Endotracheal intubation

Endotracheal intubation inzira yekurapa iyo chubhu inoiswa mumhepo (trachea) kuburikidza nemuromo kana mhino. Mune akawanda mamiriro ekukurumidzira, inoiswa kuburikidza nemuromo.

Kunyangwe iwe wakasvinura (uchiziva) kana usingamuke (usingazivi), iwe unozopihwa mushonga kuti zvive nyore uye kugadzikana kuisa iyo chubhu. Iwe unogona zvakare kuwana mushonga wekuzorora.

Mupiro anoisa mudziyo unonzi laryngoscope kuti ukwanise kuona tambo dzemazwi uye chikamu chepamusoro chepombi.

Kana maitiro acho achiitwa kubatsira nekufema, chubhu inozopinzwa mupombi uye ichipfuura tambo dzenzwi kusvika pamusoro penzvimbo iri pamusoro apo matavi etrachea mumapapu. Iyo chubhu inogona kuzoshandiswa kubatana nemuchina wekubatsira kufema.

Endotracheal intubation inoitwa ku:

• Chengetedza iyo yemhepo yakavhurika kuitira kuti upe oxygen, mushonga, kana kutindivadza.
• Tsigira kufema mune zvimwe zvirwere, zvakadai semabayo, emphysema, kusashanda kwemoyo, mapapu akadonha kana kushungurudzika kwakanyanya.
• Bvisa mabhuruku kubva munzira yemhepo.
• Bvumira mupi kuti awone zvirinani nzira yepamusoro yemhepo.
• Dzivirira mapapu muvanhu vasingakwanise kuchengetedza nzira yavo yemhepo uye vari panjodzi yekufema mu fluid (aspiration). Izvi zvinosanganisira vanhu vane mamwe marudzi eshamhu, kudarika, kana kubuda ropa kwakanyanya kubva mudumbu kana mudumbu.

Ngozi dzinosanganisira:

• Kubuda ropa
• Utachiona
• Kushungurudzika kuzwi bhokisi (larynx), thyroid gland, tambo dzemazwi uye windpipe (trachea), kana esophagus
• Kubaya kana kubvarura (kupora) kwenhengo dzemuviri muchipfuva, zvichikonzera kupunzika kwemapapu
  
  

Maitiro acho anowanzoitwa mumamiriro ekukurumidzira, saka hapana matanho aunotora kuti ugadzirire.

Iwe uchave uri muchipatara kuti utarise kufema kwako uye neako eropa oxygen mazinga. Unogona kupihwa oxygen kana kuiswa pamushini wekufema. Kana iwe wakasvinura, wako wekuchengeta hutano anogona kukupa iwe mushonga kuti udzikise kushushikana kwako kana kusagadzikana.

Maonero anoenderana nechikonzero maitiro acho aifanira kuitwa.

Intubation - endotracheal

Mutyairi BE, Reardon RF. Tracheal intubation. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chits.

Hartman ME, Cheifetz IM. Pediatric emergency uye kumutsidzira. Mune: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Chinyorwa chePediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016: chits 67.

Hagberg CA, Artime CA. Airway manejimendi mune mukuru. Mune: Miller RD, ed. Anesthesia yaMiller. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 55.