Endotracheal Tube ke eng? Lisebelisoa, Mefuta, le Tataiso ea ho Intubation

Endotracheal Tube ke eng?

An endotracheal tubee tenyetsehangsesebelisoa sa bongakae kenngoa ka har'a trachea (mopi oa moea) ho boloka moea o bulehileng, haholo-holo nakong ea opereishene kapa tlhokomelo ea tšohanyetso. E lumella ho tsamaisoa ka ho toba ha oksijene, likhase tse thethefatsang pelo, le meriana e meng matšoafong.

Ke Hobane'ng ha re SebelisaEndotracheal Tubes?

Li-ETT li bohlokoa maemong a fapaneng a kliniki, joalo ka:

Tšitiso ea moea (ntho e tšoaroang tseleng ea moea, e thibelang ho phalla ha moea).
Ho tšoaroa ke pelo (ho lahleheloa ke pelo ka tšohanyetso).
Molala, mpa kapa sefuba se fumana kotsi kapa ts'oaetso, e amang tsela ea moea.
Ha motho a sa khone ho phefumoloha ka boithatelo ha a ilibane kapa a kula haholo.
Ho etsa opereishene e tla etsa hore u se ke ua khona ho hema u le mong.
Ho hema ka nakoana.
Kotsi bakeng sa takatso.

Likarolo tsa Endotracheal Tube

Likarolo tsa bohlokoa tsa tube ea endotracheal li kenyelletsa:

• 'Mele oa tube: E entsoe ka polasetiki kapa rabara, e kenngoa ka har'a trachea
• Khafe: E tšeloa moea ho tiisa tsela ea moea le ho thibela takatso
• Balune ea sefofane: E bonahatsa khatello ea cuff
• 15mm sehokelo sa bokahohle: E hokela ho li-ventilator kapa mekotla ea matsoho
• Murphy eye: E netefatsa hore moea o phalla le haeba ntlha e thibiloe

Mefuta ea Endotracheal Tubes

Li-ETT li tla ka mefuta e fapaneng e lumellanang le litlhoko tsa mokuli le maemo a ho buuoa:

• Li-tubes tse koetsoeng kapa tse sa koaeloang
• Lithapo tsa molomo kapa tsa nko
• Li-tubes tse entsoeng esale pele (RAE).
• Li-tubes tse matlafalitsoeng
• Li-tubes tse nang le li-lumen tse peli(DLTs) bakeng sa ho arola matšoafo

Phapang lipakeng tsa Intubation le Endotracheal Tube

Ba bangata ba ferekanya mantsoe ana, empa a bua ka lintho tse fapaneng:

• Intubation: ke ts'ebetso ea bongaka eo ho eona ho kenngoa lethopo ka har'a moea (trachea) ka molomo kapa nko.Maemong a mangata a tšohanyetso, e behoa ka molomo.
• Endotracheal tube: Sesebelisoa sa 'mele se kentsoeng nakong ea ho intubation

Mokhoa oa ho Tsoela Pele ka Intubation (Mohato ka Mohato)

Ts'ebetso ea intubation e kenyelletsa mehato e latelang:

1. Lokisetsa lisebelisoa tsohle tse hlokahalang
2. Preoxygenate mokuli
3. Fana ka li-sedative le li-relates tsa mesifa
4. Bona ka mahlo a kelello lithapo tsa lentsoe u sebelisa laryngoscope
5. Kenya endotracheal tube ka har'a trachea
6. Eketsa cuff ho tiisa tsela ea moea
7. Netefatsa ho beoa ka capnography le auscultation
8. Sireletsa tube le ho shebella

Melemo ea Endotracheal Tubes

E ka boloka tsela ea moea e bulehile, kahoo lingaka li ka fana ka oksijene, meriana, kapa anesthesia ho bakuli ba bang ba kulang haholo kapa ba sa tsebeng.

Tšehetsa phefumoloho mafung a itseng, joalo ka pneumonia, emphysema, ho hloleha ha pelo, ho putlama ha matšoafo joalo-joalo.

Thusa ho tlosa litšitiso tseleng ea moea.

Fumana pono e ntle ea tsela e holimo ea moea bakeng sa mofani oa litšebeletso.

Sireletsa matšoafo a batho ba bang ba sa khoneng ho sireletsa moea oa bona 'me ba kotsing ea ho hema metsi (aspiration).

Hobaneng U Khetha Li-tubes tsa Endotracheal tse Lahloang?

Li-ETT tse lahliloengfana ka polokeho le boiketlo bo ntlafalitsoeng:

• Taolo e ntlafetseng ea tšoaetso
• Tlosa litlhoko tsa ho hloekisa kapa ho thibela likokoana-hloko
• E boloka litšenyehelo ebile e boloka nako
• E fumaneha ka boholo bo bongata bakeng sa ho lekana hantle

Mekhoa e metle ea ho khetha le ho e sebelisa

Khetha ETT e nepahetseng ho latela:

• Lilemo tsa mokuli le anatomy ea moea
• Mokhoa o reriloeng le nako
• Ho lumellana ha lintho (MRI-safe, latex-free, joalo-joalo)

Kamehla netefatsa sebaka se nepahetseng ka litšoantšo le matšoao a kliniki ho qoba mathata.

Qetello

Theendotracheal tubeke sesebelisoa sa bohlokoa ho anesthesia le tlhokomelo ea tšohanyetso. Ho tseba ho khetha mofuta o nepahetseng, ho etsa intubation ka mokhoa o sireletsehileng, le ho beha leihlo ts'ebeliso ho netefatsa liphetho tse ntle tsa mokuli le taolo e ntlafalitsoeng ea moea. Tsamaea le mekhoa e metle ea ho sebelisa sesebelisoa sena sa bohlokoa sa bongaka hamolemo.

Lipotso tse atisang ho botsoa (FAQ)

Sepheo sa tube ea endotracheal ke eng?

E sebelisetsoa ho boloka tsela e bulehileng ea moea le ho lumella moea oa mechine kapa ho fana ka anesthesia.

Endotracheal tube e fapane joang le intubation?

Endotracheal tube ke sesebelisoa, ha intubation ke ketso ea ho kenya tube ka har'a trachea.

Na ho na le mefuta e fapaneng ea li-endotracheal tubes?

Ee, ho kenyeletsoa li-cuffed, tse sa koaeloang, tsa molomo, tsa nko, tse hananang le laser, le li-tubes tse nang le lumen habeli.

Na tšebeliso ea li-ETT tse lahliloeng e molemo?

Li-ETT tse lahliloeng li fokotsa likotsi tsa tšoaetso le ho felisa mehato ea ho hloekisa, ho etsa hore e sireletsehe le ho sebetsa hantle.