Chii chinonzi Endotracheal Tube? Mashandisirwo, Mhando, uye Gwaro reIntubation

Chii chinonzi Endotracheal Tube?

An chubhu ye endotrachealinochinjikamudziyo wekurapaKuiswa mu trachea (windpipe) kuchengetedza mhepo yakavhurika, kunyanya panguva yekuvhiyiwa kana kurapwa kwekukurumidzira. Zvinobvumira kuendesa okisijeni, magasi anonyaradza marwadzo, nemimwe mishonga kumapapu zvakananga.

Sei TichishandisaMachubhu eEndotracheal?

ETTs dzakakosha mune zvakasiyana-siyana zvekiriniki, zvakaita se:

Kuvharika kwenzira yekufema (chimwe chinhu chakabatwa munzira yekufema, chichivhara kufamba kwemhepo).
Kumira kwemoyo (kurasikirwa kamwe kamwe kwekushanda kwemoyo).
Mutsipa wako, dumbu kana chipfuva chako zvinokuvara kana kukuvadzwa, izvo zvinokanganisa nzira yekufema.
Kana munhu asingakwanise kufema oga kana asina chaanoziva kana kuti achirwara zvakanyanya.
Kuita oparesheni ichaita kuti usakwanise kufema wega.
Kutadza kufema kwenguva pfupi.
Njodzi yekushuva.

Zvikamu zveEndotracheal Tube

Zvikamu zvikuru zve endotracheal tube zvinosanganisira:

• Muviri wechubhu: Yakagadzirwa nepurasitiki kana rabha, yakaiswa mu trachea
• Kafu: Inofemerwa kuti ivhare nzira yekufema uye idzivirire kufema
• Bharuni remutyairi wendege: Inoratidza kumanikidzwa kwecuff
• Chinobatanidza chepasi rose che15mm: Inobatanidza nemidziyo yekufema kana mabhegi emaoko
• Ziso raMurphy: Inovimbisa kufamba kwemhepo kunyangwe muromo wacho wakavharwa

Mhando dzeEndotracheal Tubes

ETTs dzinouya nenzira dzakasiyana-siyana dzakagadzirirwa zvinodiwa nemurwere uye mamiriro ekuvhiyiwa:

• Machubhu akavharirwa kana asina kuputirwa
• Machubhu emuromo kana emhino
• Machubhu akagadzirwa kare (RAE)
• Machubhu akasimbiswa
• Machubhu ane lumen mbiri(DLTs) yekubvisa mapapu

Musiyano Pakati PeIntubation neEndotracheal Tube

Vazhinji vanovhiringidza mazwi aya, asi anoreva zvinhu zvakasiyana:

• Kupinza muchubhu: inzira yekurapa iyo chubhu inoiswa mupaipi yemhepo (trachea) kuburikidza nemuromo kana mhino.Muzviitiko zvakawanda zvekukurumidzira, inoiswa nemuromo.
• Chubhu yeEndotrachea: Chishandiso chakagadzirwa panguva yekuiswa kwechubhu

Maitiro Ekuita Nekupinza Mudumbu (Nhanho Nenhanho)

Maitiro ekuisa matubhu anosanganisira matanho anotevera:

1. Gadzirira zvese zvinodiwa
2. Isa murwere muoxygen
3. Ipa mishonga inonyaradza marwadzo uye inozorodza tsandanyama
4. Fungidzira tambo dzenzwi uchishandisa laryngoscope
5. Isa chubhu ye endotracheal mu trachea
6. Fukidza cuff kuti uvhare nzira yekufema
7. Simbisa nzvimbo yacho uchishandisa capnography uye auscultation
8. Chengetedza chubhu ne monitor

Mabhenefiti eEndotracheal Tubes

Zvinogona kuchengetedza nzira yekufema yakavhurika, saka vanachiremba vanogona kupa oxygen, mushonga, kana anesthesia kune vamwe varwere vanorwara zvakanyanya kana kuti vasina kuziva.

Tsigira kufema mune zvimwe zvirwere, zvakaita sepneumonia, emphysema, kutadza kushanda kwemoyo, mapapu akadonha nezvimwewo.

Batsira kubvisa zvivhariso munzira yekufema.

Wana maonero ari nani enzira yepamusoro yekufema yemuchipatara kune mupi wemishonga.

Dzivirira mapapu evamwe vanhu vasingakwanise kuchengetedza nzira yavo yekufema uye vari panjodzi yekufema mvura (aspiration).

Sei Uchifanira Kusarudza Machubhu Endotracheal Anoraswa?

MaETT anoraswazvinopa kuchengetedzeka kwakawedzerwa uye nyore:

• Kudzora hutachiona kwakagadziridzwa
• Bvisa zvinodiwa zvekuchenesa kana kubvisa utachiona
• Inochengetedza mari uye inochengetedza nguva
• Inowanikwa muhukuru hwakasiyana-siyana kuti ikwane zviri nani

Maitiro Akanakisisa Ekusarudza Nekushandisa

Sarudza ETT yakakodzera zvichibva pane zvinotevera:

• Zera remurwere uye hunhu hwemhepo inoyerera
• Maitiro akarongwa uye nguva
• Kuenderana kwezvinhu (zvakachengeteka paMRI, pasina latex, nezvimwewo)

Gara uchisimbisa nzvimbo yakakodzera uchishandisa mifananidzo uye zviratidzo zvekiriniki kudzivirira matambudziko.

Mhedziso

Iyochubhu ye endotrachealchishandiso chakakosha mukurapa kweanesthesia ne emergency. Kuziva kusarudza rudzi rwakakodzera, kuisa machubhu zvakachengeteka, uye kutarisa mashandisirwo awo kunoita kuti murwere awane mhedzisiro iri nani uye kuti mafambiro emhepo ashande zvakanaka. Ramba uchiziva nzira dzakanakisisa dzekushandisa mudziyo uyu wekurapa wakakosha.

Mibvunzo Inowanzo bvunzwa (Mibvunzo Inowanzo bvunzwa)

Chinangwa chechubhu ye endotracheal chii?

Inoshandiswa kuchengetedza mhepo yakavhurika uye inobvumira kufefetera kwemuchina kana kuti kuisirwa mushonga weanesthesia.

Chubhu ye endotracheal yakasiyana sei ne intubation?

Tubhu re endotracheal ndiro rinoshandiswa, nepo intubation iri chiito chekupinza tubhu mu trachea.

Kune mhando dzakasiyana dzemachubhu e endotracheal here?

Ehe, kusanganisira machubhu akavharirwa, asina kucheneswa, emuromo, emhino, asingapindi laser, uye ane lumen mbiri.

Kushandisa maETT anoraswa zviri nani here?

MaETT anoraswa anoderedza njodzi dzehutachiona uye anobvisa matanho ekuchenesa, zvichiita kuti ave akachengeteka uye anoshanda zviri nani.