Lahkawng Lang Lumen Tracheal Tube

Double Lumen Tracheal Tube (DLT) hpe gaw, n-gup n-gu n-gun n-gun n-rawng ai sha, n-gup n-gu n-gun hpe lata la ai ladat nkau mi hta lang ai. Dai gaw, hkra maga hte pai maga na n-gup hpe laksan tawn da ai hte nbung n-gun hpe garan ginhka lu ai laksan nbung lam jak langai mi re.

1) Insertion: DLT hpe machyi masha a trachea kata de atsawm sha bang da ai, dai hpe hkrak hkrak hkrang shapraw ai (sh) fiberoptic bronchoscopy (sh) video zawn re ai ladat ni hku nna lam madun ai.

2) Lung Isolation: Atsawm sha tawn da ngut jang, DLT hta lumen (sh) channel lahkawng nga ai. Lumen langai mi gaw, n-gup langai mi hpe nbung n-gun jaw na matu, trachea hta tawn da nna, kaga lumen gaw kaga n-gup de sa wa ai bronchus de jat wa ai. Bonchus langai hpe pat da nna, kaga langai hpe matut nna nbung n-gun hpe matut nna lu la ai hku nna, lata la ai lung langai hpe lu la ai.

. DLT gaw non{3}}}elerated lung hpe nbung n-gun hpe aten kadun laman jahkring kau na matu ahkang jaw ai sha n-ga, nbung hpe n-gun jaw ai lam hpe jaw ya ai.

. Ndai lam gaw grau kaja ai hku n-gun jaw ya nna, n-gup magap kata na n-gun ja ai tsi ladat ni hpe galaw ya lu ai.

5) Lung Protection: DLT hte lata san da ai n-gup n-gu hpe makawp maga ya lu ai, n-gun n-rawng ai n-gun n-rawng ai n-gup n-gu hpe makawp maga ya lu ai, ga shadawn, sai (sh) hkum hkrang n-gun n-rawng ai shara kaw na pru wa ai sai (sh) hka ni gaw, hkam kaja ai n-gup n-gu hta kap bra ai (sh) hkala nba hkrum na masa hpe shayawm ya lu ai.

Htap htuk ai shara: DLT hpe hkrak hkrak tawn da na hte shara jahkrat na matu ahkyak ai. Malpositioning gaw nbung n-gun n-htuk ai, hka htung hpe galai shai kau ai, shing nrai, n myit mada ai sha hka htung de htawt sit wa ai majaw, n-gup hpe n-gun n-rawng ai (sh) hkra machyi ai lam ni hpe n-gun n-jaw ai sha byin shangun chye ai.

Tube Dislodgement: DLT hpe n myit mada ai sha shapraw kau na hkrit tsang hpa nga ai, dai gaw nbung hpe hkra machyi shangun chye ai (sh) hka htung hpe hkrak hkra shara jahkrat na matu yak hkak ai lam ni byin chye ai. Tube hpe ayan yu reng ai hte shim lum ai hku gram lajang na matu ahkyak ai.

Airway hkala nba: DLT langai hpe bang ai gaw nbung lam hpe hkra machyi shangun ai, dai hta nsen n-gun, tracheal mucosa, shing nrai, hka lim ai bunghku ni hta hkra machyi ai lam ni lawm ai. Dai zawn re ai hkala nba ni hpe shayawm kau ya lu ai.

Yak hkak ai lam: DLT bang ai lam gaw, hkum hkrang n kaja ai lam, n-gup hpaw ai lam n law ai, shing nrai, n kaja ai tracheobronchial anatomy ana byin ai machyi masha ni hta yak hkak chye ai. Awng dang ai shara de du lu na matu, fiberoptic bronchoscopy (sh) videolaryngoscopy zawn re ai, kaga atsam marai ni hte arung arai ni hpe jat bang ra na re.

Hypoxia hte Hypercapnia: DLT hpe n-gun n-rawng ai, n-gun n-rawng ai, shing nrai, pat shingdang ai lam ni gaw, n-gun n-rawng ai ( oxygen n-gun n law ai) shing nrai, n-gun n-rawng ai ( carbon dioxide madang) byin shangun chye ai. Ndai mayak mahkak ni hpe matut manoi yu reng nna, lawan ai hku chye na hkap la na matu, htap htuk ai galai shai lam ni hte shang lawm ai lam ni hpe lu la na matu ra nga ai.

Lung Tissue hte Barotrauma ni hpe hkra machyi shangun ai: High{0} kaw na nbung n-gun (sh) n-gup n-gun grai law ai majaw, n-gup n-gu n-gun (sh) n-gup n-gu n-gun yawm mat chye ai. Nbung lam n-gun hte n-gup n-gu ni hpe grau nna yu reng ai lam gaw, grai law ai n-gun- hte seng ai manghkang ni hpe koi gam na matu ahkyak nga ai.

Aspiration Risk: Lu garan nga ai raitim, non{0}}} n mu lu ai lung (sh) kaga npawt nhpang ni kaw na myit mada shara nga ai. Vigilant hpe yu reng ai lam, htap htuk ai sealing ladat ni hpe jai lang ai lam, myit mada shara ni hpe hparan ai lam (ga shadawn, active suctioning) gaw ndai hkrit tsang hpa hpe shayawm kau na matu ahkyak nga ai.

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