Yazisa:
Kwintsimi yeUlawulo lwe-Anesthesia lolawulo, I-Endotracheal Tubeidlala indima ebalulekileyo. Oku kubalulekileUkungasebenzi kakuhle kwezonyangoisetyenziswa kwiinkqubo ezahlukeneyo, njengokubonelela ngokufikelela ngokuthe ngqo kwi-trachea ngexesha lotyando okanye ukuqhubela phambili umoya wokungena kubaguli abagula kakhulu. Kweli nqaku, siza kuthoba iinkcukacha ze-endotracheal tubes, ziphonononge izinto zazo, uyilo, izibonelelo, kwaye okona kubaluleke kakhulu, indlela yokukhetha kwaye uyisebenzise ngokufanelekileyo. Ekupheleni kweli nqaku, umfundi uya kuba nokuqonda okunzulu kwe-endotracheal tube kunye nokubaluleka kwayo kwicandelo lezonyango.
Izinto ze-endotracheal tube:
Ityhubhu ye-endotracheal iqulunqwe ngezinto ezininzi ezisebenza ngokungenamthungo. Izinto ezisisiseko zibandakanya ityhubhu uqobo, i-cuff enokutsha, kunye nezivakalisi. Ityhubhu ihlala yenziwe ngeplastiki eguquguqukayo okanye irabha kwaye inokufakwa ngokulula kwi-trachea. Izihloko zibalulekile ekunxibelelaneni kwezinye izixhobo, ezinje ngee-oventhilators, ukuqhuba ukuphefumla okuphezulu. Nje ukuba ityhubhu ifakwe ngokufanelekileyo kwi-trachea, i-cuff i-caff itye ekupheleni kwetyhubhu yetyhubhu, ukudala itywina kunye nokuthintela umoya kunye nezinye izinto eziyingozi ekuhambeni kwimiphunga.
Uyilo kunye nohluko:
Iityhubhu ze-Endotracheal ziyafumaneka kwiintlobo ezahlukeneyo zoyilo kunye nobukhulu ukulungiselela indawo eyahlukeneyo yesigulana kunye neemeko zeklinikhi. Eyona uyilo luqhelekileyo yityhubhu ye-endotrocaal ekhutshiweyo njengoko iqinisekisa itywina elikhuselekileyo kwaye linciphise umngcipheko wokomnqweno. Nangona kunjalo, kwiinkqubo ezithile okanye izigulana, iityhubhu ezingathandekiyo ze-Endotracheal zinokusetyenziswa. Ukongeza, kukho imizobo ekhethekileyo, enjenge-Laser-ichasi okanye i-tuby ye-tuby ye-lumen ye-Ondotrache, yongenelelo lonyango olwahlukileyo. Kubalulekile ukukhetha uyilo lwe-tube olufanelekileyo ngokusekelwe kubudala boguli, imeko, utyando, kunye nazo naziphi na iimfuno ezimiselweyo ngumnikezeli wezempilo.
Izibonelelo zeTondoTicheal Tube:
Izibonelelo zeeTubratial tubes zininzi kwaye zibalulekile. Okokuqala, babonelela ngenqwelomoya ngokukhuselekileyo ngexesha lotyando, balondoloze ioksijini, kwaye baqinisekise umoya onamandla wokungena. Obu buchule bubaluleke ngakumbi xa izigulana zityando phantsi phantsi kwe-anesthesia jikelele, apho kufuneka ulawulo olupheleleyo lwenqwelomoya. I-Endotracheal Tubes inceda ukuhambisa iigesi ze-anesthetic, ioksijini, kunye namayeza ngqo kwimiphunga yesigulana, ekwandiseni ukusebenza kwabo. Ukongeza, baphucule ngokufanelekileyo ukufikelela, babonelele ngokufikelela kwingcambu, kwaye bakhusele iindlela zomoya ukusuka kwisithintelo esinokubakho.
Izibonelelo zokusebenzisa ityhubhu ye-endotrocheal:
Iityhubhu ze-endotracheal ze-endotracheal zinezibonelelo ezongezelelweyo ze-tubs ezinokuphinda zifikelele kuba zisusa umngcipheko onxulunyaniswa nokucoceka okungaphelelanga kunye nokubulala iintsholongwane. Ngokusebenzisa isityholo sokulahla, ababoneleli bezempilo banokugcina imigangatho ephezulu yolawulo losulelo kwaye banciphise ithuba lokungcoliseka komnqamlezo. Ukongeza, iityhubhu ezilahlekileyo zifuna ukulungiswa kunye nokugcinwa, ukugcina izibonelelo zempilo zexesha kunye nezixhobo. Ubukho beeTubs ezilahlekileyo kubungakanani obahlukeneyo zinciphisa umngcipheko wokusebenzisa ityhubhu engafanelekanga.
Ukukhetha okusebenzayo kunye nokusetyenziswa kweeTubracheal tubes:
Izinto ezininzi kufuneka ziqwalaselwe xa ukhetha i-tondotal Oku kubandakanya iminyaka yobudala boguli kunye nemeko yekliniki, inkqubo ecwangcisiweyo okanye iinkqubo, kunye namava omboneleli wezempilo. Ubungakanani be-tube efanelekileyo ibalulekile ukuthintela iingxaki ezinje nge-endotrocheal tube okanye ukuvuza okugqithisileyo. Ukusebenzisa ubuchwephesha kunye nezikhokelo zilandelayo zokuxhela kunye nokunyuka kwamaxabiso okunyuka kwamaxhoba kubalulekile ekuqinisekiseni iziphumo ezifanelekileyo. Ukubeka esweni rhoqo, kubandakanya i-X-rays esifubeni, kunokuqinisekisa ukubekwa okufanelekileyo kwamathambo kwaye kuqatshelwe naluphi na uxinzelelo olunokubakho.
Ukuququmbela:
Ngesishwankathelo, i-endotracheal tybe ibalulekileUkungasebenzi kakuhle kwezonyangokubaUlawulo lwe-Anesthesia lolawulokwizicwangciso ezahlukeneyo zeklinikhi. Ukuqonda izinto zabo, uyilo, kunye nezibonelelo zibalulekile ekukhetheni naselusebenzise kakuhle. Ngokukhetha uyilo olufanelekileyo lwe-tube kunye nobukhulu kunye nokuqinisekisa ubuchule obufanelekileyo bokunyuka kwamaxabiso, ababoneleli ngezempilo banokuqinisekisa ukuphathwa ngokukhuselekileyo kunye nokuphumelela. Imfundo eqhubekayo kunye nokuthotyelwa kweenkqubo ezinconyelwayo malunga nokusetyenziswa kwe-Endopracheal I-Interation ibalulekile ekuphuculeni iziphumo zesigulana kwaye ingenise i-anesthesia kunye ne-ventila ngexesha lotyando.
IXESHA LOKUQALA: I-OCT-24 ukuya kwi-2423