Ngaba kukho umntu kusapho lwakho onetyhubhu ye-tracheostomy yokumnceda aphefumle? Okanye usebenzisa enye ngokwakho? Ngoko mhlawumbi uyazi ukuba kuyinto eqhelekileyo ukuba i-mucus kunye nezinye izinto ezimdaka ziqokeleleke ngaphakathi kweli thubhu. Uninzi lwexesha, iyaphela xa ukhwehlela kakuhle. Kodwa ngamanye amaxesha, nokuba uzama kangakanani na, awukwazi ukuyisusa le mucus. Kulapho kufuneka "uyifunxe" khona le thubhu, oko kukuthi, uyicoce ngomatshini. Namhlanje, siza kuthetha ngendlela yokwenza oku ngokufanelekileyo nangokukhuselekileyo.
Yintoni ukufunxwa kwe-tracheostomy?
Ngamafutshane, i-tracheostomy yinkqubo encinci yotyando ephambi kwentamo efaka ityhubhu ngqo kwi-windpipe (trachea) yomntu onengxaki yokuphefumla. Le tyhubhu ivumela umntu ongakwaziyo ukuphefumla ngokwendalo ukuba aphefumle lula.
Kuqhelekile ukuba i-mucus iqokelele kwi-trachea yomntu onetyhubhu ngale ndlela. Eyona ndlela ilungileyo yokususa le mucus kukukhwehlela ngamandla. Kodwa ngamanye amaxesha i-mucus inokuba nkulu kakhulu ukuba ingasuswa ngokukhwehlela. Kwezo meko, sisebenzisa umatshini wokufunxa ukuze sikhuphe i-mucus size siyisuse, ebizwa ngokuba yi-tracheostomy suction.
Oku kungenziwa ngabasebenzi bezonyango esibhedlele, okanye banokukufundisa indlela yokufunxa ityhubhu yakho (okanye ityhubhu yomntwana wakho) ekhaya. Kubaluleke kakhulu ukukufunda oku ngokuchanekileyo ukuthintela ityhubhu ukuba ingabambeki kwaye wenze ukuphefumla kube lula.
Uyazi njani ukuba ityhubhu ifuna ukufunxwa?
Xa unyamekela umntu one-tracheostomy tube, kufuneka uqaphele iimpawu ezininzi ezibonisa ukuba lixesha lokufunxa i-tube. Ezi mpawu zithetha ukuba i-tube ivalekile yi-mucus kwaye kufuneka icocwe.
| Uphawu olubonakalayo/olubonakalayo | Ithetha ntoni le nto? |
|---|---|
| Ukukhwehlela okumanzi nokufuthayo | I-mucus iphuma kunye nokukhwehlela, kodwa ayipheli ngokupheleleyo. |
| Ukuziva uphelelwa ngumphefumlo | Ndivakalelwa kukuba andiphefumli ngokwaneleyo. |
| Ukuvela kwamaqamza e-mucus kufutshane nomlomo wetyhubhu | I-mucus izama ukuphuma kwityhubhu. |
| Ukuva isandi sokurhona | Esi sandi senziwa kuba umoya uhamba nge-mucus xa uphefumla. |
| Ukwanda kwesantya sokuphefumla, ukuphefumla | Inzame yokufumana ioksijini efunekayo emzimbeni. |
| Umbala oluhlaza okwesibhakabhaka ojikeleze umlomo (i-cyanosis) | Le yingxamiseko. Luphawu lokuba igazi alifumani ioksijini eyaneleyo. |
| Isandi esifana nesempempe esivela kumbhobho | Umbhobho unciphile, kwaye akukho ndawo ingako yokungena komoya. |
| Ukungazoli, ukuphazamiseka | Uxinzelelo olubangelwa kubunzima bokuphefumla. |
Ngamafutshane, eyona nto ingcono onokuyenza kukufunxa ityhubhu ye-tracheostomy nanini na xa ucinga ukuba ivaliwe.
Izinto ekufuneka uzilungiselele ngaphambi kokufunxa
Kubaluleke kakhulu ukuba ulungiselele yonke into oyifunayo ngaphambi kokuba uqale lo msebenzi. Emva koko ungawenza umsebenzi ngaphandle kwengxaki.
- Umatshini wokufunxa i-tracheostomy
- I-catheter entsha necocekileyo yokufunxa
- Umbhobho wokudibanisa odibanisa i-catheter kumatshini
- Ikomityi yamanzi acocekileyo, abilayo
- Iiglavu
- Isitya esincinci okanye isitya
Le nkqubo yenzeka njani? Masifumanise inyathelo ngenyathelo!
Ukuba uzifunxa wena okanye omnye umntu, ungakwenza oko ngokukhuselekileyo ngokulandela la manyathelo.
1. Hlamba izandla zakho kakuhle: Faka isepha uze uhlambe izandla zakho ngamanzi abalekayo uze uzomise ngetawuli ecocekileyo.
2. Fumana indawo ekhululekileyo: Hlala esitulweni okanye ulale ebhedini. Zibeke ngendlela enika inkxaso entle entlokweni nasentanyeni yakho.
3.Vula umatshini uze ubeke uxinzelelo: Vula umatshini wokufunxa uze ubeke uxinzelelo lube phantsi okanye phakathi. Olu xinzelelo ludla ngokubekwa phakathi kwe-80-120 mmHg (iimilimitha ze-mercury). Ungaze unyuse uxinzelelo olungaphezulu kwe-120 mmHg. Ukwenza njalo kunokonakalisa indlela yomoya. Ukuba awuqinisekanga ngale nto, buza ugqirha wakho kuqala.
4. Nxiba iiglavu: Nxiba iiglavu ezicocekileyo. Awudingi iiglavu ezicocekileyo ukuze wenze oku.
5. Seta i-catheter: Ncamathisela i-catheter ecocekileyo yokufunxa kwelinye icala lombhobho. Qinisekisa ukuba elinye icala lombhobho linamathele kakuhle kumatshini.
6. Phefumla nzulu: Awuyi kukwazi ukuphefumla kakuhle ngelixa i-catheter ikwityhubhu. Ngoko ke phefumlela nzulu kancinci ngaphambi kokuba uphefumle. Kuqhelekile ukukhohlela xa ufunxa.
7. Faka i-catheter: Ngoku faka i-catheter ngononophelo kwityhubhu ye-tracheostomy. Yifake kuphela ngokomyalelo wakho. Musa ukuyinyanzela . Ukuba uziva into ibambeka, yima apho. Musa ukuyigquma umngxuma wokufunxa ngomnwe wakho ngeli xesha. Oku kuthetha ukuba akulunganga ukusebenzisa i-suction ngelixa ufaka i-catheter.
8. Tsala i-catheter kancinci: Ngaphambi kokuba uqale ukufunxa, tsala i-catheter efakiweyo kancinci. Oku kuya kuyivumela ukuba isebenze kakuhle.
9. Qalisa ukufunxa: Ngoku beka ubhontsi wakho phezu komoya wokulawula ukufunxa uze uwuvale. I-mucus iza kuqala ukufunxa. Musa ukuqhubeka nokufunxa ngaphezu kwemizuzwana eli-10. Ukuba uziva ungakhululekanga ngelixa usenza njalo, susa umnwe wakho ngoko nangoko.
10. Susa i-catheter: Jija i-catheter kancinci njengoko uyisusa kwi-tracheostomy tube.
Ukuba awuva okanye awuboni nasiphi na isimuncu kufutshane nombhobho, ugqibile. Kodwa kunokufuneka ufake isimuncu esingakumbi. Ukuba kunjalo, linda ubuncinane imizuzwana engama-30 ngaphambi kokuba uphinde wenze njalo. Ukuba i-catheter ivalekile yi-mucus, khupha amanzi ukuze uyicoce, okanye usebenzise entsha.
Ukuba uzame izihlandlo ezithathu kodwa awukwazi ukukhupha i-mucus, linda malunga nemizuzu eli-10 uze uzame kwakhona. Nangona kunjalo, ukuba ufumana ubunzima obukhulu bokuphefumla, funa uncedo ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
Uzicoca njani izixhobo xa ugqibile?
Kubaluleke kakhulu ukucoca izixhobo ngokufanelekileyo emva kokuzifunxa.
- Faka amanzi acocekileyo, abilayo esinkini.
- Funxa loo manzi nge-suction catheter uze uhlambe kakuhle ingaphakathi letyhubhu.
- Cima umatshini wokufunxa.
- Susa i-catheter. Ukuba ingasetyenziswa kwakhona, yilahle emgqomeni wenkunkuma. Ukuba ingasetyenziswa kwakhona, yihlambe uze uyibeke ecaleni ukuze ibulawe iintsholongwane kamva.
- Xhoma ityhubhu yokudibanisa kumatshini, incam yayo ijonge phezulu.
- Hlamba isinki kakuhle ngesepha.
- Susa iiglavu uze uzilahle.
- Okokugqibela, hlamba izandla zakho kakuhle ngesepha kwakhona.
Zithini iingenelo kunye neengxaki ezinokubakho zoku?
Ukufunda ukufunxa ekhaya kunokunciphisa inani lokuya esibhedlele. Kukunika inkululeko yokucoca ityhubhu nanini na xa kufuneka. Le yeyona ndlela ilungileyo yokufumana isiqabu ngokukhawuleza kwiingxaki zokuphefumla ezibangelwa yi-mucus etyebileyo.
Iingxaki azixhaphakanga, kodwa ngamanye amaxesha zinokubakho.
- Ukopha kancinci
- Iintsholongwane
- Intlungu okanye ukungakhululeki
- Ngamanye amaxesha, ukuvuselelwa kwemithambo-luvo yesini kunokunciphisa izinga lentliziyo kunye namanqanaba eoksijini.
Kufuneka uthethe nini nogqirha?
Thetha nogqirha wakho nanini na xa unenkxalabo malunga nokufunxwa kwe-tracheostomy yakho. Ingakumbi ukuba ubona nayiphi na kwezi zilandelayo :
- Ukuba i-mucus inuka kakubi.
- Ukuba i-mucus itshintsha umbala (umthubi, uluhlaza, ubomvu, okanye umdaka), ezi zinokuba ziimpawu zosulelo.
Ukuba awukwazi ukususa i-mucus emva kokuyifunxa, okanye ukuba uyaqhubeka nokuba nobunzima bokuphefumla nangona uyifunxa, tsalela umnxeba ugqirha wakho ngokukhawuleza okanye uye kwisebe likaxakeka lesibhedlele elikufutshane (ETU). Ngamanye amaxesha, ukuba i-mucus ityebile kakhulu, ityhubhu ye-tracheostomy inokufuneka itshintshwe.
Ukuphila ngetyhubhu ye-tracheostomy kuneengxaki zako. Kodwa xa ufunda ezi zinto ngokufanelekileyo, nawe ungazoyisa ezo ngxaki kwaye uphile ubomi benkululeko ngokwenza izinto ozithandayo.
Umyalezo Wokuya Ekhaya
- Funxa ityhubhu ye-tracheostomy ngokukhawuleza nje ukuba uqaphela iimpawu zokufuna ukufunxwa (ukuncwina, ubunzima bokuphefumla). Musa ukulinda de kufike ixesha elimiselweyo.
- Xa ufunxa, musa ukukwenza oku ngaphezu kwemizuzwana eli-10 ngexesha. Oku kunokwenza kube nzima ukuphefumla.
- Sebenzisa izixhobo ezicocekileyo rhoqo. Hlamba izandla zakho kakuhle ngaphambi nasemva komsebenzi.
- Ukuba umbala we-mucus uyatshintsha, ukuba ivumba kakubi, okanye ukuba ubunzima bokuphefumla abuphucuki nasemva kokufunxa, tsalela umnxeba ugqirha wakho ngoko nangoko okanye uye kwi-ETU.
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