Endotracheal Intubation

Zvemukati

• Nei endotracheal intubation ichiitwa?
• Ndedzipi njodzi dze endotracheal intubation?
• Anesthesia njodzi
• Intubation njodzi
• Ini ndinogadzirira sei endotracheal intubation?
• Ko endotracheal intubation inoitwa sei?
• Chii chaunotarisira mushure mekupedzisira endotracheal intubation

Chii chinonzi endotracheal intubation?

Endotracheal intubation (EI) inowanzo kuve nzira yekukurumidzira inoitwa kune vanhu vasingazive kana vasingakwanise kufema vega. EI inochengetedza yakavhurika nzira yemhepo uye inobatsira kudzivirira kudzipwa.

Mune yakajairwa EI, iwe unopihwa anesthesia. Ipapo, ipurasitiki inochinjika inoiswa mutirachea yako kuburikidza nemuromo wako kuti ikubatsire kufema.

Iyo trachea, inozivikanwawo sepombi yemhepo, itipu inotakura okisijeni kumapapu ako. Hukuru hwepombi yekufema inoenderana nezera rako nehukuru hwehuro. Iyo chubhu inochengetwa munzvimbo nekamukoko kadiki kemhepo kanokwenya kutenderedza chubhu kana yaiswa.

Yako trachea inotanga pazasi pezokoko rako, kana izwi rebhokisi, uye inotambanuka ichidzika kuseri kwebhonzo rechipfuva, kana sternum. Yako trachea inozopatsanuka yoita maviri madiki machubhu: kurudyi uye kuruboshwe main bronchi. Chubhu yega yega inobatana kune rimwe remapapu ako. Iyo bronchi inoenderera ichipatsanurana kuita zvidiki uye zvidiki zvidimbu zvemweya mukati memapapu.

Yako trachea inoumbwa neyakaoma shwashwa, mhasuru, uye inobatanidza nyama. Mbichana yacho inoumbwa netaundi rakatsetseka. Nguva imwe neimwe yaunofema mukati, yako yekumhepo inowedzera kureba uye kupamhama. Iyo inodzokera kune yayo saizi yakasununguka sezvo iwe uchifema kunze.

Unogona kunetseka kufema kana kutadza kufema zvachose kana chero nzira iri munzira yemhepo yakavharwa kana kukuvara. Apa ndipo panogona kudikanwa EI.

Nei endotracheal intubation ichiitwa?

Iwe ungangoda iyi maitiro kune chero eanotevera zvikonzero:

• kuvhura yako yendege kuitira kuti ugone kugamuchira anesthesia, mishonga, kana oxygen
• kuchengetedza mapapu ako
• wamira kufema kana kuti uri kunetseka kufema
• unoda muchina wekukubatsira kufema
• une kukuvara mumusoro uye haugone kufema wega
• unofanirwa kugadzikiswa kwenguva yakati kuti uwanezve kubva mukukuvara kwakakomba kana kurwara

EI inochengeta yako yemweya yakavhurika. Izvi zvinobvumira okisijeni kuti ipfuure zvakasununguka kuenda uye kubva kumapapu ako paunenge uchifema.

Ndedzipi njodzi dze endotracheal intubation?

Anesthesia njodzi

Kazhinji, iwe unenge uri pasi peanesthesia yakajairika panguva yekuita. Izvi zvinoreva kuti hapana chaunonzwa sezvo chubhu inoiswa. Vanhu vane hutano kazhinji havana matambudziko neakawandisa kutindivadza, asi pane njodzi diki yezvinetso zvenguva refu. Njodzi idzi dzinotarisana nehutano hwako hwese uye mhando yemabatiro auri kuita.

Zvinhu zvinogona kuwedzera njodzi yako yezvinetso neanesthesia zvinosanganisira:

• matambudziko asingagumi nemapapu ako, itsvo, kana moyo
• chirwere cheshuga
• nhoroondo yekubatwa
• nhoroondo yemhuri yekunzwa kwakashata kune anesthesia
• kurara kufema
• kufutisa
• chisimbwa kune chikafu kana mishonga
• kushandisa doro
• kusvuta
• zera

Mamwe matambudziko akakomba anogona kuitika kune vakura vane matambudziko akakosha ekurapa. Izvi zvinetso hazviwanzo asi zvinogona kusanganisira:

• kumira kurova kwemoyo
• chirwere chemapapu
• sitiroko
• kuvhiringidzika kwepfungwa kwenguva pfupi
• rufu

Anenge munhu mumwe kana vaviri mune yega yega chiuru vanogona kuve vakasvinura zvishoma pavanenge vari pasi peanesthesia. Kana izvi zvikaitika, vanhu vanowanzoziva nezve zvakapoteredzwa asi havanzwe chero kurwadziwa. Pane dzimwe nguva zvisingawanzoitika, vanogona kunzwa kurwadziwa kwakanyanya. Izvi zvinogona kutungamira kumatambudziko epfungwa kwenguva refu, senge post-traumatic stress disorder (PTSD). Zvimwe zvinhu zvinogona kuita kuti mamiriro aya awedzere:

• kuvhiyiwa kwechimbichimbi
• matambudziko emwoyo kana mapapu
• kushandiswa kwenguva refu kweopiates, tranquilizers, kana cocaine
• kushandisa zuva nezuva doro

Intubation njodzi

Kune dzimwe njodzi dzine chekuita nekufungidzira, senge:

• kukuvara kumeno kana basa remazino
• kukuvara pahuro kana trachea
• muunganidzwa wemvura yakawandisa munhengo kana munyama
• kubuda ropa
• zvinetso zvemapapu kana kukuvara
• kushuvira (zvemukati zvemudumbu uye acids izvo zvinopera mumapapu)

Anesthesiologist kana ambulensi EMT inokuongorora usati waitwa nzira yekubatsira kudzikisa njodzi yezvinetso izvi kubva pakuitika. Iwe unozotariswa zvakare zvakanyatso kuitika mune yese maitiro.

Ini ndinogadzirira sei endotracheal intubation?

Intubation inzira inopinda uye inogona kukonzera kusagadzikana kwakanyanya. Nekudaro, iwe unowanzo kupihwa general anesthesia uye mhasuru yekuzorodza mishonga kuitira kuti iwe usanzwe chero kurwadziwa. Nemamwe mamiriro ekurapa, maitiro acho angangoda kuitwa munhu achakamuka. Anesthetic yemuno inoshandiswa kudzikisira nzira yemhepo kuitira kudzikisira kusagadzikana. Wako anesthesiologist anokuzivisa iwe usati wagadziriswa kana mamiriro aya achishanda kwauri.

Ko endotracheal intubation inoitwa sei?

EI inowanzoitirwa muchipatara, uko iwe unozopihwa anesthesia. Mumamiriro ekukurumidzira, paramedic panzvimbo yechimbichimbi anogona kuita EI.

Mune maitiro eEI maitiro, iwe unotanga kugamuchira anesthetic. Paunenge wagadzikana, yako anesthesiologist ichavhura muromo wako yopinza tambo diki ine mwenje unonzi laryngoscope. Ichi chishandiso chinoshandiswa kuona mukati mekoko rako, kana izwi bhokisi. Kana tambo dzako dzenzwi dzave kuwanikwa, ipurasitiki inochinjika inoiswa mumuromo mako yopfuudza tambo dzako dzezwi muchikamu chezasi chetrachea yako. Mumamiriro ezvinhu akaoma, vhidhiyo kamera laryngoscope inogona kushandiswa kupa zvakadzama maonero eiyo nzira yemhepo.

Wako anesthesiologist anozoteerera kufema kwako kuburikidza ne stethoscope kuti uve nechokwadi chekuti chubhu iri munzvimbo chaiyo. Kana uchinge usisiri kuda rubatsiro rwekufema, iyo chubhu inobviswa. Munguva yekuvhiya uye muchikamu chekuchengetedza zvakanyanya, iyo chubhu inosunganidzwa nemuchina wekufema, kana muchina wekufema, kana uchinge uri munzvimbo yakakodzera. Mune mamwe mamiriro ezvinhu, iyo chubhu ingangoda kuve yakanamatira kubhegi. Wako anesthesiologist anoshandisa bhegi kupomba oxygen mumapapu ako.

Chii chaunotarisira mushure mekupedzisira endotracheal intubation

Iwe unogona kunge uine hunyoro huro huro kana kunetseka kumedza mushure mekuita, asi izvi zvinofanirwa kuenda nekukurumidza.

Iko kune zvakare njodzi diki yekuti iwe uchasangana nematambudziko kubva maitiro. Ita shuwa kuti unosheedza chiremba wako ipapo kana iwe uchiratidza chero cheanotevera zviratidzo:

• kuzvimba kwechiso chako
• huro hwakanyanya
• kurwadziwa pachipfuva
• kunetseka kumedza
• kuoma kutaura
• kurwadziwa kwemutsipa
• mweya wekufema

Zviratidzo izvi zvinogona kunge zviri chiratidzo cheimwe nyaya neako mweya.