Tracheostomy chubu - kuyankhula

Kulankhula ndi gawo lofunikira polumikizana ndi anthu. Kukhala ndi chubu cha tracheostomy kumatha kusintha luso lanu lolankhula komanso kuyanjana ndi ena.

Komabe, mutha kuphunzira momwe mungalankhulire ndi chubu cha tracheostomy. Zimangotengera kuchita. Palinso zida zoyankhulira zomwe zingakuthandizeni.

Mpweya wodutsa pamawu amphongo (larynx) umawapangitsa kunjenjemera, ndikupanga mawu ndi mawu.

Tepu ya tracheostomy imatchinga mpweya wambiri kuti usadutse muzingwe zanu. M'malo mwake, mpweya wanu (mpweya) umatuluka kudzera mu tracheostomy tube (trach) yanu.

Pa nthawi yochita opareshoni, chubu choyamba cha trach chimakhala ndi buluni (khafu) yomwe ili m trachea yanu.

• Ngati khafu yadzaza (yodzazidwa ndi mpweya), imalepheretsa mpweya kuyenda kudzera mu zingwe zanu zamawu. Izi zikulepheretsani kupanga phokoso kapena kuyankhula.
• Ngati khafu yasweka, mpweya umatha kuyenda mozungulira thambo ndikulumikiza zingwe zamawu, ndipo mumatha kumveka. Komabe, nthawi zambiri chubu cha trach chimasinthidwa pakatha masiku 5 mpaka 7 kukhala kachingwe kakang'ono kopanda cuffless. Izi zimapangitsa kulankhula kukhala kosavuta.

Ngati tracheostomy yanu ili ndi khola, iyenera kuchepetsedwa. Wokusamalirani ayenera kupanga chisankho chokhudza chovala chanu.

Khafu itasokonezedwa ndipo mpweya utha kudutsa mozungulira trak yanu, muyenera kuyeserera kuti mupange mawu.

Kuyankhula kudzakhala kovuta kuposa kale pomwe mudali ndi trak. Mungafunike kugwiritsa ntchito mphamvu zambiri kuti mutulutse mpweya pakamwa panu. Kulankhula:

• Pumirani kwambiri.
• Pumirani kunja, pogwiritsa ntchito mphamvu kuposa momwe mungathere kuti mutulutse mpweya.
• Tsekani chubu lakutsegulira ndi chala chanu ndiyeno lankhulani.
• Mwina simungamve zambiri poyamba.
• Mulimbitsa mphamvu yakukankhira mpweya pakamwa panu mukamazichita.
• Phokoso lomwe mumapanga limakulirakulira.

Kuti mulankhule, ndikofunikira kuti muike chala choyera pamtengowo kuti mpweya usatuluke kudzera mu thirakitilo. Izi zithandiza mpweya kutuluka mkamwa mwako kupanga liwu.

Ngati ndizovuta kuyankhula ndi trak m'malo mwake, zida zapadera zingakuthandizeni kuphunzira kupanga mawu.

Ma valve amtundu umodzi, omwe amatchedwa ma valves olankhula, amaikidwa pa tracheostomy yanu. Mavavu olankhula amalola mpweya kulowa kudzera mu chubu ndikutuluka mkamwa ndi mphuno. Izi zikuthandizani kuti mupange phokoso ndikulankhula mosavuta osafunikira kugwiritsa ntchito chala chanu kutchinga trak yanu nthawi iliyonse mukamalankhula.

Odwala ena sangathe kugwiritsa ntchito ma valve awa. Wothandizira kulankhula adzagwira nanu ntchito kuti muwonetsetse kuti ndinu woyenera. Ngati valavu yolankhula yayikidwa pa traketi yanu, ndipo mukuvutika kupuma, valavuyo siyingalole mpweya wokwanira kudutsa pa thirakiti lanu.

Kutalika kwa chubu la tracheostomy kungatenge gawo. Ngati chubu imatenga malo ochuluka kwambiri pakhosi panu, sipangakhale malo okwanira kuti mpweya udutse mozungulira chubu.

Thumba lanu limatha kutenthedwa. Izi zikutanthauza kuti trach ili ndi mabowo owonjezera omwe adapangidwamo. Mabowo amenewa amalola mpweya kudutsa mu zingwe za mawu. Amatha kupangitsa kuti zikhale zosavuta kudya komanso kupuma ndi chubu cha tracheostomy.

Zitha kutenga nthawi yayitali kukulitsa mawu ngati muli:

• Kuwonongeka kwa chingwe
• Kuvulala kwamitsempha yamawu, yomwe imatha kusintha momwe zingwe zamawu zimayendera

Trach - kuyankhula

Dobkin BH. Kukonzanso kwa Neurological. 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. Kusamalira Tracheostomy. Mu: Roberts JR, Custalow CB, Thomsen TW, 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