Umuyoboro wa Endotracheal ni iki? Gukoresha, Ubwoko, hamwe nuyobora Intubation

Umuyoboro wa Endotracheal ni iki?

An endotracheal tubeni ibintu byoroshyeibikoresho by'ubuvuzibyinjijwe muri trachea (umuyaga) kugirango ukomeze umwuka ufunguye, cyane cyane mugihe cyo kubagwa cyangwa gutabara byihutirwa. Iremera gutanga ogisijeni mu buryo butaziguye, imyuka ya aneste, hamwe nindi miti mu bihaha.

Kuki DukoreshaImiyoboro ya Endotracheal?

ETT ni ingenzi mubihe bitandukanye byubuvuzi, nka:

Guhagarika umwuka (ikintu cyafashwe mumuyaga, kibuza umwuka guhumeka).
Gufata umutima (gutakaza gitunguranye imikorere yumutima).
Ijosi, inda cyangwa igituza bikomeretsa cyangwa ihahamuka, bigira ingaruka kumyuka.
Iyo umuntu adashobora guhumeka wenyine mugihe adafite ubwenge cyangwa uburwayi bukomeye.
Gukora kubaga bizagutera guhumeka wenyine.
Kunanirwa guhumeka by'agateganyo.
Ingaruka zo kwifuza.

Ibigize umuyoboro wa Endotracheal

Ibyingenzi byingenzi bigize endotracheal tube harimo:

• Tube umubiri: Ikozwe muri plastiki cyangwa reberi, yinjijwe muri trachea
• Cuff: Yashyizwemo ikimenyetso cyo guhumeka no gukumira icyifuzo
• Umuderevu: Yerekana igitutu cuff
• 15mm ihuza isi yose: Ihuza umuyaga cyangwa imifuka y'intoki
• Murphy ijisho: Iremeza ko umwuka wagenda nubwo inama yahagaritswe

Ubwoko bwa Endotracheal Tubes

ETT iza muburyo butandukanye bujyanye nibyifuzo byabarwayi hamwe nuburyo bwo kubaga:

• Imiyoboro ifunitse cyangwa idafunze
• Imiyoboro yo mu kanwa cyangwa izuru
• Imiyoboro yabugenewe (RAE)
• Imiyoboro ikomejwe
• Imiyoboro ibiri(DLTs) yo kwigunga ibihaha

Itandukaniro Hagati ya Intubation na Endotracheal Tube

Benshi bitiranya aya magambo, ariko yerekeza kubintu bitandukanye:

• Intubation: ni inzira yubuvuzi aho umuyoboro ushyirwa mumuyaga (trachea) unyuze mumunwa cyangwa izuru.Mubihe byinshi byihutirwa, bishyirwa mumunwa.
• Umuyoboro wa endotracheal: Igikoresho gifatika cyinjijwe mugihe cya intubation

Nigute Ukomeza hamwe na Intubation (Intambwe ku yindi)

Inzira ya intubation ikubiyemo intambwe zikurikira:

1. Tegura ibikoresho byose bikenewe
2. Kurwanya umurwayi
3. Gucunga imiti igabanya ubukana n'imitsi
4. Gerageza kwiyumvisha imigozi y'ijwi ukoresheje laryngoscope
5. Shyiramo umuyoboro wa endotracheal muri trachea
6. Shyiramo cuff kugirango ushireho umwuka
7. Emeza gushyira ukoresheje capnography na auscultation
8. Kurinda umuyoboro no gukurikirana

Inyungu za Endotracheal Tubes

Irashobora gutuma umwuka ufunguka, bityo abaganga barashobora gutanga ogisijeni, imiti, cyangwa anesteziya kubarwayi bamwe na bamwe barwaye cyane cyangwa batazi ubwenge.

Shigikira guhumeka mu ndwara zimwe na zimwe, nka umusonga, emphysema, kunanirwa k'umutima, ibihaha byaguye n'ibindi.

Fasha gukuraho ibibujijwe mumuhanda.

Shakisha neza inzira yo hejuru yo hejuru kubitanga.

Rinda ibihaha byabantu bamwe badashoboye kurinda inzira zabo kandi bafite ibyago byo guhumeka mumazi (aspiration).

Kuberiki Hitamo Ikirangantego cya Endotracheal?

Ikoreshwa rya ETTtanga umutekano wongerewe kandi byoroshye:

• Kunoza uburyo bwo kurwanya indwara
• Kuraho isuku cyangwa sterisizione ikenewe
• Ikiguzi-cyiza kandi gitwara igihe
• Kuboneka mubunini bwinshi kugirango bikwiranye neza

Imyitozo myiza yo guhitamo no gukoresha

Hitamo ETT ikwiye ishingiye kuri:

• Imyaka y'abarwayi hamwe na anatomiya yumuyaga
• Gahunda iteganijwe nigihe izamara
• Guhuza ibikoresho (MRI-umutekano, latex-yubusa, nibindi)

Buri gihe wemeze gushyira neza hamwe nibimenyetso byerekana amashusho kugirango wirinde ingorane.

Umwanzuro

Uwitekaendotracheal tubenigikoresho gikomeye muri anesthesia no gutabara byihutirwa. Kumenya guhitamo ubwoko bukwiye, gukora intubation neza, no kugenzura imikoreshereze itanga umusaruro mwiza wumurwayi no gucunga neza inzira zo guhumeka. Komeza hamwe nibikorwa byiza kugirango ukoreshe neza iki gikoresho cyubuvuzi.

Ibibazo Bikunze Kubazwa (Ibibazo)

Intego ya endotracheal niyihe ntego?

Ikoreshwa mukubungabunga inzira ifunguye no kwemerera guhumeka cyangwa gutanga anesthesia.

Nigute umuyoboro wa endotracheal utandukanye na intubation?

Umuyoboro wa endotracheal nigikoresho, mugihe intubation nigikorwa cyo kwinjiza umuyoboro muri trachea.

Hariho ubwoko butandukanye bwimyanya ndangagitsina?

Nibyo, harimo ibifuniko, bidafunze, umunwa, izuru, irwanya laser, hamwe na tubili-lumen.

Gukoresha ETT ikoreshwa ni byiza?

Ikoreshwa rya ETT rigabanya ingaruka zandura kandi rikuraho intambwe zo gukora isuku, bigatuma zitekana kandi neza.