Ukumuncwa okujwayelekile kwesikhwehlela ikakhulukazi kubhekisela ekuphumeni okuphakathi nendawo yokuphefumula kanye nembobo yomlomo, kuyilapho ukumunca eshubhuni lokushutheka nakho kuheha isikhwehlela kulume lweshubhu lokuthokomala nangaphansi kwesaka lomoya.Ezigulini ezibulala izinzwa ezijwayelekile noma ngesikhathi sokuhlenga, iziguli zidinga ukufaka i-tracheal intubation yokulawulwa kwendlela yomoya.Indlela yokuheha isikhwehlela se-subglottic kalula futhi ngaphandle kokumelana bekulokhu kubakhathaza abasebenzi bezokwelapha.
Izici:
- I-PVC yezinga lezokwelapha(DEHP noma i-DEHP iyatholakala mahhala)
- Ngezimfihlo zokudonsa i-lumen eziqoqwe ngaphansi kwe-cuff
- Ngomugqa we-X-ray ku-tubing
- Ngesixhumi esijwayelekile esingu-15mm
- Ithiphu eliyindilinga eliyindilinga le-Atraumatic elithambile kanye namehlo ka-Murphy awahlaseli kancane
- I-cuff yomfutho ophansi wevolumu ephezulu inikeza uphawu lwengcindezi ephansi esebenzayo
Isicelo
- Isiza ukwehlisa izinga lenyumoniya ehambisana ne-ventilator (VAP) esibhedlela.
- Amandla okunciphisa izindleko ezihlobene nesibhedlela ezihlobene nokuthuthukiswa kwe-VAP.
- Indlela elula nephephile yokumunca uketshezi olunqwabelene esikhaleni se-subglottic.
- Imbobo enkulu ye-elliptical evacuation ebekwe eceleni komhlane eduze ne-cuff inikeza ukuphuma okusebenzayo.
- I-lumen yokumunca ehlanganisiwe ivumela ukumunca okuqhubekayo ngaphandle kokubeka engcupheni ukuhlukumezeka kwezintambo zezwi njengokumuncwa kwe-catheter ngesandla.
- Ingozi yokutheleleka kokuphefumula ngesikhathi sokuphefumula komoya isikhathi eside ingancishiswa kakhulu ngokukhipha amanzi endaweni engaphansi kwe-subglottic.
- Ingozi yokutheleleka kokuphefumula ngesikhathi sokuphefumula komoya isikhathi eside ingancishiswa kakhulu ngokukhipha amanzi endaweni engaphansi kwe-subglottic.
- Ilume lokumunca: Bushelelezi ngokwanele ukuxosha isikhwehlela.
- Ichweba lokuphuma: elisendaweni yomgogodla oseduze ne-cuff lihlinzeka ngokuphuma okusebenzayo.
- Umugqa we-X-ray wethiphu-kuya-ku-Tip uvumela ukulawula ukuma okuphephile.
Into No. | Usayizi (mm) | Into No. | Usayizi (mm) |
I-HTC0460C | 6.0 | I-HTC0480C | 8.0 |
I-HTC0465C | 6.5 | I-HTC0485C | 8.5 |
I-HTC0470C | 7 | I-HTC0490C | 9 |
I-HTC0475C | 7.5 | - | - |