Te tiaki i tracheostomy i roto i te whāomo

whakamana Care o te manawanui ki te tracheostomy te i roto i te fare ma'i i muri translation o ICU manawanui. Nuinga o ngā wā, whakaritea he tracheostomy te i runga i te ara conductive o te rangi, ki te tika ventilation.

Tuhinga mo te tukanga

Mahi tracheostomy i roto i te āhuatanga pahoho tino tika tā tikanga whiriwhiri tino pai, me te tuakitanga tupato o te homeostasis pukorokoro. E mea pinepine whakamahia mō te tafa endotracheal ranei rehunga topically tono otinga novocaine.

Ko te hiahia mo te mahi ki te airway tracheostomy whakatika:

• i roto i te take o te auroa ventilation aunoa;
• i roto i te aroaro o disorders bulbar;
• i waho te taea mō te kore utu uruhanga rangi o ara conductive i ara tetahi atu;
• kakama iti airway wharepaku;

Technique o tracheostomy

titau mahi o tracheostomy airway e rave rahi momo scalpels - lesion papa waho o te kokoti kiri me te tracheal. Ano i roto i ka tono te tukanga: retireti matau, spreaders o te kiri, me uaua, topenga, swabs horomata me horoi.

whakanohoia ana te manawanui kei roto i te tūranga te maungārongo ki te upoko maka hoki. wharahanga te kiri i runga i te mata o te pukorokoro te ki waipiro, antiseptics, he otinga o te konutawa me āta muru hoki ki te kakahu horomata.

I roto i te tukanga tono tapahia poutū i thyroid wheua ngohe ki te tapa o runga o te whaturei. I tua atu, tapahia te aronga whakapae te fascia, a ka whakamahi i te kete i faahitihia MEDINSTRUMENT puta razdvizheniya uaua, me te tuku o te pukorokoro. dissected Scalpel poka pukorokoro te me te tango o te paki iti o kikokiko, rawaka ki te whakanoho i te ngongo airway.

Free tapa tracheal i roto i nga wahi paki tapahia-atu sutured ki te kiri, e whai wāhi ana ki te huri korere tracheostomy. Ahakoa te tikanga, kaua uaua te mahi koe i te tracheotomy, he tukanga nui whakahaerehia e intubation mua-manawanui.

Ko te kōwhiringa o korere

Pono, tiaki tupato o te tracheostomy i roto i te tiaki kaha e hiahiatia ana i roto i te kōwhiringa o te ngongo e tika ana, te pai rawa o e tei runga i te huru. I tēnei wā whānui hokona whakarewa ngongo rua ki te soté. Ko taea hoki ki te whakamahi i putorino kirihou, te pēhanga i roto i nei ähuareka e te tikanga o ipurau motuhake.

kōwhiringa tika o-te kounga teitei ngongo whakarato ngāwari tiaki o te tracheostomy i roto i te kōwae tiaki kaha, kahore ai raruraru tikanga ki te manawanui. I roto i te kōwhiringa o te pōauautanga ngongo kāore maha whakatika rite te blockage o te lumen matotoru hūpē maroke. Na reira, kia tona whiriwhiri kia mahue ki ngaio.

korere tracheotomy Ratonga

I roto i te take o te pūkawe whakarewa titau te tangohanga o te ngongo roto i te iti rawa kotahi te ra mo te horoi me te taka maimoatanga rongoā horoi. Heoi, nga wahi i waho o te huringa pūkawe ko tino onge, e kore neke atu i te kotahi i te wiki.

Soté pūkawe mō tracheotomy kore e noho i roto i te āhua teeraa. Wā pana atu i reira te hau te taikaha me te pupuri i moe e pā ana ki te 10 meneti, ka hoki ki te wāhi. I mua i eke i runga i soté whakaora taupā kia āta tango tirotiro Skopje no rapae o te pū māngai.

Ngā tiaki ostomy

whakamana tiaki Periodic o te tracheostomy te whakamahi i horomata whāriki me te miro swabs. kiko tata horoia nekehanga āhua-porohita waho. kiko anō aromatawai mō pōauautanga me pāpaka hopuhopu.

titau Care o te tracheostomy raka whakakapinga i te hui o te houku nui paru whakaeminga nui ranei. Te whakahaere i te tukanga whakakapinga kia ki te reira ko tetahi awhina. mau Kotahi tangata te ngongo i roto i te tūranga pūmau, me whakakapi tona kaiāwhina kau ma'u ngongo.

I roto i nga ra tuatahi i muri i te mahi he e minaminatia ki te te tiaki i tracheostomy me peristomalnoy rohe i wā o 6-8 haora. I te wa ano, ka taea e te whakakapi wā koe dressings whāriki rite te hiahia whakatika. , Kia mau tonu Utauta me taka mo te tiaki i te ringa.

Care o te tracheostomy: hātepe

Hoki te wā ngongo whakakapinga tuatahi whakaputaina i muri i te torutoru ra i muri i te mahi. Ano, kia te hātepe whakamana mohio, mai kore he nui ki te hanga i te stoma mātotoru tenei wa.

Ko te hātepe o te tikanga:

• whakanohoia te manawanui kei i runga i tona hoki, me te whiua tona matenga;
• i mahi he purenga oti o nga rua tracheobronchial;
• ki te tango maremare meinga he Tuhinga manawanui āwenewene;
• Kei te whakaurua te reira i ki te ngongo kōhao pū tōngāmimi ngāwari, ka tangohia tracheostomy pūkawe;
• korere whakakapinga hanga nekehia atu te taeae faatere;
• titia he putorino hou te ka whakaritea i roto i te tūranga pūmau;

Hono tūroro ki te tracheostomy mō ventilator

titau te hononga ki te ventilator airway pinepine te tiaki mō ngā tūroro ki te tracheostomy. pūrere hono i roto i te pūkawe whakapumautia mua i roto i te aroaro o pūhui ngaahi houalotú.

Hoki te whakaaro o te hononga pūmau o te manawanui ki te ventilator pūkawe paerewa kia whakakapia e te ngongo endotracheal i āta hangaia ranei hoahoa tikanga ki te soté te hangatanga. Hāngai ki te kōwae ano hoki ventilation ngongo e piri ki te pito o te paerewa whakatakotoria iho pūrere.

pōauautanga taea

maha arata'i Care o te tracheostomy ki te mahi ki etahi pōauautanga e kia puta te taenga atu ano te mahi he oti, ka nui i muri, ara i te kāwanatanga on o te manawanui.

Ko te pōauautanga tino noa ko te takanga o te toto, rawa, ki te whakamana i te tracheostomy kei te whakamahi i te taputapu e wātea ana i roto i te mea o te ru, i te ro'i. Whakakore toto nui e taea pulsatile kōpeketanga i uaua soté. Heoi, ki te karo mate nui o te toto ki te manawanui kia hoatu tiaki ohotata mātanga.

Ngā o te tiaki mo te tracheostomy rapu whakamātautau wā o te manawanui i roto i te tikanga ki te kitea he pōauautanga kaua nui pērā i emphysema subcutaneous. Ko te take o te muri kia tāutanga hē o te ngongo tracheal.

Ētahi atu tika noa pōauautanga - Ka taea e tukuna ai airway puta noa i tetahi wa i roto i whakanohonoho o te manawanui. Nuinga o ngā wā i te take o te mātauranga tohu taunutia riro te puru pūrerehu, i hanga o hūpē matotoru. Ki te whakamana i tracheotomy i te whakamahi i te pūkawe roto, e taea te raruraru te whakakorea e te tikanga o tona purenga. Hiki i te arai manawanui taea hoki mahi wawata mārua huarahi.