Suma:
Mumunda weAnesthesia Airway Management, endotracheal tubeanoita basa rakakosha. Izvi zvakakoshaZvekushandisa ZvekushandisaInoshandiswa nenzira dzakasiyana siyana, dzakadai sekupa zvakananga kupinda kune trachea panguva yekuvhiya kana kufambisa mhepo yemhepo yevarwere vanorwara zvakanyanya. Munyaya ino, isu tinodzunguzira muzvinyorwa zveCodotracheal machubhu, kuongorora zvinhu zvavo, dhizaini, zvakanaka, uye zvakanyanya kukosha, maitiro ekusarudza nekuishandisa zvinobudirira. Pakupera kwechinyorwa ichi, muverengi achave nekunzwisisa kwakadzama kweEndotracheal tube uye kukosha kwayo mumunda wekurapa.
Zvikamu zveEndotracheal Tube:
Iyo endotracheal tube yakaumbwa nezvikamu zvakawanda zvinoshanda zvisina kusunga pamwechete. Izvo zvikamu zvekutanga zvinosanganisira chubhu pachayo, iyo inflable cuff, uye inobatanidza. Iyo tube inowanzogadzirwa nepurasitiki inoshanduka kana rabha uye inogona kuiswa nyore nyore mu trachea. Vanobatana vanokosha pakubatanidza machubhu kune zvimwe zvigadzirwa, zvakadai seVentilators, kufambisa kufema kwekufema. Kana iyo tube yakaiswa nemazvo mu trachea, cuff inovonekwa iri pedyo neakashata kupera kweiyo tube inflates, kugadzira chisimbiso chemagetsi uye zvimwe zvinokuvadza kubva kumapapu.
Magadzirirwo uye misiyano:
Endotracheal machubhu anowanikwa mune dzakasiyana-siyana magadzirirwo uye masayizi kuti agare vanhu vakasiyana emurwere uye mamiriro ekiriniki. Iyo yakajairika dhizaini ndiyo yakanyanya kujairika endotracheal tube sezvo ichivimbisa chisimbiso chakachengetedzeka uye kuderedza njodzi yekushambadzira. Nekudaro, kune mamwe maitiro kana varwere, vasina kuberekwa endotracheal machubhu anogona kushandiswa. Pamusoro pezvo, pane magadzirirwo akakosha, senge laser-anoramba kana maviri-lucal-lumen endotracheal machubhu, ekuvhiringidzika kwakasiyana kwekuvhiya. Zvakakosha kusarudza iyo yakakodzera tube dhizaini yakavakirwa pazera remurwere, mamiriro, kuvhiyiwa, uye chero zvataida zvakanangana nemupi wehutano Mupfungwa.
Zvakanakira zveEndotracheal Tube:
Zvakanakira machubhu endotracheal akawanda uye akakosha. Kutanga, ivo vanopa mhepo yakachengeteka panguva yekuvhiya, chengetedza okenjegenity, uye chengetedza mhepo yakakwana. Kugona uku kunonyanya kukosha kana varwere vari pasi pekuvhiyiwa pasi peanesthesia, uko kudzora kwakazara kwemhepo kunodiwa. Endotracheal machubhu anobatsira kuburitsa gadziriro esesthetic gasi, oksijeni, uye mishonga zvakananga kumapapu emurwere, achiwedzera kushanda kwavo. Pamusoro pezvo, ivo vanokwanisika zvigaro zvakanyatso kujairika, kupa mukana wekusayiswa, uye chengetedza mhepo dzinobva mukugona kunogona kuitika.
Zvakanakira kushandisa endotracheal tube:
Zviratidzwe endotracheal machubhu ane zvimwe zvakanakira pamusoro pematumbu anoshandiswazve nekuti anobvisa njodzi dzakabatana neisina kukwana kuchenesa nekuwarira. Nekushandisa kuraswa kurasa, vanopa hutano vanogona kuchengetedza zviyero zvepamusoro zvekutadza kudzora uye kuderedza mukana wekusvibiswa-kuyambuka. Pamusoro pezvo, machubhu madiki anoda kugadziriswa uye kugadzirisa, kuchengetedza hutano hwehutano nguva yakakosha uye zviwanikwa. Kuwanika kwezviratidzo zvekurasa mumabu akasiyana siyana anodzora njodzi yekushandisa isina kukodzera tube.
Kusarudzwa kwakabudirira uye kushandiswa kwetubs tubes:
Zvinhu zvinoverengeka zvinofanirwa kutariswa kana uchisarudza endotracheal Izvi zvinosanganisira zera remurwere nemamiriro ekiriniki, maitiro akarongwa kana maitiro, uye ruzivo rwehutano rwehutano uye zvaunofarira. Saizi yakakodzera tube yakakodzera kudzivisa matambudziko akadai seye endotracheal tube chipinganidzo kana yakawandisa mhepo kubhururuka kwemhepo. Uchishandisa nzira dzakakodzera dzekutevera uye kutevera nhungamiro dzekutenderera uye cuff inflation dzakakosha kuti uve nechokwadi chekurarama kwemurwere. Kugara uchiongorora, kusanganisira chipfuva X-rays, kunogona kusimbisa chaiyo catheter kuiswa uye kuona chero zvinogona kuitika.
Mukupedzisa:
Mune pfupiso, endotracheal tube chinhu chakakoshaZvekushandisa ZvekushandisaNekutiAnesthesia Airway Managementmumakiriniki akasiyana-siyana marongero. Kunzwisisa zvikamu zvavo, dhizaini, uye mabhenefiti akakosha kusarudza uye kuvashandisa zvinobudirira. Nekusarudza yakakodzera tube dhizaini uye saizi uye ichireva kuisirwa kwakakodzera uye cuff inflation maitiro, vatano vehutano vanokwanisa kuve nekuchengetedza kwakachengeteka uye kwakabudirira manejimendi emhepo. Kuenderera mberi dzidzo uye kutevedzera zviito zvakakurudzirwa zvine chekuita nekunyorwa kwekunze kwekunze kwakakosha kuti uvandudze zvinobuda murwere uye nekuchengetera anesthation uye mhepo panguva yekuvhiya.
Kutumira Nguva: Oct-24-2023