I chhungte zingah hian thawk chhuahna tur tracheostomy tube nei an awm em? A nih loh leh nangmah ngeiin pakhat i hmang em? Tichuan he tube chhungah hian mucus leh thil dang dang a lo awm khawm hi thil pangngai a ni tih i hre mai thei. A tam zawkah chuan khuh tha tak nen a thianghlim thin. Mahse a chang chuan engtiang pawhin bei mah la, he mucus hi i paih chhuak thei lo. Chu chu tube chu "suction" a ngai a, chu chu machine hmanga tihfai tihna a ni. Vawiin hian hetiang thil hi dik tak leh him taka tih theih dan tur kan sawi dawn a ni.
Tracheostomy suctioning tih hi eng nge ni?
A awlsam zawngin sawi ila, tracheostomy hi thawk harsa tak takte thlipui (trachea)-ah direct-a tube dahna, a kawng hma lama surgery tenau tak a ni. He tube hian a pianphung anga thawk thei lo chu a thawk awlsam zawk a ni.
Hetiang hian tube nei mi trachea-ah mucus a lo awm hi thil pangngai a ni. He mucus tihfai dan tha ber chu chak taka khuh hi a ni. Mahse a chang chuan mucus chu a thim lutuk thei a, khuh hmanga tihfai theih a ni lo. Chutiang hunah chuan suction machine hmangin mucus chu kan suck chhuak a, kan paih chhuak a, chu chu tracheostomy suction an ti a ni.
Hei hi damdawi inah medical staff ten an ti thei a, in lama nangmah ngeiin i tube (or i fate tube) suction dan tur an zirtir thei bawk. Tube a tlakbuak loh nan leh thawk a awlsam zawk nan hei hi dik taka zir a pawimawh hle.
Engtin nge tube hian suction a mamawh tih i hriat theih ang?
Tracheostomy tube nei enkawl hunah chuan tube suction hun a nih tawhzia tilangtu chhinchhiahna engemaw zat i hriat a ngai a ni. Heng chhinchhiahnate hian tube chu mucus-in a khuh a, tihfai a ngai tihna a ni.
| Hmuh theih/hmu theih chhinchhiahna | Hei hian eng nge a awmzia? |
|---|---|
| A hnim hring, phlegmy cough | Mucus chu khuh rualin a chhuak a, mahse a bo vek lo. |
| Thâwk lak harsa tih hriat | Thâwk ka la hauh lo ang maiin ka hria. |
| Tube hmui bula mucus bubble lo lang | Mucus chu tube atang chuan chhuah a tum a. |
| Hruihrual thawm ri hriat | He aw hi i thawk chhuah hian mucus kaltlangin boruak a kal vang a ni. |
| Thâwk lak chakna a sang a, thawk hah | Taksa mamawh oxygen hmuh tumna. |
| Kawngkhar vel a rawng blue a inthlak (cyanosis) . | Hei hi emergency a ni. Thisen hian oxygen a dawng tlem tih a tilang chiang hle. |
| Pipe atanga whistle ang maia thawm lo chhuak | Tube chu a zim tawh hle a, boruak kalna tur hmun a tlem tawh hle. |
| Restlessness, tihbuai | Thâwk harsat vanga stress awm. |
A awlsam zawngin sawi ila, a tha ber chu tracheostomy tube hi a block nia i hriat apiangin suction hi a ni.
Suction hmaa thil buatsaih tur
He hna i thawh hma hian i mamawh zawng zawng peih fel a pawimawh hle. Tichuan harsatna awm lovin hna chu i thawk thei tawh ang.
- Tracheostomy suction machine hmanga tihchhuah a ni
- Suction catheter thianghlim leh thar a ni
- Catheter leh machine inzawmkhawmtu connection tubing
- Tui thianghlim, tui lum no khat
- Kutkawr
- Basin emaw bawm emaw te tak te
Engtin nge hetiang kalphung hi a lo awm? Step khat hnu step khatin i hre chhuak ang u!
Nangmah emaw midang emaw i suction a nih chuan heng step te hi zawm chungin him takin i ti thei ang.
1. Kut silfai: Sahbawn hnawih la, tui luang hnuaiah kut silfai la, towel fai tak hmangin vawt rawh.
2. Hmun nuam zawng rawh: Chair-ah thu la, khumah mu rawh. I lu leh i kawr chu a thlawp tha thei tur angin i dinhmun siam rawh.
3. A rilru a hah lutuk chuan a rilru a buai em em a.Machine on la, pressure set rawh: Suction machine on la, pressure chu low emaw medium emaw ah dah rawh. He pressure hi 80-120 mmHg (mercury millimeters) inkar a ni tlangpui. Pressure 120 mmHg aia sang tihsan ngai suh. Chutianga tih chuan thawkna kawng a tichhe thei a ni. Hemi chungchang hi i chiang lo a nih chuan doctor zawt hmasa phawt ang che.
4. Gloves bun: Gloves fai pahnih bun tur a ni. Hei atan hian sterile gloves i mamawh lo.
5. Catheter siam: Suction catheter thianghlim chu tubing tawp khatah dah rawh. Tubing tawp dang chu machine-ah nghet takin a inzawm tih enfiah rawh.
6. Thâwk la thûk rawh: Catheter chu tube chhunga a awm laiin i thawk tha thei lovang. Chuvangin thawk thui deuh deuh la, a hmain thawk la. Suction laiin khuh hi thil pangngai a ni.
7. Catheter dah: Tunah chuan uluk takin tracheostomy tube chhungah dah rawh. I thupek angin chauh dah rawh. Tih luih tir suh . Thil engemaw a tlakbuak tih i hriat chuan chutah chuan tawp mai rawh. Hetih lai hian suction hole chu i kut zungtang hmangin khuh suh. Chumi awmzia chu catheter dah lai hian suction hman a tha lo tihna a ni.
8. Catheter chu hnunglam tlem han hrual rawh: I suction tan hmain catheter dah kha tlem tal hnunglam hawi la. Hei hian a thawk tha thei dawn a ni.
9. Suction tan: Tunah chuan i kutpui chu suction control vent chungah dah la, khar rawh. Mucus chu a chhuak tan ang. Second 10 aia rei chu hnute chhunzawm loh tur a ni. Chutianga i tih lai chuan hrehawmna i neih chuan i kut zungtang chu la chhuak nghal rawh.
10. Catheter chu la chhuak rawh: Tracheostomy tube atanga i lakchhuah angin catheter chu zawi zawiin twist rawh.
Tube bulah mucus i hriat loh leh i hmuh loh chuan i zo tawh tihna a ni. Mahse, suction tam zawk i hnawih a ngai mai thei. Chutiang a nih chuan second 30 tal nghah la, i tih leh hmain i ti leh ang. Catheter chu mucus-in a khar a nih chuan tui tlem tal chhuah la, a tifai la, a nih loh leh a thar hmang bawk ang che.
Vawi thum i lo tum tawh a, i la chhuak thei lo a nih chuan minute 10 vel nghah la, tum leh rawh. Mahse, thawk harsatna nasa tak i neih chuan tanpuina zawng nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.
Engtin nge hmanrua i tihfai zawh chuan i tihfai thin?
Suction zawhah hmanrua te uluk taka tihfai a pawimawh hle.
- Sink-ah tui thianghlim, lum deuh dah la.
- Chu tui chu suction catheter hmangin suck la, tubing chhung chu uluk takin silfai rawh.
- Suction machine chu off rawh.
- Catheter chu la chhuak rawh. Disposable a nih chuan bawlhhlawh bawmah paih rawh. Reusable a nih chuan silfai la, a hnua sterilization atan dah la.
- Connecting tube chu machine atang chuan a tip chu chunglam hawiin khang rawh.
- Sink chu sahbawn hmangin uluk takin silfai ang che.
- Gloves chu la chhuakin paih rawh.
- A tawp berah chuan sahbawn hmangin i kut chu uluk takin sil leh rawh.
Hei hian hlawkna leh harsatna awm thei te chu engte nge ni?
In lama suction zir hian damdawi ina kal zat a ti tlem thei a ni. Tin, a tul huna tube tihfai theihna zalenna a pe bawk. Hei hi thick mucus avanga thawk harsatna atanga chhanchhuahna rang ber a ni.
Complication hi a tlem hle a, mahse a chang chuan a awm thei bawk.
- Tlemte thisen chhuak
- Infection awm thei te
- Natna emaw, nuam lo emaw
- A chang chuan vagal nerve stimulation hian heart rate leh oxygen level a tihniam thei bawk.
Engtikah nge doctor nen inbiakna neih a ngaih?
I tracheostomy suctioning chungchangah harsatna i neih apiangin i doctor nen inbia ang che. A bik takin a hnuaia mi hi i hriat chian chuan :
- Mucus rimchhia a nih chuan.
- Mucus chu a rawng a inthlak (yellow, green, red, or brown) a nih chuan hengte hi infection chhinchhiahna a ni thei.
Suction hnua mucus i la chhuak thei lo a nih chuan, emaw, suction lai pawha thawk harsa i tih chhunzawm chuan doctor ko nghal la, a nih loh leh hospital emergency department (ETU) hnai ber pan rawh. A chang chuan mucus hi a thim hle a nih chuan tracheostomy tube thlak a ngai mai thei.
Tracheostomy tube hmanga nun hian harsatna a nei a. Mahse heng thilte hi dik taka i zir chuan nang pawhin chu harsatnate chu hnehin i duhzawng thilte ti chungin zalenna nun i hmang thei a ni.
Take-Home Thuchah a ni
- Suction mamawhna chhinchhiahna i hmuh veleh tracheostomy tube chu suction nghal rawh (groaning, thawk harsa). Hun ruat hma chu nghak suh.
- Suction laiin second 10 aia rei vawi khatah tih loh tur a ni. Hei hian thawk a ti harsa thei hle.
- Thil hmanraw thianghlim hmang fo ang che. Hnathawh hma leh thawh zawhah i kut te uluk takin silfai thin ang che.
- Mucus rawng a inthlak a, a rimchhia a nih chuan, a nih loh leh suction hnuah pawh thawk harsatna a lo tha lo a nih chuan doctor ko nghal emaw, ETU-ah emaw kal rawh.
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