Daryeelidda tracheostomy ee daryeelka degdegga ah

Daryeelka bukaanka la tracheostomy ah waxaa lagu qabtaa isbitaalka ka dib markii turjumaad bukaanka ICU. Inta badan, tracheostomy la soo rogay on Jidka tabinta hawada haddii loo baahdo hawo.

Tilmaamayaasha habsocodka

Bandhigyada tracheostomy in xaaladaha taagan ugu haboon ku lug leedahay habka xulashada fiicnayn iyo dissection taxaddar homeostasis dhuunta. Inta badan loo isticmaalo qalliinka ama endotracheal suuxdinta dhayayo codsatay xal novocaine.

Baahida loo qabo howlgal aan tracheostomy marinka hawada soo baxdo:

• in ay dhacdo hawo farsamo dheer;
• iyadoo ay wada joogaan xanuunada bulbar;
• oo aan suurtagal ah, waayo, permeability hawada free of Waddooyinkiisa tabinta si kale;
• oolnimada hooseeyo musqusha marin-haweedka,

Farsamo ee tracheostomy

Operation ee marinka hawada tracheostomy u baahan yahay dhowr nooc oo midiyaha - nabar layers sare ee qalay maqaarka iyo cunaha ah. Sidoo kale inta lagu guda jiro nidaamka codsan doonaa, qiime kala qabatooyin, spreaders oo ka mid ah maqaarka iyo muruqyada, clips, dheecaanka oo Nadiif ah iyo masarka.

Bukaanka ayaa la dhigayaa in booska la jiifo madaxa dib u tuuray. maqaarka dushiisa of dhuunta la nadiifiyaa khamriga, antiseptics, xal of iodine iyo si taxadar leh ku qoysay oo calal jeermi-dilan.

Inta lagu guda jiro habka codsatay cut toosan ka carjawda thyroid cidhifka sare ee sternum ka. Dheeraad ah, jihada siman waa la gooyay fascia, ka dibna la isticmaalayo qalabka la iibiyay MEDINSTRUMENT dhacdaa muruqa razdvizheniya iyo sii daayo dhuunta. Neerif dhuunta dalool waxaa dissected iyo ka saarista ee sacadda yar oo unug, ku filan inay ka qaybgalaan tube-haweedka.

geesaha Free cunaha meelo sacadda jaray-off sutured maqaarka, kaas oo ku kordhinaya beddelo tuubooyinka tracheostomy. Inkastoo farsamo halkii adag aad qabtaan tracheotomy ah, habka aad buu u fududeeyey intubation pre-bukaanka.

Doorashada tuubooyinka

Lagu kalsoonaan karo, daryeelka taxadir ah tracheostomy ah ee daryeelka degdegga ah ee loo baahan yahay in doorashada ee tube ku haboon, doorashada taas oo ku xiran xaaladaha. Currently si weyn loo soo iibsatay tube double biraha la cabbire ah. Waxa kale oo suuragal ah in la isticmaalo tuubooyinka caaga ah, cadaadiska, taas oo la dejiyo by yahay dhululubada gaar ah.

doorashada saxda ah ee tube oo tayo sare leh waxay bixisaa daryeelka fudud ee tracheostomy ah qaybta daryeelka degdegga ah oo aan ku keeni karo dhib aan loo baahnayn in bukaanka. In doorashada ee ah dhibaatooyin tube haboonayn inta badan sida xannibaad ah Lumen ka saaraan xab adag la qalajiyey. Sidaa darteed, iyada oo la doortay waa in la tagay si ay xirfadlayaasha.

tuubooyinka tracheotomy Service

In the case of irbadi bir u baahan fiirsato of tube gudaha ugu yaraan hal mar maalintii muddo nadiifinta iyo diyaarinta daaweynta aalkolada. Si kastaba ha ahaatee, qaybaha sare ee isbedel mudayo waa mid aad u dhif ah, in aan ka badnayn toddobaadkii hal mar.

irbadi cabbire for tracheotomy waa in aan ku nool gobolka buunbuuniyo. Marmar xaggeeda ka hawada xad-dhaaf ah oo lagu hayaa hurdada ilaa 10 daqiiqo, ka dibna ku soo laabtay meesha bannaan ee. Inta aad guda galin on cabbire soo kabashada ka hortagga waa in si taxadir leh ka saar waxyaabaha Skopje Ngcuka of anitenatus.

Gaar ahaan daryeelka tuunbada

daryeelka wakhtiyeysan ee tracheostomy ah waxaa la sameeyaa iyadoo la isticmaalayo faashad iyo suufka dheecaanka oo Nadiif ah. nudaha ku hareereysan nadiifiyaa dhaqdhaqaaqa semi-wareeg dibadda. unugyada dheeraad ah u qiimeeyey dhibaatooyin iyo lesions faafa.

Daryeelka tracheostomy waxay u baahan tahay qufulo bedelka haddii ay dhacdo qoyaan xad-dhaaf ah ama raasamaal wasakh halis ah. Fuliyaan nidaamka bedelka waa in haddii ay jiraan wax caawimaad ah. Hal qof heysta tuubada meel deggan, iyo caawiyihiisa badalay heysata tube.

Inta lagu guda jiro maalmaha ugu horreeya qalliinka ka dib waa la jecel yahay in ay daryeelaan tracheostomy iyo peristomalnoy aagga dura 6-8 saacadood. Isla mar ahaantaana, aad si joogto ah u bedeli karaan Duubista faashad sidii loo baahdo. , Tools iyo diyaarinta daryeelka waa in mar kasta noqon at gacanta.

Daryeelka tracheostomy ah: geynta

Waayo, tube ugu horeysay badal soo saaray dhawr maalmood ka dib qaliinka ka dib. Waxaa intaa dheer, nidaamka waa in la sameeyaa xirfad, tan iyo markii tani ma aha in ku filan si ay u sameeyaan mid'ah is dulfuulan.

geynta ee nidaamka:

• bukaan-socodka waxaa la dhigayaa on dhabarka iyo madaxa u gana,
• sameeyaa nadiifiskeeda u dhamaystiran oo godadka laamaha ah;
• inay ka soo saarto xaakada ah qufaca bukaanka kiimikaysan keena;
• Waxaa la soo bandhigay galay tuubada dabacsan dalool tuubada, markaas bixiyay irbadi tracheostomy;
• tuubooyinka bedelka dhigay saaro kaari ah;
• biibiile cusub ayaa waxaa ku xidhnaa oo go'an in meel deggan,

Ku xiridda bukaanka qaba tracheostomy ah neefsashada

Inta badan daryeelka bukaanka qaba tracheostomy u baahan tahay xidhiidhka la leh hawo-haweedka. qalab ku xiran mudayo hore aasaasay joogitaanka xeryahooda kaabayaal ah.

Ujeedada xidhiidh xasiloon oo bukaanka u neefsashada caadiga ah mudayo la bedelay laga yaabaa in tuubo si gaar ah loogu endotracheal ama design caadiga ah loona isticmaalaa cinjir buufsama. Si toos ah unit laftiisa for tube hawo ku lifaaqan dhammaadka heerka qalabka jideeyey.

dhibaatooyin ay suuragal tahay

Daryeelka tracheostomy ah inta badan keenta in la dhibaatooyin qaarkood laga yaabaa in ay u muuqdaan sida ugu dhakhsaha badan qaliinka waa complete, oo wax badan ka dib, xitaa at gobolka joogta ah bukaanka ka qabtaan.

Dhibka ugu badan waa dhacdo ee dhiig-bax, gaar ahaan haddii tracheostomy ah waxaa la sameeyaa iyadoo la isticmaalayo qalab laga heli karaa arrin degdeg ah, ee sariirta. Baabi'iyo dhiigbaxa xad-dhaafka pulsatile kartaa riixo by cabbire halbowlaha. Si kastaba ha ahaatee, si looga fogaado khasaare xad-dhaaf ah oo dhiig ah in bukaan-socodka waa in la siiyo ku takhasusay daryeelka degdegga ah.

Terms of daryeel for tracheostomy u baahan baaritaan wareegsan bukaanka si loo ogaado a dhibaatooyinka halkii aad u daran sida emphysema subcutaneous. Sababta oo ah dambaysta ah waxaa laga yaabaa in loo xirxiro sax ahayn of tube cunaha ah.

si caddaalad ah wax caadi ah oo kale oo dhibaato - xirmidda marin-haweed dhici karaan degna waqti kasta inta lagu jiro baxnaaninta ee bukaan-socodka. Inta badan sabab u ah waxbarashada calaamadaha obstructive noqdo guf cufan, la aasaasay of xab adag. Haddii tracheotomy waxaa la sameeyaa iyadoo la isticmaalayo oo irbadi gudaha, dhibaatada la suulin karin by yahay ee ay nadiifiskeeda u. Yareeyo xirma bukaanka ayaa sidoo kale kuu ogolaanayaa dil nuugid wadooyinka.