Yethula:
Emkhakheni weUkuphathwa kwe-Anesthesia Airway, I-Endotracheal tubeidlala indima ebalulekile. Lokhu kubalulekileUkusebenza Kwezokwelaphaisetshenziswa ezinhlolweni ezahlukahlukene, njengokuhlinzeka ngokufinyelela okuqondile kwi-trachea ngesikhathi sokuhlinzwa noma kusiza umoya omncane weziguli ezigula kakhulu. Kulesi sihloko, sizokwelulela imininingwane yamashubhu e-endotracheal, sihlola izingxenye zabo, ukuklama, izinzuzo, futhi okubaluleke kakhulu, ukuthi ungazikhetha kanjani futhi uzisebenzise ngempumelelo. Ekupheleni kwalesi sihloko, umfundi uzoba nokuqonda okujulile kwe-endotracheal tube nokubaluleka kwako emkhakheni wezokwelapha.
Izakhi ze-Endotracheal Tube:
Ishubhu e-endotracheal yakhiwa izakhi eziningi ezisebenza ngaphandle komthungo. Izakhi eziyisisekelo zifaka ishubhu ngokwalo, i-cuff evuthayo, kanye nezixhumi. Ishubhu livame ukwenziwa ngepulasitiki eguquguqukayo noma irabha futhi lingafakwa kalula kwi-trachea. Izixhumi zibalulekile kumashubhu wokuxhuma kwamanye amadivaysi, njengama-ventilators, ukwenza lula ukuphefumula. Lapho i-tube ifakwe kahle eTrachea, i-cuff evuthayo eseduze nasekupheleni kwe-tube inflates, idale uphawu lwe-airtight kanye nokuvimbela umoya nezinye izinto eziyingozi ukusuka ezingena emaphashini.
Imiklamo kanye nokwehluka:
Amashubhu e-Endotracheal atholakala ngemiklamo nobukhulu obuhlukahlukene ukwamukela abantu abahlukahlukene beziguli kanye nezimo zemitholampilo. Idizayini evame kakhulu yi-endotracheal endotracheal njengoba iqinisekisa uphawu oluphephile futhi inciphisa ubungozi bokufisa. Kodwa-ke, ngezinqubo ezithile noma iziguli, amashubhu e-endotracheal angafakwanga angasetshenziswa. Ngaphezu kwalokho, kukhona ama-design akhethekile, afana namashubhu e-endotracheal angamelana ne-laser noma ama-dual-lumen endotracheal, ngokungenelela okuhlukile kokuhlinzwa. Kubalulekile ukuthi ukhethe design efanelekile ye-tube ngokuya ngeminyaka yesiguli, isimo, ukuhlinzwa, nanoma yiziphi izidingo ezithile ezibekwe ngumhlinzeki wezokunakekelwa kwempilo.
Izinzuzo ze-Endotracheal Tube:
Izinzuzo zamashubhu e-endotracheal ziningi futhi zibalulekile. Okokuqala, bahlinzeka ngendiza ephephile ngesikhathi sokuhlinzwa, gcina i-oxygenation, bese uqinisekisa umoya omncane. Leli khono libaluleke kakhulu lapho iziguli zihlinzwa ngaphansi kwe-anesthesia ejwayelekile, lapho kudingeka khona ukulawula kwe-airway. Amashubhu e-Endotracheal asiza ukuletha amagesi abulala izinzwa, umoya-mpilo, kanye nemithi ngqo emaphashini wesiguli, wandise ukusebenza kwawo. Ngokwengeziwe, basula ngempumelelo imfihlo, bahlinzeke ngokuthola ukumunca, futhi bavikele imigwaqo yomoya ekuvinjelweni.
Izinzuzo zokusebenzisa i-endotracheal tube:
Amashubhu we-endotracheal alahlekayo anezinzuzo ezingezengeziwe ngamashubhu avuselelwayo ngoba aqeda ubungozi obuhambisana nokuhlanza okunganele kanye nokubulala amagciwane. Ngokusebenzisa i-tubing elahlekile, abahlinzeki bezokunakekelwa kwempilo bangagcina amazinga aphezulu okulawulwa kokutheleleka futhi anciphise ithuba lokungcola okuwela. Ngaphezu kwalokho, amashubhu alahlwayo adinga ukulungiswa nokulungiswa, ukonga izinsiza zezempilo isikhathi esibalulekile nezinsizakusebenza. Ukutholakala kwamashubhu alahlwayo ngosayizi ahlukahlukene kunciphisa ubungozi bokusebenzisa ishubhu elingafanele.
Ukukhetha okusebenzayo nokusetshenziswa kwamashubhu e-endotracheal:
Kudingeka kubhekwe izinto eziningana lapho ukhetha i-Endotracheal Intubation. Lokhu kufaka phakathi iminyaka yesiguli kanye nesimo somtholampilo, inqubo ehleliwe noma izinqubo, kanye nokuhlangenwe nakho kwabahlinzeki bezempilo kanye nezintandokazi. Ubungako be-tube efanelekile bubalulekile ukugwema izinkinga ezifana nokuphazamiseka kwe-endotracheal tube okuvimbayo noma ukuvuza komoya ngokweqile. Usebenzisa inqubo efanele kanye nokulandela imihlahlandlela yokuqonda kanye nokukhuphuka kwamandla emali e-cuff kubalulekile ekuqinisekiseni imiphumela yeziguli efanelekile. Ukuqapha okujwayelekile, kufaka phakathi ama-X-ray esifubeni, kungaqinisekisa ukubekwa kahle kwe-catheter futhi kutholwe noma yiziphi izinkinga ezingaba khona.
Ekuphetheni:
Ngamafuphi, i-endotracheal tube iyinto ebaluleke kakhuluUkusebenza KwezokwelaphaingomaneUkuphathwa kwe-Anesthesia Airwayezilungiselelweni ezahlukahlukene zemitholampilo. Ukuqonda izingxenye zabo, ukwakheka, kanye nezinzuzo kubalulekile ukuze ukhethe futhi uzisebenzise ngempumelelo. Ngokukhetha ukuklanywa okufanele kwe-tube nosayizi kanye nokuqinisekisa ukufakwa okufanele kokufakwa kanye namasu we-cuff ukwehla kwamandla emali, abahlinzeki bezokunakekelwa kwempilo bangaqinisekisa ukuphathwa kwe-airway ephephile futhi ephumelelayo. Imfundo eqhubekayo nokuhambisana nezincomo ezinconyiwe eziphathelene nokusetshenziswa kwe-endotracheal injongo kubalulekile ukwenza ngcono imiphumela yeziguli nokwenza kahle i-anesthesia kanye nomoya omncane ngesikhathi sokuhlinzwa.
Isikhathi sePosi: Oct-24-2023