Ishubhu yeTracheostomy - ukudla

Iningi labantu abane-tube ye-tracheostomy bazokwazi ukudla ngokujwayelekile. Kodwa-ke, kungazizwa kwehlukile lapho ugwinya ukudla noma iziphuzo.

Uma uthola ithubhu yakho ye-tracheostomy, noma i-trach, ungaqala ngokuqala ekudleni okumanzi noma okuthambile kakhulu. Kamuva ithubhu yetrach izoshintshwa ibe usayizi omncane ozokwenza ukugwinya kube lula. Kwezinye izimo, umhlinzeki wakho wezokunakekelwa kwempilo uzokutshela ukuthi ungadli khona manjalo uma kukhona ukukhathazeka ukuthi ukugwinya kwakho kuphazamisekile. Esikhundleni salokho, uzothola izakhamzimba nge-IV (i-catheter efakwa emthanjeni efakwe emthanjeni) noma ithubhu yokudla. Noma kunjalo, lokhu akuvamile.

Uma usuphulukile ekuhlinzweni, umhlinzeki wakho uzokutshela ukuthi kuphephile nini ukuthuthukisa ukudla kwakho ukuze uthathe ukudla okuqinile neziphuzo ngomlomo. Ngalesi sikhathi, umelaphi wezinkulumo uzokusiza nokuthi ufunde ukugwinya ngethoshi.

• Uchwepheshe wezinkulumo angenza izivivinyo ezithile ukubheka izinkinga futhi aqiniseke ukuthi uphephile.
• Umelaphi uzokukhombisa ukuthi ungadla kanjani futhi azokwazi ukukusiza uthathe ukulunywa kwakho kokuqala.

Izici ezithile zingenza ukudla noma ukugwinya kube nzima, njenge:

• Izinguquko esakhiweni noma ku-anatomy yomoya wakho.
• Ukungadli isikhathi eside,
• Isimo esenza i-tracheostomy idingeke.

Ungahle ungabe usanambitha wokudla, noma imisipha ingase ingasebenzi kahle ngokubambisana. Buza umhlinzeki wakho noma owelapha ngokuthi kungani kunzima ukukugwinya.

Lezi zeluleko zingasiza ngezinkinga zokugwinya.

• Gcina izikhathi zokudla zikhululekile.
• Hlala uqonde ngangokunokwenzeka lapho udla.
• Thatha ukulunywa okuncane, ngaphansi kuka-1 ithisipuni (5 ml) wokudla ngokuluma ngakunye.
• Hlafuna kahle ugwinye ukudla kwakho ngaphambi kokuphinda ulume.

Uma ithubhu yakho ye-tracheostomy inenkomishi, umeluleki wezinkulumo noma umhlinzeki uzoqinisekisa ukuthi ikhafu ikhishwa phakathi nezikhathi zokudla. Lokhu kuzokwenza kube lula ukugwinya.

Uma une-valve yokukhuluma, ungayisebenzisa ngenkathi udla. Kuzokwenza kube lula ukugwinya.

Ukumunca ithubhu ye-tracheostomy ngaphambi kokudla. Lokhu kuzokugcina ungakhwehlele ngenkathi udla, okungakwenza ukuthi uphonsa.

Wena nomhlinzeki wakho kufanele nibheke izinkinga ezimbili ezibalulekile:

• Ukuchofoza nokuphefumula izinhlayiya zokuhamba emoyeni wakho (okubizwa nge-aspiration) okungaholela ekuthelelekeni kwamaphaphu
• Ukungatholi ama-calories nezakhi ezanele

Shayela umhlinzeki wakho uma kukhona kulezi zinkinga ezilandelayo:

• Ukuklinya nokukhwehlela ngenkathi udla noma uphuza
• Ukukhwehlela, umkhuhlane, noma ukuphefumula okuncane
• Izinhlayiya zokudla ezitholakala ekusithekeni kusuka ku-tracheostomy
• Inani elikhulu lamanzi aphuma emanzini noma amabala akhanyayo avela ku-tracheostomy
• Ukwehlisa isisindo ngaphandle kokuzama, noma ukuzuza kwesisindo esibi
• Amaphaphu azwakala eminyene kakhulu
• Imikhuhlane ejwayelekile noma izifo zesifuba
• Izinkinga zokugwinya ziya ngokuya ziba zimbi

Ukudla - ukudla

I-Dobkin BH. Ukuvuselelwa kwemizwa. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 57.

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.

UMirza N, uGoldberg AN, uSimonian MA. Ukuphazamiseka kokugwinya nokuxhumana. Ku: Lanken PN, Manaker S, Kohl BA, Hanson CW, abahleli. Ibhukwana Leyunithi Yokunakekelwa Okujulile. Okwesibili. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 22.

• Ukuphazamiseka Kwetracheal