1. Lungiselela izimpahla bese uziletha eduze kombhede.
2. Lungisa isiguli: Umuntu ophaphamele kufanele anikeze incazelo ukuze athole ukubambisana, futhi athathe isikhundla sokuhlala noma sokuqamba amanga. Isiguli sokuquleka kufanele silale phansi, sibuyisele ikhanda emuva kamuva, sibeke ithawula lokwelapha ngaphansi komhlathi, futhi sihlole futhi sihlanze imbobo yamakhala ngeswabhu kakotini emanzi. Lungiselela itheyiphu: izingcezu ezimbili ze-6cm nocezu olulodwa luka-1cm. 3. Bamba ishubhu le-gastric nge-gauze esandleni sobunxele, bese ubamba ama-forceps emithambo esandleni sokudla ukuze ubambezele ubude beshubhu le-intubation ekupheleni kweshubhu lesisu. Kubantu abadala abangu-45-55cm (inqubo ye-earlobe-nose tip-xiphoid), izinsana kanye nezingane ezincane 14-18cm, phawula nge-tape engu-1 cm ukuze ugcobe ishubhu lesisu.
3. Isandla sobunxele sibamba i-gauze ukuze sisekele ishubhu lesisu, futhi isandla sokudla sibambe i-vascular clamp ukuze sibambe ingxenye engaphambili yeshubhu lesisu bese siyifaka kancane kancane eduze kwekhala elilodwa. Uma ifika epharynx (14-16cm), yala isiguli ukuthi sigwinye ngenkathi ithumela ishubhu lesisu phansi. Uma isiguli siba nesicanucanu, ingxenye kufanele imiswe, futhi isiguli kufanele siyalwe ukuba siphefumule kakhulu noma sigwinye bese sifaka ishubhu lesisu 45-55cm ukuze sikhulule ukungakhululeki. Uma ukufakwa kungasheleli, hlola ukuthi ishubhu lesisu lisemlonyeni. Uma ukukhwehlela, ubunzima bokuphefumula, i-cyanosis, njll. kutholakala ngesikhathi senqubo ye-intubation, kusho ukuthi i-trachea ifakwe ngephutha. Kufanele ikhishwe ngokushesha futhi ifakwe kabusha ngemva kokuphumula isikhashana.
4. Isiguli esikwi-coma asikwazi ukubambisana ngenxa yokunyamalala kwe-reflexes yokugwinya nokukhwehlela. Ukuze kuthuthukiswe izinga lokuphumelela kwe-intubation, lapho ithubhu yesisu ifakwe ku-15 cm (epiglottis), isitsha sokugqoka singabekwa eduze komlomo, futhi ikhanda lesiguli lingakwazi ukuphakanyiswa ngesandla sobunxele Yenza umhlathi ongezansi eduze kwesiqu se-sternum, bese ufaka kancane kancane ithubhu.
5. Qinisekisa ukuthi ishubhu lesisu lisesiswini yini.
5.1 Faka indawo evulekile yeshubhu lesisu emanzini. Uma inani elikhulu legesi liphuma, lifakazela ukuthi lingene kuqhoqhoqho ngephutha.
5.2 Aspirate gastric juice ngesirinji.
5.3 Jova umoya ongu-10cm ngesirinji, bese ulalela umsindo wamanzi esiswini nge-stethoscope.
6. Lungisa ishubhu lesisu emaceleni omabili ekhala nge-tape, xhuma isirinji ekugcineni evulekile, uhoxise kuqala, futhi ubone ukuthi ijusi yesisu iyakhishwa, qala ngokujova uketshezi oluncane olufudumele olufakwe emanzini afudumele noma umuthi-bese ujova amanzi afudumele amancane ukuze uhlanze ilume. Ngesikhathi sokuncelisa, vimbela umoya ukuthi ungangeni.
7. Phakamisa ukuphela kwethubhu yesisu bese uyigoqa, uyibophe nge-gauze bese uyibopha ngokuqinile ngebhande lenjoloba, bese uyilungisa eduze komcamelo wesiguli ngephini.
8. Hlela iyunithi, qoqa izimpahla, futhi urekhode inani lokudla emakhaleni.
9. Uma ukhipha umlomo, phinda futhi ubambe umlomo ngesandla esisodwa.
Isikhathi sokuthumela: Jul-16-2021