Intubation Orotracheal: he aha ia, he aha ia a pehea e hana ai

Anter

• No ke aha ia
• Pehea e hana ai i ka intubation
• Ke hana ʻole ʻia ia
• Nā pilikia i hiki

ʻO ka intubation Orotracheal, ʻike pinepine ʻia ma ke ʻano he intubation, kahi hana e hoʻokomo ai ke kauka i kahi paipu mai ka waha o ke kanaka a hiki i ka trachea, i mea e mālama ai i kahi ala hāmama i ka akemā a hōʻoia i ka hanu kūpono. Hoʻopili pū ʻia kēia paipu i kahi mea hanu, kahi e pani i ka hana o nā mākau hanu, kaomi ʻana i ka ea i loko o nā akemāmā.

No laila, hōʻike ʻia ka intubation ke pono ka kauka e kaohi piha ma luna o ka hanu ʻana o ke kanaka, e hana pinepine ʻia i nā manawa o nā ʻoki ʻana me ka anesthesia ākea a i ʻole e mālama i ka hanu ʻana i ka poʻe i loaʻa i ka haukapila i kahi kūlana koʻikoʻi.

Pono e hana i kēia kaʻina hana e ka loea ʻoihana olakino kūpono a ma kahi wahi me nā pono kūpono, e like me nā haukapila, no ka mea aia kahi makaʻeha e hōʻeha i nā ʻeha nui ma ke alaloa.

No ke aha ia

Hana ʻia ka intotration Orotracheal ke pono ka kaohi piha ʻana i ke ala kai, pono paha i nā hanana e like me:

• Ke noho nei ma lalo o ka anesthesia ākea no ke ʻoki kino;
• Ka mālama nui ʻana i ka poʻe i ke kūlana koʻikoʻi;
• Hopu hopu Cardiorespiratory;
• ʻO ke kahakaha ʻana o ke kahawai, e like me ka edema glottis.

Hoʻohui ʻia, hiki i kekahi pilikia olakino ke hoʻopili i nā alaloa ke hōʻike ʻia no ka intubation, no ka mea he mea pono e hōʻoia i ka loaʻa ʻana o ka oxygen i nā māmā.

Aia nā paipu o nā nui like ʻole no ka intubation, a he aha ka loli o kā lākou anawaena, ʻo ka mea maʻamau ʻo 7 a me 8 mm o nā mākua. I ka hihia o nā keiki, hana ʻia ka nui o ka paipu no ka intubation e like me ka makahiki.

Pehea e hana ai i ka intubation

Hana ʻia ka hoʻopili me ka mea e moe ana ma ko lākou kua a ʻike pinepine ʻole ia, a i ka manawa o ke ʻoki ʻana, hana wale ʻia ka intubation ma hope o ka hoʻomaka ʻana o ka anesthesia, ʻoiai ʻo ka intubation kahi hana hōʻoluʻolu ʻole.

No ka hana pololei ʻana i ka intubation, pono ʻelua mau kānaka: hoʻokahi e mālama i ka ʻāʻī, e hōʻoia ana i ke kaulike o ka iwi kuamoʻo a me ke ala ea, a ʻo kekahi e hoʻokomo i ka paipu. He mea nui loa kēia mālama ʻana ma hope o nā ulia pōpilikia a i ʻole i ka poʻe i hōʻoia ʻia he pōʻino i ka iwi kuamoʻo, e hōʻalo ai i nā ʻeha o ke kuamoʻo.

A laila, ʻo wai ka mea e hana i ka hoʻopulapula e huki i ka auwae o ke kanaka i hope a wehe i ka waha o kēlā kanaka e hoʻonohonoho i kahi laryngoscope i ka waha, kahi mea hana e hele i ka hoʻomaka o ke ala ea a e ʻae iā ʻoe e nānā i nā glottis a me nā kaula leo. A laila, kau ʻia ka paipu komo i loko o ka waha a ma o ka wehe ʻana o ka glottis.

ʻO ka mea hope loa, hoʻopili ʻia ka paipu i ka pūnaewele me kahi baluna inflatable liʻiliʻi a pili i kahi respirator, kahi e pani i ka hana o nā mākia hanu a ʻae i ka ea i nā akemāmā.

Ke hana ʻole ʻia ia

Aia kekahi mau contraindications no ka intubation orotracheal, ʻoiai he hana ulia pōpilikia ia e kōkua ai e hōʻoia i ka hanu ʻana. Eia naʻe, pono e hōʻalo i kēia kaʻina hana i nā poʻe i loaʻa kekahi ʻano ʻoki o ka trachea, me ka makemake e hāʻawi ʻia i ke ʻoki e hoʻonoho i ka paipu ma kahi.

ʻO ka hiki ʻana o kahi ʻeha o ke kuamoʻo ʻaʻole ia he contraindication no ka intubation, no ka mea hiki ke hoʻopaʻa i ka ʻāʻī i mea e hōʻeha ʻole ai a i ʻole e hōʻeha ai i nā ʻeha o ke kuamoʻo hou.

Nā pilikia i hiki

ʻO ka pilikia koʻikoʻi i hiki ke hana ʻia i loko o ka intubation ke kau ʻana o ka paipu ma kahi kūpono ʻole, e like me ka esophagus, e hoʻouna ana i ka ea i ka ʻōpū ma kahi o nā akemāmā, e hopena ana i ka nele o ka oxygen.

Hoʻohui ʻia, inā ʻaʻole hoʻokō ʻia e kahi ʻoihana mālama ola, hiki i ka intubation ke hana i nā mea i hōʻino ʻia i ka hanu hanu, ke kahe ʻana o ke koko a alakaʻi i ka ʻiʻini o ka luaʻi i loko o nā māmā.