Intubation - Ko te whakataki o te ngongo ki te pukorokoro

Hauora - te uara tangata rawa. I roto i ētahi wā, te hiahia hoki ngā whakahaere hauora. A, no te whakamahi i rehunga whānui rapua e intubation - ko te whakataki ki te pukorokoro o te ngongo motuhake. Ahakoa te tapatahi, he reira ano hoki te ahua o te mahi e pā ana ki te mōrea me ngā wero hangarau.

Ko te whakaaro o te intubation

intubation whakamahia (te tikanga e ka e whakaahuatia tenei whawhe i roto i te tuhinga) e taea me prehospital i roto i te whakarato āwhina whawhati tata.

Ko te ahei o te Intubation:

• e pupuri ana manawa o te manawanui, i roto i ngā, te whakahaere, me te tautoko;
• patency noa o te airway ahakoa o te tūranga o te manawanui;
• te ngaro o te mōrea o te whakahēmanawatanga tika ki te pānga o te ruaki, hūpē, te toto, tinana ke, me te mea tuhonohono spasm;
• te kaha ki te tango tinana ke i te bronchi me te pukorokoro;
• te taea o tupu wāhi marama;
• te whakapai ake i te tikanga mo te whakakorenga o te edema pūkahukahu.

kawea Intubation i (ko te whakataki o te ngongo ki te pukorokoro tenei) ki fifi te kupukupu tonu rite ki te hua o te edema pūkahukahu, poisoning nui, kore romahā, engari te mua o te angaanga, mumura me te tahi atu injuries i roto i te tuarā waha, me te pekehoe waha e kore e taea te kawe i tenei tikanga i te hanganga Abuse.

Utauta mō te intubation

He he he tetahi huinga o taputapu e kua whakamahia mō te intubation (tenei mahi, ko te ki te whakahaere i manawa) i kawea i roto i. Me whiwhi tēnei:

• korere rerekē i roto i te rahi diameter waho, roa, ki waho te soté ranei endotracheal, ki te aroaro o tetahi e rua ranei lumens (e whakamahia ngongo bezmanzhetnye mō ngā tamariki);
• laryngoscope ki matatahi tika, me te kōpiko: i roto i te wahi mau pu, e whakaurua nei ki roto ki te pākahiko, me te mata ki te rama (taea te huri matatahi hohoro ki te tika);
• kuku anasteziologicheskie (i te āhua kōpiko);
• kaiwhakahaere - te tokotoko maitai angiangi, e, ahakoa te rauemi e whakamahia ana, he ngohengohe (i roto i te wā uaua titau intubation);
• anesthetics Local whakamahi sprayer (uaua whakamahia hoki te nuinga o te intubation - ko te tukanga o te whakaurunga o te ngongo ki te pukorokoro, kua kawea te reira i roto i roto i te take o te ohotata, ina ko te manawanui i raro i rehunga whānui, ranei aita).

momo intubation

Tei runga i te whakaaro o tenei hātepe hauora, pūkahukahu intubation (e ko, i runga) Ko o e rua nga tu:

• orotracheal - he ngongo ki te pukorokoro roto i te mangai;
• nasotracheal - whakataki o te ngongo endotracheal roto i te ihu (i roto i tenei take me waiho te rahi o te ngongo, he iti iti).

Wehe he reira e tika ana ki te tohatoha i te tracheostomy, engari ko te anake vaguely haamana'oraa o te intubation tenei mahi, kia rite ki whakamana e toketā fakamohé hangarau tino rerekē, engari he tino te whāinga te taua - airway.

Hangarau o pūkahukahu intubation

Intubation - Ko te whakataki o te ngongo ki te pukorokoro. mahi whakatika i roto i ara e rua, i runga i ranei he mohio e kore ranei te manawanui rānei. I roto i te take tuatahi, he whakarehu rohe. Me manawa te manawanui hohonu, folo ka whakanuia nei e te ngongo e na roto i te glottis. Ko te tākuta i te wa ano whakarite e ka te handset kua reira ki te pukorokoro hei utu o te pū kai.

A, no te pohehe huru o te manawanui te whakamahi i te tikanga o te laryngoscopy tika. I roto i tenei take, kia kia taea ki te tika te upoko, ko reira pai ki te hoatu i te reira i raro i te takai. ka tuwhera te taote tona mangai ki te manawanui anake, mau te mata laryngoscope i runga i te hoki o te arero, ko te kupu e aki ana i te reira ki te maui, me ka kōkiritanga te laryngoscope ki te pukorokoro. I muri iho, whakaurua te ngongo e i roto i te manawa.

intubation whēkau

He he he mea pēnei i intubation intestinal, intraoperative decompression intestinal ranei. whakamana ana tēnei whawhe te ki te tango i te tirotiro intestinal. E toru ngā momo o te whēkau intubation:

• nasogastric;
• retrograde roto i te tōu;
• retrograde roto te fistula intestinal.

whakamana ano e intubation o te whēkau iti i roto i te ārai appendikostomu ranei maimoatanga o pou-operative tūroro pararutiki.

Whakamahia hoki tenei pōkai motuhake e kia kotahi-hongere, rua-awa, me te maha-hongere, engari te rua tuatahi e tino whakamahia nuitia.

Ka rite ki tetahi atu pokanga, intubation (he whawhe ki te whakahaere i manawa) Ka taea e whai pōauautanga. Nuinga o ngā wā kei te faaapiapi i te reira, kino ki te niho me te kiriuhi mucous, mamae. Heoi, ki te kawea te tikanga katoa i roto i rite ki te tikanga, e kore e waiho te reira pōauautanga, a ka ora te ora o te manawanui.