Aliyense amene akuvutika kupuma amachita mantha pang'ono akamanena kuti apanga dzenje pakhosi ndikulowetsa chubu, sichoncho? Mu zamankhwala, timatcha izi kuti tracheostomy . Koma iyi ndi njira yofunika kwambiri yothandizira kupulumutsa miyoyo, ndipo nthawi zambiri imakhala yakanthawi. Ngakhale mutamva za izi, mungakhale ndi mafunso akuluakulu komanso mantha chifukwa simukudziwa bwino lomwe kuti ndi chiyani. Choncho tiyeni tikambirane zonsezi momveka bwino komanso mosavuta lero.
Kodi tracheostomy kwenikweni ndi chiyani?
Mwachidule, tracheostomy ndi opaleshoni yomwe imapanga dzenje kutsogolo kwa khosi lanu, mwachindunji mu mphuno yanu (bronchi) . Kenako chubu cha tracheostomy chimayikidwa kudzera mu dzenje ili mu mphuno yanu. Izi zimathandiza munthu amene akuvutika kupuma kudzera pakamwa ndi mphuno kuti apume mpweya (oxygen) mwachindunji m'mapapu awo kudzera mu chubu ichi m'khosi mwake, kudutsa njira ziwirizo.
Timatchanso opaleshoni yopangira dzenje ili kuti tracheotomy . Komabe, m'mawu wamba, ngakhale madokotala amagwiritsa ntchito mawu onse awiri mosinthana.
Kodi tracheostomy imafunika liti?
Pali zifukwa zambiri zomwe opaleshoni ya tracheostomy ingachitikire. Ngakhale kuti nthawi zambiri iyi ndi opaleshoni yokonzedwa, nthawi zina imafunika pakagwa ngozi. Tebulo lomwe lili pansipa likupatsani lingaliro labwino la izi.
| Chifukwa chofuna chithandizo | Kufotokoza mwachidule |
|---|---|
| Kutsekeka kwa njira yopumira mpweya | Ngati njira yopitira mpweya yatsekedwa chifukwa cha chotupa cha pakhosi, matenda oopsa, kapena ngozi ndi kulowetsedwa kwa chubu sizingatheke. |
| Kupuma movutikira kwa nthawi yayitali | Ngati simungathe kupuma nokha chifukwa cha matenda monga matenda aakulu a m'mapapo, ziwalo zopuwala, kapena kuvulala kwakukulu kwa mutu kapena khosi. |
| Kulumikizidwa ndi makina opumira mpweya | Ngati wina akufunika kulumikizidwa ndi makina opumira mpweya kwa nthawi yoposa sabata imodzi, njira iyi ndi yosavuta komanso yotetezeka. |
| Kuvuta kuchotsa ntchofu | Chifukwa cha matenda ena, kutsokomola sikungathe kuchotsa mamina m'mapapo. Kutulutsa mamina kudzera mu chubu ichi n'kosavuta kwambiri. |
| Pambuyo pa opaleshoni ya pakhosi | Pambuyo pa opaleshoni pakhosi kapena bokosi la mawu, ngati chithandizo chopumira mpaka malowo atachira. |
Chofunika ndichakuti, kutengera matenda anu, tracheostomy iyi ikhoza kukhala yakanthawi kapena yokhazikika . Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.
Kodi ndiyenera kukonzekera bwanji opaleshoniyi isanachitike?
Ngati opaleshoniyi ndi yokonzedweratu, dokotala wanu adzakuuzani momwe mungakonzekerere. Popeza nthawi zambiri imachitika pansi pa mankhwala oletsa ululu , mungapemphedwe kuti musamadye kapena kumwa kwa maola angapo opaleshoni isanachitike komanso kuti musiye kumwa mankhwala enaake.
Popeza mudzakhala m'chipatala kwa masiku angapo kapena milungu ingapo mutachita opaleshoni, muyenera kunyamula thumba laling'ono.
- Zovala ndi zinthu zaumwini: Zovala zogona zabwino, zinthu monga burashi ya mano.
- Mankhwala omwe mukumwa: Bweretsani mankhwala ndi mavitamini omwe mukumwa panopa.
- Chinthu choti musangalale nacho: Kunyamula chinthu monga buku kapena magazini kungakhale kotonthoza pamene mukuchira.
- Zipangizo zolumikizirana: Izi ndizofunikira kwambiri. Zingakuvuteni kulankhula kwa masiku angapo mutachita opaleshoni. Chifukwa chake, kubweretsa notebook ndi cholembera, kapena foni yanu yam'manja kapena piritsi, kudzakuthandizani kwambiri polankhulana ndi madokotala, anamwino, ndi abale anu.
Kodi opaleshoniyi imachitidwa bwanji?
Pali njira ziwiri zazikulu.
1. Opaleshoni Yotseguka (Open Tracheotomy)
Iyi ndi njira yachikhalidwe. Imachitika m'chipinda chochitira opaleshoni. Mudzagonekedwa kenako dokotala adzakudulani pang'ono pakhosi, pansi pa apulo wanu wa Adam. Kudulako kudzatseguka mu payipi ya mphepo (Chitoliro cha mphepo (bronchi) chimaonekera ndipo kabowo kakang'ono kamapangidwa mmenemo. Kenako, chubu cha tracheostomy chimalowetsedwa kudzera m'bowolo ndikuchimangirira ndi kolala ya tracheostomy. Ngati simungathe kupuma nokha, chubuchi chimalumikizidwa ndi chopumira mpweya.
2. Kuchotsa Mitsempha ya Tracheostomy Pakhungu
Iyi ndi njira yatsopano. Nthawi zambiri imatha kuchitika pabedi lachipatala. Palibe kudula kwakukulu. M'malo mwake, singano imagwiritsidwa ntchito popanga dzenje pakhosi ndi trachea. Kenako, dzenjelo limakulitsidwa pang'onopang'ono ndipo chubu chimayikidwa. Izi zimapangitsa kuti minofu isawonongeke kwambiri.
Kodi ubwino ndi zoopsa zomwe zingachitike ndi ziti?
Ubwino waukulu ndi wakuti zimapatsa mpweya wofunikira kuti munthu amene sangathe kupuma kudzera m'mphuno ndi pakamwa pake akhale ndi moyo. Komanso zimakhala bwino kwambiri kwa wodwalayo kuposa kukhala ndi chubu mkamwa mwake kwa nthawi yayitali. Zimathandizanso kwambiri kwa iwo omwe akuyamba kupuma okha atachotsedwa mu makina opumira.
Komabe, monga opaleshoni iliyonse, pali zoopsa zina.
| Mavuto Otheka |
|---|
| • Kutuluka magazi ndi matenda. |
| • Kuwonongeka kwa m'mero kapena m'khosi. |
| • Kuchepa kwa njira yopumira mpweya chifukwa cha zipsera. |
| • Kuwonongeka kwa mitsempha yomwe imalamulira mawu (mitsempha yobwerezabwereza ya laryngeal) . |
| • Kutsekeka kwa chubu cha tracheostomy chifukwa cha mamina kapena magazi kuundana. |
| • Mpweya wotsekedwa m'mapapo, pachifuwa, kapena pansi pa khungu. |
Zoopsa zambirizi zitha kuchepetsedwa potsatira malangizo azachipatala molondola komanso kusunga chubu choyera.
Kodi moyo uli bwanji pambuyo pa opaleshoni?
Gulu lachipatala lidzayang'anira bwino momwe mukuchiritsira mutachitidwa opaleshoni. Zingatenge milungu iwiri kuti chovulalacho chichiritse bwino. Ndizachilendo kumva kupweteka kwa khosi panthawiyi. Zimatenga tsiku limodzi kapena awiri kuti muzolowere kupuma kudzera mu chubu.
Kulankhula
Mukatha nthawi kuti muchire, mudzatha kulankhula mochita masewero olimbitsa thupi. Phokoso limapangidwa mwa kuphimba dzenje la chubu ndi chala chanu ndikupumira mpweya kudzera pakamwa panu. Katswiri wa matenda a chilankhulo (SLP) angakuthandizeni pa izi. Palinso mitundu yapadera ya ma valve olankhulira omwe amakuthandizani kulankhula popanda kuphimba chala chanu.
Kudya
Zimatenga nthawi kuti muzolowere kumeza. Poyamba, mungadyetsedwe kudzera mu chubu kapena chubu. Katswiri wanu wolankhula adzakuthandizaninso kudya bwino kudzera mu masewera olimbitsa thupi omeza.
Kuchotsa chubu
Ngati tracheostomy yanu ndi yakanthawi, dokotala wanu adzachotsa chubucho akangoyamba kupuma bwino. Izi zimatchedwa decannulation . Nthawi zina dzenjelo limadzitsekera lokha, kapena mungafunike opaleshoni yaying'ono kuti mulitseke. Mutha kukhala ndi chilonda chaching'ono.
| Ngati muli ndi zizindikiro izi, dziwitsani dokotala wanu kapena chipatala nthawi yomweyo! |
|---|
| - Ngati mukukumana ndi vuto lililonse lopuma. |
| - Ngati mukuona kuti kugunda kwa mtima kwanu sikukuyenda bwino. |
| - Ngati muli ndi ululu waukulu womwe sumatha ngakhale mutamwa mankhwala. |
| - Ngati pali kutupa, kumamatira, kapena zizindikiro za matenda (malungo, kufiira, mafinya) kuzungulira chubu. |
| - Ngati chubu cha tracheostomy chatuluka kapena chatuluka kwathunthu. Izi ndi zadzidzidzi. Pitani ku Dipatimenti Yodzidzimutsa yapafupi (ETU) nthawi yomweyo. |
Ndizachibadwa kuchita mantha komanso kusatsimikiza mukauzidwa kuti mukufuna tracheostomy. Koma kumbukirani, mothandizidwa ndi gulu lanu lachipatala, anthu ambiri angaphunzire kupuma, kudya, kumwa, ndi kulankhula bwino pogwiritsa ntchito njirayi. Kaya ndi yakanthawi kapena yokhazikika, musalole kuti ikulepheretseni kuchita zinthu zomwe mumakonda ndikukhala ndi moyo wachimwemwe. Lankhulani momasuka ndi dokotala wanu za nkhawa kapena mantha aliwonse omwe mungakhale nawo.
Uthenga Wopita Nawo Kunyumba
- Tracheostomy ndi malo otseguka opangidwa mu khosi kuti athandize kupuma.
- Izi zimachitika pazifukwa zazikulu monga kutsekeka kwa mpweya komanso kulumikizidwa ndi chopumira mpweya kwa nthawi yayitali.
- Kwa anthu ambiri, izi zimakhala zakanthawi kochepa, ndipo chubucho chimachotsedwa pambuyo pochira.
- Kuyeretsa bwino ndi kusamalira chubu kunyumba ndikofunikira kuti tipewe mavuto.
- Mothandizidwa ndi katswiri wolankhula komanso gulu lachipatala, mutha kuyambanso kulankhula ndi kudya.
- Ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo ngati mukuvutika kupuma, zizindikiro za matenda, kapena kutuluka kwa chubu.
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