1. Kwadebe ihe oriri ma weta ha n'akụkụ akwa.
2. Kwadebe onye ọrịa: Onye maara ihe kwesịrị ịkọwa nkọwa iji nweta nkwado, ma were ọdụ ma ọ bụ ịgha ụgha. Onye na-arịa ọrịa comatose kwesịrị dinara ala, tụgharịa isi ya azụ ma mesịa tinye akwa nhicha ọgwụgwọ n'okpuru aagba, wee lelee ma were akwa swab dị mmiri hichaa oghere imi. Kwadebe teepu: akụkụ abụọ nke 6cm na otu mpempe 1cm. 3. Jide eriri afọ na gauze n'aka ekpe, ma jide ike vaskụla n'aka nri iji jide ogologo tube intubation na njedebe ihu nke tube gastric. Maka ndị okenye 45-55cm (earlobe-nose tip-xiphoid process), ụmụ ọhụrụ na ụmụntakịrị 14-18cm, tinye akara na teepu 1 cm iji tee tube afo.
3. Aka ekpe na-ejide gauze iji kwado tube gastric, aka nri na-ejidekwa vaskụla vaskụla iji jide akụkụ ihu nke tube gastric ma jiri nwayọọ nwayọọ tinye ya n'otu imi. Mgbe ọ ruru pharynx (14-16cm), gwa onye ọrịa ka o ilo mgbe ọ na-eziga tube gastric ala. Ọ bụrụ na onye ọrịa ahụ amalite ọgbụgbọ, a ga-akwụsịtụ akụkụ ahụ, a ga-agwakwa onye ọrịa ka ọ kuru ume ma ọ bụ ilo wee tinye tube afo 45-55cm iji belata ahụ erughị ala. Mgbe ntinye na-adịghị mma, lelee ma tube gastric ọ dị n'ọnụ. Ọ bụrụ na a na-ahụ ụkwara, ihe isi ike iku ume, cyanosis, wdg n'oge usoro intubation, ọ pụtara na etinyere trachea n'amaghị ama. Ekwesịrị ịwepụ ya ozugbo wee tinyeghachi ya mgbe obere oge zuru ike.
4. Onye ọrịa nọ na coma enweghị ike imekọ ihe ọnụ n'ihi mwepu nke ilo na ụkwara reflexes. Iji mee ka ọganihu nke intubation dịkwuo mma, mgbe a na-etinye tube gastric na 15 cm (epiglottis), a na-etinye efere mgbakwasa ahụ n'akụkụ ọnụ, na isi onye ọrịa nwere ike ijide aka ekpe mee ka agba dị ala dị nso na azuokokoosisi nke sternum, ma jiri nwayọọ nwayọọ tinye tube ahụ.
5. Chọpụta ma tube gastric dị n'afọ.
5.1 Tinye oghere oghere nke tube gastric n'ime mmiri. Ọ bụrụ na nnukwu gas na-agbapụ, ọ na-egosi na ọ abanyela na trachea n'amaghị ama.
5.2 Ihe ọṅụṅụ gastric aspirate na sirinji.
5.3 Tinye 10cm nke ikuku na sirinji, ma gee ụda mmiri dị n'ime afọ site na stethoscope.
6. Dozie tube gastric n'akụkụ abụọ nke imi na teepu, jikọọ sirinji na njedebe oghere, wepụ mbụ, ma hụ na a na-amịpụta ihe ọṅụṅụ gastric, buru ụzọ gbanye obere mmiri ọkụ na-agbanye mmiri ma ọ bụ ọgwụ - wee gbanye obere mmiri ọkụ iji kpochapụ lumen. N'oge nri, gbochie ikuku ịbanye.
7. Welite njedebe nke eriri afọ ma tụgharịa ya, kechie ya na gauze ma kechie ya na eriri roba, ma dozie ya n'akụkụ ohiri isi nke onye ọrịa na ntụtụ.
8. Hazie otu ahụ, dozie ngwa ahịa, wee dekọọ ọnụọgụ nri imi.
9. Mgbe ị na-apụ apụ, jiri otu aka gbakọọ ma mechie nozzle.
Oge nzipu: Jul-16-2021