Ekumfakeni - kukwaziswa kwe ityhubhu kwi uqhoqhoqho

Impilo - ixabiso iphezulu yabantu. Kwezinye iimeko, imfuno imisebenzi zempilo. Xa usebenzisa zomzimba jikelele zifuna ekumfakeni - ke kokukhutshelwa uqhoqhoqho ye ityhubhu okhethekileyo. Nangona ekunyaniseni, kukwayinto entle uhlobo lomsebenzi inxulunyaniswa lomngcipheko kunye nemingeni yobugcisa.

Injongo ekumfakeni

ekumfakeni elisetyenzisiwe (kuthetha ukuba le ukuphululwa ziza kuchazwa kwinqaku) angakwazi kunye prehospital ekunikeni uncedo olungxamisekileyo.

Ekumfakeni okwazi:

• ebambe ukuphefumla isigulana, ingakumbi, ulawule, nenkxaso;
• patency eqhelekileyo ngokuma nokuba indawo yesigulana;
• lingekho ingozi ukutsarhwa ngenxa ifuthe emhlanzweni, yencindi, igazi, amaqumrhu amazwe nemisipha spasm;
• ukukwazi ukususa imizimba ukusuka bronchi kunye noqhoqhoqho angaphandle;
• amathuba iyazilandela iindawo ukukhanya;
• ekuphuculeni iimeko lokuphelisa nya nokudumba miphungeni.

Ekumfakeni olwenziwe (oku ukuqaliswa ityhubhu waya noqhoqhoqho) kunye nzima ukuphefumla ngenxa nokudumba yemiphunga, netyhefu kakhulu, ukusilela yokuphefumla, kodwa phambi lukakayi, ukudumba kunye nezinye nokwenzakala emqolo wesibeleko kunye omqolo wesibeleko akakwazi ukwenza le nkqubo isakhiwo kweZiyobisi.

Izixhobo ze ekumfakeni

Kukho ezithile izixhobo ezisetyenziselwa ekumfakeni (lo msebenzi kukuququzelela ukuphefumla) yenziwa. Oku kufuna:

• ngemibhobho endotracheal ezahlukeneyo ngobukhulu ubukhulu zangaphezulu, ubude, kunye okanye ngaphandle cuff, kunye ubukho lumens elinye okanye amabini (iityhubhu bezmanzhetnye zisetyenziselwa kids);
• laryngoscope sibheqwayo straight and ukugoba: kwi inxalenye nkqi, nto leyo ufakwa ibhetri, nencakuba kunye ibhalbhu (iincakuba inokuguqulwa ngokukhawuleza xa kuyimfuneko);
• Nozenza izifinyiso anasteziologicheskie (abe imilo egobile);
• umqhubi - ngentonga zesinyithi ezicekethekileyo, leyo, nangona izinto ezisetyenziswayo, ithambe (kwiimeko ezinzima kufuna ekumfakeni);
• iintlungu Local ukusetyenziswa sisitshizi (ngamaxesha ambalwa asetyenziswa kakhulu kuba uninzi ekumfakeni - inkqubo ngokufakela ityhubhu kwi uqhoqhoqho, kuliwa kwiimeko ezingxamisekileyo xa isigulana phantsi zomzimba jikelele, okanye zingqondweni).

iintlobo ekumfakeni

Kuxhomekeka injongo yale nkqubo yonyango, imiphunga ekumfakeni (oko kukuthi, ngasentla) kuvela iindidi ezimbini:

• orotracheal - ityhubhu kwi uqhoqhoqho ngomlomo;
• nasotracheal - ukuqaliswa ityhubhu endotracheal ngokusebenzisa impumlo (kulo mzekelo ubungakanani kwimibhobho kufuneka ibe ngaphantsi kancinci).

Ngokwahlukeneyo kuyimfuneko ukwaba tracheostomy, kodwa lo msebenzi kuphela akuphuhlanga kakuhle embhoxo ekumfakeni, njengoko yenziwa Iintlungu zobugcisa ezahlukeneyo ngokupheleleyo, kodwa injongo ngokwesiseko efanayo - umgudu.

Technology of ekumfakeni lung

Ekumfakeni - kukwaziswa kwe ityhubhu kungena noqhoqhoqho. YoLungiso-sandi lweSihambisi kwenziwa ngeendlela ezimbini, kuxhomekeke ukuba isigulana lisezingqondweni na okanye hayi. Kwimeko yokuqala, intlungu. Isigulana kufuneka uphefumle kakhulu, basezela xa ityhubhu selekhulile ngokusebenzisa glottis. Ugqirha ngexesha elifanayo kuqinisekisa ukuba nefoni iye Wayesele uqhoqhoqho endaweni emphinjeni.

Xa engaqondanga imeko yomguli usebenzisa indlela laryngoscopy ngqo. Kulo mzekelo, intloko ke kufanele kube lula ukuqondisa, kuya kuba kuhle ukuba uwubeke phantsi isondo. Ugqirha avule umlomo wakhe isigulane yedwa, nophethe irhengqa laryngoscope kumva ulwimi, ngaloo ndlela ngokulityhala kwakhona kwi olusekhohlo, uze ayise laryngoscope ukuya noqhoqhoqho. Emva koko, ityhubhu eyafakwa umoya.

wamathumbu ekumfakeni

Kukho ikho into ekumfakeni isisu, okanye decompression intraoperative emathunjini. Le buqhinga yenzelwa ukususa imixholo emathunjini. Kukho iindidi ezintathu namathumbu ekumfakeni:

• nasogastric;
• retrograde ngokusebenzisa isikali;
• retrograde ngokusebenzisa fistula emathunjini.

Kwakhona wenza ekumfakeni yethumbu asakhasayo appendikostomu nokuthintela okanye unyango kwizigulane post-operative elukhukweni enedumbe.

Isetyenziswa le ixhokonxa akhethekileyo ukuze ibe single-channel,-mbini kwitshaneli multi-channel, kodwa zisetyenziswa ezimbini zokuqala ngokuxhaphakileyo.

Njengalo naluphi na olunye uqhaqho, ekumfakeni (izakhi ukuze kube lula ukuphefumla) kunokuba babe neengxaki. Amaninzi kubhaliwe ukomiwa, umonakalo amazinyo kunye inwebu yangaphakathi, aqaqambayo. Nakuba kunjalo, ukuba ngaba le nkqubo yonke yenziwa ngokwe migaqo, oko akuyi kuba iingxaki, yaye uya kusindiswa ngobomi yesigulane.