Te weronga rererangi rererangi

Ko te weronga rererangi rererangi ko te kuhunga o te ngira tuwhera ki te ara o te hau i roto i te korokoro. Ka mahia hei whakaora i te hiamoe whakamomori.

Ko te weronga rererangi rererangi ka mahia i roto i tetahi ahuatanga ohorere, i te wa e hiamoe ana tetahi, a, kua rahua nga mahi katoa hei awhina i te manawa.

• Ka taea te whakauru i te ngongo tuwhera he ngongo ranei ki te korokoro, i raro noa iho i te aporo a Arama (taatai ​​tirotiroto), ki te huarahi rererangi. Ko te ngira e haere ana i waenga i te kaareti tiroro me te kaareti cricoid.
• I roto i te hohipera, i mua i te whakauru i te ngira, ka taea te tapahi iti i roto i te kiri me te kiriuhi i waenga o te tirara tireti me te cricoid.

Ko te cricothyrotomy he tikanga ohotata hei whakaora i te aukati i te huarahi o te rori kia oti ra ano te pokanga kia tuu he ngongo manawa (tracheostomy).

Mena ka aukatihia te aarai rererangi me te whara o te mahunga, te kakii, te tuaiwi ranei, me tupato kia kore ai e whara te tangata.

Ko nga raru mo tenei tikanga ko:

• Te whara ki te pouaka reo (larynx), repe repe taiki, te esophagus ranei

Ko nga raru mo tetahi pokanga ko:

• Whakaheke toto
• Mate

Ko te pai o te mahi a te tangata, ko te putake o te ara o te huarahi arai, me te tere o te awhina o te tangata ki te manawa. Ko te weronga rererangi ohorere e whakarato ana i te nui o te tautoko manawa mo te wa poto noa.

Te ngira cricothyrotomy

• Te weronga rererangi rererangi
• Koko kiriniti
• Te weronga rererangi ohorere - raupapa

Cattano D, Piacentini AGG, Cavallone LF. Urunga rererangi rerenga ohorere. I roto i: Hagberg CA, Artime CA, Aziz MF, eds. Ko te Whakahaere Airway o Hagberg me Benumof. 4th ed. Philadelphia, PA: Elsevier; 2018: chap 27.

Herbert RB, Thomas D. Cricothyrotomy me te rerenga whakawhiti translativengeal. I roto i: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts me Hedges ’Nga Tikanga Haumanu mo te Maimoatanga ohorere me te Tiakitanga Tino. Ed 7. Philadelphia, PA: Elsevier; 2019: chap 6.