Intubation inzira inogona kubatsira kuchengetedza hupenyu kana munhu asingagone kufema

Mupi wehutano anoshandisa laryngoscope kutungamira endotracheal chubhu (ETT) mumuromo kana mumhino, voicebox, ipapo trachea.

Iyo chubhu inochengetedza mhepo yakavhurika kuitira kuti mweya usvike kumapapu. Intubation inowanzoitwa muchipatara panguva yekukurumidzira kana isati yavhiyiwa.

Chii chinonzi intubation?

Intubation inzira iyo mupi wehutano anopinza chubhu kuburikidza nemuromo wemunhu kana mhino, ndokudzika mutrachea yavo (nzira yemhepo / mhepo).

Iyo chubhu inochengeta trachea yakavhurika kuitira kuti mweya upinde.

Iyo chubhu inogona kubatana nemuchina unoburitsa mweya kana oxygen.

Intubation inonziwo tracheal intubation kana endotracheal intubation.

Nei munhu achifanira kudzidziswa?

Intubation inodiwa kana nzira yako yemhepo yakavharwa kana kukuvara kana iwe usingakwanise kufema wega.

Mamwe mamiriro akajairika anogona kutungamira kune intubation anosanganisira:

• Kuvharidzirwa kwemhepo (chimwe chinhu chakabatwa mumugwagwa, kuvhara kuyerera kwemhepo).
• Kusungwa kwemoyo (kurasikirwa kamwe kamwe kwekushanda kwemoyo).
• Kukuvara kana kushungurudzika kune wako mutsipa, dumbu kana chipfuva zvinokanganisa nzira yekufema.
• Kurasikirwa nezivo kana kuti mwero wakaderera wekuziva, izvo zvinogona kuita kuti munhu atadze kudzora nzira yemhepo.
• Kuda kuvhiyiwa kuchaita kuti usakwanise kufema wega.
• Kufema (breathing) kukundikana kana apnea (kumira kwechinguva mukufema).
• Ngozi yekushuvira (kufema muchinhu kana chinhu chakadai sechikafu, kurutsa kana ropa).
• Ndeupi musiyano uripo pakati pekuva intubated uye kuve pamhepo inofefetera?
• Kuve intubated uye kuve pane ventilator zvine hukama, asi hazvina kunyatsofanana.

Intubation inzira yekuisa endotracheal chubhu (ETT) munzira yemhepo (windpipe)

Iyo chubhu inobva yasungirirwa pamudziyo unoendesa mweya.

Mudziyo uyu unogona kunge uri bhegi rinosvinwa nemupi wezvehutano kusundira mweya mumuviri wako, kana kuti mudziyo unogona kunge uri mhepo inofefetera, unova muchina unofuridzira mweya weokisijeni munzira yako yekufema nemapapu.

Dzimwe nguva mhepo inofefetera inoburitsa mweya kuburikidza nemasiki, kwete chubhu.

Ndiani asingafaniri kuvharwa?

Mune zvimwe zviitiko, vatapi vehutano vanogona kusarudza kuti hazvina kuchengetedzeka kuisa intubate, senge kana paine kushungurudza kwakanyanya kunzira yemhepo kana chivharo chinovhara kuiswa kwakachengeteka kwechubhu.

Mumamiriro ezvinhu akadaro, vatapi vehutano vanogona kusarudza kuvhura nzira yekuvhiya kuburikidza nehuro yako pazasi pemutsipa wako.

Izvi zvinozivikanwa setracheostomy.

Paunenge uine endotracheal tube panzvimbo kwemazuva mashomanana kana kuti inotarisirwa kuva nayo kwemavhiki, tracheostomy inowanzodiwa.

Chii chinoitika panguva endotracheal intubation?

Mazhinji intubation maitiro anoitika muchipatara. Dzimwe nguva vashandi vehutano hwekukurumidzira (EMS) vashandi vanopinza vanhu kunze kwechipatara.

Munguva yemaitiro, vatapi vehutano vachaita:

• Isa IV tsono muruwoko rwako.
• Tumira mishonga kuburikidza neIV kukuisa iwe kurara uye kudzivirira marwadzo panguva yekuita (anesthesia).
• Isa chivharo cheokisijeni pamhino nemuromo wako kuti upe muviri wako okisijeni yakawedzera.
• Bvisa mask.
• Isa musoro wako kumashure uye isa laryngoscope mumuromo mako (kana dzimwe nguva mhino yako kana zvichidikanwa). Chishandiso chine mubato, mwenje uye blade yakagomara, iyo inobatsira mupi wehutano kutungamira tracheal chubhu.
• Fambisa chishandiso kuseri kwemuromo wako, uchidzivirira mazino ako.
• Simudza epiglottis, chivharo chetishu chinorembera kumashure kwemuromo kuchengetedza larynx yako (bhokisi rezwi).
• Endesa muromo welaryngoscope mudokoriro yako uye wozopinda mutrachea yako.
• Furidzira chibharumu chidiki kutenderedza endotracheal chubhu kuti uone kuti inogara panzvimbo mutrachea uye mweya wese unopihwa kuburikidza nechubhu unosvika kumapapu.
• Bvisa laryngoscope.
• Isa tepi padivi pemuromo wako kana tambo yakatenderedza musoro wako kuchengetedza tracheal chubhu panzvimbo.
• Edza kuona kuti chubhu iri panzvimbo chaiyo. Izvi zvinogona kuitwa nekutora X-ray kana nekudzvanya mweya nebhegi muchubhu uye nekuteerera manzwi ekufema.

Munhu anogona kutaura kana kudya kana akapinzwa?

Endotracheal chubhu inopfuura nepakati pezwi, saka haugone kutaura.

Zvakare, haugone kumedza kana yaiswa, saka haugone kudya kana kunwa.

Zvichienderana nekureba kwauchaita intubated, vatapi vako vehutano vanogona kukupa chikafu kuburikidza neIV kana IV zvinwiwa kana kuburikidza neyakasiyana slim chubhu inoiswa mumuromo mako kana mumhino uye ichiperera mudumbu mako kana mudumbu diki.

Ko tracheal chubhu inobviswa sei panguva yekubvisa?

Kana vatapi vehutano vakafunga kuti zvakachengeteka kubvisa chubhu, vanoibvisa.

Iyi inzira iri nyore inonzi extubation.

Vacha:

• Bvisa tepi kana tambo yakabata chubhu panzvimbo.
• Shandisa mudziyo wekusveta kubvisa chero marara mumhepo.
• Deflate bharumu mukati metrachea yako.
• Kukuudza kuti utore kufema kwakadzika, wozokosora kana kuburitsa mweya ivo vachiburitsa chubhu.
• Huro yako inogona kurwadza kwemazuva mashoma mushure mekuputika, uye iwe unogona kunge uine dambudziko rekutaura.

Ndedzipi njodzi dzeintubation?

Intubation yakajairika uye kazhinji yakachengeteka maitiro anogona kubatsira kuchengetedza hupenyu hwemunhu.

Vanhu vazhinji vanopora kubva mazviri mumaawa mashoma kana mazuva, asi mamwe matambudziko asingawanzo anogona kuitika:

• Aspiration: Kana munhu akaiswa intuba, anogona kufemesa marutsi, ropa kana zvimwe zvinwiwa.
• Endobronchial intubation: Iyo tracheal chubhu inogona kudzika pasi imwe yemabronchi maviri, machubhu maviri anobatanidza trachea yako nemapapu ako. Izvi zvinonziwo mainstem intubation.
• Esophageal intubation: Kana iyo chubhu ikapinda esophagus yako (chikafu chubhu) panzvimbo yetrachea yako, inogona kukonzera kukuvara kwehuropi kana kufa kana ikasazivikanwa nekukurumidza.
• Kutadza kuchengetedza nzira yemhepo: Kana intubation isingashande, vatapi vehutano vangasakwanisa kurapa munhu.
• Zvirwere: Vanhu vakave vakaputirwa vanogona kukura zvirwere, zvakadai sehutachiona hwe sinus.
• Kukuvara: Maitiro acho anogona kukuvadza muromo wako, mazino, rurimi, tambo dzezwi kana mhepo. Kukuvara kunogona kukonzera kubuda ropa kana kuzvimba.
• Matambudziko anobuda muanesthesia: Vanhu vazhinji vanopora kubva kuanesthesia zvakanaka, asi vamwe vane dambudziko rekumuka kana vane emergency emergency.
• Tension pneumothorax: Kana mweya ukabatwa muchipfuva chako, izvi zvinogona kukonzera mapapu ako kudonha.

Endotracheal intubation inzira yekurapa iyo inogona kubatsira kuchengetedza hupenyu kana mumwe munhu asingakwanisi kufema.

Iyo chubhu inochengeta trachea yakavhurika kuitira kuti mweya usvike kumapapu.

Intubation inowanzoitwa muchipatara panguva yekukurumidzira kana isati yavhiyiwa.

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