Kullun ƙarewa yana mai sauƙin motsi wanda aka sanya shi ta bakin bakin cikin trachea (windpipe) don taimakawa mai numfashi. An kuma haɗa shi da motar endotracheal zuwa ventilator, wanda ke kawo oxygen zuwa huhu. Hanyar shigar da bututu ana kiransa intubation endotracheal.
Manufar
Za a iya sanya motsi na karshe idan mai haƙuri ba zai iya numfasawa ta kanta ba, saboda gaggawa na likita, rashin lafiya mai tsanani, ko kuma lokacin aikin tiyata lokacin da ake amfani da cututtuka na gaba .
Wasu alamomi ga intubation endotracheal sun hada da:
- Domin aikin tiyata - Tare da ciwon ƙwayar cuta, da tsokoki na jikin ciki har da diaphragm suna gurgunta, da kuma sanya kwalba na karshe wanda zai iya yin aikin motsa jiki.
- Don cire jiki na waje - Idan ɓangaren jiki wanda ake so (numfashi) ya katse trachea za'a iya sanya shi don taimakawa wajen kawar da abu na waje.
- Don kare jirgin sama daga barazana - Idan wani ya sami GI mai tsanani (zub da jini a cikin ciki) ko kuma yana fama da bugun jini, kuma ana iya sanya bututu na karshe don taimakawa wajen hana ciki daga shigar da hanyoyi.
- Don kallon jirgin sama - Idan an yi la'akari da rashin amfani da larynx, trachea, ko bronchi, ana iya sanya wani bututun gado don bada izinin ganin hankalin iska.
- Bayan tayar da ciwon huhu na huhu - Ana iya barin motsi na karshe da aka haɗa da mai kwakwalwa a wurin don taimakawa tare da numfashi bayan yin aiki.
- Don tallafawa numfashi - Idan wani yana fama da wahalar numfashi saboda ciwon huhu, rashin tausayi na zuciya da rudun jini (cutarwa), ko rashin fahimta saboda wani overdose, bugun jini, ko rauni na kwakwalwa, kuma ana iya sanya bututun karshe don tallafawa numfashi.
Hanyar
Sau da yawa ana sanya wani bututu na karshe idan mai rashin lafiya ba shi da hankali.
Idan mai hankali yana da hankali, ana amfani da magungunan don rage damuwa yayin da aka sanya bututu har sai an cire shi. Ana sanya bututu a cikin bakin (ko wani lokacin ta hanyar hanci) bayan da ya motsa harshen, sannan kuma ya sanya murfin a tsakanin sakon muryoyin a cikin trachea. Saboda wurinsa, mutane ba su iya yin magana a lokacin da bututu yake cikin wuri.
Rarraba da Risks
Wasu daga cikin haɗarin da ke tattare da sanyawa na wani bututun endotracheal sun hada da:
- Bleeding.
- Kamuwa da cuta.
- Girmawanci (mutane da yawa suna lura da ciwon makogwaro bayan samun bututun endotracheal a wuri.)
- Pneumothorax (ruguwar ƙwayar cuta).
- Matsayi na asibiti - Ana iya yin x-ray don tabbatar da cewa an sanya bututu a cikin trachea kuma ba esophagus ba.
Sources:
National Library of Medicine. MedlinePlus. Ƙungiyar Endotracheal. Updated 11/14/14.