Qhov kub ntawm lub cev yog ib qho ntawm cov cim tseem ceeb ntawm tib neeg lub cev. Kev tswj qhov kub ntawm lub cev kom ruaj khov yog ib qho tseem ceeb uas yuav tsum tau ua kom ntseeg tau tias kev ua haujlwm ntawm lub cev thiab kev ua neej nyob zoo li qub. Nyob rau hauv cov xwm txheej ib txwm muaj, tib neeg lub cev yuav tswj qhov kub ntawm lub cev kom nyob hauv qhov kub ntawm lub cev ib txwm muaj los ntawm nws tus kheej lub cev tswj qhov kub, tab sis muaj ntau yam xwm txheej hauv tsev kho mob (xws li kev siv tshuaj loog, phais, kev pab thawj zaug, thiab lwm yam) uas yuav cuam tshuam rau lub cev tswj qhov kub, yog tias tsis kho raws sijhawm, Tej zaum yuav ua rau ntau yam kabmob ntawm tus neeg mob puas tsuaj, thiab txawm tias ua rau tuag taus.
Kev saib xyuas qhov kub ntawm lub cev yog ib feem tseem ceeb ntawm kev kho mob hauv tsev kho mob. Rau cov neeg mob pw hauv tsev kho mob, cov neeg mob ICU, cov neeg mob uas tab tom siv tshuaj loog thiab cov neeg mob uas tab tom phais, thaum tus neeg mob lub cev kub hloov pauv ntau dua li qub, cov neeg ua haujlwm kho mob yuav pom qhov kub hloov sai dua. Thaum koj ua cov kauj ruam tsim nyog, kev saib xyuas thiab sau cov kev hloov pauv ntawm qhov kub ntawm lub cev muaj qhov tseem ceeb heev rau kev kuaj mob, txiav txim siab qhov mob, thiab txheeb xyuas cov txiaj ntsig kho, thiab tsis tuaj yeem tsis quav ntsej.
Cov cuab yeej ntsuas kub yog ib qho khoom siv tseem ceeb hauv kev ntsuas kub ntawm lub cev. Tam sim no, feem ntau cov cuab yeej ntsuas kub hauv tsev siv cov cuab yeej ntsuas kub uas siv tau dua. Tom qab siv ntev, qhov tseeb yuav txo qis, uas yuav poob qhov tseem ceeb hauv kev kho mob, thiab muaj kev pheej hmoo ntawm kev sib kis kab mob. Hauv cov tsev kho mob hauv cov teb chaws tsim kho, cov ntsuas kub ntawm lub cev yeej ib txwm suav tias yog ib qho ntawm plaub lub cim tseem ceeb, thiab cov cuab yeej ntsuas kub uas phim nrog cov cuab yeej ntsuas kub kuj siv cov khoom siv kho mob pov tseg, uas tuaj yeem ua tau raws li qhov xav tau ntawm cov tshuaj niaj hnub rau qhov kub ntawm lub cev tib neeg. Cov kev cai ntsuas ua rau txoj haujlwm yooj yim thiab tseem ceeb ntawm kev ntsuas kub muaj kev nyab xeeb dua, yooj yim dua thiab huv si.
Lub ntsuas kub pov tseg siv tau ua ke nrog lub monitor, uas ua rau kev ntsuas kub muaj kev nyab xeeb dua, yooj yim dua thiab huv dua. Nws tau siv hauv txawv teb chaws tau yuav luag 30 xyoo. Nws tuaj yeem muab cov ntaub ntawv kub ntawm lub cev tas mus li thiab raug, uas yog qhov tseem ceeb rau kev kho mob thiab txuag kev tua kab mob ntau zaus. Cov txheej txheem nyuaj kuj zam kev pheej hmoo ntawm kev kis kab mob.
Kev ntsuas kub ntawm lub cev muaj ob hom: kev ntsuas kub ntawm qhov chaw ntawm lub cev thiab kev ntsuas kub ntawm lub cev hauv lub cev. Raws li kev thov ntawm kev ua lag luam, MedLinket tau tsim ntau hom kev ntsuas kub uas siv pov tseg tau kom ntseeg tau tias kev ntsuas kub ntawm lub cev muaj kev nyab xeeb thiab kev ntseeg tau, tiv thaiv kev sib kis kab mob, thiab ua tau raws li qhov xav tau ntawm ntau lub chaw haujlwm sib txawv.
1. Cov Khoom Siv Soj Ntsuam Tawv Nqaij Uas Siv Tau
Cov xwm txheej siv tau: chav saib xyuas menyuam yaus tshwj xeeb, chav kho mob menyuam yaus, chav phais mob, chav kho mob ceev, ICU
Qhov ntsuas: Nws tuaj yeem muab tso rau ntawm txhua qhov ntawm daim tawv nqaij ntawm lub cev, nws raug pom zoo kom nyob rau ntawm lub hauv pliaj, qhov chaw mos, scapula, tes lossis lwm qhov uas yuav tsum tau ntsuas hauv tsev kho mob.
Cov kev ceev faj:
1. Nws yog contraindicated siv rau hauv kev raug mob, kev kis kab mob, o, thiab lwm yam.
2. Yog tias lub sensor tsis tuaj yeem saib xyuas qhov kub thiab txias kom raug, nws txhais tau tias nws qhov chaw tsis raug lossis tsis tau muab tso rau qhov chaw ruaj ntseg, tsiv lub sensor lossis xaiv lwm hom sensor
3. Siv ib puag ncig: kub thiab txias +5℃~+40℃, qhov av noo sib piv≤80%, qhov siab ntawm huab cua 86kPa~106kPa.
4. Xyuas seb qhov chaw ntawm lub sensor puas ruaj ntseg tsawg kawg txhua 4 teev.
2. Cov Khoom Siv Pov Tseg Esophageal / Rectal Probes
Cov xwm txheej siv tau: chav ua haujlwm, ICU, cov neeg mob uas xav tau ntsuas qhov kub hauv lub cev qhov
Qhov chaw ntsuas: qhov quav laus: 6-10cm; qhov quav menyuam yaus: 2-3cm; cov neeg laus thiab menyuam yaus cov tshuaj tsuag: 3-5cm; ncav cuag lub tshav puam tom qab ntawm lub qhov ntswg
Cov neeg laus lub qhov ncauj: li 25-30cm;
Cov kev ceev faj:
1. Rau cov menyuam mos lossis cov menyuam mos, nws tsis raug cai thaum lub sijhawm phais laser, kev ntxig raj rau hauv cov hlab ntsha carotid sab hauv lossis cov txheej txheem tracheotomy
2. Yog tias lub sensor tsis tuaj yeem saib xyuas qhov kub thiab txias kom raug, nws txhais tau tias nws qhov chaw tsis raug lossis tsis tau muab tso rau qhov chaw ruaj ntseg, tsiv lub sensor lossis xaiv lwm hom sensor
3. Siv ib puag ncig: kub thiab txias +5℃~+40℃, qhov av noo sib piv≤80%, qhov siab ntawm huab cua 86kPa~106kPa.
4. Xyuas seb qhov chaw ntawm lub sensor puas ruaj ntseg tsawg kawg txhua 4 teev.
Lub sijhawm tshaj tawm: Cuaj hlis-01-2021


