Mokhoa oa ts'ebetso oa mokhoa oa ho fepa nko

Mokhoa oa ts'ebetso oa mokhoa oa ho fepa nko

Mokhoa oa ts'ebetso oa mokhoa oa ho fepa nko

1. Lokisetsa lisebelisoa 'me u li tlise haufi le bethe.
2. Lokisetsa mokuli: Motho ea hlokolosi o lokela ho fana ka tlhaloso e le hore a fumane tšebelisano-’moho, ’me a nke boemo ba ho lula kapa ho bua leshano.Mokuli oa comatose o lokela ho robala, a khutlisetse hlooho ea hae hamorao, a behe thaole ea phekolo tlas'a mohlahare, 'me a hlahlobe le ho hloekisa lesoba la nko ka sesepa sa k'hothone se metsi.Lokisetsa tepi: likotoana tse peli tsa 6cm le karolo e le 'ngoe ea 1cm.3. Tšoara phapu ea gastric ka gauze ka letsohong le letšehali, 'me u tšoare li-vascular forceps ka letsohong le letona ho tiisa bolelele ba tube ea intubation karolong e ka pele ea gastric tube.Bakeng sa batho ba baholo 45-55cm (earlobe-nose tip-xiphoid process), masea le bana ba banyenyane ba 14-18cm, tšoaea ka tepi ea 1 cm ho tlotsa tube ea mpa.
3. Letsoho le letšehali le tšoara gauze ho tšehetsa phapu ea mala, ’me letsoho le letona le tšoara seqhoqho sa vascular ho tiisa karolo e ka pele ea phapu ea mala le ho e kenya butle-butle haufi le nko e le ’ngoe.Ha e fihla pharynx (14-16cm), laela mokuli hore a metse ha a ntse a romela tube ea gastric fatše.Haeba mokuli a qala ho nyekeloa ke pelo, karolo e lokela ho emisoa, 'me mokuli o lokela ho laeloa hore a phefumolohe haholo kapa a metse ebe o kenya tube ea mala 45-55cm ho imolla bohloko.Ha ho kenngoa ho sa boreleli, hlahloba hore na tube ea gastric e molomong.Haeba ho khohlela, mathata a ho hema, cyanosis, joalo-joalo li fumanoa nakong ea ts'ebetso ea ho intubation, ho bolela hore trachea e kentsoe ka phoso.E lokela ho ntšoa hang-hang ebe e kenngoa hape ka mor'a phomolo e khutšoanyane.
4. Mokuli oa coma a ke ke a sebelisana 'moho ka lebaka la ho nyamela ha ho metsa le ho khohlela reflexes.E le ho ntlafatsa lebelo la katleho ea ho intubation, ha tube ea gastric e kenngoa ho 15 cm (epiglottis), sekotlolo sa ho roala se ka behoa haufi le molomo, 'me hlooho ea mokuli e ka tšoaroa ka letsoho le letšehali Etsa mohlahare o ka tlaase. haufi le kutu ea sternum, 'me butle-butle kenya tube.
5. Netefatsa hore na phaepo ea mpa e ka mpeng.
5.1 Beha ntlha e bulehileng ea phaephe ea mala ka metsing.Haeba khase e ngata e baleha, e bontša hore e kene ka trachea ka phoso.
5.2 Aspirate lero la gastric ka serinji.
5.3 Kenya 10cm ea moea ka serinji, 'me u mamele molumo oa metsi ka mpeng ka stethoscope.
6. Lokisa thapo ea gastric ka mahlakoreng a mabeli a nko ka theipi, kopanya serinji qetellong e bulehileng, tlosa pele, 'me u bone hore lero la gastric le ntšoa, qala ka ho kenya lero le lenyenyane la metsi a futhumetseng kapa moriana-'me. ebe o kenya metsi a mangata a futhumetseng ho hloekisa lumen.Nakong ea ho fepa, thibela moea ho kena.
7. Phahamisa qetello ea tube ea mpa 'me ue phuthe, ue phuthele ka gauze ebe u e phuthela ka thata ka sehlopha sa rabara, ebe u e lokisa haufi le mosamo oa mokuli ka pin.
8. Hlophisa yuniti, hlophisa lisebelisoa, 'me u tlalehe palo ea phepelo ea nko.
9. Ha o ntša extubating, mena 'me u hatelle molomo ka letsoho le le leng.


Nako ea poso: Jul-16-2021