suma:
Mumunda weanesthesia airway management, endotracheal tubeinoita basa rinokosha.Izvi zvakakoshazvokurapa zvinodyiwainoshandiswa mumhando dzakasiyana-siyana, dzakadai sekupa ruzivo rwakananga kune trachea panguva yekuvhiyiwa kana kufambisa mechanical ventilation muvarwere vanorwara zvikuru.Muchinyorwa chino, tichaongorora zvakadzama nezve endotracheal chubhu, tichiongorora zvikamu zvadzo, dhizaini, mabhenefiti, uye zvakanyanya kukosha, maitiro ekusarudza nekuashandisa nemazvo.Pakupera kwechinyorwa chino, muverengi achave nekunzwisisa kwakadzama kwe endotracheal tube uye kukosha kwayo munharaunda yekurapa.
Zvikamu zve endotracheal tube:
Endotracheal chubhu inoumbwa nezvikamu zvakawanda zvinoshanda zvisina musono pamwechete.Izvo zvakakosha zvinosanganisira chubhu pachayo, iyo inflatable cuff, uye majoini.Iyo chubhu inowanzogadzirwa nepurasitiki inochinjika kana rabha uye inogona kuiswa nyore mutrachea.Makonakisheni akakosha pakubatanidza machubhu kune mamwe maturusi, senge maventilator, kufambisa kufema.Kana chubhu ichinge yanyatsoiswa mutrachea, iyo inflatable cuff iri pedyo nekumucheto kwechubhu inoputika, ichigadzira chisimbiso chisina mhepo uye kudzivirira mhepo nezvimwe zvinhu zvinokuvadza kuti zvirege kupinda mumapapu.
Zvigadzirwa uye zvakasiyana:
Endotracheal machubhu anowanikwa mune akasiyana magadzirirwo uye saizi kuti agare akasiyana siyana evarwere uye mamiriro ekiriniki.Iyo inonyanya kugadzirwa ndeye cuffed endotracheal chubhu sezvo ichivimbisa chisimbiso chakachengeteka uye inoderedza njodzi yekushuvira.Zvisinei, kune mamwe maitiro kana varwere, machubhu asina kuvharwa endotracheal anogona kushandiswa.Pamusoro pezvo, kune magadzirirwo akasarudzika, senge laser-resistant kana dual-lumen endotracheal machubhu, ekupindira kwakasiyana kwekuvhiya.Izvo zvakakosha kuti usarudze yakakodzera chubhu dhizaini zvichienderana nezera remurwere, mamiriro, kuvhiyiwa, uye chero chaidiwa zvinodiwa zvinoiswa nemupi wehutano.
Zvakanakira endotracheal tube:
Zvakanakira endotracheal machubhu akawanda uye akakosha.Kutanga, vanopa mhepo yakachengeteka panguva yekuvhiyiwa, kuchengetedza oxygenation, uye kuve nechokwadi chekufefetera kwakakwana.Kukwanisa uku kunonyanya kukosha apo varwere vanovhiyiwa pasi peanesthesia yakawanda, apo kutonga kwakakwana kwemhepo kunodiwa.Endotracheal machubhu anobatsira kuendesa anesthetic magasi, okisijeni, uye mishonga zvakananga kumapapu emurwere, zvichiwedzera kushanda kwavo.Pamusoro pezvo, vanojekesa zvakavanzika, vanopa mukana wekusveta, uye vanodzivirira nzira dzemhepo kubva pazvipingamupinyi zvinogona kuitika.
Zvakanakira kushandisa endotracheal chubhu:
Machubhu endotracheal anoraswa ane mamwe mabhenefiti pamusoro pemachubhu anogona kushandiswa zvakare nekuti anobvisa njodzi dzine chekuita nekusacheneswa uye kuuraya hutachiona.Nekushandisa tubing inoraswa, vatapi vehutano vanogona kuchengetedza zviyero zvepamusoro zvekudzivirira hutachiona uye kuderedza mukana wekupararira-kusvibiswa.Pamusoro pezvo, machubhu anoraswa haadi kugadziriswa uye kugadzirisa, kuchengetedza nzvimbo dzehutano nguva yakakosha uye zviwanikwa.Kuvepo kwemachubhu anoraswa muhukuru hwakasiyana kunoderedza njodzi yekushandisa chubhu isina kufanira.
Kubudirira kusarudzwa uye kushandiswa kwe endotracheal tubes:
Zvinhu zvakawanda zvinofanirwa kutariswa pakusarudza endotracheal intubation.Izvi zvinosanganisira zera remurwere uye mamiriro ekiriniki, maitiro akarongwa kana maitirwo, uye ruzivo rwemupi wehutano uye zvaanoda.Saizi yakakodzera yechubhu yakakosha kudzivirira matambudziko senge endotracheal chubhu kuvharika kana yakawandisa kubuda kwemhepo.Kushandisa nzira yakakodzera uye kutevedzera nhungamiro yeintubation uye cuff inflation kwakakosha kuti uve nechokwadi chemhedzisiro yemurwere.Kugara uchitarisisa, kusanganisira chifuva X-rays, inogona kusimbisa kwakaringana catheter kuiswa uye kuona chero chingango netsa.
Mukupedzisa:
Muchidimbu, endotracheal tube inokoshazvokurapa zvinodyiwanokutianesthesia airway managementmumakiriniki akasiyana-siyana.Kunzwisisa zvikamu zvavo, dhizaini, uye mabhenefiti zvakakosha pakusarudza uye kuzvishandisa nemazvo.Nekusarudza yakakodzera chubhu dhizaini uye saizi uye kuve nechokwadi chekuisa kwakakodzera uye cuff inflation matekiniki, vatapi vehutano vanogona kuve nekuchengetedza uye nekubudirira kufambiswa kwemhepo.Dzidzo inoenderera mberi uye kutevedzera maitiro anokurudzirwa maererano nekushandiswa kwe endotracheal intubation zvakakosha pakuvandudza mhedzisiro yevarwere uye kugadzirisa anesthesia uye kufema panguva yekuvhiyiwa.
Nguva yekutumira: Oct-24-2023