Cutar ciki ta ƙarshe

Endubracheal intubation hanya ce ta likita wacce ake saka bututu a cikin bututun iska (trachea) ta bakin ko hanci. A yawancin yanayi na gaggawa, ana sanya shi ta baki.

Ko kana a farke (a hankali) ko ba ka farka ba (a sume), za a ba ka magani don sauƙaƙawa da kwanciyar hankali don saka bututun. Hakanan zaka iya samun magani don shakatawa.

Mai ba da sabis ɗin zai saka na'urar da ake kira laryngoscope don samun damar duba muryoyin murya da na sama na bututun iska.

Idan ana yin aikin don taimakawa tare da numfashi, to sai a saka bututu a cikin bututun iska sannan a wuce layin muryar zuwa saman daidai inda saman trachea yake zuwa huhu. Hakanan za'a iya amfani da bututun don haɗawa tare da injin iska don taimakawa numfashi.

Anyi intubation na Endotracheal don:

• Bude hanyar jirgin sama domin bada oxygen, magani, ko maganin sa barci.
• Tallafawa numfashi a cikin wasu cututtuka, kamar su ciwon huhu, emphysema, gazawar zuciya, huhu ya faɗi ko mummunan rauni.
• Cire toshewa daga hanyar iska.
• Bada izinin mai samarwa don samun kyakkyawan hangen hanyar iska ta sama.
• Kare huhu a cikin mutanen da ba sa iya kare hanyar iskarsu kuma suna cikin haɗarin numfashi a cikin ruwa (buri). Wannan ya hada da mutanen da ke da wasu nau'ikan shanyewar jiki, yawan wuce gona da iri, ko zubar jini mai yawa daga hanta ko ciki.

Hadarin ya hada da:

• Zuban jini
• Kamuwa da cuta
• Rashin damuwa ga akwatin murya (larynx), glandar thyroid, ƙwayoyin murya da kumfa (trachea), ko esophagus
• Hurawa ko yagewar (sassan jiki) na sassan jikin mutum a cikin ramin kirji, wanda ke haifar da hucewar huhu
  
  

Ana yin aikin sau da yawa a cikin yanayin gaggawa, don haka babu wasu matakai da zaku iya ɗauka don shiryawa.

Za ku kasance a cikin asibiti don lura da numfashinku da matakan oxygen ɗinku. Za a iya ba ka oxygen ko kuma a sanya maka a kan injin numfashi. Idan ka farka, mai ba ka kiwon lafiya na iya ba ka magani don rage damuwa ko rashin jin daɗi.

Hangen nesa zai dogara da dalilin hanyar da ake buƙata ayi.

Intubation - endotracheal

Direba BE, Ya Kashe RF. Maganin tracheal. A cikin: Roberts JR, Custalow CB, Thomsen TW, eds. Hanyoyin Clinical na Roberts da Hedges a cikin Magungunan gaggawa da Kulawa Mai Girma. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 4.

Hartman ME, Cheifetz IM. Gaggawar yara da farfadowa. A cikin: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Littafin koyar da ilimin yara. 20th ed. Philadelphia, PA: Elsevier; 2016: babi na 67.

Hagberg CA, Artime CA. Gudanar da jirgin sama a cikin baligi. A cikin: Miller RD, ed. Maganin rigakafin Miller. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 55.