Ityhubhu yetracheostomy - ukutya

Uninzi lwabantu abanetyhubhu ye-tracheostomy baya kuba nakho ukutya ngesiqhelo. Nangona kunjalo, kunokuziva kwahlukile xa uginya ukutya okanye ulwelo.

Xa ufumana ityhubhu yakho yetracheostomy, okanye itraki, ungaqala ngokuqala kulwelo okanye ukutya okuthambileyo. Emva kwexesha ityhubhu yetraki iya kutshintshelwa kubungakanani obuncinci obuya kwenza ukugwinya kube lula. Kwezinye iimeko, umboneleli wakho wezempilo uya kukuxelela ukuba ungadli ngokukhawuleza xa kukho inkxalabo yokuba ukugwinya kwakho kuphazamisekile. Endaweni yoko, uya kufumana izakhamzimba nge-IV (i-catheter efakwa ngaphakathi efakwa emthanjeni) okanye ityhubhu yokondla. Nangona kunjalo, oku akuqhelekanga.

Nje ukuba uphilise kuqhaqho, umboneleli wakho uya kukuxelela xa kukhuselekile ukuqhubela phambili ukutya kwakho ukuze uthathe ukutya okuqinileyo kunye nolwelo ngomlomo. Ngeli xesha, ingcali kwezentetho iyakukunceda ukuba ufunde ukugwinya ngetrekt.

• Ingcali yezentetho inokwenza uvavanyo oluthile ukukhangela iingxaki kwaye iqiniseke ukuba ukhuselekile.
• Ingcali iya kukubonisa indlela yokutya kwaye iya kuba nakho ukukunceda uthathe ukulunywa kwakho kokuqala.

Izinto ezithile zinokwenza ukutya okanye ukugwinya kube nzima, njenge:

• Utshintsho kulwakhiwo okanye i-anatomy yomoya wakho.
• Ukungadli ixesha elide,
• Imeko eyenza ukuba i-tracheostomy iyimfuneko.

Usenokungabi nayo incasa yokutya kwakhona, okanye izihlunu zisenokungasebenzi kakuhle. Buza umboneleli wakho okanye ugqirha malunga nokuba kutheni kunzima ukuba uginye.

Ezi ngcebiso zinokunceda kwiingxaki zokuginya.

• Gcina ixesha lokutya likhululekile.
• Hlala nkqo ngokuthe ngqo xa usitya.
• Thatha ukulunywa okuncinci, ngaphantsi kwe-1 itispuni (5 ml) yokutya ngokuluma.
• Hlafuna kakuhle kwaye ukuginye ukutya kwakho ngaphambi kokuba uphinde ulume.

Ukuba ityhubhu yakho yetracheostomy inekhamityi, ingcali kwezentetho okanye umboneleli uya kuqinisekisa ukuba ikhofu iyachithwa ngexesha lokutya. Oku kuyakwenza kube lula ukuginya.

Ukuba unevalvu yokuthetha, ungayisebenzisa ngelixa usitya. Iya kwenza kube lula ukuginya.

Ukufunxa ityhubhu yetracheostomy ngaphambi kokutya. Oku kuya kukugcina ungakhohleleki xa usitya, nto leyo enokukuphosa.

Wena nomboneleli wakho kufuneka nibukele iingxaki ezi-2 ezibalulekileyo:

• Ukukhahlela kunye nokuphefumla amasuntswana okutya kwindlela yakho yomoya (ebizwa ngokuba yi-aspiration) enokuthi ikhokelele kusuleleko lwemiphunga
• Ukungafumani iikhalori ezaneleyo kunye nezondlo

Fowunela umnikezeli wakho ukuba ngaba ezi ngxaki zilandelayo zenzekile:

• Ukutswina nokukhohlela xa usitya okanye usela
• Ukukhwehlela, umkhuhlane, okanye ukuphefumla okufutshane
• Amasuntswana okutya afumaneka kwiimfihlo ezivela kwi-tracheostomy
• Amanzi amakhulu okanye amanzi acocekileyo avela kwi-tracheostomy
• Ukuphulukana nobunzima ngaphandle kokuzama, okanye ukuzuza ubunzima bomzimba
• Amaphaphu avakala exinene
• Ukubanda rhoqo okanye usulelo lwesifuba
• Iingxaki zokuginya ziya zisanda

Ukutya itraki

I-Dobkin BH. Ukuvuselelwa kwengqondo. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 57.

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.

UMirza N, uGoldberg AN, uSimonia MA. Ukugwinya kunye nokuphazamiseka konxibelelwano. Ku: Lanken PN, Manaker S, Kohl BA, Hanson CW, ii-eds. Incwadana yeCandelo loKhathalelo olunzulu. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 22.

• Iingxaki zetracheal