1. Tegura ibikoresho hanyuma ubizane kuryama.
2. Tegura umurwayi: Umuntu uzi ubwenge agomba gutanga ibisobanuro kugirango abone ubufatanye, kandi afate umwanya wicaye cyangwa abeshya. Umurwayi wa comatose agomba kuryama, agasubiza umutwe nyuma, agashyira igitambaro cyo kuvura munsi y'urwasaya, hanyuma akareba kandi agasukura umwobo wizuru akoresheje ipamba itose. Tegura kaseti: ibice bibiri bya 6cm nigice kimwe cya 1cm. 3. Fata umuyoboro wa gastrica hamwe na gaze mu kuboko kwi bumoso, hanyuma ufate imbaraga ziva mu mitsi mu kuboko kwi buryo kugira ngo ugabanye uburebure bwigitereko cya intubation kumpera yimbere yigitereko. Kubantu bakuze 45-55cm (gutwi-izuru tip-xiphoide inzira), impinja nabana bato 14-18cm, shyira akamenyetso kuri cm 1 kugirango usige amavuta yigifu.
3. Ukuboko kwi bumoso gufashe gaze kugirango ishyigikire umuyoboro wa gastric, naho ukuboko kwiburyo gufashe clamp yimitsi kugirango ifate igice cyimbere cyigitereko cya gastrica hanyuma uyinjizemo buhoro buhoro izuru rimwe. Iyo igeze mu muhogo (14-16cm), tegeka umurwayi kumira mugihe wohereje umuyoboro wa gastrici. Niba umurwayi arwaye isesemi, igice kigomba guhagarara, kandi umurwayi agomba gutegekwa guhumeka neza cyangwa kumira hanyuma agashyiramo umuyoboro wigifu 45-55cm kugirango agabanye ibibazo. Mugihe kwinjiza bitoroshye, reba niba umuyoboro wa gastric uri mumunwa. Niba gukorora, ingorane zo guhumeka, cyanose, nibindi biboneka mugihe cya intubation, bivuze ko trachea yashizwemo nibeshya. Igomba gukururwa ako kanya hanyuma igashyiramo nyuma yo kuruhuka gato.
4. Umurwayi uri muri koma ntashobora gufatanya kubera kubura kumira no gukorora. Kugirango uzamure igipimo cyo gutsinda kwa intubation, mugihe umuyoboro wa gastrici winjijwe kuri cm 15 (epiglottis), igikono cyo kwambara gishobora gushyirwa iruhande rwumunwa, kandi umutwe wumurwayi urashobora gufatanwa ukuboko kwi bumoso Kora urwasaya rwo hepfo hafi yuruti rwa sternum, hanyuma winjizemo buhoro buhoro.
5. Kugenzura niba umuyoboro wa gastric uri mu gifu.
5.1 Shira impera ifunguye ya gastrica mumazi. Niba gaze nini ihunze, irerekana ko yinjiye muri trachea yibeshye.
5.2 Aspirate umutobe wa gastric hamwe na syringe.
5.3 Shyiramo 10cm yumuyaga hamwe na syringe, hanyuma wumve ijwi ryamazi munda hamwe na stethoscope.
6. Shyira umuyoboro wa gastrici kumpande zombi zizuru hamwe na kaseti, uhuze seringe kumpera yuguruye, ubanze ukuremo, hanyuma urebe ko umutobe wa gastrica ukuramo, banza utere amazi make yatewe amazi cyangwa imiti-hanyuma ushiremo amazi make ashyushye kugirango usukure lumen. Mugihe cyo kugaburira, irinde umwuka kwinjira.
7. Kuzamura impera yigitereko cyigifu hanyuma ukizenguruke, uyizenguruke hamwe na gaze hanyuma uyizenguruke neza hamwe na reberi, hanyuma uyikosore iruhande rw umusego wumurwayi ukoresheje pin.
8. Tegura igice, utegure ibikoresho, kandi wandike ingano yo kugaburira amazuru.
9. Iyo urambuye, funga kandi uhambire nozzle ukoresheje ukuboko kumwe.
Igihe cyo kohereza: Nyakanga-16-2021