Ka whakamahia he ngongo momi kotahi-whakamahinga mō ngā tūroro haumanu hei tango i te huware, i ngā mea rānei i puta mai i te trachea. Me māmā, me pumau hoki te mahi momi o te ngongo momi kotahi-whakamahinga. Kaua e neke atu i te 15 hēkona te roa o te momi, ā, kaua hoki e neke atu i te 3 meneti te roa o te taputapu momi.
Tikanga whakahaere ngongo momi kotahi te whakamahinga:
(1) Tirohia mēnā he tino pai te hononga o ia wāhanga o te taputapu momi, ā, kāore he turuturu o te hau. Whakakāhia te hiko, whakakāhia te pana, tirohia te mahi a te mīhini mimiti, ka whakatikatika i te pēhanga kino. Ko te tikanga, ko te pēhanga momi o te pakeke he 40-50 kPa, ko te tamaiti e momi ana i te 13-30 kPa, ā, ka whakanohoia te ngongo momi whakakorekore ki roto i te wai hei whakamātautau i te kukume me te horoi i te ngongo kiri.
(2) Tahurihia te māhunga o te tūroro ki te nēhi, ka horahia te tauera maimoatanga ki raro i te kauae.
(3) Whakauruhia te ngongo momi kotahi kia rite ki te raupapa o te tomokanga o te waha→ngā paparinga→te korokoro, ka tukuna ngā wāhanga. Mena he uaua ki te momi ā-waha, ka taea te whakauru mā te kōhao ihu (kāore e whakaaetia mō ngā tūroro he whati te turanga angaanga), ko te raupapa mai i te tomokanga ihu ki te ara ihu o raro → te kōhao ihu o muri → te korokoro → te trachea (tata ki te 20-25cm), ā, ka momihia ngā mea huna takitahi. Me mahi. Mena he pokanga tracheal, he tracheotomy rānei, ka taea te mimiti i te huware mā te whakauru ki roto i te cannula, i te cannula rānei. Ka taea e te tūroro e moe ana te whakatuwhera i te waha mā te whakamahi i te pehi arero, i te whakatuwhera rānei i mua i te kukume.
(4) Te momi i roto i te trachea, ina manawa te tūroro, whakauruhia wawetia te catheter, hurihia te catheter mai i raro ki runga, ka tangohia ngā mea huna o te ara manawa, ka tirotirohia te manawa o te tūroro. I roto i te tukanga kukume, ki te mea he maremare kino te tūroro, tatari mō tētahi wā i mua i te momi i waho. Horoia te ngongo momi i ngā wā katoa kia kore ai e purua.
(5) Whai muri i te momi, katia te pana momi, maka atu te ngongo momi i roto i te oko iti, ka kumea te hononga karāhe o te ngongo ki roto i te pae moenga kia noho ki roto i te pounamu patu huakita hei horoi, ka murua te waha o te tūroro. Tirohia te nui, te tae me te āhua o te mea i mimitia, ā, tuhia mēnā e tika ana.
He hua parakore te ngongo momi whakakorekore, ka whakahoromatahia ki te ethylene oxide, ā, ka whakahoromatahia mō ngā tau e rua. Kotahi noa te whakamahinga, ka whakangaromia i muri i te whakamahinga, ā, kāore e whakaaetia kia whakamahia anō. Nō reira, kāore e hiahiatia kia horoia, kia patu huakitahia hoki e te ngongo momi whakakorekore.
Wā tuku: Hōngongoi-05-2020
