ʻO ka poʻe e pilikia ana i ka hanu ʻana, ua makaʻu iki lākou i ka wā e ʻōlelo ai lākou e hana ana lākou i lua ma ka ʻāʻī a hoʻokomo i kahi paipu ma loko, ʻeā? I ka lāʻau lapaʻau, kapa mākou i kēia he tracheostomy . Akā, he lāʻau koʻikoʻi loa kēia i hana ʻia e hoʻopakele i nā ola, a he manawa pōkole wale nō. Inā paha ua lohe ʻoe e pili ana i kēia, he mau nīnau nui a me nā makaʻu paha kāu no ka mea ʻaʻole ʻoe i ʻike pono i ke ʻano o ia mea. No laila, e kamaʻilio kākou e pili ana i nā mea a pau me ka maopopo a me ka maʻalahi i kēia lā.
He aha maoli ka tracheostomy?
I ka ʻōlelo maʻalahi, he hana ʻoki kino ka tracheostomy e hana ana i kahi puka, a i ʻole lua, ma ke alo o kou ʻāʻī, pololei i loko o kou ʻōpū hanu (bronchi) . A laila hoʻokomo ʻia kahi paipu tracheostomy ma o kēia puka i loko o kou ʻōpū hanu. ʻO kēia ka mea e hiki ai i kahi mea paʻakikī ke hanu ma o ko lākou waha a me ka ihu ke hanu pololei i ka ea (oxygen) i loko o ko lākou mau māmā ma o kēia paipu i loko o ko lākou ʻāʻī, e kāpae ana i kēlā mau ala ʻelua.
Ua kapa pū mākou i ke ʻoki kino e hana i kēia lua he tracheotomy . Eia nō naʻe, ma ka ʻōlelo maʻamau, hoʻohana pū nā kauka i nā huaʻōlelo ʻelua me ke ʻano like ʻole.
I ka manawa hea e pono ai ke hana ʻia o ka tracheostomy?
Nui nā kumu e hiki ai ke hana ʻia kahi tracheostomy. ʻOiai he hana hoʻolālā pinepine kēia, pono ia i kekahi manawa i nā pilikia. E hāʻawi ka papa ma lalo nei iā ʻoe i kahi manaʻo maikaʻi o kēia.
| Ke kumu e pono ai ka mālama ʻana | Ua wehewehe maʻalahi ʻia |
|---|---|
| Ke ālai ʻia ʻana o ke ala ea | Inā ua ālai ʻia ke ala ea ma muli o kahi puʻu ʻāʻī, kahi maʻi koʻikoʻi, a i ʻole kahi ulia a ʻaʻole hiki ke hoʻokomo ʻia ka intubation. |
| Nā pilikia hanu lōʻihi | Inā ʻaʻole hiki iā ʻoe ke hanu iā ʻoe iho ma muli o nā kūlana e like me ka maʻi māmā koʻikoʻi, ka maʻi lolo, a i ʻole nā ʻeha koʻikoʻi o ke poʻo a i ʻole ka ʻāʻī. |
| Ke hoʻopili ʻia nei i kahi ventilator | Inā pono kekahi e hoʻopili ʻia i kahi ventilator no nā pule he nui, ʻoi aku ka maʻalahi a me ka palekana o kēia ʻano hana. |
| Ka paʻakikī e hoʻomaʻemaʻe i ka mucus | Ma muli o kekahi mau kūlana olakino, ʻaʻole hiki i ke kuʻi ke hoʻomaʻemaʻe i ka mucus mai nā māmā. He mea maʻalahi loa ka omo ʻana i ka mucus ma o kēia ʻōmole. |
| Ma hope o ke ʻoki ʻāʻī | Ma hope o ke ʻoki ʻana ma ka ʻāʻī a i ʻole ka pahu leo, ma ke ʻano he kōkua i ka hanu ʻana a hiki i ka wā e hoʻōla ai ka ʻāpana. |
ʻO ka mea nui, ma muli o kou kūlana, hiki i kēia tracheostomy ke lilo i manawa pōkole a mau loa paha . E wehewehe kāu kauka i kēia iā ʻoe me nā kikoʻī.
Pehea e hoʻomākaukau ai ma mua o kēia ʻoki kino?
Inā he ʻoki kino i hoʻolālā ʻia kēia, e haʻi aku kāu kauka iā ʻoe pehea e hoʻomākaukau ai no ia. ʻOiai ʻo ka maʻamau, hana ʻia ia ma lalo o ka anesthesia laulā , e noi ʻia paha ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ke kaʻina hana a e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau.
No ka mea e noho ana ʻoe i ka haukapila no kekahi mau lā a i ʻole mau pule ma hope o ke ʻoki ʻana, pono ʻoe e hoʻopaʻa i kahi ʻeke liʻiliʻi.
- Nā lole a me nā mea pilikino: Nā lole moe ʻoluʻolu, nā mea e like me ka palaki niho.
- Nā lāʻau lapaʻau āu e lawe nei: E lawe mai i nā lāʻau lapaʻau a me nā wikamina āu e lawe nei.
- Mea e hoʻokipa ai iā ʻoe iho: ʻO ka lawe ʻana i kahi mea e like me ka puke a i ʻole ka makasina hiki ke lilo i mea hōʻoluʻolu i kou wā e hoʻōla ai.
- Nā lako kamaʻilio: He mea nui loa kēia. Hiki iā ʻoe ke paʻakikī ke kamaʻilio no kekahi mau lā ma hope o ke ʻoki ʻana. No laila, ʻo ka lawe ʻana mai i kahi puke liʻiliʻi a me ka peni, a i ʻole kāu kelepona akamai a papapihi paha, he mea kōkua nui ia i ke kamaʻilio ʻana me nā kauka, nā kahu maʻi, a me ka ʻohana.
Pehea e hana ʻia ai ke ʻoki kino?
ʻElua mau ʻano hana nui.
1. ʻOki Hana Hāmama (Tracheotomy Hāmama)
ʻO kēia ke ʻano kuʻuna. Hana ʻia ia i loko o kahi lumi hana. E hoʻomoe ʻia ʻoe a laila e hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma kou ʻāʻī, ma lalo pono o kou ʻāpala ʻAdamu. E wehe ʻia ka ʻoki i loko o ka ʻōpū hanu (Hoʻokuʻu ʻia ka trachea (windpipe) a hana ʻia kahi puka liʻiliʻi i loko. A laila, hoʻokomo ʻia kahi paipu tracheostomy ma o ka puka a hoʻopaʻa ʻia me kahi kola tracheostomy. Inā ʻaʻole hiki iā ʻoe ke hanu iā ʻoe iho, ua hoʻopili ʻia kēia paipu i kahi ventilator.
2. ʻO ka Tracheostomy Percutaneous
He ʻano hana hou kēia. Hiki ke hana pinepine ʻia ma kahi moe haukapila. ʻAʻohe ʻoki nui. Akā, hoʻohana ʻia kahi nila e hana i kahi lua ma ka ʻāʻī a me ka trachea. A laila, hoʻonui mālie ʻia ka lua a hoʻokomo ʻia ka ʻōmole. Hoʻemi kēia i ka hōʻino ʻana i nā ʻiʻo.
He aha nā pono a me nā pilikia kūpono?
ʻO ka pōmaikaʻi nui, ʻo ia ka hāʻawi ʻana i ka ea e pono ai ke ola i kahi mea hiki ʻole ke hanu ma ko lākou ihu a me ka waha. He ʻoi aku ka ʻoluʻolu no ka mea maʻi ma mua o ka loaʻa ʻana o kahi ʻōmole i loko o ko lākou waha no ka manawa lōʻihi. He kōkua nui nō hoʻi ia no ka poʻe e hoʻomaka ana e hanu iā lākou iho ma hope o ka hoʻopau ʻia ʻana mai kahi ventilator.
Eia nō naʻe, e like me nā ʻoki kino āpau, aia kekahi mau pilikia.
| Ka pilikia hiki |
|---|
| • Ke kahe ʻana o ke koko a me ka maʻi. |
| • Ka hōʻino ʻana i ka esophagus a i ʻole ka trachea. |
| • Ka hāiki ʻana o ke ala ea ma muli o ka ʻiʻo palapū. |
| • Ka hōʻino ʻana i ke aʻalolo e kaohi ana i nā kaula leo (aʻalolo laryngeal recurrent) . |
| • Ke ālai ʻia ʻana o ka ʻōmole tracheostomy ma muli o ka mucus a i ʻole nā ʻūpā koko. |
| • Ka ea i paʻa i loko o nā māmā, ka umauma, a i ʻole ma lalo o ka ʻili. |
Hiki ke hoʻēmi ʻia ka nui o kēia mau pilikia ma ka hahai pono ʻana i nā ʻōlelo lapaʻau a me ka mālama ʻana i ka ʻōmole i maʻemaʻe.
Pehea ke ola ma hope o ke ʻoki kino?
E nānā pono ana ke kime lapaʻau i kou hoʻōla ʻana ma hope o ke ʻoki ʻana. Hiki ke hala a hiki i ʻelua pule no ka hoʻōla piha ʻana o ka ʻoki. He mea maʻamau ka manaʻo ʻana i ka ʻeha o ka ʻāʻī i kēia manawa. E hala ana hoʻokahi a ʻelua paha lā e maʻa ai i ka hanu ʻana ma o ka ʻōmole.
Kamaʻilio ʻana
Ma hope o kekahi manawa e ho'ōla ai, e hiki iā ʻoe ke ʻōlelo me ka hoʻomaʻamaʻa. Hana ʻia ke kani ma ka uhi ʻana i ka lua i loko o ka ʻōmole me kou manamana lima a me ka puhi ʻana i ka ea ma kou waha. Hiki i kahi loea ʻōlelo-ʻōlelo (SLP) ke kōkua iā ʻoe me kēia. Aia kekahi mau ʻano kūikawā o nā kīʻaha ʻōlelo e kōkua iā ʻoe e ʻōlelo me ka uhi ʻole ʻana i kou manamana lima.
ʻAi ʻana
E lōʻihi ka manawa e maʻa ai i ka moni ʻana. I ka hoʻomaka ʻana, hiki ke hānai ʻia ʻoe ma o kahi ʻōmole a i ʻole kahi ʻōmole. E kōkua pū kāu mea lapaʻau ʻōlelo iā ʻoe e ʻai maʻamau ma o nā hoʻomaʻamaʻa moni ʻana.
Ke wehe nei i ka ʻōmole
Inā he manawa pōkole kāu tracheostomy, e wehe kāu kauka i ka ʻōmole ke maʻamau kou ala ea. Ua kapa ʻia kēia he decannulation . I kekahi manawa e pani ʻia ka lua ma kāna iho, a i ʻole pono ʻoe e hana i kahi ʻoki liʻiliʻi e pani ai. Hiki ke waiho ʻia me kahi ʻeha liʻiliʻi.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka a i ʻole ka haukapila! |
|---|
| - Inā pilikia ʻoe i ka hanu ʻana. |
| - Inā manaʻo ʻoe ua kūpaʻa ʻole kou puʻuwai. |
| - Inā loaʻa iā ʻoe ka ʻeha nui ʻaʻole i emi iho ma hope o ka lawe ʻana i ka lāʻau lapaʻau. |
| - Inā he pehu, pipili, a i ʻole nā hōʻailona o ka maʻi (kuni, ʻulaʻula, pus) a puni ka ʻōmole. |
| - Inā hemo a hemo loa paha ka ʻōmole tracheostomy. He pilikia kēia. E hele koke i ka ʻOihana Pilikia kokoke loa (ETU). |
He mea maʻamau ka makaʻu a me ke kānalua ke haʻi ʻia aku iā ʻoe e pono ana ʻoe i kahi tracheostomy. Akā e hoʻomanaʻo, me ke kōkua o kāu hui lapaʻau, hiki i nā poʻe he nui ke aʻo e hanu, ʻai, inu, a kamaʻilio maʻamau me kēia kaʻina hana. Inā he manawa pōkole a mau loa paha, mai ʻae iā ia e pale iā ʻoe mai ka hana ʻana i nā mea āu e aloha ai a me ke ola ʻana i kahi ola hauʻoli. E kamaʻilio ākea me kāu kauka e pili ana i nā hopohopo a i ʻole nā makaʻu āu e loaʻa ai.
Leka Lawe-Home
- ʻO ka tracheostomy kahi puka i hana ʻia i loko o ka ʻōpū makani ma ka ʻāʻī e kōkua i ka hanu ʻana.
- Hana ʻia kēia no nā kumu koʻikoʻi e like me ke ālai ʻia ʻana o ke alaea a me ka hoʻopili ʻia ʻana i kahi ventilator no ka manawa lōʻihi.
- No ka hapa nui o nā kānaka, he manawa pōkole kēia, a wehe ʻia ka ʻōmole ma hope o ka ho'ōla ʻana.
- He mea nui ka hoʻomaʻemaʻe pono ʻana a me ka mālama ʻana i ka ʻōmole ma ka home e pale aku i nā pilikia.
- Me ke kōkua o kahi mea hoʻoponopono ʻōlelo a me ka hui lapaʻau, hiki iā ʻoe ke hoʻi i ke kamaʻilio a me ka ʻai ʻana.
- He mea nui loa e ʻimi koke i ke kōkua lapaʻau inā pilikia ka hanu ʻana, nā hōʻailona o ka maʻi, a i ʻole ka hemo ʻana o ka paipu.
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