Yu go lɛk fɔ no bɔt intubation, we kin ɛp yu if i nɔ izi fɔ yu fɔ blo?

Yu dɔn ɛva tink bɔt aw wi go ɛp wisɛf fɔ blo if wi stɔp fɔ blo wantɛm wantɛm, ɔ if dɛn de du big ɔpreshɔn pan wi? Na da tɛm de dɔktɔ dɛn kin yuz wan tin we dɛn kɔl ``Intubation.'' Pan ɔl we dis na wɔd we kin mek pɔsin fred smɔl, i kin rili ɛp fɔ sev bɔku pipul dɛn layf. Lɛ wi si wetin i bi, aw dɛn kin du am, ɛn wetin mek dɛn kin du am simpul wan.

Wetin `(Intubation)` jɔs min?

Fɔ tɔk am simpul wan, `(Intubation)` (intubation) na we dɔktɔ put smɔl tiub insay yu winda paip (`(trachea)`) ɔ tru yu mɔt ɔ sɔmtɛm tru yu nos. Dis tiub de mek yu winda paip opin, so i izi fɔ mek briz go insay. Dɔn dɛn kin kɔnɛkt dis tiub to mashin. Dis mashin de sɛn ɔksijɛn ɔ briz ɔnda prɛshɔn insay yu lɔng. Wi de kɔl dis `(Mɛkanikal Ventileshɔn)`.

Dis ``(Intubation)`` gɛt ɔda nem dɛn:

• Intubashɔn fɔ di aywe
• Ɛndotrakial intubeshɔn (ETT) .
• Tracheal intubation we dɛn kin yuz fɔ mek di bɔdi

Dis na ɔl di nem dɛn fɔ di sem tin.

Wetin mek yu nid fɔ du dis `(Intubation)`?

Dɔktɔ kin nid fɔ put yu intubate if yu nɔ ebul fɔ blo fayn bikɔs di say we yu de blo dɔn blok, i nɔ ebul fɔ blo, ɔ i wund. Imajin, wantɛm wantɛm, yu gɛt siriɔs aksidɛnt ɛn yu chɛst ɛn yu nɛk wund, we mek i nɔ izi fɔ blo. Ɔ, if yu nɔ no natin igen, yu nɔ go ebul fɔ kɔntrol aw yu de blo. Dis na di tɛm we dis nid fɔ de.

Bɔku ɔda rizin dɛn de fɔ du `(Intubation)`:

• If di say we yu de blo kin afɛkt yu bɛlɛ, yu chɛst, ɔ yu nɛk.
• We yu nɔ de no natin (lɛk we yu de fɔdɔm) ɔ yu nɔ de no wetin i de du. Dis kin mek yu nɔ ebul fɔ kɔntrol di we aw yu de blo.
• If yu gɛt fɔ du big ɔpreshɔn usay yu nɔ ebul fɔ blo yusɛf. Bɔku tɛm, we dɛn gi wi anestezi, i nɔ kin izi fɔ wi fɔ blo wi wan.
• Di we aw pɔsin de blo fayn. Dis min se yu lɔng dɛn kin stɔp fɔ wok fayn fayn wan.
• Risk de fɔ mek tin dɛn lɛk it, vɔmit, ɛn blɔd inhal ɛn go insay di lɔng (Aspiration) .
• if sכmtin stכk na di aywe εn stכp di briz fכ fכ fכlכ, dεn kכl am ``Airway obstruction``.
• Di at kin stɔp we di at kin stɔp fɔ wok wantɛm wantɛm.
• If yu stɔp fɔ blo fɔ sɔm tɛm (Apnea).

Intubation kin nid fɔ de fɔ ɛni wan pan dɛn rizin ya.

Aw kɔmɔn tin dis?

infakt, ``(Intubation)`` na wan we we rili kכmכn, we de sev layf. Insay Amɛrika nɔmɔ, dɛn kin du lɛk 15 milyɔn pan dɛn tin ya na di say dɛn we dɛn kin du ɔpreshɔn ɛvri ia. Apat frɔm dat, dɛn kin du bɔku bɔku pan dɛn we tin nɔ izi fɔ du. So yu kin imajin aw bɔku tɛm dɛn kin du dis. Dɛn kin du am bak ɔltɛm na Sri Lanka.

Wetin kin rili apin we dɛn du Ɛndotrakial Intubashɔn?

Bɔku tɛm, dɛn kin du dis `(Intubation)` insay di ɔspitul. Bɔt sɔm tɛm, imejensi mɛdikal savis (`(EMS)` pipul dɛn) kin du am na do na di ɔspitul.

Na dis na aw dɛn kin du dis:

1. Fɔs, dɛn kin put smɔl kanula (IV nidul) insay wan vein na yu an ɛn gi yu anestetik tru am fɔ mek yu slip ɛn nɔ gɛt pen.

2. Dɔn dɛn go put ɔksijɛn mask oba yu nos ɛn yu mɔt fɔ gi yu bɔdi ɛkstra ɔksijɛn.

3. yu ed go tilt bak sכmtεm εn dεn go put wan divays we dεn kכl ``laryngoscope'' insay yu mכt (εn sכmtεm tru yu nos if nid de). di ``laryngoscope'' gεt wan handel, wan layt, εn wan blunt bled. dis de εp di dכkta fכ si di kכrekt ples we di ``tracheal tube'' de.

4. nεks, dεn de tek di ``(laryngoscope)`` frכm insay di mכt to di bak, dεn de tek tεm fכ nכ hit di tit dεm.

5. di flap fכ di tisu (di epiglottis) we de hang na di bak pat pan yu mכt de lif כp fכ protεkt yu vכys bכks (di larynx).

6. di tip fכ di `(Laryngoscope)` de pas tru yu `(Larynx)` insay yu `(Trachea)` (windpaip).

7. afta dat, dεn de inflate wan sכmכl tin we lεk balכn rawnd di εndotrakial tכb. dis de mek sכh se di tכb nכ de muv insay di trakya, εn כl di briz we dεn gi tru di tכb de go dayrekt insay di lכng dεm.

8. Naw, pul di `(Laryngoscope)`.

9. Fɔ mek di tiub we de blo nɔ go muf go bifo ɛn biɛn, dɛn kin put plasta na di tu say dɛn na di mɔt ɔ dɛn kin put band rawnd di ed.

10. Fɔ dɔn, dɛn kin tek ɛkstrem rayt fɔ chɛk if di tiub de na di rayt pozishɔn, ɔ dɛn kin yuz bag fɔ pɔmp di briz insay di tiub ɛn lisin to di sawnd dɛn we de kɔmɔt na di lɔng dɛn.

Aw lɔng dis go tek?

Insay imejensi, dɔktɔ kin du dis ``(Intubation)'' insay lɛs dan wan minit. Dis na sɔntin we pɔsin kin du kwik kwik wan.

A kin tɔk, it, ɛn drink we di tiub de insay in ples?

Nɔ, yu nɔ go ebul fɔ tɔk. Bikɔs dis tiub we yu de blo de go tru yu vɔkal kɔd dɛn. So ivin if yu tray fɔ tɔk, no sawnd nɔ de kɔmɔt.

Dɔn bak, yu nɔ go ebul fɔ swɛla we di tiub de na in ples. So yu nɔ go ebul fɔ it ɔ drink. dipכnt pan aw lכng yu gεt fכ de lεk dis, dכkta dεm go gi yu εntal nyutrishכn (intravenous nutrition) כ saline (IV fluids). Sɔntɛnde, dɛn kin put wan sɛpret tin tiub tru yu mɔt ɔ yu nos fɔ gi yu nyutrishɔn insay yu bɛlɛ ɔ smɔl intestin.

Aw yu kin pul di tiub? (Wetin na ``(Ekstubeshɔn)``?)

We di dɔktɔ dɛn fil se i nɔ bad fɔ pul di tiub, dɛn go pul am. Dɛn kɔl dis ``Extubation``. Na dis na aw dɛn kin du am:

• Dɛn kin pul di plasta ɔ tep we bin de ol di tiub na in ples.
• Wan tin we yu kin yuz fɔ sɔk kin pul di mכkus ɛn ɔda tin dɛn we de na yu aywe.
• Di balyɔn we dɛn kin blo insay di briz paip kin pul di briz.
• Dɔn dɛn tɛl yu fɔ tek dip briz ɛn kɔf ɔ pul di briz we dɛn de pul di tiub kɔmɔt.

yu trot (`(Pharynx)`) kin at smɔl fɔ sɔm dez afta `(Extubation)`. I kin at bak fɔ tɔk smɔl. Dis na nɔmal tin, nɔ wɔri.

Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i de put intubashɔn?

Intubation na kɔmɔn, jɛnɛral sef prosidur we kin ɛp fɔ sev yu layf.

Di big bɛnifit fɔ dis na dat i kin sev pɔsin in layf we gɛt prɔblɛm fɔ blo. So, we yu kɔmpia am to di ɔda smɔl smɔl prɔblɛm dɛn, dis na sɔntin we rili fayn.

Wetin na di chans fɔ liv if dɛn du intubation?

Dis kin rili difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan bɔku tin, lɛk di rizin fɔ di intubation, yu ej, yu jenɛral wɛlbɔdi, ɛn ɔda tin dɛn Bɔt wan stɔdi dɔn sho se lɛk sɛvin pan tɛn pipul dɛn we dɛn intubate na imejensi rum kin liv . So dat de sho aw i de sev layf.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin put intubeshɔn?

Pan ɔl we intubation kin jɔs sef, sɔm risk dɛn de. Bɔt mɛmba se fɔ sev pɔsin in layf valyu pas dɛn prɔblɛm dɛn ya.

• Aspiration : We dɛn de intubation, vɔmit, blɔd, ɔ ɔda wata kin go insay di lɔng dɛn.
• εndobronchial intubation: na tכb we dεn put insay di winda paip (trachea) insay wan pan di tu men aywe dεm (bronchi) we de branch kכmכt frכm di windpaip go insay di lכng dεm.
• Esophageal intubation: If di tyub we yu de blo go insay di it paip (esophagus) insted of di windpaip (trachea), i kin mek yu bren pwɛl ɔ ivin day if dɔktɔ nɔ trit am kwik.
• Nɔ mek di say we yu de blo fayn: If dɛn nɔ ebul fɔ du intubeshɔn fayn, dɔktɔ dɛn nɔ go ebul fɔ trit yu.
• Infεkshכn: Baktri infεkshכn, lεk sayn infεkshכn, kin kam afta dεn intubashכn.
• Injury: If yu put intubation, i kin mek yu gɛt injury na yu mɔt, yu tit, yu tɔŋ, yu vɔkal kɔd, ɔ yu aywe. Dɛn injury ya kin mek yu blɔd ɛn swel.
• Prɔblɛm dɛn we dɛn kin gɛt we dɛn de kɔmɔt na di anestezi: Bɔrku pipul dɛn kin wɛl fayn fayn wan we dɛn tek anestezi. Bɔt sɔm kin gɛt prɔblɛm fɔ wek, ɔr kin gɛt ɔda prɔblɛm lɛk fiva, mɔsul dɛn we de shek shek (malignant hyperthermia), ɔr di nerv dɛm we de pwɛl fɔ sɔm tɛm ɔ fɔ ɔltɛm.
• Tεnshכn nyumotכraks (pulmonary collapse): di briz we de trכp na di chεst kεviti kin mek di lכng dεm kכlaps.

Pan ɔl we dɛn tin ya kin apin, dɔktɔ dɛn kin rili wɔri bɔt ɔl dɛn tin ya.

Udat dɛn nɔ de put intubate?

Sɔntɛnde, dɔktɔ dɛn kin disayd se i nɔ sef fɔ du intubation. Dis kin apin if siriɔs injuri de na di say we di briz de blo, ɔ if sɔntin de we de ambɔg we de mek dɛn nɔ ebul fɔ put di tiub insay sef wan.

If na so i bi, dɔktɔ dɛn kin disayd fɔ du ɔpreshɔn na yu nɛk we de dɔŋ fɔ mek di say we yu de blo opin. dis dεn kכl dis `` tracheostomy.`` dεn kin du dis bכku tεm if yu nid fכ gεt brith tכb fכ mכr dan fכ de, כ if yu tink se yu kin nid fכ gεt wan fכ sכm wik.

Aw lɔng i kin tek fɔ mek i wɛl?

Bɔrku pipul dɛn kin wɛl insay sɔm awa ɔr dez afta dɛn dɔn put dɛn intubation. Bɔt if yu gɛt prɔblɛm fɔ kɔf, fɔ swɛla, ɔ fɔ tɔk ivin sɔm wiks afta dɛn dɔn put yu intubation, go to dɔktɔ. Dɛn kin rifer yu to spɛshal dɔktɔ fɔ yu yes, nos, ɛn trot (otolaryngologist).

Ustɛm yu fɔ go to dɔktɔ afta yu dɔn put yu intubeshɔn?

If yu gɛt ɛni wan pan dɛn sayn ya afta yu dɔn put yu intubeshɔn , go to dɔktɔ wantɛm wantɛm:

• Chɛst de pen
• I nɔ izi fɔ blo, lɛk fɔ blo shɔt
• I nɔ izi fɔ tɔk ɔ nɔ ebul fɔ tɔk ɔ swɛla
• Trot we kin at bad bad wan
• Fes we de swel

If yu gɛt ɛni wan pan dɛn tin ya, yu go mɔs tɛl dɔktɔ.

Aw siriɔs intubation na?

Dis dipen pan wetin mek yu nid fɔ gɛt `(Intubation)`. Sɔntɛnde dɔktɔ dɛn kin yuz `(Intubation)` we dɛn de du ɔpreshɔn we dɛn dɔn plan. I nɔto big tin. Bɔt pan imejensi, we yu nɔ ebul fɔ blo yusɛf, we dɛn du `(Intubation)` as tin fɔ sev layf, na rili siriɔs tin.

``intubeshכn'' εn ``ventilashכn'' na tu difrεnt tin dεm?

``(Intubation)`` εn ``(Mεkanikal Vεntilashכn)`` de rilayt to wan an. Bɔt dɛn nɔ rili fiba.

• intubeshכn na di prכsεs we dεn de put tכb fכ brith insay di aywe.
• Dɔn di dɔktɔ kin kɔnɛkt di tiub to wan tin we dɛn kin yuz fɔ blo. Dis tin kin bi bag we pɔsin kin ol wit an we de pɔmp di briz, ɔ i kin bi sɔntin we pɔsin kin yuz fɔ blo.
• Ventilatɔ na mashin we de pɔmp ɔksijɛn insay yu aywe ɛn yu lɔng. Sɔntɛnde, ventilatɔ kin gi briz tru mask oba yu fes instead fɔ pas tru tiub.

Yu ɔndastand? כl di tεm dεm, di ventilεta de kכnekt afta ``Intubation''.

Wetin na `(Nasotracheal intubation)`?

Dis na di say we dɔktɔ dɛn kin put wan tiub fɔ blo tru yu nos. Bɔku tɛm dɛn kin yuz dis if dɛn de du ɔpreshɔn pan yu ed, yu mɔt, ɔ yu nɛk. I kin ɛp bak fɔ mek yu nɔ wund mɔ na yu nɛk ɔ yu winda.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

We yu tink se dɔktɔ put tiub dɔŋ yu trot, dat kin mek yu fred. Bɔt intubation na mɛrɛsin we dɛn kin du bɔku tɛm na ɔpreshɔn rum ɛn imejensi rum fɔ ɛp fɔ sev yu layf if yu nɔ ebul fɔ blo. Bɔku pipul dɛn kin gɛt trot we kin at ɔ sɔm prɔblɛm dɛn kin gɛt fɔ tɔk afta dɛn dɔn tɔk. Bɔt dɛn bad bad tin dɛn de kin dɔn insay wan wik. So, abop pan yu dɔktɔ dɛn. Dɛn de tray ɔltɛm fɔ du wetin bɛtɛ fɔ yu.

` Intubation, brith, imejensi kia, respiratory sopot, ventilator, opareshon, tracheostomy