Daawooyinka casriga ah, gaar ahaan gudahamaamulka marin-haweedka iyosuuxinta, ahtuubada endotracheal (ETT)wuxuu ka ciyaaraa door nafo lagu badbaadinayo. Hagahan waxa uu sharxayaa wax kasta oo aad u baahan tahay inaad ka ogaato tubbada endotracheal - laga bilaabo ujeedadooda iyo qaab dhismeedka ilaa noocyadooda iyo habka dhuujinta.
Waa maxay Tube Endotracheal?
An tuubada endotrachealwaa dabacsanaanqalab caafimaadla geliyo hawo mareenka (tubaabka dabaysha) si loo ilaaliyo marin-haweedka furan, gaar ahaan xilliga qaliinka ama daryeelka degdegga ah. Waxay u ogolaataa in si toos ah loo gaarsiiyo ogsijiinta, gaaska suuxinta, iyo daawooyinka kale ee sambabada.
Maxaynu U IsticmaalnaaTuubooyinka Endotracheal?
ETTs ayaa muhiim u ah xaalado caafimaad oo kala duwan, sida:
Hawo-mareenka oo xanniba (wax lagu qabto marin-haweedka, xannibaya socodka hawada).
Wadnaha oo istaaga (wadnaha oo si lama filaan ah u lumo).
Qoortaada, calooshaada ama laabtaada ayaa dhaawac ama jug ka soo gaartaa marinka hawadu marto.
Marka qofku uusan si kedis ah u neefsan karin marka uu miyir qabo ama uu xanuunsan yahay.
Si aad u samayso qalliin kaa dhigaya inaadan awoodin inaad keligaa neefsato.
Neefsashada oo ku meel gaadh ah.
Khatarta hamiga.
Qaybaha tuubada Endotracheal
Qaybaha muhiimka ah ee tuubada endotracheal waxaa ka mid ah:
- Jirka Tube: Ka samaysan caag ama caag, oo la geliyo hawo mareenka
- Cuff: barar si uu u xidho marin-haweedka loogana hortago hamiga
- buufin duuliye: Waxay ka tarjumaysaa cadaadiska cuff
- Xidhiidhiyaha caalamiga ah 15mm: Waxay ku xirtaa hawo-mareenada ama boorsooyinka gacanta
- Murphy isha: Waxay hubisaa socodka hawada xitaa haddii caarada la xannibo
Noocyada Tubooyinka Endotracheal
ETTs waxay ku yimaadaan qaabab kala duwan oo ku habboon baahiyaha bukaanka iyo xaaladaha qalliinka:
- Tuubooyin katiinado ah ama aan katiinad lahayn
- Tubooyinka afka ama sanka
- Tuubooyinka horay loo sii diyaariyay (RAE).
- Tuubooyinka la xoojiyay
- Tuubooyinka laba-lumen(DLTs) ee go'doominta sambabada
Farqiga udhaxeeya Intubation iyo Tube Endotracheal
Qaar badan ayaa ku wareersan ereyadan, laakiin waxay tixraacaan waxyaabo kala duwan:
- Intubation: waa habraac caafimaad oo tuubo la geliyo tuubada dabaysha (trachea) ee afka ama sanka.Inta badan xaaladaha degdega ah, waxaa la geliyaa afka.
- Tuubada EndotrachealQalabka jirka ah ee la geliyo inta lagu guda jiro gudaha gudaha
Sida Looga Wado Intubation (Tallaabo-Tallaabo)
Geedi socodka mudista waxa ku jira talaabooyinkan soo socda:
- Diyaarso dhammaan qalabka lagama maarmaanka ah
- Preoxygenate bukaanka
- Maamul dawo dejineed iyo nasiye muruqa
- Bal sawir xadhkaha codka adoo isticmaalaya laryngoscope
- Geli tuubada endotracheal ee hawo mareenka
- Ku duub katiinada si aad u xidho marin-haweedka
- Ku xaqiiji meelaynta iyada oo loo marayo sawir-qaadis iyo auscultation
- Hubi tuubada oo ilaali
Faa'iidooyinka Tubooyinka Endotracheal
Waxay ka dhigi kartaa marin-haweedka furan, si ay dhakhaatiirtu u siiyaan ogsijiin, daawo, ama suuxinta qaar ka mid ah bukaannada aadka u xanuunsan ama aan miyir lahayn.
Taageerada neefsashada cudurrada qaarkood, sida oof-wareen, emphysema, wadne xanuun, sambab burburay iyo wixii la mid ah.
Caawimo si aad uga saarto xannibaadaha marinnada hawadu marto.
Si fiican ugu hel marin-haweedka sare ee bixiyaha.
Ka ilaali sambabada dadka qaar oo aan awoodin inay difaacaan marin-haweedka oo halis ugu jira inay neefsadaan dareere (hami).
Waa maxay sababta loo doorto Tubooyinka Endotracheal ee la tuuri karo?
ETTs la tuuri karoBixi badbaado la xoojiyay iyo ku habboonaanta:
- Xakamaynta caabuqa oo la hagaajiyay
- Baabi'inta nadiifinta ama nadiifinta baahiyaha
- Kharash-ku-ool ah iyo waqti-badbaadinta
- Lagu heli karo cabbirro kala duwan si ay ugu habboonaato
Hababka ugu Fiican ee Xulashada iyo Isticmaalka
Dooro ETT habboon oo ku salaysan:
- Da'da bukaanka iyo anatomy marin-haweedka
- Habka la qorsheeyay iyo muddada
- Waafaqsanaanta walxaha (MRI-ammaan, caaro-free, iwm.)
Had iyo jeer ku xaqiiji meelaynta saxda ah oo leh sawir-qaadid iyo calaamadaha bukaan-socodka si aad uga fogaato dhibaatooyinka.
Gabagabo
Thetuubada endotrachealwaa qalab muhiim u ah suuxinta iyo daryeelka degdega ah. Ogaanshaha sida loo doorto nooca saxda ah, u samee musqulaha si badbaado leh, iyo la socodka isticmaalka waxay hubisaa natiijooyinka bukaan-socodka iyo hagaajinta maareynta marin-haweedka. La soco hababka ugu fiican si aad uga faa'iidaysato qalabkan caafimaad ee muhiimka ah.
Su'aalaha Inta Badan La Isweydiiyo (FAQ)
Waa maxay ujeedada tuubada endotracheal?
Waxa loo isticmaalaa in lagu ilaaliyo marin hawo furan oo u ogolaato hawo farsamo ama suuxdin.
Sidee tubbada endotracheal uga duwan tahay dhuujinta?
Tuubbada endotracheal waa aaladda, halka dhuujintu ay tahay ficilka gelinta tuubada hawo-mareenka.
Ma jiraan noocyo kala duwan oo ah tuubooyinka endotracheal?
Haa, oo ay ku jiraan katiinado, katiinado la'aan, afka, sanka, laysarka u adkaysta, iyo tuubooyinka laba-lumen.
Isticmaalka ETT-yada la tuuri karo ma ka wanaagsan yahay?
ETT-yada la tuuri karo waxay yareeyaan khatarta caabuqa waxayna baabi'iyaan tillaabooyinka nadiifinta, iyaga oo ka dhigaya kuwo ammaan ah oo waxtar leh.
Waqtiga boostada: Oct-24-2023