Pahu kuʻi ʻōnaehana kūpilikiʻi

ʻO ke kuʻi ʻana o ke ala pōpilikia ke kau ʻana o kahi nila kuha i loko o ke alaloa ma ka ʻāʻī. Hana ʻia ia e mālama i ka choking hoʻoweliweli ola.

Hana ʻia ka puncture airway puncture i kahi hanana pōpilikia, ke ʻakaʻaka kekahi a ua holo pono ʻole nā ​​hana ʻē aʻe e kōkua i ka hanu ʻana.

• Hiki ke hoʻokomo ʻia kahi kui kolo a poka paha i loko o ka ʻāʻī, ma lalo pono o ka ʻāpala a Adam (kāwi thyroid), i ke ala ea. Hele ka nila i waena o ka cartilage thyroid a me ka cartilage cricoid.
• I loko o kahi haukapila, ma mua o ka hoʻokomo ʻana i ka nila, e hana ʻia kahi ʻoki liʻiliʻi i ka ʻili a me ka membrane ma waena o ka thyroid a me nā cartilages cricoid.

ʻO kahi cricothyrotomy kahi hana pilikia e hoʻopakele i kahi alaloa ākea a hiki i ke ʻoki ʻana ke hana ʻia e waiho i kahi ʻōpū hanu (tracheostomy).

Inā kū ka ālai o ke ala ea me ka ʻeha o ke poʻo, ka ʻāʻī, a i ʻole ka iwi kuamoo, pono e mālama pono ʻia e hōʻalo ai i ka hōʻeha hou ʻana i ke kanaka.

Nā pilikia no kēia kaʻina hana:

• ʻO ka hōʻeha i ka pahu leo ​​(larynx), kelepaʻi thyroid, a i ʻole esophagus

ʻO nā pōʻino no kēlā me kēia ʻoki kino:

• Kahena
• Maʻi kīnā

Aia ke ʻano o ka hilinaʻi ʻana o ke kanaka i ke kumu o ka paʻa ʻana o ke ala ea a pehea e loaʻa koke ai i ke kanaka ke kākoʻo hanu kūpono. Hāʻawi ka puncture airway puncture i ke kākoʻo hanu kūpono no kahi manawa pōkole loa o ka manawa.

Needle cricothyrotomy

• Pahu kuʻi ʻōnaehana kūpilikiʻi
• Kālepa Cricoid
• Hoʻopau ʻia ke ala ʻāpana kūpilikiʻi - series

ʻO Cattano D, Piacentini AGG, Cavallone LF. Ke komo ʻana o ke ala pilikia kūpilikiʻi. I: Hagberg CA, Artime CA, Aziz MF, eds. ʻO Hagberg lāua ʻo Benumof's Airway Management. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 27.

Herbert RB, Thomas D. Cricothyrotomy a me ka ventilation transliterngeal percutaneus. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 6.