Tracheostomy: Zomwe zili ndi momwe mungasamalire

Zamkati

• Zomwe muyenera kuchita kuti muthane ndi tracheostomy
• 1. Momwe mungasungire cannula yoyera
• 2. Momwe mungasinthire padded padded
• Momwe tracheostomy imagwirira ntchito
• Zizindikiro zochenjeza kupita kwa dokotala

Tracheostomy ndi kabowo kakang'ono kamene kamapangidwa pakhosi, pamwamba pa dera la trachea kuti pakhale mpweya wolowa m'mapapu. Izi zimachitika kawirikawiri pakakhala cholepheretsa kuyenda pamlengalenga komwe kumachitika chifukwa cha zotupa kapena kutupa pakhosi pambuyo pochitidwa opaleshoni, mwachitsanzo, chifukwa chake zimatha kusungidwa kwa masiku ochepa kapena kwa moyo wonse.

Ngati ndikofunikira kusunga tracheostomy kwa nthawi yayitali, ndikofunikira kudziwa momwe mungasamalire bwino, kupewa zovuta zazikulu monga kubanika kapena matenda am'mapapo. Chisamaliro ichi chitha kuchitidwa ndi womusamalira, pomwe munthuyo ali chigonere, kapena wodwalayo, akamaona kuti angathe.

Zomwe muyenera kuchita kuti muthane ndi tracheostomy

Pofuna kupewa zovuta zomwe zingachitike, ndikofunikira kuti nkhono zizikhala zoyera komanso zopanda zotsekemera, komanso kusintha zinthu zonse malinga ndi malangizo a dokotala.

Kuphatikiza apo, ndikofunikira kudziwa ngati tsamba la tracheostomy ndi lofiira kapena lotupa, chifukwa ngati mupereka zizindikilozi zitha kuwonetsa mawonekedwe a matenda, omwe ayenera kufotokozeredwa mwachangu kwa adotolo.

1. Momwe mungasungire cannula yoyera

Kusunga tracheostomy cannula yoyera komanso yopanda katulutsidwe, komwe kumatha kuyambitsa kubanika kapena matenda, muyenera:

1. Valani magolovesi oyera;
2. Chotsani khunyu wamkati ndikuyiyika mu chidebe ndi sopo ndi madzi kwa mphindi 5;
3. Limbikitsani mkati mwa kanyumba kakunja ndi aspirator yobisalira. Ngati mulibe aspirator yobisalira, mutha kubaya 2 mL ya mchere mumtsinje wakunja, ndikupangitsa kutsokomola ndikuthandizira kuchotsa zotulutsa m'mayendedwe ampweya;
4. Ikani kansalu kamkati koyera ndi kosabala;
5. Tsukani mkodzo wamkati wamkati, mkati ndi kunja, pogwiritsa ntchito siponji kapena burashi;
6. Ikani kansalu konyansa m'madzi otentha kwa mphindi 10;
7. Yanikani kanyumbako ndi ma compress osabereka ndikusungira mu chidebe chotetezedwa ndi mowa, kuti mugwiritse ntchito posinthana kwina.

Ng'ombe yakunja ya tracheostomy iyenera kungosinthidwa ndi katswiri wazachipatala, chifukwa pamakhala chiopsezo chachikulu chobanika mukamachitika kunyumba. Chifukwa chake, munthu ayenera kupita kuchipatala kamodzi pamlungu kuti akasinthe tracheostomy yonse, kapena monga adalangizidwa ndi dokotala.

2. Momwe mungasinthire padded padded

Khushoni yanu

Compress pad

Pamwamba pa tracheostomy iyenera kusinthidwa ikafika yonyansa kapena yonyowa. Mukachotsa malo okutidwa ndi litsiro, tsukani khungu mozungulira tracheostomy ndi mchere wambiri ndikuthira mafuta osakaniza.

Kuyika mtsamiro watsopano, mutha kugwiritsa ntchito mapadi oyenera tracheostomy, monga zikuwonetsedwa pachithunzi choyambirira, kapena gwiritsani ntchito ma compress awiri oyera ndi kudula pamwamba, monga zikuwonetsedwa pachithunzi chachiwiri.

Momwe tracheostomy imagwirira ntchito

Tracheostomy imachitika kudzera kuchipatala kuchipatala ndi anesthesia wamba, ngakhale nthawi zina dokotala amathanso kusankha mankhwala oletsa ululu am'deralo, kutengera zovuta komanso kutalika kwa njirayi.

Kenako, kakhosi kakang'ono kamapangidwa pakhosi kuti awulule trachea ndikucheka kwatsopano kumapangidwa mu cartilage ya trachea, kulola kudutsa kwa chubu cha tracheostomy. Pomaliza, mgawo loyamba kapena ngati munthuyo amangofunika tracheostomy kuchipatala, makina amalumikizidwa kuti athandize kupuma.

Ngakhale mutha kupita kunyumba ndi tracheostomy, njirayi imagwiritsidwa ntchito kwambiri mwa anthu omwe ali ndi mavuto akulu omwe amafunika kukhala ku ICU kwa nthawi yayitali, mwachitsanzo.

Zizindikiro zochenjeza kupita kwa dokotala

Zizindikiro zina zomwe zikuwonetsa kuti muyenera kupita kuchipatala nthawi yomweyo kapena kuchipinda chadzidzidzi ndi izi:

• Kutseka kwa khunyu yakunja ndi zinsinsi;
• Kutuluka mwadzidzidzi kwa nkhono zakunja;
• Sputum wamagazi;
• Kukhalapo kwa zizindikilo za matenda, monga kufiyira kwa khungu kapena kutupa.

Wodwala akamva kupuma pang'ono, ayenera kuchotsa kankhunidwe kake ndikumatsuka bwino. Komabe, ngati chizindikirocho chikupitirira, muyenera kupita kuchipinda chadzidzidzi nthawi yomweyo.