Ityhubhu yetracheostomy-ukuthetha

Ukuthetha yinxalenye ephambili yokunxibelelana nabantu. Ukuba ne-tracheostomy tube inokutshintsha amandla akho okuthetha kunye nokunxibelelana nabanye.

Nangona kunjalo, ungafunda ukuba ungathetha njani ngombhobho we-tracheostomy. Kuthatha nje ukuziqhelanisa. Kukho izixhobo zokuthetha ezinokukunceda.

Umoya odlula ngeentambo zamagama (kwingqula) ubangela ukuba bangcangcazele, benze izandi nentetho.

Ityhubhu yetracheostomy ibhloka uninzi lomoya ukuba ungadluli kwimisonto yakho yezwi. Endaweni yoko, umphefumlo wakho (umoya) uphuma ngetyhuostomy tube (trach) yakho.

Ngexesha lotyando lwakho, ityhubhu yokuqala yetraki iya kuba nebhaluni (ikhafu) elele kwitrachea yakho.

• Ukuba ikhafu inomoya (izaliswe ngumoya), iya kuthintela umoya ekuhambeni ngeentambo zakho zezwi. Oku kuya kukuyekisa ukwenza ingxolo okanye intetho.
• Ukuba ikhafula ikhutshiwe, umoya uyakwazi ukuhamba ujikeleza itraki nangeentambo zakho zezwi, kwaye kuya kufuneka ukwazi ukwenza izandi. Nangona kunjalo, ixesha elininzi ityhubhu yetraki itshintshiwe emva kweentsuku ezi-5 ukuya kwezi-7 ukuya kwitraki encinci, engenamthungo. Oku kwenza ukuba kube lula ukuthetha.

Ukuba i-tracheostomy yakho ine-cuff, kuyakufuneka ichithwe. Umkhathaleli wakho kufuneka enze isigqibo malunga nokuba uza kuyiphelisa nini ikhafu yakho.

Xa ikhafu ikhutshiwe kwaye umoya ungadlula ujikeleze itraki yakho, kuya kufuneka uzame ukuthetha wenze izandi.

Ukuthetha kuya kuba nzima ngakumbi kunangaphambili. Kuya kufuneka usebenzise amandla ngakumbi ukutyhala umoya uphume ngomlomo wakho. Ukuthetha:

• Thatha umoya omninzi ngaphakathi.
• Phefumlela ngaphandle, usebenzisa amandla ngakumbi kunokuba ubuqhele ukukhupha umoya.
• Vala ityhubhu yetraki evulwa ngomnwe wakho emva koko uthethe.
• Usenokuva okuninzi ekuqaleni.
• Uya kwakha amandla okutyhala umoya uphume ngomlomo wakho njengoko uziqhelisa.
• Izandi ozenzayo ziya kuphakama.

Ukuze uthethe, kubalulekile ukuba ubeke umnwe ococekileyo kwitraki ukukhusela umoya ekuphumeni ngetreyikhi. Oku kuya kunceda umoya uphume ngomlomo wakho ukwenza ilizwi.

Ukuba kunzima ukuthetha kunye netraki endaweni, izixhobo ezizodwa zinokukunceda ufunde ukwenza izandi.

Iindlela-ezimbini zezivali, ezibizwa ngokuba ziivalves zokuthetha, zibekwa kwi-tracheostomy yakho. Ukuthetha kwezivalo kuvumela umoya ukuba ungene ngetyhubhu kwaye uphume ngomlomo nangempumlo. Oku kuyakuvumela ukuba wenze imisindo kwaye uthethe ngokulula ngaphandle kokufuna ukusebenzisa umnwe ukuvimba itraki yakho ngalo lonke ixesha uthetha.

Abanye abaguli abanako ukusebenzisa ezi zivalo. Ingcali yezentetho iya kusebenza nawe ukuqinisekisa ukuba ungumgqatswa olungileyo. Ukuba ivelufa yokuthetha ibekwe kwi traki yakho, kwaye unengxaki yokuphefumla, ivelufa isenokungavumeli umoya owaneleyo ukuba udlule kumjelo wakho.

Ububanzi betyhubhu yetracheostomy inokudlala indima. Ukuba ityhubhu ithatha indawo enkulu emqaleni wakho, akunakubakho indawo eyaneleyo yokuba umoya udlule ujikeleze ityhubhu.

Iitraki yakho inokuboniswa. Oku kuthetha ukuba itraki inemingxunya eyongezelelweyo eyakhelweyo kuyo. Le mingxunya ivumela umoya ukuba udlule kwimithambo yakho yezwi. Banokwenza kube lula ukutya kunye nokuphefumla ngombhobho we-tracheostomy.

Kungathatha ixesha elide ukuphuhlisa intetho ukuba unayo:

• Umonakalo wentambo yeVocal
• Ukwenzakala kwimithambo-luvo yezwi, enokutshintsha indlela ezihamba ngayo iintambo zamagama

Ukuthetha ngokuthetha

I-Dobkin BH. Ukubuyiselwa kwimeko yesiqhelo kwi-Neurological. 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. Ukunyamekelwa kweTracheostomy.Kwi: Roberts JR, Custalow CB, Thomsen TW, 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