Imibhobho ye-Endotracheal elungiselelwe kwangaphambili (Ukusetyenziswa kweempumlo kwangaphambili)

Imibhobho ye-Endotracheal eFakelwe kwangaphambili (Ukusetyenziswa Kweempumlo kwangaphambili) Umfanekiso obonakalayo

Inkcazelo emfutshane:

• Yenziwe ngePVC yodidi lwezonyango olungeyotyhefu, elubala, ecacileyo kwaye egudileyo.
• Umgca opaque werediyo kubude be-x-ray.
• Ngomthamo ophezulu wekhafu yoxinzelelo oluphantsi. Icuff yevolumu ephezulu itywina udonga lwetracheal ngokufanelekileyo.

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Iinkcukacha zeMveliso

Iithegi zeMveliso

Ulwazi olusisiseko

1. Yenziwe ngePVC yenqanaba lezonyango elingenatyhefu

2. Ekuhleni, ecacileyo kwaye egudileyo

3. Ngomthamo ophezulu wekhafu yoxinzelelo oluphantsi

4. Ngencam ebhijethi

5. I-bevel ijonge ekhohlo

6. Ngeliso likaMurphy

7. Ngebhaluni yokulinga

8. Ngevalve elayishwe entwasahlobo eneqhagamshelo lokutshixa iLuer

9. Ngomdibaniso oqhelekileyo we-15 mm

10. Ngomgca werediyo-opaque osuka uyokutsho kwincam

11. I-ID, i-OD kunye nobude obuprintiweyo kwi-tube

12. Ukusetyenziswa okukodwa

13. Ayinyumba

14. Ilungiselelwe ukusetyenziswa ngeempumlo

15. Ubume ngokwe-anatomically

16. Ubotshwe okanye ubotshiwe

IiNzuzo zeMveliso

1. Incam ekhonkxiweyo iya kudlula ngokulula ngakumbi kwiichords zezwi kunetyhubhu ene-cross-cut distal opening.

2. I-bevel ijonge ekhohlo kunokuba ijonge ekunene ukuvumela umbono ongcono we-ETT tip engena kwibala lokujonga ukusuka ekunene ukuya kwesobunxele / umgca ophakathi kwaye emva koko udlula kwi-vocal chords.

3. Iliso le-Murphy libonelela ngenye indlela yokuhamba ngegesi

4. Ibhaluni elingwayo evumela (ngokurhabaxa) ingqikelelo ebambekayo kunye nebonwayo yokunyuka kwamaxabiso e-cuff emva kwe-intubation okanye i-deflation ngaphambi nje kokukhutshwa.

5. Umdibaniso oqhelekileyo we-15mm uvumela ukudibanisa kweendlela ezahlukeneyo zokuphefumla kunye neesekethe ze-anesthetic.

6. Umgca we-radio-opaque uluncedo ekuqinisekiseni indawo ye-tube eyaneleyo kwi-X-ray yesifuba

7. Ubume be-anatomical benza ukufaka lula kunye nokususwa, kunciphisa uxinzelelo kwiinares

8. Yenzelwe i-Intubations emfutshane okanye ixesha elide

9. I-cuff ephezulu yoxinzelelo oluphantsi lwevolomu inika isitywina esiphezulu kwaye isebenzise uxinzelelo oluphantsi ngokubhekiselele kudonga lwe-tracheal kwaye inesiganeko esisezantsi sodonga lwe-tracheal ischemia kunye ne-necrosis.

Yintoni umbhobho we-endotracheal?

Umbhobho we-endotracheal yityhubhu eguquguqukayo efakwa ngomlomo kuqhoqhoqho (uqhoqhoqho) ukunceda isigulana siphefumle. Ityhubhu ye-endotracheal ke idityaniswe kwisixhobo sokungenisa umoya, esihambisa ioksijini emiphungeni. Inkqubo yokufaka ityhubhu ibizwa ngokuba yi-endotracheal intubation. Iityhubhu ze-Endotracheal zisajongwa njengezixhobo 'zomgangatho wegolide' zokukhusela nokukhusela indlela yomoya.

Yintoni injongo yombhobho we-endotracheal?

Kukho izizathu ezininzi zokuba kutheni i-endotracheal tube inokufakwa, kubandakanywa utyando kunye ne-anesthetic jikelele, ukwenzakala, okanye ukugula okukhulu. I-tube endotracheal ibekwe xa isigulane singakwazi ukuphefumla ngokwaso, xa kuyimfuneko ukuhlalisa kunye "nokuphumla" umntu ogula kakhulu, okanye ukukhusela indlela yomoya. Umbhobho ugcina umgaqo womoya ukuze umoya ukwazi ukuphumela ngaphandle nokungena emiphungeni.