Ukufundisa Kwezokwelapha, I-Endotracheal Intubation, Intubation ye-Nasal, Uyifundile?

I-NASAL Inubation ivame ukusetshenziswa ezigulini ezinobunzima ekuvuleni umlomo noma i-laryngoscope ayikwazi ukufakwa, futhi ezigulini ezihlinzwe ngomlomo, ngakho-ke i-intubation engaboni kwesinye isikhathi isetshenziswa. Ukukhuthaza okungaboni kumele kugcine isiguli siphefumula ngokuzenzakalelayo, sebenzisa ukugeleza kokuphefumula ukulalela umsindo we-catheter, futhi uhambise ikhanda lesiguli ukuze ulungise ukuqondiswa kwe-catheter ukuze ifakwe kwi-trachea. Ngemuva kwe-anesthesia, 1% **** Ngoba indiza ethambekele ye-tracheal tube yayingeye ngakwesobunxele, kwakulula ukufinyelela i-glottis ngokuqonda engqondweni yesobunxele. Ekusebenzeni kwemitholampilo, emakhampasi afanele asetshenziswa kuphela lapho i-infubation yenhlalo yesobunxele ihlangana nokusebenza. Ngesikhathi sokugubha, ukuguqulwa kokuvulwa kwe-cardiopulmonary ukumbumbuluzwa kokuguqulwa kwabantu kwamakhala ngo-Human Alar kwaqala ukwenziwa, bese kufakwa i-catheter yokugcotshwa emgqeni we-nasal omude, nangaphandle komugqa we-nasal ojwayelekile phansi. Umsindo wokuphefumula omkhulu ungazwakala emlonyeni we-catheter. Ngokuvamile, isandla sobunxele sasisetshenziselwa ukulungisa isikhundla sekhanda, isandla sokudla sasisetshenziselwa i-Intubate, bese kuthina isikhundla sekhanda. Ukufaka kwaphumelela kakhulu lapho umsindo we-catheter airflow wawusobala kakhulu kwimodeli ye-elektroniki ye-tracheal yokuqubation. Uma inqubekela phambili ye-catheter ivinjiwe futhi umsindo wokuphefumula uphazanyiswa, kungenzeka ukuthi i-catheter isingene kwi-piriform fossa ohlangothini olulodwa. Uma izimpawu ze-asphyxia zivela ngasikhathi sinye, ikhanda lingaba yindawo eyeqile, lifakwe kwi-Epiglottis kanye neLolie Base Junction Glottis, njengokuphazamiseka komsindo, ikakhulukazi ngenxa yokuguquguquka kwekhanda ngokweqile, UCatheter ungene kwi-esophagus ebangelwa. Uma kwenzeka izimo ezingenhla, i-catheter kufanele ikhishwe kancane, futhi isikhundla sekhanda kufanele siguqulwe ngemuva kokuvela kwemisindo yokuphefumula. Uma ukuphindwaphindwa okuphindwayo kwakunzima, i-glottis ingadalulwa ngomlomo nge-laryngoscope. I-catheter yathuthuka ngesandla sokudla yafakwa eTrachea ngaphansi kombono ocacile. Ngenye indlela, ithiphu le-catheter lingaboshelwa ngamandla okuthumela i-catheter ku-glottis, bese i-catheter ingathuthukiswa 3 kuya ku-5cm. Izinzuzo ze-NASOTRACAAL INTUBation zimi ngokulandelayo: (1) Ishubhu le-nasotracheal akufanele libe likhulu kakhulu, ngoba uma likhulu kakhulu, amathuba okulimaza aphezulu, ngakho-ke ukusetshenziswa kobubanzi obukhulu kakhulu Ishubhu ayivamile; ② Ukusabela kwe-mucosa ye-nasal kuya ekujuleni kungabhekwa, noma ngabe kukhona ukukhuthaza; ③ I-cannal ye-nasal yahlelwa kangcono, futhi ukuslayida okuncane kwatholakala ngesikhathi sokuphefumula kwabahlengikazi nabezentengiselwano; ④ I-curvature ye-cannal ye-nasal inkulu (ayikho i-angle ebukhali), enganciphisa ingcindezi engxenyeni engemuva ye-larynx kanye ne-cartilage yesakhiwo; Iziguli eziphaphase zazikhululekile ngokuqondakala kwamakhala, isenzo sokugwinya sasisihle, futhi iziguli azikwazanga ukuluma umuzwa; ⑥ Kulabo abanobunzima emlonyeni wokuvula, kungasetshenziswa i-ingubal ye-nasal. Okubi kungokulandelayo: (1) Ukutheleleka kungangeniswa endaweni ephansi yokuphefumula ngokuqonda kwe-nasal; ② I-lumen ye-incubation ye-nasal yinde futhi ububanzi obungaphakathi buncane, ngakho-ke indawo efile inkulu, futhi i-lumen kulula ukuvalwa yi-secrection, ekhulisa ukumelana nepheshana lokuphefumula; Ukusebenza esimweni esiphuthumayo kuthatha isikhathi futhi akukho lula ukuphumelela; ④ Kunzima ukunqamula ngokusebenzisa umgodi we-nasal lapho i-trachea incane.