Double Lumen Tube

Intubaasioŋu tube lumen (DLT) dafay wax ci dugal benn aparey bu yam ci jawwu ji, ñu xamee ko ci benn tube lumen bu am ñaari lumen ci trachea malaad bi ci anesthésie wala operation. Lu tax DLT intubation mooy may ventilaasioŋ bu moom boppam, ba noppi isolation ñaari poumon yi, di yombal benn ngëneel- ventilaasioŋ (OLV) ci yenn anam ci paj mi.

Ci jamonoy intubation DLT, ki yor wàllum paj dafay def tub bi bu baax, suko defee benn lumen dugg ci bronchus bu cammoy bi, mu dem ba ci poumon bu cammoy bi, beneen bi dese ci biir trachea bi ngir joxe ventilation ngir poumon bu ndeyjoor bi. Li tax ñu defar loolu dafay tax ñu mëna tànnal wala daanu ci benn poumon, ba noppi may ventilation ci beneen bi.

1) Liggéeyu thoracique: DLT intubation dañu koy jëfandikoo ci anam yu bari ci wàllu thoracique, lu ci melni resection pulmon (lobectomy, pneumonectomy), transplantation poumon, esophagecmie, ak yenn chirurgie mediastinal. Dafay may benn {{2}lung ventilation (OLV), di jàppale ñu gëna mëna am exposition ci chirurgie ak yombal paj mi ci biir mbàq yi.

2) Xar-xaru Hemithorax: Soo xàjjale ak boole benn poumon bi, di joxe ventilaasioŋ bu moom boppam ci beneen bi, DLT intubation dafay may chirurgien bi mu liggéey ci benn wàll ci dënn bi te du am interference ci wala contamination ci non {1 1 1 1000.

3) Aar ci Aspirration: Ci operaasioŋ yiy boole deret yu bari wala anatomi gastro-intestinal, loolu dafay yokk risku deret wala gastrik bi dugg ci jawwu ji, DLT intubation dafay jàppale aar bu amul {1}brème ci aspiration. Suñu fattee bronchus bi di yóbbe {- na poumon bi, bépp macceer bu mëna aspiration mën nañu ko jëfandikoo ci poumon biy dox.

4) Mën nañu jëfandikoo ay tube l'élé de l'élé de lèvères: mën nañu ko jëfandikoo itam ngir mëna yoree ay anam yu soxla ventilasioŋ pulmonaire yuñ tànn, lu ci melni infeksioŋu poumon yu tar, abcès pulmonaire, wala fistule bronchopleural. Soo fattee poumon bi ñu laal, dafay moytu tasaaroo infeksioŋ bi wala jafe-jafe yi ci poumon bu wér bi.

5) Xarañteg Unilateral Ventilation Issues: tube lumen yu ñaar yi dañu am solo su amee njuumte bu am solo ci ventilation yi ci diggante ñaari poumon yi ndax pathologies yu melni pneumonie bu amul benn boor wala ateleese. Suñu joxee ventilasioŋ bu nekk ci poumon bu nekk, dañuy jàppale ci defaraat liggéeyu noyyi bu jaar yoon.

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