So yenim extubation yiye?

So woakɔsra obi a ɔwɔ ayaresabea a wɔhwɛ wɔn a wɔyare denneennen (ICU) pɛn? Anaasɛ woama oduruyɛfo bi akyerɛkyerɛ ɔkwan a wɔfa so home bere a woresiesie wo ho ama oprehyɛn no ho asɛm akyerɛ wo pɛn? Adeɛ baako a wote wɔ mmerɛ a ɛte saa mu ne sɛ wɔde "home tube" rehyɛ mu. Enti, te sɛ nea wode saa afiri yi bɛhyɛ mu no, sɛ woyi fi hɔ nso yɛ adeyɛ a ɛho hia yiye, a wɔayɛ ho nhyehyɛe. Wɔ aduruyɛ mu no, saa tube no a wobeyi afi hɔ no ne nea yɛfrɛ no "extubation." Ɛnnɛ, momma yɛnka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Nea edi kan no, ma yɛnhwɛ nea intubation yɛ?

Ansa na yɛbɛka extubation ho asɛm no, momma yɛnsan nhwɛ intubation mu tiawa. Sɛ yɛbɛka no tiawa a, eyi yɛ biribi a nnuruyɛfo kuw no yɛ de gye wo nkwa bere a worehyia ɔhaw wɔ w’ankasa home mu esiane biribi nti no. Wɔde plastic afiri bi a ɛyɛ mmerɛw a wɔfrɛ no endotracheal tube (ETT) , fa w’anom hyɛ wo mframa kwan (mframa kwan titiriw) mu.

Susuw ho saa kwan yi so: yɛn ahurututu te sɛ kar engine. Wohia mframa (oxygen) a ɛkɔ so daa na ama wɔatumi ayɛ adwuma. Sɛnea kar rentu sɛ kar sisi hɔ no, sɛ wo mframa kwan asiw anaasɛ wo home yɛ mmerɛw a, mframa pa renkɔ w’ahurututu mu. Saa bere no, wɔde saa afiri yi hyɛ mu, na wɔde afiri bi, mframa a wɔde ma, bata ho, na wɔma wo mframa pa dodow a wuhia. Wɔfrɛ eyi sɛ intubation.

Seesei ebia woate nea extubation yɛ ase. Ɛne sɛ, ɔkwan a wɔfa so de ahwɛyiye yi afiri a na ɛwɔ hɔ bere a nnuruyɛfo kuw no wɔ akyi no wɔ ahotoso sɛ w’ankasa wubetumi ahome yiye bio, a wunhia mmoa biara.

Wɔ tebea horow bɛn mu na wɔyɛ extubation?

Eyi nsi obiara bere koro mu anaa ɔkwan koro so. Egyina nea enti a wɔde wo guu afiri no mu ne sɛnea w’akwahosan gyina pintinn no so.

Wɔ oprehyɛn akyi

Sɛ wɔyɛ wo oprehyɛn kɛse a, wɔma woda koraa. Yɛfrɛ no aduru a wɔde kum nipadua no nyinaa . Saa nnuru a wɔde kum wo yare yi ma ntini a ɛhwɛ wo home so no nyɛ adwuma bere tiaa bi. Saa bere no, nnuruyɛfo no de saa afiri a wɔde home yi hyɛ mu de hwɛ hu sɛ wubenya mframa pa dodow a ɛfata wɔ oprehyɛn no nyinaa mu.

Sɛ wowie oprehyɛn no yiye a, nnuruyɛfo kuw no beyi afiri no afi hɔ bere a aduru a wɔde kum nipadua no mu nsunsuanso no asɛe na w’ankasa woatumi ahome bio ara pɛ. Mpɛn pii no, bere a w’adwene bɛsan aba no, na wɔayi afiri no afi hɔ. Enti ebia worenkae mpo. Wɔ eyi mu no, ebia na afiri no de bere tiaa bi te sɛ dɔnhwerew biako anaa abien.

Esiane yare anaa akwanhyia nti

Sɛ wɔde intubation gu obi mu esiane sɛ ontumi nhome esiane akwanhyia, ɔyare mmoawa a emu yɛ den (te sɛ ahurututu mu yare), anaa yare foforo a emu yɛ den nti a, ɔkwan a wɔfa so yi tube no yɛ soronko kakra. Saa onipa yi taa wɔ baabi a wɔhwɛ wɔn a wɔyare denneennen (ICU).

Ansa na wobeyi afiri no, ɛsɛ sɛ nnuruyɛfo no hwɛ hu sɛ w’ankasa wubetumi ahome. Wɔbɛyɛ sɔhwɛ titiriw bi ama eyi. Wɔfrɛ no Spontaneous Breathing Test (SBT) .

Ɛtɔ da bi a, ebia worentumi ntwa sɔhwɛ yi bere a edi kan no. Wɔfrɛ eyi "nufu a wɔtwe no huammɔdi." Eyi yɛ ade a ɛfata. Sɛ eyi ba a, oduruyɛfo no bɛtwɛn akosi sɛ wo ho bɛtɔ wo kakra na afei wayɛ nhwehwɛmu yi bio wɔ da koro anaa nnanu mu.

Dɛn ne nneɛma atitiriw a ɛma wɔde intubation gu obi mu?

Sɛ wɔbɛyɛ extubation a, ɛsɛ sɛ wodi kan yɛ intubation. Ntease ahorow bi a wɔtaa de ba no ni. Momma yɛmfa eyinom nhyɛ pon te sɛ eyi mu na yɛate ase yiye.

Dɛn ne anammɔn a wɔfa so yi afiri a wɔde yi afiri mu no?

Okay, afei momma yɛnhwɛ sɛnea oduruyɛfo anaa ɔyarehwɛfo a wɔatete no beyi saa tube yi afi hɔ. Eyi nyɛ biribi a wobetumi atwe afi mu prɛko pɛ. Anamɔn kakraa bi wɔ hɔ a wobɛfa so ayɛ saa.

1. Ɔyarefo no a wobesiesie no: Nea edi kan no, wɔbɛma mpa no ti so akɔ soro. Wɔde wo bɛba baabi a wobɛtra. Eyi bɛboa ma mframa akɔ ahurututu no mu na asiane a ɛwɔ hɔ sɛ nneɛma te sɛ nnompe bɛkɔ ahurututu no mu bere a wɔayi afiri no awie no so atew.

2. Suctioning: Afei, wɔde afiri titiriw bi (suction device) di dwuma de yi nsu, nnompe, ne nneɛma afoforo a wompɛ nyinaa fi w’anom, wo menewa, ne wo home afiri mu. Eyi ho hia yiye, efisɛ sɛ ɛnte saa a, saa nneɛma yi betumi akɔ w’ahurututu mu bere a wɔayi afiri no afi hɔ no.

3. Tube no a wobɛgyae: Wɔde ahwɛyiye yi ahama anaa teyp a ɛkura tube no mu wɔ w’anim no.

4. Tetew ne mframa a wɔde ma no ho: Wɔatwa afiri a wɔde ma mframa a wɔde bata ho no ho.

5. Tube no a wobeyi afi hɔ: Seesei ne ɔfã a ɛho hia sen biara. Oduruyɛfo no ka kyerɛ wo sɛ "home denneennen na fa ɔfe."Bere a wofe anaa worehome no, wɔtwe afiri no fi mu ntɛmntɛm na ɛyɛ mmerɛw. Wɔyɛ eyi bere a wofefe, na ɛno bue wo nne nhama, na ɛma afiri no pue ntɛmntɛm. Na ɔfe no nso pam biribiara a ɛwɔ wo menewam.

So w’adwene mu da hɔ bere a woyi tube no?

Eyi yɛ asɛmmisa a nnipa pii wɔ. Mmuae no ne sɛ, ɛtɔ mmere bi a yiw, ɛtɔ mmere bi nso a dabi.

• Oprehyɛn akyi: Wɔtaa yi afiri no ansa na w’adwene asan aba, bere a woda so ara wɔ aduru a wɔde kum wo mu no. Enti woyi fi hɔ bere a woanyane no.
• Sɛ wowɔ beaeɛ a wɔhwɛ wɔn a wɔyare denneennen (ICU): Wɔbɛyi afiri no berɛ a woda so ara wɔ n’adwene mu, ɛfiri sɛ ɛho hia sɛ wo adwene mu da hɔ na wotie deɛ wɔka kyerɛ wo (sɛ nhwɛsoɔ no, ɔfe bere a wɔka kyerɛ wo sɛ "fefe").

Dɛn na ɛba wɔ extubation akyi?

Sɛ woyi tube no fi hɔ a, ɛnkyerɛ sɛ wɔawie adwuma no. Nnɔnhwerew kakraa a edi hɔ no ho hia yiye. Aduruyɛ kuw no bɛhwɛ wo yiye.

• Oxygen: Mpɛn pii no, bere a wɔayi afiri no awie no, wɔbɛma wo oxygen kakraa bi denam hwene mu kankyee anaa oxygen akataso so na aboa wo nipadua ma ayɛ nsakrae wɔ tebea foforo no mu.
• Hwɛ: Wɔkɔ so hwɛ wo mogya mu oxygen dodow (a wɔde pulse oximeter), koma bɔ, ne mogya mmoroso.
• Ɔfe: Ebia nsu a ɛyɛ fĩ bɛboaboa ano wɔ wo menewam esiane tube no nti. Enti, wɔbɛtu wo fo sɛ taa kɔfefe na ama wo ho atew. Sɛ ɛho hia a, ebia ɛho behia nso sɛ wosan su bio na ama wo menewa mu atew.

So nsɛnnennen bi wɔ hɔ a ebetumi aba bere a wɔreyɛ extubation no?

Sɛnea ɛte wɔ aduruyɛ mu adeyɛ biara ho no, asiane nketenkete bi wɔ hɔ a ɛwɔ afiri a wɔde yi afiri mu no mu. Nanso kae sɛ nnuruyɛfo kuw no asiesie wɔn ho ama eyinom nyinaa.

Mfaso bɛn na ɛwɔ extubation so?

• Nsɛnkyerɛnne a ɛkyerɛ sɛ wo ho atɔ wo: Mfaso kɛse a wubenya ne sɛ w’ankasa wubetumi ahome bio. Ɛno kyerɛ sɛ w’ahurututu ne wo nipadua resan ayɛ sɛnea na ɛte kan no.
• Tumi a wotumi kasa: Worentumi nkasa bere a tube no wɔ nea ɛwɔ hɔ no. Sɛ woyi fi hɔ wie a, wobɛtumi akasa bio wɔ bere tiaa bi mu. Ɛwom sɛ mfiase no wo menewa betumi ayɛ wo yaw na wo nne nso asesa kakra de, nanso eyi befi hɔ wɔ nna kakraa bi mu. (Ɛbɛkɔ wɔ nna kakraa bi mu).
• Tumi a wotumi didi na wonom: Saa ara nso na wuntumi nnidi anaa nnom nnom bere a tube no wɔ nea ɛwɔ mu no. Sɛ woyi tube no na wosi tumi a wotumi mene (gag reflex) so dua wie a, wubetumi afi ase adidi bio.
• Asiane a ɛtra hɔ kyɛ a wobɛkwati: Asiane ahorow bi wɔ hɔ a ɛba bere a wɔde ɔhome afiri bi si hɔ bere tenten (e.g., ɛnne nhama a entumi nyɛ adwuma yiye, ahurututu mu yare, ahurututu mu yare ). Extubation kyerɛ sɛ woade wo ho afi saa asiane ahorow no ho.

Sɛ ɛsɛ sɛ wo anaa w’abusua mu obi fa saa adeyɛ yi mu a, nsuro anaasɛ ntwentwɛn wo nan ase. Bisa wo duruyɛfo nsɛm anaa nsɛm biara a ɛhaw wo. Wɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo.