So obi wɔ w’abusua mu a ɔwɔ tracheostomy tube a ɛboa wɔn ma wɔhome? Anaasɛ w’ankasa wode bi di dwuma? Afei ebia wunim sɛ ɛyɛ ade a ɛfata sɛ nsu ne nneɛma afoforo a asɛe bɛboaboa ano wɔ saa afiri yi mu. Mpɛn pii no, ɛde ɔfe pa ma ɛho tew. Nanso ɛtɔ mmere bi a, ɛmfa ho mmɔden biara a wobɛbɔ no, wuntumi nyi saa nsu a ɛyɛ fĩ yi mfi hɔ. Ɛno ne bere a ɛsɛ sɛ wo "suction" tube no, a ɛkyerɛ sɛ, wode afiri tew ho. Ɛnnɛ, yɛbɛka sɛnea yɛbɛyɛ eyi yiye na ahobammɔ wom ho asɛm.
Dɛn ne tracheostomy suctioning?
Sɛ yɛbɛka no tiawa a, tracheostomy yɛ oprehyɛn ketewaa bi a wɔyɛ wɔ kɔn anim a wɔde afiri bi hyɛ obi a ɛyɛ den sɛ ɔbɛhome mframa mu (trachea) mu tẽẽ. Saa afiri yi ma onipa a ontumi nhome wɔ awosu mu no tumi home ntɛmntɛm.
Ɛyɛ ade a ɛfata sɛ nsu a ɛyɛ nwini bɛboaboa ano wɔ obi a ɔwɔ afiri a wɔde fa nsu mu no ahurututu mu wɔ saa kwan yi so. Ɔkwan a eye sen biara a wobɛfa so ayi saa nsu a ɛyɛ fĩ yi afi hɔ ne sɛ wobɛfefe denneennen. Nanso ɛtɔ mmere bi a, nsu a ɛyɛ fĩ no betumi ayɛ den dodo sɛ ɛnam ɔfe so yi fi hɔ. Wɔ saa tebea horow no mu no, yɛde afiri a wɔde twe nsu di dwuma de su nsu a ɛwɔ mu no na yi fi mu, na wɔfrɛ no tracheostomy suction.
Aduruyɛfo a wɔwɔ ayaresabea betumi ayɛ eyi, anaasɛ wobetumi akyerɛ wo sɛnea w’ankasa wobɛtwe wo tube (anaa wo ba no tube) wɔ fie. Ɛho hia yiye sɛ wubesua eyi yiye na amma afiri no asiw na ama ahome ayɛ mmerɛw.
Wobɛyɛ dɛn ahu sɛ ɛsɛ sɛ wɔtwe tube no?
Sɛ worehwɛ obi a ɔwɔ tracheostomy tube a, ɛsɛ sɛ wuhu nsɛnkyerɛnne pii a ɛkyerɛ sɛ bere aso sɛ wotwe tube no. Saa nsɛnkyerɛnne yi kyerɛ sɛ nsu a ɛyɛ nwini asiw afiri no mu ma enti ɛsɛ sɛ wɔhohoro ho.
| Nsɛnkyerɛnne a wotumi hu/wotumi hu | Dɛn na eyi kyerɛ? |
|---|---|
| Ɔfe a ɛyɛ nsu na ɛyɛ fhlegmy | Nsuo no ne ɔfe no fi adi, nanso ɛnkɔ koraa. |
| Ahome a ɛyɛ den a wɔte nka | Mete nka sɛ me nnya ahome a ɛdɔɔso. |
| Nsu a ɛyɛ nwini a ɛte sɛ nea ɛbɛn afiri no ano | Nsuo no rebɔ mmɔden sɛ ɛbɛfiri afiri no mu aba. |
| Nnyigyei a ɛyɛ ahurututu a wɔte | Wɔba saa nnyigyei yi efisɛ mframa fa nsu no mu bere a worehome no. |
| Ɔhome a ɛkɔ soro, ahomegye a ɛyɛ hu | Mmɔden a wɔbɔ sɛ wobenya mframa pa a nipadua no hia. |
| Kɔla a ɛyɛ bruu a ɛsakra wɔ ano no ho (cyanosis) . | Eyi yɛ asɛm a egye ntɛmpɛ. Ɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya no nnya oxygen a ɛdɔɔso. |
| Nnyigyei a ɛte sɛ abɛn a efi paipu no mu reba | Tube no abɛyɛ teateaa, na baabi a mframa betumi afa mu no sua. |
| Ahomegye a wonni, basabasayɛ | Adwennwen a ɛnam ahome a ɛyɛ den so de ba. |
Sɛ yɛbɛka no tiawa a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛtwe tracheostomy tube no bere biara a wususuw sɛ asiw.
Nneɛma a ɛsɛ sɛ wusiesie ansa na woanom
Ɛho hia paa sɛ wubesiesie biribiara a wuhia ansa na woafi adwuma yi ase. Afei wubetumi ayɛ adwuma no a worenhaw wo ho.
- Afiri a wɔde suw tracheostomy
- Catheter a ɛho tew na ɛyɛ foforo
- Nkitahodi tubing a ɛka catheter no ne afiri no bom
- Nsu a ɛho tew a wɔanoa kuruwa biako
- Deɛ yɛde hyɛ nsa
- Basin anaa kuruwa ketewaa bi
Ɔkwan bɛn so na saa adeyɛ yi ba? Momma yenhu anammɔn biara!
Sɛ worenom wo ho anaa obi foforo a, wubetumi ayɛ saa dwoodwoo denam anammɔn yi a wubedi akyi no so.
1. Hohoro wo nsa yiye: Fa samina gu wo nsa na hohoro wo nsa wɔ nsu a ɛreworo so ase na fa mpopaho a ɛho tew nwosow.
2. Hwehwɛ baabi a ɛhɔ yɛ fɛ: Tena nkongua so anaa da mpa so. Fa wo ho si baabi a ɛbɛma wo ti ne wo kɔn aboa wo yiye.
3. 3. .Dane afiri no na fa nhyɛsoɔ no si hɔ: Dane afiri a ɛtwe nsuo no na fa nhyɛsoɔ no to fam anaa ɛyɛ mfimfini. Wɔtaa de saa nhyɛso yi si 80-120 mmHg (mercury milimita) ntam. Mma nhyɛso no nkɔ soro nsen 120 mmHg da. Saa a wobɛyɛ no betumi asɛe mframa kwan no. Sɛ wunnim eyi yiye a, di kan bisa wo duruyɛfo.
4. Hyɛ nsateaa: Hyɛ nsateaa a ɛho tew. Wonhia nsateaa a ɛnyɛ ɔyare mmoawa mma eyi.
5. Fa catheter no si hɔ: Fa suction catheter a ɛho tew no bata tubing no ano biako. Hwɛ sɛ wɔde tubing no ano foforo no abata afiri no ho yiye.
6. Gye ahome denneennen: Worentumi nhome yiye bere a catheter no wɔ tube no mu no. Enti di kan home kakra. Ɛyɛ ade a ɛfata sɛ wobɛfefe bere a worenom nsu no.
7. Fa catheter no hyɛ mu: Afei fa ahwɛyiye fa catheter no hyɛ tracheostomy tube no mu. Fa hyɛ mu kosi baabi a wɔakyerɛ wo nkutoo. Mma nhyɛ no . Sɛ wote nka sɛ biribi akɔhyɛ mu a, gyina hɔ ara. Mfa wo nsateaa nkata tokuru a wɔtwe no so saa bere yi. Eyi kyerɛ sɛ ɛnyɛ papa sɛ wode suction bedi dwuma bere a wode catheter no rehyɛ mu no.
8. Twe catheter no san kɔ kakra: Ansa na wubefi ase atwe no, twe catheter a wode ahyɛ mu no san kakra. Eyi bɛma ayɛ adwuma yiye.
9. Fi ase suction: Afei fa wo nsateaa to suction control vent no so na to mu. Wɔbɛhyɛ aseɛ atwe nsuo no afiri mu. Mma nkɔ so nnom nsu bɛboro sikɔne 10. Sɛ wote nka sɛ wo ho nyɛ wo dɛ bere a woreyɛ saa a, yi wo nsateaa no ntɛm ara.
10. Yi catheter no: Twitwa catheter no brɛoo bere a woyi fi tracheostomy tube no mu no.
Sɛ woante anaasɛ woanhu nsu biara a ɛbɛn tube no a, na woawie. Nanso ebia ebehia sɛ wode suction pii gu so. Sɛ saa a, anyɛ yiye koraa no, twɛn sikɔne 30 ansa na woasan ayɛ bio. Sɛ nsu a ɛyɛ nwini siw catheter no mu a, su nsu bi na fa tew ho, anaa fa foforo di dwuma.
Sɛ woabɔ mmɔden mprɛnsa na woda so ara ntumi nyi nsu no mfi mu a, twɛn bɛyɛ simma 10 na sɔ hwɛ bio. Nanso, sɛ ɛyɛ den ma wo kɛse sɛ wobɛhome a, hwehwɛ mmoa ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU).
Wobɛyɛ dɛn asiesie nnwinnade no bere a woawie no?
Ɛho hia yiye sɛ wobɛhohoro nnwinnade no ho yiye bere a woanom awie no.
- Fa nsu a ɛho tew a wɔanoa bi gu sink no mu.
- Sue saa nsu no fa suction catheter no mu na hohoro tubing no mu yiye.
- Dum afiri a wɔde twetwe nsu no.
- Yi catheter no fi hɔ. Sɛ wotumi tow gu a, tow gu nwura mu. Sɛ wotumi de di dwuma bio a, hohoro na fa to nkyɛn ma akyiri yi wɔde sterilized.
- Fa afiri a ɛka bom no sɛn afiri no so na ne ano hwɛ soro.
- Fa samina hohoro sink no mu yiye.
- Yi nsateaa na tow gu.
- Awiei koraa no, fa samina hohoro wo nsa yiye bio.
Dɛn ne mfaso ne nsɛnnennen a ebetumi afi eyi mu aba?
Sɛ wosua sɛnea wɔnom nsu wɔ fie a, ebetumi atew ayaresabea nsrahwɛ dodow so. Ɛma wunya ahofadi nso sɛ wobɛhohoro tube no ho bere biara a ɛho behia. Eyi ne ɔkwan a eye sen biara a wobɛfa so anya ahotɔ ntɛmntɛm afi ɔhome a ɛyɛ den a nsu a ɛyɛ den de ba no mu.
Nsɛnnennen ntaa mma, nanso ɛtɔ mmere bi a ebetumi aba.
- Mogya a ɛretu kakra
- Nyarewa a wɔde nyarewa ba
- Ɛyaw anaa ahotɔ a ɛnyɛ dɛ
- Ɛtɔ mmere bi a, vagal nerve stimulation betumi atew koma no bɔ ne oxygen dodow so.
Bere bɛn na ɛsɛ sɛ wo ne oduruyɛfo no kasa?
Wo ne wo duruyɛfo nkasa bere biara a wowɔ dadwen biara wɔ wo tracheostomy suctioning no ho. Titiriw sɛ wuhu nea edidi so yi mu biara a :
- Sɛ nsuo no hua yɛ bɔne a.
- Sɛ nsuo no kɔla sesa (kɔla, ahabammono, kɔkɔɔ, anaa bruu) a, eyinom betumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne.
Sɛ woantumi nyi nsuo no mfi hɔ bere a woanom awie no, anaasɛ sɛ wokɔ so yɛ den ma wo sɛ wobɛhome ɛmfa ho sɛ worenom a, frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea dwumadibea a ɛbɛn wo a wɔhwɛ ntɛmpɛ so (ETU). Ɛtɔ mmere bi a, sɛ nsu no mu yɛ den yiye a, ebia ɛho behia sɛ wɔsesa tracheostomy tube no.
Tracheostomy tube a wɔde tracheostomy tube bɛtra ase no wɔ nsɛnnennen. Nanso sɛ wusua saa nneɛma yi yiye a, wo nso wubetumi adi saa nsɛnnennen no so na woabɔ bra a ahofadi wom de ayɛ nneɛma a w’ani gye ho no.
Nkrasɛm a Wɔde Kɔ Fie
- Sue tracheostomy tube no bere a wuhu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ɛsɛ sɛ wotwe no ara pɛ (si apini, ɛyɛ den sɛ wobɛhome). Ntwɛn nkosi sɛ bere a wɔahyɛ no adu.
- Sɛ worenom a, nyɛ no bɛboro sikɔne 10 bere koro mu. Eyi betumi ama ayɛ den sɛ wobɛhome.
- Fa nnwinnade a ɛho tew di dwuma bere nyinaa. Hohoro wo nsa yiye ansa na woayɛ adwuma ne bere a woawie.
- Sɛ nsuo no kɔla sesa, sɛ ɛyɛ huam, anaasɛ sɛ ɛyɛ den sɛ wobɛhome bere a woanom awie mpo a, frɛ wo duruyɛfoɔ ntɛm ara anaa kɔ ETU.
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