Munhu wese ari kunetseka kufema anotya zvishoma paanoti achaboora mutsipa oisa chubhu, handiti? Mukurapa, tinoti izvi tracheostomy . Asi iyi ikurapa kwakakosha zvikuru kunoitirwa kuponesa hupenyu, uye kazhinji kunogara kwenguva pfupi. Kunyangwe kana wakambonzwa nezvazvo, ungave nemibvunzo mikuru nekutya nekuti hauzive chaizvo kuti chii. Saka ngatitaure nezvazvo zvese zvakajeka uye zviri nyore nhasi.
Chii chaizvo chinonzi tracheostomy?
Zvichitaurwa zviri nyore, tracheostomy inzira yekuvhiya inoita buri, kana kuti buri, riri pamberi pemutsipa wako, zvakananga mupaipi yemhepo (bronchi) . Tubhu ye tracheostomy inozopinzwa nepaburi iri mupaipi yemhepo yako. Izvi zvinobvumira munhu anonetseka kufema nemuromo nemumhino kufema mweya (oxygen) zvakananga mumapapu ake kuburikidza nepaipi iyi mumutsipa wake, achipfuura nzira mbiri idzodzo.
Tinodanawo kuvhiyiwa kwekugadzira buri iri kuti tracheotomy . Zvisinei, mumutauro wakajairika, kunyange vanachiremba vanoshandisa mazwi ese ari maviri vachichinjana.
Kuvhiyiwa kwetracheostomy kunodiwa rini?
Pane zvikonzero zvakawanda zvinoita kuti tracheostomy iitirwe. Kunyangwe iyi ichiwanzova kuvhiyiwa kwakarongwa, dzimwe nguva kunodiwa kana paine emergency. Tafura iri pazasi ichakupa pfungwa yakanaka yeizvi.
| Chikonzero chekuda kurapwa | Zvakatsanangurwa zviri nyore |
|---|---|
| Kuvharika kwenzira yekufema | Kana nzira yekufema yakavharwa nekuda kwebundu repahuro, hutachiona hwakanyanya, kana tsaona uye intubation hazvigoneke. |
| Kuoma kufema kwenguva refu | Kana usingakwanise kufema wega nekuda kwezvirwere zvakaita sechirwere chemapapu chakakomba, kuoma mitezo, kana kukuvara kwakanyanya kwemusoro kana mutsipa. |
| Kubatanidzwa nemuchina wekufema | Kana munhu achida kubatanidzwa nemuchina wekufema kweanopfuura vhiki, nzira iyi iri nyore uye yakachengeteka. |
| Kuoma kubvisa madzihwa | Nekuda kwezvimwe zvirwere, kukosora hakugone kubvisa madzihwa mumapapu. Kusveta madzihwa nepachubhu iyi kuri nyore kwazvo. |
| Mushure mekuvhiyiwa pahuro | Mushure mekuvhiyiwa pahuro kana pabhokisi renzwi, senzira yekubatsira kufema kusvika nzvimbo yacho yapora. |
Chinhu chakakosha ndechekuti, zvichienderana nemamiriro ako ezvinhu, tracheostomy iyi inogona kuva yenguva pfupi kana kuti inogara kwenguva refu . Chiremba wako achakutsanangurira izvi zvakadzama.
Ndinofanira kugadzirira sei kuvhiyiwa uku ndisati ndaita?
Kana iri oparesheni yakarongwa, chiremba wako achakuudza maitiro ekugadzirira. Sezvo ichiwanzoitwa pasi peanesthesia , unogona kukumbirwa kuti usadye kana kunwa kwemaawa mashoma oparesheni isati yaitwa uye kurega kushandisa mimwe mishonga.
Sezvo uchange uri muchipatara kwemazuva mashoma kana mavhiki mushure mekuvhiyiwa, unofanira kutakura bhegi diki.
- Zvipfeko nezvinhu zvako: Mbatya dzemubhedha dzakanaka, zvinhu zvakaita sebhurashi remazino.
- Mishonga yauri kutora: Uya nemishonga nemavhitamini auri kutora parizvino.
- Chimwe chinhu chekuzvifadza nacho: Kutakura chimwe chinhu chakaita sebhuku kana magazini kunogona kunyaradza panguva yekupora kwako.
- Midziyo yekutaurirana: Izvi zvakakosha zvikuru. Ungaomerwa nekutaura kwemazuva mashoma mushure mekuvhiyiwa. Saka, kuuya nebhuku rekunyorera nepeni, kana foni yako kana tablet, zvichabatsira zvikuru pakutaurirana navanachiremba, vanamukoti, nemhuri.
Kuvhiyiwa uku kunoitwa sei?
Kune nzira mbiri huru.
1. Kuvhiyiwa Kwepachena (Open Tracheotomy)
Iyi ndiyo nzira yechinyakare. Inoitwa muimba yekuvhiyiwa. Ucharadzikwa uye chiremba wepamuviri achacheka mutsipa wako kadiki, pasi peapuro rako reAdam. Kucheka kuchavhurika mupaipi yemhepo (Trachea (mutsinga wemhepo) unobuda pachena uye panobva paitwa buri diki. Zvadaro, tracheostomy tube inopinzwa nepaburi uye inosungwa ne tracheostomy collar. Kana usingakwanise kufema wega, chubhu iyi yakabatana nemuchina wekufema.
2. Percutaneous Tracheostomy
Iyi inzira itsva. Kazhinji inogona kuitwa pamubhedha wechipatara. Hapana kucheka kukuru. Pane kudaro, tsono inoshandiswa kugadzira buri mumutsipa nemu trachea. Zvadaro, buri rinokura zvishoma nezvishoma uye chubhu inopinzwa. Izvi zvinokonzera kukuvara kushoma kwenyama.
Ndezvipi zvakanakira uye njodzi dzinogona kuitika?
Chinhu chikuru ndechekuti inopa mweya unodiwa kuti munhu asingakwanise kufema nemhino nemuromo. Zvinonyaradzawo murwere pane kuva nechubhu mumuromo kwenguva yakareba. Inobatsirawo zvikuru kune avo vari kutanga kufema vega mushure mekubviswa muchina wekufema.
Zvisinei, sekuvhiyiwa kupi zvako, kune dzimwe njodzi.
| Dambudziko Rinogona Kuitika |
|---|
| • Kubuda ropa uye hutachiona. |
| • Kukuvadzwa kwegurokuro kana trachea. |
| • Kutetepa kwenzira yekufema nekuda kwemavanga. |
| • Kukuvadzwa kwetsinga inodzora tsinga dzenzwi (tsinga yegurokuro inodzokororwa) . |
| • Kuvharika kwechubhu yetracheostomy nekuda kwemvura inobuda muchubhu kana kuti ropa rinogwamba. |
| • Mhepo yakavharirwa mumapapu, pachipfuva, kana pasi peganda. |
Njodzi dzakawanda idzi dzinogona kuderedzwa nekutevera mirairo yekurapa nemazvo uye kuchengetedza chubhu yakachena.
Upenyu huri sei mushure mekuvhiyiwa?
Chikwata chevanachiremba chichanyatsoongorora kupora kwako mushure mekuvhiyiwa. Zvinogona kutora kusvika mavhiki maviri kuti kukuvara kupore zvakakwana. Zvakajairika kunzwa kurwadziwa kwemutsipa panguva iyi. Zvinotora zuva rimwe kana maviri kuti ujairire kufema nepaipi.
Kutaura
Mushure menguva yakati kuti mupore, muchakwanisa kutaura nekudzidzira. Ruzha rwunogadzirwa nekuvhara buri riri muchubhu nemunwe wenyu uye kufemera mweya nemuromo. Nyanzvi yekutaura-mutauro (SLP) inogona kukubatsirai neizvi. Kunewo mhando dzakasiyana dzemavharuvhu ekutaura dzinokubatsirai kutaura musina kuvhara munwe wenyu.
Kudya
Zvinotora nguva kuti ujairire kumedza. Pakutanga, unogona kupiwa chikafu kuburikidza nechubhu kana chubhu. Nyanzvi yako yekutaura ichakubatsirawo kudya zvakanaka kuburikidza nekurovedza muviri kwekumedza.
Kubvisa chubhu
Kana tracheostomy yako iri yenguva pfupi, chiremba wako achabvisa chubhu yacho kana nzira yako yekufema yave yakanaka. Izvi zvinonzi decannulation . Dzimwe nguva buri rinovhara roga, kana kuti ungangoda kuvhiyiwa kudiki kuti rivharwe. Ungasara uine vanga diki.
| Kana uine zviratidzo izvi, zivisa chiremba wako kana chipatara chako nekukasika! |
|---|
| - Kana uchinetseka kufema. |
| - Kana uchinzwa kuti kurova kwemoyo wako hakuna kurongeka. |
| - Kana uine kurwadziwa kwakanyanya kusingaderere kunyangwe mushure mekutora mushonga. |
| - Kana paine kuzvimba, kunamatira, kana zviratidzo zvehutachiona (fivha, kutsvuka, pus) zvakatenderedza chubhu. |
| - Kana tracheostomy tube ikaburitswa kana kuburitswa zvachose. Izvi zvinokonzeresa emergency. Enda kuEmergency Department (ETU) iri pedyo nekukasika. |
Zvakajairika kunzwa kutya uye kusaziva kana ukaudzwa kuti unoda tracheostomy. Asi yeuka, nerubatsiro rwechikwata chako chekurapa, vanhu vazhinji vanogona kudzidza kufema, kudya, kunwa, uye kutaura zvakanaka nemaitiro aya. Ingava yenguva pfupi kana kuti yenguva refu, usarega zvichikutadzisa kuita zvinhu zvaunoda uye kurarama hupenyu hunofadza. Taura pachena nachiremba wako nezve chero zvinokunetsa kana kutya kwaungave uinako.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwetracheostomy inzira yekuvhiya inogadzirwa papombi yemhepo iri mumutsipa kuti ibatsire kufema.
- Izvi zvinoitwa nezvikonzero zvakakomba zvakaita sekuvharika kwemhepo inofambisa mweya uye kubatanidzwa nemuchina wekufema kwenguva yakareba.
- Kune vanhu vazhinji, izvi ndezvenguva pfupi, uye chubhu inobviswa mushure mekupora.
- Kuchenesa nekutarisirwa zvakanaka kwechubhu kumba kwakakosha kudzivirira matambudziko.
- Nerubatsiro rwenyanzvi yekutaura nechikwata chevanachiremba, munogona kudzokera pakutaura nekudya.
- Zvakakosha zvikuru kutsvaga rubatsiro rwechiremba nekukasika kana paine dambudziko rekufema, zviratidzo zvehutachiona, kana kuti chubhu yabuda.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment