Chiphunzitso chamankhwala, inotrachheal intubation, issas intubation, kodi mwaphunzira?

Issal intubation nthawi zambiri imagwiritsidwa ntchito kwa odwala omwe ali ndi vuto pakutsegula pakamwa kapena larynuoscope sangathe kuyikidwa, ndipo odwala akhungu amagwiritsidwa ntchito nthawi zambiri. Kusintha kwa khungu kuyenera kusamala wodwalayo, kugwiritsa ntchito mpweya kuti amvere mawu a catheter, ndikusunthiratu mutuwo kuti asinthire kulowera kwa trachea. Pambuyo pa opaleshoni, 1% ******* Njira idaponyedwa kuchokera pamphuno kuti ipangitse zombo za muasal. Chifukwa ndege yophatikizidwa ya tracheal chubu inali kumanzere, inali yosavuta kupeza glottis poyimitsa mphuno lamanzere. Muchipatala, mphuno lamanja imagwiritsidwa ntchito pokhapokha ngati mwezi wakumanzere umasokoneza opareshoni. Panthawi yaudindo, kamangidwe kaukadaulo kwa koopsion komwe kumachitika koyamba, kenako catheter yopakidwa mafuta idayikidwa mu mphuno, ndikutuluka m'mphuno yodziwika bwino. Mawu opumira kwambiri amatha kumveka pakamwa pa catheter. Mwambiri, dzanja lamanzere linagwiritsidwa ntchito kusintha mutu, dzanja lamanja linagwiritsidwa ntchito losungunuka, kenako udindo wa mutu unasunthidwa. Kuyikako kunali kochita bwino kwambiri pamene phokoso la Mituter Airflow lidawonekera kwambiri munjira yamagetsi yamagetsi. Ngati kupita patsogolo kwa Catheter kuli kotsekedwa ndipo mawu opumira amasokonekera, kungakhale kuti Catheter alowera pa piriform pa mbali imodzi. Ngati zizindikiro za Furphyhilia zimachitika nthawi imodzi, mutu ukhoza kukhala wopitilira m'mbuyo, kuyikidwa mu epiglottis ndi malipoti osokonekera, ndikusokoneza kusokonekera kwa epiglottis, catheter ku thesophagus idayambitsa. Ngati mikhalidwe yapamwambayi idzachitika, catheter iyenera kuchotsedwa pang'ono, ndipo mutu wamutu uyenera kusinthidwa pambuyo poti kupuma kuwonekera. Ngati kubwereza chidwi kunavuta, kunyezimira kumatha kuwululidwa pakamwa ndi larynguoscope. Catheter idayenda bwino ndi dzanja lamanja ndikuyika mu trachea pansi pa masomphenya owonekera. Kapenanso, nsonga ya catheter ikhoza kudulidwa ndi mphamvu yotumiza catheter kupita ku glottis, kenako caheter ikhoza kukhala yotsogola 3 mpaka 5cm. Ubwino wa ma nasotrachheal intubation ali motere: chubu ndi chosowa; ② Zomwe zimachitika m'mphuno mucosa kwa imbation zitha kuwonedwa, kaya zimakhala zolimbikitsa; ③ Cannula cannula ya Mphungu idakhazikitsidwa bwino, ndipo yopanda malire idapezeka pa unamwino ndi kupuma kopusitsa; ④ Kupindika kwa cannula ya Mphungu ndi yayikulu (palibe ngodya pachimake), komwe kungachepetse kukakamizidwa pakhomo la larynx ndi cartilage; Odwala odwala amakhala omasuka ndi minofu ya mphuno, kumeza kumeza kunali kwabwino, ndipo odwala sangathe kuluma mkati; ⑥ Kwa iwo omwe ali ndi vuto potsegula pakamwa, minofu ya mphuno itha kugwiritsidwa ntchito. Zoyipa zake ndi izi: ② Lunde la intabation ya mphukirayi ndi yayitali ndipo mulifupi wamkati ndi yaying'ono, kotero malo akufa ndi akulu, ndipo a Lumen ndiosavuta kutsekedwa ndi katulutsidwe, zomwe zimawonjezera kukana kwa kupuma; ③ Ochita opaleshoniyo amatenga nthawi ndipo sikovuta kuchita bwino; ④ Ndizovuta kuswana kudzera pamphuno pomwe trachea ndi yopapatiza.