Ithubhu yeTracheostomy - ukukhuluma

Ukukhuluma yingxenye esemqoka yokuxhumana nabantu. Ukuba neshubhu ye-tracheostomy kungashintsha amandla akho okukhuluma nokuxhumana nabanye.

Kodwa-ke, ungafunda ukuthi ungakhuluma kanjani neshubhu ye-tracheostomy. Kuthatha nje ukwenza. Kukhona ngisho namadivayisi okukhuluma angakusiza.

Umoya odlula ezintanjeni zezwi (umphimbo) ubenza badlidlize, bakhe imisindo nenkulumo.

Ishubhu le-tracheostomy livimba umoya omningi ekudluliseni izintambo zakho zezwi. Esikhundleni salokho, umoya wakho (umoya) uphuma nge-tracheostomy tube (trach) yakho.

Ngesikhathi sokuhlinzwa kwakho, ithubhu yokuqala yomzila izoba nebhaluni (ikhafu) elilele kudoti wakho.

• Uma ikhefu lifuthwe (ligcwele umoya), lizovimbela umoya ekuhambeni ezintanjeni zakho zezwi. Lokhu kuzokuvimba ekwenzeni umsindo noma inkulumo.
• Uma ikhafula likhishwe umoya, umoya uyakwazi ukuhamba ujikeleze ithrekhi nangezintambo zakho zezwi, futhi kufanele ukwazi ukwenza imisindo. Kodwa-ke, isikhathi esiningi ithubhu yetrach iyashintshwa ngemuva kwezinsuku ezi-5 kuye kwezingu-7 kuya kwitreaki elincane, elingenamakhaphu. Lokhu kwenza ukukhuluma kube lula kakhulu.

Uma i-tracheostomy yakho ine-cuff, izodinga ukwehliswa. Umnakekeli wakho kufanele enze isinqumo mayelana nokuthi uzowukhipha nini umkhumbi wakho.

Lapho inkantini ihlanjululwe futhi umoya ungadlula ngasesinqeni sakho, kufanele uzame ukukhuluma nokwenza imisindo.

Ukukhuluma kuzoba nzima kunakuqala lapho wawune-trach yakho. Ungadinga ukusebenzisa amandla amaningi ukukhipha umoya ngomlomo wakho. Ukukhuluma:

• Adonse umoya kakhulu.
• Phefumulela phezulu, usebenzisa amandla angaphezu kwavamile ukuze ukhiphe umoya.
• Vala ukuvulwa kweshubhu yetrekhi ngomunwe wakho bese ukhuluma.
• Ungase ungezwa okuningi ekuqaleni.
• Uzokwakha amandla okuphusha umoya uphume ngomlomo wakho njengoba uzijwayeza.
• Imisindo oyenzayo izokhuphuka kakhulu.

Ukuze ukhulume, kubalulekile ukuthi ubeke umunwe ohlanzekile phezu kwethrekhi ukuvikela umoya ukuthi ungaphumi ngomgudu. Lokhu kuzosiza umoya uphume ngomlomo wakho ukwenza izwi.

Uma kunzima ukukhuluma ngomuthi osendaweni, amadivayisi akhethekile angakusiza ufunde ukudala imisindo.

Ama-valve wendlela eyodwa, abizwa ngokuthi ama-valve okukhuluma, abekwa ku-tracheostomy yakho. Amaphayiphu okukhuluma avumela umoya ukuba ungene ngethumbu futhi uphume ngomlomo nangamakhala. Lokhu kuzokuvumela ukuthi wenze imisindo futhi ukhulume kalula ngaphandle kokusebenzisa umunwe wakho ukuvimba ithrekhi yakho njalo lapho ukhuluma.

Ezinye iziguli kungenzeka zingakwazi ukusebenzisa la ma-valve. Uchwepheshe wezinkulumo uzosebenza nawe ukuqinisekisa ukuthi ungumuntu ozobhapathizwa kahle. Uma i-valve yokukhuluma ibekwe kudoti wakho, futhi unenkinga yokuphefumula, i-valve ingahle ingavumeli umoya owanele ukuba udlule ngasesigodini sakho.

Ububanzi bethubhu ye-tracheostomy bungadlala indima. Uma ithubhu ithatha isikhala esiningi kakhulu emphinjeni wakho, kungahle kungabi nendawo eyanele ukuthi umoya udlule uzungeze ishubhu.

I-trach yakho ingahle ivuswe. Lokhu kusho ukuthi i-trach inezimbobo ezingeziwe ezakhiwe kuyo. Le mibobo ivumela umoya ukuba udlule ezintanjeni zakho zezwi. Bangakwenza kube lula ukudla nokuphefumula nge-tracheostomy tube.

Kungathatha isikhathi eside ukuthuthukisa inkulumo uma une:

• Ukulimala kwentambo yephimbo
• Ukulimala emithanjeni yezwi, engashintsha indlela izintambo zezwi ezihamba ngayo

Ukukhuluma - ukukhuluma

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, 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