Zvakajairika kunzwa kutya uye kusaziva kana chiremba wako akakuudza iwe kana mumwe munhu wemumhuri mako kuti unofanira kuvhiyiwa tracheostomy. Zvinoshamisa kunzwa kuti uchaboora mutsipa wako woisa chubhu mukati mawo kuti ufeme, handiti? Asi usazvidya mwoyo. Iyi inzira inokosha yekurapa inogona kuponesa hupenyu nekudzivirira matambudziko ekufema. Tichataura nezvezvinhu zvese nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi tracheostomy?
Kuvhiyiwa kwetracheostomy inzira yekuvhiya inoita kuti pave neburi riri pamberi pemutsipa wako, zvakananga mupaipi yemhepo (trachea). Tubhu yetracheostomy inozopinzwa nepaburi iri mupaipi yemhepo. Izvi zvinobvumira mweya kuti upinde zvakananga mumapapu ako kana uchinetseka kufema nemuromo nemhino.
Vanachiremba vanowanzotaura nezvemaitiro aya pamwe nekuvhurwa ikoko se 'tracheostomy.' Saka usavhiringidzwa nazvo.
Sei zvichikosha kuita oparesheni yakadai?
Pane zvikonzero zvakawanda zvinoita kuti munhu ade kuvhiyiwa tracheostomy. Dzimwe nguva mhinduro yacho ndeyenguva pfupi, uye dzimwe nguva inogona kuva mhinduro inogara iripo. Ngatitarisei zvikonzero zvikuru.
| Chikonzero chekudiwa | Tsananguro iri nyore |
|---|---|
| Kuvharirwa kwemhepo inofambisa mweya | Nzira yekufema inopinda nemuromo kana mumhino inovharika kana kuvharika zvachose nekuda kwechimwe chikonzero (nekuda kwebundu, kuzvimba, kana tsaona). Kufema kunoitwa kana zvisingaite kuita izvi. |
| Kupa kufema kwekugadzira kwenguva yakareba | Kana murwere achida kubatanidzwa nemuchina wekufema kweanopfuura vhiki nekuda kwechirwere, senge kuoma mitezo, kana tsaona yakakomba, zviri nyore kuti murwere avhiyiwe tracheostomy. |
| Kuoma kubvisa madzihwa | Mamwe matambudziko ehutano anoita kuti zviome kubvisa tsvina nematsvina anoungana mumapapu kana munhu achikosora. Kusveta tsvina iyi nepachubhu iyi kuri nyore kwazvo. |
| Mushure mekuvhiyiwa kukuru | Inoshandiswa kubatsira kufema mushure mekuvhiyiwa kukuru pamuromo wenzwi kana pahuro kusvika nzvimbo yacho yapora. |
Unogadzirira sei kuvhiyiwa?
Kana iri kuvhiyiwa kwakarongwa, chiremba wako achakupa mirayiridzo yekuti ungagadzirira sei. Sezvo ichiwanzoitwa pasi peanesthesia, unogona kukumbirwa kuti usadye kana kunwa kwemaawa mashoma usati wavhiyiwa uye kurega kushandisa mimwe mishonga.
Sezvo uchange uri muchipatara kwemazuva mashoma kana mavhiki mushure mekuvhiyiwa, uchafanira kugadzirira zvimwe zvinhu zvinodiwa.
- Zvipfeko nezvinhu zvako: Mbatya dzemubhedha dzakanaka, bhurashi remazino, nesipo.
- Mishonga yauri kutora: Kana watove kutora mushonga weimwe chirwere, iva nechokwadi chekuuya nemishonga iyoyo newe.
- Chimwe chinhu chekuzvifadza nacho: Zvakanaka kuuya nechimwe chinhu chinokufadza, senge bhuku kana pepanhau, paunenge uri muchipatara.
- Zvishandiso zvekutaurirana: Izvi zvakakosha zvikuru. Ungasakwanisa kutaura nekukurumidza mushure mekuvhiyiwa. Saka, chengeta peni nepepa, kana foni yako yefoni kana tablet iri pedyo kuti utaure navanachiremba, vanamukoti, nevadikanwi vako.
Kuvhiyiwa uku kunoitwa sei?
Kuvhiyiwa kwetracheostomy kunogona kuitwa nenzira mbiri huru.
Kuvhiyiwa kwepachivande kwechivanhu (Open Tracheotomy)
Izvi zvinoitirwa muimba yekuvhiyiwa. Kutanga, ucharadzikwa (anesthesia). Zvadaro chiremba anovhiya achaita kucheka kudiki pamutsipa wako, pasi peapuro rako reAdam. Kucheka uku kuchaitwa nepamadziro epaipi yako yemhepo, zvichiita kuti pave neburi rakakura zvakakwana kuti uise tracheostomy tube. Kana chubhu yangoiswa, ichasungwa nekora yakatenderedza mutsipa wako kuti isafambe. Dzimwe nguva, unogona kusona kwenguva pfupi. Kana usingakwanise kufema wega, chubhu iyi ichabatanidzwa zvakananga nemuchina wekufema.
Percutaneous Tracheostomy
Iyi inzira itsva. Kazhinji inogona kuitwa muchipatara chiri pedyo nemubhedha wako. Hapana kucheka kukuru. Pane kudaro, chiremba anoshandisa tsono kugadzira buri mumutsipa wako uye mupaipi yemhepo. Zvadaro, waya inopfuudzwa nepaburi, uye chubhu yepurasitiki (catheter) inopinzwa mukati mayo, ichikura zvishoma nezvishoma buri. Zvadaro, chubhu yetracheostomy inopinzwa.
Nzira iyi inowanzo batsira murwere, sezvo pasina kukuvara kukuru uye nguva yekupora inogona kuderedzwa.
Ndezvipi zvakanakira uye njodzi dzeizvi?
Chinhu chikuru ndechekuti inogona kubatsira kuponesa hupenyu kana dzimwe nzira dzekufema dzisingakwanisike. Zviri nyore kumurwere pane kuisirwa matubhu. Inobatsirawo zvikuru varwere vari kutanga kufema vega mushure mekubviswa muchina wekufema.
Asi semamwe maoparesheni, kune dzimwe njodzi. Asi yeuka, vanachiremba vanoita zvese zvavanogona kuderedza njodzi idzi.
- Kubuda ropa uye hutachiona.
- Kukuvadzwa kwegurokuro kana trachea.
- Kudzikira kwenzira yekufema nekuda kwemavanga kana kuzvimba.
- Kukuvadzwa kwetsinga inodzora tsinga dzenzwi (tsinga yegurokuro inodzokororwa).
- Kuvharika kwechubhu yetracheostomy nekuda kwemvura inobuda muchubhu kana kuti ropa rinogwamba.
- Mhepo yakavharirwa pasi peganda rakatenderedza chubhu kana mumapapu.
- Kuburika kusina kujairika (fistula) pakati pepaipi yemhepo negurokuro (izvi zvinogona kukonzera kuti chikafu nechinwiwa zvipinde mumapapu).
Njodzi dzakawanda idzi dzinogona kudzivirirwa nekuchengeta chubhu yakachena uye kutevedzera mirairo yachiremba nokungwarira.
Unoita sei kuti urarame hupenyu mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, timu yako yezvekurapa ichakutarisira zvakanaka. Zvinowanzotora mavhiki maviri kuti ronda ripore zvakakwana. Zvakajairika kunzwa kurwadziwa kwemutsipa panguva iyi. Zvinotorawo zuva rimwe kana maviri kuti ujairire kufema nepachubhu.
Kutarisirwa kwetracheostomy
Usati wadzokera kumba kubva kuchipatara, vashandi vekuchengeta varwere vachakupa iwe nemuchengeti wako mirayiridzo yakadzama yekuti ungachenesa sei chubhu kumba (kazhinji kaviri pazuva) uye kuisveta. Zvakakosha kuti utevedzere mirairo iyi nemazvo.
Kutaura
Mushure mechinguva, uchazokwanisa kutaura, asi zvinoda kudzidzira. Izvi zvinowanzo sanganisira kufukidza muromo wechubhu nemunwe wako uye kutaura uku uchifemera mweya mumuromo mako. Nyanzvi yekutaura-mutauro (SLP) ichakuratidza maitiro ekuita izvi. Kunewo mavharuvhu ekutaura akakosha anokubatsira kutaura usingavhare munwe wako.Iva nemwoyo murefu, uye uchakwanisa kutaura zviri nani paunenge wajaira.
Kudya
Pakutanga, zvinogona kuoma kumedza chikafu nechinwiwa. Munguva iyi, uchapihwa chikafu kuburikidza neIV kana chubhu yekudyisa. Nyanzvi yekutaura ichakudzidzisa maekisesaizi ekuvandudza hunyanzvi hwako hwekumedza, uye zvishoma nezvishoma uchakwanisa kudya zvakajairika.
Kana uchida kufonera chiremba nekukasika
Mushure mekudzokera kumba, kana ukaona chimwe chezviratidzo zvinotevera , fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
| Zviratidzo zvinoda kutarisirwa nekukurumidza | |
|---|---|
| Kuoma kufema | Kana uchinzwa sekunge uri kunetseka kufema. |
| Kuchinja kwekurova kwemoyo | Kana kurova kwemoyo kukawedzera zvisina kujairika kana kuti kukava kusina kurongeka. |
| Kurwadziwa kwakanyanya | Kana uine kurwadziwa kwakanyanya kusingaderere kunyangwe mushure mekutora mushonga. |
| Zviratidzo zvehutachiona | Fivha, kutsvuka, kuzvimba, kudziya, kana kuti urwa panzvimbo yekuvhiyiwa. |
| Kuvharika kana kusunungura chubhu | Madzihwa ari muchubhu anogona kuvharika, kuzvimba, kana kuti chubhu inogona kusuduruka kana kusuduruka. |
Kunyangwe kunzwa kuti unoda tracheostomy kuchityisa, kazhinji inzira inoponesa hupenyu uye yakachengeteka. Nerubatsiro rwechikwata chako chekurapa, unogona kujaira mamiriro ezvinhu matsva aya, kuita zvinhu zvaunoda, uye kurarama hupenyu hunofadza.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwetracheostomy inzira yakachengeteka yekufema nyore. Usatye.
- Zvichienderana nemamiriro ako ezvinhu, zvinogona kuva mhinduro yenguva pfupi kana kuti yenguva dzose.
- Kutarisirwa kwakachena uye kwakakodzera kwetracheostomy tube kwakakosha kudzivirira matambudziko.
- Nerubatsiro rwachiremba wako, vashandi vanochengeta varwere, uye nyanzvi yekutaura, uchakwanisa kutaura, kudya, uye kurarama hupenyu hwakajairika zvakare.
- Kana paine matambudziko kana kusava nechokwadi, usambozeza kubvunza chiremba wako nekukasika.
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