Kugwiritsa ntchito chubu chokoka

Chitoliro choyamwa chomwe chimagwiritsidwa ntchito kamodzi kokha chimagwiritsidwa ntchito kwa odwala kuchipatala kuti atenge makoswe kapena kutulutsa madzi kuchokera mu trachea. Ntchito yoyamwa ya chubu choyamwa chomwe chimagwiritsidwa ntchito kamodzi kokha iyenera kukhala yopepuka komanso yokhazikika. Nthawi yoyamwa siyenera kupitirira masekondi 15, ndipo chipangizo choyamwa sichiyenera kupitirira mphindi zitatu.
Njira yogwiritsira ntchito chubu chokoka madzi kamodzi kokha:
(1) Yang'anani ngati kulumikizana kwa gawo lililonse la chipangizo chokoka kuli bwino ndipo palibe mpweya wotuluka. Yatsani mphamvu, yatsani switch, yang'anani momwe aspirator imagwirira ntchito, ndikukonza kupanikizika koyipa. Nthawi zambiri, kuthamanga kwa munthu wamkulu kumakhala pafupifupi 40-50 kPa, mwana amayamwa pafupifupi 13-30 kPa, ndipo chubu chokoka chomwe chimatayidwa chimayikidwa m'madzi kuti ayesere kukopa ndikutsuka chubu cha khungu.
(2) Tembenuzani mutu wa wodwalayo kwa namwino ndikuyika thaulo la chithandizo pansi pa nsagwada.
(3) Ikani chubu choyamwa chomwe chingagwiritsidwe ntchito motsatira njira ya vestibule ya pakamwa→ masaya→ pharynx, ndikutulutsa mpweya m'zigawozo. Ngati pali vuto poyamwa pakamwa, mutha kuyikamo kudzera m'mphuno (odwala oletsedwa omwe ali ndi chigaza chosweka), dongosololi limachokera ku vestibule ya m'mphuno kupita ku mphuno yapansi → mphuno yakumbuyo → pharynx → trachea (pafupifupi 20-25cm), ndipo madziwo amayamwa chimodzi ndi chimodzi. Chitani izi. Ngati pali trachea intubation kapena tracheotomy, sputum imatha kuchotsedwa mwa kuyika mu cannula kapena cannula. Wodwala comatose amatha kutsegula pakamwa ndi choletsa lilime kapena chotsegulira asanakoke.
(4) Kupopera mkati mwa trachea, wodwalayo akamapuma, ikani catheter mwachangu, tembenuzani catheter kuchokera pansi kupita pamwamba, ndikuchotsa machubu otuluka mumpweya, ndikuwona momwe wodwalayo akupumira. Mukakhala mukukoka, ngati wodwalayo ali ndi chifuwa choyipa, dikirani kwakanthawi musanatuluke. Tsukani chubu chopopera nthawi iliyonse kuti musatseke.
(5) Mukamaliza kuyamwa, tsekani chosinthira kuyamwa, tayani chubu choyamwa chomwe chili mu mbiya yaying'ono, ndikukoka galasi la payipi mu bar ya bedi kuti likhale mu botolo lophera tizilombo toyambitsa matenda kuti liyeretsedwe, ndikupukuta pakamwa pa wodwalayo. Yang'anirani kuchuluka, mtundu ndi mtundu wa aspirate ndikulemba ngati pakufunika kutero.
Chubu choyamwa chomwe chimagwiritsidwa ntchito nthawi imodzi ndi chinthu chopanda poizoni, chomwe chimayeretsedwa ndi ethylene oxide ndikuyeretsedwa kwa zaka ziwiri. Chokhacho chimagwiritsidwa ntchito kamodzi kokha, chimawonongeka mutagwiritsa ntchito, ndipo sichiloledwa kugwiritsidwa ntchito mobwerezabwereza. Chifukwa chake, chubu choyamwa chomwe chimagwiritsidwa ntchito nthawi imodzi sichifuna kuti wodwalayo ayeretse ndi kupha tizilombo toyambitsa matenda.