Kodi pali aliyense m'banja mwanu amene ali ndi chubu cha tracheostomy kuti chimuthandize kupuma? Kapena mumagwiritsa ntchito nokha? Ndiye mwina mukudziwa kuti ndi zachilendo kuti mamina ndi zinyalala zina ziziunjikane mkati mwa chubuchi. Nthawi zambiri, chimatha ndi chifuwa chabwino. Koma nthawi zina, ngakhale mutayesetsa bwanji, simungathe kuchotsa mamina awa. Pamenepo ndi pamene muyenera "kuyamwa" chubuchi, kutanthauza, kuchiyeretsa ndi makina. Lero, tikambirana momwe tingachitire izi moyenera komanso mosamala.
Kodi kuyamwa tracheostomy ndi chiyani?
Mwachidule, tracheostomy ndi opaleshoni yaying'ono yomwe imachitidwa kutsogolo kwa khosi yomwe imalowetsa chubu mwachindunji mu mphuno ya munthu amene akuvutika kupuma. Chubuchi chimalola munthu amene sangathe kupuma mwachibadwa kupuma mosavuta.
Ndizachilendo kuti mamina adziunjikana mu trachea ya munthu amene ali ndi chubu motere. Njira yabwino yochotsera mamina awa ndi kutsokomola mwamphamvu. Koma nthawi zina mamina amatha kukhala okhuthala kwambiri kuti achotsedwe ndi chifuwa. Pazochitika zimenezo, timagwiritsa ntchito makina okoka kuti tichotse maminawo ndikuchotsa, omwe amatchedwa tracheostomy suction.
Izi zitha kuchitika ndi ogwira ntchito zachipatala kuchipatala, kapena angakuphunzitseni momwe mungayankhire chubu chanu (kapena chubu cha mwana wanu) nokha kunyumba. Ndikofunikira kwambiri kuphunzira izi molondola kuti chubucho chisamamatire komanso kuti kupuma kukhale kosavuta.
Kodi mumadziwa bwanji ngati chubucho chikufunika kuyamwa?
Mukamasamalira munthu amene ali ndi tracheostomy chubu, muyenera kudziwa zizindikiro zingapo zomwe zimasonyeza kuti ndi nthawi yoti muyamwe chubucho. Zizindikirozi zikutanthauza kuti chubucho chatsekedwa ndi mamina ndipo chiyenera kutsukidwa.
| Chizindikiro chooneka/chooneka | Kodi izi zikutanthauza chiyani? |
|---|---|
| Chifuwa chonyowa komanso chotupa | Mamina amatuluka pamodzi ndi chifuwa, koma samatha kwathunthu. |
| Kumva kupuma movutikira | Ndikumva ngati sindikupuma mokwanira. |
| Kuoneka kwa thovu la mucous pafupi ndi pakamwa pa chubu | Mamina akuyesera kutuluka mu chubu. |
| Kumva phokoso la kukodola | Phokoso ili limapangidwa chifukwa mpweya umayenda kudzera mu ntchofu mukamapuma. |
| Kuchuluka kwa kupuma, kupuma movutikira | Kuyesa kupeza mpweya womwe thupi limafunikira. |
| Kusintha kwa mtundu wa buluu kuzungulira pakamwa (cyanosis) | Izi ndi zadzidzidzi. Ndi chizindikiro chakuti magazi sakupeza mpweya wokwanira. |
| Phokoso longa mluzu lochokera ku chitoliro | Chitolirocho chachepa kwambiri, ndipo pali malo ochepa oti mpweya udutse. |
| Kusakhazikika, kusokonezeka | Kupsinjika maganizo komwe kumachitika chifukwa chovutika kupuma. |
Mwachidule, chinthu chabwino kwambiri kuchita ndikuyamwa tracheostomy chubu nthawi iliyonse mukaganiza kuti yatsekeka.
Zinthu zokonzekera musanayamwe
Ndikofunikira kwambiri kukhala ndi zonse zomwe mukufuna musanayambe ntchitoyi. Kenako mutha kugwira ntchitoyo popanda vuto lililonse.
- Makina opopera a tracheostomy
- Katheta yatsopano yoyamwa yoyera komanso yatsopano
- Chitoliro cholumikizira chomwe chimalumikiza catheter ku makina
- Kapu imodzi ya madzi oyera, owiritsa
- Magolovesi
- Beseni laling'ono kapena mbale
Kodi izi zimachitika bwanji? Tiyeni tipeze yankho pang'onopang'ono!
Ngati mukudzipatsa nokha kapena wina, mutha kuchita izi mosamala potsatira njira izi.
1. Sambani m'manja mwanu bwino: Pakani sopo ndikutsuka m'manja mwanu ndi madzi othamanga ndikuwumitsa ndi thaulo loyera.
2. Pezani malo abwino: Khalani pampando kapena gonani pabedi. Dziyimitseni m'njira yomwe ingathandize bwino mutu ndi khosi lanu.
3.Yatsani makinawo ndikukhazikitsa mphamvu: Yatsani makina opopera mphamvu ndikukhazikitsa mphamvu yotsika kapena yapakati. Kupanikizika kumeneku nthawi zambiri kumakhala pakati pa 80-120 mmHg (mamilimita a mercury). Musawonjezere mphamvu yoposa 120 mmHg. Kuchita izi kungawononge njira yopumira. Ngati simukudziwa bwino izi, funsani dokotala wanu kaye.
4. Valani magolovesi: Valani magolovesi oyera. Simukusowa magolovesi osapsa kuti muchite izi.
5. Konzani catheter: Ikani catheter yoyera yoyamwa kumapeto kwa chubu. Onetsetsani kuti kumapeto ena a chubucho alumikizidwa bwino ndi makina.
6. Pumirani mpweya wozama: Simungathe kupuma bwino pamene catheter ili mu chubu. Choncho pumirani mpweya wozama pang'ono musanayambe. Ndi zachilendo kutsokomola mukamakoka.
7. Ikani catheter: Tsopano ikani catheter mosamala mu tracheostomy chubu. Ingoikeni monga momwe mwalangizidwira. Musakakamize . Ngati mukumva kuti chinachake chikukumanirani, imani pomwepo. Musaphimbe dzenje loyamwa ndi chala chanu panthawiyi. Izi zikutanthauza kuti si bwino kugwiritsa ntchito njira yoyamwa poika catheter.
8. Kokani catheter pang'ono: Musanayambe kuyamwa, kokani catheter yomwe yayikidwamo pang'ono. Izi zithandiza kuti igwire ntchito bwino.
9. Yambani kuyamwa: Tsopano ikani chala chanu chachikulu pamwamba pa chotulutsira mpweya choyamwa madzi ndikutseka. Mamina ayamba kuyamwa. Musapitirize kuyamwa kwa masekondi opitilira 10. Ngati mukumva kusasangalala mukamachita izi, chotsani chala chanu nthawi yomweyo.
10. Chotsani catheter: Pukutani catheter pang'onopang'ono pamene mukuichotsa mu tracheostomy chubu.
Ngati simukumva kapena kuona ntchofu pafupi ndi chubu, mwatha. Koma mungafunike kuyikapo madzi ambiri. Ngati ndi choncho, dikirani masekondi osachepera 30 musanachitenso . Ngati catheter yatsekedwa ndi ntchofu, tulutsani madzi kuti muyeretse, kapena gwiritsani ntchito yatsopano.
Ngati mwayesa katatu koma simukutha kutulutsa mamina, dikirani mphindi 10 kenako yesaninso. Komabe, ngati mukuvutika kupuma kwambiri, funani thandizo nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi.
Kodi mumatsuka bwanji zida mukamaliza?
Ndikofunikira kwambiri kuyeretsa bwino zida mukatha kuzikoka.
- Ikani madzi oyera, owiritsa mu sinki.
- Yamwani madziwo kudzera mu katheta yoyamwa madzi ndipo muzimutsuka bwino mkati mwa chubucho.
- Zimitsani makina oyamwa.
- Chotsani katheta. Ngati ndi yotayidwa, itayireni m'zinyalala. Ngati ingagwiritsidwenso ntchito, itsukeni ndikuyiyika pambali kuti igwiritsidwenso ntchito pambuyo pake.
- Pachika chubu cholumikizira kuchokera ku makinawo, nsonga yake ikuyang'ana mmwamba.
- Tsukani sinki bwino ndi sopo.
- Chotsani magolovesi ndipo muwataye.
- Pomaliza, sambitsaninso manja anu bwino ndi sopo.
Kodi ubwino ndi zovuta zomwe zingachitike chifukwa cha izi ndi ziti?
Kuphunzira kuyamwa madzi kunyumba kungachepetse kuchuluka kwa maulendo opita kuchipatala. Kumakupatsaninso ufulu woyeretsa chubu nthawi iliyonse yomwe mukufunikira. Iyi ndi njira yabwino kwambiri yopezera mpumulo mwachangu ku mavuto opuma omwe amayamba chifukwa cha ntchofu yokhuthala.
Mavuto ndi osowa, koma nthawi zina amatha kuchitika.
- Kutuluka magazi pang'ono
- Matenda
- Ululu kapena kusasangalala
- Nthawi zina, kukondoweza kwa mitsempha ya vagal kungachepetse kugunda kwa mtima ndi kuchuluka kwa mpweya.
Kodi ndi liti pamene muyenera kulankhula ndi dokotala?
Lankhulani ndi dokotala wanu nthawi iliyonse mukakhala ndi nkhawa iliyonse yokhudza kuyamwa kwa tracheostomy. Makamaka ngati muwona chilichonse mwa izi :
- Ngati ntchofu ikununkha moyipa.
- Ngati mamina asintha mtundu (wachikasu, wobiriwira, wofiira, kapena bulauni), izi zitha kukhala zizindikiro za matenda.
Ngati simungathe kuchotsa ntchofu mutakoka, kapena ngati mukupitirizabe kupuma movutikira ngakhale mutakoka, imbani dokotala wanu nthawi yomweyo kapena pitani ku dipatimenti yapafupi yadzidzidzi yachipatala (ETU). Nthawi zina, ngati ntchofu ndi yokhuthala kwambiri, chubu cha tracheostomy chingafunike kusinthidwa.
Kukhala ndi tracheostomy chubu kuli ndi zovuta zake. Koma mukaphunzira zinthu izi bwino, inunso mutha kuthana ndi zovutazo ndikukhala moyo womasuka kuchita zinthu zomwe mumakonda.
Uthenga Wopita Nawo Kunyumba
- Yambani kuyamwa tracheostomy chubu mukangoona zizindikiro zoti mukufuna kuyamwa (kubuula, kupuma movutikira). Musadikire mpaka nthawi yomwe mwakonza.
- Mukakoka, musachite izi kwa masekondi opitilira 10 nthawi imodzi. Izi zingapangitse kuti zikhale zovuta kupuma.
- Gwiritsani ntchito zida zoyera nthawi zonse. Sambani m'manja mwanu bwino musanagwire ntchito komanso mutamaliza ntchito.
- Ngati mtundu wa ntchofu wasintha, ngati ukununkha moyipa, kapena ngati kupuma movutikira sikukutha ngakhale mutakoka, imbani dokotala wanu nthawi yomweyo kapena pitani ku ETU.
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