Tracheal ekumfakeni: xa kufika ixesha lokuba owesibini ...

iimeko zikaxakeka umzimba xa CPR kufuneka kuthathwe ngokukhawuleza kangangoko kunokwenzeka, kufuna amanyathelo acacileyo abasebenzi bezonyango. Ndlela bazamile akhethe kwi ndawo kuxhomekeka nkcukacha ze kokoyiswa, ubukhali imeko yomguli kunye ithuba lokuba athathe amanyathelo ayimfuneko ngaphandle kokulibazisa.

Enye indlela injalo ekumfakeni labagula kakhulu. Ubungqina obubonakalayo buxela ukuba tracheal ekumfakeni:

ü ukungakwazi umoya wemiphunga ngeendlela ezizezinye; uxhathiso kwi inxalenye zeminye imibutho kunye namalaphu (umz, kunzima ukuba pholisa imiphunga abasetyhini abakhulelweyo kunye toxemia, nabantu abatyebe kakhulu kwi kwentamo);

ü phambi izitshanguba ezinemiphetho ezininzi;

ü abangena uqhoqhoqho kunye bronchi vomitus, ubukho yencindi viscous kukuninzi, umlomo ukugcwaliswa igazi;

ü ukungakwazi bazamile intliziyo phakathi ukufa lwezonyango (imizuzu ezintandathu);

ü imfuno evulekileyo intliziyo yokuthanjiswa;

ü ngakumbi ukuthuthwa isigulane esibhedlele ngenxa yokurhaxwa.

Kananjalo bazamile ngayo eziliqela Izimo xa tracheal ekumfakeni ayikwazi ukuba isicelo ngenxa isoyikiso kubomi babantu kunye nempilo yesigulane. Not intubated kunye zokonzakala emqolo kummandla wesibeleko, ubukho amanxeba anzulu entanyeni, nangezilonda, ehleliyo ekufukukeni apho: limited ukushukumiseka temporomandibular ngokuhlangeneyo.

Tracheal ekumfakeni, inkqubo ubuchule kufuneka kulandelwe ngqo kwaye kwenziwe kuphela ngabasebenzi zonyango kuba ufakelo olungachanekanga ityhubhu endotracheal kunokubangela umonakalo omkhulu.

Izixhobo ekumfakeni yi ityhubhu, nto leyo eyenzelwe ukunika umoya ngokubuyisela ngokuma patency. Le tube kwakhona okhonza ukuze kukhululwe ngokuma yencindi, vomitus. Usebenza endotracheal ityhubhu kunye anesthesiology - it babesenza Ukubulawa igesi.

Oogqirha ukuqhuba ekumfakeni ngolu hlobo lulandelayo: ixhoba banikwa amanga isikhundla, intloko yakhe axis emva kangangoko kunokwenzeka. Ngokuqhelekileyo, amagxa ubeka mqamelo, ukuba ayikho - eshumini iimpahla ngohlobo irola ukuze uphakamise kancinci kwentamo. Ukuze ukulawula ukuqaliswa kwe ityhubhu endotracheal usebenzisa laryngoscope. Ngokuqhelekileyo ukuqaliswa ityhubhu endotracheal ebanjwe premedication - ekuqhubeni amachiza ukubonelela yalula ekumfakeni izihlunu relaxant, leyo ziyekelele izihlunu ngenxa kwii-ityhubhu kungena noqhoqhoqho. Ukuba isigulana zikwimeko thermal okanye kwimo lokufa lwezonyango, lo ekumfakeni tracheal lwenziwa ngaphandle ukuvumelana nale meko. Kudla sokuwa ekumfakeni tracheal kufuneka ukukwenza - kulo mzekelo, umlomo uyakhula ubundlobongela kunye enze amanyathelo ayimfuneko.

Laryngoscope blade licinezelwe nxamnye epiglottis, ngokwenjenjalo lokukhulula ukufikelela kwi phambili ngakumbi. ingcambu ulwimi utyhalelwa kanye nomnyango kwingqula Ukubonisa ifakiwe tube endotracheal. Imilinganiselo ityhubhu yahluka, zikhetwa kwangaphambili ngokuxhomekeke kubudala lomguli.

Ukuba le nkqubo yenziwe ngokuchanekileyo, ngoko ke umoya iphetshethelwe kwi ityhubhu ukuzwa ingxolo emiphungeni, intshukumo obubonakalayo esifubeni, umoya ubuyela. Kuba tube obhityileyo zokuhlanjululwa ngokuma ngokusebenzisa imixholo endotracheal tube isusiwe.

Tracheal ekumfakeni - a onoxanduva kakhulu yokurhaxwa. Ukuba ixesha na intubate umguli, imeko yakhe iya iba maxongo kunye sasihamba nganye. Ngelo xesha xa ekumfakeni akuyomfuneko mandikhawulezise - inkqubo kufuneka ingabi mhlophe ngokuma ukwenzakala ngokungxama ngenxa ngokufakela ityhubhu. Imizamo intubate kufuneka isicelo akukho ngaphezu kwemizuzu emithathu - kungenjalo kufuneka uzame umoya ngumntu.