Ityhubhu ye-lumen

I-tube ephindwe kabini ye-lumen trube (i-DLT) isetyenziselwa ukukhetha umoya okhethiweyo ngexesha lenkqubo ethile yoqhaqho. Sisixhobo somoya esikhethekileyo esivumela ukuba bodwa ngokuzimeleyo kunye nokungena kweyona ndawo ishiyekileyo neyasekunene.

1) Ukufakwa: I-DLT ifakwe ngononophelo kwi-trachea yesigulana, ikhokelwa ngokuboniswa ngqo okanye ubuchule ngqo njenge-fiberoptic bronchoscopy okanye ividiyo- incedisiwe.

2) I-wings Omnye uLumen ubekwe kwi-trachea ukubonelela ngomoya ukuya kwi-bing, ngelixa enye i-lumen idlulile kwi-bronchus ekhokelela kwenye imiphunga. Ngokuthintela i-bronchsus kunye nokuqhubeka kwe-ventilation ngenye, ukubekwa kwe-wings wings kufezekiswa.

3) I--} I-DLT ivumela umoya wokuphuma kwe-- imiphunga esebenza okwethutyana ngelixa ubonelela ngokufihlakeleyo kwimiphunga esebenzayo.

I-4) Ukufikelela utyala: nge-olv iphumelele ukusebenzisa i-DLT, oogqirha banokusebenza kwi-lang enye ngaphandle kokuphazamiseka kwimiphunga enomoya. Oku kubonelela ngokuphuculwa kokubonakaliswa kwaye baququzelele iinkqubo ezintsonkothileyo ngaphakathi kwe-thoracic cavity.

I-5) Ukukhuselwa kwemijengi: Ukukhetha umoya okhethiweyo nge-DLT nge-DLT kunceda ukukhusela i-lings engasebenziyo, njengegazi okanye ukunciphisa umngcipheko weengxaki okanye ukwenzakala kwimiphunga esempilweni.

Ukubekwa ngokufanelekileyo: Ukuqinisekisa ukubekwa ngokuchanekileyo kunye nokuma ngokuchanekileyo kwe-DLT kubalulekile. Ubudoda bunokukhokelela kumoya ongenakuphikiswa, ukufuduka kwetyhubhu, okanye ukufuduka kwe-sub yokufuduka kwi-bronchus engalunganga, kukhokelela ekungasebenziyo okanye ukonakala komphunga.

I-Tube Dislodiment: Kukho umngcipheko wokungafumaneki ngokungacwangciswanga kwi-DLT ngexesha lotyando, enokubakho ekhokelela ekuthinteleni okanye ubunzima bokugcina ityhubhu ngokuchanekileyo. Ukubeka esweni rhoqo kunye nokulungiswa okukhuselekileyo kwetyhubhu kubalulekile.

Ukulimala nge-Airway: Ukufakwa kwe-DLT kuthwele umngcipheko wokwenzakala kwenqwelomoya, kubandakanya ukonakala kwiintambo zelizwi, i-trachesal mucosa, okanye iindonga ze-trache. Indlela ngononophelo kunye nokubona ngexesha lokufakwa kunokunceda ukunciphisa umngcipheko wokulimala okunjalo.

Ukufakwa kobunzima: I-DLT REPION inokuba ngumceli mngeni kwizigulana ezingenangqondo, ukuvula umlomo, okanye i-abnobrobronial anatomy. Izakhono ezongeziweyo kunye nezixhobo zinokuba yimfuneko, ezinje nge-biberoptic brochoscopy okanye i-videolaryngoscopy, ukulungiselela ukubekwa ngempumelelo.

I-Hypoxia kunye ne-hyperpercapnia: I-Gypercailiation Deentilate ye-Dentilate, i-Farication, okanye isithintelo se-DLT sinokukhokelela kwi-hypoxia (amanqanaba eoksijini esezantsi) okanye i-hypercapnia (i-Hypercapnia (i-Hypercapnia). Ukubeka iliso okuqhubekayo nokwamkelwa ngokukhawuleza kwale miceli mngeni kubalulekile ukuqinisekisa uhlengahlengiso olufanelekileyo kunye nongenelelo.

Umonakalo kwi-tissue yezicubu kunye ne-barotrauma: «{0}}}-} uxinzelelo lwe-ventilation okanye i-wings evest lunokubangela ukulimala kwe-lings okanye i-barotrauma. Ukubeka iliso kuxinzelelo lwe-Airway kunye nokuthobela i-LUNG kubalulekile ukuthintela uxinzelelo olugqithisileyo {{2}-.

Umngcipheko we-Aspiration: Ngaphandle kokubekwa kwe-phungs, kukho umngcipheko onokubakho wokufumana i-aspiration ukusuka kwi-nof -} imithombo yomoya okanye eminye imithombo. Ukubeka iliso ekuhlaleni, ukusetyenziswa kweendlela ezifanelekileyo zokutywina, kunye nokulawula imithombo enokubangela i-aspiration (umzekelo, ukunikezelwa okusebenzayo) kubalulekile ukunciphisa lo mngcipheko.

Iifayile ezishisayo: I-tube ephindwe kabini uLumen Tebel Tube, i-China i-China kabini uLumen Tracheal Tube, abathengisi, umzi-mveliso