Isikhokelo seTracheal Tube
Isikhokelo se-Tebelial Tube sisixhobo esisetyenziswe ngexesha lenkqubo yokufumana ulwazi ukuze sincede ukukhokela ityhubhu yokuphefumla kwi-trachea yesigulana. Ngokwesiqhelo yenziwa ngeplastiki eguquguqukayo kwaye ibekwe ngaphezulu kolwimi lwesigulana ngaphambi kokuqala kwenkqubo yobuntu.
Inkcazo
Inkcazo yeMveliso
Isikhokelo se-Tebelial Tube sisixhobo esisetyenziswe ngexesha lenkqubo yokufumana ulwazi ukuze sincede ukukhokela ityhubhu yokuphefumla kwi-trachea yesigulana. Ngokwesiqhelo yenziwa ngeplastiki eguquguqukayo kwaye ibekwe ngaphezulu kolwimi lwesigulana ngaphambi kokuqala kwenkqubo yobuntu. Esi sikhokelo sisebenza njengesithintelo esikhuselayo ngokuchasene nakuphi na ukhathazeka okanye ukwenzakala okunokwenzeka ngexesha lokufakwa kwetyhubhu yokuphefumla.
Isikhokelo se-tube yokuthambisa sinesitayile kwiziko elivumela ukufakelwa kwe-bougie, eyona nto iguqukayo, eguqukayo enokunceda ukukhokela ityhubhu yokuphefumla. I-Bougie ixutywe ngesikhokelo kwaye ifakwe kwi-trachea yesigulana. Nje ukuba i-bougie ikwindawo, ityhubhu yokuphefumla ityiwa ngaphezulu kwe-bougie nakwi-trachea yesigulana.
Sebenzisa isikhokelo se-tube yokuthambisa kunokunceda ukunyusa umgangatho wempumelelo yokunikezelwa kwe-incubing yetyhubhu, kunye nokunciphisa umngcipheko womonakalo woguli woguli woguli woguli. Ingaluncedo kakhulu kwizigulana ezineendlela ezinzima, ngenxa yezinto ezinjengokutyeba kakhulu, utyando lwangaphambili, okanye ezingaqhelekanga.
Izicelo
1) Ulawulo lwe-Airway ngexesha lotyando: i-laryngoscope eTotracheal Tube idla ngokusetyenziswa kukulawula indlela yenqwelo moya yezigulana eziqengqelekayo. Ivumela i-anesthesia ukuba ilawulwe, kwaye iqinisekisa ukuba umoya womoya wesigulana uhlala uvulekile kwaye ungaphili kuyo yonke le nkqubo.
2) Ulawulo lomoya ongxamisekileyo: kwiimeko zikaxakeka, xa isigulana sifuna ingqalelo kwangoko kwinqwelo-mafutha yabo, i-laryngoscope eTotracheal Tube isetyenziselwa ukugcina i-moya kwaye inike ioksijini.
3) Unyango oluBanzi Olonakeleyo loKhuseleko: I-LAryngoscope Endotracheal Tube ikwasetyenziswa kutshono lwezonyango ukuncedisa kumoya wokungaphumeleli okanye ubunzima bokuphefumla.
4) Ukubeka iliso kumsebenzi wokuphefumla
5) Iinjongo zokuxilonga: I-LAryngoscope Endopracheal Tube inokusetyenziselwa iinjongo zokuxilonga ukuze ufumane iisampulu kwiphecana lokuphelisa isigulana, ezinjengeSputum.
Imveliso yemveliso
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I-Silicone Endotracheal Tube |
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Imodeli Hayi |
Ubungakanani (fr) |
I-OD (mm) |
I-ID (mm) |
Ivoltha ye-ballon (ml) |
Ubude (mm) |
|
Seta-35m |
3.5 |
5 |
3.5 |
2-4 |
250 |
|
I-40m |
4.0 |
6 |
4.0 |
2-4 |
270 |
|
Seta-45m |
4.5 |
6.7 |
4.5 |
3-5 |
285 |
|
Cwangcisa i-50m |
5.0 |
7.3 |
5.0 |
3-5 |
330 |
|
Seta-55m |
5.5 |
7.7 |
5.5 |
3-5 |
330 |
|
Seta i-60m |
6.0 |
8.7 |
6.0 |
4-7 |
330 |
|
Seta-65m |
6.5 |
9 |
6.5 |
4-7 |
330 |
|
Seta-70m |
7.0 |
10 |
7.0 |
4-7 |
330 |
|
Seta-75m |
7.5 |
10.7 |
7.5 |
8-11 |
335 |
|
Cwangcisa i-80m |
8.0 |
11 |
8.0 |
8-11 |
340 |
|
Seta-85m |
8.5 |
11.7 |
8.5 |
8-11 |
340 |
|
Seta-90m |
9.0 |
12.3 |
9.0 |
10-13 |
340 |
|
Seta-95m |
9.5 |
13.3 |
9.5 |
12-15 |
340 |
Izicelo ezinqile
I-Tracheal Tube isikhokelo sidlala indima ebalulekileyo kwi-INTER (indlebe, impumlo, impumlo) utyando) utyando ngokuququzelela ukubekwa kwetyhubhu ye-trube.
Ngexesha lotyando, inqwelo moya yesigulana kufuneka ikhuselwe ukuqinisekisa ukuba kukho inqwelo moya egqibeleleyo kwaye ivumela umoya ofanelekileyo womoya njengoko kufuneka. Isikhokelo se-tube ye-Tracheal sinceda ekugqityweni kwe-tube ye-endotracheal (i-ETT) ngokutyibilikayo nge-nostril okanye umlomo kwi-trachea ngexesha lentu.
Ukusebenzisa isikhokelo kuqinisekisa ukuba ityhubhu ihlala kwindawo efanelekileyo kwaye ithintela ukungafihlisi ngengozi ngexesha lokuqhutywa kwezicubu ezijikelezileyo. Ikwanciphisa umngcipheko wokwenzakala kwiintambo zelizwi, ezinokuthi zenzeke ukuba ityhubhu ibekwe ngokuchanekileyo.
Ukongeza, nje ukuba utyando lugqityiwe, isikhokelo se-tube sivumela ukuba kususwe ngokulula ityhubhu yenqila. Ukusetyenziswa kwesikhokelo kugcina ixesha ngexesha lokusebenza njengoko kunciphisa isidingo semizamo ephindaphindiweyo yokuphanga isigulana.
Ukusetyenziswa xa usebenzisa
1) Ukuma okufanelekileyo: Qinisekisa ukuba intloko yesigulana kunye nentamo ikwindawo efanelekileyo yokuthathwa kwengqondo. Isikhokelo se-tube yokuthambisa kufuneka sibekwe emlonyeni wesigulana, kwaye isikhokelo simele sibekwe ngendlela yokuba ukuvulwa kwesikhokelo ubuso bujongene neLarynx.
2) Ubungakanani bokukhetha: Khetha ubungakanani obufanelekileyo wesikhokelo se-Tracheal Stracheal esiya kulunga ubungakanani betyhubhu ye-endotrache yokufakwa. Qiniseka ukuba isikhokelo asincinci kakhulu okanye sikhulu kakhulu kwi-endotracheal tube.
I-3) I-Libbring: Sebenzisa amanzi -}}}}} inyibilikisi ukuba inciphise isikhokelo se-Tracheal Trube ukunqanda nakuphi na ukwenzakala kwinqwelo moya yesigulana. Faka isicelo sooyile kwisiphelo sesikhokelo ngaphambi kokufakwa.
4) Indlela efanelekileyo: Isikhokelo i-tube ye-endotracheal tub ngokucokisekileyo phakathi kweentambo zelizwi kwaye uqinisekise ukuba ukuphela kwayo ngokubeka iliso - umxholo we-carbon dioxide okanye iziqulatho ze-gistric.
5) Ukuthathela ingqalelo ukhuseleko izigulana: Ukubeka iliso kwimiqondiso ebalulekileyo yesigulana kunye nemeko kuyo yonke le nkqubo ukuqinisekisa ukhuseleko lwesigulana. Ukongeza, zinezixhobo zolawulo olungxamisekileyo lomoya olukhoyo kwaye lulungele ukusetyenziswa kwiimeko zongxamiseko.
Iifayile ezishisayo: Isikhokelo seTracheal Tebe, China Tracheal Tube Abavelisi abakhokelayo, abathengisi, umzi-mveliso
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