Iyini i-Endotracheal Tube? Ukusetshenziswa, Izinhlobo, kanye nomhlahlandlela wokufaka i-Intubation

Iyini i-Endotracheal Tube?

An ithubhu le-endotrachealkuyinto eguquguqukayoidivayisi yezokwelaphaKufakwa ku-trachea (umphimbo womoya) ukuze kugcinwe umgudu womoya ovulekile, ikakhulukazi ngesikhathi sokuhlinzwa noma ukunakekelwa okuphuthumayo. Kuvumela ukulethwa ngqo komoya-mpilo, amagesi okubulala izinzwa, kanye neminye imithi emaphashini.

Kungani SisebenzisaAmapayipi E-Endotracheal?

Ama-ETT abalulekile ezimweni ezahlukahlukene zemitholampilo, njenge:

Ukuvaleka komoya (into ebambeke endleleni yomoya, evimba ukuhamba komoya).
Ukuma kwenhliziyo (ukulahlekelwa ukusebenza kwenhliziyo ngokuzumayo).
Intamo yakho, isisu noma isifuba sakho sithola ukulimala noma ukulimala, okuthinta indlela yokuphefumula.
Uma umuntu engakwazi ukuphefumula ngokuzenzakalelayo uma engazi lutho noma egula kakhulu.
Ukwenza ukuhlinzwa okuzokwenza ungakwazi ukuphefumula wedwa.
Ukwehluleka kokuphefumula okwesikhashana.
Ingozi yokufisa.

Izingxenye ze-Endotracheal Tube

Izingxenye ezibalulekile zepayipi le-endotracheal zifaka:

• Umzimba wepayipi: Yenziwe ngepulasitiki noma ngerabha, ifakwe ku-trachea
• I-Cuff: Kufuthwe ukuze kuvalwe indlela yokuphefumula futhi kuvimbele ukufuthwa
• Ibhaluni lomshayeli: Ibonisa ukucindezeleka kwe-cuff
• Isixhumi esibanzi esingu-15mm: Ixhuma kuma-ventilator noma izikhwama zesandla
• Iso likaMurphy: Iqinisekisa ukuhamba komoya noma ngabe i-tip ivaliwe

Izinhlobo zama-Endotracheal Tubes

Ama-ETT eza ngezindlela ezahlukene ezenzelwe izidingo zesiguli kanye nezimo zokuhlinzwa:

• Amapayipi aboshwe noma angafakwanga uketshezi
• Amapayipi omlomo noma ekhaleni
• Amashubhu alungisiwe (RAE)
• Amapayipi aqinisiwe
• Amashubhu e-lumen amabili(ama-DLT) okuhlukaniswa kwamaphaphu

Umehluko Phakathi Kwe-Intubation kanye ne-Endotracheal Tube

Abaningi bayadida la magama, kodwa abhekisela ezintweni ezahlukene:

• Ukufakwa kwepayipi: inqubo yezokwelapha lapho kufakwa khona ipayipi ku-windpipe (trachea) ngomlomo noma ekhaleni.Ezimweni eziningi eziphuthumayo, ifakwa ngomlomo.
• Ithubhu le-Endotrachea: Idivayisi ebonakalayo efakwe ngesikhathi sokufakwa kwepayipi

Indlela Yokuqhubeka Nokufaka Intuba (Isinyathelo Ngesinyathelo)

Inqubo yokufaka ipayipi ihilela izinyathelo ezilandelayo:

1. Lungisa yonke imishini edingekayo
2. Faka umoya-mpilo esigulini
3. Nikeza imithi yokudambisa ubuhlungu kanye nemithi yokuphumula imisipha
4. Bona ngeso lengqondo izintambo zezwi usebenzisa i-laryngoscope
5. Faka ithubhu le-endotracheal ku-trachea
6. Faka umoya ekhabetheni ukuze uvale indlela yokuphefumula
7. Qinisekisa indawo nge-capnography kanye ne-auscultation
8. Vikela ithubhu kanye ne-monitor

Izinzuzo zama-Endotracheal Tubes

Kungagcina indlela yokuphefumula ivulekile, ukuze odokotela bakwazi ukunikeza umoya-mpilo, imithi, noma i-anesthesia kwabanye abagula kakhulu noma abangaphilile kahle.

Sekela ukuphefumula kwezinye izifo ezithile, njenge-pneumonia, i-emphysema, ukwehluleka kwenhliziyo, amaphaphu awile njalo njalo.

Siza ukususa ukuvaleka kwendlela yokuphefumula.

Thola umbono ongcono womgudu womoya ophezulu kumhlinzeki.

Vikela amaphaphu abanye abantu abangakwazi ukuvikela indlela yabo yokuphefumula futhi abasengozini yokuphefumula uketshezi (i-aspiration).

Kungani Kufanele Ukhethe Amapayipi E-Endotracheal Alahlwayo?

Ama-ETT alahlwayoinikeza ukuphepha okuthuthukisiwe kanye nokulula:

• Ukulawulwa kokutheleleka okuthuthukisiwe
• Susa izidingo zokuhlanza noma zokubulala amagciwane
• Kusebenza kahle futhi konga isikhathi
• Kutholakala ngosayizi abahlukahlukene ukuze kulingane kangcono

Izindlela Ezinhle Zokukhetha Nokusebenzisa

Khetha i-ETT efanele ngokusekelwe ku:

• Ubudala besiguli kanye nokwakheka komoya
• Inqubo ehleliwe kanye nobude besikhathi
• Ukuhambisana kwezinto ezibonakalayo (kuphephile ku-MRI, akuna-latex, njll.)

Qinisekisa njalo indawo efanele ngezithombe nezimpawu zomtholampilo ukuze ugweme izinkinga.

Isiphetho

Iithubhu le-endotrachealiyithuluzi elibalulekile ekuhlinzekeni ngezinzwa kanye nokunakekelwa okuphuthumayo. Ukwazi ukukhetha uhlobo olufanele, ukwenza i-intubation ngokuphephile, kanye nokuqapha ukusetshenziswa kwayo kuqinisekisa imiphumela engcono yesiguli kanye nokuphathwa kahle komoya. Hlala usesikhathini nemikhuba emihle yokusebenzisa kahle le divayisi yezokwelapha ebalulekile.

Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)

Iyini injongo yepayipi le-endotracheal?

Isetshenziselwa ukugcina indlela yokuphefumula ivulekile futhi ivumela ukulethwa komoya ngomshini noma kwe-anesthesia.

I-endotracheal tube ihluke kanjani ku-intubation?

Ipayipi le-endotracheal liyithuluzi, kanti ukufakwa kwepayipi kuyisenzo sokufaka ipayipi ku-trachea.

Ingabe kunezinhlobo ezahlukene zamapayipi endotracheal?

Yebo, kufaka phakathi amashubhu aboshwe ngemikhono, angagobhozwanga, omlomo, ompumulo, omelana ne-laser, kanye nalawo ane-lumen ephindwe kabili.

Ingabe ukusebenzisa ama-ETT alahlwayo kungcono?

Ama-ETT alahlwayo anciphisa izingozi zokutheleleka futhi aqede izinyathelo zokuhlanza, okwenza aphephe futhi asebenze kahle.