Orotracheal intubation: menene menene, menene don kuma yadda ake aikata shi

Wadatacce

• Menene don
• Yaya ake yin intubation
• Lokacin da bai kamata ayi ba
• Matsaloli da ka iya faruwa

Tashin baki na Orotracheal, wanda galibi aka fi sani da intubation, hanya ce da likita ke shigar da bututu daga bakin mutum zuwa trachea, don ci gaba da buɗe hanyar huhu da tabbatar isasshen numfashi. Hakanan ana haɗa wannan bututun da injin numfashi, wanda zai maye gurbin aikin tsokokin numfashi, tura iska cikin huhu.

Sabili da haka, ana nuna intubation lokacin da likita ke buƙatar samun cikakken iko kan numfashin mutum, wanda ke faruwa sau da yawa yayin aikin tiyata tare da maganin rigakafi ko ci gaba da numfashi a cikin mutanen da ke kwance a cikin mawuyacin hali.

Wannan aikin yakamata a yi shi ne daga ƙwararren masanin kiwon lafiya kuma a wani wuri da ke da isassun kayan aiki, kamar asibitoci, saboda akwai haɗarin haifar da mummunan rauni ga hanyar iska.

Menene don

Ana yin intubation na Orotracheal lokacin da ya zama dole don sarrafa hanyar iska gaba ɗaya, wanda ƙila zai zama dole a yanayi kamar:

• Kasancewa cikin maganin rigakafin cutar gaba daya;
• M jiyya ga mutanen da ke cikin mawuyacin hali;
• Kamawa da zuciya;
• Toshewar iska, kamar glottis edema.

Bugu da kari, duk wata matsalar lafiya da ka iya shafar hanyoyin iska ita ma na iya zama nuni ga shigar ciki, saboda ya zama dole a tabbatar da huhu sun ci gaba da karbar iskar oxygen.

Akwai tubes masu girma dabam daban don intubation, kuma abin da ya bambanta shine diamitarsu, mafi yawan mutane shine 7 da 8 mm a cikin manya. Game da yara, ana yin girman bututun don intubation gwargwadon shekaru.

Yaya ake yin intubation

Yin ciki yana faruwa ne tare da mutumin da ke kwance a bayansu kuma galibi ba a sume yake ba, kuma a game da tiyata, ana yin tiyatar ne bayan fara maganin sa barci, tunda yin saƙar ba shi da matuƙar wahala.

Don yin shigarwar daidai, ana buƙatar mutane biyu: wanda ke kiyaye wuyansa amintacce, tabbatar da daidaitawar kashin baya da hanyar iska, ɗayan kuma don saka bututun. Wannan kulawa tana da matukar mahimmanci bayan haɗari ko a cikin mutanen da aka tabbatar suna da lalacewar kashin baya, don gujewa raunin layin baya.

Bayan haka, wanda ke yin wannan shigarwar ya kamata ya ja ƙashin mutum a baya kuma ya buɗe bakin mutum don sanya laryngoscope a cikin bakin, wanda shine na'urar da ke zuwa farkon hanyar iska kuma hakan zai ba ka damar kiyaye glottis da igiyoyin sautin. Bayan haka, ana sanya bututun intubation ta bakin da kuma ta hanyar buɗe glottis.

A ƙarshe, an haɗa bututun da shafin tare da ƙaramin balan-balan mai ƙwanƙwasa kuma an haɗa shi da mai huɗawa, wanda zai maye gurbin aikin tsokoki na numfashi kuma ya ba iska damar isa huhu.

Lokacin da bai kamata ayi ba

Akwai 'yan takaddama game da intubation na orotracheal, saboda hanya ce ta gaggawa wacce ke taimakawa wajen tabbatar da numfashi. Koyaya, ya kamata a guji wannan aikin a cikin mutanen da ke da wani irin yanki a cikin bututun iska, tare da fifita aikin tiyata wanda ke sanya bututun a wurin.

Kasancewar raunin kashin baya ba abin hanawa bane ga intubation, saboda yana yiwuwa a daidaita wuya domin kar ya tsananta ko haifar da sabon rauni na kashin baya.

Matsaloli da ka iya faruwa

Babban mawuyacin hali wanda zai iya faruwa a cikin intubation shine sanya bututun a wurin da bai dace ba, kamar a cikin esophagus, aika iska zuwa cikin ciki maimakon huhu, wanda ke haifar da rashin isashshen oxygen.

Bugu da kari, idan ba kwararrun likitocin ne suka yi shi ba, har yanzu intubation na iya haifar da illa ga hanyar numfashi, zub da jini har ma da kaiwa ga yin amai a cikin huhu.