1. Diyaari alaabta oo keen dhinaca sariirta.
2. U diyaari bukaanka: Qofka miyir qaba waa inuu sharraxaad ka bixiyaa si uu u helo wadashaqeyn, oo uu qaato booska fadhiga ama jiifka. Bukaan-socodka miyir-beelka ah waa inuu seexdaa, oo madaxa dib u celiyaa, daanka hoostiisana tuwaalada lagu daweynayaa dhigaa, oo ku hubiyaa oo ku nadiifiyaa daloolka sanka suuf qoyan. Diyaarso cajalad: laba xabbo oo 6cm ah iyo hal gabal oo 1cm ah. 3. Ku qabo tuubada caloosha oo faashad ku jirta gacanta bidix, oo gacanta midig ku qabo xoogaga xididdada dhiigga si aad ugu xidho dhererka tuubada galitaanka ee cidhifka hore ee tuubada caloosha. Dadka qaangaarka ah ee 45-55cm (habka caarada dhegta-sanka-xiphoid), dhallaanka iyo carruurta yaryar 14-18cm, ku calaamadee cajalad 1 cm ah si aad u saliiddo tuubada caloosha.
3. Gacanta bidix waxay haysaa faashad si ay u taageerto tuubada caloosha, gacanta midigna waxay haysaa xajinta xididdada dhiigga si ay ugu xidho qaybta hore ee tuubada caloosha oo si tartiib ah u geliso hal sanka. Marka ay gaadho qanjidhka (14-16cm), u sheeg bukaanka inuu liqo markaad tuubada caloosha hoos u dirayso. Haddii bukaanku lallabo ku dhaco, qaybta waa in la hakiyaa, bukaankana waa in lagu baraa inuu si qoto dheer u neefsado ama u liqo ka dibna la geliyo tuubada caloosha 45-55cm si loo yareeyo raaxo-darrada. Marka gelinta aan la simanayn, hubi in tuubada caloosha ay ku jirto afka. Haddii qufaca, neefsashada oo adkaata, cyanosis, iwm. la helo inta lagu jiro habka tubbada, waxay la macno tahay in hawo mareenka la geliyey si qalad ah. Waa in isla markiiba la soo saaraa oo dib loo geliyaa nasasho yar ka dib.
4. Bukaan-jiifka koomo ku jira lama shaqayn karo sababtoo ah falcelinta liqidda iyo qufaca oo lumaya. Si loo hagaajiyo heerka guusha ee tuubada, marka tuubada caloosha la geliyo ilaa 15 cm (epiglottis), weelka labiska ayaa la dhigi karaa afka agtiisa, madaxa bukaankana waxaa lagu hayn karaa gacanta bidix Ka dhig daanka hoose meel u dhow jirridda sternum, oo si tartiib ah u geli tuubada.
5. Hubi in tuubada gastric ay caloosha ku jirto.
5.1 Geli dhamaadka furan ee tuubada caloosha biyaha. Haddii xaddi badan oo gaas ah uu baxsado, waxay caddaynaysaa inay si khalad ah u gashay hawo-mareenka.
5.2 Casiirka gastric aspiate oo leh sirinji.
5.3 Ku duri 10cm hawo siliinge, kana dhegeyso codka biyaha caloosha adigoo isticmaalaya stethoscope.
6. Ku hagaaji tuubada gastric ee labada dhinac ee sanka sharooto, ku xidh saliingaha dhamaadka furan, marka hore iska bax, oo arag in casiirka caloosha laga soo saaray, marka hore ku dur qadar yar oo biyo diirran ah oo lagu durayo dareere ama daawo-ka dibna ku dur qadar yar oo biyo diirran si aad u nadiifiso lumen. Inta lagu jiro quudinta, ka ilaali hawada inay soo gasho.
7. Kor u qaad dhamaadka tuubada caloosha oo laalaabo, ku duub faashad oo si adag ugu duub xadhig caag ah, oo ku hagaaji barkinta bukaanka agteeda biin.
8. Habbee cutubka, hagaaji sahayda, oo qor qadarka quudinta sanka.
9. Markaad soo saarayso, laalaab oo ku dheji sanbadhka hal gacan.
Waqtiga boostada: Jul-16-2021