Inhloso eyinhloko yebhaluni ye-catheter ngemva kwe-endotracheal intubation ukulungisa nokuvimbela ukuvuza komoya.Ukwengeza, ukugxila kobuhlengikazi ukunaka isikhathi sokugcwalisa ibhaluni, ukugwema ukuphakelwa ngomlomo, ukugcina uqhoqhoqho ungenalutho nokunye.I-Endotracheal intubation iyi-catheter ekhethekile ye-endotracheal, ngomlomo wesiguli noma umgodi wekhala, ngokusebenzisa i-glottis ku-trachea noma i-bronchus yesiguli, ukuhlinzeka ngezimo zokugunyazwa kwe-airway, ukunikezwa komoya-mpilo kanye nokuheha ipheshana lokuphefumula, kuyisinyathelo esibalulekile sokuhlenga iziguli ezinenkinga yokuphefumula. .
I. Injongo yesikhwama somoya:
1. Ukulungiswa: Ngemva kwe-endotracheal intubation, isiguli kufanele sisebenzise ngokushesha inaliti engenalutho ukuze sijove umoya esikhwameni somoya.Ngemva kokuba isikhwama somoya sande, singabambeka emgwaqeni womoya futhi sidlale indima yokulungisa uqhoqhoqho ukuze kuvinjelwe uqhoqhoqho ekuqhumeni;
2. Vimbela ukuvuza komoya: uma isiguli sisebenzisa umshini wokuphefumula nezinye izinto, isikhwama somoya sibambeke endleleni yokuphefumula ngalesi sikhathi, futhi umoya ophushwa umshini wokungenisa umoya noma umoya-mpilo ungagwenywa ekuvuzeni ngaphandle kwegebe eliphakathi kwendlela yokuphefumula kanye nomoya wokuphefumula. uqhoqhoqho.
II.ubuhlengikazi:
1. Isikhathi sokugcwaliswa kwesikhwama somoya: ngokuvamile ngemva kwe-endotracheal intubation, isikhwama somoya sichithwa imizuzu engu-5-10 / isikhathi, futhi igesi esikhwameni somoya kufanele ihlanjululwe kanye njalo emahoreni angu-4-6, ngevolumu ye-2-5ml.Ukwengeza, ukwehla kwamandla emali ngokweqile kufanele kugwenywe, ukuze kungacindezeli udonga lwendlela yomoya, okuholela ekunikezeni igazi okulinganiselwe kwe-tracheal mucosa yendawo, nokugwema i-necrosis ebangelwa i-mucosal ischemia ne-hypoxia.Uma isikhwama somoya singanele, ukuvuza komoya kungenzeka;
2. Gwema ukuphakelwa ngomlomo: Uma iziguli zithola i-endotracheal intubation, ukuphakelwa ngomlomo kufanele kugwenywe ngangokunokwenzeka ukuze kugwenywe izinsalela zokudla ezihlala ku-trachea, okuholela ekuzalweni kwamagciwane kanye nokutheleleka kwamaphaphu;
3. Gcina i-trachea ingabonakali: uma isikhwehlela sesiguli sikhulu futhi sikhulu, kuyadingeka ukuphenduka futhi ubambe emuva ngesikhathi.I-saline evamile noma i-sodium bicarbonate nayo ingafakwa ku-tracheal intubation yesiguli ukuze kuhlanjululwe isikhwehlela, noma isikhwehlela singahlanjululwa nge-atomization, ukuze kugwenywe ukungena ku-tracheal ukuvinjelwa isikhwehlela futhi ugcine uqhoqhoqho wesiguli ungekho.Ukwengeza, amaphedi wamazinyo kufanele asetshenziselwe ukugwema ukuvalwa kwe-occlusal ye-trachea, okuthinta i-patency ye-trachea;
4. Ukuhlolwa okuvamile: Isikhundla se-endotracheal intubation kufanele sihlolwe njalo ngokunyakaza, ukuhlukunyezwa nezinye izenzakalo.I-tape ngokuvamile isetshenziselwa ukulungiswa kwesibili ukuze kugwenywe i-luminal prolapse.
Iinkampaniinokwakheifektrikanye nethimba lokuklama, futhi selihlanganyele ekukhiqizeni nasekuthengisweni kwemikhiqizo yezokwelapha isikhathi eside.Manje sinemigqa yomkhiqizo elandelayo.
①I-massager yomfutho womoya wezokwelapha(izingubo ze-lymphedema zemilenze, imikhono yokucindezela ye-lymphedema, uhlelo lokwelapha lokucindezela komoya njll) kanyeUchungechunge lwe-DVT.
③I-Tactical pneumatici-tourniquet
④Umshini wokwelapha obandayo(ingubo yokwelapha ebandayo, i-cold therapy vest, umkhono we-ice pack umlenze, iphakethe elifudumele le-paitc)
⑤Abanye bathanda imikhiqizo yomphakathi ye-TPU.inhliziyo emise pool inflatable,anti pressure sore umatilasi,umshini we-ice therapy wemilenzeect）
Isikhathi sokuthumela: May-18-2022