He mea noa te mataku me te koretake ina kī atu tō tākuta ki a koe, ki tētahi rānei o tō whānau me whai tracheostomy koe. He mea rerekē te rongonga ka hangaia he kōhao ki tō kaki, ka whakauruhia he ngongo ki roto hei manawa, tika? Kaua e manukanuka. He tikanga hauora tino nui tēnei ka taea te whakaora i ngā oranga me te ārai i ngā uauatanga manawa. Ka kōrerohia e tātou ngā mea katoa i roto i te huarahi māmā ka taea e koe te mārama.
He aha te tikanga o te tracheostomy?
He pokanga te tracheostomy e hanga ana i tētahi kōhao ki mua o tō kaki, tika tonu ki roto i tō pūkaha manawa (trachea). Kātahi ka whakaurua he ngongo tracheostomy mā roto i te kōhao ki roto i tō pūkaha manawa. Mā tēnei ka taea te rere tika o te hau ki roto i ō pukahukahu ina uaua koe ki te manawa mā roto i tō waha me tō ihu.
He maha ngā wā ka kīia tēnei tikanga me taua whakatuwheratanga e ngā tākuta he 'tracheostomy'. Nō reira kaua e pōhēhē mō tēnā.
He aha i tika ai kia mahia tēnei momo pokanga?
He maha ngā take e hiahia ai te tangata ki te tracheostomy. I ētahi wā he otinga rangitahi, i ētahi wā he otinga pumau. Me titiro tātou ki ngā take matua.
| Te take mō te hiahia | He whakamārama māmā |
|---|---|
| He aukati i te ara manawa | Ka whaiti, ka āraia rānei te ara manawa mā roto i te waha, i te ihu rānei mō tētahi take (nā te pukupuku, te pupuhi, te aituā rānei). Ka whakamahia he ngongo whakauru mēnā kāore e taea tēnei. |
| Te whakarato i te manawa horihori mō te wā roa | Mena me hono te tūroro ki te mīhini manawa mō te neke atu i te wiki nā te mea he mate hauora, pērā i te pararutiki, i tētahi aituā kino rānei, he pai ake mā te tūroro te mahi tracheostomy. |
| Te uaua ki te horoi i te hūpē | Nā ētahi āhuatanga hauora ka uaua te tango tika i te hūpē me ngā waikura e kohia ana i roto i ngā pukahukahu i te wā e maremare ana. He tino māmā te momi i te hūpē mā roto i tēnei ngongo. |
| I muri i te pokanga nui | Ka whakamahia hei āwhina i te manawa i muri i te pokanga nui ki te pouaka reo, ki te korokoro rānei kia ora rā anō te wāhi. |
Me pēhea te whakarite mō te pokanga?
Mena he pokanga kua whakaritea tēnei, ka hoatu e tō tākuta he tohutohu mō te whakarite mōna. Nā te mea he tikanga te mahi i raro i te mate 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 i te hōhipera mō ētahi rā, wiki rānei i muri i te pokanga, me whakarite e koe ētahi mea e tika ana.
- Kākahu me ngā taonga whaiaro: Ngā kākahu moenga whakamarie, he paraihe niho, me te hopi.
- Ngā rongoā e tangohia ana e koe: Mena kei te tango rongoā koe mō tētahi atu mate hauora, kia mauria mai aua rongoā.
- He mea hei whakangahau i a koe: He mea pai kia mauria mai he mea hei whakangahau i a koe, pērā i te pukapuka, i te nūpepa rānei, i a koe e noho ana i te hōhipera.
- Ngā taputapu whakawhitiwhiti kōrero: He mea tino nui tēnei. Tērā pea kāore e taea e koe te kōrero tonu i muri i te pokanga. Nō reira, me pupuri he pene me he pepa, he waea atamai, he papa rānei i te taha o te tākuta, hei whakawhitiwhiti kōrero ki ngā tākuta, ki ngā nēhi, me ō whanaunga.
Me pēhea te mahi i te pokanga?
E rua ngā huarahi matua e taea ai te mahi pokanga tracheostomy.
Pokanga tuwhera tuku iho (Tuwhera Tracheotomy)
Ka mahia tēnei i roto i te rūma pokanga. Tuatahi, ka whakamoea koe (whakamoe whānui). Kātahi ka tapahia e te taote pokanga he tapahi iti ki tō kaki, i raro noa i tō āporo Ātama. Ka tapahia te tapahi mā te pakitara o tō pūhā, ka hangaia he kōhao nui hei whakauru i te ngongo tracheostomy. Kia whakauruhia te ngongo, ka herea ki te kara huri noa i tō kaki kia kore ai e neke. I ētahi wā, ka whakatakotoria pea he torutoru tuitui rangitahi. Mena kāore e taea e koe te manawa ko koe anake, ka honoa tika tēnei ngongo ki te mīhini manawa.
Te Tracheostomy Percutaneous
He tikanga hou tēnei. He maha ngā wā ka taea te mahi i roto i te hōhipera e tata ana ki tō moenga. Kāore he tapahi nui. Engari, ka whakamahia e te tākuta he ngira hei hanga i tētahi kōhao ki tō kaki, ki roto hoki i tō pūhā. Kātahi ka tukuna he waea mā roto i te kōhao, ā, ka mirohia he ngongo kirihou (catheter) mā roto, ka whakanuia haeretia te kōhao. Kātahi ka whakaurua te ngongo tracheostomy.
He pai ake tēnei tikanga mō te tūroro, nā te mea kāore he tapahi nui, ā, ka taea te whakapoto i te wā whakaora.
He aha ngā painga me ngā mōrearea o tēnei?
Ko te painga matua ko te āwhina i te whakaora i ngā oranga ina kore e taea ētahi atu tikanga manawa. He māmā ake mō te tūroro i te whakaurunga ngongo. He āwhina nui hoki mō ngā tūroro e tīmata ana ki te manawa ko rātou anō i muri i te whakamutua o te whakamahi i te mīhini manawa.
Engari, pērā i ngā pokanga katoa, kei reira ētahi mōrearea. Engari kia maumahara, ka whakapau kaha ngā tākuta ki te whakaiti i ēnei mōrearea.
- Te toto me te mate urutā.
- Te kino ki te esophagus, ki te trachea rānei.
- Te whaiti o te ara manawa nā te kiko kua koha, te pupuhi rānei.
- Te kino ki te io e whakahaere ana i ngā taura reo (io laryngeal recurrent).
- Te aukati i te ngongo tracheostomy nā te hūpē, ngā toto toto rānei.
- Te hau kua mau i raro i te kiri e karapoti ana i te ngongo, i roto rānei i ngā pukahukahu.
- He pūaha rerekē (fistula) i waenganui i te pūkahukahu me te korokoro (ka taea e tēnei te uru atu o te kai me te inu ki roto i ngā pukahukahu).
Ka taea te karo i te nuinga o ēnei mōrearea mā te pupuri i te ngongo kia ma, me te whai i ngā tohutohu a te tākuta.
Me pēhea koe e urutau ai ki te oranga i muri i te pokanga?
I muri i te pokanga, ka tiakina koe e tō tīma hauora. E rua wiki pea te roa kia ora rawa te patunga. 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 te ngongo.
Te tiaki i te tracheostomy
I mua i tō hokinga ki te kāinga i te hōhipera, ka hoatu e te nēhi ngā tohutohu taipitopito ki a koe me tō kaitiaki mō te horoi i te ngongo i te kāinga (kia rua pea te iti rawa i te rā) me te momi. He mea tino nui kia tino whai koe i ēnei tohutohu.
Te kōrero
Ā muri i tētahi wā, ka taea e koe te kōrero, engari me whakaharatau. Ko te tikanga, me hipoki te pūaha o te ngongo ki tō maihao, me te kōrero i a koe e pupuhi ana i te hau i roto i tō waha. Mā te tohunga reo kōrero (SLP) koe e whakaatu ki te mahi i tēnei. He takirere kōrero motuhake anō hoki hei āwhina i a koe ki te kōrero me te kore e hipoki i tō maihao.Kia manawanui, ā, ka pai ake tō kōrero ina taunga koe ki tēnā.
Te kai
I te tīmatanga, tera pea he uaua ki te horomi i te kai me te inu. I tēnei wā, ka hoatu he kai mā te werohanga IV, mā te ngongo whāngai rānei. Mā te kaiwhakaora kōrero koe e ako ki ngā mahi hei whakapai ake i ō pūkenga horomi, ā, ka taea e koe te kai noa i te āhua noa.
Ina hiahia koe ki te waea atu ki te tākuta tonu
I muri i te hokinga ki te kāinga, ki te puta mai tētahi o ngā tohu e whai ake nei i a koe , waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
| Ngā tohu e hiahia ana kia aro wawe | |
|---|---|
| Te uaua ki te manawa | Ki te mea kei te raru koe i te manawa. |
| Te huringa o te tere o te ngakau | Mena ka piki haere te tere o te manawa, ka rerekē rānei. |
| Mamae nui | Mena he nui te mamae e pā mai ana, ā, kāore e memeha ahakoa te tango i te rongoā. |
| Ngā tohu o te mate | He kirika, he whero, he pupuhi, he mahana, he pūhā rānei i te wāhi i pokanga ai. |
| Te aukati, te wetekina rānei o te ngongo | Ka ārai pea te hūpē i roto i te ngongo, ka pupuhi rānei, ka wetekina, ka marere rānei te ngongo. |
Ahakoa he mea whakamataku te rongonga e hiahia ana koe ki te tracheostomy, he tikanga whakaora ora, he tikanga haumaru hoki. Mā te āwhina a tō tīma hauora, ka taea e koe te urutau ki tēnei āhuatanga hou, te mahi i ngā mea e arohaina ana e koe, me te noho harikoa.
Karere Tangohia ki te Kāinga
- He pokanga haumaru te tracheostomy hei whakangāwari i te manawa. Kaua e wehi.
- I runga i tō āhua, he otinga rangitahi, he otinga pumau rānei.
- He mea nui te tiaki tika, te tiaki ma hoki o te ngongo tracheostomy hei ārai i ngā raruraru.
- Mā te āwhina a tō tākuta, a ngā nēhi, me te kaiwhakaora kōrero, ka taea e koe te kōrero, te kai, me te noho anō i te ao noa.
- Mena ka ara ake he raruraru, he ruarua rānei, kaua e mangere ki te toro atu ki tō tākuta tonu atu.
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