Tšoaetso ea Endotracheal

Endotracheal intubation ke mokhoa oa bongaka oo ho kenngoang tube ka har'a sefefo (trachea) ka molomo kapa ka nko. Maemong a mangata a tšohanyetso, e beoa ka hanong.

Hore na o tsohile (o tseba) kapa ha o a tsoha (o akhehile), o tla fuoa moriana ho etsa hore ho be bonolo le ho phutholoha ho kenya tube. U ka fumana le moriana oa ho phomola.

Mofani oa thepa o tla kenya sesebelisoa se bitsoang laryngoscope ho khona ho bona lithapo tsa lentsoe le karolo e kaholimo ea phala ea moea.

Haeba ts'ebetso e ntse e etsoa ho thusa ka ho phefumoloha, tube e kenngoe ka hara sefefo ebe e feta likhoele tsa lentsoe ho feta kaholimo ho moo makala a trachea a kenang matšoafong. Joale tube e ka sebelisoa ho hokela mochini o thusang ho hema.

Endotracheal intubation e etsoa ho:

• Boloka tsela e bulehileng moeeng e le ho fana ka oksijene, moriana kapa thethebatso.
• Ts'ehetsa ho phefumoloha mafu a itseng, a kang pneumonia, emphysema, ho hloleha ha pelo, ho fokola ha matšoafo kapa khatello e kholo ea maikutlo.
• Tlosa lithibelo tseleng ea moea.
• Lumella mofani hore a bone hantle tsela e holimo ea moea.
• Sireletsa matšoafo ho batho ba sitoang ho sireletsa tsela ea bona ea moea mme ba kotsing ea ho hema mokelikeli (aspiration). Sena se kenyelletsa batho ba nang le mefuta e itseng ea ho otloa ke setorouku, ho noa ho tlola tekano, kapa ho tsoa mali a mangata ka mpeng kapa mpeng.

Likotsi li kenyelletsa:

• Ho tsoa mali
• Tšoaetso
• Matšoenyeho a lebokoseng la lentsoe (larynx), qoqotho ea qoqotho, lithapo tsa lentsoe le sepakapaka (trachea), kapa 'metso
• Ho phunya kapa ho tabola likarolo tsa 'mele ka sefubeng, ho lebisang ho putlheng ha matšoafo
  
  

Ts'ebetso hangata e etsoa maemong a tšohanyetso, ka hona ha ho na mehato eo u ka e nkang ho itokisa.

U tla ba sepetlele ho lekola phefumoloho ea hau le maemo a oksijene ea mali a hau. U ka fuoa oksijene kapa ua beoa mochining oa ho hema. Haeba u falimehile, mofani oa hao oa tlhokomelo ea bophelo a ka u fa meriana ho fokotsa ho tšoenyeha kapa ho se phutholohe.

Ponahalo e tla ipapisa le lebaka leo ts'ebetso e lokelang ho etsoa ka lona.

Intubation - endotracheal

Mokhanni BE, Reardon RF. Ts'ebetso ea tracheal. Ka: Roberts JR, Custalow CB, Thomsen TW, li-eds. Mekhoa ea Tleliniking ea Roberts le Hedges ho Meriana ea Tšohanyetso le Tlhokomelo e Ntle. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 4.

Hartman ME, Cheifetz IM. Maemo a tšohanyetso a bana le ho hlasimolla. Ka: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, bahlophisi. Buka ea Nelson ea Pediatrics. 20th, ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 67.

Hagberg CA, Artime CA. Tsamaiso ea lifofane ho motho e moholo. Ka: Miller RD, e hlophisitsoeng. Anesthesia ea Miller. La 8th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 55.