Intubation - bụ iwebata a tube n'ime oghere eji ekunye ume

Health - kasị elu mmadụ uru. Mgbe ụfọdụ, ọ dị mkpa maka ahụ ike arụmọrụ. Mgbe na-eji n'ozuzu ná Nkụnwụ achọ intubation - bụ iwebata n'ime oghere eji ekunye ume nke a pụrụ iche tube. N'agbanyeghị mfe, ọ bụ na-a ụdị ọrụ jikọtara ize ndụ ma na oru ihe ịma aka.

Nzube nke intubation

Eji intubation (pụtara na a mkpachapụ ga-kọwara isiokwu) nwere ike na prehospital n'inye mberede aka.

Intubation bụ ike nke na:

• na-ejide a ọrịa iku ume, akpan akpan, jikwaa, na nkwado;
• nkịtị patency nke airway n'agbanyeghị ọnọdụ nke onye ọrịa ahụ;
• enweghị ihe ize ndụ nke na ekochi ekochi n'ihi na mmetụta nke igbo, imi, ọbara, mba ozu na akwara njikọ spasm;
• ike wepu mba ozu si bronchi na oghere eji ekunye ume;
• ekwe omume nke mkpughe ìhè ebe;
• rụọ ọnọdụ mkpochapu akpa ume edema.

Intubation rụrụ (a bụ iwebata a tube n'ime oghere eji ekunye ume) na ihe isi ike na-eku ume ka a n'ihi nke akpa ume edema, oké nsi, akụkụ okuku ume na ọdịda, ma n'ihu okpokoro isi, mbufụt na ndị ọzọ unan na cervical spain na cervical vertebrae ike mepụta a usoro na Abuse Ọdịdị.

Ngwaọrụ n'ihi na intubation

E nwere ụfọdụ set ngwaọrụ na-eji maka intubation (a na ime bụ ikwado ume) e rụrụ. Nke a na-achọ:

• endotracheal akpa dị iche iche na elu dayameta size, ogologo, na ma ọ bụ enweghị a cuff, na ọnụnọ nke onye ma ọ bụ abụọ lumens (bezmanzhetnye akpa na-eji ụmụaka);
• laryngoscope na ogologo na curved pupụtara: na adịgide akụkụ, nke a na-etinyere n'ime a batrị, na agụba na a bọlb (pupụtara ga-agbanwe ngwa ngwa ma ọ bụrụ na ọ dị mkpa);
• anasteziologicheskie nkpa nile (nwere a curved udi);
• eduzi - a mkpa metal mkpanaka, nke na, n'agbanyeghị ihe na-eji, bụ adụ (na ike ikpe na-achọ intubation);
• Obodo ọgwụ na-akụnwụ were sprayer (adịkarịghị eji n'ihi ọtụtụ intubation - bụ usoro nke ntinye nke a tube n'ime oghere eji ekunye ume, ọ rụrụ na ikpe nke na mberede mgbe onye ọrịa bụ n'okpuru general ná Nkụnwụ Ahụ, ma ọ bụ amagh onwe).

ụdị intubation

Dabere na nzube nke a ọgwụ usoro, intubation akpa ume (ya bụ, n'elu) bụ nke abụọ iche iche:

• orotracheal - a tube n'ime oghere eji ekunye ume site n'ọnụ;
• nasotracheal - iwebata na endotracheal tube site na imi (na nke a na nke nke akpa ga-a obere obere).

Iche iche na ọ dị mkpa ka igbunye a tracheostomy, ma nke a na ime bụ naanị vaguely reminiscent nke intubation, dị ka rụrụ site anesthesiologists kpamkpam dị iche iche na nkà na ụzụ, ma ihe mgbaru ọsọ bụ nnoo otu - airway.

Technology nke akpa ume intubation

Intubation - bụ iwebata a tube n'ime oghere eji ekunye ume. Mmezi a na-eme na ụzọ abụọ, dabere ma ndidi ama ma ọ bụ. Ke akpa idaha, a anestetiiki. Onye ọrịa ga-eku ume nke ukwuu, eloda mgbe tube emewokwa site glottis. The dọkịta n'otu oge ana achi achi na handset ka nwetara ya n'ime oghere eji ekunye ume kama nke na nkọlọ.

Mgbe n'echeghị ọrịa na-arịa na-eji usoro nke kpọmkwem laryngoscopy. Na nke a, isi ga-ekwe omume ịgbatị, ọ kasị mma na-etinye ya n'okpuru ala. The dọkịta ga-emepe ọnụ ya onye ọrịa naanị, esetịpụ laryngoscope agụba na azụ nke ire, si otú ịkwa ya n'aka ekpe, na mgbe ahụ Ọganihu ndị laryngoscope n'ime oghere eji ekunye ume. Mgbe nke ahụ gasịrị, ndị tube na-etinyere na ume.

bowel intubation

E nwere ihe dị otú ahụ dị ka nsia intubation, ma ọ bụ intraoperative nsia decompression. Nke a aghụghọ a rụrụ iji wepụ nsia ọdịnaya. E nwere atọ ụdị nke bowel intubation:

• nasogastric;
• retrograde site ikensi;
• retrograde site nsia fistula.

Ọzọkwa rụrụ intubation nke obere eriri afọ site appendikostomu mgbochi ma ọ bụ ọgwụgwọ nke post-ịkpa ụbụrụ ọrịa.

Eji maka nke a pụrụ iche-eme Nchoputa Banyere ahụ nwere ike ịbụ otu-ọwa, sọrọ-ọwa na multi-ọwa, ma mbụ na nke abụọ na-akacha eji.

Ka ọ bụla ọzọ usiakidem, intubation (a mkpachapụ ikwado ume) nwere ike nsogbu. Ọtụtụ mgbe ọ na-anwụrụ, mmebi nke ezé na mucous membranes, apịajighị apịaji. Otú ọ dị, ọ bụrụ na ahụ dum usoro a rụrụ dị ka iwu si, ọ ga-abụ nsogbu, na ọrịa ndụ ga-azọpụta.