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