Ngezinye izikhathi singaba nobunzima bokuphefumula ngezindlela esingakaze sizicabange. Ngezikhathi ezinjengalezi, kungenzeka ukuthi uke wezwa ngenqubo ehilela ukufaka ipayipi elincane entanyeni yakho ukuze likusize uphefumule. Lokho kubizwa ngokuthi i-tracheostomy. Igama lingase lizwakale liyesabeka kancane, kodwa inqubo ebaluleke kakhulu esindisa impilo. Ngakho ake sixoxe ngayo kalula, ngaphandle kokwesaba.
Kalula nje, kuyini i-tracheostomy?
I-tracheostomy yilapho udokotela ohlinzayo evula imbobo ngaphambili kwentamo yakho, ngqo emphinjeni wakho womoya (i-trachea), noma lokho esikubiza ngokuthi i-bronchi yakho . Ngemuva kwalokho, kufakwa i -tracheostomy tube , noma 'i-trach' ngamafuphi, ngale mbobo. Lokhu kwenziwa ngokuthumela umoya ngqo emaphashini akho nge-tube uma unenkinga yokuphefumula ngomlomo noma ekhaleni lakho.
Ukuhlinzwa okudala lo mgodi empeleni kubizwa ngokuthi i-tracheotomy. Kodwa ngolimi oluvamile, odokotela bethu basebenzisa womabili la magama ngokushintshana. Ngakho ungadideki ngakho.
Kungani umuntu angadinga i-tracheostomy?
Kunezizathu eziningi zokuthi kungani umuntu angadinga i-tracheostomy. Ngezinye izikhathi kungaba okwesikhashana, kanti ngezinye izikhathi kungaba unomphela. Kuya ngesimo sakho sezempilo.
| Izizathu eziyinhloko zokudinga i-tracheostomy | Lokhu kusho... |
|---|---|
| Ukuvinjelwa komoya | Uma i-bronchi incishisiwe noma ivalekile ngokuphelele ngenxa yesimila, ukuvuvukala, noma esinye isizathu emphinjeni, futhi ukufuthwa kwepayipi akunakwenzeka. |
| Isifo samaphaphu, ukukhubazeka, noma izingozi | Uma ungakwazi ukuphefumula wedwa ngenxa yesifo samaphaphu esibi, ukukhubazeka, noma ukulimala okukhulu ekhanda nasentanyeni. |
| Ngemva kokuhlinzwa | Uma udinga usizo lokuphefumula ngemva kokuhlinzwa emphinjeni wakho noma ebhokisini lezwi. |
| Ukuba semshinini wokuphefumula | Uma isiguli sidinga ukuxhunywa kumshini wokuphefumula isikhathi esingaphezu kwesonto, i-tracheostomy ikhululekile futhi iphephile kakhulu esigulini. |
| Ubunzima bokususa amafinyila | Ezinye izimo zezokwelapha zenza kube nzima ukususa ulwelwesi emaphashini uma ukhwehlela. Ukumunca ulwelwesi ngethubhu le-tracheostomy kungasiza ekugcineni indlela yokuphefumula ihlanzekile. |
Ngingakulungiselela kanjani lokhu kuhlinzwa?
Uma lokhu kuwukuhlinzwa okuhleliwe, udokotela wakho uzochaza ukuthi ungakulungiselela kanjani. Uma uhlinzwa ngokubulala izinzwa okuvamile , kungadingeka uyeke ukudla nokuphuza amahora ambalwa ngaphambi kokuhlinzwa futhi kungadingeka uyeke ukuthatha imithi ethile.
Futhi, njengoba uzohlala esibhedlela izinsuku ezimbalwa noma amasonto, kuzodingeka upakishe izinto ezimbalwa esikhwameni bese uzilungiselela.
- Izingubo nezinto zokuhlanzeka komuntu siqu: Izingubo ezikhululekile, izinto ezifana nebhulashi lamazinyo.
- Imithi oyisebenzisayo: Yimiphi imithi noma izithasiselo zokudla ovame ukuzithatha, uma zikhona.
- Okuthile okujabulisayo: Kungumqondo omuhle ukuletha okuthile ongakufunda, njengencwadi, ngenkathi usesibhedlela.
- Izinto ezingakusiza ukuthi ukhulume: Lokhu kubaluleke kakhulu. Ngemva kokuhlinzwa, ngeke ukwazi ukukhuluma ngokushesha. Ngakho-ke, ukuphatha ipeni nephepha, noma i-smartphone noma ithebhulethi, kuzokusiza ukuthi ukhulume nodokotela bakho kanye nabathandekayo bakho.
Kwenziwa kanjani ukuhlinzwa?
Lokhu kuhlinzwa kuvame ukwenziwa egumbini lokuhlinza. Okokuqala, uhlinzwa ukuze ulale ngokuphelele. Ngemuva kwalokho, udokotela ohlinzayo wenza ukusika okuncane ngaphambili kwentamo yakho, ngaphansi nje kwe-apula lika-Adam. Lokhu kusika kuhamba ngqo odongeni lomphimbo wakho. Okulandelayo, imbobo ivuleka ngokucophelela ngokwanele ukuze kuvunyelwe ukufakwa kwepayipi le-tracheostomy.
Ngemva kokufakwa kwepayipi, liboshwa ngentambo entanyeni yakho (i-tracheostomy collar) ukuze lingayihambi. Kungase kudingeke futhi ukuthi ube nezithungo ezimbalwa zesikhashana ukuze ubambe ipayipi lize liphole. Uma ungakwazi ukuphefumula wedwa, leli payipi lizoxhunywa kumshini wokuphefumula.
Kukhona nendlela entsha ebizwa ngokuthi i-percutaneous tracheostomy . Kulokhu, esikhundleni sokwenza i-incision enkulu, kusetshenziswa inaliti ukwenza imbobo entanyeni nase-trachea bese kufakwa ipayipi. Lokhu kungenziwa kaningi embhedeni wesibhedlela.
Yiziphi izinzuzo nezingozi zalokhu?
Inzuzo eyinhloko ye-tracheostomy ukuthi inikeza umoya osindisa impilo lapho ukuphefumula ngomlomo noma ekhaleni kungasenakwenzeka. Kulula kakhulu esigulini kunokufaka intuba, okwenziwa ngomlomo. Kuphinde kusize abantu abaningi abaqala ukuphefumula bodwa ngemva kokukhishwa kumshini wokuphefumula.
Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezingaba khona.
- Ukopha kanye nokutheleleka.
- Ukulimala komphimbo wakho noma umphimbo womoya.
- Ukuncipha komgudu womoya ngenxa yokuvuvukala noma izicubu ezibomvu.
- Ukulimala kwemizwa enyakazisa izintambo zakho zezwi (imizwa ye-laryngeal ephindaphindayo).
- Ukuvaleka kwepayipi le-tracheostomy ngenxa yoketshezi noma amahlule egazi.
- Ukubopha umoya ngaphansi kwesikhumba esizungeze amaphaphu, isifuba, noma i-tracheostomy.
Into ebaluleke kakhulu ukugcina i-tracheostomy tube yakho ihlanzekile futhi ulandele imiyalelo kadokotela wakho ngokucophelela. Ukwenza kanjalo kunganciphisa kakhulu lezi zingozi.
Kwenzekani ngemva kokuhlinzwa nokuthi ungayinakekela kanjani ekhaya?
Ngemva kokuhlinzwa, ithimba lezokwelapha lizoqapha isimo sakho ngokucophelela. Kuzodingeka uxoxe ngokubhala kuze kube yilapho usukwazi ukukhuluma. Ngaphambi kokuba ubuyele ekhaya usuka esibhedlela, wena nomndeni wakho nizonikezwa imiyalelo eningiliziwe yokuthi ningayinakekela kanjani i-tracheostomy tube yakho ekhaya.
Ngokuvamile kuthatha cishe amasonto amabili ukuthi i-tracheostomy tube iphole ngokuphelele. Kujwayelekile ukuzwa ubuhlungu entanyeni phakathi nalesi sikhathi. Kuthatha usuku noma ezimbili ukujwayela ukuphefumula nge-tube.
Ukugcina ipayipi lihlanzekile
Ekhaya, kuzodingeka uhlanze ithubhu yakho ye-tracheostomy okungenani kabili ngosuku. Kuzodingeka futhi ubone udokotela wakho futhi ngezinsuku lapho ithubhu kufanele lishintshwe khona.
Ukukhuluma
Ngemva kokululama, ungakhuluma nge-tracheostomy, kodwa kudinga ukuzijwayeza. Ungakhuluma ngokumboza imbobo ye-tracheostomy ngomunwe bese uphefumula umoya ngomlomo wakho. Isazi sezifo zolimi lokukhuluma (SLP) sizokukhombisa ukuthi ungakwenza kanjani lokhu. Kukhona nezinhlobo ezikhethekile zama-valve okukhuluma ezikusiza ukuthi ukhulume ngaphandle kokumboza ngomunwe.
Ukudla
Kuzothatha isikhathi ukujwayela ukugwinya. Ekuqaleni, kungadingeka ukuthi udliwe nge-IV noma ngepayipi lokuncelisa. Uchwepheshe wakho wezokukhuluma uzokusiza nangokuzivocavoca ukuze kube lula ukugwinya.
Kufanele ngibone nini udokotela ngokushesha?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Izimpawu zesixwayiso okufanele uziqaphele |
|---|
| - Uma unenkinga yokuphefumula. |
| - Uma ukushaya kwenhliziyo kushintshashintsha. |
| - Uma uzwa ubuhlungu obukhulu obungapheli ngisho nangemva kokuthatha imithi. |
| - Uma kukhona ukunqwabelana kwe-mucus, ukuvuvukala kwesilonda, noma ukuqhekeka koqweqwe endaweni yokuhlinzwa. |
| - Uma uba nezimpawu zokutheleleka njengomkhuhlane, ukubomvu, ukufudumala, noma ubomvu esilondeni. |
| - Uma ipayipi lomzila lizwakala likhululekile noma lingasekho endaweni yalo. |
Kuvamile ukuzizwa wesaba futhi ungaqiniseki uma uzwa ukuthi udinga i-tracheostomy. Kodwa khumbula, ngosizo lwethimba lezokwelapha, abantu abaningi bangaphefumula, badle, baphuze, futhi bakhulume kahle ngemva kwalokhu. Kungakhathaliseki ukuthi kungokwesikhashana noma kungunaphakade, ungajabulela impilo yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Tracheostomy iwukuhlinzwa okusindisa impilo okukusiza ukuthi uphefumule.
- Kuvamile ukuzizwa wesaba ngalokhu, kodwa ngokunakekelwa okufanele nokunakwa, lesi simo singaphathwa kahle.
- Landela imiyalelo kadokotela wakho ngokucophelela mayelana nokuhlanza nokunakekela i-tracheostomy tube yakho.
- Kuthatha isikhathi nesineke ukujwayela ukukhuluma nokugwinya futhi. Usizo lochwepheshe wezokukhuluma lubalulekile kulokhu.
- Qaphela izimpawu eziyisixwayiso futhi ufune iseluleko sezokwelapha ngokushesha uma kuvela izinkinga.
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