Na nɔmal tin fɔ mek yu fred smɔl ɛn nɔ shɔ we yu dɔktɔ tɛl yu ɔ sɔmbɔdi na yu famili se yu nid fɔ du tracheostomy. I strenj smɔl fɔ yɛri se yu go de mek ol na yu nɛk ɛn put tiub tru am fɔ blo, nɔto so? Bɔt nɔ wɔri. Dis na rili impɔtant mɛrɛsin we kin sev pipul dɛn layf ɛn mek i nɔ izi fɔ blo. Wi go tɔk bɔt ɔltin simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na tracheostomy?
Tracheostomy na ɔpreshɔn we de mek wan opin na di frɔnt pat na yu nɛk, dairekt insay yu windpaip (trachea). Dɔn dɛn kin put wan trakiɔstɔmi tyub tru di say we opin insay yu winda paip. Dis kin mek di briz flɔ dairekt insay yu lɔng dɛn we i nɔ kin izi fɔ yu fɔ blo tru yu mɔt ɛn nos.
Bɔku tɛm, dɔktɔ dɛn kin kɔl dis prɔsidyu ɛn da opin de ‘tracheostomy.’ So nɔ kɔnfyus bɔt dat.
Wetin mek i nid fɔ du dis kayn ɔpreshɔn?
Bɔku rizin dɛn de we mek pɔsin nid fɔ du tracheostomy. Sɔntɛnde na fɔ sɔlv fɔ sɔm tɛm, ɛn ɔda tɛm dɛn kin bi sɔlv fɔ ɔltɛm. Lɛ wi luk di men rizin dɛn.
| Rizin fɔ mek dɛn nid am | Wan simpul ɛksplen |
|---|---|
| Wan tin we de ambɔg di we aw di briz de blo | di aywe we de pas na di mכt כ nos kin sכmtεm כ kin blכk kכmplit fכ sכm rizin (bikoz fכ tכmכro, swel, כ aksidεnt). Dɛn kin du intubeshɔn if i nɔ pɔsibul fɔ du dis. |
| Fɔ gi atifishal briz fɔ lɔng tɛm | If pɔsin nid fɔ kɔnɛkt to ventilatɔ fɔ pas wan wik bikɔs ɔf wan mɛrɛsin, lɛk paralayz, ɔ siriɔs aksidɛnt, i go izi fɔ mek di pɔsin du trakiɔstɔmi. |
| I nɔ izi fɔ klia di mכkus | Sɔm mɛrɛsin kin mek i nɔ izi fɔ klia di mɔkus ɛn di tin dɛn we kin gɛda na di lɔng dɛn fayn fayn wan we pɔsin de kɔf. fכ sכk di mכkus tru dis tכb rili izi. |
| Afta dɛn dɔn du big ɔpreshɔn | Dɛn kin yuz am fɔ ɛp fɔ blo afta dɛn dɔn du big ɔpreshɔn pan di vɔys bɔks ɔ trot te di say wɛl. |
Aw yu kin rɛdi fɔ ɔpreshɔn?
If dis na ɔpreshɔn we yu dɔn plan fɔ du, yu dɔktɔ go gi yu instrɔkshɔn bɔt 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 go nid fɔ pripia sɔm tin dɛn we yu nid.
- Klos ɛn tin dɛn fɔ yusɛf: Kɔmfyut bed klos, tut brɔsh, ɛn sop.
- Di mɛrɛsin dɛn we yu de tek: If yu dɔn ɔlrɛdi de tek mɛrɛsin fɔ ɔda sik, mek shɔ se yu kam wit dɛn mɛrɛsin dɛn de.
- Sɔntin fɔ ɛnjɔy yusɛf: I fayn fɔ kam wit sɔntin we go mek yu ɛnjɔy yusɛf, lɛk buk ɔ nyuspepa, we yu de na ɔspitul.
- Di tin dɛn we pɔsin kin yuz fɔ tɔk to pipul dɛn: Dis rili impɔtant. Sɔntɛm yu nɔ go ebul fɔ tɔk wantɛm wantɛm afta dɛn dɔn du yu ɔpreshɔn. So, kip pen ɛn pepa, ɔ yu smart fon ɔ tablɛt nia yu fɔ tɔk to di dɔktɔ dɛn, nɔs dɛn, ɛn di wan dɛn we yu lɛk.
Aw dɛn kin du di ɔpreshɔn?
Dɛn kin du di ɔpreshɔn we dɛn kɔl tracheostomy tu men we dɛn.
Tradishɔnal opin ɔpreshɔn (Open Tracheotomy) .
Dɛn kin du dis na wan ples usay dɛn kin du ɔpreshɔn. Fɔs, dɛn go put yu na slip (jɛnɔral anestezi). Dɔn di dɔktɔ we de du di ɔpreshɔn go mek smɔl say na yu nɛk, jɔs dɔŋ yu Adam in apul. di say we dεn sכk go bi tru di wכl na yu winda paip, we go mek wan opin we big fכ put di tracheostomy tכb insay. We dɛn dɔn put di tiub, dɛn go tay am wit kɔla rawnd yu nɛk fɔ mek i nɔ muf. Sɔntɛnde, dɛn kin put sɔm tɛmporari stich dɛn. If yu nɔ ebul fɔ blo yusɛf, dɛn go kɔnɛkt dis tiub dairekt to ventilatɔ.
Pɛrkyutanɛs Trakiɔstɔmi
Dis na nyu we fɔ du tin. Bɔku tɛm yu kin du am na di ɔspitul nia yu bed. No big say nɔ de we dɛn kɔt am. Bifo dat, di dɔktɔ kin yuz nidul fɔ mek ol na yu nɛk ɛn insay yu winda. Dɔn, dɛn kin pas wan waya na di ol, ɛn dɛn kin put wan plastic tiub (kateta) insay de, ɛn smɔl smɔl di ol kin big. Dɔn, dɛn kin put di trakiɔstɔmi tiub insay.
Dis we ya kin izi fɔ di pɔsin, bikɔs dɛn nɔ kin kɔt big say ɛn di tɛm fɔ wɛl kin ridyus.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?
Di men bɛnifit na dat i kin ɛp fɔ sev pipul dɛn layf we ɔda we dɛn fɔ blo nɔ pɔsibul. I izi fɔ di pɔsin pas fɔ put am insay intubeshɔn. I kin ɛp bak fɔ di wan dɛn we sik we dɔn bigin fɔ blo fɔ dɛnsɛf afta dɛn dɔn pul dɛn wef pan ventilator.
Bɔt lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt mɛmba se dɔktɔ dɛn kin du ɔl wetin dɛn ebul fɔ mek dɛn prɔblɛm dɛn ya nɔ bɔku.
- Blɔd ɛn infekshɔn.
- Damej na di εsophagus ɔ trachea.
- Narrowing of di airway bikɔs ɔf ska tisu ɔ swel.
- di damej pan di nεv we de kכntro di vכkal kכd dεm (rikכrεnt laryngeal nerve).
- Tracheostomy tiub blok bikɔs ɔf di mכkus ɔ blɔd we de klɔt.
- di briz we de trכp כnda di skin we de rawnd di tכb כ insay di lכng dεm.
- wan abnכmal opin (fistula) bitwin di winda paip εn di εsophagus (dis kin mek it εn drink pas insay di lכng).
Bɔku pan dɛn bad tin ya kin apin if yu kip di tiub klin ɛn fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan.
Aw yu kin ajɔst to layf afta dɛn dɔn du yu ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, yu mɛdikal tim go tek kia ɔf yu gud gud wan. Bɔku tɛm, i kin tek lɛk tu wiks so fɔ mek di wund wɛl ɔl. Na nɔmal tin fɔ fil sɔm nɛk pen insay dis tɛm. I kin tek wan ɔ tu de bak fɔ yus fɔ blo tru di tiub.
Tracheostomy kia fɔ yu
Bifo yu go na os frɔm ɔspitul, di nɔs wokman dɛn go gi yu ɛn di pɔsin we de kia fɔ yu ditayla instrɔkshɔn dɛn bɔt aw fɔ klin di tiub na os (bɔku tɛm at le tu tɛm insay di de) ɛn sok am. I rili impɔtant fɔ mek yu fala dɛn instrɔkshɔn dɛn ya di rayt we.
Fɔ tɔk
Afta sɔm tɛm, yu go ebul fɔ tɔk, bɔt i nid fɔ praktis. Dis kin min fɔ kɔba di say we di tiub opin wit yu finga ɛn tɔk we yu de blo di briz kɔmɔt na yu mɔt. Wan speech-language pathologist (SLP) go sho yu aw fɔ du dis. Spɛshal valv dɛn de bak fɔ tɔk we de ɛp yu fɔ tɔk we yu nɔ kɔba yu finga.Peshɛnt, ɛn yu go ebul fɔ tɔk bɛtɛ as yu de yus to am.
De it
Fɔs, i kin at fɔ swɛla it ɛn drink. Insay dis tɛm, dɛn go gi yu nyutrishɔn tru IV ɔ fidin tyub. Di pɔsin we de mɛn pipul dɛn we de tɔk go tich yu ɛksesaiz fɔ mek yu ebul fɔ swɛla fayn fayn wan, ɛn smɔl smɔl yu go ebul fɔ it di rayt we.
We yu nid fɔ kɔl di dɔktɔ wantɛm wantɛm
Afta yu dɔn go bak na os, if yu gɛt ɛni wan pan dɛn sik ya , kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
| Simptom dɛm wae nid fɔ pe atɛnshɔn kwik kwik wan | |
|---|---|
| I nɔ kin izi fɔ yu fɔ blo | If yu fil se yu de gɛt prɔblɛm fɔ blo. |
| Chenj na di at rit | If di at rit de go ɔp abnɔmal ɔ i nɔ de rit ɔltɛm. |
| I kin fil pen bad bad wan | If yu gɛt siriɔs pen we nɔ de stɔp ivin afta yu dɔn tek mɛrɛsin. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, rɛd, swel, wam, ɔ pus na di say we dɛn du di ɔpreshɔn. |
| Tiub blok ɔ we de lus | di mכkus we de na di tכb kin kכlok, swεla, כ di tכb kin lכs כ kכmכt. |
Pan ɔl we fɔ yɛri se yu nid fɔ tek tracheostomy kin mek yu fred, bɔku tɛm i kin sev yu layf ɛn i nɔ kin sef. If yu mɛdikal tim ɛp yu, yu go ebul fɔ ajɔst to dis nyu tin, du di tin dɛn we yu lɛk, ɛn liv gladi layf.
Mɛsej we dɛn kin kɛr go na os
- Tracheostomy na ɔpreshɔn we nɔ bad fɔ mek i izi fɔ blo. Nɔ fred am.
- Dipen pan yu kɔndishɔn, i kin bi sɔlv fɔ sɔm tɛm ɔ fɔ ɔltɛm.
- di rayt ɛn klin kia fɔ di trakiɔstɔmi tiub impɔtant fɔ mek i nɔ gɛt prɔblɛm dɛn.
- If yu dɔktɔ, di wan dɛn we de wok na di nɔs dɛn, ɛn di pɔsin we de mɛn pipul dɛn we de tɔk, ɛp yu, yu go ebul fɔ tɔk, it, ɛn liv nɔmal layf bak.
- If ɛni prɔblɛm ɔ dawt de, nɔ ɛva shem fɔ go to yu dɔktɔ wantɛm wantɛm.
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