1. Gadzirira zvinhu uye uuye nazvo kudivi remubhedha.
2. Gadzirira murwere: Munhu anoziva anofanira kuita tsananguro kuti awane batira pamwe, uye otora nzvimbo yakagara kana kuti yokunyepa. Murwere ane comatose anofanira kurara pasi, odzosa musoro wake pave paya, oisa tauro rekurapa pasi peshaya, otarisa uye ochenesa mhango yemhino nedonje rakanyorova. Gadzirira tepi: zvidimbu zviviri zve6cm uye chikamu chimwe che1cm. 3. Bata gastric chubhu ne gauze kuruoko rweruboshwe, uye bata vascular forceps muruoko rwerudyi kuti ubatanidze kureba kwechubhu ye intubation kumucheto kwemberi kwe gastric chubhu. Kune vakuru 45-55cm (earlobe-nose tip-xiphoid process), vacheche nevana vadiki 14-18cm, maka nesendimita tepi yekuzora mudumbu chubhu.
3. Ruoko rworuboshwe runobata gauze kutsigira gastric chubhu, uye ruoko rworudyi rwakabata tsinga yetsinga kuti isungirire chikamu chepamberi chechubhu chomudumbu uye zvishoma nezvishoma ichipinza nechepamhino imwe. Kana yasvika pa pharynx (14-16cm), raira murwere kumedza achitumira gastric chubhu pasi. Kana murwere akaita kusvotwa, chikamu chinofanira kumbomira, uye murwere anofanira kurairwa kutora kufema kwakadzika kana kumedza uye ozoisa mudumbu chubhu 45-55cm kubvisa kusagadzikana. Kana kuiswa kusina kutsetseka, tarisa kuti gastric tube iri mumuromo. Kana kukosora, kuoma kwekufema, cyanosis, nezvimwewo zvinowanikwa panguva yekupinda mukati, zvinoreva kuti trachea yakaiswa nekukanganisa. Inofanira kubudiswa pakarepo uye kuiswazve mushure mekuzorora kwenguva pfupi.
4. Murwere ari mu coma haakwanisi kushandira pamwe nekuda kwekunyangarika kwekumedza uye kukosora reflexes. Kuti uvandudze chiyero chekubudirira kweitubation, apo gastric tube yakaiswa kusvika 15 cm (epiglottis), ndiro yekupfeka inogona kuiswa pedyo nemuromo, uye musoro wemurwere unogona kusimudzwa neruoko rworuboshwe Ita jaya rezasi pedyo nechepamusoro pe sternum, uye zvishoma nezvishoma uise chubhu.
5. Tarisa kuti gastric chubhu iri mudumbu here.
5.1 Isa nzvimbo yakavhurika yegubhu yemudumbu mumvura. Kana huwandu hwakawanda hwegesi hunopukunyuka, hunoratidza kuti hwakapinda mu trachea nekukanganisa.
5.2 Aspirate gastric juice ine sirinji.
5.3 Jekiseni 10cm yemhepo nejekiseni, uye teererai kutinhira kwemvura mudumbu nestethoscope.
6. Gadzirisa gastric chubhu kumativi ose emhino ne tepi, batanidza sirinji kumucheto wakashama, bvisa kutanga, uye ona kuti muto wemudumbu wabudiswa kunze, tanga wabaya mvura shoma inodziya-jekiseni remvura kana mushonga-uye wozobaya mvura shoma inodziya kuti uchenese lumen. Panguva yekudya, dzivirira mhepo kupinda.
7. Simudza kuguma kwechubhu yemudumbu uye uipete kumusoro, uiputire ne gauze uye uiputire zvakasimba nebhandi rerubha, uye uigadzirise pedyo nemutsamiro wemurwere nepini.
8. Ronga chikwata, rongedza zvekushandisa, uye nyora huwandu hwekudyiswa kwemhino.
9. Paunenge uchiburitsa, peta uye sunga muromo neruoko rumwe.
Nguva yekutumira: Jul-16-2021