Ityhubhu yokufunxa esetyenziswa kanye isetyenziselwa izigulana zonyango ukuthatha isikhohlela okanye ukukhupha okuphuma kwi-trachea. Umsebenzi wokufunxa wetyhubhu yokufunxa esetyenziswa kanye kufuneka ube lula kwaye uzinzile. Ixesha lokufunxa akufuneki lidlule imizuzwana eli-15, kwaye isixhobo sokufunxa akufuneki sidlule imizuzu emi-3.
Indlela yokusebenza kwetyhubhu yokufunxa esetyenziswa kanye:
(1) Jonga ukuba uqhagamshelo lwenxalenye nganye yesixhobo sokufunxa lugqibelele na kwaye akukho kuvuza komoya. Vula umbane, vula iswitshi, jonga ukusebenza kwe-aspirator, kwaye ulungise uxinzelelo olubi. Ngokubanzi, uxinzelelo lokufunxa lomntu omdala lumalunga ne-40-50 kPa, umntwana ufunxa malunga ne-13-30 kPa, kwaye ityhubhu yokufunxa elahlwayo ifakwa emanzini ukuvavanya ukutsala kunye nokuhlamba ityhubhu yesikhumba.
(2) Jikela intloko yesigulana kumongikazi uze usasaze itawuli yonyango phantsi komhlathi.
(3) Faka ityhubhu yokufunxa elahlwayo ngokulandelelana kwevestibule yomlomo→izidlele→ipharynx, uze ukhuphe iinxalenye. Ukuba kukho ubunzima ekufunxeni ngomlomo, ingafakwa ngempumlo (izigulana ezingavumelekanga ezine-skull base fracture), ulandelelwano luqala kwivestibule yempumlo ukuya kwipaseji esezantsi yempumlo → i-posterior nasal orifice → i-pharynx → i-trachea (malunga ne-20-25cm), kwaye ukukhupha kutsalwa nganye nganye. Yenza njalo. Ukuba kukho i-tracheal intubation okanye i-tracheotomy, i-sputum inokufuthwa ngokuyifaka kwi-cannula okanye kwi-cannula. Isigulana esikwi-comatose sinokuvula umlomo ngesixhobo sokucinezela ulwimi okanye isixhobo sokuvula ngaphambi kokuba sitsale.
(4) Ukufunxwa ngaphakathi kwesisu, xa isigulane siphefumla, faka ngokukhawuleza i-catheter, ujikelezise i-catheter ukusuka ezantsi ukuya phezulu, kwaye ususe ulwelo lomoya, kwaye ujonge ukuphefumla kwesigulane. Ngexesha lokutsala, ukuba isigulane sikhwehlela kakubi, linda ixesha elithile ngaphambi kokuba sikhuphe. Hlamba ityhubhu yokufunxwa nangaliphi na ixesha ukuze ungavali.
(5) Emva kokufunxa, vala iswitshi yokufunxa, ulahle ityhubhu yokufunxa esemgqomeni omncinci, uze utsale i-hose glass joint kwi-bed bar ukuze ibe kwibhotile yokubulala iintsholongwane ukuze icocwe, uze usule umlomo wesigulane. Jonga ubungakanani, umbala kunye nohlobo lwe-aspirate uze ubhale phantsi njengoko kufuneka.
Ityhubhu yokufunxa elahlwayo yimveliso engenazintsholongwane, ehlanjwa nge-ethylene oxide kwaye ihlanjwa iminyaka emi-2. Ingasetyenziswa kanye kuphela, itshatyalaliswe emva kokusetyenziswa, kwaye ayivumelekanga ukusetyenziswa ngokuphindaphindiweyo. Ke ngoko, ityhubhu yokufunxa elahlwayo ayifuni ukuba isigulane sizicoce kwaye sizibulale iintsholongwane.
Ixesha lokuthumela: Julayi-05-2020
