Nasal Intubation inowanzoshandiswa muvarwere nekuvhura muromo kana lararyngoscope haigone kuiswa, uye mune varwere vari kuvhiyiwa kwemuromo, saka kusimuka kwemeso kunowanzoshandiswa. Kusimudzira kusingaonekwe kunofanira kuchengeta murwere kufema, shandisa kufema kufema kuti uteerere kurira kwetirera, uye fambisa musoro wemurwere kuti ugadzirise kutungamira kuitira kuti uiswe mu trachea. Mushure mekunge anesthesia, 1% Nekuti ndege inonyungudika yeyava tracheal tube yaive kuruboshwe, zvaive nyore kuwana glottis nekupinza mumhino kuruboshwe. Muchiratidzo chekiriniki, iyo yekurudyi mhino inoshandiswa chete apo iyo yekuruboshwe notchril intubation inokanganisa nekuvhiya. Munguva yekusimbisa, kufungidzira kwekudzidzira kwekudzidzisa kwemhino kwevanhu kwaakatanga kuitwa mumhino, uye kubva mumhino refu refu Inzwi rakanzwika rekufema raigona kunzwiwa kubva pamuromo wekutuka. Kazhinji, ruoko rweruboshwe rwaishandiswa kugadzirisa chinzvimbo, ruoko rworudyi rwakashandiswa kupinda, uye ipapo musoro musoro wakabviswa. Iko kuisirwa kwakanyatsobudirira kana iyo catheter airfalo ruzha ruchiita zviri pachena mumhando yemagetsi tracheal intches. Kana kufambira mberi kwekateri kwakavharwa uye kurira kwekufema kwakakanganiswa, kungave kuri kuti catheter yakatsvedza muPiriform Fosssa kune rimwe divi. Kana zviratidzo zveAsphyxia zvichiitika panguva imwe chete, musoro unogona kunge wakanyanyisa kumashure, wakaiswa muEpiglottis, zvichikonzera Epiglottis Glettis, sekurwisa kupindira kwakanyangarika, uye nekufema kupindira, zvakanyanya nekuda kwekunyanyisa kudzvanywa. catheter mune esophagus yakakonzerwa. Kana mamiriro ari pamusoro apa, chicheka inofanira kubviswa zvishoma, uye musoro wemusoro unofanirwa kugadziridzwa mushure mekufema kwemanzwi anoonekwa. Kana yakadzokororwa bofu intubation yaive yakaoma, glottis inogona kufumurwa kuburikidza nemuromo ne layngoscope. Iyo Catheter yaive yakura neruoko rwerudyi uye akaisa mu trachea pasi pechiratidzo chakajeka. Nenzira imwe cheteyo, chipenga chetongi chinogona kuvezwa nemauto kutumira catheter muGlettis, uyezve catheter inogona kufambira mberi 3 kusvika ku5cm. Zvakanakira Nasotracheal Extracheal Intubation ndezvekutevera: (1) Iyo Nasotracheal tube haifanirwe kunge yakakura, iyo mikana yekukuvara kweiyo larynx nharaunda yakakwirira, saka kushandiswa kweiyo yakanyanya kuwanda ye Iyo tube isingawanzo; ② Zvakaitwa nemhino muCofa kupindira kunogona kucherechedzwa, kana paine kukurudzira; ③ Iyo Nasal Cannula yakagadziriswa zvirinani, uye kushoma kutsvedza kwakawanikwa panguva yekufema uye yekufema yekufema; ④ Iyo curvature yeNASAL Cannula yakakura (isina acute angle), iyo inogona kuderedza kumanikidzwa pane chikamu chepashure che larynx uye chivakwa cartilage; Varwere vava nemavarwere vakanzwa vakasununguka nekubuda kwemhino, kumedza kuita kwakanaka, uye varwere havagone kuruma kupindira; Kune avo vane vakaoma mumiromo, Nasal Intubation inogona kushandiswa. Zvinokanganisika ndezvekutevera: (1) Utachiona hunogona kuunzwa mumugwagwa wezasi wekufema wekufema nekubuda kwemhino; ② Varungu veNASal Intubation inguva yakareba uye iyo nzvimbo yemukati idiki, saka nzvimbo yekufa yakakura, uye iyo luemen iri nyore kuvharirwa nezvibvumirano, zvinowedzera kuramba turakiti rekufema; ③ Kuvimbiswa kwekukurumidzira kunotora nguva uye hazvisi nyore kubudirira. ④ Zvakaoma kupinza kuburikidza neNASAL Cavity kana iyo trachea yakamanikana.
Kutumira Nguva: Jan-04-2025