Ingabe ukhona emndenini wakho onethubhu ye-tracheostomy ukuze imsize aphefumule? Noma usebenzisa yona wena ngokwakho? Khona-ke cishe uyazi ukuthi kuvamile ukuthi amafinyila nezinye izinsalela zakheke ngaphakathi kwaleli thubhu. Isikhathi esiningi, liyaphela ngokukhwehlela okuhle. Kodwa ngezinye izikhathi, kungakhathaliseki ukuthi uzama kangakanani, awukwazi ukususa le fumbi. Yilapho-ke udinga "ukumunca" ithubhu, okusho ukuthi, ukuyihlanza ngomshini. Namuhla, sizoxoxa ngendlela yokwenza lokhu ngendlela efanele nangokuphephile.
Kuyini ukumuncwa kwe-tracheostomy?
Kalula nje, i-tracheostomy inqubo encane yokuhlinzwa ngaphambili kwentamo efaka ipayipi ngqo ku-windpipe (trachea) yomuntu onenkinga yokuphefumula. Le payipi ivumela umuntu ongakwazi ukuphefumula ngokwemvelo ukuthi aphefumule kalula.
Kuvamile ukuthi amafinyila akheke ku-trachea yomuntu onepayipi ngale ndlela. Indlela engcono kakhulu yokususa amafinyila ukukhwehlela ngamandla. Kodwa ngezinye izikhathi amafinyila angaba makhulu kakhulu ukuba angasuswa ngokukhwehlela. Kulezo zimo, sisebenzisa umshini wokumunca ukuze simunce amafinyila bese siwasusa, okubizwa ngokuthi i-tracheostomy suction.
Lokhu kungenziwa ngabasebenzi bezokwelapha esibhedlela, noma bangakufundisa ukuthi ungamunca kanjani ithubhu lakho (noma ithubhu lengane yakho) ekhaya. Kubaluleke kakhulu ukufunda lokhu ngendlela efanele ukuze uvimbele ithubhu ukuthi ingabambeki futhi wenze ukuphefumula kube lula.
Wazi kanjani ukuthi ithubhu idinga ukumuncwa?
Uma unakekela umuntu one-tracheostomy tube, kufanele uqaphele izimpawu eziningana ezibonisa ukuthi sekuyisikhathi sokumunca i-tube. Lezi zimpawu zisho ukuthi i-tube ivalekile nge-mucus futhi idinga ukuhlanzwa.
| Uphawu olubonakalayo/olubonakalayo | Kusho ukuthini lokhu? |
|---|---|
| Ukukhwehlela okumanzi, okunezikhwehlela | Ulwelwesi luphuma kanye nokukhwehlela, kodwa alupheli ngokuphelele. |
| Ukuzizwa uphelelwa umoya | Ngizizwa sengathi angiphefumuli ngokwanele. |
| Ukuvela kwamabhamuza e-mucus eduze komlomo wepayipi | I-mucus izama ukuphuma epayipini. |
| Ukuzwa umsindo wokuhona | Lo msindo wenziwa ngoba umoya uhamba nge-mucus uma uphefumula. |
| Ukwanda kwesilinganiso sokuphefumula, ukukhwehlela | Umzamo wokuthola umoya-mpilo odingwa ngumzimba. |
| Ukushintsha kombala okuluhlaza okwesibhakabhaka emlonyeni (i-cyanosis) | Lesi yisimo esiphuthumayo. Kuwuphawu lokuthi igazi alitholi umoya-mpilo owanele. |
| Umsindo ofana nempempe ovela epayipini | Ipayipi selinciphile, futhi kunendawo encane yokungena komoya. |
| Ukungaphumuli, ukucasuka | Ukucindezeleka okubangelwa ubunzima bokuphefumula. |
Kalula nje, into engcono kakhulu ongayenza ukumunca ithubhu le-tracheostomy noma nini lapho ucabanga ukuthi livaliwe.
Izinto okufanele uzilungiselele ngaphambi kokumunca
Kubaluleke kakhulu ukuthi ube nakho konke okudingayo ngaphambi kokuqala lo msebenzi. Ngemuva kwalokho ungenza umsebenzi ngaphandle kokuphazamiseka.
- Umshini wokumunca i-tracheostomy
- I-catheter entsha nehlanzekile yokumunca
- Ipayipi lokuxhuma elixhumanisa i-catheter nomshini
- Inkomishi yamanzi ahlanzekile, abilisiwe
- Amagilavu
- Isitsha esincane noma isitsha
Le nqubo yenzeka kanjani? Ake sithole isinyathelo ngesinyathelo!
Uma uzimunca wena noma omunye umuntu, ungakwenza lokho ngokuphephile ngokulandela lezi zinyathelo.
1. Geza izandla zakho kahle: Faka insipho bese ugeza izandla zakho ngamanzi agobhozayo bese womisa ngethawula elihlanzekile.
2. Thola indawo ekhululekile: Hlala esihlalweni noma ulale embhedeni. Zibeke ngendlela enikeza ukusekelwa okuhle kwekhanda nentamo yakho.
3.Vula umshini bese usetha ingcindezi: Vula umshini wokumunca bese usetha ingcindezi ibe phansi noma ephakathi. Lokhu kucindezela kuvame ukusethwa phakathi kuka-80-120 mmHg (amamilimitha e-mercury). Ungalokothi wandise ingcindezi engaphezu kuka-120 mmHg. Ukwenza kanjalo kungalimaza indlela yokuphefumula. Uma ungaqiniseki ngalokhu, buza udokotela wakho kuqala.
4. Gqoka amagilavu: Gqoka amagilavu ahlanzekile. Awudingi amagilavu ahlanzekile kulokhu.
5. Setha i-catheter: Namathisela i-catheter yokumunca ehlanzekile kolunye uhlangothi lwepayipi. Qiniseka ukuthi olunye uhlangothi lwepayipi lunamathele kahle emshinini.
6. Phefumula ngokujulile: Ngeke ukwazi ukuphefumula kahle ngenkathi i-catheter isesepayipini. Ngakho-ke thatha umoya ojulile izikhathi ezimbalwa kusengaphambili. Kuvamile ukukhwehlela ngesikhathi sokumunca.
7. Faka i-catheter: Manje faka i-catheter ngokucophelela epayipini le-tracheostomy. Yifake kuphela njengoba uyalelwe. Ungayiphoqi . Uma uzizwa sengathi kukhona okubambekayo, yima khona lapho. Ungambozi umgodi wokumunca ngomunwe wakho ngalesi sikhathi. Lokhu kusho ukuthi akuwona umqondo omuhle ukusebenzisa ukumunca ngenkathi ufaka i-catheter.
8. Donsa i-catheter emuva kancane: Ngaphambi kokuthi uqale ukumunca, donsa i-catheter efakiwe emuva kancane. Lokhu kuzoyivumela ukuthi isebenze kahle.
9. Qala ukumunca: Manje beka isithupha sakho phezu komoya wokulawula ukumunca bese usivala. I-mucus izoqala ukumunca. Ungaqhubeki nokumunca isikhathi esingaphezu kwemizuzwana eyi-10. Uma uzizwa ungakhululekile ngenkathi wenza kanjalo, susa umunwe wakho ngokushesha.
10. Susa i-catheter: Phendula i-catheter kancane njengoba uyisusa epayipini le-tracheostomy.
Uma ungezwa noma ungaboni noma yimuphi umucu eduze kwepayipi, usuqedile. Kodwa kungase kudingeke ukuthi ufunze kakhulu. Uma kunjalo, linda okungenani imizuzwana engama-30 ngaphambi kokukwenza futhi. Uma i-catheter ivalekile umucu, munca amanzi ukuze uwuhlanze, noma usebenzise omusha.
Uma usuzame kathathu kodwa ungasakwazi ukukhipha umuthi, linda cishe imizuzu eyi-10 bese uzama futhi. Kodwa-ke, uma ubhekene nobunzima obukhulu bokuphefumula, funa usizo ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Uhlanza kanjani imishini uma usuqedile?
Kubaluleke kakhulu ukuhlanza imishini kahle ngemva kokuyimunca.
- Faka amanzi ahlanzekile, abilisiwe esinkini.
- Munca lawo manzi nge-catheter yokumunca bese ugeza ingaphakathi lepayipi kahle.
- Cima umshini wokumunca.
- Susa i-catheter. Uma ingasetshenziswa, yilahle emgqonyeni kadoti. Uma ingasetshenziswa kabusha, yigeze bese uyibeka eceleni ukuze ihlanzwe kamuva.
- Lengisa ipayipi lokuxhuma emshinini, isihloko salo sibheke phezulu.
- Geza isinki kahle ngensipho.
- Susa amagilavu bese ulahla.
- Ekugcineni, geza izandla zakho kahle ngensipho futhi.
Yiziphi izinzuzo kanye nezinkinga ezingaba khona zalokhu?
Ukufunda ukumunca ekhaya kunganciphisa inani lokuya esibhedlela. Kukunika nenkululeko yokuhlanza ipayipi noma nini lapho kudingeka. Lena yindlela engcono kakhulu yokuthola impumuzo esheshayo ezinkingeni zokuphefumula ezibangelwa yi-mucus ejiyile.
Izinkinga azivamile, kodwa ngezinye izikhathi zingaba khona.
- Ukopha okuncane
- Izifo
- Ubuhlungu noma ukungakhululeki
- Ngezinye izikhathi, ukukhuthazwa kwemizwa yesitho sangasese sowesifazane kunganciphisa izinga lokushaya kwenhliziyo kanye namazinga omoya-mpilo.
Kunini lapho udinga ukukhuluma nodokotela?
Khuluma nodokotela wakho noma nini lapho unenkinga mayelana nokumuncwa kwe-tracheostomy yakho. Ikakhulukazi uma ubona noma yikuphi kwalokhu okulandelayo :
- Uma iphunga linuka kabi.
- Uma i-mucus ishintsha umbala (ophuzi, oluhlaza okotshani, obomvu, noma onsundu), lokhu kungaba izimpawu zokutheleleka.
Uma ungakwazi ukususa i-mucus ngemva kokuyimunca, noma uma uqhubeka nobunzima bokuphefumula naphezu kokuyimunca, shayela udokotela wakho ngokushesha noma uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (i-ETU). Ngezinye izikhathi, uma i-mucus ijiyile kakhulu, i-tracheostomy tube ingadinga ukushintshwa.
Ukuphila ne-tracheostomy tube kunezinselele zakho. Kodwa uma ufunda lezi zinto kahle, nawe unganqoba lezo zinselele futhi uphile impilo yenkululeko ngokwenza izinto ozithandayo.
Umlayezo Wokuya Nawe Ekhaya
- Monya ithubhu le-tracheostomy ngokushesha nje lapho ubona izimpawu zokudinga ukumuncwa (ukububula, ubunzima bokuphefumula). Ungalindi kuze kube yisikhathi esibekiwe.
- Uma udonsa, ungakwenzi isikhathi esingaphezu kwemizuzwana eyi-10 ngesikhathi. Lokhu kungenza kube nzima ukuphefumula.
- Sebenzisa imishini ehlanzekile njalo. Geza izandla zakho kahle ngaphambi nangemva komsebenzi.
- Uma umbala we-mucus ushintsha, uma unuka kabi, noma uma ubunzima bokuphefumula bungathuthuki ngisho nangemva kokumunca, shayela udokotela wakho ngokushesha noma uye ku-ETU.
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