Mukurapa kwemazuva ano, kunyanya mukutungamirirwa kwemhepo uyeanesthesia, ivoendotracheal tube (ETT)inoita basa rinoponesa upenyu. Uyu mutungamiri anotsanangura zvose zvaunoda kuziva nezve endotracheal tubes-kubva kune chinangwa chavo uye maitiro kune marudzi avo uye maitiro e intubation.
Chii chinonzi Endotracheal Tube?
An endotracheal tubeinochinjikamudziyo wekurapainopinzwa mutrachea (windpipe) kuchengetedza mhepo yakavhurika, kunyanya panguva yekuvhiyiwa kana kutarisirwa kwekukurumidzira. Inobvumira kuendeswa kwakananga kweokisijeni, magasi eanesthetic, uye mimwe mishonga kumapapu.
Sei TichishandisaEndotracheal Tubes?
ETTs yakakosha mumamiriro akasiyana ekiriniki, akadai se:
Kuvharidzirwa kwemhepo (chimwe chinhu chakabatwa mumugwagwa, kuvhara kuyerera kwemhepo).
Kusungwa kwemoyo (kurasikirwa kamwe kamwe kwekushanda kwemoyo).
Mutsipa wako, dumbu kana chipfuva zvinokuvara kana kukuvadzwa, izvo zvinokanganisa nzira yemhepo.
Kana munhu asingakwanisi kufema zvega paanenge asingazive kana kurwara zvakanyanya.
Kuita operation inoita kuti usakwanise kufema wega.
Kutadza kufema kwenguva pfupi.
Ngozi yekushuvira.
Zvikamu zveEndotracheal Tube
Zvikamu zvakakosha zve endotracheal tube zvinosanganisira:
- Tube body: Yakagadzirwa nepurasitiki kana rabha, yakaiswa mutrachea
- Cuff: Yakaputirwa kuvhara nzira yemhepo uye kudzivirira kushuvira
- Pilot chibharumu: Inoratidza cuff pressure
- 15mm universal connector: Inobatanidza kune ventilators kana mabhegi emaoko
- Murphy eye: Inova nechokwadi chekuyerera kwemhepo kunyangwe iyo muromo yakavharwa
Mhando dzeEndotracheal Tubes
ETTs inouya nenzira dzakasiyana-siyana dzakagadzirirwa zvinodiwa nevarwere uye mamiriro ekuvhiya:
- Machubhu akasungwa kana asina kuvharwa
- Oral kana nasal chubhu
- Preformed (RAE) machubhu
- Machubhu akasimbiswa
- Kaviri-lumen machubhu(DLTs) yekuzviparadzanisa nemapapu
Musiyano Pakati peIntubation uye Endotracheal Tube
Vakawanda vanovhiringidza mazwi aya, asi anotaura nezvezvinhu zvakasiyana:
- Intubation: inzira yekurapa iyo chubhu inoiswa mumhepo (trachea) kuburikidza nemuromo kana mhuno.Muzviitiko zvakawanda zvekukurumidzira, inoiswa nemuromo.
- Endotracheal tube: Chishandiso chemuviri chakaiswa panguva yeitubation
Maitiro ekuenderera mberi neIntubation (Nhanho-neNhanho)
Iyo intubation process inosanganisira matanho anotevera:
- Gadzirira midziyo yose inodiwa
- Preoxygenate murwere
- Shandisa sedatives uye mhasuru zvinozorodza
- Isa muchiono tambo dzezwi uchishandisa laryngoscope
- Isai endotracheal chubhu mu trachea
- Isai cuff kuti muvhare nzira yemhepo
- Simbisa kuiswa kuburikidza necapnography uye auscultation
- Chengetedza chubhu uye tarisa
Mabhenefiti eEndotracheal Tubes
Inogona kuchengeta nzira yemhepo yakavhurika, saka vanachiremba vanokwanisa kupa oxygen, mushonga, kana anesthesia kune vamwe vanorwara zvakanyanya kana vasina chavanoziva.
Tsigira kufema mune zvimwe zvirwere, semabayo, emphysema, kutadza kwemoyo, kudonha kwemapapu zvichingodaro.
Batsira kubvisa zvivharo kubva panzira yemhepo.
Wana maonero ari nani epamusoro pemhepo yemupi.
Chengetedza mapapu evamwe vanhu vasingakwanisi kuchengetedza mhepo yavo uye vari pangozi yekufema mumvura (aspiration).
Sei Kusarudza Disposable Endotracheal Tubes?
Disposable ETTskupa kwakawedzera kuchengeteka uye nyore:
- Kuvandudzwa kwehutachiona hwehutachiona
- Bvisa kuchenesa kana sterilization zvinodiwa
- Mari-inoshanda uye inochengetedza nguva
- Inowanikwa mumasaizi akawanda kuti ikwane zvirinani
Maitiro Akanakisa eKusarudza uye Kushandisa
Sarudza yakakodzera ETT yakavakirwa pa:
- Zera remurwere uye anatomy yemhepo
- Nzira yakarongwa uye nguva
- Kuenderana kwezvinhu (MRI-yakachengeteka, latex-isina, nezvimwewo)
Gara uchisimbisa kuiswa kwakakodzera nekufungidzira uye zviratidzo zvekiriniki kudzivirira matambudziko.
Mhedziso
Theendotracheal tubechinhu chakakosha chishandiso mune anesthesia uye yekukurumidzira kutarisira. Kuziva nzira yekusarudza mhando yakakodzera, kuita intubation zvakachengeteka, uye kutarisa kushandiswa kunovimbisa zviri nani mhedzisiro yemurwere uye yakagadziridzwa kufambisa nzira. Ramba uine maitiro akanakisa ekushandisa zvakanyanya iyi yakakosha mudziyo wekurapa.
Mibvunzo Inowanzo bvunzwa (FAQ)
Chii chinangwa che endotracheal tube?
Inoshandiswa kuchengetedza mhepo yakazaruka uye inobvumira mechanical ventilation kana anesthesia delivery.
Ko endotracheal chubhu yakasiyana sei ne intubation?
Iyo endotracheal chubhu ndiyo mudziyo, nepo intubation chiito chekuisa chubhu mutrachea.
Kune mhando dzakasiyana dze endotracheal tubes?
Ehe, kusanganisira akachekwa, asina kuvharwa, nemuromo, nasal, laser-resistant, uye kaviri-lumen machubhu.
Kushandiswa kwemaETTs anoraswa kuri nani here?
Disposable ETTs inoderedza njodzi dzehutachiona uye kubvisa matanho ekuchenesa, zvichiita kuti ive yakachengeteka uye inoshanda zvakanyanya.
Nguva yekutumira: Oct-24-2023