Yethula:
Emkhakheni weukuphathwa kwe-anesthesia airway, i-endotracheal tubeidlala indima ebalulekile.Lokhu kubalulekileukusetshenziswa kwezokwelaphaisetshenziswa ezinkambisweni ezihlukahlukene, njengokuhlinzeka ukufinyelela okuqondile kuqhoqhoqho ngesikhathi sokuhlinzwa noma ukusiza ukungeniswa komoya ngomshini ezigulini ezigula kakhulu.Kulesi sihloko, sizocubungula imininingwane yamashubhu e-endotracheal, sihlole izingxenye zawo, ukuklama, izinzuzo, futhi okubaluleke kakhulu, indlela yokukhetha nokuwasebenzisa ngempumelelo.Ekupheleni kwalesi sihloko, umfundi uzoba nokuqonda okujulile kwe-endotracheal tube kanye nokubaluleka kwayo emkhakheni wezokwelapha.
Izingxenye ze-endotracheal tube:
Ishubhu le-endotracheal lakhiwe izingxenye eziningi ezisebenza ndawonye ngaphandle komthungo.Izingxenye eziyisisekelo zifaka ithubhu ngokwayo, i-cuff inflatable, nezixhumi.Ishubhu ngokuvamile yenziwe ngepulasitiki eguquguqukayo noma irabha futhi ingafakwa kalula kuqhoqhoqho.Izixhumi zibalulekile ekuxhumeni amashubhu kwamanye amadivaysi, njengama-ventilators, ukuze kube lula ukuphefumula okwenziwayo.Uma ishubhu selibekwe kahle kuqhoqhoqho, i-cuff ephefumulayo eseduze nendawo ekude yeshubhu iyakhukhumala, idale isivalo esingangenisi umoya futhi ivimbele umoya nezinye izinto eziyingozi ukuthi zingavuzi emaphashini.
Imiklamo nokuhluka:
Amashubhu e-Endotracheal ayatholakala ngemiklamo nosayizi abahlukahlukene ukuze amukele iziguli ezihlukene kanye nezimo zomtholampilo.Idizayini evame kakhulu ishubhu le-endotracheal eliboshwe njengoba liqinisekisa uphawu oluvikelekile futhi linciphisa ubungozi bokulangazelela.Kodwa-ke, ngezinqubo ezithile noma iziguli, amashubhu e-endotracheal angavaliwe angasetshenziswa.Ukwengeza, kunemiklamo ekhethekile, efana ne-laser-resistant noma i-dual-lumen endotracheal tubes, yokungenelela okukhethekile kokuhlinzwa.Kubalulekile ukukhetha idizayini yeshubhu efanele ngokusekelwe eminyakeni yobudala yesiguli, isimo, ukuhlinzwa, nanoma yiziphi izidingo ezithile ezibekwe umhlinzeki wezokunakekelwa kwempilo.
Izinzuzo ze-endotracheal tube:
Izinzuzo zamashubhu endotracheal ziningi futhi zibalulekile.Okokuqala, banikeza indlela yokuphefumula ephephile phakathi nokuhlinzwa, balondoloze umoya-mpilo, futhi baqinisekise ukungena komoya owanele.Leli khono libaluleke kakhulu lapho iziguli zihlinzwa ngaphansi kwe-anesthesia evamile, lapho ukulawulwa okuphelele kwendlela yokuphefumula kuyadingeka.Amashubhu e-Endotracheal asiza ukuletha amagesi okubulala izinzwa, umoya-mpilo, kanye nemithi ngokuqondile emaphashini esiguli, okwandisa ukusebenza kwawo ngempumelelo.Ukwengeza, asula ngokuphumelelayo uketshezi, anikeze ukufinyelela ekumunceni, futhi avikele imigudu yomoya ekuvinjweni okungase kube khona.
Izinzuzo zokusebenzisa i-endotracheal tube:
Amashubhu e-endotracheal alahlwayo anezinzuzo ezengeziwe ngaphezu kwamashubhu asebenziseka kabusha ngoba aqeda izingozi ezihlobene nokungahlanzwa okwanele nokubulala amagciwane.Ngokusebenzisa amashubhu alahlwayo, abahlinzeki bezokunakekelwa kwempilo bangagcina amazinga aphezulu okulawula ukutheleleka futhi banciphise amathuba okusuleleka ngokwehlukana.Ukwengeza, amashubhu alahlwayo awadingi ukulungiswa nokugcinwa, konga izikhungo zezempilo isikhathi esibalulekile nezinsiza.Ukutholakala kwamashubhu alahlwayo ngobukhulu obuhlukahlukene kunciphisa ingozi yokusebenzisa ishubhu elingafanele.
Ukukhetha okusebenzayo nokusetshenziswa kwamashubhu endotracheal:
Kunezici eziningana okufanele zicatshangelwe lapho kukhethwa i-endotracheal intubation.Lokhu kuhlanganisa iminyaka yesiguli kanye nesimo somtholampilo, inqubo ehleliwe noma izinqubo, nolwazi lomhlinzeki wezempilo kanye nezinto azithandayo.Usayizi weshubhu ofanelekile ubalulekile ukuze ugweme izinkinga ezifana nokuvinjwa kweshubhu endotracheal noma ukuvuza komoya ngokweqile.Ukusebenzisa amasu afanele kanye nemihlahlandlela yokulandela ye-intubation kanye ne-cuff inflation kubalulekile ekuqinisekiseni imiphumela emihle yesiguli.Ukuqapha okuvamile, okuhlanganisa i-X-ray yesifuba, kungaqinisekisa ukufakwa kwe-catheter efanele futhi kubone noma yiziphi izinkinga ezingaba khona.
Ekuphetheni:
Kafushane, i-endotracheal tube ibalulekileukusetshenziswa kwezokwelaphaokweukuphathwa kwe-anesthesia airwayezimeni ezihlukahlukene zomtholampilo.Ukuqonda izingxenye zabo, ukwakheka, kanye nezinzuzo kubalulekile ekukhetheni nasekusebenziseni ngempumelelo.Ngokukhetha ukwakheka kweshubhu elifanele kanye nosayizi kanye nokuqinisekisa ukufakwa okufanele kanye namasu okwehla kwamandla emali, abahlinzeki bezempilo bangaqinisekisa ukuphathwa komzila womoya okuphephile nokuphumelelayo.Imfundo eqhubekayo nokuhambisana nezinqubo ezinconyiwe mayelana nokusetshenziswa kwe-endotracheal intubation kubalulekile ukuze kuthuthukiswe imiphumela yesiguli nokwandisa izinzwa kanye nokukhipha umoya ngesikhathi sokuhlinzwa.
Isikhathi sokuthumela: Oct-24-2023