Nkuzi ahụike, ntinye aka na Endotracheal, ntinye aka na imi, ị mụtala ya?

A na-ejikarị intubation imi eme ihe n'ime ndị ọrịa nwere nsogbu imepe ọnụ ma ọ bụ enweghị ike itinye laryngoscope, nakwa n'ime ndị ọrịa a na-awa ahụ n'ọnụ, yabụ a na-ejikarị intubation kpuru ìsì eme ihe. Intubation kpuru ìsì ga-eme ka onye ọrịa na-eku ume ozugbo, jiri iku ume gee ntị n'olu catheter ahụ, ma kwaga isi onye ọrịa iji gbanwee ntụziaka nke catheter ahụ ka e wee tinye ya n'ime trachea. Mgbe a gwọchara ya, a tụfuru 1%****** mmiri ọgwụ site n'imi iji kpalite mkpụkọ nke arịa ọbara mucosal. Ebe ọ bụ na oghere tracheal dị n'aka ekpe, ọ dị mfe ịnweta glottis site na intubation n'imi aka ekpe. N'ọrụ ahụike, a na-eji oghere imi aka nri naanị mgbe intubation kpuru ìsì aka ekpe na-egbochi ịwa ahụ. N'oge intubation, e buru ụzọ mee ihe nlereanya ọzụzụ iku ume obi nke alar eversion nke mmadụ, e mesịa tinye catheter mmanụ n'ime imi, nke kwụ ọtọ na ahịrị ogologo imi, ma si n'imi pụta site na imi site na anụ imi nkịtị n'ala imi. A na-anụ ụda iku ume dị elu site n'ọnụ catheter. N'ozuzu, e ji aka ekpe dozie ọnọdụ isi, jiri aka nri tinye intubation, wee kwaga ọnọdụ isi. Ntinye ahụ gara nke ọma mgbe mkpọtụ ikuku catheter pụtara ìhè na ụdị intubation eletrọniki tracheal. Ọ bụrụ na a gbochie ọganihu nke catheter ma kwụsị ụda iku ume, o nwere ike ịbụ na catheter abanyela n'ime piriform fossa n'otu akụkụ. Ọ bụrụ na ihe mgbaàmà nke asphyxia emee n'otu oge ahụ, isi nwere ike ịdị oke azụ, tinye ya na epiglottis na njikọ isi ire, nke na-eme ka epiglottis pressure glottis, dị ka iguzogide kwụsịrị, na nkwụsị ụda iku ume, nke kachasị n'ihi oke mgbanwe isi, catheter n'ime esophagus kpatara. Ọ bụrụ na ọnọdụ ndị dị n'elu emee, a ga-ewepụ katita ahụ ruo obere oge, a ga-agbanwekwa ọnọdụ isi ya mgbe ụda iku ume pụtara. Ọ bụrụ na intubation ugboro ugboro siri ike, a ga-eji laryngoscope kpughee glottis ahụ site n'ọnụ. E jiri aka nri kwalite katita ahụ ma tinye ya n'ime trachea n'ọhụụ doro anya. Ma ọ bụghị ya, a nwere ike iji forceps jide ọnụ katita ahụ iji ziga katita ahụ n'ime glottis, wee nwee ike ịgbatị katita ahụ site na 3 ruo 5cm. Uru nke intubation nasotracheal bụ ndị a: (1) Tube nasotracheal ekwesịghị ibu oke ibu, n'ihi na ọ bụrụ na ọ buru oke ibu, ohere nke mmebi na larynx na mpaghara subglottic dị elu, yabụ ojiji nke nnukwu dayameta nke tube ahụ adịghị ụkọ; ② Enwere ike ịhụ mmeghachi omume nke mucosa imi na intubation, ma enwere mkpali; ③ Edoziri cannula imi nke ọma, a hụkwara obere mmịfe n'oge inye nwa ara na iku ume arụrụ arụ; ④ Ngbagọ nke cannula imi buru ibu (enweghị akụkụ siri ike), nke nwere ike ibelata nrụgide dị n'azụ nke larynx na cartilage nhazi; ⑤ Ndị ọrịa tetara ahụ nwere ahụ iru ala na intubation imi, ilo ihe dị mma, ndị ọrịa enweghịkwa ike ịta intubation ahụ; ⑥ maka ndị nwere nsogbu imepe ọnụ, enwere ike iji intubation imi. Ihe ọghọm ndị a bụ ndị a: (1) Enwere ike itinye ọrịa ahụ n'ime ala iku ume site na intubation imi; ② Lumen nke intubation imi dị ogologo ma dayameta dị n'ime ya dị obere, yabụ oghere nwụrụ anwụ buru ibu, ihe ndị na-apụta dị mfe igbochi lumen, nke na-eme ka iguzogide nke trachea dịkwuo elu; ③ Ịwa ahụ n'oge mberede na-ewe oge ma ọ dịghị mfe ịga nke ọma; ④ Ọ na-esiri ike intubation site na oghere imi mgbe trachea dị warara.