Tracheal intubation: idan lokacin ya zo na biyu ...

Gaggawa yanayi jiki lokacin CPR ya kamata a dauka maza maza, na bukatar share ayyuka na kiwon lafiya. Farfado da hanyoyin zaba musamman a kan tabo dangane da ƙayyadaddu daga cikin shan kashi, mai tsanani daga cikin haƙuri da yanayin da kuma yiwuwar su dauki matakan da suka dace ba tare da bata lokaci ba.

Wata irin wannan hanya ne m kula intubation. Alamomi ga tracheal intubation:

u rashin yiwuwar huhu samun iska a madadin hanyoyi. juriya a kan wani ɓangare na sauran gabobin da kyallen takarda (misali, yana da wuya a bar iska ta shiga cikin huhu da mata masu juna biyu da toxemia, obese mutane a cikin sternum).

u gaban mahara raunuka gefuna.

u shigar da trachea da bronchi vomitus, gaban danko sosai gamsai a cikin manyan yawa, da jini cika baki.

u da rashin iyawa na zuciya farfado a cikin asibiti mutuwa (shida minti).

u da bukatar bude zuciya tausa.

u kara sufuri na haƙuri zuwa asibiti domin farfado da.

Har ila yau, a farfado da shi yana da yawan contraindications lokacin tracheal intubation ba za a iya amfani saboda barazana ga rayuwa da kuma kiwon lafiya na haƙuri. Ba intubated tare da kashin baya raunin a cikin mahaifa yankin, gaban zurfin wuyansa raunuka, marurai, kumburi, iyaka motsi temporomandibular hadin gwiwa.

Tracheal intubation, hanya dabara dole ne a bi tsananin da kawai za a za'ayi da kiwon lafiya, saboda ba daidai ba shigarwa na endotracheal tube iya haifar da tsanani lalacewa.

Inji for intubation ne a tube, wanda aka tsara domin samar da iska ta tanadi airway patency. Wannan bututu kuma hidima ga saki da airway gamsai, vomitus. Yana shafi endotracheal tube da kuma anesthesiology - shi za'ayi da gas maganin sa barci.

Doctors gudanar intubation kamar haka: da aka azabtar da aka bã su kwance matsayi, kansa tilted baya kamar yadda ta yiwu. Yawancin lokaci, kafadu yana sanya wani matashin kai, idan ba - ninka tufafi a cikin wani nau'i na abin nadi to dan kadan dauke da sternum. Domin sarrafa gabatarwar da endotracheal tube ta amfani da wani laryngoscope. Yawancin lokaci da gabatarwar da endotracheal tube da aka gudanar premedication - gudanarwa ta kwayoyi don samar da m intubation da tsoka relaxant, wanda shakata tsokoki domin shigar azzakari cikin farji daga cikin tube cikin trachea. Idan da mãsu haƙuri ne a wani thermal yanayin, ko a cikin wani jihar da na asibiti mutuwa, da tracheal intubation aka yi ba tare da kaucewa daga wadannan yanayi. Sau da yawa tracheal intubation epileptics yi - a cikin wannan harka, da bakinka yana faɗaɗa violently da kuma gudanar da wani zama dole ayyuka.

Laryngoscope ruwa ne guga man kan epiglottis, game da shi yantar da samun da kara ci gaba. tushen harshe ne tura da ƙofar maƙogwaro nuna saka endotracheal tube. The girma na tube dabam, suna zaba a gaba dangane da shekaru na haƙuri.

Idan hanya ake yi daidai, sai iska a cikin ƙaho a cikin tube iya ji hayaniya a cikin huhu, a bayyane motsi daga cikin kirji, da iska ke mayar. Domin tsarkakewa airway bakin ciki tube ta cikin endotracheal tube cire abinda ke ciki.

Tracheal intubation - wani sosai alhakin farfado da. Idan lokaci ba ya intubate da haƙuri, halin da ake ciki yake ta tabarbarewa a tare da kowane wucewa minti daya. A lokaci guda lokacin da intubation lallai ba ne su hanzarta - da hanya ya kamata ba sa airway rauni saboda sauri sa na wani bututu. Kokarin intubate kamata a yi amfani domin ba fiye da minti uku - in ba haka ba ya kamata kokarin wucin gadi iska.