Izinsiza Zokubulala Izinzwa Nezesekeli
Izisetshenziswa Zokubulala Izinzwa Nezesekeli ezisetshenziswa ekubulaleni izinzwa kufanele zigcinwe zisesimweni esihle futhi zibekwe ukuze zifinyeleleke kalula nganoma yisiphi isikhathi. Inani, ikhwalithi kanye nokugcinwa kwezidakamizwa kufanele kuhlolwe njalo, futhi izidakamizwa ezinobuthi kakhulu neziluthayo kufanele zigcinwe abantu abakhethekile, futhi uhlelo lokubhalisa ukusetshenziswa kufanele lusungulwe ukuze lusebenzise uhlelo ngokuqinile.
Izisetshenziswa Zokubulala Izinzwa Nezesekeli ezisetshenziswa ekubulaleni izinzwa kufanele zigcinwe zisesimweni esihle futhi zibekwe ukuze zifinyeleleke kalula nganoma yisiphi isikhathi. Inani, ikhwalithi kanye nokugcinwa kwezidakamizwa kufanele kuhlolwe njalo, futhi izidakamizwa ezinobuthi kakhulu neziluthayo kufanele zigcinwe abantu abakhethekile, futhi uhlelo lokubhalisa ukusetshenziswa kufanele lusungulwe ukuze lusebenzise uhlelo ngokuqinile.
Imishini yokubulala izinzwa kanye Nezesekeli kufanele ibe nesethi ephelele yemishini yosizo lokuqala, okuhlanganisa zonke izinhlobo zemithi yosizo lokuqala, intubation endotracheal kanye nezinto ezisetshenziswayo, i-fiberoptic bronchoscope, i-artificial breathing, i-apparatus yokumpompela igazi ngokushesha, i-ecg monitor, i-cardiac pacemaker nazo zonke izinhlobo. yabaqaphi.
Izinsiza Zokubulala Izinzwa Nezesekeli kufanele zilungiswe kahle, futhi zihlole ukuthi zisetshenziswa yini; Ukuthi i-alkali lime ayisebenzi yini, noma ngabe ikhithi yokubhoboza amagciwane iphelelwe yisikhathi, noma ngabe ikhwalithi nokubulala amagciwane kwama-catheter ahlukahlukene kanye nezidakamizwa kunokwethenjelwa, ukusebenza kahle kwedivayisi yokumunca nokugcinwa komoyampilo kufanele kubhekwe ngokucophelela.
I-Anesthesia Equipment kanye Nezesekeli zokuhlolwa okukhethekile okufana negesi yegazi kanye ne-serum electrolyte, ithuluzi kufanele lilinganiswe ngaphambi kokubulala izinzwa ukuze lisetshenziswe noma nini.
Imishini Ye-Anesthesia Nezesekeli, njengokulinganisa umfutho we-venous ophakathi, ukucindezela okuqondile kwe-intraarterial, umfutho we-pulmonary artery, i-pulmonary capillary embedded pressure kanye nokuphuma kwenhliziyo, imishini efanele kanye nezinsimbi kufanele zilungiswe.
Izisetshenziswa Zokubulala Izinzwa Nezesekeli ezisetshenziswa ekubulaleni izinzwa kufanele zigcinwe zisesimweni esihle futhi zibekwe ukuze zifinyeleleke kalula nganoma yisiphi isikhathi. Inani, ikhwalithi kanye nokugcinwa kwezidakamizwa kufanele kuhlolwe njalo, futhi izidakamizwa ezinobuthi kakhulu neziluthayo kufanele zigcinwe abantu abakhethekile, futhi uhlelo lokubhalisa ukusetshenziswa kufanele lusungulwe ukuze lusebenzise uhlelo ngokuqinile.
Imishini yokubulala izinzwa kanye Nezesekeli kufanele ibe nesethi ephelele yemishini yosizo lokuqala, okuhlanganisa zonke izinhlobo zemithi yosizo lokuqala, intubation endotracheal kanye nezinto ezisetshenziswayo, i-fiberoptic bronchoscope, i-artificial breathing, i-apparatus yokumpompela igazi ngokushesha, i-ecg monitor, i-cardiac pacemaker nazo zonke izinhlobo. yabaqaphi.
Izinsiza Zokubulala Izinzwa Nezesekeli kufanele zilungiswe kahle, futhi zihlole ukuthi zisetshenziswa yini; Ukuthi i-alkali lime ayisebenzi yini, noma ngabe ikhithi yokubhoboza amagciwane iphelelwe yisikhathi, noma ngabe ikhwalithi nokubulala amagciwane kwama-catheter ahlukahlukene kanye nezidakamizwa kunokwethenjelwa, ukusebenza kahle kwedivayisi yokumunca nokugcinwa komoyampilo kufanele kubhekwe ngokucophelela.
I-Anesthesia Equipment kanye Nezesekeli zokuhlolwa okukhethekile okufana negesi yegazi kanye ne-serum electrolyte, ithuluzi kufanele lilinganiswe ngaphambi kokubulala izinzwa ukuze lisetshenziswe noma nini.
Imishini Ye-Anesthesia Nezesekeli, njengokulinganisa umfutho we-venous ophakathi, ukucindezela okuqondile kwe-intraarterial, umfutho we-pulmonary artery, i-pulmonary capillary embedded pressure kanye nokuphuma kwenhliziyo, imishini efanele kanye nezinsimbi kufanele zilungiswe.
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I-Oropharyngeal Airway
I-Oropharyngeal Airway ngokuvamile yenziwe ngerabha noma ipulasitiki, noma insimbi noma ezinye izinto ezinwebekayo. Indlela yomoya ye-oropharyngeal evame ukusetshenziswa iyishubhu lepulasitiki eliyindilinga eliyisiyingi elinomumo othi "S", okuhlanganisa i-flange, umcamelo wamazinyo kanye nengxenye egobile yepharynx.
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I-Laryngeal Mask
Imaski ye-Laryngeal mask yomgwaqo ifanele iziguli ezilaliswa izinzwa noma ukulaliswa kwezidakamizwa kanye neziguli ezidinga ukwesekwa okuphuthumayo kokufakelwa komoya ngesikhathi sosizo lokuqala kanye nokuvuselela ukuze zithole indlela yokuphefumula ephezulu ebushelelezi. Yasungulwa ngo-1983 nguDkt. -----Archie Brain, udokotela obulala izinzwa e-UK. Imaski ye-laryngeal ikakhulukazi yakhiwa i-sheath, i-laryngeal mask intubation, ekhombisa ibhaluni, ishubhu lokushaja, ijoyinti yesiphetho somshini kanye nevalvu yokushaja.
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I-Endotracheal Intubation
I-Endotracheal Intubation iyindlela yokubeka i-catheter ekhethekile ye-endotracheal ku-trachea noma i-bronchus ngokusebenzisa imbobo yomlomo noma i-nasal cavity kanye ne-glottis, ehlinzeka ngezimo ezingcono kakhulu zobunikazi bendlela yomoya, ukungena komoya kanye nokunikezwa komoya-mpilo, ukumuncwa kwendlela yokuphefumula nokunye. Kuyisinyathelo esibalulekile sokuhlenga iziguli ezinenkinga yokuphefumula.
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Umshini Wokubulala Izinzwa
Umshini we-Anesthesia uhamba ngomjikelezo wemishini ukuya ku-anesthetic ku-alveoli yesiguli, ukwakheka kwe-anesthetic gas pressure partial pressure, isatshalaliswa egazini, isimiso sezinzwa esimaphakathi esivimbela ngokuqondile, ngaleyo ndlela sikhiqize umphumela we-anesthesia jikelele. Umshini wokubulala izinzwa ungowedivayisi yokubulala izinzwa evulekile kancane. Ikakhulukazi yakhiwe ithangi lokuhwamuka kwezinzwa, i-flowmeter, i-bellows ventilator, isifunda sokuphefumula (okuhlanganisa ama-valve ayindlela eyodwa yokudonsa kanye nokuphefumula kanye nesikhwama somoya esisebenza ngesandla), ipayipi likathayela nezinye izakhi.
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Umshini Wezisetshenziswa Zezokwelapha Zokuqeda Izinhlungu
Umshini wemishini yezokwelapha i-anestesia umshini wokuphefumula wokwenziwa oletha izidakamizwa ezibulala izinzwa ngqo emzimbeni wesiguli. Udokotela obulala izinzwa angakwazi ukulawula inani le-anesthesia emzimbeni wesiguli, alungise ukujula kwezinzwa, futhi umshini ubonisa okuqukethwe komoya-mpilo kanye nokugcwala kwe-carbon dioxide emzimbeni wesiguli.
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Sinezintsha Izinsiza Zokubulala Izinzwa Nezesekeli ezenziwe efekthri yethu e-China njengomkhiqizo wethu oyinhloko, ongathengiswa. U-Baili waziwa njengomunye wabakhiqizi nabahlinzeki Izinsiza Zokubulala Izinzwa Nezesekeli abadumile e-China. Wamukelekile ukuthi uthenge okwenziwe ngendlela oyifisayo Izinsiza Zokubulala Izinzwa Nezesekeli ngohlu lwethu lwamanani kanye nekhotheshini. Imikhiqizo yethu iqinisekiswe yi-CE futhi isesitokweni ukuze amakhasimende ethu akhethe kuzo. Sikubheke ngabomvu ukubambisana kwenu.
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