Ukhathalelo lweTracheostomy

I-tracheostomy yotyando lokwenza umngxunya entanyeni yakho oya kumbhobho wakho womoya. Ukuba uyayifuna ixesha elifutshane, iya kuvalwa kamva. Abanye abantu badinga umngxunya bonke ubomi babo.

Umngxunya uyafuneka xa indlela yakho yomoya ivaliwe, okanye kwezinye iimeko ezenza kube nzima kuwe ukuba uphefumle. Ungadinga i-tracheostomy ukuba umatshini wokuphefumla (i-ventilator) ixesha elide; ityhubhu yokuphefumla ephuma emlonyeni wakho ayonwabanga kwisisombululo sexesha elide.

Emva kokuba umngxuma wenziwe, kufakwa ityhubhu yeplastiki emngxunyeni ukuze ihlale ivulekile. Iribhoni ibotshelelwe entanyeni ukugcina ityhubhu ime endaweni yayo.

Ngaphambi kokuba uphume esibhedlele, ababoneleli ngezempilo baya kukufundisa indlela yokwenza oku kulandelayo:

• Ukucoca, ukufaka endaweni kunye nokutsala ityhubhu
• Gcina umoya ophefumla ngawo ufumile
• Coca umngxunya ngamanzi kunye nesepha ethambileyo okanye ihydrogen peroxide
• Guqula unxibe ngeenxa zonke emngxunyeni

Sukwenza umsebenzi onzima okanye umthambo onzima kwiiveki ezi-6 emva kotyando. Emva kotyando lwakho, usenokungakwazi ukuthetha. Buza umboneleli wakho ngokuthumela kwintetho yonyango ukuze akuncede ufunde ukuthetha ne-tracheostomy yakho. Oku kuhlala kunokwenzeka xa imeko yakho iphucula.

Emva kokuba uye ekhaya, landela imiyalelo yendlela yokukhathalela i-tracheostomy yakho. Sebenzisa olu lwazi lungezantsi njengesikhumbuzo.

Uya kuba nenani elincinci le-mucus ejikeleze ityhubhu. Oku kuqhelekile. Umngxunya entanyeni yakho kufuneka ube pinki kwaye ungabi nantlungu.

Kubalulekile ukugcina ityhubhu ingenayo i-mucus eshinyeneyo. Kuya kufuneka usoloko uphethe ityhubhu eyongezelelweyo xa kunokwenzeka ukuba ityhubhu yakho ixhunyiwe. Nje ukuba ufake ityhubhu entsha, coca endala uze uyigcine kuwe njengetyhubhu yakho eyongezelelweyo.

Xa ukhohlela, yiba nethishu okanye ilaphu ukuze ubambe amafinyila avela kumbhobho wakho.

Impumlo yakho ayisayi kugcina umoya ophefumla ofumileyo. Thetha nomboneleli wakho malunga nendlela yokugcina umoya ophefumla ofumileyo kunye nendlela yokukhusela iiplagi kwityhubhu yakho.

Ezinye iindlela eziqhelekileyo zokugcina umoya ophefumla umswakama zi:

• Ukubeka i-gauze emanzi okanye ilaphu ngaphezulu kwetyhubhu yakho. Yigcine ifumile.
• Sebenzisa i-humidifier ekhayeni lakho xa imbawula ivuliwe kwaye umoya womile.

Amaconsi ambalwa amanzi anetyuwa (ityuwa) aya kukhulula iplagi yencindi eshinyeneyo. Beka amathontsi ambalwa kwityhubhu yakho kunye nombhobho womoya, emva koko uthathe umoya ophefumlayo kunye nokukhohlela ukunceda ukukhupha inwebu.

Khusela umngxunya entanyeni yakho ngelaphu okanye isiciko se-tracheostomy xa uphuma phandle. Ezi zikhuselo zinokukunceda ukugcina iimpahla zakho zicocekile kwi-mucus kwaye zenze ukuba izandi zokuphefumla zakho zithule.

Sukuphefumla amanzi, ukutya, umgubo, okanye uthuli. Xa uhlamba, vala umngxunya ngesembozo se-tracheostomy. Awuyi kukwazi ukuya kudada.

Ukuze uthethe, kuya kufuneka ugqume umngxunya ngomnwe wakho, ikepusi, okanye ivalve yokuthetha.

Ngamanye amaxesha ungayifaka ityhubhu. Emva koko unokukwazi ukuthetha ngokuqhelekileyo kwaye uphefumle ngeempumlo nangomlomo.

Emva kokuba umngxuma entanyeni yakho ungakhathazeki ngenxa yotyando, coca umngxunya nge swab yomqhaphu okanye ibhola yomqhaphu kanye kanye ngemini ukunqanda ukosuleleka.

I-bandage (i-gauze yokugqoka) phakathi kwetyhubhu yakho nentamo inceda ukubamba i-mucus. Ikwagcina ityhubhu yakho ingathambeki entanyeni yakho. Guqula ibandage xa ​​imdaka, ubuncinci kanye ngemini.

Guqula iirebhoni (ii-trach ties) ezigcina ityhubhu yakho ukuba ayimdaka. Qinisekisa ukuba ubambe ityhubhu endaweni xa utshintsha iribhoni. Qiniseka ukuba unokulingana iminwe emi-2 phantsi kweribhoni ukuze uqiniseke ukuba ayiqinanga kakhulu.

Biza ugqirha wakho ukuba unayo:

• Umkhuhlane okanye ubanda
• Ubomvu, ukudumba, okanye iintlungu eziya zisiba mandundu
• Ukopha okanye ukukhupha amanzi emngxunyeni
• Imicu eninzi kunzima ukuyitsala okanye ukukhohlela
• Ukukhwehlela okanye ukuphefumla okufutshane, kwanasemva kokuba utsala ityhubhu yakho
• Isihlunu okanye ukugabha
• Naziphi na iimpawu ezitsha okanye ezingaqhelekanga

Tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo ukuba ityhubhu yakho yetracheostomy iyawa kwaye awunakukwazi ukuyibuyisela.

Ukungaphumeleli kokuphefumla - ukhathalelo lwe-tracheostomy; I-Ventilator - ukunakekelwa kwe-tracheostomy; Ukungoneliseki kokuphefumla-ukhathalelo lwe-tracheostomy

IGreenwood JC, iWinters ME. Ukhathalelo lweTracheostomy. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 7.

USmith SF, uDuell DJ, uMartin BC, uAebersold M, uGonzalez L.Ukhathalelo lweTracheostomy. Ku: Smith SF, uDuell DJ, uMartin BC, uAebersold M, uGonzalez L, ii-eds. Izakhono zoLondolozo lwezeKlinikhi: ezisisiseko kwizakhono eziPhambili. Umhla we-9. IHoboken, NJ: Pearson; Ngo-2017: isahluko 30.6.

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