nkhani

Zopindulitsa zambiri za dongosolo lotsekedwa loyamwa

Kuchotsa zotulutsa mumsewu ndi njira yabwinobwino ndipo ndikofunikira kuti mupewe matenda obwera chifukwa cha kupuma, atelectasis, komanso kuteteza mpweya wabwino.Odwala pa makina mpweya wabwino ndi odwala intubated ali pachiopsezo chochulukira secretions monga iwo ali ogonekedwa, supine, ndi mawotchi adjuncts kuti kuteteza modzidzimutsa chilolezo cha secretions.Kuyamwa kungathandize kusunga ndi kukhazikitsa kusinthana kwa mpweya, mpweya wokwanira, ndi mpweya wabwino wa alveolar.(Virteeka Sinha, 2022)

Kuyamwa kwa Endotracheal pogwiritsa ntchito njira zotsegula kapena zotseka ndi njira yodziwika bwino yosamalira odwala omwe amapangidwa ndi makina.Pali maubwino osiyanasiyana ogwiritsira ntchito makina otsekera a catheter (CSCS) panjira yoyamwa yotseguka.(Neeraj Kumar, 2020)

Kumayambiriro kwa 1987, GC Carlon adanena kuti mwayi womwe ungakhalepo wa machitidwe otsekedwa otsekedwa ndikulepheretsa kufalitsa zobisika zoipitsidwa, zomwe zimabalalitsidwa pamene wodwalayo achotsedwa pa mpweya wolowera mpweya ndipo kutuluka kwa mpweya kumapitirirabe.Mu 2018, a Emma Letchford adawunikanso posakasaka pakompyuta pamitu yomwe idasindikizidwa pakati pa Januware 2009 ndi Marichi 2016, adatsimikiza kuti makina otsekera atha kuteteza bwino chibayo chomwe chimalumikizidwa ndi mpweya wochedwa.Subglottic secretion drainage amachepetsa chibayo chokhudzana ndi mpweya wabwino.

Njira zotsekera zotsekedwa ndizosavuta kugwiritsa ntchito, sizitenga nthawi yayitali, komanso zimaloledwa bwino ndi odwala.(Neeraj Kumar, 2020) Kuphatikiza apo, pali zabwino zina zambiri zamakina otsekera otsekeka pazinthu zina zamankhwala.Ali Mohammad pour (2015) anayerekezera kusintha kwa ululu, oxygenation, ndi mpweya wotsatira pambuyo poyamwa endotracheal ndi machitidwe otseguka ndi otsekedwa otsekemera mu post coronary artery bypass grafting (CABG) odwala ndipo adawonetsa kuti odwala'oxygenation ndi mpweya wabwino zimasungidwa bwino ndi njira yotsekedwa yotsekedwa.

Maumboni

[1] Sinha V, Semien G, Fitzgerald BM.Opaleshoni ya Airway Suctioning.2022 May 1. Mu: StatPearls [Internet].Treasure Island (FL): StatPearls Publishing;2022 Jan-.PMID: 28846240.

[2] Kumar N, Singh K, Kumar A, Kumar A. Chifukwa chosazolowereka cha hypoxia chifukwa chosakwanira kuchotsedwa kwa njira yotsekeka ya catheter yotseka panthawi ya COVID-19 mpweya wabwino.J Clin Monit Comput.2021 Dec; 35 (6): 1529-1530.doi: 10.1007/s10877-021-00695-z.Epub 2021 Apr 4. PMID: 33813640;PMCID: PMC8019526.

[3] Letchford E, Bench S. Ventilator-yogwirizana ndi chibayo ndi kuyamwa: kubwereza kwa mabuku.Br J Nurs.2018 Jan 11; 27 (1): 13-18.doi: 10.12968/bjon.2018.27.1.13.PMID: 29323990.

[4] Mohammadpour A, Amini S, Shakeri MT, Mirzaei S. Kuyerekeza zotsatira za kutsegula ndi kutsekedwa kwa endotracheal kuyamwa pa ululu ndi oxygenation mu post CABG odwala pansi pa makina mpweya wabwino.Iran J Nurs Midwifery Res.2015 Mar-Apr; 20 (2): 195-9.PMID: 25878695;PMCID: PMC4387642.

[5] Carlon GC, Fox SJ, Ackerman NJ.Kuunikira kwa njira yotsekeka yoyamwa.Crit Care Med.1987 May; 15(5):522-5.doi: 10.1097/00003246-198705000-00015.PMID: 3552445.