I-Tracheostomy: Yintoni kunye nendlela yokukhathalela

Umxholo

• Yintoni omele uyenze ukunyanga i-tracheostomy
• 1. Uyigcina njani i-cannula icocekile
• 2. Ungawutshintsha njani umhlaba odibeneyo
• Isebenza njani i-tracheostomy
• Iimpawu ezilumkisayo zokuya kugqirha

I-tracheostomy ngumngxunya omncinci owenziwe emqaleni, ngaphezulu kommandla we-trachea ukulungiselela ukungena komoya emiphungeni. Oku kuhlala kwenziwa xa kukho isithintelo kwindlela yomoya ebangelwa ngamathumba okanye ukudumba komqala emva kotyando, umzekelo, kwaye ke unokugcinwa kuphela kwiintsuku ezimbalwa okanye kubomi bonke.

Ukuba kunyanzelekile ukuba ugcine i-tracheostomy ixesha elide, kubalulekile ukuba wazi indlela yokukhathalela ngokufanelekileyo, ukunqanda iingxaki ezinje ngokufuthaniseleka okanye usulelo lwemiphunga olunokwenzeka. Olu khathalelo lunokwenziwa ngumongi, xa umntu elele ebhedini, okanye sisigulana uqobo, xa eziva ekwazi.

Yintoni omele uyenze ukunyanga i-tracheostomy

Ukuthintela umngcipheko weengxaki ezinzulu, kubalulekile ukugcina i-cannula icocekile kwaye ingenazo iimfihlo, kunye nokutshintsha onke amacandelo ngokwemiyalelo kagqirha.

Ukongeza, kubalulekile ukuba uqaphele ukuba indawo ye-tracheostomy ibomvu okanye idumbile, kuba ukuba unika le miqondiso inokubonisa ukubonakala kosulelo, ekufuneka ixelwe kwangoko kugqirha.

1. Uyigcina njani i-cannula icocekile

Ukugcina i-tracheostomy cannula icocekile kwaye ingenazo iimfihlo, ezinokubangela ukuphefumla okanye usulelo, kuya kufuneka:

1. Nxiba iiglavu ezicocekileyo;
2. Susa i-cannula yangaphakathi kwaye uyibeke kwisikhongozeli ngesepha kunye namanzi imizuzu emi-5;
3. Ukuphefumlela ngaphakathi ngaphakathi kwe-cannula yangaphandle kunye ne-aspirator yemfihlo. Ukuba awunayo i-aspirator ye-secretion, ungafaka i-2 mL ye-saline kwi-cannula yangaphandle, ebangela ukukhwehlela nokunceda ukususa iimfihlo eziqokelelweyo kwi-airways;
4. Beka i-cannula yangaphakathi ecocekileyo ne-sterile;
5. Hlikihla i-cannula yangaphakathi emdaka, ngaphakathi nangaphandle, usebenzisa isiponji okanye ibrashi;
6. Beka i-cannula emdaka emanzini abilayo malunga nemizuzu eli-10;
7. Yomisa i-cannula ngoxinzelelo kwaye uyigcine kwisitya esine-disinfected with alcohol, ukuze isetyenziswe kutshintsho olulandelayo.

I-cannula yangaphandle ye-tracheostomy kufuneka ithathelwe indawo kuphela yingcali yezempilo, kuba kukho umngcipheko omkhulu wokufuthaniselwa xa kusenziwa ekhaya. Ke, umntu kufuneka aye esibhedlele ubuncinci kube kanye ngeveki ukutshintsha iseti ye-tracheostomy yonke, okanye njengoko kuyalelwe ngugqirha.

2. Ungawutshintsha njani umhlaba odibeneyo

Umqamelo eyeyakho

Ukucofa iphedi

Umphezulu we-tracheostomy ofunekayo kufuneka utshintshwe nanini na xa umdaka okanye umanzi. Emva kokususa umphezulu omdaka odibeneyo, coca ulusu olujikeleze i-tracheostomy ngetyuwa encinci kwaye uthambise isithambisi esincinci.

Ukubeka umqamelo omtsha, ungasebenzisa iiphedi ezilungele i-tracheostomy, njengoko kubonisiwe kumfanekiso wokuqala, okanye sebenzisa ii-compresses ezi-2 ezicocekileyo ezisikiweyo ngaphezulu, njengoko kubonisiwe kumfanekiso wesibini.

Isebenza njani i-tracheostomy

I-Tracheostomy yenziwa ngotyando esibhedlele nge-anesthesia ngokubanzi, nangona kwezinye iimeko ugqirha unokukhetha i-anesthesia yendawo, ngokobunzima kunye nexesha lenkqubo.

Emva koko, ukusikwa okuncinci kwenziwa emqaleni ukubhengeza i-trachea kunye nokusikwa okutsha kwenziwa kwi-cartilage ye-trachea, ukuvumela ukuhamba kwetyhubhu ye-tracheostomy. Okokugqibela, kwisigaba sokuqala okanye ukuba umntu ufuna kuphela i-tracheostomy esibhedlele, oomatshini badityanisiwe ukunceda ukuphefumla.

Nangona ungagoduka une-tracheostomy, le nkqubo ihlala isetyenziswa ngakumbi kubantu abaneengxaki ezinzulu abafuna ukuhlala e-ICU ixesha elide, umzekelo.

Iimpawu ezilumkisayo zokuya kugqirha

Ezinye zeempawu ezibonisa ukuba kufuneka uye ngokukhawuleza esibhedlele okanye kwigumbi likaxakeka zezi:

• Ukuxinana kwe-cannula yangaphandle ngokufihlakeleyo;
• Ukuphuma ngengozi kwe-cannula yangaphandle;
• Isikhohlela esinegazi;
• Ubukho beempawu zosulelo, ezinje ngokuba bomvu kwesikhumba okanye ukudumba.

Xa isigulana siziva siphefumla kancinci, kufuneka sisuse i-cannula yangaphakathi kwaye siyicoce ngokufanelekileyo. Nangona kunjalo, ukuba uphawu luyaqhubeka, kuya kufuneka uye kwangoko kwigumbi likaxakeka.