Intego nyamukuru ya catheter ballon

Intego nyamukuru ya catheter ballon nyuma ya intotracheal intubation nugukosora no gukumira umwuka.Byongeye kandi, abaforomo bibandaho ni ukwitondera igihe cyo kuzuza imipira, kwirinda kugaburira umunwa, kugumisha trachea ntakabuza nibindi.Endotracheal intubation ni catheter idasanzwe ya endotracheal, binyuze mumunwa wumurwayi cyangwa mu cyuho cyizuru, binyuze muri glottis yinjira muri trachea yumurwayi cyangwa bronchus, kugirango itange uburyo bwo guhumeka neza, gutanga umwuka wa ogisijeni no gukurura inzira zubuhumekero, nigikorwa cyingenzi cyo gutabara abarwayi bafite imikorere mibi yubuhumekero. .

I. Intego yumufuka windege:

1. Gukosora: Nyuma ya intotracheal intubation, umurwayi agomba guhita akoresha urushinge rwubusa kugirango atere umwuka mumufuka wumwuka.Umufuka wumuyaga umaze kwaguka, urashobora kwizirika mumuyaga kandi ukagira uruhare mugukosora trachea kugirango wirinde ko trachea idashira;

2. Irinde kumeneka kwumwuka: niba umurwayi akoresheje umuyaga hamwe nibindi bikoresho, umufuka wumuyaga uhagaze mumuyaga muriki gihe, kandi umwuka usunikwa na ventilateur cyangwa ogisijeni urashobora kwirinda gusohoka mu cyuho kiri hagati yumuyaga na trachea.

II.ubuforomo:

1. Igihe cyo kuzuza umufuka wikirere: mubisanzwe nyuma yubushakashatsi bwa endotracheal, umufuka wumuyaga uhindurwamo iminota 5-10 / isaha, kandi gaze mumifuka yindege igomba guhindurwa rimwe mumasaha 4-6, hamwe nubunini bwa 2-5ml.Byongeye kandi, ifaranga rikabije rigomba kwirindwa, kugirango ridahonyora urukuta rwumuyaga, bikaviramo amaraso make ya mucosa ya tracheal yaho, no kwirinda necrosis iterwa na mucosal ischemia na hypoxia.Niba umufuka wo mu kirere udahagije, umwuka ushobora gutemba;

2. Irinde kugaburira mu kanwa: Niba abarwayi bahuye na intotracheal intubation, kugaburira umunwa bigomba kwirindwa uko bishoboka kwose kugirango wirinde ibisigazwa byibiribwa bituye muri trachea, bikaviramo kubyara bagiteri no kwandura ibihaha;

3. Komeza trachea idahwitse: niba ururenda rwumurwayi rufite umubyimba mwinshi, birakenewe guhindukira no gukubita umugongo mugihe.Ubusanzwe saline cyangwa sodium bicarbonate irashobora kandi kongerwaho intubation yumurwayi ya tracheal kugirango igabanye ururenda, cyangwa ururenda rushobora kuvangwa na atomisation, kugirango wirinde intubation tracheal ihagarikwa na spumum kandi itume trachea yumurwayi idahungabana.Byongeye kandi, amenyo y amenyo agomba gukoreshwa kugirango yirinde gufunga trachea bidasanzwe, bigira ingaruka kumyumvire ya trachea;

4. Isuzuma risanzwe: Umwanya wa intotracheal intubation ugomba kugenzurwa buri gihe kugirango ugende, torsion nibindi bintu.Tape isanzwe ikoreshwa mugukosora kabiri kugirango wirinde kugabanuka.