Yu dɔn ɛva go to pɔsin we de na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU)? Ɔ yu dɔn ɛva mek dɔktɔ ɛksplen to yu bɔt di we aw yu de blo we yu de rɛdi fɔ ɔpreshɔn? wan pan di tin dεm we yu kin yεri na dεn kayn tεm ya na dat dεn de put insay "breathing tube." So, jכs lεk fכ put dis tiub, fכ pul am na bak wan rili imכtant, plan prכsεs. insay mεdikal, fכ pul da tכb de na wetin wi kכl "extubation." Tide, lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Fɔs, lɛ wi si wetin na intubation?
Bifo wi tɔk bɔt ɛkstubeshɔn, lɛ wi rivyu smɔl bɔt intubeshɔn. Fɔ tɔk am simpul wan, dis na sɔntin we di mɛdikal tim kin du fɔ sev yu layf we yu gɛt prɔblɛm fɔ blo yusɛf fɔ sɔm rizin. Dɛn kin put wan plastic tiub we kin chenj, we dɛn kɔl ɛndotracheal tube (ETT) , tru yu mɔt insay yu winda paip (di men say we yu de blo).
Tink bɔt am dis we: wi lɔng dɛn tan lɛk motoka in injin. Dɛn nid ɛya (ɔksijɛn) we de ɔltɛm fɔ mek dɛn ebul fɔ wok. Jɔs lɛk aw motoka nɔ go muf if trafik jam, if yu aywe blok ɔ yu nɔ ebul fɔ blo, ɔksijɛn nɔ go rich yu lɔng. Da tɛm de, dɛn kin put dis tiub insay, ɛn dɛn kin kɔnɛkt wan mashin, we na wan ventilatɔ, to am, ɛn dɛn kin gi yu di ɔksijɛn we yu nid. Dɛn kɔl dis intubashɔn.
Naw yu go dɔn ɔndastand wetin na ɛkstubeshɔn . Dat min se, di prɔses fɔ tek tɛm pul di tiub we bin de afta di mɛdikal tim gɛt kɔnfidɛns se yu kin blo fayn fɔ yusɛf bak, we yu nɔ go ɛp yu.
Insay us kes dɛn dɛn kin du ɛkstubeshɔn?
Dis nɔ kin apin to ɔlman di sem tɛm ɔ di sem we. I dipen pan di rizin we mek dɛn put yu pan di tiub ɛn aw yu wɛlbɔdi stebul.
Afta dɛn dɔn du di ɔpreshɔn
We dɛn du big ɔpreshɔn pan yu, dɛn kin put yu fɔ slip kpatakpata. Wi kin kɔl am jenɛral anestezi . Dɛn mɛrɛsin ya we de mek yu nɔ fil fayn fɔ sɔm tɛm, dat kin mek di mɔsul dɛn we de kɔntrol yu briz nɔ ebul fɔ blo. Da tɛm de, di dɔktɔ dɛn kin put dis tiub fɔ mek shɔ se yu gɛt di rayt ɔksijɛn ɔl di tɛm we dɛn de du di ɔpreshɔn.
Afta dɛn dɔn di ɔpreshɔn fayn fayn wan, di mɛdikal tim go pul di tiub jɔs afta di tin dɛn we di anestetik dɔn du ɛn yu ebul fɔ blo yusɛf bak. Bɔku tɛm, dɛn go dɔn pul di tiub bay di tɛm we yu go gɛt kɔnshɛns bak. So sɔntɛm yu nɔ go ivin mɛmba am. If na so i bi, di tiub kin dɔn de na in ples fɔ shɔt tɛm lɛk wan ɔ tu awa.
Bikɔs ɔf sik ɔ aksidɛnt
We dɛn put pɔsin in tyub bikɔs i nɔ ebul fɔ blo bikɔs ɔf aksidɛnt, bad bad infɛkshɔn (lɛk nyumonia), ɔ ɔda siriɔs sik, di we aw dɛn kin pul di tyub kin difrɛn smɔl. Dis pɔsin kin de na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU).
Bifo yu pul di tiub, di dɔktɔ dɛn nid fɔ mek shɔ se yu ebul fɔ blo yusɛf. Dɛn go du spɛshal tɛst fɔ dis. Dɛn kɔl am Spontaneous Breathing Test (SBT) .
Fɔ tɔk am simpul wan, dis tan lɛk smɔl trenin. Di dɔktɔ go ridyus di sɔpɔt we di ventilator de gi yu smɔl smɔl ɛn tɛst yu fɔ sɔm minit fɔ si aw yu go ebul fɔ blo fayn fɔ yusɛf. Dɛn go de wach yu ɔksijɛn lɛvɛl, yu at rit, ɛn aw yu de blo fayn fayn wan insay dis tɛm. Na if yu pas dis tɛst nɔmɔ di dɔktɔ go disayd fɔ pul di tiub.
Sɔntɛnde, yu nɔ kin pas dis tɛst di fɔs tɛm. dis dεn kכl am "weaning failure." Dis na nɔmal tin. If dis apin, di dɔktɔ go wet te yu bɛtɛ smɔl ɛn afta dat i go du dis tɛst bak insay wan ɔ tu dez.
Wetin na di men rizin dɛm fɔ intubation?
fכ du εkstubeshכn, fכs fכ du intubeshכn. Na sɔm rizin dɛn we kin mek i apin. Lɛ wi put dɛn tin ya na tebul lɛk dis fɔ ɔndastand dɛn klia wan.
| Rizin fɔ Intubation | In simpul wɔd dɛn... |
|---|---|
| Di we aw di briz de blo | di say we di briz de blok kɔmplit wan bikɔs ɔf wan kɔz lɛk fɔ it we de stɔp na di mɔt ɔ we i gɛt siriɔs alɛji. |
| Di Kadiak Arest | Bikɔs we di at stɔp wantɛm wantɛm, i rili impɔtant fɔ gi ɔksijɛn to di bren ɛn bɔdi. |
| Sivɛri Trauma | Damej na di aywe ɔ nɔ ebul fɔ blo bikɔs ɔf bad bad injuri na di nɛk, chɛst, ɔ bɛlɛ. |
| Lɔs fɔ Kɔnshɛns | If i bad bad wan we pɔsin nɔ no natin, dɛn fɔ pul di tɔŋ bak fɔ mek i nɔ go ambɔg di we aw di briz de blo ɛn fɔ kɔntrol di we aw i de blo. |
| Ɔpreshɔn | Fɔ gɛt kɔmplit kɔntrol pan aw yu de blo we yu de ɔnda anestezi. |
| Di we aw pɔsin de blo fayn | Bikɔs ɔf wan bad bad sik lɛk nyumonia, di lɔng dɛn nɔ kin ebul fɔ gɛt di ɔksijɛn we di bɔdi nid fɔ dɛnsɛf. |
| Risk fɔ Aspiration | Fɔ mek tin dɛn we de na di bɛlɛ (it, vɔmit, blɔd) fɔ pɔsin we nɔ no natin nɔ go insay di lɔng. |
Wetin na di stεp dεm we de insay di εkstubeshכn prכsεs?
Okay, naw lɛ wi si aw dɔktɔ ɔ nɔs we tren go pul dis tiub. Dis nɔto sɔntin we pɔsin kin pul wan tɛm. Sɔm tin dɛn de we yu fɔ du fɔ du dat.
1. Fɔ pripia di pɔsin we sik: Fɔs, dɛn go es di ed fɔ di bed ɔp ay ay wan. Dɛn go briŋ yu na say we yu sidɔm. dis go εp di briz fכ fכlכ insay di lכng dεm εn rεdכks di risk fכ tin dεm lεk saliva fכ go insay di lכng afta dεn dכn pul di tכb.
2. Sɔk: Dɔn, dɛn kin yuz spɛshal tin (sɔkshɔn divays) fɔ pul ɔl di mכkus, saliva, ɛn ɔda tin dɛn we yu nɔ want na yu mɔt, trot, ɛn di tyub we yu de blo. dis rili imכtant, biכs if nכto dat, dεn tin ya kin go insay yu lכng we dεn pul di tכb.
3. Fɔ fri di tiub: Dɛn tek tɛm pul di strap ɔ tep we de ol di tiub to yu fes.
4. Separeshכn frכm di ventilεta: dεn dכn kכnekt di tiub frכm di ventilεta we i kכnekt to.
5. Fɔ pul di tiub: Naw na di pat we impɔtant pas ɔl. Di dɔktɔ tɛl yu fɔ "tek dip briz ɛn kɔf."As yu de kɔf ɔ pul di briz, dɛn kin pul di tiub kɔmɔt kwik kwik wan ɛn i kin muv fayn fayn wan. Dɛn kin du dis we yu kɔf, we kin opin yu vɔkal kɔd, we kin mek di tiub kɔmɔt izi wan. Ɛn di kɔf kin pul ɛnitin we de na yu trot bak.
Yu de kɔnshɛns we dɛn pul di tiub?
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Di ansa na, sɔntɛnde yɛs, sɔntɛnde nɔ.
- Afta di ɔpreshɔn: Bɔku tɛm dɛn kin pul di tiub bifo yu gɛt kɔnshɛns bak, we yu stil de ɔnda anestezi. So dɛn kin pul am we yu wek.
- If yu de na di intensiv kia yunit (ICU): Dɛn go pul di tiub we yu stil de no, bikɔs i impɔtant fɔ mek yu no ɛn lisin to wetin dɛn tɛl yu (fɔ ɛgzampul, kɔf we dɛn tɛl yu fɔ "kɔf").
Wetin kin apin afta dɛn dɔn pul di blɔd?
We yu pul di tiub, dat nɔ min se dɛn dɔn du di wok. Di nɛks sɔm awa dɛn rili impɔtant. Di mɛdikal tim go wach yu gud gud wan.
- Ɔksijɛn: Bɔku tɛm, afta dɛn dɔn pul di tiub, dɛn go gi yu smɔl ɔksijɛn tru wan kanula na yu nos ɔ ɔksijɛn mask fɔ ɛp yu bɔdi fɔ ajɔst to di nyu tin we de apin.
- Fɔ wach: Dɛn kin kɔntinyu fɔ chɛk yu blɔd ɔksijɛn lɛvɛl (wit puls ɔksimita), at rit, ɛn blɔd prɛshɔn.
- Kɔf: Mucus kin kam na yu trot bikɔs ɔf di tiub. So, dɛn go advays yu fɔ kɔf bɔku tɛm fɔ mek i klia. If nid de, yu kin nid bak fɔ sok yu trot bak fɔ mek yu trot klia.
Ɛni kɔmplikeshɔn de we kin apin we dɛn de pul di blɔd?
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin we dɛn pul di blɔd. Bɔt mɛmba se di mɛdikal tim dɔn rɛdi fɔ ɔl dɛn tin ya.
| Kɔmplikɛshɔn | Wetin kin apin wit dis? |
|---|---|
| Di Ekstubeshɔn Failure | Afta dɛn dɔn pul di tiub, di pɔsin nɔ kin ebul fɔ blo insɛf igen lɛk aw i bin de tink. if dis apin, dεn fכ put di tכb bak fכ di sikman in sef (ri-intubeshכn).I kin apin. Dis kin apin pan 10%-15% pan pipul dɛm. De risk kin bɔrku smɔl fɔ pipul dɛm wae dɔn pas 65 ia ɛn wae gɛt hat ɔr respiratory disease. |
| Nɔys we yu de blo (Stridor) . | di tכb kin mek sכm swel na di כp aywe, spεshal wan arawnd di vכkal kכd dεm. Dis kin mek yu gɛt sawnd we de ala lawd wan we yu de blo afta dɛn dɔn pul di tiub. Bɔku tɛm, dɛn kin kɔntrol dis wit mɛrɛsin. |
| Damej to di vokal kɔd dɛn | sכm tεm, sכm sכm damej kin apin to di vכkal kכd dεm we dεn de insay כ pul di tכb. Dis kin mek yu vɔys chenj (a de ala) fɔ shɔt tɛm. |
| I kin kɔf bad bad wan ɛn di say we di briz kin blo (laryngospasm) . | Sɔm pipul dɛn kin gɛt tayt na di vɔkal kɔd dɛn wantɛm wantɛm bikɔs ɔf wan sɛns na di trot we dɛn pul di tiub. Dis go kam bak to nɔmal insay sɔm sɛkɔn. |
Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i de pul di bɔdi?
Dis na tin we rili fayn. Fɔ pul pɔsin kɔmɔt na di bɔdi min se dɛn dɔn pas wan impɔtant tin we dɛn dɔn du fɔ mek dɛn wɛl.
- Wan sayn fɔ se yu dɔn wɛl: Di big bɛnifit na dat yu kin ebul fɔ blo yusɛf bak. Dat min se yu lɔng ɛn yu bɔdi de kam bak to nɔmal.
- Abiliti fɔ tɔk: Yu nɔ go ebul fɔ tɔk we di tiub de na in ples. Afta dɛn dɔn pul am, yu go ebul fɔ tɔk bak insay shɔt tɛm. Pan ɔl we yu trot kin at fɔs ɛn yu vɔys kin chenj smɔl, dis go dɔn insay sɔm dez. (I go go insay sɔm dez).
- Abiliti fɔ it ɛn drink: Semweso, yu nɔ go ebul fɔ it ɔ drink wit yu mɔt we di tiub de na in ples. we dεn dכn pul di tiub εn dεn kכnfכm yu abiliti fכ sכlow (gag rεflεks), yu kin bigin fכ it bak.
- fכ avכyd di risk dεm we go de fכ lכng tεm: sכm risk dεm de we kin apin we yu gεt wan brith tכb in ples fכ lכng tεm (e.g., vokal kכd dεn nכ de wok fayn, nyumonia, tracheomalacia ). Extubation min se yu fri frɔm dɛn risk dɛn de.
If yu ɔ sɔmbɔdi na yu famili gɛt fɔ go tru dis prɔsidyu, nɔ fred ɔ shem. Aks yu dɔktɔ ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn go ɛksplen ɔltin to yu.
Mɛsej we dɛn kin kɛr go na os
- εkstubeshכn na di prכsεs fכ pul di εndotracheal tכb (ETT) we dεn put insay yu trakya afta yu ebul fכ brith fayn fכ yu wan.
- Dis nɔto sɔntin we dɛn kin du wan tɛm. Na sɔntin we di mɛdikal tim go du afta dɛn dɔn tek tɛm chɛk yu kɔndishɔn ɛn plan.
- I nɔmal fɔ mek yu trot at ɛn yu vɔys de ala fɔ sɔm dez afta dɛn dɔn pul di tiub.
- Pan ɔl we sɔm tɛm dɛn kin gɛt prɔblɛm dɛn (lɛk we dɛn nɔ ebul fɔ pul di blɔd), di mɛdikal tim kin rɛdi ɔltɛm fɔ dil wit dɛn.
- Extubation min se yu dɔn tek big ɛn impɔtant step fɔ go bifo pan yu joyn fɔ wɛl. Dat na sɔntin we wi fɔ gladi fɔ!
- If yu gɛt ɛnitin we de mɔna yu bɔt aw fɔ mɛn yu ɔ pɔsin we yu lɛk, tɔk bɔt am wit yu dɔktɔ ɔltɛm .
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt