An endotracheal tube ipurasitiki inoshandiswa yakajeka iyo inoiswa mumuromo mumatchea (windpipe) kubatsira murwere kufema. Iyo endotracheal tube iyo inobva yasunganidzwa kune ventilator, iyo inopa oxygen kumapapu. Nzira yekuisa iyo tube inonzi endotracheal intubation.
Chinangwa
Chirwere chekupedzisira chinogona kuiswa apo murwere asingakwanisi kufema oga, nekuda kwechirwere chekukurumidzira, kurwara kwakakomba, kana panguva yekuvhiyiwa kana chirwere chikuru chinoshandiswa.
Zvimwe zvinoratidzira zvekugadziriswa kwekupedzisira zvinosanganisira:
- Nokuda kwekuvhiya kwevakawanda - Neine anesthesia yakawanda, masumbu emumuviri anosanganisira diaphragm akaoma mitezo, uye kuisa endotracheal tube inobvumira ventiriti kuita basa rokufema.
- Kubvisa mutumbi wekunze - Kana chetrachea ichidzivirirwa nemumwe mutumbi unenge uchida kufema (kufema mukati) iyo endotracheal tube inogona kuiswa kuti ibatsire nekubviswa kwechinhu chekunze.
- Kuchengetedza mhepo inopesana nepfukuro - Kana munhu ane gI yakakura ropa (kubuda mukati mudumbu) kana kuti anotambura chirwere, uye endotracheal tube inogona kuiswa kuti ibatsire kudzivirira mukati memhepo kupinda mumhepo.
- Kuona mupfungwa inofamba-Kana kusakanganiswa kwelarynx, trachea, kana bronchi inofungidzirwa, endotracheal tube inogona kuiswa kuti ione kutarisa kwakanaka kwemhepo.
- Mushure mekuvhiyiwa kwekenza yemapapu - An endotracheal tube inosangana nefini inogona kusara panzvimbo kuti ibatsire nekufema mushure mekuvhiyiwa.
- Kutsigira kufema - Kana mumwe munhu ari kunetseka kufema nekuda kwepineumonia, pneumothorax (kuwa kwemapapu) kusakundikana kwemoyo, kana kusaziva nekuda kwekudarika kudarika, kurohwa, kana kuora kweuropi, uye endotracheal tube inogona kuiswa kutsigira kufema.
Nzira
Kakawanda kugadziriswa kweganda kunoiswa apo murwere asina kuziva.
Kana murwere achiziva, mishonga inoshandiswa kuderedza kushushikana apo chikwata ichiiswa uye kusvikira chibviswa. Iyo tube inoiswa mumuromo (kana dzimwe nguva kuburikidza nemumhino) mushure mokufambisa rurimi parutivi, nekusungira tambo pasi pakati pemaketani ezwi mumutambo. Nokuda kwaro, vanhu havagone kutaura kana tube iri panzvimbo.
Matambudziko uye Ngozi
Zvimwe zvezvipingamupinyi zvine chokuita nokuiswa kwe endotracheal tube zvinosanganisira:
- Bleeding.
- Kurwara.
- Hoarseness (vanhu vakawanda vanocherechedza gumbo mushure mushure mekunge vane endotracheal tube panzvimbo.)
- Pneumothorax (kuwa kwemapapu).
- Esophageal kuiswa - An x-ray inogona kuitwa kuti ave nechokwadi chekuti tube inowanikwa mu trachea uye kwete inophagus.
Sources:
National Library yeMishonga. MedlinePlus. Endotracheal Intubation. Updated 11/14/14.