Umuyoboro wa endotracheal wakoreshwaga? Ubuyobozi bwo gusobanukirwa no gukoresha ubu buvuzi bwingenzi

Kumenyekanisha:

Mu murima waGucunga Anesthesia, Tubebigira uruhare runini. Icy'ingenziKunywa ubuvuziikoreshwa muburyo butandukanye, nko gutanga uburyo bwo kugera kuri Trachea mugihe cyo kubagwa cyangwa koroshya umwuka wubuka imashini irwaye cyane. Muri iki kiganiro, tuzasenya amakuru arambuye ya endotracheal, dushakisha ibice byabo, igishushanyo mbonera, inyungu, nibindi byingenzi, uburyo bwo guhitamo no kubikoresha neza. Iyi ngingo irangiye, umusomyi azasobanukirwa byimbitse kumurongo wa endotracheal n'akamaro kayo mubuvuzi.

Ibice bya endotracheal tube:
Umuyoboro wa endotracheal ugizwe nibice byinshi bikora neza. Ibice byibanze birimo umuyoboro ubwacyo, igituba cyaka, hamwe nabahuza. Umuyoboro usanzwe ukozwe muri plastike cyangwa reberi ihindagurika kandi irashobora kwinjizwa byoroshye muri trachea. Guhuza ni ngombwa muguhuza ibiganiro mubindi bikoresho, nka ventilator, kugirango byoroherezwe guhumeka. Umuyoboro umaze gushyirwaho neza muri trachea, cuff iteye inkera hafi yinyuma yinzira, ikora akamenyetso kegeranye kandi ikumira umwuka nibindi bintu byangiza bisohoka mubihaha.

Ibishushanyo no gutandukana:
Imiyoboro ya endotracheal iraboneka muburyo butandukanye nubunini kugirango yakire abaturage batandukanye bahangana nibibazo byubuvuriro. Igishushanyo mbonera gikunze kugaragara ni imyuka ya endotracheal nkuko itanga ikimenyetso cyizewe kandi ikagabanya ibyago byo kwifuza. Ariko, kubikorwa bimwe cyangwa abarwayi, imiyoboro idatanga imiyoboro idacogora irashobora gukoreshwa. Byongeye kandi, hari ibishushanyo byihariye, nka laser-irwanya lazeri cyangwa ibisanzwe bya lumen-lumen - kubikorwa bidasanzwe byo kubaga. Nibyingenzi guhitamo igishushanyo mbonera gikwiye gishingiye kumyaka yumurwayi, imiterere, kubaga, hamwe nibisabwa byose nuwatanze ubuzima.

Ibyiza bya Endotracheal TUBE:
Ibyiza bya endotracheal tubes ni byinshi kandi bifite akamaro. Ubwa mbere, batanga inzira nziza mugihe cyo kubagwa, ibure ogisijeni, kandi zemeza ko guhumeka bihagije. Ubu bushobozi ni ngombwa cyane mugihe abarwayi babaga barimo kubagwa muri rusange anesthesia, birasabwa kugenzura byuzuye. Imiyoboro ya endotracheal ifasha gutanga imyuka ya anesthetic, ogisijeni, n'imiti mu bihaha by'abarwayi, bimuha neza imikorere myiza. Byongeye kandi, mubyukuri bisobanutse neza, gutanga uburyo bwo guswera, no kurinda inyungu ziterwa no kubangamira.

Ibyiza byo gukoresha Endotracheal Tube:
Imiyoboro ya endotractheal imiyoboro yinyongera ifite inyungu zikoreshwa kuko zikuraho ingaruka zijyanye no gukora isuku idahagije. Mugukoresha ibitekerezo byateganijwe, ubuzima butanga ubuvuzi bushobora gukomeza gukoresha amahame yo kwirinda no kugabanya amahirwe yo kwanduza. Byongeye kandi, imiyoboro idashoboka isaba gusana no gufata neza, kuzigama ubuzima bwingirakamaro igihe n'umutungo. Kuboneka imiyoboro idashoboka muburyo butandukanye bugabanya ibyago byo gukoresha umuyoboro udakwiye.

Guhitamo neza no gukoresha imiyoboro ya endotracheal:
Ibintu byinshi bigomba gusuzumwa mugihe uhitamo intotracheal. Muri byo harimo imyaka yumurwayi hamwe nubuvuzi cyangwa uburyo cyangwa inzira, hamwe nubunararibonye bwubuzima hamwe nibyo ukunda. Ingano ikwiye ni ingenzi kugirango wirinde ingorane nka endotracheal tube ibangamiye cyangwa umwuka mwinshi. Gukoresha tekinike ikwiye kandi ikurikira amabwiriza yo gutunga no guta agaciro kagurika ni ngombwa kugirango ubone umusaruro wihangana. Gukurikirana buri gihe, harimo na X-imirasire, birashobora kwemeza gutaha no kumenya ibishoboka byose.

Mu gusoza:
Muri make, imiyoboro ya endotracheal ningirakamaroKunywa ubuvuzikuriGucunga Anesthesiamuburyo butandukanye bwo kuvura. Gusobanukirwa ibice byabo, igishushanyo, ninyungu ni ngombwa guhitamo no kubikoresha neza. Muguhitamo igishushanyo mbonera nubunini no kwemeza uburyo bukwiye hamwe na tekinike ya Cuff Inflation, abatanga ubuvuzi barashobora guharanira umutekano kandi watsinze inzira nyabagendwa. Uburezi bukomeje no kubahiriza imikorere isabwa bijyanye no gukoresha imyumvire ya endotrachereal ni ngombwa kugirango utegure ibizagurwa no kwerekana anesthesia na ventilation mugihe cyo kubagwa.