Yazisa:
Kwintsimi yeulawulo lwendlela yomoya ye-anesthesia, ityhubhu ye-endotrachealidlala indima ebalulekileyo.Oku kubalulekilezonyango olusebenzisekayoisetyenziswe kwiinkqubo ezahlukeneyo, ezifana nokubonelela ngokufikelela ngokuthe ngqo kwi-trachea ngexesha lotyando okanye ukuququzelela umoya wokuphefumula ngomatshini kwizigulane ezigula kakhulu.Kweli nqaku, siza kungena kwiinkcukacha zeetyhubhu ze-endotracheal, sihlolisise amacandelo azo, uyilo, izibonelelo, kwaye okona kubaluleke kakhulu, indlela yokukhetha nokusebenzisa ngokufanelekileyo.Ekupheleni kweli nqaku, umfundi uya kuba nokuqonda okunzulu kwi-tube endotracheal kunye nokubaluleka kwayo kwintsimi yezokwelapha.
Amacandelo e-endotracheal tube:
Ityhubhu ye-endotracheal yenziwe ngamacandelo amaninzi asebenza ngaphandle komthungo kunye.Amacandelo asisiseko abandakanya ityhubhu ngokwayo, i-cuff ene-inflatable, kunye nezixhumi.Umbhobho udla ngokwenziwa ngeplastiki eguquguqukayo okanye irabha kwaye inokufakwa lula kuqhoqhoqho.Izixhumi zibalulekile ekudibaniseni iibhubhu kwezinye izixhobo, ezifana ne-ventilators, ukuququzelela ukuphefumla okwenziweyo.Emva kokuba ityhubhu ifakwe ngokufanelekileyo kuqhoqhoqho, i-cuff ene-inflatable ebekwe kufuphi nesiphelo se-distal setyhubhu ivuthela, idala itywina elingangeni moya kwaye ithintele umoya kunye nezinye izinto eziyingozi ukuba zingene emiphungeni.
Uyilo kunye nokwahluka:
Iityhubhu ze-Endotracheal zifumaneka kwiindidi ezahlukeneyo zoyilo kunye nobukhulu ukuze kuhlaliswe izigulane ezahlukeneyo kunye neemeko zeklinikhi.Olona yilo luxhaphakileyo yi-cuffed endotracheal tube njengoko iqinisekisa isitywina esikhuselekileyo kwaye inciphisa umngcipheko wokulangazelela.Nangona kunjalo, kwiinkqubo ezithile okanye izigulane, iityhubhu ze-endotracheal ezingafakwanga zingasetyenziswa.Ukongeza, kukho uyilo olukhethekileyo, olufana ne-laser-resistant okanye i-dual-lumen endotracheal tubes, kungenelelo olulodwa lotyando.Kubalulekile ukukhetha uyilo olufanelekileyo lwetyhubhu ngokusekwe kwiminyaka yesigulane, imeko, utyando, kunye naziphi na iimfuno ezithile ezibekwe ngumboneleli wezempilo.
Izinto eziluncedo kwi-endotracheal tube:
Izibonelelo ze-endotracheal tubes zininzi kwaye zibalulekile.Okokuqala, banikezela nge-airway ekhuselekileyo ngexesha lotyando, bagcine i-oxygenation, kwaye baqinisekise ukungena komoya okwaneleyo.Esi buchule sibaluleke ngakumbi xa izigulane zityandwa phantsi kwe-anesthesia jikelele, apho kufuneka ulawulo olupheleleyo lwendlela yomoya.Iityhubhu ze-Endotracheal zinceda ukuhambisa iigesi ze-anesthetic, i-oksijini, kunye namayeza ngokuthe ngqo kwimiphunga yesigulana, ukwandisa ukusebenza kwawo.Ukongeza, bacacisa ngokufanelekileyo iimfihlo, babonelela ngokufikelela ekufunxeni, kwaye bakhusela iindlela zomoya ekuthinteleni okunokwenzeka.
Izinto ezilungileyo zokusebenzisa i-endotracheal tube:
Iityhubhu ze-endotracheal ezilahlayo zineenzuzo ezongezelelweyo ngaphezu kweetyhubhu ezinokuphinda zisetyenziswe ngenxa yokuba ziphelisa iingozi ezinxulumene nokucocwa okungonelanga kunye nokubulala iintsholongwane.Ngokusebenzisa iityhubhu ezilahlwayo, ababoneleli bezempilo banokugcina imigangatho ephezulu yolawulo losulelo kunye nokunciphisa ithuba lokungcoliseka.Ukongeza, iityhubhu ezilahlwayo azifuni kulungiswa kunye nokugcinwa, ukonga izibonelelo zempilo ngexesha elixabisekileyo kunye nezixhobo.Ukufumaneka kweetyhubhu ezilahlayo kwiisayizi ezahlukeneyo kunciphisa umngcipheko wokusebenzisa ityhubhu engafanelekanga.
Ukukhetha okusebenzayo kunye nokusetyenziswa kweetyhubhu ze-endotracheal:
Izinto ezininzi kufuneka ziqwalaselwe xa ukhetha i-endotracheal intubation.Oku kubandakanya iminyaka yesigulane kunye nemeko yeklinikhi, inkqubo ecwangcisiweyo okanye iinkqubo, kunye namava omboneleli wezempilo kunye nezinto azikhethayo.Ubungakanani betyhubhu obufanelekileyo bubalulekile ukuphepha iingxaki ezinjengokuthintelwa kwetyhubhu ye-endotracheal okanye ukuvuza komoya ngokugqithisileyo.Ukusebenzisa ubuchule obufanelekileyo kunye nezikhokelo ezilandelayo ze-intubation kunye ne-cuff inflation zibalulekile ekuqinisekiseni iziphumo ezilungileyo zesigulane.Ukubeka iliso rhoqo, kubandakanywa ne-X-ray yesifuba, kunokuqinisekisa ukufakwa kwe-catheter ngokufanelekileyo kunye nokufumanisa naziphi na iingxaki ezinokubakho.
Ukuququmbela:
Isishwankathelo, ityhubhu ye-endotracheal iyimfunekozonyango olusebenzisekayongenxaulawulo lwendlela yomoya ye-anesthesiakwiindawo ezahlukeneyo zeklinikhi.Ukuqonda amacandelo abo, uyilo, kunye neenzuzo kubalulekile ekukhetheni nasekusetyenzisweni ngokufanelekileyo.Ngokukhetha uyilo olufanelekileyo lwetyhubhu kunye nobukhulu kunye nokuqinisekisa ukufakwa ngokufanelekileyo kunye neendlela zokunyuka kwamaxabiso e-cuff, ababoneleli bezempilo banokuqinisekisa ulawulo olukhuselekileyo noluyimpumelelo lwendlela yomoya.Imfundo eqhubekayo kunye nokuthotyelwa kweendlela ezicetyiswayo malunga nokusetyenziswa kwe-endotracheal intubation zibalulekile ekuphuculeni iziphumo zesigulane kunye nokwandisa i-anesthesia kunye ne-ventilation ngexesha lotyando.
Ixesha lokuposa: Oct-24-2023