Cholinga chachikulu cha baluni ya catheter

Cholinga chachikulu cha baluni ya catheter pambuyo pa endotracheal intubation ndikukonza ndikuletsa kutuluka kwa mpweya.Kuonjezera apo, cholinga cha unamwino ndicho kumvetsera nthawi ya kudzazidwa kwa buluni, kupewa kudyetsa pakamwa, kusunga trachea mosasokonezeka ndi zina zotero.Endotracheal intubation ndi catheter yapadera ya endotracheal, kudzera mkamwa mwa wodwalayo kapena m'mphuno, kudzera mu glottis kulowa mu trachea kapena bronchus ya wodwalayo, kuti apereke mikhalidwe ya patentability airway, oxygenation and kupuma thirakiti kukopa, ndi njira yofunika kupulumutsa odwala omwe ali ndi vuto la kupuma. .

I. Cholinga cha air bag:

1. Kukonzekera: Pambuyo pa endotracheal intubation, wodwalayo ayenera kugwiritsa ntchito nthawi yomweyo singano yopanda kanthu kuti alowetse mpweya mu thumba la mpweya.Thumba la mpweya litakula, limatha kukhazikika munjira ya mpweya ndikuchita ntchito yokonza trachea kuti thirayo isapitirire;

2. Pewani kutulutsa mpweya: ngati wodwala agwiritsa ntchito makina olowera mpweya ndi zida zina, thumba la mpweya limakanikira munjira ya mpweya panthawiyi, ndipo mpweya wokankhidwa ndi mpweya kapena mpweya ukhoza kupeŵedwa kuti usatuluke pamphawi pakati pa njira yodutsa mpweya ndi mpweya. trachea.

II.unamwino:

1. Nthawi yodzaza thumba la mpweya: kawirikawiri pambuyo pa endotracheal intubation, thumba la mpweya limachotsedwa kwa mphindi 5-10 / nthawi, ndipo mpweya mu thumba la mpweya uyenera kutsekedwa kamodzi pa maola 4-6, ndi voliyumu ya 2-5ml.Komanso, kuchulukirachulukira ayenera kupewedwa, kuti compress pa airway khoma, chifukwa mu ochepa magazi a m`deralo tracheal mucosa, ndi kupewa necrosis chifukwa mucosal ischemia ndi hypoxia.Ngati thumba la mpweya silikwanira, mpweya ukhoza kuchitika;

2. Pewani kudyetsa pakamwa: Ngati odwala akulowa m'mimba, kudyetsa pakamwa kuyenera kupewedwa momwe zingathere kuti tipewe zotsalira za chakudya zomwe zikukhala pa trachea, zomwe zimapangitsa kuti mabakiteriya abereke komanso matenda a m'mapapo;

3. Sungani trachea mosavutikira: ngati sputum ya wodwalayo ndi yochuluka komanso yochuluka, m'pofunika kutembenuzira ndikugwedeza kumbuyo kwa nthawi.Yachibadwa saline kapena sodium bicarbonate akhoza kuwonjezeredwa kwa wodwala tracheal intubation kuti kuchepetsedwa sputum, kapena sputum akhoza kuchepetsedwa ndi atomization, kuti kupewa tracheal intubation oletsedwa ndi sputum ndi kusunga trachea wa wodwalayo unobpatency.Kuonjezera apo, mapepala a mano ayenera kugwiritsidwa ntchito kuti asatseke kutseka kwa trachea, zomwe zimakhudza patency ya trachea;

4. Kufufuza nthawi zonse: Malo a endotracheal intubation ayenera kufufuzidwa nthawi zonse kuti azitha kuyenda, kugwedezeka ndi zochitika zina.Tepi nthawi zambiri imagwiritsidwa ntchito kukonzanso kwachiwiri kuti apewe kutuluka kwa luminal.