Kuchengetwa kwetracheostomy

Iyo tracheostomy kuvhiya kugadzira gomba mumutsipa wako iro rinopinda mune rako remhepo. Kana uchiida kwenguva pfupi chete, ichavharwa gare gare. Vamwe vanhu vanoda gomba kwehupenyu hwavo hwese.

Iyo gomba rinodiwa kana yako yemhepo yakavharika, kana kune mamwe mamiriro anoita kuti zvive zvakaoma kwauri kufema. Iwe ungangoda tracheostomy kana iwe uri pane wekufema muchina (ventilator) kwenguva yakareba; chubhu yekufema kubva mumuromo mako haina kugadzikana kune mhinduro yenguva refu.

Mushure mekunge gomba raitwa, chubhu yepurasitiki inoiswa mugomba kuti irambe yakavhurika. Ribhoni rakasungirirwa pamutsipa kuti chubhu irambe iri panzvimbo.

Usati wabuda muchipatara, vanopa hutano vanokudzidzisa maitiro ekuita zvinotevera:

• Chenesa, tsiva, uye sveta iyo chubhu
• Chengetedza mweya waunofema wakanyorova
• Chenesai gomba nemvura uye nesipo yakapfava kana hydrogen peroxide
• Chinja kupfeka kwakakomberedza gomba

Usaite basa rinonetesa kana kuomesa muviri kwemavhiki matanhatu mushure mekuvhiyiwa. Mushure mekuvhiyiwa kwako, unogona kusakwanisa kutaura. Kumbira mupiki wako kuti aendeswe kune wekutaura murapi kuti akubatsire iwe kudzidza kutaura neako tracheostomy. Izvi zvinowanzoitika kana mamiriro ako akavandudzika.

Mushure mekuenda kumba, tevedzera rairo yekuti ungatarisira sei tracheostomy yako. Shandisa ruzivo rwuri pazasi sechiyeuchidzo.

Iwe unenge uine hushoma hwemamousu akakomberedza chubhu. Izvi zvakajairika. Buri mumutsipa wako rinofanira kuva repingi uye risingarwadze.

Izvo zvakakosha kuti chubhu iite isina mukobvu wakakora. Iwe unofanirwa kugara uine imwe yekuwedzera chubhu newe kuitira kuti chubhu yako ivhage. Paunenge iwe waisa mutubhu nyowani, suka iyo yekare uye uchengete newe seyako yekuwedzera chubhu.

Paunokosora, gadzira tinyu kana jira rakagadzirira kubata mhezi dzinouya kubva muhubhu yako.

Mhuno yako haichachengetedze mweya waunofema wakanyorova. Taura nemupi wako nezvekuti ungachengeta sei mweya waunofema wakanyorovera uye maitiro ekudzivirira mapulagi muhubhu yako.

Dzimwe nzira dzakajairika dzekuchengetedza mhepo yaunofema yakanyorova ndeiyi:

• Kuisa gauze nyoro kana jira pamusoro pekunze kwepombi yako. Chengeta yakanyorova.
• Uchishandisa humidifier mumba mako kana hita iripo uye mhepo yaoma.

Madonhwe mashoma emvura yemunyu (munyu) anosunungura chivhariso chemakonzo akakora. Isa madonhwe mashoma muhubhu yako uye paipi yemhepo, wobva watora kufema kwakanyanya uye kukosora kubatsira kuburitsa mhezi.

Dzivirira gomba riri mumutsipa wako nejira kana tracheostomy chifukidziro paunobuda kunze. Aya mabutiro anogona zvakare kubatsira kuti mbatya dzako dzive dzakachena kubva pamamousu uye kuita kuti kufema kwako kunzwike.

Usafeme mumvura, chikafu, hupfu, kana guruva. Kana iwe ukageza, vhara iyo gomba nechivharo chetracheostomy. Iwe hauchakwanise kuenda kunoshambira.

Kuti utaure, uchafanirwa kuvhara gomba nemunwe wako, chivharo, kana vharafu yekutaura.

Dzimwe nguva unogona kuvhara chubhu. Ipapo iwe unogona kukwanisa kutaura zvakajairika uye kufema kuburikidza nemhino nemuromo.

Kana gomba riri mumutsipa wako risina kurwadziwa kubva pakuvhiyiwa, suka gomba racho neshinda yekotoni kana bhora rekotoni kamwe chete pazuva kudzivirira hutachiona.

Iyo bhandeji (gauze kupfeka) pakati pebhubhu yako nemutsipa zvinobatsira kubata masi. Iyo zvakare inochengetedza chubhu yako kubva kukwiza pamutsipa wako. Chinja bhandeji kana rasviba, kamwe chete pazuva.

Chinja maribhoni (trach ties) ayo anochengeta chubhu yako irimo kana akasviba. Ita shuwa kuti unobata chubhu panzvimbo paunoshandura ribhoni. Ive neshuwa kuti unogona kukodzera minwe miviri pasi pebhoni kuti uve nechokwadi chekuti haina kunyanya kusimba

Dana chiremba wako kana iwe uine:

• Fivha kana kutonhora
• Kutsvuka, kuzvimba, kana kurwadziwa kuri kuramba kuchikura
• Kubuda ropa kana kubuda kubva mugomba
• Mhezi yakawandisa iyo yakaoma kukweva kana kukosora
• Kukosora kana kufema kwekufema, kunyangwe mushure mekusveta chubhu yako
• Kusvotwa kana kurutsa
• Chero zvitsva kana zvisina kujairika zviratidzo

Fonera 911 kana iyo yemuno emergency emergency kana yako tracheostomy chubhu ikawira pasi uye haugone kuitsiva.

Kutadza kufema - tracheostomy kuchengetedza; Ventilator - tracheostomy kutarisirwa; Kufema kusakwana - tracheostomy kutarisirwa

Greenwood JC, Winters INI. Kuchengetwa kwetracheostomy. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chits.

Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L. Tracheostomy kuchengetedza. Muna: Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L, eds. Unyanzvi hweKiriniki hweKiriniki: Huru kune Hwepamberi Hunyanzvi. 9th ed. Hoboken, NJ: Pearson; 2017: chitsiko 30.6.

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