Chida chogwiritsira ntchito pulogalamu ya pulasitiki ndi mapuloteni omwe amapangidwa kuchokera pakamwa kupita mu trachea (windpipe) kuthandiza wodwala kupuma. Pambuyo pake chubuchi chimagwirizanitsidwa ndi mpweya wabwino, umene umapereka oksijeni m'mapapu. Njira yowonjezera chubu imatchedwa endotracheal intubation.
Cholinga
Mankhwala osakanizika amatha kuikidwa pamene wodwala sangathe kupuma yekha, chifukwa cha matenda oopsa, matenda aakulu, kapena opaleshoni pamene amagwiritsidwa ntchito.
Zina mwazinthu zowonjezereka zowonjezereka zikuphatikizapo:
- Kuchita opaleshoni yowonjezereka - Ndi mitsempha yambiri ya thupi, minofu ya thupi yomwe imaphatikizapo ziwalozo zimafa ziwalo, ndipo kuika chubu kumapeto kumathandiza kuti mpweya uzigwira ntchito yopuma.
- Kuchotsa thupi lachilendo - Ngati chitetezo chikuletsedwa ndi thupi lachilendo lomwe lafunidwa (lopuma) chimbudzi choyambirira chingaperekedwe kuthandizira kuchotsa chinthu chachilendo.
- Kuteteza mlengalenga motsutsana ndi aspiration - Ngati wina ali ndi GI magazi (kutuluka mmimba) kapena akudwala, ndipopototracheal chubu ikhoza kuikidwa kuti zithandizire kuteteza m'mimba kuti asalowe mumlengalenga.
- Kuwonetsa kuti pandegeyo - Ngati mukuganiza kuti ndizosazolowereka kwa khungu, trachea, kapena bronchi, timatha kugwiritsidwa ntchito kuti tiwonetsetse bwino momwe thambo likuyendera.
- Pambuyo pa opaleshoni ya khansa ya m'mapapo - Chiguduli chotsalira chokhala ndi mpweya chikhoza kuchoka m'malo kuti zithandize kupuma pambuyo pa opaleshoni.
- Pofuna kupuma kupuma - Ngati munthu akuvutika kupuma chifukwa cha chibayo, vuto la mtima la pneumothorax (kuwonongeka kwa m'mapapo), kapena kusowa chidziwitso chifukwa cha kupweteka kwambiri, kupweteka, kapena kuvulala kwa ubongo, komanso kugwiritsira ntchito mapuloteni amatha kupatsirana kupuma.
Ndondomeko
Kawirikawiri chimbudzi chokhazikika chimayikidwa pamene wodwala sakudziwa.
Ngati wodwalayo akudziŵa, mankhwala amagwiritsidwa ntchito kuthetsa nkhawa pamene chubu imayikidwa mpaka itachotsedwa. Thumba imayikidwa kupyolera pakamwa (kapena nthawi zina kudzera m'mphuno) mutasunthira lilime pambali, ndikukweza chubu pansi pakati pa zingwe zamtundu mumtambo. Chifukwa cha malo ake, anthu sangathe kuyankhula pamene chubu ilipo.
Zovuta ndi Zoopsa
Zina mwa zoopsa zomwe zimayikidwa ndi kukhazikitsidwa kwa pulogalamu yotchedwa endotracheal tube ndi izi:
- Kusuta.
- Kutenga.
- Kuwopsya (anthu ambiri amamva kupweteka kwa pakhosi pambuyo pokhala ndi chubu chosatha.)
- Pneumothorax (kugwa kwa mapapo).
- Kupanga malo ochepa - An x-ray akhoza kuchitidwa kuti atsimikizidwe kuti chubuyi imayikidwa mu trachea osati phokoso.
Zotsatira:
National Library of Medicine. MedlinePlus. Endotracheal Intubation. Kusinthidwa 11/14/14.