Intubation - waa hordhaca ah ee tuubo gelin dhuunta

Caafimaadka - qiimaha ugu sareeya ee aadanaha. Xaaladaha qaarkood, baahida loo qabo hawlgallada caafimaad. Marka la isticmaalayo suuxin guud oo u baahan intubation - waa sal-galay dhuunta of tube gaar ah. In kasta oo xog ah, sidoo kale waa nooc ka mid ah howlgalka waxa uu la xidhiidhaa khatarta iyo caqabadaha farsamo.

Ujeedada intubation

intubation isticmaalay (ka dhigan tahay in salaysayn khalkhalgelinta this lagu tilmaami doonaa in article) iyo awoodo prehospital in gargaar degdeg ah siinaya.

Intubation awoodaa:

• haysta neefsashada bukaan-socodka, gaar ahaan, maareeyo, iyo taageero;
• patency caadiga ah ee marinka hawada loo eegin jagada qofka bukaanka ah,
• maqnaanshaha halis ah ku dhegto ay sabab u tahay saameynta ay mantaggiisa, xab, dhiig, meydadka shisheeye iyo seedaha dabac;
• awood u leh inay ka saarto meydadka shisheeye ka hawomareenno iyo hawomareen;
• suurtagalnimada of fool meelaha iftiinka;
• hagaajinta xaaladaha for tirtiridda barar sambabada.

Intubation fuliyay (tani waa hordhaca ah ee tuubo gelin dhuunta) dhib neefsashada oo sabab u ah barar sambabada, sumowga daran, neefta, laakiin hore ee dhaladii, caabuq iyo dhaawacyada kale ee dhabarta afka ilmo-galeenka oo araxda afka ilmo-galeenka qaban karin nidaamka this at dhismeedka Xadgudubka.

Tools for intubation

Waxaa go'an qaar ka mid ah qalabka loo isticmaalo for intubation (howlgalkan waa in ay fududeeyaan neefsashada) lagu qaaday. Tani waxay u baahan:

• tuubooyinka endotracheal kala duwan ee size dhexroor dibadda ah, oo dhererkeedu, leh ama aan lahayn cabbire ah, iyadoo ay goobjoog ka ahaayeen mid ama laba lumens (tuubooyinka bezmanzhetnye waxaa loo isticmaalaa kids);
• laryngoscope la garbaha si toos ah iyo qalooca: in qayb ka mid ah gacanta, kaas oo la geliyo batari, iyo geedku leh nal ah (garbaha la bedeli karaa si dhakhso ah haddii loo baahdo);
• birqaabyadii anasteziologicheskie (leeyihiin qaab a qalooca);
• kaari - ul bir ah oo dhuuban, kaas oo, inkastoo ay wax la isticmaalay, waa jilicsan (xaaladaha adag waxay u baahan tahay intubation);
• suuxinta Local isticmaalka sprayer (dhif ah loo isticmaalo, maxaa yeelay, inta badan intubation - waa habka galinta tuubo gelin dhuunta, waxaa la fuliyay in ay dhacdo xaalad degdeg ah marka bukaanka ka yar yahay suuxinta guud, ama miyir beelid).

noocyada intubation

Iyada oo ku xidhan ujeedada hawlgalkan caafimaad, sambabada intubation (in uu yahay, kor ku xusan) waa laba nooc:

• orotracheal - tuubo gelin dhuunta afka;
• nasotracheal - sal-dhigida ee tube endotracheal ee sanka (kiiskan size ee tuubooyinka waa in ay ahaadaan wax yar ka yar).

Dhanka kale waxaa lagama maarmaan ah in loo qoondeeyo tracheostomy ah, laakiin hawlgalka tani tahay oo kaliya qeexin garabaka intubation, sida by anesthesiologists sameeyaa technology aad u kala duwan, laakiin goolka muhiimad ahaan waa isku mid - marin-haweedka.

Technology of intubation sambabada

Intubation - waa hordhaca ah ee tuubo gelin dhuunta. Dhaqmaan waxaa loo sameeyaa laba siyaabood, waxay ku xiran tahay in qofka bukaanka ah uu miyir qabo ama ma. Xaaladda hore, suuxinta maxaliga ah. bukaanka waa in si qoto dheer u neefsato, neefsatid marka tuubada waa da'weynaatay dhex glottis ah. Dhakhtarka ayaa waqti isku mid ah ay hubisaa in dukaamada ayaa waxaa galay dhuunta halkii hunguriga.

Marka isag oo xaalad bukaan-socodka la isticmaalayo habka of laryngoscopy toos ah. Xaaladdan oo kale, madaxa waa in ay suurtagal tahay in ay toosi, waxaa ugu wanaagsan in la hoos geliyo isaguu ku. Dhakhtarku waxa uu ka furmay afkiisa bukaanka oo keli ah, heysta daab laryngoscope on dambe ee carrabka ku, sidaasay u riixaya xagga bidixda, ka dibna horumarka laryngoscope galay dhuunta. Intaas ka dib, tuubada la geliyo in neefta.

intubation mindhicirka

Waxaa jira wax sida intubation xiidmaha, ama decompression xiidmaha intraoperative sida. salaysayn khalkhalgelinta Tan waxaa loo sameeyaa si loo soo saaro waxyaabaha xiidmaha. Waxaa jira saddex nooc oo ah intubation saxarada:

• nasogastric;
• retrograde dhex malawadka;
• retrograde dhex fistula xiidmaha.

Sidoo kale sameeyaa intubation xiidmaha yar iyada oo loo marayo ka hortagga appendikostomu ama daaweynta bukaanada curyaanka post-operative.

Waxaa loo isticmaalaa in this probes gaar ah oo laga yaabaa in hal channel, dual-channel iyo multi-channel, laakiin labada ugu horeysay waxaa inta badan loo isticmaalaa.

Like qaliin kale, intubation (khalkhalgelinta ah si loo fududeeyo neefsashada) yeelan karaan dhibaatooyin. Inta badan waxaa la naxsan, dhaawaca in ilkaha iyo xuubka, dubaaxin. Si kastaba ha ahaatee, haddii nidaamka oo dhan waa la fuliyay sida ay xeerarka, ma noqon doonto dhibaatooyin, iyo nolosha bukaanka waa la badbaadin doonaa.