Ukuqhaqha komoya ongxamisekileyo

Ukuqhaqha komoya ongxamisekileyo kukubekwa kwenaliti engenamngxuma kwindlela yomoya emqaleni. Yenziwe ukunyanga ukusongela ubomi.

Ukugqojozwa komoya ongxamisekileyo kwenziwa kwimeko engxamisekileyo, xa umntu ekrwitshwa nayo yonke imizamo yokunceda ngokuphefumla isilele.

• Inaliti engenanto okanye ityhubhu ingafakwa emqaleni, ngaphantsi nje kwe-apile ka-Adam (intlala yedlala lengqula), kwindlela yomoya. Inaliti idlula phakathi kwe-cartilage ye-thyroid kunye ne-cricoid cartilage.
• Esibhedlele, ngaphambi kokufaka inaliti, inokusikwa kancinci kulusu kunye nenwebu phakathi kwe-thyroid kunye neekricoid cartilages.

I-cricothyrotomy yinkqubo engxamisekileyo yokuthintela ukuphazamiseka komoya kude kwenziwe utyando ukubeka ityhubhu yokuphefumla (tracheostomy).

Ukuba ukuvalwa kwendlela yomoya kwenzeka ngoxinzelelo entloko, entanyeni, okanye emqolo, kufuneka kuthathelwe ingqalelo ukunqanda ukwenzakala okungakumbi emntwini.

Iingozi zale nkqubo zibandakanya:

• Ukonzakala kwibhokisi yelizwi (kwingqula), idlala lengqula, okanye umqala

Iingozi zalo naluphi na utyando zezi:

• Ukopha
• Usulelo

Ukusebenza kakuhle komntu kuxhomekeke kwisizathu sokuvaleka komoya kunye nendlela akhawuleza ngayo umntu ukufumana inkxaso efanelekileyo yokuphefumla. Ukugqobhoza umoya ongxamisekileyo kunika inkxaso eyoneleyo yokuphefumla ixesha elifutshane kakhulu.

Inaliti ye-cricothyrotomy

• Ukuqhaqha komoya ongxamisekileyo
• Cricoid intlala
• Ugcino lomoya olungxamisekileyo-uthotho

ICattano D, iPiacentini AGG, iCavallone LF. Ukufikelela ngokungxamisekileyo kwendlela yomoya. Ku: IHagberg CA, Artime CA, Aziz MF, ii-eds. Ulawulo lukaHagberg kunye noBenumof. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 27.

UHerbert RB, uThomas D. Cricothyrotomy kunye noguqulelo lwomoya olungena ngaphakathi. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 6.