Tuule Lumen Tracheal Tube

Tuube Lumen Tracheal Tube (DLT) dañu koy jëfandikoo ngir ventilasioŋ pulmon bi ci yenn anam ci paj mi. Aparey bu yam ci jawwu ji la buy may nga mëna tànn nit ñi ak ventilation ci poumon yi ci cammoy bi ak ci ndijoor gi.

1) Duggal: DLT dañu koy dugal bu baax ci trachea malaad bi, di ko teg ci nataal wala pexe yu jub yu melni bronchoscopie wala wideo-assed.

2) Isolation buum: Buñu ko defee bu baax, DLT amna ñaari lumen wala chaine ci biir benn tub. Benn lumen mingi nekk ci biir trachea bi ngir joxe ventilation ci benn poumon, beneen bi dafay dem ba ci bronchus bi di yóbbu ci yeneen poumon yi. Soo tëjee benn bronchus ak ventilasioŋ buy wéy ci beneen bi, ñu mëna tànn isolation pulmonaire bi.

3) {1} Lung Ventilation (OLV): OLV mooy OLV ci operation thoracic, lu melni resections pulmonaire wala esophagement, fu chirurgien yi soxla ab chirurgie bu amul benn xeetu paj ci biir cavite. DLT dafay may ventilasioŋ bu amul {- pulmon bi ñuy jëfandikoo ngir dakkal ci diir bu gàtt, di joxe ventilation ci poumon bi ñuy jëfandikoo.

4). Loolu dafay gëna yombal exposition bi, ba noppi di yombal anam yi ñu koy defee ci biir thoracique bi.

5) Aar u làmboo: Tann ventilation pulmon bi ak DLT dafay jàppale poumon bi amul-u poumon bu bawoo ci contamination bu mëna am, lu ci melni deret wala fluid yu bawoo ci sit bi ñuy operate, wàññi risku jafe-jafe yu melni infeksioŋ wala gaañ-gaañu ci poumon bu sell bi.

Placement bu jaar yoon: Fexe ba def ak teg DLT bu jaar yoon lu am solo la. Toppatoo mën na indi ventilaasioŋ bu jaarul yoon, dindi tube bi, wala migrasioŋ buñu bëggul ci bronchus bu jaarul yoon, mu jur isolation bu jaarul yoon wala yàqu-yàqu ci poumon bi.

Tube Disloment: Amna risku dindi DLT bu amul benn xalaat ci diiru operation bi, mën na jur ventilation bu yàqu wala jafe-jafe defaraat tub bi ci anam wu jaar yoon. Di wottu ak fixation bu wóor ci tub bi, dañu am solo.

Gaañ-gaañu ci jawwu ji: Dugalug DLT dafay am risku gaañ-gaañu ci yooni respiraasioŋ, lu ci melni trauma ci corde vocal, mucosa tracheal, wala miir bronchial. Pexem bu baax ak gis-gis bi ñuy dugal ci biir dugal mën na tax ñu wàññi risku gaañ-gaañu yu mel noonu.

Duggal bu wuute: Duggal DLT mën na nekk lu jafe ci malaad yi am jafe-jafe anatomi, ubbi gémmiñ gu néew, wala anatomi tracheobronchial bu jaarul yoon. Mën na am njariñ ak jumtukaay yu bari, lu ci melni bronchoscopie wala choññengoscopie, ngir yombal ñu mëna def seen liggéey.

Hypoxia ak Hypercapnia: ventilaasioŋ bu jaarul yoon, malposition, wala tere DLT mën na jur hypoxie (niveau oxygen bu néew) wala hypercapnie (niveau de gaz carbonique). Kontinu di saytu ak gëna xam jafe-jafe yooyu dañu am solo ngir mëna am coppite yu war ak intervention yi war.

Soo amee ventilaasioŋ wala poumon bu ëpp doole, mën na tax tisu pulmon yi gaañ wala barotrauma. Di wottu di wottu pression bi ci yooni respiraasioŋ ak sàmmonte ci poumon lu am solo la ngir moytu pression bu ëpp {-y jafe-jafe yi jëm ci yoon wi.

Risk personal: Doonte dañu ko dindi ci poumon bi, amna risku bu mëna am ci -uwle wala yeneen balluwaay. Di wottu bu jaar yoon, jëfandikoo pexe yu war yu méngoo, ak jëfandikoo ay balluwaay yu mëna am ci aspiration (lu melni, suctionnement) dañu am solo ngir wàññi risk bii.

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