I-Tracheostomy: Kuyini nokuthi unganakekela kanjani

-Delile

• Okufanele ukwenze ukwelapha i-tracheostomy
• 1. Ungayigcina kanjani i-cannula ihlanzekile
• 2. Ungayishintsha kanjani indawo eboshwe
• Isebenza kanjani i-tracheostomy
• Izimpawu zokuxwayisa ukuya kudokotela

I-tracheostomy imbobo encane eyenziwe emphinjeni, ngaphezu kwesifunda se-trachea ukwenza lula ukungena komoya emaphashini. Lokhu kuvame ukwenziwa lapho kunokuphazamiseka endleleni yomoya okubangelwa izicubu noma ukuvuvukala komphimbo ngemuva kokuhlinzwa, ngokwesibonelo, ngakho-ke kungagcinwa izinsuku ezimbalwa noma impilo yonke.

Uma kunesidingo sokugcina i-tracheostomy isikhathi eside, kubalulekile ukwazi ukuthi unakekelwa kanjani ngokufanele, ukugwema izingqinamba ezinkulu ezifana nokucinana noma ukutheleleka kwamaphaphu okungenzeka. Lokhu kunakekelwa kungenziwa ngumnakekeli, lapho umuntu elele embhedeni, noma ngesiguli uqobo, lapho ezizwa enekhono.

Okufanele ukwenze ukwelapha i-tracheostomy

Ukugwema ubungozi bezinkinga ezinkulu, kubalulekile ukugcina i-cannula ihlanzekile futhi ingenazo izimfihlo, kanye nokushintsha zonke izinto ngokwemiyalo kadokotela.

Ngaphezu kwalokho, kubalulekile ukubona ukuthi ngabe indawo ye-tracheostomy ibomvu noma ivuvukile, ngoba uma wethula lezi zimpawu kungakhombisa ukuvela kokutheleleka, okufanele kubikwe ngokushesha kudokotela.

1. Ungayigcina kanjani i-cannula ihlanzekile

Ukugcina i-tracheostomy cannula ihlanzekile futhi ingenazimfihlo, ezingadala ukuphelelwa umoya noma izifo, kufanele:

1. Gqoka amagilavu ​​ahlanzekile;
2. Susa i-cannula yangaphakathi bese uyifaka esitsheni ngensipho namanzi imizuzu engu-5;
3. Faka umoya ngaphakathi kwe-cannula yangaphandle nge-secretion aspirator. Uma ungenayo i-secretion aspirator, ungafaka u-2 ml wamanzi anosawoti ku-cannula engaphandle, ubangele ukukhwehlela nokusiza ukususa uketshezi oluqoqiwe ezindleleni zomoya;
4. Beka i-cannula yangaphakathi ehlanzekile futhi oyinyumba;
5. Gubha i-cannula yangaphakathi engcolile, ngaphakathi nangaphandle, usebenzisa isiponji noma ibhulashi;
6. Beka i-cannula engcolile emanzini abilayo cishe imizuzu eyi-10;
7. Yomisa i-cannula ngokucindezela okuyinyumba bese ugcina esitsheni esine-disinfected ngotshwala, esizosetshenziselwa ukushintshanisa okulandelayo.

I-cannula yangaphandle ye-tracheostomy kufanele ithathelwe indawo kuphela nguchwepheshe wezempilo, ngoba kunengozi enkulu yokuminyana lapho kwenziwa ekhaya. Ngakho-ke, umuntu kufanele aye esibhedlela okungenani kanye ngesonto ukuze ashintshe isethi ye-tracheostomy yonke, noma njengoba eyalelwe udokotela.

2. Ungayishintsha kanjani indawo eboshwe

Umcamelo Wakho

Cindezela iphedi

Ingaphezulu elihlanganisiwe le-tracheostomy kufanele liguqulwe noma nini lapho lingcolile noma limanzi. Ngemuva kokukhipha indawo engcolisiwe ehlanganisiwe, hlanza isikhumba ezungeze i-tracheostomy ngosawoti omncane bese ufaka isithambisi esincane esingenasiphu.

Ukubeka umcamelo omusha, ungasebenzisa amaphedi alungele i-tracheostomy, njengoba kukhonjisiwe esithombeni sokuqala, noma sebenzisa izingcwecwe ezi-2 ezihlanzekile ezisikiwe ngaphezulu, njengoba kukhonjisiwe esithombeni sesibili.

Isebenza kanjani i-tracheostomy

I-Tracheostomy yenziwa ngokuhlinzwa esibhedlela nge-anesthesia ejwayelekile, yize kwezinye izimo udokotela angakhetha ne-anesthesia yendawo, ngokuya ngobunzima nobude benqubo.

Ngemuva kwalokho, kusikwa okuncane emphinjeni ukuveza i-trachea bese kusikwa okusha ku-cartilage we-trachea, ukuvumela ukudlula kwethubhu ye-tracheostomy. Ekugcineni, esigabeni sokuqala noma uma umuntu edinga kuphela i-tracheostomy esibhedlela, imishini ixhunyiwe ukusiza ukuphefumula.

Yize ungaya ekhaya une-tracheostomy, le nqubo ivame ukusetshenziswa kakhulu kubantu abanezinkinga ezinkulu kakhulu abadinga ukuhlala e-ICU isikhathi eside, ngokwesibonelo.

Izimpawu zokuxwayisa ukuya kudokotela

Ezinye izimpawu ezibonisa ukuthi kufanele uye ngokushesha esibhedlela noma egumbini lezimo eziphuthumayo yilezi:

• Ukuvaleka kwe-cannula yangaphandle ngemfihlo;
• Ukuphuma ngengozi kwe-cannula yangaphandle;
• Isikhwehlela esinegazi;
• Ukuba khona kwezimpawu zokutheleleka, njengokubomvu kwesikhumba noma ukuvuvukala.

Lapho isiguli sizizwa siphefumula kanzima, kufanele sisuse i-cannula yangaphakathi futhi siyihlanze kahle. Kodwa-ke, uma uphawu luqhubeka, kufanele uye egumbini lezimo eziphuthumayo ngokushesha.