Tracheostomy chubu - kudya
Anthu ambiri omwe ali ndi chubu cha tracheostomy amatha kudya bwinobwino. Komabe, zimatha kumveka mosiyana mukameza zakudya kapena zakumwa.
Mukapeza chubu yanu ya tracheostomy, kapena trach, mutha kuyamba kaye ndi madzi kapena zakudya zofewa kwambiri. Pambuyo pake chubu la trach lidzasinthidwa kukhala laling'ono lomwe lingapangitse kumeza kukhala kosavuta. Nthawi zina, wothandizira zaumoyo wanu angakuuzeni kuti musadye nthawi yomweyo ngati pali vuto kuti kumeza kwanu kuli kovuta. M'malo mwake, mumalandira michere kudzera mu IV (catheter yolowa mumtsinje) kapena chubu chodyetsera. Komabe, izi sizofala.
Mukachira kuchitidwa opareshoni, omwe amakupatsani angakuuzeni ngati zili bwino kupititsa patsogolo zakudya zanu kuti muzidya zolimba ndi zakumwa pakamwa. Pakadali pano, wothandizira kulankhula adzakuthandizaninso kudziwa momwe mungameze ndi trak.
- Wothandizira kulankhula amatha kuyesa zina kuti aone zovuta ndikuonetsetsa kuti ndinu otetezeka.
- Wothandizirayo akuwonetsani momwe mungadyere ndipo athe kukuthandizani kuti mudye koyamba.
Zinthu zina zitha kupangitsa kuti kudya kapena kumeza kuvuta, monga:
- Kusintha kwa kapangidwe kake kapena momwe mpweya wanu umayendera.
- Osadya kwa nthawi yayitali,
- Chikhalidwe chomwe chidapangitsa tracheostomy kukhala yofunikira.
Mwina simukhalanso ndi chakudya, kapena minofu imagwira ntchito limodzi. Funsani omwe akukuthandizani kapena othandizira kuti ndichifukwa chiyani zimakuvutani kumeza.
Malangizo awa atha kuthandiza pamavuto akumeza.
- Muzikhala omasuka pa nthawi ya chakudya.
- Khalani molunjika momwe mungathere mukamadya.
- Tengani pang'ono pang'ono, osakwana supuni 1 (5 ml) ya chakudya poluma.
- Bzalani bwino ndi kumeza chakudya musanadye kenanso.
Ngati chubu yanu ya tracheostomy ili ndi khola, wolankhulira kapena woperekayo adzaonetsetsa kuti khafuyo yasokonekera panthawi yakudya. Izi zidzakupangitsani kukhala kosavuta kumeza.
Ngati muli ndi valavu yolankhula, mutha kuyigwiritsa ntchito mukamadya. Zimapangitsa kukhala kosavuta kumeza.
Phwanyikani chubu cha tracheostomy musanadye. Izi zidzakulepheretsani kutsokomola mukamadya, zomwe zingakupangitseni kuponya.
Inu ndi omwe mumapereka muyenera kuyang'anira zovuta ziwiri zofunika:
- Kutsanulira ndikupumira tinthu tating'onoting'ono mumsewu wanu (wotchedwa aspiration) womwe ungayambitse matenda am'mapapo
- Osalandira zopatsa mphamvu zokwanira ndi michere
Itanani omwe akukuthandizani ngati atakumana ndi izi:
- Kutsamwa komanso kutsokomola mukamadya kapena kumwa
- Chifuwa, malungo, kapena kupuma movutikira
- Zakudya zamagulu zomwe zimapezeka mchimake kuchokera ku tracheostomy
- Kuchulukanso kwamadzi kapena kutulutsa khungu kuchokera ku tracheostomy
- Kuchepetsa thupi osayesa, kapena kunenepa pang'ono
- Mapapu amamveka ochuluka kwambiri
- Chimfine kapena matenda pachifuwa pafupipafupi
- Mavuto akumeza akukulirakulira
Trak - kudya
Dobkin BH. Kukonzanso kwaminyewa. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 57.
Greenwood JC, Winters INE. Chisamaliro cha Tracheostomy. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 7.
Mirza N, Goldberg AN, Simonian MA. Kumeza ndi kulumikizana kwamavuto. Mu: Lanken PN, Manaker S, Kohl BA, Hanson CW, olemba. Buku Lopatsika Kwantchito. Wachiwiri ed. Philadelphia, PA: Elsevier Saunders; 2014: mutu 22.
- Mavuto Amtundu