I-Endotracheal intubation

I-Endotracheal intubation yinkqubo yonyango apho ityhubhu ibekwa kwi-windpipe (trachea) ngomlomo okanye ngempumlo. Kwiimeko ezininzi ezingxamisekileyo, ibekwa ngomlomo.

Nokuba uphaphile (unolwazi) okanye awuvukanga (akukho zingqondweni), uya kunikwa amayeza okwenza ukuba kube lula kwaye kube lula ukufaka ityhubhu. Unokufumana iyeza lokuphumla.

Umboneleli uya kufaka isixhobo esibizwa ngokuba yi-laryngoscope ukuze sikwazi ukujonga imicu yezwi kunye nenxalenye ephezulu yomoya.

Ukuba le nkqubo iyenziwa ukunceda ngokuphefumla, ityhubhu iyafakwa kumbhobho womoya kwaye idlule imicu yezwi ngaphezulu ngentla kwendawo apho amasebe e-trachea angena khona emiphungeni. Umbhobho ungasetyenziselwa ukunxibelelana nomoya ophefumlayo ukunceda ukuphefumla.

I-Endotracheal intubation yenziwe kwi:

• Gcina indlela yomoya ivulekile ukuze unike ioksijini, amayeza, okanye i-anesthesia.
• Ukuxhasa ukuphefumla kwizigulo ezithile, ezinje nge-pneumonia, i-emphysema, ukusilela kwentliziyo, ukuwa kwemiphunga okanye umothuko omkhulu.
• Susa izithintelo kwindlela yomoya.
• Vumela umboneleli ukuba abone ngcono indlela yomoya ephezulu.
• Khusela imiphunga kubantu abangakwaziyo ukukhusela indlela yabo yomoya kwaye basemngciphekweni wokuphefumla ulwelo (aspiration). Oku kubandakanya abantu abaneentlobo ezithile zokubetha, ukugqithisa, okanye ukuphuma kwegazi okukhulu kwi-esophagus okanye esiswini.

Iingozi zibandakanya:

• Ukopha
• Usulelo
• I-trauma kwibhokisi yelizwi (i-larynx), i-thyroid gland, iintambo zezwi kunye ne-windpipe (trachea), okanye i-esophagus
• Ukubhoboza okanye ukukrazula (ukugqobhoza) kwamalungu omzimba kwisifuba esifubeni, okukhokelela ekuweni kwemiphunga
  
  

Inkqubo ihlala isenziwa kwiimeko zikaxakeka, ke akukho manyathelo onokuwathatha ukulungiselela.

Uya kuba esibhedlele ukongamela ukuphefumla kwakho kunye namanqanaba egazi leoksijini. Unokunikwa ioksijini okanye ubekwe kumatshini wokuphefumla. Ukuba uvukile, umboneleli wakho wezempilo unokukunika amayeza ukunciphisa uxinzelelo okanye ukungonwabi.

Imbonakalo iya kuxhomekeka kwisizathu sokuba inkqubo kufuneka yenziwe.

Ukuthintela - i-endotracheal

Umqhubi BE, Reardon RF. Intubation yolwazi. 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 4.

IHartman ME, Cheifetz IM. Unyango olungxamisekileyo lwabantwana kunye nokuvuselelwa. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 67.

IHagberg CA, Artime CA. Ulawulo lomoya kumntu omdala. Ku: Miller RD, ed. I-Anesthesia kaMiller. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 55.