Noma ubani onenkinga yokuphefumula uyesaba kancane uma ethi uzovula imbobo entanyeni bese efaka ipayipi kuyo, akunjalo? Kwezokwelapha, lokhu sikubiza ngokuthi i-tracheostomy . Kodwa lokhu kuyindlela yokwelapha ebaluleke kakhulu eyenziwa ukusindisa izimpilo, futhi ivame ukuba yesikhashana. Ngisho noma uke wezwa ngalokhu, ungase ube nemibuzo emikhulu nokwesaba ngoba awazi kahle ukuthi kuyini. Ngakho ake sixoxe ngakho konke ngokucacile nangokulula namuhla.
Iyini ngempela i-tracheostomy?
Kalula nje, i-tracheostomy inqubo yokuhlinzwa edala imbobo, noma umgodi, ngaphambili kwentamo yakho, ngqo emphinjeni wakho womoya (i-bronchi) . Ithubhu ye-tracheostomy ibe isifakwa ngale mbobo emphinjeni wakho womoya. Lokhu kuvumela umuntu onenkinga yokuphefumula ngomlomo namakhala ukuthi aphefumule umoya (i-oxygen) ngqo emaphashini akhe ngaleli thubhu entanyeni yakhe, edlula leyo mizila emibili.
Siphinde sibize ukuhlinzwa kokudala le mbobo ngokuthi i-tracheotomy . Kodwa-ke, ngolimi oluvamile, ngisho nodokotela basebenzisa womabili la magama ngokushintshana.
Kunini lapho kudingeka khona i-tracheostomy?
Kunezizathu eziningi zokuthi kungani kungenziwa i-tracheostomy. Nakuba lokhu kuvame ukuba ukuhlinzwa okuhleliwe, ngezinye izikhathi kuyadingeka ezimweni eziphuthumayo. Ithebula elingezansi lizokunikeza umbono omuhle ngalokhu.
| Isizathu sokudinga ukwelashwa | Kuchazwe kalula |
|---|---|
| Ukuvinjelwa komoya | Uma indlela yokungena komoya ivaliwe ngenxa yesimila somphimbo, ukutheleleka okukhulu, noma ingozi kanye nokufakwa kwepayipi akunakwenzeka. |
| Ukuphefumula okunzima isikhathi eside | Uma ungakwazi ukuphefumula wedwa ngenxa yezimo ezifana nesifo esibi samaphaphu, ukukhubazeka, noma ukulimala okukhulu ekhanda noma entanyeni. |
| Ukuxhumeka kumshini wokuphefumula | Uma umuntu edinga ukuxhunywa kumshini wokuphefumula isikhathi esingaphezu kwesonto, le ndlela ilula futhi iphephile. |
| Ubunzima bokususa amafinyila | Ngenxa yezinye izimo zezokwelapha, ukukhwehlela akukwazi ukususa amafinyila emaphashini. Ukumunca amafinyila ngaleli payipi kulula kakhulu. |
| Ngemva kokuhlinzwa komphimbo | Ngemva kokuhlinzwa emphinjeni noma ebhokisini lezwi, njengosizo ekuphefumuleni kuze kube yilapho indawo iphola. |
Into ebalulekile ukuthi, kuye ngesimo sakho, le tracheostomy ingaba yesikhashana noma ehlala njalo . Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
Ngingalungiselela kanjani ngaphambi kwalokhu kuhlinzwa?
Uma lokhu kuwukuhlinzwa okuhleliwe, udokotela wakho uzokutshela ukuthi ungakulungiselela kanjani. Njengoba kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile , ungase ucelwe ukuthi ugweme ukudla noma ukuphuza amahora ambalwa ngaphambi kwenqubo futhi uyeke ukuthatha imithi ethile.
Njengoba uzobe usesibhedlela izinsuku ezimbalwa noma amasonto ngemva kokuhlinzwa, udinga ukupakisha isikhwama esincane.
- Izingubo nezinto zomuntu siqu: Izingubo zombhede ezikhululekile, izinto ezifana nebhulashi lamazinyo.
- Imithi oyiphuzayo: Letha noma yimiphi imithi namavithamini owaphuzayo njengamanje.
- Okuthile ongazijabulisa ngakho: Ukuphatha into efana nencwadi noma umagazini kungaba yinto eduduzayo ngesikhathi sokululama.
- Imishini yokuxhumana: Lokhu kubaluleke kakhulu. Ungase ukuthole kunzima ukukhuluma izinsuku ezimbalwa ngemva kokuhlinzwa. Ngakho-ke, ukuletha incwadi yokubhalela kanye nepeni, noma i-smartphone noma ithebhulethi yakho, kuzoba usizo olukhulu ekuxhumaneni nodokotela, abahlengikazi, kanye nomndeni.
Ukuhlinzwa kwenziwa kanjani?
Kunezindlela ezimbili eziyinhloko.
1. Ukuhlinzwa Okuvulekile (i-Open Tracheotomy)
Lena yindlela yendabuko. Kwenziwa ekamelweni lokuhlinza. Uzolaliswa bese udokotela ohlinzayo enza ukusika okuncane entanyeni yakho, ngaphansi nje kwe-apula lika-Adam. Ukusika kuzovuleka ku-windpipe (Umphimbo womoya (i-bronchi) uyavezwa bese kwenziwa imbobo encane kuwo. Ngemuva kwalokho, kufakwa ithubhu le-tracheostomy ngembobo bese liqiniswa ngekhola ye-tracheostomy. Uma ungakwazi ukuphefumula wedwa, leli thubhu lixhunywe kumshini wokuphefumula.
2. I-Percutaneous Tracheostomy
Lena indlela entsha. Ingenziwa kaningi embhedeni wesibhedlela. Akukho ukusikwa okukhulu. Esikhundleni salokho, kusetshenziswa inaliti ukwenza imbobo entanyeni nase-trachea. Ngemuva kwalokho, imbobo iyakhula kancane kancane bese kufakwa ipayipi. Lokhu kubangela umonakalo omncane ezicutshini.
Yiziphi izinzuzo kanye nezingozi ezingaba khona?
Inzuzo enkulu ukuthi inikeza umoya odingekayo ukuze umuntu ongakwazi ukuphefumula ngamakhala nangomlomo wakhe. Futhi kukhululekile kakhulu esigulini kunokuba nepayipi emlonyeni isikhathi eside. Futhi kuwusizo olukhulu kulabo abaqala ukuphefumula bodwa ngemva kokususwa emshinini wokuphefumula.
Nokho, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile.
| Inkinga Engaba Khona |
|---|
| • Ukopha kanye nokutheleleka. |
| • Ukulimala komphimbo noma umphimbo. |
| • Ukuncipha kwendlela yokuphefumula ngenxa yezibazi. |
| • Ukulimala kwemizwa elawula izintambo zezwi (imizwa ye-laryngeal ephindaphindayo) . |
| • Ukuvaleka kwepayipi le-tracheostomy ngenxa yoketshezi noma amahlule egazi. |
| • Ukubamba umoya emaphashini, esifubeni, noma ngaphansi kwesikhumba. |
Eziningi zalezi zingozi zingancishiswa ngokulandela imiyalelo yezokwelapha ngqo nokugcina ipayipi lihlanzekile.
Injani impilo ngemva kokuhlinzwa?
Ithimba lezokwelapha lizokuqapha ngokucophelela ukululama kwakho ngemva kokuhlinzwa. Kungathatha amasonto amabili ukuthi inxeba liphole ngokuphelele. Kujwayelekile ukuzwa ubuhlungu entanyeni phakathi nalesi sikhathi. Kuzothatha usuku noma ezimbili ukujwayela ukuphefumula ngepayipi.
Ukukhuluma
Ngemva kwesikhathi esithile sokuphulukiswa, uzokwazi ukukhuluma ngokuzijwayeza. Umsindo wenziwa ngokumboza imbobo epayipini ngomunwe wakho bese uphefumula umoya ngomlomo wakho. Isazi sezifo zolimi lokukhuluma (SLP) singakusiza ngalokhu. Kukhona nezinhlobo ezikhethekile zama-valve okukhuluma akusiza ukuthi ukhulume ngaphandle kokumboza umunwe wakho.
Ukudla
Kuzothatha isikhathi ukujwayela ukugwinya. Ekuqaleni, ungase udliwe ngepayipi noma ngepayipi. Uchwepheshe wakho wezokukhuluma uzokusiza futhi ukuthi udle ngendlela evamile ngokuzivocavoca kokugwinya.
Ukususa ipayipi
Uma i-tracheostomy yakho ingeyesikhashana, udokotela wakho uzoyikhipha ipayipi uma indlela yakho yokuphefumula isijwayelekile. Lokhu kubizwa ngokuthi i-decannulation . Ngezinye izikhathi imbobo izivaleka yodwa, noma kungadingeka ukuthi uhlinzwe kancane ukuze uyivale. Ungase usale nesibazi esincane.
| Uma unalezi zimpawu, yazisa udokotela wakho noma isibhedlela ngokushesha! |
|---|
| - Uma ubhekene nobunzima bokuphefumula. |
| - Uma uzizwa sengathi ukushaya kwenhliziyo yakho akujwayelekile. |
| - Uma unezinhlungu ezinzima ezingapheli ngisho nangemva kokuthatha imithi. |
| - Uma kukhona ukuvuvukala, ukunamathela, noma izimpawu zokutheleleka (umkhuhlane, ukubomvu, ubomvu) eduze kwepayipi. |
| - Uma ithubhu le-tracheostomy liphuma noma liphuma ngokuphelele. Lesi yisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze ngokushesha. |
Kuvamile ukuzizwa wesaba futhi ungaqiniseki uma utshelwa ukuthi udinga i-tracheostomy. Kodwa khumbula, ngosizo lwethimba lakho lezokwelapha, abantu abaningi bangafunda ukuphefumula, ukudla, ukuphuza, nokukhuluma ngendlela evamile ngale nqubo. Kungakhathaliseki ukuthi yesikhashana noma ehlala njalo, ungavumeli ukuthi ikuvimbele ekwenzeni izinto ozithandayo nokuphila impilo ejabulisayo. Khuluma ngokukhululekile nodokotela wakho nganoma yikuphi ukukhathazeka noma ukwesaba ongase ube nakho.
Umlayezo Wokuya Nawe Ekhaya
- I-tracheostomy imbobo yokuhlinzwa eyenziwe epayipini lomoya entanyeni ukuze kusizwe ukuphefumula.
- Lokhu kwenziwa ngezizathu ezingathi sína njengokuvaleka komoya kanye nokuxhunywa kumshini wokuphefumula isikhathi eside.
- Kwabaningi, lokhu kungokwesikhashana, futhi ipayipi liyasuswa ngemva kokuphulukiswa.
- Ukuhlanza nokunakekela kahle ipayipi ekhaya kubalulekile ukuze kugwenywe izinkinga.
- Ngosizo lochwepheshe wezokukhuluma kanye nethimba lezokwelapha, ungabuyela ekukhulumeni nasekudleni.
- Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma kwenzeka kuba nobunzima bokuphefumula, izimpawu zokutheleleka, noma ukuphuma kwepayipi.
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