Ukubhoboza umoya ophuthumayo

Ukuphulwa komoya ophuthumayo ukubekwa kwenaliti engenalutho ku-airway emphinjeni. Kwenziwa ukwelapha ukuminyana okusongela impilo.

Ukubhoboza umoya ophuthumayo kwenziwa esimweni esiphuthumayo, lapho othile eklinya nayo yonke eminye imizamo yokusiza ngokuphefumula yehlulekile.

• Inaliti engenalutho noma ithubhu ingafakwa emphinjeni, ngaphansi nje kwe-apula lika-Adam (uqwanga lwegilozi), emoyeni. Inaliti idlula phakathi koqwanga lwegilo kanye noqwanga lwe-cricoid.
• Esibhedlela, ngaphambi kokufaka inaliti, kungenziwa ukusikeka okuncane esikhunjeni nasolwelwesi oluphakathi kwendlala yegilo neyama-cricoid.

I-cricothyrotomy inqubo ephuthumayo yokuqeda ukuvinjelwa komoya kuze kube yilapho kungenziwa ukuhlinzekwa ukubeka ipayipi lokuphefumula (tracheostomy).

Uma ukuvinjelwa komoya kwenzeka ngokuhlukumezeka ekhanda, entanyeni, noma emgogodleni, kufanele kunakekelwe ukuze kugwenywe ukulimala komuntu.

Izingozi zale nqubo zifaka:

• Ukulimala ebhokisini lezwi (i-larynx), i-thyroid gland, noma i-esophagus

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Ukopha
• Ukutheleleka

Ukuthi umuntu wenza kahle kangakanani kuya ngesizathu sokuvinjelwa komoya nokuthi umuntu usheshe athole ukwesekwa okufanelekile kokuphefumula. Ukubhoboza umoya ophuthumayo kunikeza ukusekela okwanele kokuphefumula isikhathi esifushane kakhulu.

Inaliti cricothyrotomy

• Ukubhoboza umoya ophuthumayo
• Uqwanga we-Cricoid
• Ukuphuka komoya ophuthumayo - uchungechunge

UCattano D, uPiacentini AGG, uCavallone LF. Ukungena kwendlela okuphuthumayo okuhamba ngamandla. Ku: Hagberg CA, Artime CA, Aziz MF, ama-eds. Ukuphathwa Kwezindiza KukaHagberg noBenumof. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 27.

UHerbert RB, uThomas D. Cricothyrotomy kanye nomoya ongenawo umoya wokuhumusha. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 6.