Yintoni i-Endotracheal Tube? Ukusetyenziswa, Iindidi, kunye neSikhokelo se-Intubation

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Yintoni i-Endotracheal Tube? Ukusetyenziswa, Iindidi, kunye neSikhokelo se-Intubation

Kumayeza anamhlanje, ngakumbi kwiulawulo lomoya kwayei-anesthesia, iityhubhu ye-endotracheal (ETT)idlala indima esindisa ubomi. Esi sikhokelo sichaza yonke into oyifunayo ukuba uyazi malunga nee-tubes ze-endotracheal-ukusuka kwinjongo yazo kunye nesakhiwo kwiintlobo zazo kunye nenkqubo ye-intubation.

Yintoni i-Endotracheal Tube?

An ityhubhu ye-endotrachealyinto ebhetyebhetyeisixhobo sonyangoifakwe kuqhoqhoqho (uqhoqhoqho) ukugcina indlela yomoya evulekileyo, ngakumbi ngexesha lotyando okanye ukhathalelo olungxamisekileyo. Ivumela ukuhanjiswa ngokuthe ngqo kweoksijini, iigesi ze-anesthetic, kunye namanye amayeza kwimiphunga.

https://www.teamstandmedical.com/endotracheal-tube-with-cuff-product/

 

Kutheni SisebenzisaImibhobho ye-Endotracheal?

Ii-ETT zibalulekile kwiimeko ezahlukeneyo zeklinikhi, ezinje:

Ukuphazamiseka kwendlela yomoya (into ebanjwe kwindlela yomoya, ethintela ukuhamba komoya).
Ukubanjwa kwentliziyo (ukulahlekelwa ngokukhawuleza komsebenzi wentliziyo).
Intamo yakho, isisu okanye isifuba sifumana ukulimala okanye ukwenzakala, okuchaphazela indlela yomoya.
Xa umntu engakwazi ukuphefumla ngokuzenzekelayo xa engekho zingqondweni okanye egula kakhulu.
Ukwenza utyando oluya kwenza ukuba ungakwazi ukuphefumla uwedwa.
Ukusilela kokuphefumla okwethutyana.
Umngcipheko wokulangazelela.

 

Amacandelo e-Endotracheal Tube

Amacandelo aphambili etyhubhu ye-endotracheal abandakanya:

  • Umzimba wombhobho: Yenziwe ngeplastiki okanye irabha, ifakwe kwi-trachea
  • Cuff: Ifakwe umoya ukuvala indlela yomoya kunye nokuthintela ukulangazelela
  • Ibhaloni yokulinga: Ibonakalisa uxinzelelo lwecuff
  • 15mm isinxibelelanisi jikelele: Iqhagamshela kwii-ventilators okanye iingxowa ezenziwe ngesandla
  • Murphy iliso: Iqinisekisa ukuhamba komoya nokuba incam ivaliwe

Amacandelo e-Endotracheal Tube

 

Iindidi ze-Endotracheal Tubes

Ii-ETT ziza ngeendlela ezahlukeneyo ezilungiselelwe iimfuno zesigulana kunye neemeko zotyando:

  • Iityhubhu ezikhafuliweyo okanye ezingafakwanga
  • Imibhobho yomlomo okanye yeempumlo
  • Iityhubhu ezilungiselelwe ngaphambili (RAE).
  • Imibhobho eyomeleziweyo
  • Imibhobho ephindwe kabini yelumen(DLTs) zokwahlulwa kwemiphunga

Umahluko phakathi kwe-Intubation kunye ne-Endotracheal Tube

Abaninzi bayawabhidanisa la magama, kodwa abhekisela kwizinto ezahlukeneyo:

  • Intubation: yinkqubo yonyango apho kufakwa ityhubhu kuqhoqhoqho ngomlomo okanye impumlo.Kwiimeko ezininzi ezingxamisekileyo, ibekwe ngomlomo.
  • Umbhobho we-Endotracheal: Isixhobo somzimba esifakwe ngexesha lokungena

Uqhubeleka njani nge-Intubation (Inyathelo ngenyathelo)

Inkqubo ye-intubation ibandakanya la manyathelo alandelayo:

  1. Lungiselela zonke izixhobo eziyimfuneko
  2. Preoxygenate isigulane
  3. Lawula i-sedatives kunye neziphumlisi zemisipha
  4. Yiba nombono wemiphimbo usebenzisa i-laryngoscope
  5. Faka i-endotracheal tube kwi-trachea
  6. Gxumeka icuff ukuze uvale indlela yomoya
  7. Qinisekisa ukubekwa nge-capnography kunye ne-auscultation
  8. Khusela ityhubhu kunye nokubeka iliso

Izibonelelo zeEndotracheal Tubes

Iyakwazi ukugcina indlela yomoya ivulekile, ngoko ke oogqirha banokunika ioksijini, iyeza, okanye i-anesthesia kwezinye izigulana ezigula kakhulu okanye ezingaziyo.

Ukuxhasa ukuphefumla kwizigulo ezithile, njengenyumoniya, i-emphysema, ukusilela kwentliziyo, ukuwa kwemiphunga njalo njalo.

Uncedo lokususa imiqobo kwindlela yomoya.

Fumana umbono ongcono wendlela yomoya ephezulu yomboneleli.

Khusela imiphunga yabanye abantu abangakwaziyo ukukhusela umoya wabo kwaye basengozini yokuphefumla ulwelo (aspiration).

 

Kutheni ukhetha iiTubhu ze-Endotracheal ezilahlwayo?

ETTs ezilahlwayozibonelela ngokhuseleko olwandisiweyo kunye noncedo:

  • Ukuphuculwa kolawulo losulelo
  • Ukuphelisa iimfuno zokucoca okanye zokuvala inzala
  • Indleko-esebenzayo kunye nokonga ixesha
  • Ifumaneka ngeesayizi ezininzi ukuze ilingane ngcono

IiNdlela ezilungileyo zokuKhetha kunye nokuSetyenziswa

Khetha iETT efanelekileyo esekwe kwi:

  • Ubudala besigulane kunye ne-anatomy yomoya
  • Inkqubo ecwangcisiweyo kunye nobude bexesha
  • Ukuhambelana kwezinto (i-MRI-ikhuselekile, i-latex-free, njl.)

Ngalo lonke ixesha qinisekisa ukubekwa ngokufanelekileyo ngemifanekiso kunye neempawu zeklinikhi ukuphepha iingxaki.

Ukuqukumbela

Iityhubhu ye-endotrachealsisixhobo esibalulekileyo kwi-anesthesia kunye nokhathalelo olungxamisekileyo. Ukwazi indlela yokukhetha uhlobo olufanelekileyo, ukwenza i-intubation ngokukhuselekileyo, kunye nokubeka iliso kusetyenziso kuqinisekisa iziphumo ezingcono zesigulane kunye nokulawulwa kakuhle kwendlela yomoya. Qhubeka nezona ndlela zilungileyo zokusebenzisa esi sixhobo sonyango siyimfuneko.

 

Imibuzo Ebuzwa Rhoqo (FAQ)

Yintoni injongo yombhobho we-endotracheal?

Isetyenziselwa ukugcina umoya ovulekileyo kwaye uvumele umoya wokungena ngomatshini okanye ukuhanjiswa kwe-anesthesia.

I-tube endotracheal yahluke njani kwi-intubation?

I-tube endotracheal sisixhobo, ngelixa i-intubation isenzo sokufaka ityhubhu kwi-trachea.

Ngaba kukho iintlobo ezahlukeneyo zeetyhubhu ze-endotracheal?

Ewe, kubandakanya i-cuffed, i-cuffed, yomlomo, impumlo, i-laser-resistant, kunye neetyhubhu eziphindwe kabini.

Ngaba ukusetyenziswa kwee-ETT ezilahlwayo kungcono?

Ii-ETT ezilahlayo zinciphisa ingozi yokusuleleka kunye nokuphelisa amanyathelo okucoca, okwenza kube lula kwaye kusebenze ngakumbi.


Ixesha lokuposa: Oct-24-2023