Intubation - shi ne gabatarwar a tube cikin trachea

Health - da mafi mutum darajar. A wasu lokuta, da bukatar kiwon lafiya yadda ake gudanar. Lokacin amfani janar maganin sa barci bukatar intubation - shi ne gabatarwar a cikin trachea na musamman tube. Duk da sauki, shi ne kuma wani irin aiki da ake dangantawa da hadarin da fasaha kalubale.

Dalilin intubation

Used intubation (yana nufin cewa wannan magudi za a bayyana a cikin labarin) iya, kuma prehospital a samar da gaggawa taimako.

Intubation ne iya:

• rike da wani haƙuri ta numfashi, musamman, sarrafa, da kuma goyon baya.
• al'ada patency na airway ko da kuwa da matsayi na haƙuri.
• babu wani hadarin shaƙa saboda da tasiri na aman, gamsai, jini, kasashen waje jikinsu da kuma jijiyoyin spasm.
• da ikon cire waje jikinsu daga bronchi da trachea.
• da yiwuwar faruwa haske yankunan.
• inganta da yanayin domin kawar da na huhu edema.

Intubation za'ayi (wannan shi ne gabatarwar a tube cikin trachea) da wahala numfashi a sakamakon huhu edema, mai tsanani da guba, na numfashi rashin cin nasara, amma da gaban da kwanyar, da ciwon kumburi, da sauran raunin a cikin mahaifa kashin baya da kuma mahaifa vertebrae ba zai iya gudanar da wannan hanya a Abuse tsarin.

Kallo don intubation

Akwai wasu sa na kayan aikin da ake amfani da shi don intubation (wannan aiki ne don sauƙaƙe numfashi) da aka za'ayi. Wannan na bukatar:

• endotracheal shambura daban-daban a cikin matsanancin diamita size, tsawon, tare da ko ba tare da wani cuff, da gaban daya ko biyu lumens (bezmanzhetnye shambura aka yi amfani ga yara).
• laryngoscope tare da mike kuma mai lankwasa ruwan wukake: a cikin riko da bangaren, wanda aka saka a cikin wani baturi, da ruwa tare da wani haske kwan fitila (ruwan wukake za a iya canja da sauri idan ya cancanta).
• anasteziologicheskie tongs (da wani mai lankwasa siffar).
• shugaba - a bakin ciki karfe sanda, wanda, duk da kayan amfani, shi ne m (a wuya lokuta na bukatar intubation).
• Local anesthetics amfani sprayer (da wuya amfani saboda mafi yawan intubation - ne tsari na sa na wani bututu a cikin trachea, shi ne da za'ayi a cikin hali na gaggawa a lokacin da haƙuri shi ne a karkashin janar maganin sa barci, ko yin suma).

iri intubation

Dangane da manufar wannan likita hanya, intubation huhu (cewa shi ne, a sama) ne na iri biyu:

• orotracheal - a tube cikin trachea ta bakin.
• nasotracheal - gabatarwar da endotracheal tube ta hanci (a cikin wannan harka da girman da shambura dole ne kadan kasa).

Dabam shi wajibi ne don ware wani tracheostomy, amma wannan aiki ne kawai vaguely reminiscent na intubation, kamar yadda ya yi ta anesthesiologists mabanbanta fasahar, amma makasudin ne da gaske guda - airway.

Technology na huhu intubation

Intubation - shi ne gabatarwar a tube cikin trachea. K aka yi a hanyoyi biyu, dangane da ko haƙuri ne m, ko ba. A cikin farko idan, a gida m. A haƙuri dole numfashi warai, sha taba lokacin da bututu da ake ci gaba ta hanyar da glottis. Likita a lokaci guda tabbatar da cewa salula ya samu shi a cikin trachea maimakon na esophagus.

Lokacin da sume haƙuri da yanayin amfani da hanyar na kai tsaye laryngoscopy. A wannan yanayin, da shugaban ya zama zai yiwu a daidaita, shi ne mafi kyau a saka shi a karkashin nadi. Likita ya buɗe bakinsa ga mãsu haƙuri shi kadai, riqe da laryngoscope ruwa a baya na harshe, haka turawa da shi zuwa hagu, sa'an nan na cigaba da laryngoscope cikin trachea. Bayan nan, cikin tube an saka a cikin numfashi.

hanji intubation

Akwai irin wannan abu kamar yadda hanji intubation, ko intraoperative hanji decompression. Wannan magudi aka yi a cire hanji abinda ke ciki. Akwai iri uku hanji intubation:

• nasogastric.
• retrograde ta dubura.
• retrograde ta cikin hanji fitsari.

Kuma yi intubation na kananan hanji ta hanyar appendikostomu rigakafin ko magani daga post-tiyata palsy marasa lafiya.

Amfani da wannan musamman bincike da cewa zai iya zama guda-tashar, dual-tashar da Multi-tashar, amma na farko da biyu aka fi amfani da.

Kamar kowane sauran tiyata, intubation (a magudi sauƙaƙe numfashi) iya samun rikitarwa. Mafi sau da yawa shi ne choking, lalacewar hakora da kuma mucous membranes, spasms. Duk da haka, idan dukan hanya ne da za'ayi bisa ga dokoki, shi ba zai zama da rikitarwa, kuma da mãsu haƙuri ta rayuwa za a ajiye.