1. Shirya kayayyaki kuma kawo su gefen gado.
2. Shirya mara lafiya: Mai hankali ya yi bayani don samun hadin kai, kuma ya dauki wurin zama ko kwance. Ya kamata majinyacin ya kwanta, ya mayar da kansa daga baya, sannan ya sanya tawul din magani a karkashin muƙamuƙi, sannan ya duba tare da wanke kogon hanci da rigar auduga. Shirya tef: guda biyu na 6cm da guda ɗaya na 1cm. 3. Rike bututun ciki tare da gauze a hannun hagu, kuma ka riƙe ƙarfin jijiyoyin bugun jini a hannun dama don matsa tsayin bututun intubation a ƙarshen bututun ciki. Ga manya 45-55cm (tsarin kunne-hanci tip-xiphoid), jarirai da yara ƙanana 14-18cm, yi alama da tef 1 cm don shafa bututun ciki.
3. Hannun hagu yana riƙe da gauze don tallafawa bututun ciki, kuma hannun dama yana riƙe da matsewar jijiyoyin jini don matsa sashin gaba na bututun ciki kuma a hankali saka shi tare da hanci ɗaya. Lokacin da ya kai pharynx (14-16cm), umurci mara lafiya ya hadiye yayin aika bututun ciki. Idan majiyyaci ya kamu da tashin zuciya, sai a dakatar da sashin, sannan a umurci majiyyaci ya yi dogon numfashi ko hadiye sannan a saka bututun ciki 45-55cm don rage rashin jin daɗi. Lokacin da shigarwar ba ta da santsi, duba ko bututun ciki yana cikin baki. Idan an sami tari, wahalar numfashi, cyanosis, da sauransu yayin aikin shigar da ruwa, yana nufin cewa an shigar da trachea bisa kuskure. Ya kamata a cire shi nan da nan kuma a sake shigar da shi bayan ɗan gajeren hutu.
4. Mara lafiya a cikin suma ba zai iya ba da hadin kai ba saboda bacewar hadiya da tari. Don inganta nasarar nasarar intubation, lokacin da aka shigar da bututun ciki zuwa 15 cm (epiglottis), za a iya sanya kwanon sutura kusa da bakin, kuma ana iya ɗaukar kan mara lafiya tare da hannun hagu Sanya ƙananan muƙamuƙi kusa da tushe na sternum, kuma a hankali saka bututu.
5. Tabbatar da ko bututun ciki yana cikin ciki.
5.1 Sanya ƙarshen bututun ciki a cikin ruwa. Idan iskar gas mai yawa ya tsere, yana tabbatar da cewa ya shiga trachea bisa kuskure.
5.2 ruwan 'ya'yan itace na ciki mai shayarwa tare da sirinji.
5.3 Yi allurar iska mai tsawon cm 10 tare da sirinji, kuma sauraron sautin ruwa a ciki tare da stethoscope.
6. Gyara bututun ciki a bangarorin biyu na hanci da tef, sai a hada sirinji a karshen budewa, sai a fara janyewa, sai a ga an ciro ruwan ciki, sai a yi dan karamin ruwan dumi a allurar ko kuma a yi masa magani, sannan a zuba ruwan dumi kadan don tsaftace lumen. Lokacin ciyarwa, hana iska daga shiga.
7. Ki ɗaga ƙarshen bututun ciki a ninke shi, ku nannade shi da gauze kuma ku nannade shi sosai da bandeji na roba, sannan a gyara shi kusa da matashin mara lafiya tare da fil.
8. Tsara naúrar, gyara kayayyaki, da rubuta adadin ciyarwar hanci.
9. Lokacin extubating, ninka da matse bututun ƙarfe da hannu ɗaya.
Lokacin aikawa: Yuli-16-2021