He mea maʻamau ke manaʻo iki i ka makaʻu a me ke kānalua i ka wā e haʻi aku ai kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana e pono ʻoe e hana i kahi tracheostomy. He mea kupanaha iki ka lohe ʻana e hana ana ʻoe i lua ma kou ʻāʻī a e hoʻokomo i kahi paipu ma loko e hanu ai, ʻeā? Akā, mai hopohopo. He hana lapaʻau koʻikoʻi loa kēia e hiki ke hoʻopakele i nā ola a pale i nā pilikia hanu. E kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka tracheostomy?
He hana ʻoki kino ka tracheostomy e hana ana i kahi puka ma ke alo o kou ʻāʻī, pololei i loko o kou ʻōpū hanu (trachea). A laila hoʻokomo ʻia kahi paipu tracheostomy ma o ka puka i loko o kou ʻōpū hanu. ʻAe kēia i ka ea e kahe pololei i loko o kou mau māmā ke paʻakikī iā ʻoe ke hanu ma kou waha a me kou ihu.
Hoʻohana pinepine nā kauka i kēia kaʻina hana a me kēlā wehe ʻana e like me 'tracheostomy.' No laila, mai huikau e pili ana i kēlā.
No ke aha he mea pono e hana i kēia ʻano ʻoki kino?
Aia kekahi mau kumu e pono ai kekahi i kahi tracheostomy. I kekahi manawa he hopena manawa pōkole ia, a i kekahi manawa hiki ke lilo i hopena mau loa. E nānā kākou i nā kumu nui.
| Ke kumu no ka pono | He wehewehe maʻalahi |
|---|---|
| He ālai ʻana i ke alaloa | Ua haiki a paʻa loa paha ke ala ea ma ka waha a i ʻole ka ihu no kekahi kumu (ma muli o kahi puʻupuʻu, pehu ʻana, a i ʻole kahi ulia). Hana ʻia ka intubation inā ʻaʻole hiki ke hana i kēia. |
| Ke hāʻawi nei i ka hanu hana no ka manawa lōʻihi | Inā pono e hoʻopili ʻia kahi mea maʻi i kahi ventilator no ka ʻoi aku ma mua o hoʻokahi pule ma muli o kahi maʻi, e like me ka maʻi lolo, a i ʻole kahi ulia koʻikoʻi, ʻoi aku ka maʻalahi no ka mea maʻi ke loaʻa kahi tracheostomy. |
| Ka paʻakikī e hoʻomaʻemaʻe i ka mucus | ʻO kekahi mau kūlana olakino e paʻakikī ai ka hoʻomaʻemaʻe pono ʻana i ka mucus a me nā mea huna e hōʻiliʻili ana i loko o nā māmā i ka wā e ʻū ana. He mea maʻalahi loa ka omo ʻana i ka mucus ma o kēia paipu. |
| Ma hope o ke ʻoki kino nui | Hoʻohana ʻia ia e kōkua i ka hanu ʻana ma hope o ke ʻoki kino nui ma ka pahu leo a i ʻole ka puʻu a hiki i ka wā e ho'ōla ai ka wahi. |
Pehea ʻoe e hoʻomākaukau ai no ke ʻoki kino?
Inā he ʻoki kino i hoʻolālā ʻia kēia, e hāʻawi kāu kauka iā ʻoe i nā kuhikuhi no ka hoʻomākaukau ʻana 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 ʻoki kino 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 hoʻomākaukau i kekahi mau mea e pono ai.
- Nā lole a me nā mea pilikino: Nā lole moe ʻoluʻolu, ka palaki niho, a me ke kopa.
- Nā lāʻau lapaʻau āu e lawe nei: Inā ʻoe e lawe nei i ka lāʻau lapaʻau no kekahi maʻi ʻē aʻe, e hōʻoia e lawe pū me ʻoe i kēlā mau lāʻau lapaʻau.
- Mea e hoʻokipa ai iā ʻoe iho: He manaʻo maikaʻi e lawe mai i kahi mea e hoʻokipa ai iā ʻoe, e like me ka puke a nūpepa paha, ʻoiai ʻoe ma ka haukapila.
- Nā mea hana kamaʻilio: He mea nui loa kēia. ʻAʻole paha ʻoe e hiki ke kamaʻilio koke ma hope o ke ʻoki ʻana. No laila, e mālama i kahi peni a me ka pepa, a i ʻole kāu kelepona akamai a papa paha ma kahi kokoke e kamaʻilio me nā kauka, nā kahu maʻi, a me kāu poʻe aloha.
Pehea e hana ʻia ai ke ʻoki kino?
Hiki ke hana ʻia ke ʻoki tracheostomy ma nā ʻano nui ʻelua.
ʻO ke ʻoki kino kuʻuna (Open Tracheotomy)
Hana ʻia kēia ma loko o kahi lumi hana. ʻO ka mea mua, e hoʻomoe ʻia ʻoe (anesthesia laulā). A laila e hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma kou ʻāʻī, ma lalo pono o kou ʻāpala ʻAdamu. E hana ʻia ka ʻoki ma ka paia o kou ʻōpū hanu, e hana ana i kahi puka nui e hoʻokomo i ka paipu tracheostomy. Ke hoʻokomo ʻia ka paipu, e hoʻopaʻa ʻia me kahi kola a puni kou ʻāʻī e pale aku ai i ka neʻe ʻana. I kekahi manawa, hiki ke kau ʻia kekahi mau humuhumu manawa pōkole. Inā ʻaʻole hiki iā ʻoe ke hanu iā ʻoe iho, e hoʻopili pololei ʻia kēia paipu i kahi ventilator.
ʻO ka Tracheostomy Percutaneous
He hana hou kēia. Hiki ke hana pinepine ʻia ma ka haukapila kokoke i kou wahi moe. ʻAʻohe ʻoki nui. Akā, hoʻohana ke kauka i kahi nila e hana i kahi lua ma kou ʻāʻī a i loko o kou ʻōpū hanu. A laila, hoʻokomo ʻia kahi uea ma loko o ka lua, a hoʻokomo ʻia kahi paipu plastik (catheter) ma loko, e hoʻonui mālie ana i ka lua. A laila, hoʻokomo ʻia ka paipu tracheostomy.
ʻOi aku ka ʻoluʻolu o kēia ʻano hana no ka mea maʻi, no ka mea, ʻaʻohe ʻoki nui a hiki ke hoʻemi ʻia ka manawa ho'ōla.
He aha nā pōmaikaʻi a me nā pilikia o kēia?
ʻO ka pōmaikaʻi nui, hiki iā ia ke kōkua i ka hoʻopakele ʻana i nā ola ke hiki ʻole nā ʻano hanu ʻē aʻe. He mea maʻalahi loa ia no ka mea maʻi ma mua o ka intubation. He kōkua nui nō hoʻi ia no nā mea maʻi e hoʻomaka ana e hanu iā lākou iho ma hope o ka hoʻomaha ʻia ʻana mai kahi ventilator.
Akā e like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana. Akā e hoʻomanaʻo, hana nā kauka i kā lākou mea maikaʻi loa e hōʻemi i kēia mau pilikia.
- Ke kahe 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 ʻōpala a i ʻole ka pehu ʻana.
- Ka hōʻino ʻana i ke aʻalolo e kaohi ana i nā kaula leo (aʻalolo laryngeal recurrent).
- Ka paʻa ʻana o ka ʻōmole tracheostomy ma muli o ka mucus a i ʻole nā ʻūpū koko.
- Ka ea i paʻa ma lalo o ka ʻili a puni ka paipu a i ʻole i loko o nā akemāmā.
- He puka kūpono ʻole (fistula) ma waena o ka ʻōpū makani a me ka esophagus (hiki i kēia ke hoʻokomo i ka meaʻai a me ka mea inu i loko o nā māmā).
Hiki ke pale ʻia ka nui o kēia mau pilikia ma ka mālama ʻana i ka ʻōmole i maʻemaʻe a me ka hahai pono ʻana i nā ʻōlelo a ke kauka.
Pehea ʻoe e hoʻomaʻamaʻa ai i ke ola ma hope o ke ʻoki kino?
Ma hope o ke ʻoki ʻana, e mālama pono kāu hui lapaʻau iā ʻoe. ʻO ka maʻamau, ʻelua pule ka lōʻihi e ho'ōla piha ai ka ʻeha. He mea maʻamau ke manaʻo i ka ʻeha o ka ʻāʻī i kēia manawa. He lā a ʻelua paha e hoʻomaʻamaʻa ai i ka hanu ʻana ma o ka ʻōmole.
Mālama tracheostomy
Ma mua o kou hoʻi ʻana i ka home mai ka haukapila, e hāʻawi ke kahu maʻi iā ʻoe a me kāu mea mālama i nā ʻōlelo kikoʻī e pili ana i ka hoʻomaʻemaʻe ʻana i ka ʻōmole ma ka home (ʻo ka maʻamau ma ka liʻiliʻi ʻelua i ka lā) a omo iā ia. He mea nui loa e hahai pono ʻoe i kēia mau ʻōlelo kuhikuhi.
Kamaʻilio ʻana
Ma hope o kekahi manawa, e hiki iā ʻoe ke ʻōlelo, akā pono ia e hoʻomaʻamaʻa. ʻO ka maʻamau, pili kēia i ka uhi ʻana i ka puka o ka ʻōmole me kou manamana lima a me ka ʻōlelo ʻana me ka puhi ʻana i ka ea mai loko mai o kou waha. E hōʻike aku kahi loea ʻōlelo-ʻōlelo (SLP) iā ʻoe pehea e hana ai i kēia. Aia kekahi mau kīʻaha ʻōlelo kūikawā e kōkua iā ʻoe e ʻōlelo me ka uhi ʻole ʻana i kou manamana lima.E hoʻomanawanui, a e hiki iā ʻoe ke ʻōlelo maikaʻi aʻe i kou maʻa ʻana.
ʻAi ʻana
I ka wā mua, he mea paʻakikī paha ke ale i ka meaʻai a me ka mea inu. I loko o kēia manawa, e hāʻawi ʻia ʻoe i ka meaʻai ma o kahi IV a i ʻole kahi ʻōmole hānai. E aʻo ke kauka ʻōlelo iā ʻoe i nā hoʻomaʻamaʻa e hoʻomaikaʻi i kou mau mākau ale ʻana, a e hiki mālie iā ʻoe ke ʻai maʻamau.
I ka wā e pono ai ʻoe e kāhea koke i ke kauka
Ma hope o ka hoʻi ʻana i ka home, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona , e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila kokoke loa i ka Emergency Department (ETU).
| Nā hōʻailona e pono ai ka nānā koke ʻana | |
|---|---|
| Paʻakikī ka hanu ʻana | Inā manaʻo ʻoe e pilikia ana ʻoe i ka hanu ʻana. |
| Ka loli ʻana o ka helu o ka puʻuwai | Inā piʻi aʻe ka helu o ka puʻuwai i ke ʻano ʻē a i ʻole lilo i mea ʻano ʻē. |
| ʻEha nui | Inā loaʻa iā ʻoe ka ʻeha nui ʻaʻole ia e emi ma hope o ka lawe ʻana i ka lāʻau lapaʻau. |
| Nā hōʻailona o ka maʻi | Kuni, ʻulaʻula, pehu, mehana, a i ʻole ka pel ma kahi i ʻoki ʻia ai. |
| Ka paʻa ʻana o ka paipu a i ʻole ka wehe ʻana | Hiki i ka huʻa i loko o ka ʻōmole ke paʻa, pehu, a i ʻole hiki i ka ʻōmole ke wehe a hemo paha. |
ʻOiai hiki ke hopohopo ka lohe ʻana e pono ana ʻoe i kahi tracheostomy, he hana ia e hoʻōla ola ai a palekana hoʻi. Me ke kōkua o kāu hui lapaʻau, hiki iā ʻoe ke hoʻololi i kēia kūlana hou, hana i nā mea āu e aloha ai, a ola i kahi ola hauʻoli.
Leka Lawe-Home
- He ʻoki palekana ka tracheostomy e maʻalahi ai ka hanu ʻana. Mai makaʻu.
- Ma muli o kou kūlana, he hopena manawa pōkole a mau loa paha.
- He mea nui ka mālama kūpono a maʻemaʻe o ka ʻōmole tracheostomy e pale ai i nā pilikia.
- Me ke kōkua o kāu kauka, nā kahu maʻi, a me ke kauka hoʻoponopono ʻōlelo, e hiki iā ʻoe ke ʻōlelo, ʻai, a ola hou i ke ola maʻamau.
- Inā kū mai kekahi mau pilikia a kānalua paha, mai kānalua e nīnau koke aku i kāu kauka.
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