Enibodi we geht difikulti fo brith de fred likli wen dem se dem go mek hol na nek en put tyub tru am, no? Insay mɛrɛsin, wi kin kɔl dis tracheostomy . Bɔt dis na rili impɔtant tritmɛnt we dɛn kin du fɔ sev pipul dɛn layf, ɛn bɔku tɛm na fɔ shɔt tɛm nɔmɔ. Ivin if yu dɔn yɛri bɔt dis, yu kin gɛt big big kwɛstyɔn ɛn fred bikɔs yu nɔ no bɛtɛ bɛtɛ wan wetin i bi. So lɛ wi tɔk bɔt ɔltin klia wan ɛn simpul wan tide.
Wetin rili na tracheostomy?
Fɔ tɔk am simpul wan, tracheostomy na ɔpreshɔn we de mek wan opin, ɔ ol, na di frɔnt pat na yu nɛk, dairekt insay yu windpaip (bronchi) . afta dat dεn kin put wan tracheostomy tכb tru dis opin insay yu windpaip. dis esεntial de alaw pכsin we gεt difεlεbl fכ brith tru in mכt εn nos fכ brith εya (כksijεn) dεn lכng dεm tru dis tכb na in nεk, baypas dεn tu rod dεm de.
Wi kin kɔl bak di ɔpreshɔn fɔ mek dis ol tracheotomy . Bɔt, insay kɔmɔn langwej, ivin dɔktɔ dɛn kin yuz ɔl tu di wɔd dɛn fɔ chenj.
Ustɛm i nid fɔ du tracheostomy?
Bɔku rizin dɛn de we mek dɛn kin du tracheostomy. Pan ɔl we bɔku tɛm dis na ɔpreshɔn we dɛn kin plan fɔ du, sɔntɛnde i kin nid fɔ du am if ɛnitin apin we nɔ izi fɔ am. Di tebul we de dɔŋ ya go gi yu gud aidia bɔt dis.
| Rizin fɔ mek yu nid tritmɛnt | Fɔ ɛksplen am simpul wan |
|---|---|
| Di we aw di briz de blo | If di aywe blok bikɔs ɔf wan trot tumor, siriɔs infɛkshɔn, ɔ aksidɛnt ɛn intubation nɔ pɔsibul. |
| I nɔ kin izi fɔ yu fɔ blo fɔ lɔng tɛm | If yu nɔ ebul fɔ blo yusɛf bikɔs ɔf tin dɛn lɛk siriɔs lɔng sik, paralayz, ɔ siriɔs injury na yu ed ɔ nɛk. |
| Fɔ kɔnɛkt to ventilatɔ | If pɔsin nid fɔ kɔnɛkt to ventilatɔ fɔ pas wan wik, dis we ya go izi ɛn i nɔ go sef. |
| I nɔ izi fɔ klia di mכkus | Bikɔs ɔf sɔm mɛdikal kɔndishɔn, kɔf nɔ kin ebul fɔ klin di mכkus frɔm di lכng. fכ sכk di mכkus tru dis tכb rili izi. |
| Afta dɛn dɔn du ɔpreshɔn pan di trot | Afta dɛn dɔn ɔpreshɔn di trot ɔ di vɔys bɔks, as ɛp fɔ blo te di eria wɛl. |
Di impɔtant tin na dat, dipen pan yu kɔndishɔn, dis tracheostomy kin bi fɔ sɔm tɛm ɔ fɔ ɔltɛm . Yu dɔktɔ go ɛksplen dis to yu ditayli.
Aw a fɔ pripia bifo dɛn du dis ɔpreshɔn?
If dis na ɔpreshɔn we yu dɔn plan fɔ du, yu dɔktɔ go tɛl yu aw fɔ rɛdi fɔ am. Bikɔs dɛn kin du am ɔnda jenɛral anestezi , dɛn kin aks yu fɔ avɔyd fɔ it ɔ drink fɔ sɔm awa bifo dɛn du di ɔpreshɔn ɛn fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn.
Bikɔs yu go de na ɔspitul fɔ sɔm dez ɔ wik afta di ɔpreshɔn, yu nid fɔ pak smɔl bag.
- Klos ɛn tin dɛn fɔ yusɛf: Kɔmfyut bed klos, tin dɛn lɛk tut brɔsh.
- Mɛrɛsin wae yu de tek: Bring ɛni mɛrɛsin ɛn vaytamɛn wae yu de tek naw.
- Sɔntin fɔ ɛnjɔy yusɛf: We yu kɛr sɔntin lɛk buk ɔ magazin, dat kin mek yu fil fayn we yu de wɛl.
- Di tin dɛn we pɔsin kin yuz fɔ tɔk to pipul dɛn: Dis rili impɔtant. Sɔntɛm i nɔ kin izi fɔ yu fɔ tɔk fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. So, if yu kam wit notbuk ɛn pen, ɔ yu smart fon ɔ tablɛt, dat go rili ɛp yu fɔ tɔk to di dɔktɔ dɛn, di nɔs dɛn, ɛn di famili.
Aw dɛn kin du di ɔpreshɔn?
Tu men we dɛn de fɔ du am.
1. Opin Ɔpreshɔn (Open Tracheotomy) .
Dis na di tradishɔnal we aw dɛn kin du am. Dɛn kin du am na wan ples usay dɛn kin du ɔpreshɔn. Dɛn go put yu na slip ɛn afta dat di dɔktɔ we de du di ɔpreshɔn go mek smɔl say na yu nɛk, jɔs dɔŋ yu Adam in apul. Di say we dɛn kɔt go opin insay di say we di briz de blo (di trakya (windpaip) de kכmכt εn dεn mek wan sכmכl opin insay. Dɔn, dɛn kin put wan trakiɔstɔmi tiub tru di opin ɛn tay am wit wan trakiɔstɔmi kɔla. If yu nɔ ebul fɔ blo yusɛf, dɛn kin kɔnɛkt dis tiub to ventilatɔ.
2. Pɛrkyutanɛs Trakiɔstɔmi
Dis na nyu we fɔ du tin. Bɔku tɛm dɛn kin du am na di ɔspitul bed. No big say nɔ de we dɛn kɔt am. Bifo dat, dɛn kin yuz nidul fɔ mek ol na di nɛk ɛn di trakya. Dɔn, dɛn kin mek di ol big smɔl smɔl ɛn put di tiub insay. Dis kin mek di tisu nɔ pwɛl bɛtɛ.
Wetin na di bɛnifit dɛn ɛn di prɔblɛm dɛn we kin apin?
Di men bɛnifit na dat i de gi di briz we i nid fɔ liv to pɔsin we nɔ ebul fɔ blo tru in nos ɛn mɔt. I kin fayn bak fɔ di pɔsin we sik pas fɔ gɛt tiub na in mɔt fɔ lɔng tɛm. I kin ɛp bak fɔ di wan dɛn we dɔn bigin fɔ blo fɔ dɛnsɛf afta dɛn dɔn pul dɛn wef pan ventilator.
Bɔt jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm.
| Posisibul Kɔmplikɛshɔn |
|---|
| • SMƆL TƆK: Blɔd ɛn infɛkshɔn. |
| • SMƆL TƆK: Damej to di εsophagus ɔ trachea. |
| • SMƆL TƆK: Di aywe de smɔl bikɔs ɔf di ska tisu. |
| • SMƆL TƆK: Damej to di nerve we de kɔntrol di vokal kɔd dɛm (recurrent laryngeal nerve) . |
| • SMƆL TƆK: di tracheostomy tiub de blok bikɔs ɔf di mכkus ɔ di blɔd we de klɔt. |
| • SMƆL TƆK: Di briz kin trɔp na di lɔng, chɛst, ɔ ɔnda di skin. |
Bɔku pan dɛn prɔblɛm ya kin ridyus if yu fala di tin dɛn we di dɔktɔ tɛl yu fɔ du gud gud wan ɛn kip di tiub klin.
Aw layf kin bi afta dɛn dɔn du di ɔpreshɔn?
Di mɛdikal tim go tek tɛm wach aw yu wɛl afta di ɔpreshɔn. I kin tek tu wiks fɔ mek di say we dɛn kɔt am fayn fayn wan. Na nɔmal tin fɔ fil sɔm nɛk pen insay dis tɛm. I go tek wan ɔ tu dez fɔ yus fɔ blo tru di tiub.
Fɔ tɔk
Afta sɔm tɛm fɔ wɛl, yu go ebul fɔ tɔk wit prɛktis. Di sawnd de mek bay we yu kɔba di ol na di tiub wit yu finga ɛn blo briz tru yu mɔt. Wan speech-language pathologist (SLP) kin ɛp yu wit dis. Spɛshal kayn valv dɛn de bak we yu kin yuz fɔ tɔk we kin ɛp yu fɔ tɔk we yu nɔ kɔba yu finga.
De it
I go tek sɔm tɛm fɔ mek yu yus fɔ swɛla. Fɔs, dɛn kin gi yu tin fɔ it tru wan tiub ɔ wan tiub. Yu tɔk thɛrapist go ɛp yu bak fɔ it nɔmal wan tru ɛksesaiz fɔ swɛla.
Fɔ pul di tiub
If yu tracheostomy na fɔ shɔt tɛm, yu dɔktɔ go pul di tiub wans yu aywe dɔn nɔmal. Dɛn kɔl dis dikanuleshɔn . Sɔntɛnde, di ol go lɔk insɛf, ɔ yu kin nid fɔ du smɔl ɔpreshɔn fɔ lɔk am. Sɔntɛm dɛn go lɛf yu wit smɔl skata.
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ ɔ ɔspitul wantɛm wantɛm! |
|---|
| - If yu gɛt ɛni prɔblɛm fɔ blo. |
| - If yu fil se yu at bit nɔ de bit ɔltɛm. |
| - If yu gɛt siriɔs pen we nɔ de stɔp ivin afta yu tek mɛrɛsin. |
| - If swel, adheshon, כ sayn dεm fכ infεkshכn (fiva, rεd, pus) de rawnd di tכb. |
| - if di trakiostomi tiub kכmכt כ kכmplit. Dis na imejensi. Go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. |
Na nɔmal tin fɔ fil frayd ɛn nɔr shɔ we dɛn tɛl yu se yu nid fɔ du tracheostomy. Bɔt mɛmba se, if yu mɛdikal tim ɛp yu, bɔku pipul dɛn kin lan fɔ blo, it, drink, ɛn tɔk nɔmal wan wit dis prɔsidyu. Ilɛksɛf na fɔ shɔt tɛm ɔ fɔ ɔltɛm, nɔ mek i stɔp yu fɔ du di tin dɛn we yu lɛk ɛn liv gladi layf. Tɔk opin wan wit yu dɔktɔ bɔt ɛnitin we de mɔna yu ɔr de fred.
Mɛsej we dɛn kin kɛr go na os
- Tracheostomy na ɔpreshɔn we dɛn kin mek insay di winda paip na di nɛk fɔ ɛp fɔ blo.
- Dɛn kin du dis fɔ siriɔs rizin lɛk we di say we di briz de blo nɔ de wok ɛn we dɛn kin kɔnɛkt am to ventilatɔ fɔ lɔng tɛm.
- Fɔ bɔku pipul dɛn, dis na fɔ shɔt tɛm nɔmɔ, ɛn dɛn kin pul di tiub afta i dɔn wɛl.
- I impɔtant fɔ klin ɛn kia fɔ di tiub fayn fayn wan na os fɔ mek i nɔ gɛt prɔblɛm dɛn.
- If pɔsin we de mɛn pipul dɛn we de tɔk ɛn di wan dɛn we de mɛn pipul dɛn go ɛp yu, yu go ebul fɔ tɔk ɛn it bak.
- I rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if i nɔ izi fɔ yu fɔ blo, yu gɛt sayn dɛn fɔ se yu gɛt di sik, ɔ if yu gɛt di tyub we dɔn kɔmɔt na di say we yu de.
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