Qubitaanka Endotracheal

Qalliinka 'Endotracheal intubation' waa hanaan caafimaad oo tubbo lagu rido hawo-mareenka (trachea) iyadoo la marinayo afka ama sanka. Inta badan xaaladaha degdegga ah, waxaa la geliyaa afka.

Haddii aad soo jeeddo (miyir qabo) ama aadan soo jeedin (miyir beelin), waxaa lagu siinayaa daawo si ay kuugu fududaato oo ugu raaxaysato galinta tuubada. Waxaad sidoo kale heli kartaa dawo aad ku nasato.

Bixiyaha ayaa gelin doona qalab loo yaqaan 'laryngoscope' si uu u daawado xadhkaha codka iyo qaybta sare ee mashiinka dabaysha.

Haddii howsha loo sameynayo si looga caawiyo neefsashada, tuubo ayaa markaa la gelinayaa mashiinka dabaysha oo waxay dhaafeysaa xadhkaha codka si ay uga sarreyso barta ka sarreysa meesha ay hawadu marto ee sambabada u galeyso sambabaha. Tuubada ayaa markaa loo isticmaali karaa in lagu xiro hawo-mareenka si ay u caawiso neefsashada.

Qalliinka 'Endotracheal intubation' waxaa loo sameeyaa:

• Hawo-mareenka u fur si aad u siiso oksijiin, daawo, ama suuxdin.
• Taageerida neefsashada cudurada qaarkood, sida oof wareenka, emphysema, wadnaha oo istaaga, sambabka oo burburay ama dhaawac culus.
• Ka qaad xannibaadaha marinka hawada.
• U oggolow adeeg bixiyuhu inuu aragti fiican ka helo hawo-mareenka sare.
• Ka ilaali sambabaha dadka aan awood u lahayn inay difaacaan marin-haweedkooda oo ay qatar ugu jiraan inay ku neefsadaan dareeraha (hamiga). Tan waxaa ka mid ah dadka qaba noocyo istaroog ah, qaddarro badan, ama dhiig bax ballaaran oo ka yimaada hunguriga ama caloosha.

Khataraha waxaa ka mid ah:

• Dhiigbax
• Caabuq
• Nabar ku dhaca sanduuqa codka (larynx), qanjirka 'thyroid', xadhkaha codka iyo neefta (trachea), ama hunguriga
• Daloolin ama jeexitaan (dalool) qaybaha jirka ee daloosha xabadka, taasoo horseedda sambabka oo dumo
  
  

Nidaamka waxaa badanaa lagu sameeyaa xaaladaha degdegga ah, markaa ma jiraan wax talaabo ah oo aad qaadi karto si aad isugu diyaariso.

Waxaad joogi doontaa cisbitaalka si aad ula socoto neefsashadaada iyo heerarka oksijiinta dhiiggaaga. Waxaa lagu siin karaa oksijiin ama waxaa lagaa saari karaa mashiinka neefsashada. Haddii aad soo jeedo, takhtarkaaga ayaa laga yaabaa inuu ku siiyo daawo kaa yareysa walwalkaaga ama raaxo-darradaada.

Aragtida waxay ku xirnaan doontaa sababta nidaamka loo baahan yahay in la sameeyo.

Intubation - endotracheal

Darawalnimo BE, U Diido RF. Qulqulashada tracheal. Gudaha: Roberts JR, Custalow CB, Thomsen TW, eds. Nidaamka Caafimaadka ee Roberts iyo Hedges ’ee Daawada Degdegga ah iyo Daryeelka Ba’an. 7aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 4.

Hartman ME, Cheifetz IM. Xaaladaha degdegga ah ee carruurta iyo dib u soo nooleynta. Gudaha: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 20aad. Philadelphia, PA: Elsevier; 2016: cutubka 67.

Hagberg CA, Artime CA. Maareynta Hawo-mareenka dadka waaweyn. Gudaha: Miller RD, ed. Suuxdinta Miller. 8aad ed. Philadelphia, PA: Elsevier Saunders; 2015: cutubka 55.