Ungada kuziva nezve intubation, iyo inogona kukubatsira kana uchinetseka kufema?

Wakambozvibvunza here kuti tingazvibatsira sei kufema kana tikangoerekana tarega kufema, kana kuti kana tiri kuvhiyiwa zvakanyanya? Ndipo vanachiremba pavanoshandisa nzira inonzi "Intubation." Kunyangwe iri izwi rinotyisa, rinobatsira kuponesa hupenyu hwakawanda. Ngationei kuti chii, kuti rinoitwa sei, uye kuti nei richiitwa zviri nyore.

Zvinorevei `(Intubation)`?

Zvichitaurwa zviri nyore, `(Intubation)` (intubation) zvinoreva kana chiremba akaisa chubhu diki mupaipi yako yemhepo (`(trachea)`) kuburikidza nemuromo wako kana dzimwe nguva kuburikidza nemhino dzako. Chubhu iyi inochengetedza chubhu yako yemhepo yakavhurika, kuitira kuti mweya upinde zviri nyore. Chubhu iyi inogona kubatanidzwa nemuchina. Muchina uyu unotumira okisijeni kana mhepo pasi pekumanikidzwa mumapapu ako. Tinodaidza izvi kuti `(Mechanical Ventilation)`.

Iyi ``(Intubation)`` ine mamwe mazita:

• Kupinza mweya muchubhu
• Kupinza muchubhu mudumbu (ETT)
• Kupinza machubhu mu trachea

Aya mazita ese anoreva chinhu chimwe chete.

Sei uchifanira kuita izvi `(Intubation)`?

Chiremba angangoda kukupinza muchubhu kana usingakwanise kufema zvakanaka nekuda kwekuvharika, kuvharika, kana kukuvara kwenzira yekufema. Fungidzira, kamwe kamwe, waita tsaona yakakura uye chipfuva chako nemutsipa zvako zvakuvara, zvichiita kuti zviome kufema. Kana, kana ukarasikirwa nepfungwa, hauzokwanisi kudzora kufema kwako. Apa ndipo pazvinenge zvichidikanwa.

Kune zvimwe zvikonzero zvakawanda zvekuita `(Intubation)`:

• Kana nzira yako yekufema ikakanganiswa nekukuvara kwedumbu, chipfuva, kana mutsipa.
• Kurasikirwa nepfungwa (sekufenda) kana kuti kusaziva zvakanyanya. Izvi zvinogona kukonzera kuti urege kudzora kufema kwako.
• Kana uchifanira kuvhiyiwa zvakanyanya usingakwanise kufema wega. Kazhinji, patinopiwa mushonga wekushaya simba, zvinotiomera kufema wega.
• Kutadza kufema. Izvi zvinoreva kuti mapapu ako anomira kushanda zvakanaka.
• Pane njodzi yekuti zvinhu zvakaita sechikafu, kurutsa, neropa zvifemerwe zvopinda mumapapu (Aspiration) .
• Kana chimwe chinhu chikabatirira mumhepo yomumhepo yomisa kuyerera kwemhepo, chinonzi ``Airway obstruction``.
• Kumira kwemoyo kunoitika kana moyo ukangoerekana wamira kushanda.
• Kana kufema kwamira kwenguva pfupi (Apnea).

Kuisa machubhu emukati kunogona kudiwa nekuda kwechimwe chezvikonzero izvi.

Izvi zvakajairika zvakadii?

Kutaura zvazviri, ``(Intubation)`` inzira yakajairika uye inoponesa hupenyu. MuUnited States chete, nzira idzi dzinosvika mamiriyoni gumi nemashanu dzinoitwa mumakamuri ekuvhiyira gore rega rega. Pamusoro pezvo, mazana ezviuru adzo anoitwa mumamiriro ezvinhu enjodzi. Saka unogona kufungidzira kuti izvi zvinoitwa kangani. Zvinoitwawo nguva dzose muSri Lanka.

Chii chinoitika kana Endotracheal Intubation yaitwa?

Kazhinji, `(Intubation)` iyi inoitirwa mukati mechipatara. Zvisinei, dzimwe nguva, vashandi vezvekurapa vanokurumidzira (`(EMS)`) vanozviita kunze kwechipatara.

Heino maitiro anowanzoitwa izvi:

1. Kutanga, kannula kadiki (tsono yemutsinga) kanopinzwa mutsinga iri muruoko rwako uye mushonga unorwadzisa unobva wapihwa kuburikidza nayo kuti unzwe hope uye usarwadziwe.

2. Zvadaro chifukidzo cheokisijeni chichaiswa pamusoro pemhino dzako nemuromo kuti muviri wako uwedzere okisijeni.

3. Musoro wako uchadzoserwa kumashure zvishoma uye mudziyo unonzi ``laryngoscope'' uchapinzwa mumuromo mako (uye dzimwe nguva kuburikidza nemhino dzako kana zvichidikanwa). ``laryngoscope'' ine mubato, chiedza, uye banga rakagomara. Izvi zvinobatsira chiremba kuona nzvimbo chaiyo ye``tracheal tube''.

4. Zvadaro, ``(laryngoscope)`` inotorwa kubva mukati memuromo kuenda kumashure, ichichenjerera kuti isarove mazino.

5. Chidimbu chenyama (epiglottis) chakarembera kumashure kwemuromo wako chinosimuka kuti chidzivirire bhokisi renzwi rako (larynx).

6. Muromo we`(Laryngoscope)` unopfuudzwa ne`(Larynx)` yako uchipinda mu`(Trachea)` (mhepo inovhuvhuta).

7. Zvadaro, mudziyo mudiki wakaita sebharumu unofuridzirwa uchitenderedza chubhu ye endotracheal. Izvi zvinoita kuti chubhu isafambe mu trachea, uye mweya wese unoburitswa nechubhu unopinda zvakananga mumapapu.

8. Bvisai `(Laryngoscope)` zvino.

9. Kuti chubhu yekufema isafambe-fambe, plaster inoiswa kumativi ese emuromo kana kuti bhandi rinoiswa rakatenderedza musoro.

10. Pakupedzisira, X-ray inotorwa kuti ione kana chubhu iri panzvimbo chaiyo, kana kuti bhegi rinoshandiswa kupomba mweya muchubhu uye kuteerera ruzha rwunobva mumapapu.

Izvi zvinotora nguva yakareba sei?

Kana paine emergency, chiremba anogona kuita izvi "(Intubation)" munguva isingasviki miniti. Ichi chinhu chinogona kuitwa nekukurumidza kudaro.

Ndingataura, kudya, uye kunwa chubhu iripo here?

Kwete. Haugone kutaura. Nekuti chubhu iyi yekufema inopinda nepatsinga dzenzwi rako. Saka kunyangwe ukaedza kutaura, hapana ruzha runobuda.

Uyewo, haugone kumedza chubhu iripo. Saka haugone kudya kana kunwa. Zvichienderana nekuti unofanira kugara kwenguva yakareba sei wakadaro, vanachiremba vanokupa chikafu chemukati (intravenous nutrition) kana saline (IV fluids). Dzimwe nguva chubhu yakatetepa inogona kuiswa nemuromo kana mhino kuti ikupe chikafu mudumbu mako kana muura hudiki.

Unobvisa sei chubhu? (Chii chinonzi ``(Extubation)``?)

Kana vanachiremba vaona kuti zvakachengeteka kubvisa chubhu, vanobva vaibvisa. Izvi zvinonzi ``Extubation``. Heino maitiro azvinoitwa:

• Purasi kana tepi yaibata chubhu yacho inobviswa.
• Mudziyo wekusveta unobvisa madzihwa nemamwe marara kubva munzira dzekufema.
• Bharumu rakafuridzirwa mukati mepaipi yemhepo rinodururwa.
• Wobva waudzwa kuti utore mweya wakadzika wokosora kana kubudisa mweya pavanenge vachiburitsa chubhu.

Huro yako (`(Pharynx)`) inogona kunge ichirwadza kwemazuva mashoma mushure me`(Extubation)`. Zvingave zvakaomawo kutaura. Izvi zvakajairika, usazvidya mwoyo.

Ndezvipi zvakanakira zveinchubation?

Kuisa machubhu muchubhu inzira yakajairika uye yakachengeteka inogona kubatsira kuponesa hupenyu hwako.

Chinhu chikuru chekubatsira uku ndechekuti kunogona kuponesa hupenyu hwemunhu ari kunetseka kufema. Saka, kana tichienzanisa nedzimwe njodzi diki, ichi chinhu chakakosha zvikuru.

Mikana yekupona ndeipi kana munhu akabatwa netuberation?

Izvi zvinosiyana kubva pamunhu nemunhu. Zvinoenderana nezvinhu zvakawanda, zvakaita sechikonzero chekuiswa kwechubhu, zera rako, hutano hwako, nezvimwewo. Asi imwe ongororo yakawana kuti vanhu vanosvika vanomwe pavanhu gumi vanoiswa muchubhu mukamuri rekukurumidzira vanopona . Saka izvozvo zvinoratidza kuti zvinoponesa hupenyu zvakadii.

Ndeipi njodzi dzekuiswa kwechubhu?

Kunyangwe kupinza machubhu mumuviri kwakachengeteka, kune dzimwe njodzi. Asi yeuka, kuponesa hupenyu kunokosha kupfuura njodzi idzi.

• Kufema : Panguva yekufema, kurutsa, ropa, kana zvimwe zvinwiwa zvinogona kupinda mumapapu.
• Kupinza mweya mumapapu: Chubhu inopinzwa mupaipi yemhepo (trachea) mune imwe yenzira mbiri huru dzekufema (bronchi) dzinobva papaipi yemhepo dzichienda kumapapu.
• Kupinza dumbu muchubhu: Kana chubhu yekufema ikapinda muchubhu yekudya (esophagus) panzvimbo pechubhu yemhepo (trachea), inogona kukonzera kukuvara kweuropi kana kutouraya kana ikasarapwa nekukurumidza nachiremba.
• Kukundikana kuchengetedza nzira yekufema: Kana nzira yekufema isingakwanisike zvakanaka, vanachiremba vangasakwanisa kukurapa.
• Utachiona: Utachiona hwemabhakitiriya, hwakadai sehutachiona hwesinus, hunogona kukura mushure mekuiswa muchubhu.
• Kukuvara: Kupinda muchubhu kunogona kukonzera kukuvara kwemuromo, mazino, rurimi, tambo dzenzwi, kana nzira yekufema. Kukuvara uku kunogona kukonzera kubuda ropa nekuzvimba.
• Matambudziko pavanobuda muanesthesia: Vanhu vazhinji vanopora zvakanaka mushure mekunzwa anesthesia. Zvisinei, vamwe vanogona kunetseka kumuka, kana kuti vanogona kusangana nemamwe matambudziko akadai sefivha, kugwinha kwetsandanyama (kunyanya kupisa muviri), kana kukuvara kwetsinga kwenguva pfupi kana zvachose.
• Kupwanyika kwemapapu: Mhepo yakavharirwa muchipfuva inogona kukonzera mapapu kupwanyika.

Kunyangwe zvinhu izvi zvichigona kuitika, vanachiremba vanonetseka zvikuru nezveizvi zvose.

Ndiani asiri kuisirwa machubhu?

Dzimwe nguva, vanachiremba vanosarudza kuti hazvina kunaka kuita intubation. Izvi zvinogona kuitika kana paine kukuvara kwakanyanya kwenzira yekufema, kana kana paine kuvharika kunotadzisa chubhu kupinda zvakanaka.

Muzviitiko zvakadaro, vanachiremba vanogona kusarudza kuita oparesheni mumutsipa wako wepazasi kuti vavhure nzira yekufema. Izvi zvinonzi " tracheostomy." Izvi zvinowanzoitwa kana uchida kushandisa chubhu yekufema kwemazuva anopfuura mashoma, kana kana uchifunga kuti ungangoda kushandisa imwe kwemavhiki akati wandei.

Zvinotora nguva yakareba sei kuti upore?

Vanhu vazhinji vanopora mukati memaawa mashoma kana mazuva mushure mekuiswa muchubhu. Zvisinei, kana uchinetseka nekukosora, kumedza, kana kutaura kunyangwe mavhiki mashoma mushure mekuiswa muchubhu, ona chiremba. Vanogona kukutumira kuna chiremba wezvenzeve, mhuno, nehuro (otolaryngologist).

Unofanira kuona chiremba rini mushure mekuiswa muchubhu?

Kana ukaona chimwe chezviratidzo izvi mushure mekuiswa muchubhu , enda kuna chiremba nekukasika:

• Kurwadziwa kwechipfuva
• Kuoma kufema, sekupfupika kwemweya
• Kuoma kana kusakwanisa kutaura kana kumedza
• Huro inorwadza zvakanyanya
• Kuzvimba kwechiso

Kana uine chimwe cheizvi, taura nachiremba.

Kupinzwa kwemuchubhu kwakakomba zvakadini?

Izvi zvinoenderana nekuti sei uchifanira kuvhiyiwa `(Intubation)`. Dzimwe nguva vanachiremba vanoshandisa `(Intubation)` panguva yekuvhiyiwa kwakarongwa. Hazvisi nyaya hombe. Asi kana paine emergency, kana usingakwanise kufema wega, kana `(Intubation)` yaitwa senzira yekuponesa hupenyu, inyaya yakakomba zvikuru.

"Intubation" uye "ventilation" zvinhu zvakasiyana here?

``(Intubation)`` uye ``(Mechanical Ventilation)`` zvine hukama. Asi hazvina kufanana chaizvo.

• Kupinza mweya muchubhu (intubation) inzira yekupinza chubhu yekufema muchubhu yekufema.
• Chiremba anobva abatanidza chubhu iyi nechinhu chinoshandiswa kufema. Chishandiso ichi chingave bhegi rinobatwa nemaoko rinopomba mweya, kana kuti chingave chinhu chinofema mweya.
• Muchina wekufema mweya muchina unopomba mweya wekufema nemapapu. Dzimwe nguva muchina wekufema mweya unoburitsa mweya kuburikidza nemasiki pachiso chako kwete kuburikidza nechubhu.

Unonzwisisa here? Kazhinji, mudziyo wekufema unobatanidzwa mushure me "Intubation".

Chii chinonzi `(Nasotracheal intubation)`?

Apa ndipo panoiswa chubhu yekufema nemhino dzako. Izvi zvinowanzoshandiswa kana uri kuvhiyiwa musoro wako, muromo, kana mutsipa. Zvinobatsirawo kudzivirira kukuvara kwemutsipa wako kana paipi yemhepo.

Pakupedzisira, zvinhu zvekurangarira

Kufunga kuti chiremba aise chubhu pahuro kunogona kutyisa. Asi kupinza chubhu inzira yekurapa inowanzoitwa mumakamuri ekuvhiya nemakamuri ekukurumidzira kuti ikubatsire kuponesa hupenyu hwako kana usingakwanise kufema. Vanhu vazhinji vanonzwa kurwadziwa pahuro kana kuoma kutaura mushure mezvo. Asi migumisiro iyoyo inowanzopera mukati mevhiki. Saka, vimba navanachiremba vako. Vanogara vachiedza kuita zvakakunakira.

Kupinza nhubhu , kufema, rubatsiro rwekukurumidzira, rutsigiro rwekufema, mhepo inofema, kuvhiyiwa, tracheostomy