Hoʻopau Endotracheal

Anter

• No ke aha e hana ʻia ai ka hoʻopili endotracheal?
• He aha nā pilikia o ka hoʻopili endotracheal?
• Pilikia anesthesia
• Nā pilikia weliweli
• Pehea wau e hoʻomākaukau ai no ka hoʻopili ʻana i ka endotracheal?
• Pehea e hana ai i ka hoʻopili endotracheal?
• He aha ka mea e manaʻo ai ma hope o ka hoʻopili ʻana o endotracheal

He aha ka hoʻopili endotracheal?

Hoʻokomo pinepine ka endotracheal intubation (EI) i kahi poʻe pilikia a hana ʻole i ka hanu iā lākou iho. Mālama ʻo EI i ke ala ākea a kōkua i ka pale ʻana i ka huhū.

I kahi EI maʻamau, hāʻawi ʻia ʻoe i ka anesthesia. A laila, hoʻokomo ʻia kahi ʻōmole palolo palolo i loko o kāu trachea ma o kou waha e kōkua ai iā ʻoe e hanu.

ʻO ka trachea, i ʻike ʻia ʻo ka puhi makani, he paipu ia e hāpai ana i ka oxygen i kou mau ake māmā. Hoʻohālikelike ka nui o ka pahu hanu i kou mau makahiki a me ka nui o ka puʻu. Mālama ʻia ka paipu e kahi ʻūpā liʻiliʻi o ka lewa e hoʻopūpī a puni ka paipu ma hope o ka hoʻokomo ʻia ʻana.

Hoʻomaka kāu trachea ma lalo pono o kāu larynx, a pahu leo ​​paha, a hoʻonui i lalo ma hope o ka umauma, a sternum paha. Hoʻokaʻawale kāu trachea a lilo i ʻelua mau paipu liʻiliʻi: ʻo ka bronchi nui ʻākau a hema. Hoʻopili kēlā me kēia paipu i kekahi o kāu mau māmā. Hoʻomau mau ka bronchi i ka hoʻokaʻawale ʻana i nā ʻāpana ea liʻiliʻi a liʻiliʻi i loko o ka māmā.

Hana ʻia kāu trachea i ka cartilage paʻakikī, nā mākala, a me nā mea hoʻopili. Hoʻokomo ʻia kona ʻili me ka lole laumania. I kēlā me kēia manawa e hanu ai ʻoe, e lōʻihi iki a ākea hoʻi kāu pehu. Hoʻi ia i kona nui hoʻomaha i kou hanu ʻana i waho.

Hiki iā ʻoe ke paʻakikī i ka hanu ʻana a i ʻole ʻaʻole hiki ke hanu iki inā kū ʻia a hōʻino ʻia kekahi ala ma ke ala waena. ʻO kēia ka manawa e pono ai ʻo EI.

No ke aha e hana ʻia ai ka hoʻopili endotracheal?

Pono ʻoe i kēia kaʻina hana no kekahi o nā kumu aʻe:

• e wehe i kāu mau kahawai i hiki iā ʻoe ke loaʻa anesthesia, ka lāʻau, a i ʻole ka oxygen
• pale aku i kou mau ake māmā
• ua kū ʻoe i ka hanu a i ʻole he paʻakikī paha i ka hanu ʻana
• pono ʻoe i kahi mīkini e kōkua i kou hanu ʻana
• he ʻeha poʻo kou a ʻaʻole hiki ke hanu iā ʻoe iho
• pono ʻoe e hoʻowalewale ʻia no kekahi manawa i mea e ola ai mai kahi ʻeha koʻikoʻi a maʻi paha

Mālama ʻo EI i kou ala ākea. ʻAe kēia i ka oxygen e hele manuahi i a i kou mau māmā i kou hanu ʻana.

He aha nā pilikia o ka hoʻopili endotracheal?

Pilikia anesthesia

ʻO ka maʻamau, aia ʻoe ma lalo o ka anesthesia ākea i ka wā o ke kaʻina hana. ʻO kēia ka manaʻo ʻaʻole ʻoe e ʻike i kekahi mea ke hoʻokomo ʻia ka paipu. ʻAʻole pilikia pinepine ka poʻe olakino me ka anesthesia ākea, akā aia kahi liʻiliʻi o nā pilikia lōʻihi. Pili kēia mau pilikia i kou olakino laula a me ke ʻano o ke kaʻina hana āu e hele nei.

Nā mea e hoʻonui ai i kou makaʻi i nā pilikia me ka anesthesia me:

• nā pilikia mau me kou mau māmā, nā puʻupaʻa, a me ka puʻuwai
• diabetes
• moʻolelo o ka hopu ʻana
• kahi moʻolelo ʻohana o nā hopena maikaʻi ʻole i ka anesthesia
• ʻāpana moe
• momona
• nā maʻi āpau i ka meaʻai a i ʻole nā ​​lāʻau
• inu ʻona
• puhipaka
• makahiki

Hiki paha i nā pilikia kūpilikiʻi ke kū i nā poʻe mākua i loaʻa nā pilikia olakino koʻikoʻi. Kākaʻikahi kēia mau pilikia akā hiki ke hoʻopili ʻia:

• maʻi hohola
• maʻi lele
• hahau
• huikau ka noʻonoʻo manawa
• make

Ma kahi o hoʻokahi a ʻelua paha mau kānaka i kēlā me kēia 1,000 e ala ala paha ʻoiai aia ma lalo o ka anesthesia ākea. Inā kū kēia, ʻike pinepine ka poʻe i ko lākou wahi akā ʻaʻole e ʻeha. I nā hanana maʻamau, hiki iā lākou ke ʻeha i ka ʻehaʻeha. Hiki i kēia ke alakaʻi i nā pilikia psychological lōʻihi, e like me ka maʻi post-traumatic stress (PTSD). Hiki i kekahi mau mea ke hoʻohālikelike i kēia kūlana:

• ʻoki pōpilikia
• nā pilikia puʻuwai a i ʻole māmā
• hoʻohana wā lōʻihi o nā opiates, tranquilizers, a i ʻole cocaine
• hoʻohana waiʻona i kēlā me kēia lā

Nā pilikia weliweli

Aia kekahi mau pilikia e pili ana i ka intubation, e like me:

• ʻeha i nā niho a i ʻole nā ​​hana niho
• ʻeha i ka ʻāʻī a i ʻole trachea
• kahi kūkulu o ka nui o ka wai i nā meaola a i ʻole nāʻaʻaʻa
• kahe ana ke koko
• ʻōpū a hōʻeha paha
• makemake nui (nā ʻōpū o ka ʻōpū a me nā waikawa i pau i loko o nā akemāmā)

E loiloi kahi anesthesiologist a i ʻole EMT ambulance iā ʻoe ma mua o ke kaʻina hana e kōkua ai e hōʻemi i ka pilikia o kēia mau pilikia mai ka hanana ʻana. E kiaʻi pono ʻia ʻoe ma loko o ke kaʻina hana.

Pehea wau e hoʻomākaukau ai no ka hoʻopili ʻana i ka endotracheal?

ʻO ka hoʻoweliweli kahi hana hoʻoweliweli a hiki ke hoʻonāukiuki i ka nui. Eia nō naʻe, hāʻawi pinepine ʻia ʻoe i ka anesthesia ākea a me kahi lāʻau hōʻoluʻolu o nā mākala i ʻole ʻoe e ʻeha. Me kekahi ʻano olakino, pono e hana ʻia ke kaʻina hana i ka wā e ala ana ke kanaka. Hoʻohana ʻia kahi mea anesthetic kūloko e hoʻopau i ke ala ākea i mea e hōʻemi ai i ka hōʻoluʻolu. Na kāu anesthesiologist e hōʻike iā ʻoe ma mua o ka hoʻopili ʻana inā pili kēia pilikia iā ʻoe.

Pehea e hana ai i ka hoʻopili endotracheal?

Hana pinepine ʻia ʻo EI i ka haukapila, kahi e hāʻawi ai ʻoe i ka anesthesia. I nā hanana pōpilikia, hiki i kahi paramedic ma kahi o ka ulia pōpilikia ke hana iā EI.

I kahi hana maʻamau EI, e loaʻa mua iā ʻoe kahi anesthetic. Ke hoʻowalewale ʻia ʻoe, e wehe ana kāu anesthesiologist i kou waha a hoʻokomo i kahi mea liʻiliʻi me kahi kukui i kapa ʻia he laryngoscope. Hoʻohana ʻia kēia mea kani e ʻike i loko o kāu larynx, a pahu leo ​​paha. I ka manawa e loaʻa ai kāu mau kaula leo, e hoʻokomo ʻia kahi pahu ea palupalu i loko o kou waha a hala ma waho o kāu mau kaula leo i ka hapa haʻahaʻa o kāu trachea. I nā kūlana paʻakikī, hiki ke hoʻohana ʻia kahi laryngoscope pahupaʻi wikiō e hāʻawi i kahi ʻike kikoʻī i ke ala air.

E hoʻolohe ana kāu anesthesiologist i kāu hanu ʻana ma o kahi stethoscope e ʻike pono aia ka paipu ma kahi kūpono. Ke makemake hou ʻaʻole ʻoe e kōkua i ka hanu ʻana, lawe ʻia ka pahu. I ka wā o ke kaʻina hana a me ke keʻena mālama nui, ua hoʻopili ʻia ka paipu i kahi ea, a i ʻole ka mīkini hanu, aia ma kahi kūpono. I kekahi mau hanana, pono e hoʻopili ka paipu i kekahi manawa i kahi ʻeke. E hoʻohana kāu anesthesiologist i ka ʻeke e pauma i ka oxygen i loko o kou mau māmā.

He aha ka mea e manaʻo ai ma hope o ka hoʻopili ʻana o endotracheal

Hiki paha iā ʻoe ke ʻāʻī puʻupuʻu ʻoluʻolu a i ʻole kahi paʻakikī paʻakikī e ale ma hope o ke kaʻina hana, akā e hele wikiwiki kēia.

Aia kekahi pilikia iki e ʻike ʻoe i nā pilikia mai ke kaʻina hana. E hoʻomaopopo pono ʻoe e kāhea koke aku i kāu kauka inā ʻoe e hōʻike nei i kekahi o nā ʻōuli penei:

• pehu o kou alo
• he puʻu ʻeha ʻeha
• ʻeha ka umauma
• paʻakikī i ka ale ʻana
• paʻakikī e ʻōlelo
• ʻeha ʻāʻī
• pokole o ka hanu

ʻO kēia mau hōʻailona he hōʻailona paha ia o nā pilikia ʻē aʻe me kāu alaloa.