Tsebisa:
Tšimong eatsamaiso ea moea oa anesthesia, endotracheal tubee phetha karolo ea bohlokoa.Sena se bohlokoatse jehang tsa bongakae sebelisoa ka mekhoa e sa tšoaneng, e kang ho fana ka phihlelo e tobileng ea trachea nakong ea opereishene kapa ho nolofatsa moea oa mechine ho bakuli ba kulang haholo.Sehloohong sena, re tla hlahloba lintlha tsa li-endotracheal tubes, ho hlahloba likarolo tsa tsona, moralo, melemo, 'me haholo-holo, mokhoa oa ho li khetha le ho li sebelisa ka katleho.Qetellong ea sehlooho sena, 'mali o tla ba le kutloisiso e tebileng ea endotracheal tube le bohlokoa ba eona lefapheng la bongaka.
Likarolo tsa endotracheal tube:
Endotracheal tube e entsoe ka likarolo tse ngata tse sebetsang hammoho ka mokhoa o tsitsitseng.Likarolo tsa mantlha li kenyelletsa tube ka boeona, cuff e nang le inflatable, le lihokelo.Hangata tube e entsoe ka polasetiki e tenyetsehang kapa rabara 'me e ka kenngoa habonolo ka har'a trachea.Lihokelo li bohlokoa bakeng sa ho hokahanya liphaephe le lisebelisoa tse ling, joalo ka li-ventilator, ho thusa ho phefumoloha ha maiketsetso.Hang ha tube e behiloe ka mokhoa o nepahetseng ka har'a trachea, cuff e nang le inflatable e haufi le pheletsong e ka thōko ea tube e fofa, e etsa tiiso e thibelang moea le ho thibela moea le lintho tse ling tse kotsi hore li se ke tsa kena matšoafong.
Meetso le mefuta e fapaneng:
Li-tubes tsa Endotracheal li fumaneha ka meralo le boholo bo fapaneng ho amohela batho ba fapaneng ba bakuli le maemo a kliniki.Moralo o tloaelehileng haholo ke "cuffed endotracheal tube" kaha e tiisa tiiso e sireletsehileng le ho fokotsa kotsi ea takatso.Leha ho le joalo, bakeng sa mekhoa e itseng kapa bakuli, ho ka sebelisoa li-endotracheal tubes tse sa koaloang.Ho feta moo, ho na le meralo e ikhethileng, joalo ka li-tubes tse thibelang laser kapa tse peli tsa lumen endotracheal, bakeng sa mehato e ikhethang ea opereishene.Ho bohlokoa ho khetha moralo o nepahetseng oa li-tube ho latela lilemo tsa mokuli, boemo ba hae, opereishene, le litlhoko life kapa life tse ikhethileng tse behiloeng ke mofani oa tlhokomelo ea bophelo.
Melemo ea endotracheal tube:
Melemo ea li-endotracheal tubes li ngata ebile li bohlokoa.Ntlha ea pele, li fana ka tsela e sireletsehileng ea moea nakong ea ho buuoa, ho boloka oksijene, le ho netefatsa hore ho na le moea o lekaneng.Bokhoni bona ke ba bohlokoa ka ho khetheha ha bakuli ba etsoa opereishene tlas'a anesthesia e akaretsang, moo ho hlokahalang taolo e feletseng ea tsela ea moea.Li-tubes tsa Endotracheal li thusa ho isa likhase tse thethefatsang pelo, oksijene le meriana ka ho toba matšoafong a mokuli, e leng ho eketsang katleho ea tsona.Ho feta moo, li hlakola liphiri ka nepo, li fana ka phihlello ea ho monya, le ho sireletsa litselana tsa moea ho tsoa tšitisong e ka bang teng.
Melemo ea ho sebelisa endotracheal tube:
Li-endotracheal tubes tse lahliloeng li na le melemo e meng ho feta li-tubes tse ka sebelisoang hape hobane li tlosa likotsi tse amanang le ho se hloekisoe hantle le ho bolaea likokoana-hloko.Ka ho sebelisa li-tubing tse lahliloeng, bafani ba tlhokomelo ea bophelo bo botle ba ka boloka litekanyetso tse phahameng tsa taolo ea ts'oaetso le ho fokotsa menyetla ea tšoaetso.Ho feta moo, li-tubes tse lahloang ha li hloke ho lokisoa le ho lokisoa, ho boloka lits'ebeletso tsa bophelo bo botle nako le lisebelisoa tsa bohlokoa.Ho fumaneha ha li-tubes tse lahloang ka boholo bo fapaneng ho fokotsa kotsi ea ho sebelisa tube e sa lokelang.
Khetho e nepahetseng le ts'ebeliso ea li-endotracheal tubes:
Lintlha tse 'maloa li lokela ho nahanoa ha ho khethoa endotracheal intubation.Tsena li kenyelletsa lilemo tsa mokuli le boemo ba bongaka, mokhoa o reriloeng kapa mekhoa, le phihlelo ea mofani oa tlhokomelo ea bophelo le likhetho.Boholo bo nepahetseng ba tube bo bohlokoa ho qoba mathata a kang endotracheal tube obstruction kapa ho lutla ho feteletseng ha moea.Ho sebelisa mokhoa o nepahetseng le ho latela litataiso bakeng sa intubation le cuff inflation ho bohlokoa ho etsa bonnete ba hore ho na le liphello tse nepahetseng tsa mokuli.Tlhokomelo ea kamehla, ho kenyelletsa X-rays ea sefuba, e ka netefatsa ho beoa ha catheter hantle le ho lemoha mathata afe kapa afe a ka bang teng.
Ha re phethela:
Ka kakaretso, endotracheal tube ke ea bohlokoa haholotse jehang tsa bongakabakeng satsamaiso ea moea oa anesthesiamaemong a fapaneng a kliniki.Ho utloisisa likarolo tsa bona, moralo le melemo ho bohlokoa ho li khetha le ho li sebelisa ka nepo.Ka ho khetha moralo o nepahetseng oa li-tube le boholo le ho etsa bonnete ba ho kenngoa ka mokhoa o nepahetseng le mekhoa ea ho nyoloha ha theko ea cuff, bafani ba tlhokomelo ea bophelo ba ka etsa bonnete ba hore tsamaiso e bolokehileng le e atlehileng ea sefofane.Thuto e tsoelang pele le ho latela mekhoa e khothalletsoang mabapi le tšebeliso ea endotracheal intubation ke tsa bohlokoa ho ntlafatsa liphello tsa mokuli le ho ntlafatsa anesthesia le moea nakong ea ho buuoa.
Nako ea poso: Oct-24-2023