Kodi chubu cha endotracheal chimagwiritsidwa ntchito bwanji? Kalozera womvetsetsa ndikugwiritsa ntchito mankhwala ofunikirawa

Tsegulani:

M'munda wakuwongolera njira ya anesthesia, endotracheal chubuamachita mbali yofunika. Izi ndizofunikiramankhwala consumableamagwiritsidwa ntchito m'njira zosiyanasiyana, monga kupereka mwachindunji kwa trachea panthawi ya opaleshoni kapena kuthandizira mpweya wabwino wa makina kwa odwala omwe akudwala kwambiri. M'nkhaniyi, tifufuza tsatanetsatane wa machubu a endotracheal, kufufuza zigawo zake, mapangidwe, ubwino, ndipo chofunika kwambiri, momwe tingasankhire ndikugwiritsa ntchito bwino. Pamapeto pa nkhaniyi, owerenga adzakhala ndi chidziwitso chozama cha endotracheal chubu komanso kufunikira kwake m'chipatala.

Zigawo za endotracheal chubu:
Endotracheal chubu imapangidwa ndi zigawo zingapo zomwe zimagwira ntchito limodzi mosagwirizana. Zigawo zazikuluzikulu zimaphatikizapo chubu lokha, chofukizira cha inflatable, ndi zolumikizira. Chubuchi nthawi zambiri chimapangidwa ndi pulasitiki yosinthika kapena mphira ndipo imatha kulowetsedwa mosavuta mu trachea. Zolumikizira ndizofunikira pakulumikiza machubu ku zida zina, monga zolumikizira mpweya, kuti zithandizire kupuma kopanga. Chubucho chikayikidwa bwino mu trachea, chikhomo cha inflatable chomwe chili pafupi ndi mapeto a chubucho chimaphulika, ndikupanga chisindikizo chotchinga mpweya ndikuletsa mpweya ndi zinthu zina zovulaza kuti zisalowe m'mapapo.

Mapangidwe ndi kusiyanasiyana:
Machubu a Endotracheal amapezeka m'mapangidwe ndi makulidwe osiyanasiyana kuti athe kulandira odwala osiyanasiyana komanso zochitika zachipatala. Kapangidwe kofala kwambiri ndi chubu cha endotracheal chomangika chifukwa chimatsimikizira chisindikizo chotetezedwa ndikuchepetsa chiwopsezo cholakalaka. Komabe, pazithandizo zina kapena odwala, machubu a endotracheal osakhazikika angagwiritsidwe ntchito. Kuonjezera apo, pali mapangidwe apadera, monga laser-resistant kapena dual-lumen endotracheal chubu, kuti achitepo opaleshoni yapadera. Ndikofunikira kusankha machubu oyenerera malinga ndi msinkhu wa wodwalayo, momwe alili, opaleshoni, ndi zofunikira zilizonse zomwe dokotala wapereka.

Ubwino wa endotracheal chubu:
Ubwino wa endotracheal chubu ndi wochuluka komanso wofunikira. Choyamba, amapereka mpweya wabwino panthawi ya opaleshoni, kusunga mpweya wabwino, ndikuonetsetsa kuti mpweya wabwino umakhala wokwanira. Luso limeneli ndi lofunika makamaka pamene odwala akuchitidwa opaleshoni pansi pa anesthesia wamba, kumene kuwongolera kwathunthu kwa njira ya mpweya kumafunika. Machubu a Endotracheal amathandizira kutulutsa mpweya, mpweya, ndi mankhwala mwachindunji m'mapapo a wodwalayo, zomwe zimapangitsa kuti zikhale zogwira mtima. Kuonjezera apo, amatsuka bwino zotsekemera, amapereka mwayi woyamwa, komanso amateteza mpweya kuti usasokonezeke.

Ubwino wogwiritsa ntchito endotracheal chubu:
Machubu otayika omwe amatha kutaya amakhala ndi maubwino ena kuposa machubu omwe amatha kugwiritsidwanso ntchito chifukwa amachotsa zoopsa zomwe zimagwirizanitsidwa ndi kusayeretsa kokwanira komanso kupha tizilombo toyambitsa matenda. Pogwiritsa ntchito machubu otayika, othandizira azaumoyo amatha kukhalabe ndi miyezo yapamwamba yoletsa matenda ndikuchepetsa mwayi wopatsirana. Kuphatikiza apo, machubu otayidwa safuna kukonzanso ndi kukonza, kupulumutsa zipatala nthawi ndi zinthu zofunika. Kupezeka kwa machubu otayika mu makulidwe osiyanasiyana kumachepetsa chiopsezo chogwiritsa ntchito chubu chosayenera.

Kusankha moyenera ndikugwiritsa ntchito machubu a endotracheal:
Zinthu zingapo ziyenera kuganiziridwa posankha endotracheal intubation. Izi zikuphatikizapo zaka za wodwala ndi momwe akudwala, ndondomeko kapena njira zomwe anakonzera, komanso zomwe dokotala akudziwa komanso zomwe amakonda. Kukula koyenera kwa chubu ndikofunikira kuti mupewe zovuta monga endotracheal chubu kutsekeka kapena kutulutsa mpweya wambiri. Kugwiritsa ntchito njira yoyenera ndikutsatira malangizo a intubation ndi cuff inflation ndikofunikira kuti zitsimikizire zotsatira zabwino za odwala. Kuwunika pafupipafupi, kuphatikiza ma X-ray pachifuwa, kumatha kutsimikizira kuyika kwa catheter moyenera ndikuzindikira zovuta zilizonse.

Pomaliza:
Mwachidule, endotracheal chubu ndi yofunika kwambirimankhwala consumablezakuwongolera njira ya anesthesiam'malo osiyanasiyana azachipatala. Kumvetsetsa zigawo zawo, kapangidwe kake, ndi zopindulitsa ndizofunikira pakusankha ndikuzigwiritsa ntchito moyenera. Posankha machubu oyenerera ndi kukula kwake ndikuwonetsetsa kuti njira zoyenera zolowera ndi kutsika kwa mitengo ya cuff, opereka chithandizo chamankhwala amatha kuonetsetsa kuti kayendetsedwe ka ndege kakuyenda bwino. Maphunziro opitilira komanso kutsata njira zovomerezeka zokhudzana ndi kugwiritsa ntchito endotracheal intubation ndizofunikira kuti pakhale zotsatira za odwala ndikuwongolera anesthesia ndi mpweya wabwino panthawi ya opaleshoni.