Ntchito ndondomeko ya m`mphuno kudyetsa njira

1. Konzani zinthuzo ndikuzibweretsa pafupi ndi bedi.
2. Konzekerani wodwala: Munthu wozindikira ayenera kufotokoza kuti apeze mgwirizano, ndikukhala pansi kapena kunama. Wodwala chikomokere ayenera kugona pansi, kuika mutu wake pambuyo pake, kuika mankhwala chopukutira pansi nsagwada, ndi kufufuza ndi kuyeretsa m`mphuno patsekeke ndi chonyowa thonje swab. Konzani tepi: zidutswa ziwiri za 6cm ndi chidutswa chimodzi cha 1cm. 3. Gwirani chubu chapamimba ndi chopyapyala kudzanja lamanzere, ndipo gwirani zingwe za mitsempha m'dzanja lamanja kuti mutseke utali wa chubu chakutsogolo kwa chubu chapamimba. Kwa akuluakulu 45-55cm (earlobe-nose tip-xiphoid process), makanda ndi ana ang'onoang'ono 14-18cm, lembani ndi tepi ya 1 cm kuti muzipaka chubu chamimba.
3. Dzanja lamanzere limagwira chingwe chopyapyala kuti chichirikize chubu chapamimba, ndipo dzanja lamanja limagwira chingwe cha mitsempha kuti chitseke mbali yakutsogolo ya chubu chapamimba ndikulowetsa pang'onopang'ono m'mphuno imodzi. Ikafika ku pharynx (14-16cm), langizani wodwalayo kuti ameze pamene akutumiza chubu chapamimba pansi. Ngati wodwalayo ayamba nseru, gawolo liyenera kuyimitsidwa, ndipo wodwalayo ayenera kulangizidwa kuti apume kwambiri kapena kumeza ndikulowetsa chubu cham'mimba 45-55cm kuti athetse vutoli. Pamene kulowetsako sikuli kosalala, fufuzani ngati chubu chapamimba chili mkamwa. Ngati kutsokomola, kupuma movutikira, cyanosis, ndi zina zambiri zimapezeka panthawi ya intubation, zikutanthauza kuti trachea yalowetsedwa molakwika. Iyenera kutulutsidwa nthawi yomweyo ndikubwezeretsedwanso pakapuma pang'ono.
4. Wodwala mu coma sangathe kugwirizana chifukwa cha kutha kwa kumeza ndi kutsokomola reflexes. Pofuna kupititsa patsogolo kupititsa patsogolo kwa intubation, pamene chubu chapamimba chimayikidwa mpaka 15 cm (epiglottis), mbale yovala ikhoza kuikidwa pafupi ndi pakamwa, ndipo mutu wa wodwalayo ukhoza kunyamula ndi dzanja lamanzere Pangani nsagwada zapansi pafupi ndi tsinde la sternum, ndipo pang'onopang'ono muyike chubu.
5. Onetsetsani ngati chubu chapamimba chili m'mimba.
5.1 Ikani mapeto otseguka a chubu chamimba m'madzi. Ngati mpweya wochuluka uthawa, umatsimikizira kuti walowa mu trachea molakwika.
5.2 Aspirate madzi am'mimba okhala ndi syringe.
5.3 Bayitsani 10cm ya mpweya ndi syringe, ndipo mvetserani phokoso la madzi m'mimba ndi stethoscope.
6. Konzani chubu chapamimba kumbali zonse za mphuno ndi tepi, gwirizanitsani syringe pamapeto otseguka, chotsani choyamba, ndipo muwone kuti madzi a m'mimba atulutsidwa, choyamba jekeseni madzi ofunda amadzimadzi ofunda kapena mankhwala-ndipo jekeseni pang'ono madzi otentha kuti muyeretse lumen. Pakudya, pewani mpweya kulowa.
7. Kwezani mapeto a chubu la m'mimba ndikulipinda, kukulunga ndi gauze ndikukulunga mwamphamvu ndi gulu la mphira, ndikukonzekera pafupi ndi pilo ya wodwalayo ndi pini.
8. Konzani magawo, konzani zakudya, ndi kulemba kuchuluka kwa kudya kwa m'mphuno.
9. Pamene mukutulutsa, pindani ndikumangirira mphuno ndi dzanja limodzi.