He aha ka tracheostomy? Mai makaʻu, e kamaʻilio kākou e pili ana!

I kekahi manawa hiki iā mākou ke pilikia i ka hanu ʻana ma nā ʻano a mākou i manaʻo ʻole ai. I nā manawa e like me kēia, ua lohe paha ʻoe i kahi kaʻina hana e pili ana i ke kau ʻana i kahi ʻōmole liʻiliʻi ma kou ʻāʻī e kōkua iā ʻoe e hanu. Ua kapa ʻia kēlā he tracheostomy. He mea weliweli iki paha ka inoa, akā he kaʻina hana hoʻōla ola koʻikoʻi loa ia. No laila e kamaʻilio kākou e pili ana i ia mea me ka maʻalahi, me ka makaʻu ʻole.

I ka ʻōlelo maʻalahi, he aha ka tracheostomy?

ʻO ka tracheostomy ka wā e hana ai ke kauka lapaʻau i kahi puka ma ke alo o kou ʻāʻī, pololei i loko o kou windpipe (trachea), a i ʻole ka mea a mākou e kapa nei ʻo kou bronchi . A laila, hoʻokomo ʻia kahi paipu tracheostomy , a i ʻole 'trach' no ka pōkole, ma o kēia puka. Hana ʻia kēia ma ka hoʻouna ʻana i ka ea pololei i loko o kou mau māmā ma o ka paipu ke paʻakikī iā ʻoe ke hanu ma kou waha a i ʻole ka ihu.

ʻO ke ʻoki ʻana e hana i kēia puka ua kapa ʻia ʻo ia he tracheotomy. Akā ma ka ʻōlelo maʻamau, hoʻohana kā mākou mau kauka i nā huaʻōlelo ʻelua me ke ʻano like ʻole. No laila, mai huikau e pili ana i ia mea.

No ke aha e pono ai i kekahi ke hana ʻia ka tracheostomy?

Nui nā kumu e pono ai kekahi i kahi tracheostomy. I kekahi manawa hiki ke lilo i mea manawa pōkole, a i kekahi manawa hiki ke mau loa. Aia ia i kou kūlana olakino.

Pehea e hoʻomākaukau ai no kēia ʻoki kino?

Inā he ʻoki kino i hoʻolālā ʻia kēia, e wehewehe kāu kauka pehea e hoʻomākaukau ai no ia. Inā loaʻa iā ʻoe ka anesthesia laulā , pono paha ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana no kekahi mau hola ma mua o ke ʻoki kino a pono paha e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau.

Eia kekahi, ʻoiai ʻoe e noho ana ma ka haukapila no kekahi mau lā a i ʻole mau pule, pono ʻoe e hoʻopaʻa i kekahi mau mea i loko o kahi ʻeke a hoʻomākaukau iā lākou.

• Nā lole a me nā mea hoʻomaʻemaʻe pilikino: Nā lole ʻoluʻolu, nā mea e like me ka palaki niho.
• Nā lāʻau lapaʻau āu e hoʻohana ai: He aha nā lāʻau lapaʻau a i ʻole nā ​​​​mea hoʻopihapiha meaʻai āu e lawe mau ai, inā he.
• Mea leʻaleʻa: He manaʻo maikaʻi e lawe mai i kahi mea e heluhelu ai, e like me ka puke, ʻoiai ʻoe ma ka haukapila.
• Nā mea e kōkua iā ʻoe e kamaʻilio: He mea nui loa kēia. Ma hope o ke ʻoki ʻana, ʻaʻole hiki iā ʻoe ke kamaʻilio koke. No laila, ʻo ka lawe ʻana i kahi peni a me ka pepa, a i ʻole kahi kelepona akamai a papa paha, e kōkua nui ia i ke kamaʻilio ʻana me nā kauka a me kāu poʻe aloha.

Pehea e hana ʻia ai ke ʻoki kino?

Hana pinepine ʻia kēia ʻoki kino i loko o kahi lumi hana. ʻO ka mea mua, hoʻomaʻamaʻa ʻia ʻoe i mea e hiamoe loa ai ʻoe. A laila, hana ke kauka ʻoki kino i kahi ʻoki liʻiliʻi ma ke alo o kou ʻāʻī, ma lalo pono o kou ʻāpala ʻAdamu. Hele pololei kēia ʻoki ma ka paia o kou ʻōpū hanu. A laila, hoʻonui pono ʻia ka puka e hiki ai ke hoʻokomo ʻia ka paipu tracheostomy.

Ma hope o ke komo ʻana o ka paipu, ua hoʻopaʻa ʻia me ke kaula a puni kou ʻāʻī (kola tracheostomy) i mea e pale ai iā ia mai ka neʻe ʻana a puni. Pono paha ʻoe e loaʻa i kekahi mau humuhumu manawa pōkole e hoʻopaʻa i ka paipu a hiki i kona ho'ōla ʻana. Inā ʻaʻole hiki iā ʻoe ke hanu iā ʻoe iho, e hoʻopili ʻia kēia paipu i kahi ventilator.

He aha nā pōmaikaʻi a me nā pilikia o kēia?

ʻO ka pōmaikaʻi nui o ka tracheostomy, ʻo ia ka hāʻawi ʻana i ka ea e hoʻōla ai i ke ola ke hiki ʻole ke hanu ma ka waha a i ʻole ka ihu. He mea maʻalahi loa ia no ka mea maʻi ma mua o ka intubation, kahi i hana ʻia ma ka waha. Kōkua pū ia i nā poʻe he nui e hoʻomaka ana e hanu iā lākou iho ma hope o ka wehe ʻia ʻana mai kahi ventilator.

Eia nō naʻe, e like me kēlā me kēia ʻoki kino, aia kekahi mau pilikia kūpono.

• Ke kahe koko a me ka maʻi.
• Ka hōʻino ʻana i kou esophagus a i ʻole ka ʻōpū hanu.
• Ka hāiki ʻana o ke ala ea ma muli o ka mumū a i ʻole ka ʻiʻo palapū.
• Ka hōʻino ʻana i ke aʻalolo e hoʻoneʻe ai i kou mau kaula leo (aʻalolo laryngeal recurrent).
• Ka paʻa ʻana o ka ʻōmole tracheostomy ma muli o ka mucus a i ʻole nā ​​​​ʻūpū koko.
• Ka paʻa ʻana o ka ea ma lalo o ka ʻili a puni nā māmā, ka umauma, a i ʻole ka tracheostomy.

He aha ka mea e hana ma hope o ke kaʻina hana a pehea e mālama ai ma ka home?

Ma hope o ke ʻoki ʻana, e nānā pono ke kime lapaʻau i kou kūlana. Pono ʻoe e kamaʻilio ma ke kākau ʻana a hiki i kou hiki ke ʻōlelo. Ma mua o kou hoʻi ʻana i ka home mai ka haukapila, e hāʻawi ʻia ʻoe a me kou ʻohana i nā ʻōlelo kikoʻī e pili ana i ka mālama ʻana i kāu ʻōmole tracheostomy ma ka home.

ʻO ka maʻamau, ʻelua pule ka lōʻihi o ke ola ʻana o ka ʻōmole tracheostomy. He mea maʻamau ke ʻeha iki ka ʻāʻī i kēia manawa. He lā a ʻelua paha e maʻa ai i ka hanu ʻana ma o ka ʻōmole.

Ka mālama ʻana i ka ʻōmole maʻemaʻe

Ma ka home, pono ʻoe e hoʻomaʻemaʻe i kāu ʻōmole tracheostomy ma ka liʻiliʻi ʻelua i ka lā. Pono nō hoʻi ʻoe e ʻike hou i kāu kauka i nā lā e pono ai ke hoʻololi i ka ʻōmole.

Kamaʻilio ʻana

Ma hope o kou ho'ōla ʻana, hiki iā ʻoe ke ʻōlelo me ka tracheostomy, akā pono ia i ka hoʻomaʻamaʻa. Hiki iā ʻoe ke ʻōlelo ma ka uhi ʻana i ka puka tracheostomy me kahi manamana lima a puhi i ka ea ma kou waha. E hōʻike aku kahi pathologist ʻōlelo-ʻōlelo (SLP) iā ʻoe pehea e hana ai i kēia. Aia kekahi mau ʻano kūikawā o nā valves ʻōlelo e kōkua iā ʻoe e ʻōlelo me ka uhi ʻole ʻana me kahi manamana lima.

ʻAi ʻana

E lōʻihi ka manawa e maʻa ai i ka moni ʻana. I ka hoʻomaka ʻana, pono paha ʻoe e hānai ʻia ma o kahi IV a i ʻole ka ʻōmole hānai. E kōkua pū kāu mea lapaʻau ʻōlelo iā ʻoe me nā hoʻomaʻamaʻa e maʻalahi ai ka moni ʻana.

Āhea wau e ʻike koke ai i ke kauka?

Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila kokoke loa ʻo Emergency Department (ETU) .

He mea maʻamau ka makaʻu a me ke kānalua ke lohe ʻoe e pono ana ʻoe i kahi tracheostomy. Akā e hoʻomanaʻo, me ke kōkua o kahi hui lapaʻau, hiki i ka hapa nui o ka poʻe ke hanu, ʻai, inu, a kamaʻilio maikaʻi ma hope o kēia. Inā he manawa pōkole a mau loa paha, hiki iā ʻoe ke hauʻoli i kou ola.