I-Endotracheal intubation

I-Endotracheal intubation inqubo yokwelashwa lapho kufakwa khona ithubhu ku-windpipe (trachea) ngomlomo noma ngamakhala. Ezimweni eziningi eziphuthumayo, ibekwa ngomlomo.

Noma ngabe uphapheme (unolwazi) noma awuvuki (uqulekile), uzonikezwa umuthi ukwenza kube lula futhi kube mnandi ukufaka ishubhu. Ungase futhi uthole umuthi wokuphumula.

Umhlinzeki uzofaka idivaysi ebizwa nge-laryngoscope ukuze akwazi ukubuka izintambo zezwi nengxenye engenhla ye-windpipe.

Uma inqubo yenziwa ukusiza ngokuphefumula, ishubhu liyabe selifakwa ku-windpipe bese lidlula izintambo zamaphimbo lize libe ngenhla nje kwendawo engenhla lapho amagatsha omqolo emaphashini. Ishubhu lingasetshenziselwa ukuxhuma ne-mechanical ventilator ukusiza ukuphefumula.

I-Endotracheal intubation yenziwa ku:

• Gcina indlela evulekile ukuze unikeze umoya-mpilo, umuthi, noma i-anesthesia.
• Ukusekela ukuphefumula kwezifo ezithile, njenge-pneumonia, i-emphysema, ukwehluleka kwenhliziyo, ukuwa kwamaphaphu noma ukuhlukumezeka okukhulu.
• Susa ukuvinjelwa kundlela yomoya.
• Vumela umhlinzeki ukuthi athole ukubuka okungcono kwe-airway engenhla.
• Vikela amaphaphu kubantu abangakwazi ukuvikela umoya wabo futhi basengozini yokuphefumula uketshezi (ukufisa). Lokhu kufaka phakathi abantu abanezinhlobo ezithile zemivimbo, ukweqisa ngokweqile, noma ukopha okukhulu okuvela emphinjeni noma esiswini.

Izingozi zifaka:

• Ukopha
• Ukutheleleka
• Ukuhlukumezeka ebhokisini lezwi (i-larynx), i-thyroid gland, izintambo zezwi kanye ne-windpipe (trachea), noma i-esophagus
• Ukubhoboza noma ukudwengula (ukugcotshwa) kwezitho zomzimba esifubeni, okuholele ekuweni kwephaphu
  
  

Inqubo ivame ukwenziwa ezimeni eziphuthumayo, ngakho-ke azikho izinyathelo ongazithatha ukulungiselela.

Uzobe usesibhedlela ukuqapha ukuphefumula kwakho namazinga eoksijini egazi lakho. Unganikezwa umoya-mpilo noma ubekwe emshinini wokuphefumula. Uma uvukile, umhlinzeki wakho wezokunakekelwa kwempilo angakunika umuthi wokunciphisa ukukhathazeka noma ukungakhululeki kwakho.

Umbono uzoncika ekutheni kungani inqubo idinga ukwenziwa.

Intubation - endotracheal

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IHartman ME, Cheifetz IM. Izimo eziphuthumayo zezingane kanye nokuvuselelwa. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 67.

IHagberg CA, Artime CA. Ukuphathwa kwezindiza kumuntu omdala. Ku: Miller RD, ed. I-Anesthesia kaMiller. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 55.