I roto i te rongoā hou, inā koa i roto ite whakahaere i te ara manawa merongoā whakangote, tengongo endotracheal (ETT)He mahi whakaora ora tā te ngongo endotracheal. E whakamārama ana tēnei aratohu i ngā mea katoa e hiahia ana koe ki te mōhio mō ngā ngongo endotracheal—mai i tōna kaupapa me tōna hanganga ki ōna momo me te tukanga whakauru ngongo.
He aha te Ngongo Endotracheal?
An ngongo endotrachealhe ngāwaritaputapu hauoraka whakaurua ki roto i te trachea (te putorino manawa) hei pupuri i te ara manawa tuwhera, inā koa i te wā pokanga, i te wā tiaki ohorere rānei. Ka taea te tuku tika i te hāora, i ngā hau rongoā whakangote, me ētahi atu rongoā ki ngā pukahukahu.
He aha mātou ka whakamahi aiNgā Ngongo Endtracheal?
He mea nui ngā ETT i roto i ngā āhuatanga haumanu maha, pēnei i:
Te aukati i te ara manawa (he mea kua mau i roto i te ara manawa, e aukati ana i te rere o te hau).
Te aukati o te manawa (te ngaronga ohorere o te mahi a te manawa).
Ka whara, ka whara rānei tō kaki, tō puku, tō uma rānei, ka pā ki te ara manawa.
Ina kore e taea e te tangata te manawa noa iho ina kore ia e mōhio, ina mate kino rānei.
Ki te mahi i tētahi pokanga e kore ai koe e kaha ki te manawa ko koe anake.
Te korenga o te manawa rangitahi.
Te mōrearea mō te mimiti.
Ngā Wāhanga o te Ngongo Endotracheal
Ko ngā wāhanga matua o te ngongo endotracheal ko:
- Tinana ngongoHe mea hanga ki te kirihou, ki te rapa rānei, ka whakaurua ki roto i te trachea
- Ringaringa: Kua pupuhihia hei hiri i te ara manawa me te aukati i te mimiti
- Poihau pailate: E whakaata ana i te pēhanga o te ringaringa
- Hononga whānui 15mm: Hono atu ki ngā pūwero hau, ki ngā putea ā-ringa rānei
- Kanohi Murphy: Ka whakarite i te rere o te hau ahakoa kua āraia te pito
Ngā Momo Ngongo Endotracheal
He maha ngā āhua o ngā ETT e hāngai ana ki ngā hiahia o te tūroro me ngā horopaki pokanga:
- Ngā ngongo kua herea, kāore rānei i herea
- Ngā ngongo waha, ngongo ihu rānei
- Ngā ngongo kua oti te hanga (RAE)
- Ngā ngongo whakapakari
- Ngā ngongo rua-lumen(DLT) mō te wehe i ngā pukahukahu
Te Rerekētanga i waenga i te Intubation me te Endotracheal Tube
He tokomaha e whakapoauau ana i ēnei kupu, engari he rerekē ngā tikanga e pā ana ki ēnei kupu:
- Te whakaurunga ngongoHe tikanga hauora tēnei e whakauruhia ai he ngongo ki roto i te puku o te ihu (trachea) mā te waha, mā te ihu rānei.I te nuinga o ngā wā ohorere, ka tukuna mā te waha.
- Ngongo EndotrachealKo te taputapu tinana i whakaurua i te wā e whakauruhia ana te ngongo
Me pēhea te haere tonu me te Intubation (Taahiraa-i-te-taahiraa)
Ko te tukanga intubation e whai ake nei:
- Whakaritea ngā taputapu katoa e tika ana
- Whakakīia te tūroro ki te hāora
- Hoatu ngā rongoā whakangāwari me ngā rongoā whakangāwari uaua
- Tirohia ngā taura reo mā te whakamahi i te laryngoscope
- Whakauruhia te ngongo endotracheal ki roto i te trachea
- Whakapūpūhia te poroporo kia hiritia ai te ara manawa
- Whakaūtia te tūnga mā te capnography me te auscultation
- Whakamaua te ngongo me te aroturuki
Ngā Painga o ngā Ngongo Endotracheal
Ka taea e ia te pupuri i te ara manawa kia tuwhera tonu, kia taea ai e ngā tākuta te hoatu hāora, rongoā, rongoā whakamoe rānei ki ētahi tūroro tino mate, kāore rānei i te mōhio.
Tautokohia te manawa i roto i ētahi mate, pērā i te niumōnia, te emphysema, te ngoikore o te ngakau, te hinga o ngā pukahukahu, me ērā atu.
Āwhina ki te tango i ngā aukati i te ara manawa.
Kia pai ake te tirohanga a te kaiwhakarato ki te ara manawa o runga.
Tiakina ngā pukahukahu o ētahi tāngata kāore e kaha ki te tiaki i ō rātou ara manawa, ā, kei te mōrearea hoki ki te manawa i te wai (te mimiti).
He aha koe i whiriwhiri ai i ngā ngongo endotracheal whakakorekore?
Ngā ETT whakakorekorewhakarato i te haumaru me te whakamarie ake:
- Te whakahaere i te mate kua whakapaitia
- Whakakorehia ngā hiahia horoi, whakamate rānei
- He whai hua te utu, he penapena wā hoki
- E wātea ana i roto i ngā rahi maha kia pai ake ai te taunga
Ngā Tikanga Pai mō te Kōwhiringa me te Whakamahinga
Kōwhiria te ETT tika i runga i:
- Te pakeke o te tūroro me te hanganga o te ara manawa
- Te tukanga kua whakaritea me te roanga
- Hototahi ki ngā rauemi (haumaru ki te MRI, kore-rapa, me ētahi atu)
Me whakaū tonu i te tūnga tika o te wāhi mā te whakaahua me ngā tohu haumanu hei karo i ngā raruraru.
Whakamutunga
Tengongo endotrachealHe taputapu tino nui tēnei mō te rongoā whakamoe me te tiaki ohorere. Mā te mōhio ki te whiriwhiri i te momo tika, te mahi haumaru i te whakaurunga ngongo, me te aroturuki i te whakamahinga ka pai ake ngā putanga mō te tūroro me te whakahaere pai ake i te ara manawa. Kia mau tonu ki ngā tikanga pai hei whakamahi pai i tēnei taputapu hauora nui.
Ngā Pātai Auau (FAQ)
He aha te mahi a te ngongo endotracheal?
E whakamahia ana hei pupuri i te ara manawa tuwhera, hei tuku hoki i te manawa whakapūngao ā-ringa, i te tuku rongoā whakamoe rānei.
He aha te rerekētanga o te ngongo endotracheal mai i te intubation?
Ko te ngongo endotracheal te taputapu, ko te intubation ia ko te whakauru i te ngongo ki roto i te trachea.
He rerekē ngā momo ngongo endotracheal?
Āe, tae atu ki ngā ngongo he here, he ngongo kāore he here, he ngongo waha, he ngongo ihu, he ngongo ātete-reera, me ngā ngongo rua-lumen.
He pai ake te whakamahi i ngā ETT whakakorekore?
Ka whakaitihia e ngā ETT whakakorekore ngā mōrearea mate me ngā mahi horoi, ka nui ake te haumaru me te whai hua.
Wā tuku: Oketopa-24-2023