Nthawi zina timavutika kupuma m'njira zomwe sitinaganizirepo. Nthawi zina ngati izi, mwina mudamvapo za njira yomwe imaphatikizapo kuyika chubu chaching'ono m'khosi mwanu kuti chikuthandizeni kupuma. Izi zimatchedwa tracheostomy. Dzinalo lingamveke ngati loopsa pang'ono, koma ndi njira yofunika kwambiri yopulumutsa moyo. Choncho tiyeni tikambirane mwachidule, popanda mantha.
Mwachidule, kodi tracheostomy ndi chiyani?
Kutsegula kwa tracheostomy ndi pamene dokotala wa opaleshoni akutsegula chitseko kutsogolo kwa khosi lanu, mwachindunji mu mphuno yanu (trachea), kapena chomwe timachitcha bronchi yanu . Kenako, chubu cha tracheostomy , kapena 'trach' mwachidule, chimayikidwa kudzera mu chitseko ichi. Izi zimachitika potumiza mpweya mwachindunji m'mapapu anu kudzera mu chubucho mukavutika kupuma kudzera pakamwa kapena mphuno.
Opaleshoni yopangira mpata uwu imatchedwa tracheotomy. Koma m'mawu wamba, madokotala athu amagwiritsa ntchito mawu onse awiri mosinthana. Choncho musasokonezeke nazo.
N’chifukwa chiyani munthu angafunikire tracheostomy?
Pali zifukwa zambiri zomwe munthu angafunikire tracheostomy. Nthawi zina imatha kukhala yakanthawi, ndipo nthawi zina imatha kukhala yokhazikika. Zimatengera matenda anu.
| Zifukwa zazikulu zofunira tracheostomy | Izi zikutanthauza... |
|---|---|
| Kutsekeka kwa njira yopumira mpweya | Ngati bronchi yachepa kapena yatsekeka kwathunthu chifukwa cha chotupa, kutupa, kapena chifukwa china pakhosi, ndipo kulowetsa m'mimba sikungatheke. |
| Matenda a m'mapapo, ziwalo, kapena ngozi | Ngati simungathe kupuma nokha chifukwa cha matenda aakulu a m'mapapo, ziwalo zopuwala, kapena kuvulala kwambiri mutu ndi khosi. |
| Pambuyo pa opaleshoni | Ngati mukufuna thandizo popuma mutachita opaleshoni pakhosi panu kapena pa bokosi la mawu. |
| Kukhala pa makina opumulira mpweya | Ngati wodwala akufunika kulumikizidwa ndi makina opumira mpweya kwa nthawi yoposa sabata imodzi, tracheostomy imakhala yabwino komanso yotetezeka kwa wodwalayo. |
| Kuvuta kuchotsa ntchofu | Matenda ena amachititsa kuti zikhale zovuta kuchotsa mamina m'mapapo mukatsokomola. Kupopera mamina kudzera mu chubu cha tracheostomy kungathandize kuti mpweya ukhale woyera. |
Kodi ndiyenera kukonzekera bwanji opaleshoni iyi?
Ngati opaleshoniyi ndi yokonzedwa, dokotala wanu adzakufotokozerani momwe mungakonzekerere. Ngati mukulandira mankhwala oletsa ululu , mungafunike kusiya kudya ndi kumwa kwa maola angapo opaleshoni isanachitike ndipo mungafunike kusiya kumwa mankhwala enaake.
Komanso, popeza mudzakhala m’chipatala kwa masiku kapena milungu ingapo, muyenera kulongedza zinthu zingapo m’thumba ndi kuzikonzekera.
- Zovala ndi zinthu zaukhondo: Zovala zabwino, zinthu monga burashi ya mano.
- Mankhwala omwe mumagwiritsa ntchito: Ndi mankhwala ati kapena zowonjezera zakudya zomwe mumamwa nthawi zambiri, ngati zilipo.
- Chinthu chosangalatsa: Ndi bwino kubweretsa chinthu choti muwerenge, monga buku, muli kuchipatala.
- Zinthu zomwe zingakuthandizeni kulankhulana: Izi ndizofunikira kwambiri. Mukachita opaleshoni, simudzatha kulankhula nthawi yomweyo. Choncho, kunyamula cholembera ndi pepala, kapena foni yam'manja kapena piritsi, kudzakuthandizani kwambiri polankhulana ndi madokotala ndi okondedwa anu.
Kodi opaleshoniyi imachitidwa bwanji?
Opaleshoni iyi nthawi zambiri imachitikira m'chipinda chochitira opaleshoni. Choyamba, mumapatsidwa mankhwala oletsa ululu kuti mukhale tulo tofa nato. Kenako, dokotalayo amadula pang'ono kutsogolo kwa khosi lanu, pansi pa Adam's apulo yanu. Kudula kumeneku kumadutsa molunjika pakhoma la mphuno yanu. Kenako, malo otsegukawo amakulitsidwa mosamala mokwanira kuti chubu cha tracheostomy chilowetsedwe.
Pambuyo poti chubucho chaikidwa, chimamangiriridwa ndi lamba wozungulira khosi lanu (tracheostomy collar) kuti chisayendeyende. Mungafunikenso kusoka kwakanthawi kuti chubucho chigwire bwino mpaka chitachira. Ngati simungathe kupuma nokha, chubuchi chidzalumikizidwa ndi chopumira mpweya.
Palinso njira yatsopano yotchedwa percutaneous tracheostomy . Mu izi, m'malo mopanga chotupa chachikulu, singano imagwiritsidwa ntchito popanga dzenje pakhosi ndi trachea ndikulowetsa chubu. Izi nthawi zambiri zimatha kuchitika pabedi lachipatala.
Kodi ubwino ndi zoopsa zake ndi ziti?
Ubwino waukulu wa tracheostomy ndikuti imapereka mpweya wopulumutsa moyo pamene kupuma kudzera mkamwa kapena mphuno sikungathekenso. N'kosavuta kwa wodwalayo kuposa kupumira m'mimba, komwe kumachitika kudzera mkamwa. Kumathandizanso anthu ambiri omwe akuyamba kupuma okha atachotsedwa mu makina opumira.
Komabe, monga opaleshoni iliyonse, pali zoopsa zina zomwe zingachitike.
- Kutuluka magazi ndi matenda.
- Kuwonongeka kwa mmero kapena mphuno.
- Kuchepa kwa njira yopumira chifukwa cha kutupa kapena minofu yotupa.
- Kuwonongeka kwa mitsempha yomwe imasuntha mawu anu (mitsempha yobwerezabwereza ya laryngeal).
- Kutsekeka kwa chubu cha tracheostomy chifukwa cha ntchofu kapena magazi kuundana.
- Kugwira mpweya pansi pa khungu mozungulira mapapo, pachifuwa, kapena tracheostomy.
Chofunika kwambiri ndi kusunga chubu chanu cha tracheostomy chili choyera ndikutsatira malangizo a dokotala mosamala. Kuchita zimenezi kungachepetse kwambiri zoopsazi.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni ndipo mungasamalire bwanji kunyumba?
Pambuyo pa opaleshoni, gulu lachipatala lidzayang'anira bwino vuto lanu. Muyenera kulankhulana polemba mpaka mutatha kulankhula. Musanapite kunyumba kuchokera kuchipatala, inu ndi banja lanu mudzapatsidwa malangizo atsatanetsatane a momwe mungasamalire tracheostomy chubu yanu kunyumba.
Nthawi zambiri zimatenga pafupifupi milungu iwiri kuti tracheostomy chubu ichire bwino. Ndizachilendo kumva kupweteka kwa khosi panthawiyi. Zimatenganso tsiku limodzi kapena awiri kuti uzolowere kupuma kudzera mu chubu.
Kusunga chubu choyera
Kunyumba, muyenera kutsuka tracheostomy chubu yanu osachepera kawiri patsiku. Muyeneranso kukaonana ndi dokotala wanu masiku omwe chubucho chiyenera kusinthidwa.
Kulankhula
Mukachira, mutha kulankhula ndi tracheostomy, koma zimafunika kuchitapo kanthu. Mutha kulankhula pophimba khomo la tracheostomy ndi chala ndikupumira mpweya pakamwa panu. Katswiri wa matenda a chilankhulo (SLP) adzakuwonetsani momwe mungachitire izi. Palinso mitundu yapadera ya ma valve olankhulira omwe amakuthandizani kulankhula popanda kuphimba ndi chala.
Kudya
Zimatenga nthawi kuti uzolowere kumeza. Poyamba, mungafunike kudyetsedwa kudzera mu IV kapena chubu chodyetsera. Katswiri wanu wolankhula adzakuthandizaninso ndi masewera olimbitsa thupi kuti kumeza kukhale kosavuta.
Kodi ndiyenera kupita kwa dokotala nthawi yanji mwachangu?
Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi.
| Zizindikiro zochenjeza zoyenera kuziganizira |
|---|
| - Ngati mukuvutika kupuma. |
| - Ngati kugunda kwa mtima kwasintha. |
| - Ngati mukumva ululu waukulu womwe sumatha ngakhale mutamwa mankhwala. |
| - Ngati pali ntchofu yowunjikana, kutupa kwa bala, kapena kutumphuka pamalo ochitira opaleshoni. |
| - Ngati mukupeza zizindikiro za matenda monga malungo, kufiira, kutentha, kapena mafinya pachilonda. |
| - Ngati chubu cha njanji chikuwoneka chomasuka kapena chachoka pamalo pake. |
Ndizachibadwa kuchita mantha komanso kusatsimikiza mukamva kuti mukufuna opaleshoni ya tracheostomy. Koma kumbukirani, mothandizidwa ndi gulu lachipatala, anthu ambiri amatha kupuma, kudya, kumwa, ndi kulankhula bwino pambuyo pa izi. Kaya ndi kwakanthawi kapena kosatha, mutha kusangalala ndi moyo wanu.
Uthenga Wopita Nawo Kunyumba
- Tracheostomy ndi opaleshoni yopulumutsa moyo yomwe imakuthandizani kupuma.
- Ndizachibadwa kuchita mantha ndi izi, koma ndi chisamaliro choyenera komanso chisamaliro choyenera, vutoli lingathe kuthetsedwa bwino.
- Tsatirani malangizo a dokotala wanu mosamala okhudza kuyeretsa ndi kusamalira tracheostomy chubu yanu.
- Zimatengera nthawi ndi kuleza mtima kuti uzolowere kulankhula ndi kumeza kachiwiri. Chithandizo cha katswiri wolankhula n'chofunika kwambiri pa izi.
- Dziwani zizindikiro zochenjeza ndipo funsani upangiri wa dokotala nthawi yomweyo ngati pabuka vuto lililonse.

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