I-Transtracheal Oxygen Therapy kunye neCOPD

Inkqubo encinane esetyenziswayo inezinzuzo zayo

Abantu abanesifo esingapheliyo se-pulmonary disease (COPD) badla ngokufuna i- oksijeni eyongezelelweyo kwizigaba ezilandelayo zesifo. Ngokugqithiseleyo kunokuba kungenjalo, iya kuhanjiswa kwiphubhu, ebizwa ngokuba ngumnquba wamanzi , ohlala ebusweni ngqo phantsi kwempumlo.

Kwezinye iimeko, i-cannula ayiyi kukwanela, kwaye umntu uya kufuna indlela ehambelana nayo yokuhanjiswa.

Kule nto, ugqirha unokukhetha ukusebenzisa i-oxygen oksijeni yonyango (TTOT) apho ityhubhu encinci, ebizwa ngokuthi i-catheter, ifakwe kwisangqa entanyeni ukuze iphephe i-oxygen ngqo kwimiphunga.

Iinkonzo kunye neNgxaki yeTTOT

I-TTOT yaqala ukusetyenziswa ngowe-1982 kodwa ekugqibeleni ixothwe ngabantu abayicinga ukuba ayinakwenzeka ngaphandle kweemeko zokunciphisa oksijini ( hypoxia ).

Kucacile ukuba le nkqubo inemida yayo. Ukufakelwa kwecathtter entanyeni kunokukhathazeka kunye / okanye kungabonakali kwabanye (nangona ngokuqhelekileyo kungabonwa njengento engakhululekile). Ukongezelela, ityhubhu iyakwazi ukuvala kwaye ngamanye amaxesha idinga ukulungiswa kokungaphenduli.

Nangona kunjalo, kwiminyaka yakutshanje, uninzi lwagqirha luvume ukusetyenziswa kwalo kubantu abakholelwa ukuba banokuzuza kakhulu kwinkqubo.

Oku kubandakanya abantu abaphumelela kwiziphumo ezingaphantsi kwezona ziphezulu kunye nomnxeba, kaninzi ngenxa yokuba abayikusebenzisa ngokwaneleyo kunye / okanye ngokufanelekileyo.

Inyaniso elula kukuba ukusebenzisa ixesha elide le-cannula kunokukhokelela ekukhathazeni okungapheliyo empumleni nasezindlebeni nasekuphuhliseni uxhumano lwe-dermatitis, i- chondritis , kunye nezilonda zesikhumba. Oku kuphela kunokunciphisa ukusetyenziswa, okukhokelela ekudakaleni komsebenzi kunye nokunyamezela .

Ngokwahlukileyo, i-TTOT ingakwazi ukuphucula umgangatho wobomi kunokumnciphisa.

I-TTOT idinga i-oksijini engaphantsi kwe-cannula, oku kuthetha ukuba i -oxygen concentrator ephathekayo ingaba yincinci, ilula, kwaye ihlala ihlala ixesha elide, ivumela umntu ukuba aphume ngaphandle kunye nexesha elide.

I-TTOT idinga iipesenti ezingama-55 ngaphantsi kwe-oksijini ngexesha lokuphumla kunye neepesenti ezingama-35 ngexesha loqeqesho ngokuqhathaniswa nesithwala. Ezi manani ziyakwazi ukuguqulela ekusebenzeni komzimba kunye nokunyuka kokunyamezela . Nangona ezi nkcukacha zingagqitheli ngokupheleleyo izithintelo eziya kwi-TTOT, zikhuthaza ukusetyenziswa kwazo kubantu abaphendulanga kwi-oksijeni yonyango kunye nokuba kufanelekile.

Ukuba ucinga i-TTOT, kukho iinkqubo ezimbini eziqhelekileyo ezisetyenziswa ngabagqirha:

I-Modified Seldinger Technique

Inkqubo yeSeldinger eguqulwayo yindlela eyaziwayo kakhulu yeTTOT, nangona ukutyekela kwayo kunqabile ekubeni iinkampani ezininzi ze-inshorensi aziyi kugubungela. Inkqubo ngokwayo iyenziwa phantsi kwe-aneshesia kwisithuba sengqesho kwaye iquka amanyathelo alandelayo:

1. Isixhobo esincinci senziwa entanyeni apho kufakwe inaliti.
2. Isikhokelo senethiwekhi siya kudlula inaliti, kwaye inaliti ikhutshwe.
3. I-tube ehamba phambili ebizwa ngokuba yi dilator idluliselwa phezu kwentambo ize iqalise inkqubo yokwenza intanyeni entanyeni.

1. Xa ukuvulwa kukhulu ngokwaneleyo, i dilator isuswa kwaye i-stent idluliselwa phezu kwentambo kwindawo yokuvula. Oku kuya kugcina ukufakwa kwesiqinisekiso ekuvaleni.
2. Emva kokuba isicatshulwa sefowuni isuswe, i-stent i-sutured endaweni.
3. Emva kweveki, uhambo lokubuya luya kucwangciswa ukususa i-stent. I-catheter yayiza kufakwa kwi-trachea ukugqiba inkqubo.

I-Tech Tract Tech

Indlela entsha, ebizwa ngokuba yi-Fast Tract technique, yaphuhliswa ekuhlaleni inkqubo yeTTOT. Inkqubo eyenziwa eklasini yokusebenza phantsi kobude obude kwaye ngokuqhelekileyo kubandakanya ukuhlala ubusuku.

Ukudala ukuvula okugqithisiweyo, ugqirha uya kudala iiflegi ezincinci entanyeni, eveze ngaphakathi ngaphakathi kwe-trachea.

I-flaps yekhanda yayiza kubanjiswa kwisistim esingaphantsi kwentamo, ukudala indlela engapheliyo.

NgeNkqubo yeTest Fast, i-TTOT ingaqalisa umhla olandelayo kunokuba iveki kamva.

> Umthombo:

> UChristopher, K. noSchwartz, M. "iTransstraalal Oxygen Treatment." I-Journal Chest. 2011; 139 (2): 435-40. INGXELO: 10.1378 / isifuba10-1373.