Intubation - ndiko kutanga kumicheto kupinda trachea

Health - chemhando dzevanhu ukoshi. Mune zvimwe zviitiko, kudiwa utano kushandiswa. Kana kushandisa mukuru yokutindivadza zvinoda intubation - ndiye sumo kupinda trachea munhu anokosha chubhu. Pasinei nyore, asiwo mhando kushanda inobatanidzwa pangozi uye michina matambudziko.

Chinangwa intubation

Used intubation (kureva kuti bata ichi kunzi munyaya) unogona uye prehospital pakupa zvashata rubatsiro.

Intubation anokwanisa:

• akabata murwere kufema, zvikurukuru, dzichengete, uye kutsigirwa;
• zvinoitika patency yemweya zvisinei nzvimbo murwere;
• kusavapo njodzi kubitirirwa nokuda kwechirwere namarutsi, madzihwa, ropa, dzimwe miviri nemarunda spasm;
• kukwanisa kubvisa miviri vatorwa kubva principales uye trachea;
• mukana pachena chiedza nzvimbo;
• kuvandudza mamiriro kuti zvibviswe pulmonary edema.

Intubation kuitwa (ndiko kutanga kumicheto kupinda trachea) yakaoma kufema somugumisiro pulmonary edema, zvikuru chepfu, kufema kukundikana, asi pamberi dehenya, kuzvimba uye mamwe makuvaro ari remuromo musana uye remuromo vertebrae haagoni nzira uyu Abuse mamiriro.

Zvaitibatsira intubation

Pane imwe yakatarwa maturusi inoshandiswa intubation (oparesheni iyi kuti zviite kufema) akanga akatakurwa kunze. Izvi zvinoda:

• endotracheal sepombi siyana dzokunze dhayamita kukura, urefu, kana pasina munhu cuff, pamwe kuvapo imwe kana mbiri lumens (bezmanzhetnye sepombi inoshandiswa vana);
• laryngoscope pamwe twasu uye curved mashizha: (mashizha anogona kushandurwa nokukurumidza kana zvakakodzera) vabatwa chikamu, akaiswa mugomba bhatiri, uye chipasa nechiedza girobhu racho;
• anasteziologicheskie nembato (vane curved chimiro);
• kondakita - a marata tsvimbo, iyo, pasinei mashoko akashandiswa, dzamutswa (mu dzakaoma kunoda intubation);
• Local dzokutindivadza kushandiswa sprayer (kashoma kushandiswa nekuti vazhinji intubation - ndiwo muitiro womunhu kupinza mumwe chubhu kupinda trachea, voitakura munyika kana zvashata kana murwere ari pasi vakawanda yokutindivadza, kana kufenda).

mhando intubation

Zvichienderana chinangwa ichi nzira yokurapa, intubation mapapu (ndiko kuti, pamusoro) riri nezvezvikwata zviviri:

• orotracheal - kumicheto kupinda trachea achishandisa muromo;
• nasotracheal - okusuma ari endotracheal chubhu kuburikidza mhino (mu iyi ukuru sepombi kunge zvishoma).

Yoga zvakafanira kuti govera munhu tracheostomy, asi oparesheni iyi chete vaguely nowenyika intubation, sezvo anoitwa Anesthesiologists akasiyana zvachose ano, asi chinangwa chezvematongerwe chete - yemweya.

Technology kuti bapu intubation

Intubation - ndiko kutanga kumicheto kupinda trachea. Calibration zvinoitwa nenzira mbiri, zvichienderana nokuti murwere anoziva kana kwete. Muchiitiko chokutanga, imwe munharaunda rufimbi. Murwere anofanira kufema zvikuru, fema kana chubhu waenda kubudikidza glottis. Chiremba panguva chendangariro kuti handset angosimuka akaukandira trachea pachinzvimbo yegurokuro.

Kana mukusaziva murwere ezvinhu achishandisa nzira yakananga laryngoscopy. Panyaya iyi, musoro unofanira zvinobvira kutwasanudza, zvakanakisisa akaiisa pasi chinotenderera. Chiremba anovhura muromo wake murwere chete, anobata laryngoscope chipasa seri rurimi, nokudaro kungoita kuti kuruboshwe, uye ipapo kufambira mberi kuti laryngoscope kupinda trachea. Zvadaro, mukuru chubhu akaiswa mweya.

bowel intubation

Pane here chinonzi intestinal intubation, kana intraoperative intestinal decompression. bata iri rinoitwa kubvisa intestinal mukati. Kune mhando nhatu bowel intubation:

• nasogastric;
• retrograde kuburikidza mugaranhoko;
• retrograde kuburikidza intestinal fistula.

Uyewo akaita intubation pamusoro ura duku kuburikidza appendikostomu kudzivirirwa kana kurapwa wevarwere mitezo post-kushanda.

Kushandiswa Yatanga Kuongorora inokosha ichi chingava chimwe chiteshi, hunyambiri-gwara uye multi-gwara, asi maviri okutanga anowanzodanwa kushandiswa.

Kufanana mimwe kuvhiyiwa, intubation (a kuchinja kuti zviite kufema) inogona matambudziko. Kakawanda iri kudzipwa, kukuvara pameno uye mucous membranes, kurwadza kwacho. Zvisinei, kana yose nzira rinoitwa maererano nemirau, hazvizovi zvakaoma kunzwisisa, uye upenyu murwere uchaponeswa.