Kugwiritsa ntchito chubu choyamwa

Njira yoyamwa kamodzi imagwiritsidwa ntchito kwa odwala kuti atenge sputum kapena kutuluka kwa trachea. Ntchito yoyamwa ya chubu yogwiritsira ntchito kamodzi iyenera kukhala yopepuka komanso yokhazikika. Nthawi yoyamwa siyenera kupitirira masekondi 15, ndipo chipangizo choyamwa sichiyenera kupitirira mphindi zitatu.
Njira imodzi yogwiritsira ntchito chubu yoyamwa:
(1) Onani ngati kugwirizana kwa gawo lililonse la chipangizo choyamwa kuli kwangwiro ndipo palibe mpweya wotuluka. Yatsani mphamvu, yatsani chosinthira, yang'anani magwiridwe antchito a aspirator, ndikusintha kupanikizika koyipa. Nthawi zambiri, mphamvu yoyamwa wamkulu imakhala pafupifupi 40-50 kPa, mwana amayamwa pafupifupi 13-30 kPa, ndipo chubu choyamwa chotaya chimayikidwa m'madzi kuyesa kukopa ndikutsuka chubu lakhungu.
(2) Tembenuzirani mutu wa wodwalayo kwa namwino ndikuyala thaulo lamankhwala pansi pa nsagwada.
(3) Lowetsani chubu choyamwa chotayidwa motsatana ndi khonde la pakamwa → masaya → pharynx, ndi kutulutsa ziwalozo. Ngati kuyamwa kwapakamwa kumakhala kovuta, kungathe kulowetsedwa kudzera m'mphuno (odwala oletsedwa omwe ali ndi chigaza chophwanyika), dongosolo limachokera kumalo amphuno kupita kumunsi kwa mphuno → mphuno yam'mbuyo yamphuno → pharynx → trachea (pafupifupi 20). -25cm), ndipo zotsekemera zimayamwa imodzi ndi imodzi. Chitani izo. Ngati pali tracheal intubation kapena tracheotomy, sputum imatha kuperekedwa mwa kulowetsa mu cannula kapena cannula. Wodwala chikomokere amatha kutsegula pakamwa ndi chopondereza lilime kapena chotsegula asanakope.
(4) Kuyamwa m’mitsempha, pamene wodwala akukoka, ikani katheta mwamsanga, tembenuzani katheta kuchokera pansi kupita pamwamba, ndi kuchotsa zotuluka munjira ya mpweya, ndi kuwona kupuma kwa wodwalayo. Pokopeka, ngati wodwala ali ndi chifuwa choyipa, dikirani pang'ono musanayamwe. Tsukani chubu choyamwa nthawi iliyonse kuti musatseke.
(5) Mukayamwa, tsekani chosinthira choyamwa, tayani chubu choyamwa chomwe chili m’mbiya yaing’ono, ndipo kokerani payipi yagalasi yolumikizana ndi bedi kuti ikhale m’botolo lophera tizilombo kuti liyeretsedwe, ndipo pukutani pakamwa pa wodwalayo. Yang'anani kuchuluka, mtundu ndi chikhalidwe cha aspirate ndikulemba ngati kuli kofunikira.
The disposable suction chubu ndi wosabala mankhwala, amene chosawilitsidwa ndi ethylene oxide ndi chosawilitsidwa kwa zaka 2. Kugwiritsidwa ntchito kamodzi kokha, kuwonongedwa pambuyo pa kugwiritsidwa ntchito, ndikuletsedwa kugwiritsidwa ntchito mobwerezabwereza. Chifukwa chake, chubu choyamwa chotaya sichimafuna kuti wodwalayo adziyeretse ndi kudzipha yekha.