Intubation - o ka hoʻokomo 'ia' ana o ka Tube i loko o ka trachea

Health - ka mea kiekie loa kanaka cia. Ma kekahi mau hihia, o ka pono no ka ola ana. I ka hoʻohana 'ana i kekahi mau anesthesia koi intubation - o ka pōkole i loko o ka trachea o ka kūikawā Tube. I loko nō o ka naau kupono, ia mea i ke ano o ka hana ua pili me ka kamepiula a me ka oaoieei ho'āʻo.

Ke kumu o ka intubation

Hoʻohana 'ia intubation (aha i keia manipulation e e ho'ākāka' ia ma loko o ka 'atikala) e hiki a me ka prehospital i ka hoʻolako' pilikia kōkua.

Intubation Ua hiki no:

• e paʻa ana i ka hoomanawanui i ka hanu 'ana, ma ka nui, mālama, a me kākoʻo;
• maʻamau patency o ka airway nānā 'ole o ke kulana o ke ahonui;
• i ka wa e kaawale aku o ka pilikia o ka suffocation aie a hiki i ka hopena o ka luaʻi, mucus, koko, na kino a me ka ligaments spasm;
• ka hiki, e wehe i na kino o ka bronchi a me ka trachea;
• i ka manawa kūpono o ka wehewehe ana malamalama mau mea;
• ka hoʻomaikaʻi i nā kūlana no ka hoʻopau o pulmonary edema.

Intubation lawe mai (keia mea i ka hoʻokomo 'ia' ana o ka Tube i loko o ka trachea) me ka pilikia ha me ka hopena o pulmonary edema, loa kaʻapu kōheoheo, naehana ka hoʻokō 'ole, akā, i ke alo o ka puniu wale no, li nui, a me nā palapū ma ka cervical spine, a me ka cervical vertebrae hiki ole lawe mai keia ina hana ma ka hainā' ole.

Mea Hana 'no ka intubation

Aia He He kekahi kau o ka mea paahana e i hoʻohana no ka intubation (keia hana mea e kōkua ai i nā hanu) i lawe mai. Kēia pono:

• endotracheal paipuʻokoʻa i loko o mawaho anawaena nui, lōʻihi, a me me ka cuff paha, a me ke alo o kekahi paha mau lumens (e hoʻohana bezmanzhetnye paipu no kao);
• laryngoscope me ka pololei a me ka uma kōmi ': i loko o ka loaʻa loa, i ua hookomoia iloko o ka pu ki aloha, a me ka maka me ka ÷ pu u kukui (kōmi' hiki ke hoʻololi koke ina e pono ai);
• anasteziologicheskie'ūpā (i ka uma shape);
• alakaʻi mele - he lahilahi metala koʻokoʻo, a, hoʻowahāwahā i ka mea i hoʻohana, mea pahee (ma ka noho pilikia na hihia pono intubation);
• Local anesthetics hoʻohana sprayer (kākaʻikahi i hoʻohana no ka hapanui o ka intubation - o ke kaʻina hana o ka hookomo ana i ka Tube i loko o ka trachea, ka mea, ua lawe mai ma ka hihia o ka pilikia i ka wa a ka hoʻomanawanui mea ma lalo mau anesthesia, a unconsciousness).

ano intubation

Ke kaumaha ma muli o ka manaʻo o kēia 'inikua ina hana, intubation maʻiʻaʻai (ia mea, ma luna) mea a mau ano:

• orotracheal - he Tube i loko o ka trachea ma ka waha;
• nasotracheal - hoike o ka endotracheal şarkı ma ka ihu (i loko o keia hihia i ka nui o na paipu pono e heʻuʻuku emi).

Kaawale ia mea e pono ke kālā līkaia no ka tracheostomy, akā, i kēia hana mea wale vaguely reminiscent o intubation, e like me ka hana ma anesthesiologists enehana loa okoa, akā, i ka pahuhopu meaʻano nui ka ia - airway.

Technology o ke akemāmā intubation

Intubation - o ka hoʻokomo 'ia' ana o ka Tube i loko o ka trachea. Ana ua hana ia ma nāʻaoʻao, ke kaumaha ma muli paha o ka hoʻomanawanui ka manao paha,ʻaʻole. Ma ka hihia mua, he kūloko anesthetic. Ke hoomanawanui Pono e hanu nui iho la ia, Inhale ka wā o ka Tube ua mua ma ka glottis. Ke kauka i ka mea ia manawa e hōʻoiaʻiʻo ana i ke kelepona paʻa lima i loaa ia i loko o ka trachea kahi o ka esophagus.

I ka unconsciously ke hoʻomanawanui i ka ano o ka hoʻohana 'ana i ke ano o ka pololei laryngoscopy. Ma keia hihia, ke poo e e hiki i ka straighten, ia mea maikai, e waiho ia ma lalo o ka wili. Ke kauka wehe i kona waha i ke ahonui wale, paa ka laryngoscope maka ma luna o ke kua o ke alelo, pela e hookuke ia i ka hema, a laila, hana 'ia he ka laryngoscope i loko o ka trachea. Mahope, i ka Tube ua hookomoia ma ka hanu.

na naau oʻu intubation

Aia mea e like me ka mea i intestinal intubation, a intraoperative intestinal decompression. Kēia manipulation ua hana e wehe i ka intestinal Contents. Aia i ekolu ke ano o na naau oʻu intubation:

• nasogastric;
• retrograde ma ka rectum;
• retrograde ma ka intestinal fistula.

Kekahi hana intubation o ka liʻiliʻi liʻiliʻi ma appendikostomu ka Kāohiʻana a me ka hana maikaʻiʻole o ka puka paha-operative lolo nā mea maʻi.

Hoʻohana 'ia no kēia kūikawā probes i i e hookahi-Kanal, pālua-wai a me ka nunui-kai, akā, i ka mua elua e loa mau i hoʻohana.

Like kekahi'ē aʻeʻoki kino, intubation (he manipulation e kōkua hanu) hiki i complications. Loa pinepine ka mea, ua hakui o, pōʻino i ka niho, a me ka mucous membranes, spasms. Naʻe, ina o ka a pau ke kaʻina hana no ua lawe mai e like me ka rula, ka mea e ole e complications, a me ka hoʻomanawanui ka ola e ke hoolaia.