Inkqubo yokusebenza yendlela yokutya ngeempumlo

Inkqubo yokusebenza yendlela yokutya ngeempumlo

Inkqubo yokusebenza yendlela yokutya ngeempumlo

1. Lungisa iimpahla kwaye uzizise ecaleni kwebhedi.
2. Lungiselela umguli: Umntu osezingqondweni ufanele enze ingcaciso ukuze afumane intsebenziswano, aze ahlale okanye alale. Isigulana se-commatose kufuneka silale, sibuyisele intloko emva kwexesha, sibeke itawuli yonyango phantsi komhlathi, kwaye uhlolisise kwaye ucoce umngxuma weempumlo nge-cotton swab emanzi. Lungisa i-tape: iziqwenga ezimbini ze-6cm kunye nenxalenye enye ye-1cm. 3. Bamba ityhubhu ye-gastric nge-gauze esandleni sasekhohlo, kwaye ubambe i-forceps ye-vascular kwisandla sokunene ukuze ubambe ubude betyhubhu ye-intubation ekupheleni kwe-tube yesisu. Kubantu abadala i-45-55cm (i-earlobe-nose tip-xiphoid process), iintsana kunye nabantwana abancinci 14-18cm, phawula nge-1 cm tape ukuthambisa ityhubhu yesisu.
3. Isandla sasekhohlo sibambe igauze ukuxhasa ityhubhu yesisu, kwaye esokunene sibambe i-vastric clamp ukuze ibambe indawo engaphambili yombhobho wesisu size siyifake ngokuthe chu ecaleni kwekhala elinye. Xa ifika kwi-pharynx (14-16cm), yalela isigulane ukuba siginye ngelixa sithumela ityhubhu yesisu phantsi. Ukuba isigulane sihlakulela isicaphucaphu, icandelo kufuneka limiswe, kwaye isigulane kufuneka siyalelwe ukuba sithathe umoya onzulu okanye siginye kwaye sifake ityhubhu yesisu 45-55cm ukukhulula ukungahambi kakuhle. Xa ukufakwa kungekho mpuluswa, khangela ukuba ityhubhu yesisu isemlonyeni. Ukuba ukukhwehlela, ubunzima bokuphefumula, i-cyanosis, njl. Kufuneka ikhutshwe ngokukhawuleza kwaye iphinde ifakwe emva kokuphumla okufutshane.
4. Isigulane kwi-coma asikwazi ukusebenzisana ngenxa yokunyamalala kokugwinya kunye nokukhwehlela i-reflexes. Ukuze kuphuculwe izinga lokuphumelela kwe-intubation, xa ityhubhu ye-gastric ifakwe kwi-15 cm (epiglottis), isitya sokugqoka sinokubekwa ecaleni komlomo, kwaye intloko yesigulane inokuqhutyelwa phezulu ngesandla sasekhohlo Yenza umhlathi ophantsi usondele kwisiqu se-sternum, kwaye ngokukhawuleza ufake ityhubhu.
5. Qinisekisa ukuba ityhubhu yesisu isesiswini na.
5.1 Beka isiphelo esivulekileyo sombhobho wesisu emanzini. Ukuba isixa esikhulu segesi siphunyuka, sibonisa ukuba singene kwi-trachea ngephutha.
5.2 Aspirate gastric juice kunye nesirinji.
5.3 Tofa i-10cm yomoya ngesirinji, kwaye umamele isandi samanzi esiswini ngestethoscope.
6. Lungisa ityhubhu yesisu emacaleni omabini empumlo nge-tape, udibanise i-syringe ekupheleni okuvulekileyo, uhoxise kuqala, kwaye ubone ukuba ijusi yesisu ikhutshwe, kuqala ujobe umbane omncinci wamanzi afudumele-ufake i-fluid okanye iyeza-kwaye ujobe umlinganiselo omncinci wamanzi afudumele ukucoca i-lumen. Ngexesha lokutya, thintela umoya ukuba ungangeni.
7. Phakamisa isiphelo sombhobho wesisu kwaye uyisonge, uyibophe nge-gauze kwaye uyibophe ngokuqinileyo ngebhande le-rubber, kwaye uyilungise ecaleni komcamelo wesigulane ngepini.
8. Lungiselela iyunithi, uqoqoshe izixhobo, kwaye urekhode ubungakanani bokuncancisa ngeempumlo.
9. Xa ukhupha, songa kwaye ubambe umlomo ngesandla esinye.


Ixesha lokuposa: Jul-16-2021