Sɔntɛm yu dɔn fil tayt smɔl ɔ yu nɔ kin fil fayn na yu trot we yu wek afta dɛn dɔn du yu ɔpreshɔn. Ɔ yu kin dɔn si pɔsin we de nia yu na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) wit tyub na in mɔt. Tide wi de tɔk bɔt fɔ pul di tiub we de ɛp dɛn fɔ blo. Dɛn kɔl dis ɛkstubashɔn insay mɛrɛsin. Pan ɔl we dis kin tan lɛk wɔd we de mek yu fred, fɔ tru, na rili gud sayn fɔ yu fɔ wɛl.
Fɔs, lɛ wi si, wetin na Intubation ɛn Extubation?
Dis na tin we rili simpul.
- Intubation: Imajin se yu nɔ ebul fɔ blo yusɛf bikɔs yu sik, aksidɛnt, ɔ big ɔpreshɔn. Da tɛm de, dɔktɔ dɛn go put wan tiub we kin chenj tru yu mɔt insay yu briz paip. Dɛn kɔl dis tiub Ɛndotrakial Tiub (ETT) . Dis tiub de kɔnɛkt to ventilatɔ ɛn i de gi ɔksijɛn to yu lɔng dɛn. intubeshכn na di prכsεs we dεn de put dis tכb insay.
- Extubation: We yu wɛlbɔdi dɔn bɛtɛ ɛn di dɔktɔ dɛn gɛt kɔnfidɛns se yu go ebul fɔ blo fayn bak fɔ yusɛf, we yu nɔ go ɛp yu, dɛn go tek tɛm pul di tiub we dɛn bin dɔn put bifo (ETT). Dis na di prɔses we wi kɔl ɛkstubashɔn .
Wetin mek dɛn nid fɔ intubate pɔsin lɛk dis?
Bɔku rizin dɛn de we kin mek pɔsin nɔ ebul fɔ blo fɔ insɛf. dis na sכm pan di men rizin dεm we mek i kin nid fכ intubashכn bifo dεn kכl am.
| Rizin | Wan simpul ɛksplen |
|---|---|
| Ɔpreshɔn | Jɛnɛral anestezi, we dɛn kin gi we dɛn de du big ɔpreshɔn, kin stɔp wi fɔ blo fɔ sɔm tɛm. So, dɛn kin put dis tiub fɔ ɛp wi fɔ blo we dɛn de du di ɔpreshɔn. |
| Di we aw pɔsin de blo fayn | Siriv infεkshכn lεk nyumonia εn damej na di lכng kin mek di bכdi nכ gεt di כksijεn we i nid. |
| Di we aw di briz de blo | Dis nid fɔ mek di say we di briz de blo opin if sɔntin stɔp na di trot ɔ di say dɛn we di briz de blo dɔn swel bikɔs ɔf wan bad bad alɛji. |
| Shɔk | If yu wund yu ed , yu nɛk, ɛn yu chɛst bad bad wan, dat kin pwɛl di we aw yu de blo. |
| Lɔs fɔ Kɔnshɛns | We pɔsin nɔ no natin igen, i nɔ kin ebul fɔ kɔntrol di we aw i de blo. Risk de bak fɔ mek tin dɛn lɛk vɔmit go insay di lכng (aspiration). |
Aw dɛn kin du ɛkstubeshɔn? Wetin na di prɔses?
Dis nɔto jɔs fɔ pul wan tiub ɛn put am bak insay.Di mɛdikal tim kin du dis wit big plan ɛn kia.
Aw dɔktɔ dɛn kin disayd ustɛm na di tɛm fɔ pul di tiub?
Dɛn kin du spɛshal tɛst fɔ dis. Dɛn kɔl am di Spontaneous Breathing Test (SBT) . Fɔ tɔk am simpul wan, dis de tɛst if yu kin ebul fɔ blo yusɛf wit smɔl ɛp frɔm di ventilator. Na laik se yu tek likl ‘test drive’ wen yu de lan to draiv moto. If yu pas dis tɛst, dat min se yu lɔng dɛn strɔng fɔ wok bak.
Dɛn go chɛk bak aw yu ebul fɔ kɔf ɛn klia yu trot (gag riflɛks). Dis impɔtant fɔ mek shɔ se yu ebul fɔ kip tin dɛn lɛk it ɛn drink kɔmɔt na yu lɔng.
Step fɔ pul di tiub
Afta yu pas di SBT, di dɔktɔ ɔ di nɔs staf we dɛn dɔn tren go fala dɛn step ya:
1. Fɔ pripia bed: Dɛn go briŋ yu na say we tinap stret na bed.
2. Klin: Dɛn kin yuz spɛshal tin fɔ sɔk fɔ pul ɔl di mכkus ɛn dɔti we de na yu mɔt, yu trot, ɛn insay di tiub.
3. Fɔ pul di tep: Dɛn kin pul di plasta ɔ tep we de ol di tiub to di fes.
4. Gi instrɔkshɔn fɔ blo: Di dɔktɔ tɛl yu fɔ "tek dip briz ɛn kɔf." As yu de kɔf, dɛn kin pul di tiub kwik kwik wan ɛn i kin muv fayn fayn wan.
Dis ɔltin we dɛn kin du kin tek sɔm sɛkɔn dɛn. Sɔntɛm yu nɔ go ivin fil am.
Wetin kin apin afta dɛn dɔn pul di blɔd? Wetin wi fɔ ɛkspɛkt?
Di fɔs tin we yu go fil afta dɛn dɔn pul di tiub na big big rilif! Bɔt yu kin gɛt sɔm kayn pen bak na yu trot ɛn yu kin kray fɔ sɔm dez. Dis na tin we nɔmal tin. I tan lɛk se yu trot de at we yu de ala fɔ lɔng tɛm.
Afta dɛn dɔn pul di tiub, di mɛdikal tim go kɔntinyu fɔ wach yu.
- Dɛn kin chɛk di ɔksijɛn we de na yu blɔd ɔltɛm.
- Pe atɛnshɔn to yu at rit ɛn aw yu de blo.
- Sɔntɛnde, as smɔl ɛp fɔs, dɛn kin gi smɔl ɔksijɛn tru wan kanula na di nos ɔ ɔksijɛn mask.
Yu de kɔnshɛns we yu pul di tiub?
Dis dipen pan di rizin we mek dɛn put yu na di tiub.
- Fɔ ɔpreshɔn: Bɔku tɛm, dɛn kin pul di tiub jɔs afta di ɔpreshɔn, bifo yu wek ɔlsay frɔm di anestezi. We yu wek, di tiub nɔ de igen.
- Insay di Intensive Care Unit (ICU): If dɛn de trit yu fɔ sik ɔ aksidɛnt, dɛn go pul di tiub we yu de no. Bɔt nɔ wɔri, di mɛdikal tim go ɛksplen ɔltin to yu ɛn mek yu fil kol.
Risk ɛn kɔmplikeshɔn dɛn de we dɛn kin pul di tyub?
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin. Bɔt dɛn tin ya nɔ kin apin bɔku tɛm. Dɔktɔ dɛn no dis gud gud wan, so dɛn kin rɛdi ɔltɛm fɔ dil wit dɛn kayn tin ya.
di men komplikashכn na di εkstubeshכn fεil . dis min se afta dεn dכn pul di tכb, yu nכ de ebul fכ brith fayn bak εn yu fכ intubate bak.
- Dis kin apin to smɔl pasɛnt pan pipul dɛm, lɛk 10%-14%, we dɛn kin pul dɛn tiub pan plan.
- Dis risk kin bɔrku smɔl fɔ pipul dɛm wae dɔn pas 65 ia, ɛn wae gɛt hat sik ɔr krɛse sik.
Ɔda smɔl smɔl prɔblɛm dɛn:
- Voys chenj ɛn trot kin at: Dis na kɔmɔn tin wae bɔrku pipul kin gɛt ɛn i go bɛtɛ fɔ dɛnsɛf insay sɔm dez.
- Stridor: Sɔntɛnde, yu kin yɛri smɔl wispa sawnd we yu de blo bikɔs yu trot de swel. Dɔktɔ dɛn no aw fɔ trit dis.
- Kɔf bad bad wan: Di kɔf we kin apin we dɛn pul di tiub kin mek sɔm tɛm dɛn de mek di trot mɔsul dɛn tayt (laryngospasm).
Di impɔtant tin na dat ɔl dɛn tin ya nɔ kin apin so ɔltɛm. Yu dɔktɔ dɔn rɛdi fɔ ɔl dɛn tin ya. So nɔ wɔri bɔt dis we nɔ impɔtant.
Mɛsej we dɛn kin kɛr go na os
- Extubation na rili gud ɛn fayn step na yu rikavari joyn. I min se yu bɔdi strɔng fɔ wok fɔ insɛf bak.
- Na dɔktɔ ɛn pipul dɛn we dɔn tren kin du dis, afta dɛn dɔn mek shɔ se yu sef 100 pasɛnt .
- I nɔmal fɔ gɛt smɔl trot we de at ɛn chenj yu vɔys fɔ sɔm dez afta dɛn dɔn pul di tiub. Nɔ wɔri bɔt am.
- Afta yu dɔn pul yu bɔdi, yu go fri fɔ tɔk, it, ɛn drink bak.
- If yu gɛt ɛni fred, dawt, ɔ kwɛstyɔn bɔt dis prɔses, tɔk to yu dɔktɔ bɔt am opin wan . Dɛn go ɛksplen ɔltin to yu.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt