Ko te hunga e uaua ana ki te manawa, ka mataku pea rātou ina kī mai rātou ka hangaia he kōhao ki te kaki, ka whakauruhia he ngongo ki roto, tika? I roto i te rongoā, ka kiia tēnei he tracheostomy . Engari he maimoatanga tino nui tēnei hei whakaora i ngā oranga, ā, he wā poto noa iho. Ahakoa kua rongo koe mō tēnei, tera pea he pātai nui, he mataku hoki āu nā te mea kāore koe i te tino mōhio he aha te mea. Nō reira, me kōrero mārama, me te ngāwari hoki i tēnei rā.
He aha tonu te tracheostomy?
He whakarāpopototanga noa iho, he pokanga te tracheostomy e hanga ana i tētahi pūaha, i tētahi kōhao rānei, ki mua o tō kaki, tika tonu ki roto i tō pūaha (bronchi) . Kātahi ka whakaurua he ngongo tracheostomy mā roto i tēnei pūaha ki roto i tō pūaha. Mā tēnei ka taea e te tangata e uaua ana ki te manawa mā roto i tōna waha me tōna ihu te manawa tika i te hau (hāora) ki roto i ōna pukahukahu mā roto i tēnei ngongo i roto i tōna kaki, me te karo i aua ara e rua.
Ka kiia hoki e mātou te pokanga hei hanga i tēnei kōhao he tracheotomy . Heoi, i roto i te kōrero noa, ka whakamahia ngātahitia e ngā tākuta ngā kupu e rua.
Āhea te wā e hiahiatia ai te tracheostomy?
He maha ngā take e taea ai te mahi i te tracheostomy. Ahakoa he pokanga kua whakaritea tēnei i ētahi wā, he mea tika i ētahi wā i roto i ngā āhuatanga ohorere. Mā te ripanga i raro nei koe e āwhina ki te mārama ki tēnei.
| Te take e hiahiatia ai te maimoatanga | He whakamārama ngāwari noa iho |
|---|---|
| Te aukati i te ara manawa | Mena kua āraia te ara manawa nā te pukupuku korokoro, te mate kino, te aituā rānei, ā, kāore e taea te whakauru i te ngongo. |
| Ngā uauatanga manawa mō te wā roa | Mena kāore e taea e koe te manawa ko koe anake nā runga i ngā āhuatanga pēnei i te mate pūkahukahu kino, te pararutiki, te whara kino rānei o te mahunga, o te kaki rānei. |
| Te hono atu ki tētahi mīhini manawa | Mena me hono te tangata ki tētahi mīhini manawa mō te neke atu i te wiki, he māmā ake tēnei tikanga, he haumaru ake hoki. |
| Te uaua ki te horoi i te hūpē | Nā ētahi āhuatanga hauora, kāore e taea e te maremare te tango i te hūpē mai i ngā pukahukahu. He tino māmā te momi i te hūpē mā roto i tēnei ngongo. |
| I muri i te pokanga korokoro | I muri i te pokanga i te korokoro, i te pouaka reo rānei, hei āwhina i te manawa kia ora rā anō te wāhi. |
Ko te mea nui, i runga i tō āhua, ka taea e tēnei tracheostomy te noho rangitahi , te noho pumau rānei. Mā tō tākuta tēnei e whakamārama taipitopito atu ki a koe.
Me pēhea taku whakarite i mua i tēnei pokanga?
Mena he pokanga kua whakaritea tēnei, mā tō tākuta koe e tohutohu ki te whakarite mōna. Nā te mea he tikanga te mahi i raro i te whakamoe whānui , ka tonoa pea koe kia kaua e kai, e inu rānei mō ētahi haora i mua i te pokanga, ā, kia mutu te tango i ētahi rongoā.
I te mea ka noho koe ki te hōhipera mō ētahi rā, wiki rānei i muri i te pokanga, me tākai e koe he putea iti.
- Kakahu me ngā taonga whaiaro: Ngā kākahu moenga whakamarie, ngā mea pēnei i te paraihe niho.
- Ngā rongoā e tangohia ana e koe: Mauria mai ngā rongoā me ngā huaora e tangohia ana e koe i tēnei wā.
- He mea hei whakangahau i a koe: He wheako whakamarie te kawe i tētahi mea pēnei i te pukapuka, i te maheni rānei i a koe e ora ana.
- Ngā taputapu whakawhitiwhiti kōrero: He mea tino nui tēnei. Tērā pea ka uaua ki a koe te kōrero mō ētahi rā i muri i te pokanga. Nō reira, he tino āwhina te kawe mai i tētahi pukatuhi me tētahi pene, i tō waea atamai, i tō papa rānei, ki te whakawhitiwhiti kōrero ki ngā tākuta, ki ngā nēhi, me te whānau.
Me pēhea te mahi i te pokanga?
E rua ngā tikanga matua.
1. Pokanga Tuwhera (Tracheotomy Tuwhera)
Koinei te tikanga tuku iho. Ka mahia i roto i te rūma pokanga. Ka whakamoea koe, kātahi ka tapahia e te taote pokanga he iti ki tō kaki, i raro noa i tō āporo Ātama. Ka tuwhera te tapahi ki roto i te puku o te manawa (Ka hurahia te pūhā (bronchi) ka hangaia he kōhao iti ki roto. Kātahi ka whakaurua he ngongo tracheostomy mā roto i te kōhao, ā, ka mau ki te kara tracheostomy. Ki te kore e taea e koe te manawa ko koe anake, ka honoa tēnei ngongo ki te mīhini manawa.
2. Tracheostomy ā-kiri
He tikanga hou tēnei. He maha ngā wā ka taea te mahi i roto i te moenga hōhipera. Kāore he tapahi nui. Engari, ka whakamahia he ngira hei hanga i tētahi kōhao ki te kaki me te trachea. Kātahi ka whakanuia haeretia te kōhao, ā, ka whakaurua te ngongo. Mā tēnei ka iti ake te kino ki te kiko.
He aha ngā painga me ngā mōrearea pea?
Ko te painga matua ko te whakarato i te hau e hiahiatia ana hei oranga mō te tangata kāore e taea te manawa mā te ihu me te waha. He nui ake te whakamarie mō te tūroro i te whai ngongo i roto i te waha mō te wā roa. He āwhina nui hoki mō te hunga e tīmata ana ki te manawa ko rātou anake i muri i te whakamutua o te mīhini manawa.
Heoi, pērā i ngā pokanga katoa, kei reira ētahi mōrearea.
| Ngā raruraru pea |
|---|
| • Te toto me te mate pāwera. |
| • Te pakaru o te korokoro, o te arare rānei. |
| • Te whaiti o te ara manawa nā te kiko whara. |
| • Te kino ki te io e whakahaere ana i ngā taura reo (io laryngeal recurrent) . |
| • Te aukati i te ngongo tracheostomy nā te hūpē, te toto rānei kua pupū. |
| • Te hau e mau ana i roto i ngā pukahukahu, i te uma, i raro rānei i te kiri. |
Ka taea te whakaiti i te nuinga o ēnei mōrearea mā te whai i ngā tohutohu hauora me te pupuri i te ngongo kia ma.
He pēhea te oranga i muri i te pokanga?
Ka aro turukihia tō whakaoranga e te tīma hauora i muri i te pokanga. E rua wiki pea te roa kia ora katoa ai te motu. He mea noa te mamae o te kaki i tēnei wā. E rua rānei ngā rā ka roa kia taunga koe ki te manawa mā te ngongo.
Te kōrero
Kia roa te wā e ora ai koe, ka taea e koe te kōrero mā te whakaharatau. Ka puta te oro mā te hipoki i te kōhao o te ngongo ki tō maihao, me te pupuhi i te hau mā roto i tō waha. Ka taea e te tohunga reo kōrero (SLP) te āwhina i a koe ki tēnei. He momo takirere kōrero motuhake anō hoki hei āwhina i a koe ki te kōrero me te kore e hipoki i tō maihao.
Te kai
Ka roa pea te wā e taunga ai koe ki te horomi. I te tīmatanga, ka whāngaihia pea koe mā te ngongo, mā te ngongo rānei. Mā tō kaiwhakaora kōrero koe e āwhina ki te kai noa mā roto i ngā mahi horomi.
Te tango i te ngongo
Mena he wā poto noa iho tō tracheostomy, ka tangohia e tō tākuta te ngongo ina hoki anō te pai o tō ara manawa. Ka kiia tēnei ko te decannulation . I ētahi wā ka kati noa te kōhao, ka hiahiatia rānei he pokanga iti hei kati. Tērā pea ka mahue iho he koha iti.
| Ki te pā mai ēnei tohu ki a koe, me whakamōhio tonu atu ki tō tākuta, ki te hōhipera rānei! |
|---|
| - Ki te pāngia koe e te uaua ki te manawa. |
| - Ki te mea kei te ahua koe he rerekē te tere o tō ngakau. |
| - Ki te pāngia koe e te mamae nui, kāore e memeha ahakoa te tango rongoā. |
| - Mēnā he pupuhi, he piri, he tohu mate pāwera rānei (kirika, whero, pupuhi) kei te taha o te ngongo. |
| - Ki te motuhia te ngongo tracheostomy, ki te motuhia rawatia rānei. He āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere (ETU) tata. |
He mea noa te mataku me te kore e tino mōhio ina kīia atu me mahi tracheostomy koe. Engari kia mahara, mā te āwhina a tō rōpū hauora, ka taea e te tini o te tangata te ako ki te manawa, ki te kai, ki te inu, me te kōrero noa mā tēnei tikanga. Ahakoa he wā poto, he wā pumau rānei, kaua e tukua kia aukati i a koe ki te mahi i ngā mea e arohaina ana e koe me te noho harikoa. Kōrerohia ki tō tākuta ngā āwangawanga, ngā wehi rānei kei a koe.
Karere Tangohia ki te Kāinga
- He pokanga te tracheostomy i hangaia ki roto i te puku o te kaki hei āwhina i te manawa.
- Ka mahia tēnei mō ngā take nui pēnei i te aukati i te ara manawa me te hono atu ki tētahi mīhini manawa mō te wā roa.
- Mō te nuinga o te iwi, he rangitahi tēnei, ā, ka tangohia te ngongo i muri i te whakaoranga.
- He mea nui te horoi me te tiaki tika i te ngongo i te kāinga kia kore ai e puta he raruraru.
- Mā te āwhina a te kaiwhakaora kōrero me te tīma hauora, ka taea e koe te hoki ki te kōrero me te kai.
- He mea tino nui kia rapu tohutohu hauora tonu atu mēnā he uaua ki te manawa, he tohu rānei o te mate, he motu rānei te ngongo.
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