Porogaramu nyinshi za mask yo mu kirere

Mask yo mu kanwa yatunganijwe neza kandi ikoreshwa mu buvuzi hagati ya za 1980 kandi itangizwa mu Bushinwa mu myaka ya za 90.Intambwe nini imaze guterwa mugukoresha mask yo mu kanwa kandi kuyikoresha biragenda byiyongera.

Ubwa mbere, ikoreshwa ryumuyaga wa mask yo mu kirere mu menyo y amenyo.Bitandukanye no kubagwa kwa muganga, uburyo bwo kuvura amenyo mubisanzwe byinjira mumyuka.Muri Amerika ya Ruguru, abagera kuri 60% b’inzobere mu kuvura amenyo ntibakunze kuba intubate, ibyo bikaba byerekana neza itandukaniro mubikorwa (Young AS, 2018).Gucunga inzira ni ingingo ishimishije kuko gutakaza refleks yumuyaga bijyana na GA bishobora gutera ibibazo bikomeye byo guhumeka (Divatia JV, 2005).Ishakisha ritunganijwe ryububiko bwa elegitoroniki hamwe nubuvanganzo bwimyenda ryarangijwe na Jordan Prince (2021).Amaherezo byafashwe umwanzuro ko gukoresha LMA mubuvuzi bw'amenyo bishobora kuba bifite ubushobozi bwo kugabanya ibyago byo kurwara hypoxia nyuma yo kubagwa.

Icya kabiri, havuzwe ikoreshwa rya mask yo mu kirere ihumeka mu kubaga kugira ngo ikorwe mu gice cyo hejuru cya tracheal stenosis.Celik A (2021) yasesenguye inyandiko z'abarwayi 21 babazwe tracheal bakoresheje LMA ihumeka hagati ya Werurwe 2016 na Gicurasi 2020 basuzumwe inyuma.Amaherezo byaje kwemezwa ko kubaga tracheal ifashwa na LMA ari uburyo bushobora gukoreshwa neza nkubuhanga busanzwe mu kubaga indwara mbi kandi mbi y’umuyaga wo hejuru no hepfo ukorerwa ku barwayi b’abana, abarwayi bafite tracheostomie, n’abarwayi babikwiye bafite fistula ya tracheoesophageal.

Icya gatatu, umurongo wa kabiri ukoresha LMA mugucunga inzira yo kubyara.Inzira yo kubyara ni impamvu ikomeye itera uburwayi bw’ababyeyi n’impfu (McKeen DM, 2011).Endotracheal intubation ifatwa nkigipimo cyitaweho ariko inzira ya mask yo mu kanwa (LMA) yemeye kwakirwa nkumuyaga wo gutabara kandi yinjijwe mumabwiriza yubuyobozi bwo kubyara.Wei Yu Yao (2019) yagereranije LMA Nkuru (SLMA) na intotracheal intubation (ETT) mu gucunga inzira yo kubyara mu gihe cya cesarienie maze isanga LMA ishobora kuba ubundi buryo bwo gucunga inzira yo guhumeka neza kubantu batoranijwe neza bafite ibyago byo kubyara, bafite ibisa nkibyo kwinjiza igipimo cyo gutsinda, kugabanya igihe cyo guhumeka no guhinduka kwa hemodinamike ugereranije na ETT.

Reba
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[2] Igikomangoma J, Goertzen C, Zanjir M, Wong M, Azarpazhooh A. Ingorane zo mu kirere muri Intubated Versus Laryngeal Mask Airway Yayobowe n’amenyo: Meta-Isesengura.Anesth Prog.2021 Ukuboza 1; 68 (4): 193-205.doi: 10.2344 / anpr-68-04-02.PMID: 34911069;PMCID: PMC8674849.
[3] Celik A, Sayan M, Kankoc A, Tombul I, Kurul IC, Tastepe AI.Imikoreshereze itandukanye ya Laryngeal Mask Airway mugihe cyo Kubaga Tracheal.Thorac Cardiovasc Surg.2021 Ukuboza; 69 (8): 764-768.doi: 10.1055 / s-0041-1724103.Epub 2021 Werurwe 19. PMID: 33742428.
[4] Rahman K, Jenkins JG.Kunanirwa kwa tracheal intubation mubyara: ntibikiri kenshi ariko biracungwa nabi.Anesthesia.2005; 60: 168–171.doi: 10.1111 / j.1365-2044.2004.04069.x.
[5] Yao WY, Li SY, Yuan YJ, Tan HS, Han NR, Sultana R, Assam PN, Sia AT, Sng BL.Kugereranya hejuru ya mask yo mu kirere hamwe na endotracheal intubation yo gucunga inzira yo guhumeka mugihe cya anesthesia rusange kubice bya cesarien: ikigeragezo cyateganijwe.BMC Anesthesiol.2019 Nyakanga 8; 19 (1): 123.doi: 10.1186 / s12871-019-0792-9.PMID: 31286883;PMCID: PMC6615212.