Tracheal intubation: kana nguva yasvika yokuti munhu wechipiri ...

Emergency mamiriro muviri apo CPR zvinofanira kutorwa nekukurumidza, zvinoda zviito dzakajeka navanachiremba. Nokumutswa Nzira vakasarudzwa zvakananga nokukurumidza zvichienderana chaizvo ari kukundwa, kwokuomerwa murwere ezvinhu uye mukana kutora matanho akakodzera tisinganonoki.

Imwe nzira yakadaro ndiyo yevanorwara zvikuru intubation. Zvairatidza kuti tracheal intubation:

ü tea hazvibviri zvemapapu kufefetedza mune dzimwe nzira; kuramba mamwe nhengo uye munyama (semuenzaniso, zvakaoma fefetedza mumapapu wevakadzi nepamuviri toxemia, vakafutisa vanhu vari sternum);

ü tea kuvapo vakawanda maronda mativi

ü tea kupinda trachea uye principales vomitus, kuvapo viscous madzihwa akawanda, ropa zvekupfakira muromo;

U nekusagona mwoyo nokumutswa mukati kurapwa rufu (maminitsi matanhatu);

U kudiwa rakavhurika mwoyo masaja;

ü tea mberi zvokufambisa murwere kuchipatara kuti nokumutswa.

Uyewo nokumutswa ine nhamba contraindications apo tracheal intubation haagoni kushandiswa nokuda upenyu uye utano murwere. Not intubated pamwe musana kukuvara munzvimbo remuromo nharaunda, kuvapo yakadzika mutsipa maronda, namamota, kuzvimba, zvava kundiomera kufambisa muviri temporomandibular rwakashodoka.

Tracheal intubation, nzira unyanzvi inofanira kutevedzerwa zvachose uye chete rinofanira kuitwa navanachiremba nokuti kururama kugadzwa endotracheal chubhu kunogona kukuvadza.

Midziyo nokuti intubation chinhu chubhu, iyo yakagadzirirwa kupa kufefetedza kuburikidza pakudzorera yemweya patency. chubhu Izvi zvinobatsirawo kuti kusunungurwa yemweya madzihwa, vomitus. Pachirehwa endotracheal chubhu uye anesthesiology - yakatakura kunze gasi yokutindivadza.

Doctors kuitisa intubation sezvinotevera: munhu vanopiwa chinzvimbo nhema, musoro wake tilted musana napo. Kazhinji, pamapendekete anoisa pamutsago, kana hazvisi - peta mbatya muchimiro chinotenderera kuti zvishoma kusimudza sternum. Kuti kudzora okutanga ari endotracheal chubhu uchishandisa laryngoscope. Kazhinji pakatanga pamusoro endotracheal chubhu iri inoitwa premedication - kutungamirira zvinodhaka kupa nyarara intubation uye tsandanyama relaxant, izvo usanetseka tsandanyama kuti kupinda pakati chubhu kupinda trachea. Kana murwere ari chafariz ezvinhu kana mune ezvinhu kunotoda kurapwa rufu, asi tracheal intubation rinoitwa pasina maererano izvi ezvinhu. Kazhinji tracheal intubation netsviyo kuita - mune iyi, muromo anowedzera nechisimba uye kuita zviito zvakakodzera.

Laryngoscope chipande rikazvisundira pamusoro epiglottis, nokudaro hwokusunungura kuwana mberi mberi. Mudzi rurimi akasunda uye pamukova dokeriro kuratidza akaiswa endotracheal chubhu. The kukura chubhu zvinosiyana, ivo vanosarudzwa pachine zvichienderana nemakore murwere.

Kana nzira iri kuitwa nemazvo, ipapo mhepo ikaridzwa kupinda chubhu kunzwa ruzha mumapapu, rinooneka kwebasa mubhokisi, mhepo odzokera. Nokuti yokuzvinatsa yemweya chitete chubhu kuburikidza endotracheal chubhu akabvisa mukati.

Tracheal intubation - zvikuru basa nokumutswa. Kana nguva asingadi intubate murwere, mamiriro ake ezvinhu ari kuipa roga miniti. Panguva iyoyowo apo intubation haumanikidzwi kukurumidza - muitiro haafaniri kukonzera yemweya kukuvadzwa wakakodzera akakurumidza kupinza munhu chubhu. Kuedza intubate zvinofanira kuiswa nokuti asisiri kupfuura maminitsi matatu - zvimwe vanofanira kuedza kubata kufefetedza.