A châng chuan kan ngaihtuah ngai loh angin thawk harsa kan ti thei a. Hetiang hunah hian i thawk chhuah theih nan i kawr chhungah tube te tak te dah luh a ngai tih i hre tawh ngei ang. Chu chu tracheostomy an ti a. A hming hi a hlauhawm deuhin a lang thei a, mahse nunna chhanhimna kalphung pawimawh tak a ni. Chuvangin, hlauhna awm lovin, awlsam takin sawi ila.
A awlsam zawngin, tracheostomy tih hi eng nge ni?
Tracheostomy chu surgeon-in i kawr hma lamah, i thlipui (trachea)-ah direct-a hawnna a siam a, a nih loh leh i bronchi kan tih ang chi hi a ni. Tichuan, he kawngkhar atang hian tracheostomy tube , a tawi zawngin ‘trach’ an dah lut a. Hei hi i hmui emaw hnar emaw atanga thawk harsa i tih hunah tube kaltlangin i lung chhungah boruak direct-a thawn chhuah hmanga tih a ni.
He opening siam tura surgery hi a takah chuan tracheotomy an ti a. Mahse common parlance-ah chuan kan doctor-te hian thumal pahnih hi an hmang dun a ni. Chuvangin chutiang lam chu buaipui suh.
Engvangin nge mi pakhatin tracheostomy a mamawh ang?
Mi pakhatin tracheostomy a mamawh theihna chhan tam tak a awm. A châng chuan hun rei lo tê chauh a ni thei a, a châng chuan a awm reng thei bawk. I damdawi lam dinhmun a zirin a ni.
| Tracheostomy tih a ngaih chhan ber berte | Hei hian a awmzia chu... |
|---|---|
| Thli kawng a tikhawlo | Bronchi chu tumor, swelling, emaw thil dang avanga ril a tawi emaw, a block vek emaw a nih chuan, intubation a awm theih loh chuan. |
| Lung natna, paralysis emaw, accident emaw | Lung natna nasa tak, paralysis, emaw, lu leh kawr hliam na tak avanga mahni chauha thawk thei lo i nih chuan. |
| Operation hnuah | I rilru emaw, i voice box emaw operation hnua thawk tura tanpuina i mamawh chuan. |
| Ventilator-a awm a ni | Damlo chu kar khat aia rei ventilator-a connect a ngai a nih chuan tracheostomy hi damlo tan a nuam zawkin a him zawk a ni. |
| Mucus tihfai harsatna | Damdawi lam thil thenkhatah chuan khuh laiin lung atanga mucus tihfai a harsa thin. Tracheostomy tube hmanga mucus suction hian thawkna kawng a tifai thei a ni. |
He surgery atan hian engtin nge ka inbuatsaih ang?
Hei hi surgery ruahman a nih chuan i doctor chuan a inbuatsaih dan tur a hrilhfiah ang che. General anesthesia i neih chuan, operation hma darkar engemaw zat ei leh in i chawlhsan a ngai mai thei a, damdawi thenkhat ei pawh i chawlhsan a ngai thei bawk.
Tin, damdawi inah ni engemaw zat emaw, kar engemaw zat emaw i awm dawn avangin bag-ah thil tlemte i dah a, i buatsaih a ngai bawk ang.
- Thawmhnaw leh mimal faina hmanrua: Thawmhnaw nuam tak, ha silna ang chi thil.
- Damdawi i hman dan: Eng damdawi emaw nutritional supplement emaw i ei tlangpui, a awm a nih chuan.
- Thil nuam tak: Damdawi ina i awm lai hian chhiar tur thil, lehkhabu ang chi rawn ken a tha.
- Inbiakpawhna atana ṭanpui thei tur thilte: Hei hi a pawimawh hle. Surgery hnuah chuan i tawng nghal thei tawh lovang. Chuvangin, pen leh lehkha, emaw smartphone emaw tablet emaw keng hian doctor leh i hmangaih tak takte nena inbiakpawhna kawngah a \angkai hle ang.
Engtin nge surgery hi tih a nih?
He surgery hi operation room-ah tih a ni tlangpui. Pakhatnaah chuan i muhil vek theih nan anesthetized i ni. Tichuan, surgeon chuan i kawr hmalam, i Adam’s apple hnuai chiaha incision te tak te a siam a. He incision hi i thlipui bang atang hian a kal nghal vek a ni. A dawtah chuan, a hawnna chu uluk takin an tizau a, chu chuan tracheostomy tube chu a luh theih phah a ni.
Tube hi i dah hnuah i kawr chhungah strap (tracheostomy collar) hmangin a inher kual loh nan i secure a ni. Tube chu a dam hma loh chuan a hmunah vawn reng turin hun eng emaw chen atan stitch tlemte i neih a ngai thei bawk. Mahni chauha thawk thei lo i nih chuan he tube hi ventilator nen a inzawm ang.
Tin , hmanraw thar percutaneous tracheostomy tih pawh a awm bawk . Hemiah hian incision lian tak siam ai chuan needle hmangin kawr leh trachea-ah khur siamin tube chu dah a ni. Hei hi damdawi in khumah tih theih a ni fo.
Hei hian eng hlawkna leh hlauhawmna nge a neih?
Tracheostomy thatna ber chu ka emaw hnar emaw hmanga thawk theih tawh loh hunah nunna chhanhim thei boruak a pe a ni. Intubation aiin damlo tan a awlsam zawk hle a, chu chu ka hmanga tih a ni. Ventilator atanga lakchhuah hnua mahni chauha thawk tan mek tam tak a pui bawk.
Mahse, surgery dang ang bawkin, hlauhawmna engemaw zat a awm.
- Thisen chhuah leh natna hrik kai.
- I esophagus emaw windpipe emaw a chhiat.
- Inflammation emaw scar tissue emaw avanga thawkna kawng a tawi.
- I vocal cords tichaktu nerve (recurrent laryngeal nerve) tihchhiat.
- Mucus emaw thisen zam emaw avanga tracheostomy tube block.
- Lung, rilru, emaw tracheostomy vel vun hnuaia boruak tang.
A pawimawh ber chu i tracheostomy tube fai taka vawn a, i doctor thupek uluk taka zawm hi a ni. Chutianga tih chuan heng hlauhawmnate hi nasa takin a tihziaawm thei a ni.
Surgery hnuah eng nge thleng a, in lama enkawl dan tur?
Surgery zawhah medical team chuan i dinhmun chu uluk takin an enfiah ang. Thu i sawi theih hma loh chuan ziakin i inbiak a ngai dawn a ni. Damdawi in atanga i haw hmain nang leh i chhungte chu in lama i tracheostomy tube enkawl dan tur chipchiar takin an hrilh ang che.
Tracheostomy tube hi a dam kim theih nan kar hnih vel a ngai tlangpui. Hetih hun chhung hian kawng na engemaw zat hriat hi thil pangngai a ni. Tin, tube hmanga thawk thiam tur chuan ni khat emaw ni hnih emaw a ngai bawk.
Tube fai taka vawn reng
In lamah chuan ni khatah vawi hnih tal i tracheostomy tube i tihfai a ngai dawn a ni. Tube thlak tur ni-ah pawh doctor i pan leh a ngai bawk ang.
Thusawi
I dam hnuah tracheostomy hmangin i tawng thei a, mahse practice a ngai a ni. Tracheostomy hawnna chu kut zungtang hmanga khuh a, i hmui atanga boruak vawrh chhuah hmangin i tawng thei ang. Chutianga tih dan tur chu speech-language pathologist (SLP) chuan a kawhhmuh ang che. Speaking valve chi hrang hrang a awm bawk a, chu chuan kut zungtang hmanga khuh lohvin i tawng thei a ni.
Ei
Chaw ei thiam nan hun engemaw chen a la ngai dawn a ni. A tir lamah chuan IV emaw feeding tube emaw hmanga chaw pek i ngai mai thei. I speech therapist chuan i ei awlsam zawk nan exercise-ah a pui bawk ang che.
Engtikah nge doctor ka hmuh vat ang?
A hnuaia symptoms te hi i neih chuan i doctor ko nghal la , a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh .
| Vaukhânna chhinchhiahna fimkhur tûr |
|---|
| - Thâwk harsa i neih chuan. |
| - Lungphu a mumal lo a nih chuan. |
| - Damdawi ei hnu pawha reh lo, natna nasa tak i neih chuan. |
| - Surgery neihna hmunah hian mucus a lo awm a, hliam a lo hring emaw, crusting emaw a awm chuan. |
| - Infection chhinchhiahna i neih chuan khawsik, sen, lum, emaw hliam chhunga hnim hring emaw i neih chuan. |
| - Track tube chu a lo chhuak emaw, a hmun atanga lo chhuak emaw a nih chuan. |
Tracheostomy tih a ngai tih i hriat hian hlauhna leh rinhlelhna i neih hi thil pangngai a ni. Mahse hre reng ang che, medical team puihnain mi tam zawk chuan hemi hnu hian thawk an tha thei a, an ei thei a, an in thei a, an tawng tha thei bawk. Hun eng emaw chen atan emaw, chatuan atan emaw pawh nise, i nun chu nuam i ti thei a ni.
Take-Home Thuchah a ni
- Tracheostomy hi nunna chhanhim thei surgery a ni a, thawk lak nan a pui a ni.
- Hemi chungchangah hian hlauhthawnna awm hi thil pangngai a ni a, mahse uluk taka enkawl leh ngaihsak a nih chuan he natna hi uluk taka enkawl theih a ni.
- I tracheostomy tube tihfai leh enkawl dan tur chungchangah doctor thupek uluk takin zawm rawh.
- Thusawi leh ei leh in thiam leh tur chuan hun leh dawhtheihna a ngai a ni. Chumi atan chuan speech therapist puihna a pawimawh hle.
- Vaukhânna chhinchhiahnate chu hre reng la, harsatna a awm chuan damdawi lam thurawn la nghal rawh.
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