Nabani na onengxaki yokuphefumla uyoyika kancinci xa esithi uza kwenza umngxuma entanyeni aze afake ityhubhu kuyo, akunjalo? Kwizonyango, oku sikubiza ngokuba yi-tracheostomy . Kodwa olu lunyango olubaluleke kakhulu olwenzelwa ukusindisa ubomi, kwaye ludla ngokuba lolwexeshana. Nokuba ukhe weva ngale nto, usenokuba nemibuzo emikhulu kunye noloyiko kuba awazi ukuba yintoni kanye kanye. Ngoko masithethe ngayo yonke into ngokucacileyo nangokulula namhlanje.
Yintoni kanye kanye i-tracheostomy?
Ngamafutshane, i-tracheostomy yinkqubo yotyando edala umngxuma, okanye umngxuma, ngaphambili kwentamo yakho, ngqo kumbhobho wakho womoya (ibronchi) . Emva koko kufakwa umbhobho we-tracheostomy ngale mngxuma kumbhobho wakho womoya. Oku ngokuyintloko kuvumela umntu onengxaki yokuphefumla ngomlomo nangempumlo ukuba aphefumle umoya (ioksijini) ngqo emiphungeni yakhe ngale mbhobho entanyeni yakhe, edlula ezo ndlela zimbini.
Sikwabiza olu tyando lokwenza lo mngxuma ngokuba yi-tracheotomy . Nangona kunjalo, ngolwimi oluqhelekileyo, noogqirha basebenzisa omabini la magama ngokutshintshana.
Kunini apho kufuneka khona i-tracheostomy?
Zininzi izizathu zokuba kwenziwe utyando lwe-tracheostomy. Nangona olu lutyando olucwangcisiweyo, ngamanye amaxesha luyimfuneko kwiimeko ezingxamisekileyo. Itheyibhile engasezantsi iya kukunika umbono olungileyo ngalo mba.
| Isizathu sokufuna unyango | Icacisiwe ngokulula |
|---|---|
| Ukuvalwa kwendlela yomoya | Ukuba indlela yokungena komoya ivaliwe ngenxa yethumba lomphimbo, usulelo oluqatha, okanye ingozi kunye nokufakwa kwetyhubhu akunakwenzeka. |
| Ubunzima bokuphefumla ixesha elide | Ukuba awukwazi ukuphefumla wedwa ngenxa yeemeko ezifana nesifo esibi semiphunga, ukukhubazeka, okanye ukwenzakala okukhulu entloko okanye entanyeni. |
| Ukuqhagamshelwa kwi-ventilator | Ukuba umntu ufuna ukuqhagamshelwa kwi- ventilator ixesha elingaphezu kweveki, le ndlela ilula kwaye ikhuselekile. |
| Ubunzima bokususa i-mucus | Ngenxa yezinye iimeko zempilo, ukukhwehlela akukwazi ukususa i-mucus emiphungeni. Ukufunxa i-mucus ngale tube kulula kakhulu. |
| Emva kotyando lomphimbo | Emva kotyando emqaleni okanye kwibhokisi yelizwi, njengoncedo ekuphefumleni ide indawo iphole. |
Into ebalulekileyo kukuba, ngokuxhomekeke kwimeko yakho, olu hlobo lwe-tracheostomy lunokuba lolwexeshana okanye oluhlala luhleli . Ugqirha wakho uza kukuchazela oku ngokweenkcukacha.
Ndingazilungiselela njani ngaphambi kolu tyando?
Ukuba olu lutyando olucwangcisiweyo, ugqirha wakho uza kukuxelela indlela yokululungiselela. Ekubeni ludla ngokwenziwa phantsi kwe -anesthesia eqhelekileyo , unokucelwa ukuba ungatyi okanye usele iiyure ezimbalwa ngaphambi kwenkqubo kwaye uyeke ukusebenzisa amayeza athile.
Ekubeni uza kuba sesibhedlele iintsuku okanye iiveki ezimbalwa emva kotyando, kufuneka upakishe ibhegi encinci.
- Impahla nezinto zobuqu: Iimpahla zokulala ezikhululekileyo, izinto ezifana nebrashi yamazinyo.
- Amayeza owasebenzisayo: Zisa nawaphi na amayeza kunye neevithamini ozisebenzisayo ngoku.
- Into onokuyonwabela: Ukuphatha into efana nencwadi okanye imagazini kunokuba ngamava athuthuzelayo ngexesha lokuchacha kwakho.
- Izixhobo zonxibelelwano: Oku kubaluleke kakhulu. Unokufumana kunzima ukuthetha iintsuku ezimbalwa emva kotyando. Ngoko ke, ukuza nencwadi yokubhala kunye nepeni, okanye iselfowuni okanye ithebhulethi yakho, kuya kuba luncedo olukhulu ekunxibelelaneni noogqirha, abahlengikazi kunye nosapho.
Lwenziwa njani olu tyando?
Kukho iindlela ezimbini eziphambili.
1. Utyando Oluvulekileyo (i-Open Tracheotomy)
Le yindlela yendabuko. Yenziwa kwigumbi lotyando. Uza kulaliswa aze ugqirha akwenzele utyando oluncinci entanyeni yakho, ngaphantsi nje kwe-apile lika-Adam. Utyando luza kuvula lungene kumbhobho womoya (I-trachea (umbhobho womoya) iyavezwa kwaye kwenziwe umngxuma omncinci kuyo. Emva koko, kufakwa ityhubhu ye-tracheostomy ngemngxuma ize iqiniswe ngekhola ye-tracheostomy. Ukuba awukwazi ukuphefumla wedwa, le tyhubhu iqhagamshelwe kwi-ventilator.
2. I-Percutaneous Tracheostomy
Le yindlela entsha. Inokwenziwa rhoqo ebhedini yesibhedlele. Akukho sithuba sikhulu. Endaweni yoko, kusetyenziswa inaliti ukwenza umngxuma entanyeni nakwi-trachea. Emva koko, umngxuma uyakhula kancinci kancinci kwaye ityhubhu ifakwa. Oku kubangela umonakalo omncinci kwizicubu.
Zithini iingenelo kunye neengozi ezinokubakho?
Eyona nzuzo iphambili kukuba inika umoya ofunekayo ukuze umntu ongakwaziyo ukuphefumla ngempumlo nangomlomo wakhe aphile. Ikwakhululekile kakhulu kwisigulana kunokuba netyhubhu emlonyeni ixesha elide. Ikwaluncedo olukhulu kwabo baqala ukuphefumla bodwa emva kokususwa kwi-ventilator.
Nangona kunjalo, njengalo naluphi na utyando, kukho iingozi ezithile.
| Ingxaki enokwenzeka |
|---|
| • Ukopha kunye nosulelo. |
| • Ukonakala komqala okanye umphimbo. |
| • Ukuncitshiswa kwendlela yomoya ngenxa yezicubu ezibomvu. |
| • Ukonakala kwimithambo-luvo elawula iintambo zelizwi (imithambo-luvo yelaryngeal ephindaphindayo) . |
| • Ukuvaleka kwetyhubhu yetracheostomy ngenxa ye-mucus okanye amahlwili egazi. |
| • Umoya uvaleleke emiphungeni, esifubeni, okanye phantsi kolusu. |
Uninzi lwezi ngozi lunokunciphisa ngokulandela imiyalelo yezonyango ngokuchanekileyo nokugcina ityhubhu icocekile.
Ubomi emva kotyando bunjani?
Iqela lezonyango liza kujonga ngokusondeleyo indlela ochacha ngayo emva kotyando. Kungathatha iiveki ezimbini ukuba inxeba liphole ngokupheleleyo. Kuqhelekile ukuba uzive iintlungu zentamo ngeli xesha. Kuza kuthatha usuku okanye ezimbini ukuqhela ukuphefumla ngetyhubhu.
Ukuthetha
Emva kwexesha elithile uphilile, uya kukwazi ukuthetha ngokuziqhelanisa. Isandi senziwa ngokugquma umngxuma osembhobhoni ngomnwe wakho nokuvuthela umoya ngomlomo wakho. Ingcali yezifo zolwimi lokuthetha (SLP) ingakunceda ngale nto. Kukwakho neentlobo ezikhethekileyo zeevalvu zokuthetha ezikunceda uthethe ngaphandle kokugquma umnwe wakho.
Ukutya
Kuza kuthatha ixesha ukuqhela ukuginya. Ekuqaleni, unganikwa ukutya ngetyhubhu okanye ngetyhubhu. Ingcali yakho yokuthetha iya kukunceda utye ngendlela eqhelekileyo ngokwenza umthambo wokuginya.
Ukususa ityhubhu
Ukuba i-tracheostomy yakho yeyexeshana, ugqirha wakho uya kuyisusa ityhubhu xa indlela yakho yomoya iqhelekile. Oku kubizwa ngokuba yi-decannulation . Ngamanye amaxesha umngxuma uyazivalela wodwa, okanye unokufuna utyando oluncinci ukuze uluvale. Usenokushiywa unenxeba elincinci.
| Ukuba unale mpawu, yazisa ugqirha wakho okanye isibhedlele ngokukhawuleza! |
|---|
| - Ukuba ufumana ubunzima bokuphefumla. |
| - Ukuba uvakalelwa kukuba ukubetha kwentliziyo yakho akuhambelani. |
| - Ukuba unentlungu enzima engapheziyo nokuba sele usele amayeza. |
| - Ukuba kukho ukudumba, ukunamathela, okanye iimpawu zosulelo (umkhuhlane, ukubomvu, ubomvu) ezijikeleze umbhobho. |
| - Ukuba ityhubhu ye-tracheostomy iphuma okanye iphuma ngokupheleleyo. Le yingxamiseko. Yiya kwiSebe leNgxamiseko elikufutshane (ETU) ngoko nangoko. |
Kuqhelekile ukuziva usoyika kwaye ungaqinisekanga xa uxelelwa ukuba udinga i-tracheostomy. Kodwa khumbula, ngoncedo lweqela lakho lezonyango, abantu abaninzi banokufunda ukuphefumla, ukutya, ukusela, kunye nokuthetha ngokuqhelekileyo ngale nkqubo. Nokuba yeyokwexeshana okanye engapheliyo, musa ukuyivumela ukuba ikuthintele ekwenzeni izinto ozithandayo nokuphila ubomi obonwabisayo. Thetha ngokukhululekileyo nogqirha wakho malunga nazo naziphi na iingxaki okanye uloyiko onokuba nalo.
Umyalezo Wokuya Ekhaya
- I-tracheostomy yingxunya yotyando eyenziwe kwi-windpipe entanyeni ukuze incede ekuphefumleni.
- Oku kwenziwa ngezizathu ezinzulu ezifana nokuvaleka kwendlela yomoya kunye nokuqhagamshelwa kwi-ventilator ixesha elide.
- Kubantu abaninzi, oku kungokwexeshana, kwaye ityhubhu iyasuswa emva kokuphola.
- Ukucoca nokunyamekela ityhubhu ngokufanelekileyo ekhaya kubalulekile ukuze kuthintelwe iingxaki.
- Ngoncedo lwengcali yentetho kunye neqela lezonyango, ungabuyela ekuthetheni nasekutyeni.
- Kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza xa kukho ubunzima bokuphefumla, iimpawu zosulelo, okanye ukuphuma kombhobho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment