Dzimwe nguva tinogona kunetseka kufema nenzira dzatisina kumbofungidzira. Panguva dzakadai, pamwe wakambonzwa nezvenzira inosanganisira kuisa chubhu diki mumutsipa wako kuti ikubatsire kufema. Izvozvo zvinonzi tracheostomy. Zita racho ringanzwika serinotyisa zvishoma, asi inzira inokosha zvikuru inoponesa hupenyu. Saka ngatitaurei nezvazvo zviri nyore, tisingatyi.
Zvichitaurwa zviri nyore, chii chinonzi tracheostomy?
Kuvhiyiwa kwetracheostomy kunoitika kana chiremba achivhura gomba pamberi pemutsipa wako, zvakananga mupaipi yemhepo (trachea), kana kuti zvatinodaidza kuti bronchi yako . Zvadaro, tracheostomy tube , kana kuti 'trach' muchidimbu, inopinzwa nepaburi iri. Izvi zvinoitwa nekutumira mweya zvakananga mumapapu ako kuburikidza nepaburi kana uchinetseka kufema nemuromo kana mhino.
Kuvhiyiwa kwekugadzira mukana uyu kunonzi tracheotomy. Asi mukutaura kwakajairika, vanachiremba vedu vanoshandisa mazwi ese ari maviri vachichinjana. Saka musavhiringidzwa nazvo.
Sei munhu angada tracheostomy?
Pane zvikonzero zvakawanda zvinoita kuti munhu ade tracheostomy. Dzimwe nguva zvinogona kuva zvenguva pfupi, uye dzimwe nguva zvinogona kuva zvechigarire. Zvinoenderana nemamiriro ehutano hwako.
| Zvikonzero zvikuru zvekuda tracheostomy | Izvi zvinoreva... |
|---|---|
| Kuvharika kwenzira yekufema | Kana bronchi yakamanikana kana kuti yakavharika zvachose nekuda kwebundu, kuzvimba, kana chimwe chikonzero chiri muhuro, uye kupinza machubhu hakugoneki. |
| Chirwere chemapapu, kuoma mitezo, kana tsaona | Kana usingakwanise kufema wega nekuda kwechirwere chakakomba chemapapu, kuoma mitezo, kana kukuvara kwakanyanya mumusoro nemutsipa. |
| Mushure mekuvhiyiwa | Kana uchida rubatsiro rwekufema mushure mekuvhiyiwa pahuro pako kana pabhokisi renzwi. |
| Kuva nemudziyo wekufema | Kana murwere achida kubatanidzwa nemuchina wekufema kweanopfuura vhiki, tracheostomy inonyaradza uye yakachengeteka kumurwere. |
| Kuoma kubvisa madzihwa | Mamwe matambudziko anoita kuti zviome kubvisa madzihwa mumapapu kana uchikosora. Kusveta madzihwa nepachubhu yetracheostomy kunogona kubatsira kuchengetedza nzira yekufema yakachena. |
Ndinofanira kugadzirira sei kuvhiyiwa uku?
Kana uku kuri kuvhiyiwa kwakarongwa, chiremba wako achakutsanangurira magadzirirwo ako. Kana uri kuvhiyiwa kwenguva refu , ungangoda kurega kudya nekunwa kwemaawa mashoma usati wavhiyiwa uye ungangoda kurega kushandisa mimwe mishonga.
Uyewo, sezvo uchagara muchipatara kwemazuva mashoma kana mavhiki, uchafanira kurongedza zvinhu zvishoma mubhegi wozvigadzirira.
- Zvipfeko nezvinhu zvehutsanana: Zvipfeko zvinonyaradza, zvinhu zvakaita sebhurashi remazino.
- Mishonga yaunoshandisa: Mishonga kana zvekudya zvinovaka muviri zvaunowanzo nwa, kana zviripo.
- Chimwe chinhu chinonakidza: Ipfungwa yakanaka kuuya nechimwe chinhu chekuverenga, senge bhuku, paunenge uri muchipatara.
- Zvinhu zvinokubatsira kutaurirana: Izvi zvakakosha zvikuru. Mushure mekuvhiyiwa, hauzokwanisi kutaura ipapo ipapo. Saka, kutakura peni nepepa, kana foni kana tablet, zvichabatsira zvikuru pakutaurirana navanachiremba nevadikanwi vako.
Kuvhiyiwa uku kunoitwa sei?
Kuvhiyiwa uku kunowanzoitwa muimba yekuvhiyiwa. Kutanga, unorapwa kuti unzwe wakarara zvakakwana. Zvadaro, chiremba anochekwa kadiki pamberi pemutsipa wako, pasi peapuro reAdam's. Kuchekwa uku kunopinda zvakananga nepamadziro epaipi yako yemhepo. Tevere, gomba racho rinokudzwa zvakakwana kuti tracheostomy tube ipinde.
Kana chubhu yaiswa, inosungwa netambo yakakomberedza mutsipa wako (tracheostomy collar) kudzivirira kuti isafambe-fambe. Ungangodawo kusona kwenguva pfupi kuti chubhu irambe iripo kusvika yapora. Kana usingakwanise kufema wega, chubhu iyi ichabatanidzwa nemuchina wekufema.
Kunewo nzira itsva inonzi percutaneous tracheostomy . Mukuita izvi, pachinzvimbo chekucheka kukuru, tsono inoshandiswa kugadzira buri mumutsipa nepamusana pechironda chemudumbu uye kuisa chubhu. Izvi zvinogona kuitwa kakawanda pamubhedha wechipatara.
Ndezvipi zvakanakira uye njodzi dzeizvi?
Chinhu chikuru chakanakira tracheostomy ndechekuti inopa mweya unoponesa hupenyu kana kufema nemuromo kana mhino kusisagoneki. Zviri nyore kumurwere kupfuura kupinza mweya muchubhu, izvo zvinoitwa nemuromo. Zvinobatsirawo vanhu vazhinji vari kutanga kufema vega mushure mekubviswa muchina wekufema.
Zvisinei, sekuvhiyiwa kupi zvako, kune dzimwe njodzi dzinogona kuitika.
- Kubuda ropa uye hutachiona.
- Kukuvadzwa kwegurokuro kana paipi yemhepo.
- Kudzikira kwenzira yekufema nekuda kwekuzvimba kana mavanga.
- Kukuvadzwa kwetsinga inofambisa tsinga dzenzwi (tsinga yegurokuro inodzokororwa).
- Kuvharika kwechubhu yetracheostomy nekuda kwemvura inobuda muchubhu kana kuti ropa rinogwamba.
- Kubata mhepo pasi peganda rakatenderedza mapapu, chipfuva, kana tracheostomy.
Chinhu chinonyanya kukosha ndechekuchengetedza tracheostomy tube yako yakachena uye kutevedzera mirairo yachiremba wako nokungwarira. Kuita izvi kunogona kuderedza zvikuru njodzi idzi.
Chii chinoitika mushure mekuvhiyiwa uye kuti ungaitarisira sei kumba?
Mushure mekuvhiyiwa, timu yezvekurapa ichanyatsoongorora mamiriro ako ezvinhu. Uchafanirwa kutaurirana nekunyora kusvika wava kukwanisa kutaura. Usati wadzokera kumba kubva kuchipatara, iwe nemhuri yako muchapihwa mirayiridzo yakadzama yekuti mungatarisira sei tracheostomy tube yenyu kumba.
Kazhinji zvinotora mavhiki maviri kuti tracheostomy tube ipore zvizere. Zvakajairika kunzwa kurwadziwa kwemutsipa panguva iyi. Zvinotorawo zuva rimwe kana maviri kuti ujairire kufema nepachubhu.
Kuchengetedza chubhu yakachena
Kumba, uchafanira kuchenesa tracheostomy tube yako kanenge kaviri pazuva. Uchafanirawo kuona chiremba wako zvakare pamazuva ayo chubhu inofanira kuchinjwa.
Kutaura
Kana wapora, unogona kutaura ne tracheostomy, asi zvinoda kudzidzira. Unogona kutaura nekuvhara muromo we tracheostomy nemunwe wobva wafuridza mweya nemuromo wako. Nyanzvi yemutauro wekutaura (SLP) ichakuratidza maitiro ekuita izvi. Kunewo mhando dzakasiyana dzemavharuvhu ekutaura dzinokubatsira kutaura usingavhare nemunwe.
Kudya
Zvinotora nguva kuti ujairire kumedza. Pakutanga, ungangoda kupiwa chikafu kuburikidza neIV kana chubhu yekudyisa. Nyanzvi yako yekutaura ichakubatsirawo nekurovedza muviri kuti kumedza kuve nyore.
Ndinofanira kuona chiremba nekukurumidza rini?
Kana ukaona chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU) .
| Zviratidzo zvekunyevera zvekutarisira |
|---|
| - Kana uchinetseka kufema. |
| - Kana kurova kwemoyo kukava kusina kurongeka. |
| - Kana uchinzwa kurwadziwa kwakanyanya kusingaderere kunyangwe mushure mekutora mushonga. |
| - Kana paine kuungana kwematehwe, kuzvimba kweronda, kana ganda panzvimbo yekuvhiyiwa. |
| - Kana ukaona zviratidzo zvehutachiona zvakaita sefivha, kutsvuka, kudziya, kana kuti urwa muronda. |
| - Kana payipi remumugwagwa richiita kunge rakasununguka kana kuti risina kumira zvakanaka. |
Zvakajairika kuti unzwe kutya uye usina chokwadi paunonzwa kuti unoda kuvhiyiwa tracheostomy. Asi yeuka, nerubatsiro rwechikwata chevanachiremba, vanhu vazhinji vanogona kufema, kudya, kunwa, uye kutaura zvakanaka mushure meizvi. Ingava yenguva pfupi kana kuti yenguva refu, unogona kunakidzwa nehupenyu hwako.
Mharidzo Yekuenda Nayo Kumba
- Tracheostomy kuvhiyiwa kunoponesa hupenyu kunokubatsira kufema.
- Zvakajairika kuti munhu atye izvi, asi kana akatarisirwa zvakanaka, chirwere ichi chinogona kugadziriswa zvakanaka.
- Tevedzera mirairo yachiremba wako nokungwarira nezvekuchenesa nekutarisira tracheostomy tube yako.
- Zvinotora nguva uye mwoyo murefu kuti ujaire kutaura nekumedza zvakare. Rubatsiro rwenyanzvi yekutaura rwakakosha pakuita izvi.
- Zivai zviratidzo zvekunyevera uye tsvagai mazano echiremba nekukasika kana paine matambudziko akamuka.
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