Tracheotomy - He aha ka keia? 'ana i kūpono tracheotomy

Iʻoki kino, he mea mau manaÿo - he tracheotomy a me ka tracheostomy.

Tracheotomy - he tracheal hamama ana, a me ka hoʻokomo 'ia' ana o ka Tube i loko o ia no ka 'ae' ana o ke ea i loko o ka lalo Hawaiian Airlines i asphyxia. Keia pilikia ana ua lawe mai.

Tracheostomy - ua hoi wehe i ka trachea, akā, suturing i nā kihi o ka kūpono e oki ai i ka nń ku'aʻaʻa a me ke kahua o nā lua no ka hanu.

A wahi moʻolelo

Kēia hana o ka pilikia i muaʻikeʻia i loko o ka wā kahiko Aigupita a me India, he mea Documentary hoike, i ka mea, nanea i Aleksandr Veliky no ka hoola ana o ke kanaka i loko o kona poe koa. About keia ina hana, ua kakau iho la Hippocrates a me Gallen, akā, no ka mea, o kona trauma a me ka weliweli o ke ola ua pinepine pono ole, e hana ia ma ka hana.

Ka muaʻana hana i lawe mai ma ka Italia kauka Anthony Brasavola i ka 1546. 'O kēia ka mua hoʻopaʻa pepa paʻi kiʻi hoike ia ma hope o ke kaʻina hana o ka hoʻomanawanui mea ola. Mai ka 1718 i kēia 'ano o kaʻoki kino ua lilo ka maʻamau, a ua noi ma nā kaiāulu kauka. Aka, he nui nā nō makau i ka hana ia. No ka laʻana, ka mea pilikino kauka o George Washington wae ia e ahonui make ma mua o hoʻoholo ihola e hana i risky manipulation.

Ka muli o na rula o ka aseptic a me ka antiseptic iki hoemi i ka pilikia o complications a me ka make, akā, nae i hoomaopopo i ka 'inikua kaiāulu i kēia iaoia mea pakele no ka mea hoʻomanawanui. Currently, tracheotomy - he hana ala, e kōkua, a ua hoʻohana wale i ka wa a pau'ē aʻe kāu kiʻina hana (? Eaia Geymliha, intubation) e ineffective paha aʻole 'oe i manawa.

ʻO nāʻikepili no kaʻoki kino

Na mea a pau i mea alodio tracheotomy, nāʻikepili no ka mea, ua ikaika kupono, me ka pilikia a hiki i kanaka ke ola iloko o keia manipulation mea oi aku ia mamua o ka Loaʻaʻia pomaikai. Ka mea, e:

1. Na kino e moe ana ma luna o ka trachea, i hiki ole ke hoonee aku ma kekahi 'ano.
2. Contusions, hou i ka lumen o ka larynx.
3. Huʻi laryngeal stenosis ma diphtheritic croup, pertussis,ʻo Waimānalo, typhus a me ka 'ole. D.
4. Ano i ka lumen o ka trachea a larynxʻeho.
5. Mīkini'opihia o ke keena naehana'āpana, mai waho.
6. Nine Inch'ā
7. Allergic stenosis.

Ano o ka airway iaʻi

• Huʻi, a fulminant, - e hoʻomōhala ana i loko o kekahi mea o nā kekona. Kēia paha e like blockage ma na kino, e like allergic edema.
• Huʻi - hoike mai ai ia ia iho i loko o kekahi mau minuke, ana ua hoʻopili i ka diphtheria a me na kino.
• Subacute - panina o ka airway lumen e mau no na umi o nā minuke a hiki hola. Keia ano He typical o croup wahahee, nui puʻu, Nine Inch'ā.
• Maʻi - hiki ulu no ka makahiki ma ka pathological keʻano o ka hanaʻana e like me Ka maʻi 'aʻai o ka larynx, perichondrium, cicatricial contracture trachea.

Mea Maluna

He nui na ano o ka tracheotomy, ke kaumaha ma muli o ka 'ike loea hou o kona manaʻo.

I ka nui o ka dissection:

• Top: i ka pae ana o ka cricoid cartilage.
• Ka: i ka pae ana o ka thyroid cartilage.
• Lower ole konikotomiya.

Ma ke ano o ke oki ua kaʻawale.

• Lonikū.
• Kīloi paʻewa.
• U-hoʻokino.

mea hana

i Mai e hoopoina no a pau kona urgency a improvised, keia iaoia ua hoʻonoho like me ka hana. Tracheotomy pono e hana i kekahi kau o na mea paahana, ina kekahi mea i loaʻa. Conventionally, ka mea hiki ke maheleia i mau nui hui: ka mauʻoki kino a me ka hana kūikawā kani.

Ka mua pūʻulu nā forceps, scalpels, clamps no ka noho koko,ʻoki lāʻau lapaʻau'ūpā, mau lou no? Aneii nā'aʻaʻa, he catheter, 'ohe a me ka puka o. Ka lua o ka pūʻulu ka loaʻa o ka tracheal cannula, Luer, ec mau paipu hoonohonoho kekahi i loko o ka mea'ē aʻe; Shassinyaka ka makau no ka paa ana i ka trachea me traumatizing ia; traheorasshiritel a me ka makau e hoʻoneʻe aʻe i ka isthmus o ka thyroid gland.

'ana i kūpono tracheotomy

Ma mua o kekahi hana ua lawe mai ma luna o ka AYEIE ka leo o ka aʻo e kōkua kou kauka me ka hikiwawe e loaa a me painless no ke hoʻomanawanui, e lawe mai i ka pono 'uao. Ma keia hihia ia mea e pono ke kau i ke hoʻomanawanui ma luna o kona kua, a me ka i kā mākou hoʻolei hoʻi i kona poʻo hoʻi i ka cartilage o ka trachea he maopopo hiki. E hana i kēia, i kekahi manawa, e hoʻohana i ka lole wili. Ma hope o fixation, i ke kanaka ke launa mai anesthesia. Ua hiki ke ana me ka mau, a kūloko. Ua pau hilinaʻi nui ma luna o ka olelo ma lalo i ka hana me ka mākaʻi, ke ahonui o ka makahiki, 'inikua a me ka haukapila nona iho. Inā he pilikia kulana, ke kauka e lawelawe ai manipulation me anesthesia. Ma hope o nā mea a pau i ka hoomakaukau ana, e hoomaka koke tracheotomy.

'Ana i kūpono mea stratified mahele ili, subcutaneous momona, fascia a me fibrous pūnāwelewele e kō ana mai o ka thyroid cartilage. A laila, i ka i hooleiiaʻi mawaho Muscle i ua nāu kekahi i loko o ka obtuse anoʻaoʻao. Ma lalo ia o ka cartilage a me ka isthmus o ka thyroid gland. Hao ua kaawale mai ka trachea, a pahu aku ai i, dissect kekahi fascia. Hook a koho i ka larynx, ke kaupalenaʻana scalpel ke kōmi 'manamana lima lole wili paha puna, e he uuku incision. Ka pahuhopu ua loaʻa. Air hoʻi i loko o ka ia maʻiʻaʻai. First hooki hanu kānāwai, akā, i ka hoʻomanawanui laila kaʻina kānāwai me ka puʻu a me ka a pink. Wale nō ma hope o ke kauka ua hoomaopopoia ua hoomaka ae la ke kanaka e hanu hou, i kaʻeha ua hookomoia i loko o ka cannula, a loaa kona sutures a me lina. Ua sutured ka eha no laila, i ka mea, ua paa i paa Tube.

Konikotomiya

Kēia mea he uuku koe mamua i ka tracheotomy, ina he mea ole manawa a me ka manawa e hōʻoia i ka maʻamau a lawe mai i ka tracheotomy. Holo ia, mai hana mālieʻoki. Kekahi noi dissect i ka'ā'ī i lalo i ka cricoid cartilage a me ligaments schitoperstnevidnoy. Ka mea'ūmiʻi pauku ua hookomoia, ka mea, ua nāu kekahi mau ā, a koho ia i loko o kēia kūlana. Inā hoomaka ae la i ke ahonui i ka hanu, oia huli a pink, ia ia he cough, alaila, o ka hana ka holomua. A hiki i ka pilikia i hala, hiki ke unuhi 'ia i loko o ka tracheostomy konikotomiyu e hoolako i kekahi mau ea kahe i ka hoʻomanawanui.

Hiki hewa i ka manipulation

I kekahi hana i kona hopena, ua i koe a me ka tracheotomy. Nā complications i ala mai, mai ia, hiki ke maheleia i ekolu pūʻulu.

1. Ma ke kaʻina kapuwai o:

• Pololei ole ana laina hiki i venous kahe ana ke koko, ea embolism, a me kekahi manawa transection o ka pono carotid artery ;
• ke koko ke kiʻi i loko o ka malalo Hawaiian Airlines, e kauoha ana ka puana asphyxia;
• pauku pono e like me ka ke anawaena o ka cannula, ai ole ia, e loaʻa i ka humuhumu, a hou iki i ka'aʻaʻa;
• hohonu oki hiki i esophageal poino, no laila, ke scalpel maka e e kaupalena 'ia 1 knm.

2. koke ma hopeʻoki kino:

• hypoxia;
• fracture tracheal apo paha puncture;
• subcutaneous emphysema;
• pneumothorax.

3. hoʻokaʻuluaʻana hopena:

• tracheobronchitis;
• tracheal stenosis a hou asphyxia;
• hoʻololi (hoarseness) balota no recurrent nā aʻalolo transection;
• mea hoʻonani mā.

All kauka, a hiki mai ka kulanui hoomanao pehea pilikia loa tracheotomy. Kēia mea i ke ano o ka hana ana e lawe hiki mai noke. Wale i ka piʻoloke, oi loa, i ka wa o ka hoʻomanawanui mea ma luna o ka verge o ke ola a me ka make, no ka mea, i loko o ka wikiwiki, e hiki ke pilikia i ka hoʻomanawanui. A ina ua ole lawe keia manipulation mai i loko o ka haukapila, akā, ma kahi e ma ke alanui a ma ka hale, oe e manaʻo haneri manawa mua oe i hoopo nopono mai. Simple ma mua kilohi, pono e kākoʻo 'ia e lawa hana o ka surgeon keʻano hana. Tracheotomy i loko o ka hale mea,ʻaʻole e hiki ole, ia mea pilikia loa. Inā 'aʻole' oe i 'inikua ka hoʻonaʻauao a me ka kūpono mākau, mai i ho'āʻo i ka' oe ia.

E hali ana mai i ka tracheotomy e pono ai wale nō, e hoola i ke kanaka o ka ola! Ka pilikia o ka make, a me ia mea complications mea kiʻekiʻe lawa ia e ke kauka manaʻo e pili ana i ka papa haʻawina. Pela hoi, aole i haawiia mai ka mea i keia hana i uaʻikeʻia mai manawa mau loa aku, i ka 'inikua kaiāulu i ole i kii mai ana e hana ia maluhia kupono.

Tracheotomy - ka mea, o ka manawa e hoola i kekahi mau ola, akā, ka mea, o ka mea ia like paha manawa e lawe ia aku.