Kuyamwa sputum ndi imodzi mwazinthu zomwe zimachitika nthawi zonse pakuyamwitsa komanso njira yabwino yochotsera kupuma.Pochita opaleshoni iyi, chubu choyamwa chimakhala chofunikira kwambiri.Komabe, mumadziwa bwanji za izo?

Kodi chubu choyamwa ndi chiyani?

Suction chubu amapangidwa kuchokera ku zipangizo zachipatala za polima ndipo amapangidwa ndi catheter, valavu yowongolera kuyamwa ndi zolumikizira (cholumikizira chopindika, cholumikizira chopindika, cholumikizira pamanja, cholumikizira ma valve, cholumikizira cha mtundu waku Europe) kuchotsa sputum wotuluka munjira ya mpweya mu chubu cha tracheostomy kuti njira yolowera mpweya ikhale yotseguka.Machubu ena oyamwa amakhalanso ndi ntchito yotolera ndi kusunga zotuluka izi.

Kupatula apo, chubu choyamwa chotaya ndi chinthu chosabala, chosawilitsidwa ndi ethylene.Zimangogwiritsidwa ntchito kamodzi ndipo ndizoletsedwa kugwiritsanso ntchito. Chubu chimodzi cha munthu m'modzi ndipo palibe chifukwa chotsuka ndi kusungunula, chomwe chiri chosavuta komanso chaukhondo.

Chubu choyamwa chimagwiritsidwa ntchito kwambiri pochotsa sputum ndi zotulutsa zina mu trachea kuti odwala asachepetse kupuma, asphyxia ndi kulephera kupuma.Odwala amalangizidwa kuti azigwiritsa ntchito motsogozedwa ndi madokotala m'zipatala zamaluso m'malo mozigwiritsa ntchito mwachinsinsi kuti asawononge matupi awo chifukwa chogwiritsa ntchito molakwika.

Machubu oyamwa amatha kugawidwa m'mitundu isanu ndi umodzi malinga ndi ma diameter awo: F4, F6, F8, F10, F12 ndi F16.Pofuna kupewa kuchitika kwa aspiration chibayo, chitsanzo choyenera cha chubu chiyenera kusankhidwa molingana ndi momwe wodwalayo alili kuti apewe kuwonongeka kwa mucosal ndi matenda achiwiri.

Momwe mungasankhire machubu oyamwa

Pokhapokha posankha chubu choyamwa choyenera chingakhale chothandiza komanso chosavulaza odwala.Chifukwa chake kusankha machubu oyamwa ali ndi zofunika zotsatirazi:

1.Zinthu za chubu choyamwa ziyenera kukhala zopanda poizoni komanso zopanda vuto kwa thupi la munthu, ndipo mawonekedwe ake ayenera kukhala ofewa, kuti achepetse kuwonongeka kwa mucosa ndikuthandizira ntchitoyo.
2.Chubu choyamwa chiyenera kukhala ndi utali wokwanira kulola kukhumba kwa nthawi yake komanso kokwanira kwa sputum kuti ifike pansi pa njira zakuya za mpweya.
3.Kuzama kwa chubu choyamwa sikuyenera kukhala chachitali kwambiri kapena chachifupi.Titha kusankha chubu choyamwa chokhala ndi mainchesi pafupifupi 1-2 cm poyamwa sputum.Kutalika kwa chubu choyamwa kuyenera kupitirira theka la m'mimba mwake mwa njira yopangira mpweya.

Ndikoyenera kudziwa kuti chubu choyamwa chokhala ndi mabowo am'mbali sichingatsekerezedwe ndi katulutsidwe ka sputum.Zotsatira zake zimakhala bwino kuposa machubu okhala ndi mabowo am'mbali ndipo momwe mabowo am'mbali alili, zotsatira zake zimakhala zabwino.M'mimba mwake pf chubu choyamwa ndi chokulirapo, kuchepetsedwa kwa kupanikizika koyipa mumsewu kudzakhala kocheperako ndipo kuyamwa kumakhala bwinoko, koma kugwa kwa mapapu komwe kumachitika panthawi yoyamwa kudzakhalanso koopsa.

Tikamagwiritsa ntchito machubu oyamwa, tiyenera kuzindikira kutalika kwa nthawi yomwe timawagwiritsa ntchito.Kutalika kwa sputum kuyamwa sikuyenera kupitirira masekondi 15 panthawi imodzi, ndipo nthawiyo iyenera kupitirira mphindi zitatu pakuyamwa kwa sputum.Ngati nthawiyo ili yochepa kwambiri, izi zingayambitse kukhumba kosauka;Ngati nthawiyo ndi yayitali kwambiri, imayambitsa kusapeza kwa wodwalayo komanso ngakhale kupuma movutikira.

Momwe mungapangire machubu oyamwa

Monga chida chofunikira chachipatala, njira yopangira ndi chilengedwe cha machubu oyamwitsa amayenera kuyendetsedwa mosamalitsa, komanso ngati chinthu chofunikira chachipatala, kupanga kwakukulu kumafunikira kuti akwaniritse zofuna za msika.

Makina opanga machubu a Hengxingli amatha kupanga machubu asanu ndi limodzi nthawi imodzi, ndipo amatha kuphatikiza, kudula ndikuyika cholumikizira ku chubu.Zolumikizira zimamatiridwa mwamphamvu ndi guluu wa cyclic ketone.Cholumikizira nyanga ndi cholumikizira chooneka ngati ndege ndizosankha malinga ndi zomwe mukufuna.Makinawa amatha kupanga njira yonse yopangira, ndikusinthiratu madoko odyetserako zinthu kuti awonetsetse kuti siyiyimitsa powonjezera kapena kusintha zinthu.Amapangidwanso ndi ndondomeko yokhomerera yolondola kuti akwaniritse kusasinthasintha kwapamwamba.

Kuonjezera apo, kugwirizanitsa kwakukulu kwa makina kumapangitsa kuti pakhale kukula kwamtundu uliwonse ndi ndondomeko ya machubu popanda kusintha nkhungu.Makinawa amathanso kulumikizidwa ndi mzere wazolongedza komanso makina owunikira zinthu zodziwikiratu malinga ndi zosowa zopanga, ndikupangitsa kuti ikhale makina opangira machubu otsika mtengo.