Tracheostomy chungchanga i hriat tur: Hlau suh, i sawi dun ang

I doctor-in nangmah emaw, i chhungte zinga mi emaw, tracheostomy tih a ngai tih a hrilh hian tlem a hlauhthawn leh rinhlelhna i neih hi thil pangngai a ni. I kawr chhungah khur i siam ang a, thawk turin tube i dah dawn tih hriat chu a mak deuh a ni lawm ni? Mahse, lungngai suh. Hei hi damdawi lam kalphung pawimawh tak a ni a, nunna chhanhim thei tur leh thawk harsatna a veng thei a ni. Engkim hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

A awlsam zawngin, tracheostomy tih hi eng nge ni?

Tracheostomy hi surgical procedure a ni a, i kawr hma lamah hawnna a siam a, i thlipui (trachea) chhungah direct-in a lut a ni. Chumi hnuah chuan tracheostomy tube chu a hawnna kaltlangin i thlipui (windpipe) chhungah dah a ni. Hei hian i hmui leh hnar hmanga thawk harsatna i neih chuan i lung chhungah boruak a luang lut nghal thei a ni.

Doctor-te chuan he procedure leh chu opening pahnih chu ‘tracheostomy’ tiin an sawi fo thin. Chuvangin chutiang lam chu buaipui suh.

Engvangin nge hetiang surgery hi neih a ngai?

Mi pakhatin tracheostomy a mamawh theih chhan hrang hrang a awm. A chang chuan hun eng emaw chen atana solution a ni a, a chang chuan permanent solution a ni thei bawk. A chhan berte han thlir ila.

Engtin nge operation atan i inbuatsaih thin?

Hei hi surgery ruahman a nih chuan i doctor chuan a inbuatsaih dan tur a hrilh ang che. General anesthesia hmanga tih a nih tlangpui avangin operation hma darkar engemaw zat ei leh in loh tur leh damdawi thenkhat ei tawh loh turin an ti mai thei che a ni.

Operation hnu ni engemaw zat emaw, kar engemaw zat emaw damdawi inah i awm dawn avangin thil tul thenkhat i buatsaih a ngai dawn a ni.

• Thawmhnaw leh mimal thil: Khum thawmhnaw nuam tak, toothbrush, leh sahbawn.
• Damdawi i ei tur: Damdawi dang i ei tawh a nih chuan, chu damdawi chu keng tel ngei ang che.
• Mahni intihhlimna tur thil: Damdawi inah i awm chhungin i hlim theihna tur thil, lehkhabu emaw, chanchinbu emaw ang chi rawn keng tel a tha.
• Inbiakpawhna hmanrua: Hei hi a pawimawh hle. Operation hnuah pawh i tawng nghal thei lo mai thei. Chuvangin, doctor, nurse leh i hmangaih tak takte nena inbiak theihna turin pen leh paper emaw, i smartphone emaw tablet emaw chu i bulah dah la.

Engtin nge surgery hi tih a nih?

Tracheostomy surgery hi kawng lian pahnih hmanga tih theih a ni.

Traditional open surgery (Open Tracheotomy) hmanga tih a ni.

Hei hi operation room-ah tih a ni. Pakhatnaah chuan muthilh tir i ni ang (general anesthesia). Tichuan surgeon chuan i kawr chhungah, i Adam’s apple hnuaiah chiah, incision te tak te a siam ang. Incision hi i windpipe wall kaltlangin siam a ni ang a, tracheostomy tube dah theihna tur hawnna lian tak a siam ang. Tube hi i dah hnuah i kawr chhungah collar hmangin a che thei lo ang. A châng chuan, hun eng emaw chen chhûnga thawmhnaw tlemte pawh dah theih a ni. Mahni chauha thawk thei lo i nih chuan he tube hi ventilator-ah direct-in a inzawm ang.

Percutaneous Tracheostomy hmanga tih a ni

Hei hi kalphung thar tak a ni. I khum bula damdawi inah pawh tih theih a ni fo. Incision lian tak a awm lo. Chu ai chuan doctor chuan needle hmangin i kawr leh i thlipui chhungah khur a siam zawk thin. Tichuan, chu khur chhungah chuan wire an kalpui a, chutah chuan plastic tube (catheter) an thread a, zawi zawiin khur chu an ti lian a ni. Tichuan, tracheostomy tube chu an dah lut leh a.

Hei hian eng hlawkna leh hlauhawmna nge a neih?

A thatna ber chu thawk dan dang a awm theih loh hunah nunna chhanhimna kawngah a pui thei a ni. Intubation aiin damlo tan a awlsam zawk hle. Ventilator atanga hnute lak chhuah hnua mahni chauha thawk tan tawh damlote tan pawh a pui hle bawk.

Mahse surgery dang ang bawkin risk engemaw zat a awm. Mahse, doctor-te chuan heng hlauhawmnate hi tihtlem tumin theihtawp an chhuah tih hre reng ang che.

• Thisen chhuah leh natna hrik kai.
• Esophagus emaw trachea emaw a chhiatna.
• Scar tissue emaw swelling emaw avanga thawkna kawng a tawi.
• Vocal cords control tu nerve (recurrent laryngeal nerve) tihchhiat.
• Mucus emaw thisen zam emaw avanga tracheostomy tube block.
• Tube chhehvel vun hnuaiah emaw, lung chhungah emaw boruak tang.
• Thlipui leh chaw kawng (esophagus) inkar a inhawng (fistula) pangngai lo (hei hian ei leh in tur chu lung chhungah a kal thei a ni).

Operation hnua nun danah engtin nge i insiamrem?

Surgery hnuah i medical team te chuan uluk takin an enkawl ang che. Hliam 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.

Tracheostomy hmanga enkawl a ni

Damdawi in atanga i haw hmain nursing staff te chuan nang leh i enkawltu hnenah in lama tube tihfai dan tur (a tlangpuiin ni khatah vawi hnih tal) leh suction dan tur chipchiar takin an hrilh ang che. Heng thupekte hi dik taka zawm a pawimawh hle .

Thusawi

Hun engemaw chen hnuah chuan i tawng thei tawh ang, mahse practice a ngai a ni. Hei hian a tlangpuiin tube hawnna chu i kut zungtang hmanga khuh a, i kâ aṭanga boruak chhuah laiin thusawi a huam ṭhin. Chutianga tih dan tur chu speech-language pathologist (SLP) chuan a kawhhmuh ang che. Tin, special speaking valve a awm bawk a, chu chuan i kut zungtang khuh lovin i tawng thei a ni.Dawhthei takin awm la, i thiam deuh deuh chuan i tawng thiam zawk ang.

Ei

A tirah chuan ei leh in hi ei a harsa mai thei. Hemi chhung hian IV emaw feeding tube emaw hmangin nutrition pek i ni ang. Speech therapist chuan i ei thiamna tihchangtlun nan exercise a zirtir ang che, zawi zawiin i ei dan pangngaiin i ei thei tawh ang.

Doctor ko vat a ngaih hunah

In lama i haw hnuah 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.

Tracheostomy i mamawh tih hriat chu hlauhawm tak ni mah se, nunna chhanhim thei leh him tak a ni fo. I medical team te puihnain he dinhmun thar hi i insiamrem thei a, i duhzawng thilte i ti thei a, nun hlim takin i hmang thei bawk.