I-tube endotracheal yinkampu yeplastiki eguquguqukayo efakwa emlonyeni kwi- trachea (i-windpipe) ukunceda isigulane siphefumle. I-tube endotracheal ixhunywe kwi-ventilator, ekhupha oksijini kwimiphunga. Inkqubo yokufaka ityhubhu ibizwa ngokuba yi-endotracheal intubation.
Injongo
I-tube endotracheal ingafakwa xa isigulane singakwazi ukuphefumula sisodwa, ngenxa yokuxakeka kwezonyango, ukugula kakhulu, okanye ngexesha lotyando xa kusetyenziswa i- anesthetic jikelele .
Ezinye izibonakaliso ze-intubation zokugqibela ziquka:
- Ukuhlinzwa ngokuqhelekileyo - Nge-anesthesia jikelele, izihlunu zomzimba ziquka i- diaphragm zikhubazekile, kwaye ukubeka i-tube endotracheal ivumela umqhubi ukuba enze umsebenzi wokuphefumula.
- Ukususa umzimba wangaphandle - Ukuba i-trachea iphazamiswa ngumzimba wasemzini ofunayo (ukuphefumla) i-tube endotracheal inokufakwa ekuncedeni ukususwa kwezinto ezingaphandle.
- Ukukhusela i-airway ngokuchasene nomnqweno - Ukuba umntu une-GI enkulu yegazi (egazini esiswini) okanye enobungozi, kwaye i-tube endotracheal ingasetyenziswa ukuze inqande ukuba isisu singenanga kwi-airways.
- Ukujonga ngeso lomoya - Ukuba ukungaqhelekanga kwe-larynx, trachea, okanye i-bronchi kukhankanywa, ityhubhu yokuphela ingasetyenziswa ukuba ivumeleke ukubonwa kakuhle kwe-airways.
- Emva kokuhlinzwa komhlaza wamaphaphu - I-tube endotracheal ehlangene nomoya-moya ingashiywa endaweni ukuze incede ngokuphefumla emva kokuhlinzwa.
- Ukuxhasa ukuphefumla - Ukuba umntu unobungozi bokuphefumula ngenxa yempumoniya, i-pneumothorax (ukuwa kwempompo) ukungaphumeleli kwintliziyo, okanye ukungazi kakuhle ngenxa yokugqithisa ngokweqile, ukulimala, okanye ukulimala kwengqondo, kunye ne-tube endotracheal inokufakwa ukuxhasa ukuphefumla.
Inkqubo
Ngokuqhelekileyo i-tube endotracheal ifakwe xa isigulane singakwazi.
Ukuba isigulane siyayazi, amayeza asetyenziselwa ukunciphisa uxhalaba ngelixa ityhubhu ibelwe kwaye ide isuswe. Ityhubhu ifakwe emlonyeni (okanye ngamanye amaxesha ngeempumlo) emva kokuhambisa ulwimi ngaphandle, kunye nokuchukumisa ithubhu phakathi kweentambo zezwi kwi-trachea. Ngenxa yendawo yayo, abantu abakwazi ukuthetha xa ityhubhu isendaweni.
Iingxaki kunye neengozi
Ezinye zeengozi ezinxulumene nokubekwa kwebhubhiso yokugqibela ziquka:
- Ukuhlamba.
- Sulelo.
- Ukuphazamiseka (abaninzi abantu bayayiqaphela intlungu emva kokuba ne-tube endotracheal endaweni.)
- I-Pneumothorax (ukuwa komphunga).
- Ukufakwa kwe-Esophageal - I-x-ray ingenziwa ukwenzela ukuba isiqinisekiso sokuthi ityhubhu ifakwe kwi-trachea kwaye ingekho isopu.
Imithombo:
IThala leSizwe leMicrothelo. MedlinePlus. Endotracheal Intubation. Updated 11/14/14.