Ukunakekelwa kweTracheostomy

I-tracheostomy ukuhlinzwa ukudala imbobo entanyeni yakho engena ku-windpipe yakho. Uma uyidinga isikhashana nje, izovalwa ngokuhamba kwesikhathi. Abanye abantu badinga umgodi impilo yabo yonke.

Umgodi uyadingeka lapho umoya wakho uvaliwe, noma kwezinye izimo ezenza kube nzima kuwe ukuphefumula. Ungadinga i-tracheostomy uma usemshinini wokuphefumula (i-ventilator) isikhathi eside; ishubhu lokuphefumula eliphuma emlonyeni wakho alithokozi kakhulu ngesixazululo sesikhathi eside.

Ngemuva kokuba umgodi wenziwe, kufakwa ishubhu lepulasitiki emgodini ukuze lihlale livulekile. Kuboshwe iribhoni entanyeni ukugcina ishubhu lisendaweni efanele.

Ngaphambi kokuba uphume esibhedlela, abahlinzeki bezempilo bazokufundisa ukuthi ungakwenza kanjani okulandelayo:

• Hlanza, buyisela, bese udonsa ithubhu
• Gcina umoya owuphefumulayo unomswakama
• Hlanza umgodi ngamanzi nensipho emnene noma i-hydrogen peroxide
• Shintsha ukugqoka okuzungeze umgodi

Ungenzi umsebenzi onzima noma ukuzivocavoca kanzima amasonto ayisithupha emva kokuhlinzwa. Ngemuva kokuhlinzwa kwakho, ungahle ungakwazi ukukhuluma. Buza umhlinzeki wakho ngokudluliselwa kumelaphi wezinkulumo ukuze akusize ufunde ukukhuluma ne-tracheostomy yakho. Lokhu kuvame ukwenzeka uma isimo sakho sesingcono.

Ngemuva kokuya ekhaya, landela imiyalo yokuthi ungayinakekela kanjani i-tracheostomy yakho. Sebenzisa imininingwane engezansi njengesikhumbuzo.

Uzoba nenani elincane lamafinyila azungeze ithubhu. Lokhu kujwayelekile. Imbobo entanyeni yakho kufanele ibe pink futhi ingenabuhlungu.

Kubalulekile ukugcina ishubhu lingenawo amafinyila aminyene. Kufanele uhlale uphethe ishubhu elengeziwe uma kwenzeka ithubhu yakho ixhuma. Uma usufake ithubhu entsha, hlanza endala bese uyigcina kuwe njengethubhu yakho eyengeziwe.

Uma ukhwehlela, lungiselela izicubu noma indwangu ukubamba amafinyila aqhamuka kushubhu yakho.

Impumulo yakho ngeke isakwazi ukugcina umoya owuphefumulayo umanzi. Khuluma nomhlinzeki wakho mayelana nokuthi ungawugcina kanjani umoya owuphefumulayo unomswakama nokuthi ungawuvimbela kanjani ama-plugs kushubhu lakho.

Ezinye izindlela ezivamile zokugcina umoya ophefumula umswakama yilezi:

• Ukubeka i-gauze noma indwangu emanzi ngaphandle kwethumbu lakho. Yigcine imanzi.
• Sebenzisa i-humidifier ekhaya lakho lapho i-heater ivulekile futhi nomoya womile.

Amaconsi ambalwa amanzi anosawoti (usawoti) azokhulula ipulagi lamafinyila aminyene. Faka amaconsi ambalwa kushubhu yakho nakuqhoqhoqho, bese uphefumula kanzima bese ukhwehlela ukusiza ukukhuphula amafinyila.

Vikela imbobo entanyeni yakho ngendwangu noma ikhava ye-tracheostomy lapho uphumela ngaphandle. Lezi zimbozo zingasiza futhi ukugcina izingubo zakho zihlanzekile emafinyaneni futhi zenze ukuphefumula kwakho kuzwakale kuthule.

Ungaphefumuli ngamanzi, ukudla, impuphu, noma uthuli. Uma ugeza, vala umgodi ngekhava ye-tracheostomy. Ngeke ukwazi ukubhukuda.

Ukuze ukhulume, uzodinga ukumboza umgodi ngomunwe wakho, ikepisi noma i-valve yokukhuluma.

Kwesinye isikhathi ungavala ishubhu. Ngemuva kwalokho uzokwazi ukukhuluma ngokujwayelekile bese uphefumula ngamakhala nangomlomo.

Uma imbobo entanyeni yakho ingebuhlungu ngenxa yokuhlinzwa, hlanza imbobo nge-swab kakotini noma ngebhola kakotini okungenani kanye ngosuku ukuvikela ukutheleleka.

I-bandage (ukugqoka nge-gauze) phakathi kweshubhu nentamo yakho kusiza ukubamba amafinyila. Iphinde igcine ithubhu yakho ingagcotshwa entanyeni. Shintsha ibhandishi lapho lingcolile, okungenani kanye ngosuku.

Shintsha amaribhoni (ama-trach ties) agcina ishubhu lakho likhona uma lingcola. Qiniseka ukuthi ubamba ishubhu endaweni lapho ushintsha iribhoni. Qiniseka ukuthi ungafaka iminwe emi-2 ngaphansi kweribhoni ukuze uqiniseke ukuthi ayiqinisi kakhulu.

Shayela udokotela wakho uma une:

• Imfiva noma amakhaza
• Ububomvu, ukuvuvukala, noma ubuhlungu obuya ngokuya buba bucayi
• Ukopha noma ukukhipha emgodini
• Amafinyila amaningi kakhulu okunzima ukuwamunca noma ukukhwehlela
• Ukukhwehlela noma ukuphefumula okuncane, ngisho nangemva kokuncela ithubhu yakho
• Isicanucanu noma ukuhlanza
• Noma yiziphi izimpawu ezintsha noma ezingavamile

Shayela ku-911 noma inombolo ephuthumayo yendawo uma i-tracheostomy tube yakho iwa futhi awukwazi ukuyifaka esikhundleni sayo.

Ukwehluleka ukuphefumula - ukunakekelwa kwe-tracheostomy; I-Ventilator - ukunakekelwa kwe-tracheostomy; Ukungakwazi ukuphefumula - ukunakekelwa kwe-tracheostomy

IGreenwood JC, iWinters ME. Ukunakekelwa kweTracheostomy. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 7.

USmith SF, uDuell DJ, uMartin BC, u-Aebersold M, uGonzalez L.Tracheostomy ukunakekelwa. Ku: Smith SF, uDuell DJ, uMartin BC, u-Aebersold M, uGonzalez L, ama-eds. Amakhono Wabahlengikazi Abasemtholampilo: Okuyisisekelo Kumakhono Athuthukile. Umhlaka 9. IHoboken, NJ: Pearson; I-2017: isahluko 30.6.

• Imisebe yomlomo nentamo - ukukhipha
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• Ukunakekelwa Okubalulekile
• Ukuphazamiseka Kwetracheal