalawaKuyendetsa kwa Alecethesia Airwaymakonda osiyanasiyana azachipatala. Kumvetsetsa zigawo zawo, kapangidwe, komanso mapindu ake ndikofunikira kusankha ndikugwiritsa ntchito bwino. Posankha kapangidwe ka chubu ndi kukula ndikuwonetsetsa kuti njira zamtundu ndi nkhanu bwino, othandizira azaumoyo amatha kuwonetsetsa kuti kasamalidwe kotetezeka komanso wopambana. Kuchita Zinthu Mopitirira Pang'onopang'ono Kutsatira Zochita Zoyenera Kugwiritsa ntchito endotrathereheal intubation ndikofunikira kuti wodwala athe kupanga mankhwala othandizira komanso mpweya wabwino.