Umuyoboro wa endotracheal ukoreshwa niki? Imfashanyigisho yo gusobanukirwa no gukoresha iyi miti yingenzi ikoreshwa mubuvuzi

Intangiriro:

Mu murima wagucunga inzira ya anesthesia, endotracheal tubeigira uruhare runini. Ibi ni ngombwaubuvuzi burashobora gukoreshwaikoreshwa muburyo butandukanye, nko gutanga uburyo butaziguye kuri trachea mugihe cyo kubagwa cyangwa koroshya guhumeka imashini kubarwayi barembye cyane. Muri iyi ngingo, tuzacukumbura ibisobanuro birambuye byumuyoboro wa endotracheal, dusuzume ibiyigize, igishushanyo, inyungu, na cyane cyane, uburyo bwo guhitamo no kubikoresha neza. Mu gusoza iki kiganiro, umusomyi azaba asobanukiwe byimazeyo umuyoboro wa endotracheal nakamaro kawo mubuvuzi.

Ibigize umuyoboro wa endotracheal:
Umuyoboro wa endotracheal ugizwe nibice byinshi bikorana hamwe. Ibice byibanze birimo umuyoboro ubwawo, cuff yaka, hamwe nabahuza. Umuyoboro mubisanzwe bikozwe muri plastiki yoroheje cyangwa reberi kandi birashobora kwinjizwa byoroshye muri trachea. Umuhuza ningirakamaro muguhuza imiyoboro nibindi bikoresho, nka ventilateur, kugirango byoroherezwe guhumeka. Iyo umuyoboro umaze gushyirwa neza muri trachea, ikintu cyaka cyane giherereye hafi yumutwe wa kure wigituba kirabyimba, bigashyiraho kashe yumuyaga kandi bikabuza umwuka nibindi bintu byangiza gutembera mubihaha.

Ibishushanyo bitandukanye:
Imiyoboro ya Endotracheal iraboneka muburyo butandukanye no mubunini kugirango abantu babarwayi batandukanye nibibazo byubuvuzi. Igishushanyo gikunze kugaragara ni umuyoboro wa endotracheal umuyoboro kuko utanga kashe itekanye kandi ugabanya ibyago byo kwifuza. Ariko, kubikorwa bimwe cyangwa abarwayi, imiyoboro ya endotracheal idafite ingofero irashobora gukoreshwa. Ikigeretse kuri ibyo, hariho ibishushanyo kabuhariwe, nka laser-irwanya cyangwa tubiri-lumen endotracheal tubes, kugirango ibikorwa byihariye byo kubaga bidasanzwe. Nibyingenzi guhitamo igishushanyo mbonera gikwiye ukurikije imyaka umurwayi afite, uko ameze, kubagwa, nibisabwa byihariye byashyizweho n’ubuvuzi.

Ibyiza bya endotracheal tube:
Ibyiza bya endotracheal tubes nibyinshi kandi bifite akamaro. Ubwa mbere, zitanga inzira nziza mugihe cyo kubagwa, kubungabunga ogisijeni, no kwemeza guhumeka bihagije. Ubu bushobozi ni ingenzi cyane mugihe abarwayi babazwe muri anesthesia rusange, aho bisabwa kugenzura byuzuye inzira zumuyaga. Imiyoboro ya Endotracheal ifasha gutanga imyuka ya anestheque, ogisijeni, n'imiti mu bihaha by'umurwayi, bikarushaho gukora neza. Byongeye kandi, basiba neza ururenda, batanga uburyo bwo guswera, kandi barinda inzira zo guhumeka.

Ibyiza byo gukoresha umuyoboro wa endotracheal:
Imiyoboro ya endotracheal ikoreshwa ishobora kugira izindi nyungu kurenza imiyoboro ikoreshwa kuko ikuraho ingaruka ziterwa no gukora isuku idahagije no kuyanduza. Ukoresheje imiyoboro ikoreshwa, abatanga ubuvuzi barashobora gukomeza amahame yo hejuru yo kurwanya indwara kandi bakagabanya amahirwe yo kwanduzanya. Byongeye kandi, imiyoboro ikoreshwa idasaba gusanwa no kuyitaho, ikiza ibigo nderabuzima umwanya n'umutungo. Kuboneka kw'imiyoboro ikoreshwa mubunini butandukanye bigabanya ibyago byo gukoresha umuyoboro udakwiye.

Guhitamo neza no gukoresha imiyoboro ya endotracheal:
Ibintu byinshi bigomba kwitabwaho muguhitamo endotracheal intubation. Harimo imyaka yumurwayi nubuzima bwe, uburyo buteganijwe cyangwa inzira ziteganijwe, hamwe nuburambe bwubuvuzi hamwe nibyo akunda. Ingano ikwiye ningirakamaro kugirango twirinde ingorane nko guhagarika imiyoboro ya endotracheal cyangwa guhumeka ikirere gikabije. Gukoresha tekinike ikwiye hamwe nubuyobozi bukurikiza intubation na cuff inflation nibyingenzi kugirango habeho umusaruro mwiza wumurwayi. Gukurikirana buri gihe, harimo igituza X-imirasire, birashobora kwemeza neza ko catheter ishyizwe hamwe no kumenya ingorane zose zishobora kubaho.

Mu gusoza:
Muri make, umuyoboro wa endotracheal ni ingenziubuvuzi burashobora gukoreshwaKurigucunga inzira ya anesthesiamu mavuriro atandukanye. Gusobanukirwa ibigize, igishushanyo, ninyungu nibyingenzi guhitamo no kubikoresha neza. Muguhitamo ibishushanyo mbonera byubunini nubunini no kwemeza uburyo bukwiye bwo kwinjiza no guta agaciro k'ifaranga, abatanga ubuvuzi barashobora kurinda umutekano muke kandi neza. Uburezi bukomeje no kubahiriza imikorere isabwa yerekeranye no gukoresha intubrasi ya endotracheal ni ngombwa kugirango umusaruro w’umurwayi uhindurwe kandi uhindure anesthesia no guhumeka mugihe cyo kubagwa.