I ētahi wā ka uaua te manawa i ngā huarahi kāore i whakaarohia e tātou. I ngā wā pēnei, kua rongo pea koe i tētahi tikanga e whakauru ana i tētahi ngongo iti ki roto i tō kaki hei āwhina i a koe ki te manawa. Ko te ingoa o tēnā he tracheostomy. Ahakoa te ahua whakamataku o te ingoa, he tikanga whakaora ora tino nui. Nō reira, me kōrero noa tātou mō tēnei mea, me te kore wehi.
He aha te tikanga o te tracheostomy?
Ko te tracheostomy he pokanga e hangaia ana e te taote pokanga he kōhao ki mua o tō kaki, tika tonu ki roto i tō pūkahukahu (trachea), e kīia nei ko ō bronchi . Kātahi ka whakauruhia he ngongo tracheostomy , he 'trach' rānei, mā roto i tēnei kōhao. Ka mahia tēnei mā te tuku tika i te hau ki roto i ō pukahukahu mā roto i te ngongo ina uaua koe ki te manawa mā roto i tō waha, i tō ihu rānei.
Ko te pokanga hei hanga i tēnei pūaha e kiia ana he tracheotomy. Engari i roto i te reo whānui, ka whakamahia ngātahitia e ā mātou tākuta ngā kupu e rua. Nō reira kaua e pōhēhē mō tēnei.
He aha i hiahiatia ai he tracheostomy mō tētahi?
He maha ngā take e hiahiatia ai he tracheostomy mō te tangata. I ētahi wā he wā poto noa iho, i ētahi wā he wā pumau tonu. Kei tō āhua hauora te āhua.
| Ko ngā take matua mō te hiahia ki te tracheostomy | Ko te tikanga tēnei... |
|---|---|
| Te aukati i te ara manawa | Mena kua whaiti, kua āraia katoatia rānei ngā pūkahukahu nā te pukupuku, te pupuhi, tētahi atu take rānei i roto i te korokoro, ā, kāore e taea te whakauru i te ngongo. |
| Te mate pūkahukahu, te pararutiki, ngā aituā rānei | Mena kāore e taea e koe te manawa ko koe anake nā te mate pūkahukahu kino, te pararutiki, te whara kino rānei o te mahunga me te kaki. |
| I muri i te pokanga | Mena kei te hiahia āwhina koe ki te manawa i muri i te pokanga i tō korokoro, i tō pouaka reo rānei. |
| Te noho i runga i te mīhini manawa | Mena me hono te tūroro ki tētahi taputapu manawa mō te neke atu i te wiki, he pai ake te tracheostomy, ā, he haumaru ake hoki mō te tūroro. |
| Te uaua ki te horoi i te hūpē | Ko ētahi āhuatanga hauora ka uaua ki te tango i te hūpē mai i ngā pukahukahu i te wā e maremare ana. Mā te ngongo i te hūpē mā te ngongo tracheostomy ka āwhina i te pupuri i te ara manawa kia mārama. |
Me pēhea taku whakarite mō tēnei pokanga?
Mena he pokanga kua whakaritea tēnei, ka whakamāramahia e tō tākuta me pēhea te whakarite mōna. Mena kei te pangia koe e te mate whakamoe whānui , me mutu pea te kai me te inu mō ētahi haora i mua i te pokanga, ā, me mutu pea te tango i ētahi rongoā.
Waihoki, nā te mea ka noho koe ki te hōhipera mō ētahi rā, wiki rānei, me tākai e koe ētahi mea ki roto i te putea, ka whakarite i aua mea.
- Ngā kākahu me ngā mea akuaku whaiaro: Ngā kākahu whakamarie, ngā mea pēnei i te paraihe niho.
- Ngā rongoā e whakamahia ana e koe: He aha ngā rongoā, ngā tāpiringa kai rānei e whakamahia ana e koe i te nuinga o te wā, mēnā he rongoā.
- He mea ngahau: He mea pai te kawe mai i tētahi mea hei pānui, pērā i te pukapuka, i a koe e noho ana i te hōhipera.
- Ngā mea hei āwhina i a koe ki te kōrero: He mea tino nui tēnei. Whai muri i te pokanga, kāore e taea e koe te kōrero tonu. Nō reira, he tino āwhina te kawe i tētahi pene me tētahi pepa, i tētahi waea atamai, i tētahi papa rānei, ki te kōrero ki ngā tākuta me ō whanaunga.
Me pēhea te mahi i te pokanga?
I te nuinga o te wā ka mahia tēnei pokanga i roto i te rūma pokanga. Tuatahi, ka whakamoea koe kia moe rawa koe. Kātahi ka tapahia e te taote pokanga he tapahi iti ki mua o tō kaki, i raro noa i tō āporo Ātama. Ka tika tonu tēnei tapahi mā roto i te pakitara o tō pūkahukahu. Muri iho, ka āta whakawhanuitia te whakatuwheratanga kia taea ai te whakauru i te ngongo tracheostomy.
I muri i te whakaurunga o te ngongo, ka herea ki te whitiki i tō kaki (kara tracheostomy) kia kore ai e neke haere. Me tuitui pea koe i ētahi tuitui rangitahi hei pupuri i te ngongo kia ora rā anō. Mēnā kāore e taea e koe te manawa ko koe anake, ka honoa tēnei ngongo ki te mīhini manawa.
Tērā anō tētahi tikanga hou e kīia ana ko te percutaneous tracheostomy . Mō tēnei, hei utu mō te tapahi nui, ka whakamahia he ngira hei hanga i tētahi kōhao ki te kaki me te trachea, ka whakauru i te ngongo. He maha ngā wā ka taea tēnei te mahi i roto i te moenga hōhipera.
He aha ngā painga me ngā mōrearea o tēnei?
Ko te painga matua o te tracheostomy he whakarato i te manawa whakaora ora ina kore e taea te manawa mā te waha, mā te ihu rānei. He māmā ake tēnei mō te tūroro i te intubation, e mahia ana mā te waha. He āwhina anō hoki i te tini o te hunga e tīmata ana ki te manawa ko rātou anō i muri i te tangohia mai i te ventilator.
Heoi, pērā i ngā pokanga katoa, tera pea ētahi mōrearea.
- Te toto me te mate urutā.
- Te pakaru o tō korokoro, o tō puku rānei.
- Te whaiti o te ara manawa nā te mumura, nā te kiko koha rānei.
- Te kino ki te io e neke ana i ō taura reo (io laryngeal recurrent).
- Te aukati i te ngongo tracheostomy nā te hūpē, ngā toto toto rānei.
- Te mau o te hau i raro i te kiri huri noa i ngā pukahukahu, te uma, te tracheostomy rānei.
Ko te mea nui ko te pupuri i tō ngongo tracheostomy kia ma, me te whai i ngā tohutohu a tō tākuta. Mā te pera ka tino whakaiti i ēnei mōrearea.
He aha te mahi i muri i te pokanga, me pēhea te tiaki i te kāinga?
I muri i te pokanga, ka aro turukihia tō āhua e te tīma hauora. Me kōrero koe mā te tuhituhi kia taea rā anō e koe te kōrero. I mua i tō hokinga ki te kāinga i te hōhipera, ka hoatu he tohutohu taipitopito ki a koe me tō whānau mō te tiaki i tō ngongo tracheostomy i te kāinga.
E rua wiki pea te roa kia ora katoa te ngongo tracheostomy. He mea noa te mamae o te kaki i tēnei wā. E rua rānei ngā rā e hiahiatia ana kia taunga ki te manawa mā roto i te ngongo.
Te pupuri i te paipa kia ma
I te kāinga, me horoi e koe tō ngongo tracheostomy i te iti rawa kia rua ngā wā i te rā. Me toro atu anō hoki koe ki tō tākuta i ngā rā e tika ana kia whakawhitia te ngongo.
Te kōrero
Kia ora ake koe, ka taea e koe te kōrero mā te tracheostomy, engari me whakaharatau. Ka taea e koe te kōrero mā te hipoki i te pūaha tracheostomy ki te maihao me te pupuhi i te hau mā roto i tō waha. Mā te tohunga reo kōrero (SLP) koe e whakaatu ki te mahi i tēnei. He momo takirere kōrero motuhake anō hoki hei āwhina i a koe ki te kōrero me te kore e hipokina ki te maihao.
Te kai
Ka roa pea te wā e taunga ai koe ki te horomi. I te tīmatanga, me whāngai pea koe mā te IV, mā te ngongo whāngai rānei. Mā tō kaiwhakaora kōrero koe e āwhina ki ngā mahi whakakori tinana hei whakangāwari ake i te horomi.
Āhea ahau me toro atu ki te tākuta kia tere tonu?
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
| Ngā tohu whakatūpato hei tirotiro māu |
|---|
| - Ki te mea he uaua ki a koe te manawa. |
| - Ki te kore e rere tika te manawa o te ngakau. |
| - Ki te pāngia koe e te mamae nui, kāore e memeha ahakoa i muri i te tango rongoā. |
| - Mena he nui te hūpē, he pupuhi o te patunga, he kiri rānei kei te wāhi i pokanga ai. |
| - Ki te puta mai ngā tohu o te mate pēnei i te kirika, te whero, te mahana, te pupuhi rānei i roto i te patunga. |
| - Mena kei te ahua wetekina te ngongo ara, kua hē rānei te wāhi. |
He mea noa te mataku me te koretake ina rongo koe me pokaia te tracheostomy. Engari kia mahara, mā te āwhina a te tīma hauora, ka taea e te nuinga o te tangata te manawa, te kai, te inu, me te kōrero pai i muri i tēnei. Ahakoa he wā poto, he wā pumau rānei, ka taea e koe te pārekareka ki tō oranga.
Karere Tangohia ki te Kāinga
- He pokanga whakaora ora te tracheostomy e āwhina ana i a koe ki te manawa.
- He mea noa te mataku mō tēnei āhuatanga, engari mā te tiaki me te aro tika, ka taea te whakahaere pai i tēnei āhuatanga.
- Kia ata whai i ngā tohutohu a tō tākuta mō te horoi me te tiaki i tō ngongo tracheostomy.
- He wā, he manawanui hoki te mea e hiahiatia ana kia taunga anō ki te kōrero me te horomi. He mea nui te āwhina a te kaiwhakaora kōrero mō tēnei.
- Kia tūpato ki ngā tohu whakatūpato, ā, rapua tonutia he tohutohu hauora mēnā ka puta he raruraru.
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