Endotracheal intubation

Endotracheal intubation ndi njira yachipatala momwe chubu chimayikidwa mu mphepo (trachea) kudzera mkamwa kapena mphuno. Nthawi zambiri mwadzidzidzi, imayikidwa pakamwa.

Kaya ndinu ogalamuka (osazindikira) kapena osagona (osakomoka), mudzapatsidwa mankhwala kuti musavutike kuyika chubu. Muthanso kupeza mankhwala oti mupumule.

Woperekayo adzaika chida chotchedwa laryngoscope kuti athe kuwona zingwe zamawu ndi kumtunda kwa chikwangwani.

Ngati njirayi ikuchitika pothandizira kupuma, chubu chimayikidwa mu chikwangwani ndikudutsa zingwe zamawu pamwamba pomwe pomwe nthambi za trachea zimalowera m'mapapu. Chubu chimatha kugwiritsidwa ntchito kulumikizana ndi makina othandizira mpweya kupuma.

Endotracheal intubation yachitika kuti:

• Khalani otseguka kuti mupereke mpweya, mankhwala, kapena anesthesia.
• Thandizani kupuma m'matenda ena, monga chibayo, emphysema, kulephera kwa mtima, mapapo kapena matenda oopsa.
• Chotsani zotchinga panjira yapaulendo.
• Lolani wothandizira kuti awone bwino njira yopita kumtunda.
• Tetezani mapapo mwa anthu omwe sangathe kuteteza njira yawo yapaulendo ndipo ali pachiwopsezo cha kupuma madzi (aspiration). Izi zimaphatikizapo anthu omwe ali ndi mitundu ingapo ya sitiroko, owonjezera, kapena kutaya magazi kwambiri kuchokera kummero kapena m'mimba.

Zowopsa ndi izi:

• Magazi
• Matenda
• Zovuta kubokosi lamawu (kholingo), chithokomiro, zingwe zamawu ndi chopopera (trachea), kapena kholingo
• Kuboola kapena kung'ambika kwa ziwalo za thupi m'chifuwa, zomwe zimapangitsa kuphulika kwamapapu
  
  

Njirayi imachitika nthawi zambiri pakagwa mwadzidzidzi, chifukwa chake palibe zomwe mungachite kuti mukonzekere.

Mudzakhala mchipatala kuti muwone momwe mumapumira komanso mpweya wanu wama oxygen. Mutha kupatsidwa oxygen kapena kuyikidwa pamakina opumira. Ngati mwadzuka, omwe amakuthandizani azaumoyo atha kukupatsani mankhwala kuti muchepetse nkhawa kapena kusowa mtendere.

Maonekedwe adzadalira chifukwa chake njirayi iyenera kuchitidwa.

Intubation - endotracheal

Woyendetsa BE, Reardon RF. Kusokoneza maganizo. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chaputala 4.

Hartman INE, Cheifetz IM. Zadzidzidzi za ana ndikubwezeretsanso. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 67.

Hagberg CA, Artime CA. (Adasankhidwa) Kusamalira kayendedwe ka ndege mwa munthu wamkulu. Mu: Miller RD, Mkonzi. Anesthesia wa Miller. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 55.