I-tube endotracheal iyinhlangano yepulasitiki eguquguqukayo efaka emlonyeni emgqonyeni (i-windpipe) ukusiza isiguli ukuphefumula. I tube endotracheal ke ixhunywe ku-ventilator, okuyinto ehambisa oksijeni emaphashini. Inqubo yokufaka ithubhu ibizwa ngokuthi i-endotracheal intubation.
Injongo
I-tube endotracheal ingabekwa lapho isiguli singakwazi ukuphefumula sodwa, ngenxa yezimo eziphuthumayo zezokwelapha, ukugula okungathí sina, noma ngesikhathi sokuhlinzwa lapho kusetshenziselwa ukuhlinzekwa kwezifo ezijwayelekile .
Ezinye izinkomba zokungena kokugcina zihlanganisa:
- Ukuhlinzeka ngokujwayelekile - Nge-anesthesia ejwayelekile, imisipha yomzimba kuhlanganise ne- diaphragm ikhubazekile, futhi ukubeka ithubhu yokugcina ivumela i-ventilateur ukuba yenze umsebenzi wokuphefumula.
- Ukukhipha umzimba wangaphandle - Uma i-trachea ivinjelwa ngumzimba wangaphandle ofiswayo (ukuphefumula) i-tube endotracheal ingabekwa ukusiza ekususweni kwento yangaphandle.
- Ukuvikela umoya womoya ngokumelene nesifiso - Uma umuntu enesifo esikhulu se-GI (egazini esiswini) noma ehlushwa isifo, futhi i-tube endotracheal ingabekwa ukusiza ukuvimbela okuqukethwe kwesisu ukungena emoyeni.
- Ukubona ngeso lengqondo ukuhamba kwemimoya - Uma kungabonakali ukungajwayelekile kwe-larynx, i-trachea, noma i-bronchi, i-tube endotracheal ingabekwa ukuvumela ukubukeka kahle kwe-airways.
- Emva kokuhlinzwa komdlavuza wamaphaphu - I-tube endotracheal exhunywe ku-ventile ingase ishiywe endaweni ukuze isize ngokuphefumula ngemva kokuhlinzwa.
- Ukusekela ukuphefumula - Uma umuntu ephefumula ngenxa yokuphefumula, i-pneumothorax (ukuwa kwephaphu) ukuhluleka kwenhliziyo, noma ukungazi ngenxa yokudlula ngokweqile, ukulimala, noma ukulimala kwengqondo, kanye ne-endotracheal tube ingase ibekwe ukusekela ukuphefumula.
Inqubo
Ngokuvamile i tube endotracheal ifakwa lapho isiguli engazi.
Uma isiguli siyazi, imithi isetshenziselwa ukunciphisa ukukhathazeka ngenkathi ibhubhu ifakwa futhi ize isuswe. I-tube itholakala emlonyeni (noma ngezinye izikhathi ngekhaleni) ngemuva kokuhambisa ulimi ngaphandle, nokufaka ucingo phansi phakathi kwezingcingo zamagama kuya emthonjeni. Ngenxa yendawo yayo, abantu abakwazi ukukhuluma lapho i-tube isendaweni.
Izinkinga nezinengozi
Ezinye izingozi ezihlobene nokubekwa kwe-tube endotracheal zihlanganisa:
- Ukuphuza.
- Ukutheleleka.
- Ukuqhaqhazela (abantu abaningi baqaphela umphimbo obuhlungu ngemuva kokuba ne-tube endotracheal endaweni.)
- I-Pneumothorax (ukuwa kwamaphaphu).
- Ukubekwa kwe-esophageal - I-x-ray ingenziwa ukuze kuqinisekiswe ukuthi ithubhu ibekwa ku-trachea hhayi isifo.
Imithombo:
Ilabhulali Kazwelonke Yezokwelapha. I-MedlinePlus. I-Endotracheal Intubation. Kubuyekezwe 11/14/14.