He ngongo tracheostomy tō tetahi o tō whānau hei āwhina i a rātou ki te manawa? Kei te whakamahi koe i tētahi? Nō reira, e mōhio ana pea koe he mea noa te kohikohi o te hūpē me ētahi atu paru i roto i tēnei ngongo. I te nuinga o te wā, ka memeha haere mā te maremare pai. Engari i ētahi wā, ahakoa te kaha o tō ngana, kāore e taea te tango i tēnei hūpē. Koinei te wā e tika ana kia "mōmiomio" koe i te ngongo, arā, kia horoia ki te mīhini. I tēnei rā, ka kōrero tātou mō te mahi tika me te haumaru i tēnei.
He aha te tikanga o te momi tracheostomy?
He whakarāpopototanga noa iho, he pokanga iti te tracheostomy i mua o te kaki e whakauru tika ana i tētahi ngongo ki roto i te puku manawa o te tangata e uaua ana ki te manawa. Mā tēnei ngongo ka taea e te tangata kāore e taea te manawa noa te manawa ngāwari ake.
He mea noa te hanga hūpē i roto i te trachea o te tangata whai ngongo pēnei. Ko te huarahi pai ki te whakakore i tēnei hūpē ko te maremare kaha. Engari i ētahi wā ka matotoru rawa te hūpē, ā, kāore e taea te whakakore mā te maremare. I aua wā, ka whakamahia he mīhini momi hei momi i te hūpē me te tango atu, e kiia nei ko te momi tracheostomy.
Ka taea tēnei e ngā kaimahi hauora i te hōhipera, ka taea rānei e rātou te ako i a koe ki te momi i tō ngongo (i te ngongo rānei a tāu tamaiti) i te kāinga. He mea tino nui kia ako tika koe i tēnei kia kore ai e mau te ngongo, kia māmā ake ai hoki te manawa.
Me pēhea koe e mōhio ai mēnā me momi te ngongo?
I te wā e tiaki ana koe i tētahi tangata he ngongo tracheostomy tōna, me mōhio koe ki ētahi tohu e tohu ana kua tae ki te wā hei momi i te ngongo. Ko te tikanga o ēnei tohu kua purua te ngongo e te hūpē, ā, me horoi.
| Tohu kitea/ā-ringa | He aha te tikanga o tēnei? |
|---|---|
| He mare mākū, he huware | Ka puta mai te hūpē me te mare, engari kāore e memeha rawa. |
| Te poto o te manawa | Kei te pēnei au kāore i te rawaka te manawa. |
| Te putanga mai o ngā mirumiru hūpē tata ki te waha o te ngongo | Kei te ngana te hūpē ki te puta mai i te ngongo. |
| Te rongonga i te tangi o te ngongoro | Ka puta tēnei oro nā te mea ka neke te hau i roto i te hūpē ina manawa koe. |
| Te pikinga ake o te tere o te manawa, te wheezing | He ngana ki te tiki i te hāora e hiahiatia ana e te tinana. |
| Te tae kikorangi huri noa i te waha (cyanosis) | He āhuatanga ohorere tēnei. He tohu tēnei kāore i te rawaka te hāora e whiwhi ana i roto i te toto. |
| He tangi whiowhio e puta mai ana i te paipa | Kua whaiti haere te ngongo, ā, kua iti ake te wāhi e puta ai te hau. |
| Te kore okiokinga, te ohooho | Te ahotea i puta mai i te uaua ki te manawa. |
Hei whakarāpopototanga, ko te mea pai ko te momi i te ngongo tracheostomy i ngā wā katoa e whakaaro ana koe kua aukati.
Ngā mea hei whakarite i mua i te momi
He mea tino nui kia rite ngā mea katoa e hiahiatia ana i mua i te tīmatanga o tēnei mahi. Kātahi ka taea e koe te mahi me te kore raruraru.
- Mīhini momi tracheostomy
- He catheter momi hou, ma,
- Ngongo hononga e hono ana i te catheter ki te mīhini
- He kapu wai ma, kohuatia
- karapu
- He peihana iti, he peihana rānei
Me pēhea te mahi a tēnei tukanga? Kia kite tātou i ia taahiraa!
Ki te mea kei te momi koe i a koe anō, i tētahi atu rānei, ka taea e koe te mahi haumaru mā te whai i ēnei kaupae.
1. Horoia ō ringaringa kia tino pai: Pania he hopi, horoia ō ringaringa ki te wai rere, kātahi ka whakamaroke ki te tauera ma.
2. Kimihia he tūranga whakamarie: Noho ki runga i te tūru, takoto rānei ki te moenga. Whakanohoia koe ki tētahi ara e tautoko pai ana i tō mahunga me tō kaki.
3.Whakakāhia te mīhini, ka whakatakoto i te pēhanga: Whakakāhia te mīhini momi, ka whakatakoto i te pēhanga ki te iti, ki te waenga rānei. Ko te tikanga ka whakatakotoria tēnei pēhanga i waenga i te 80-120 mmHg (mirimita o te mercury). Kaua rawa e whakanui ake i te pēhanga ki runga ake i te 120 mmHg. Mā te mahi pēhanga ka kino pea te ara manawa. Ki te kore koe e tino mōhio ki tēnei, pātai atu ki tō tākuta i te tuatahi.
4. Whakamaua he karapu: Whakamaua he takirua karapu ma. Kāore koe e hiahia ki ngā karapu parakore mō tēnei.
5. Whakatūria te katitere: Āpitihia te katitere momi ma ki tetahi pito o te ngongo. Kia tino mau te hononga o tetahi atu pito o te ngongo ki te mīhini.
6. Mānu hōhonu: Kāore e taea e koe te mānu tika i te wā e whakaurua ana te catheter ki roto i te ngongo. Nō reira, mānu hōhonu i mua i te whakaurunga. He mea noa te maremare i te wā e momi ana.
7. Whakauruhia te catheter: Inaianei, āta whakaurua te catheter ki roto i te ngongo tracheostomy. Whakauruhia kia tae noa ki te tawhiti kua tohutohuhia ki a koe. Kaua e akiaki . Ki te rongo koe kei te mau tetahi mea, kati tonu i reira. Kaua e hipokina te kōhao momi ki tō maihao i tēnei wā. Ko te tikanga o tēnei, ehara i te mea pai te whakamahi i te momi i te wā e whakauru ana i te catheter.
8. Tōia te catheter ki muri mārire: I mua i te tīmatanga o te momi, tōia te catheter kua whakaurua ki muri mārire. Mā tēnei ka taea ai te mahi tika.
9. Tīmata te momi: Whakatakotoria tō koromatua ki runga i te pūwero whakahaere momi, ka kati. Ka tīmata te momi i te hūpē ki waho. Kaua e momi tonu mō te neke atu i te 10 hēkona. Ki te pāngia koe e te mamae i a koe e mahi ana, tangohia tonutia tō maihao.
10. Tangohia te catheter: Tahurihia mārire te catheter i a koe e tango ana i te ngongo tracheostomy.
Ki te kore koe e rongo, e kite rānei i tētahi hūpē e tata ana ki te ngongo, kua mutu. Engari me tāpiri atu pea he momi. Ki te pērā, tatari kia 30 hēkona pea i mua i te mahi anō. Ki te purua te katitere i te hūpē, momihia he wai hei horoi, whakamahia rānei he mea hou.
Ki te mea kua toru āu whakamātautanga, ā, kāore tonu e taea te whakaputa i te hūpē, tatari mō te 10 meneti, ka whakamātau anō. Heoi, ki te tino uaua te manawa, rapua he āwhina tonu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
Me pēhea te horoi i ngā taputapu ina oti?
He mea tino nui kia horoia pai te taputapu i muri i te tango.
- Ringihia he wai mā, he wai kohua ki roto i te totohu.
- Momihia te wai mā roto i te katitere momi ka horoia rawatia te roto o te ngongo.
- Whakawetohia te mīhini momi.
- Tangohia te catheter. Mena he mea whakamahi noa, maka ki te paru. Mena ka taea te whakamahi anō, horoia, ka waiho kia taea ai te whakahoromata i muri mai.
- Whakairihia te ngongo hononga mai i te mīhini me tōna pito e anga ana ki runga.
- Horoia rawatia te totohu ki te hopi.
- Tangohia ngā karapu ka maka atu.
- Hei whakamutunga, horoia anō ō ringaringa ki te hopi kia tino mātotoru.
He aha ngā painga me ngā raruraru pea o tēnei?
Mā te ako ki te momi i te kāinga ka taea te whakaiti i te maha o ngā haerenga ki te hōhipera. Ka taea hoki e koe te horoi i te ngongo i ngā wā katoa e hiahiatia ana. Koinei te huarahi pai hei whakaora tere i ngā uauatanga manawa e hua mai ana i te hūpē matotoru.
He onge ngā raruraru, engari ka puta pea i ētahi wā.
- He iti te toto
- Ngā mate urutā
- Mamae, koretake rānei
- I ētahi wā, ka taea e te whakaohooho o te io vagal te whakaiti i te tere o te ngakau me ngā taumata hāora.
Āhea koe me kōrero ki te tākuta?
Kōrero ki tō tākuta i ngā wā katoa e āwangawanga ana koe mō te tango i tō tracheostomy. Ina koa mēnā ka kite koe i tētahi o ēnei e whai ake nei :
- Mena he haunga kino te hūpē.
- Ki te huri te tae o te hūpē (kōwhai, kakariki, whero, parauri rānei), he tohu pea ēnei nō te mate urutā.
Ki te kore e taea e koe te tango i te hūpē i muri i te momi, ki te uaua tonu rānei te manawa ahakoa te momi, waea atu ki tō tākuta tonu, haere rānei ki te tari ohorere o te hōhipera tata (ETU). I ētahi wā, ki te tino matotoru te hūpē, me whakakapi pea te ngongo tracheostomy.
He wero anō hoki te noho me te ngongo tracheostomy. Engari ki te ako tika koe i ēnei mea, ka taea hoki e koe te wikitoria i aua wero me te noho i te oranga herekore me te mahi i ngā mea e arohaina ana e koe.
Karere Tangohia ki te Kāinga
- Momihia te ngongo tracheostomy ina kite koe i ngā tohu e hiahiatia ana te momi (te ngunguru, te uaua ki te manawa). Kaua e tatari kia tae ki te wā kua whakaritea.
- I te wā e momi ana, kaua e mahi mō te neke atu i te 10 hēkona i te wā kotahi. Ka uaua pea te manawa.
- Whakamahia ngā taputapu ma i ngā wā katoa. Horoia pai ō ringaringa i mua atu, ā, i muri hoki i te mahi.
- Ki te rerekē te tae o te hūpē, ki te haunga kino, ki te kore rānei e pai ake te uaua ki te manawa ahakoa i muri i te momi, waea atu ki tō tākuta tonu atu, haere rānei ki te ETU.
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