Tracheostomy tube - kutaura

Kutaura chikamu chakakosha chekutaurirana nevanhu. Kuva netracheostomy tube kunogona kuchinja kugona kwako kutaura nekubatana nevamwe.

Nekudaro, iwe unogona kudzidza kutaura ne tracheostomy tube. Zvinongotora kudzidzira. Kune mamwe matauriro ekutaura anogona kukubatsira.

Mhepo inopfuura nemumabote ezwi (larynx) inokonzeresa kuti idedere, ichigadzira ruzha nekutaura.

Iyo tracheostomy chubhu inovhara yakawanda yemhepo kuti isapfuure nemumatambo ako ezwi. Panzvimbo iyoyo, mweya wako (mweya) unobuda kuburikidza neyako tracheostomy tube (trach).

Panguva yekuvhiyiwa kwako, iyo yekutanga traki chubhu ichave nebhaluni (cuff) iri mune yako trachea.

• Kana iyo cuff yakafemerwa (yakazadzwa nemhepo), zvinodzivirira mweya kubva mukufamba kuburikidza neako mazwi tambo. Izvi zvinokutadzisa kuita ruzha kana kutaura.
• Kana iyo cuff yakadzvanywa, mweya unokwanisa kufamba uchitenderedza trach uye kuburikidza neyako tambo tambo, uye iwe unofanirwa kugona kuita ruzha. Nekudaro, kazhinji yenguva iyo traki chubhu inoshandurwa mushure memazuva mashanu kusvika manomwe kusvika padiki, isina cuffless trach. Izvi zvinoita kuti kutaura kuve nyore kwazvo.

Kana yako tracheostomy ine cuff, iyo inofanirwa kuve yakasvibiswa. Anokuchengeta anofanira kuita sarudzo yezve nguva yekukanganisa yako cuff.

Kana iyo cuff yasvibiswa uye mweya ukapfuura uchitenderedza trach yako, iwe unofanirwa kuedza kutaura nekuita ruzha.

Kutaura kuchanetsa kupfuura usati wave ne trach yako. Ungangoda kushandisa simba rakawanda kuburitsa mweya kubudikidza nemuromo wako. Kutaura:

• Tora mweya wakadzika mukati.
• Kufema kunze, uchishandisa simba rakawanda kupfuura raunowanzoita kuburitsa mweya kunze.
• Vhara iyo trach chubhu kuvhura nemunwe wako wobva wataura.
• Unogona kusanzwa zvakawanda pakutanga.
• Iwe unozowedzera simba rekusundira mweya kunze nemuromo wako sezvaunodzidzira.
• Mheremhere yaunoita ichawedzera.

Kuti utaure, zvakakosha kuti iwe uise chigunwe chakachena pamusoro petiraki kudzivirira mweya kubuda kuburikidza netiraki. Izvi zvinobatsira mhepo kubuda nemumuromo mako kuita izwi.

Kana zvichinetsa kutaura netiraki iri munzvimbo, michina yakakosha inogona kukubatsira iwe kudzidza kugadzira manzwi.

Imwe-nzira mavharuvhu, anonzi ekutaura mavharuvhu, anoiswa kune yako tracheostomy. Matauri ekutaura anotendera mweya kupinda nepombi uye kubuda nemumuromo nemumhino. Izvi zvinokutendera iwe kuti uite ruzha uye utaure zviri nyore pasina kuda kushandisa munwe wako kuvharira traki yako pese paunotaura.

Vamwe varwere vanogona kunge vasingakwanise kushandisa mavhavha aya. Mushandi wekutaura achashanda newe kuona kuti uri mukwikwidzi akanaka. Kana vharafu yekutaura yakaiswa patiraki rako, uye uchinetseka kufema, iyo vharuvhu inogona kunge isiri kubvumira mweya wakaringana kuti upfuure uchitenderedza traki yako.

Hupamhi hwe tracheostomy chubhu inogona kutora chinzvimbo. Kana iyo chubhu ikatora nzvimbo yakawandisa pahuro pako, panogona kunge pasina nzvimbo yakakwana yekuti mweya upfuure uchitenderera chubhu.

Yako trach inogona kuve fenestrated. Izvi zvinoreva kuti trach ine mamwe maburi akavakirwa mukati mayo. Makomba aya anotendera mweya kupfuura nemumatambo ako ezwi. Vanogona kuita kuti zvive nyore kudya uye kufema netracheostomy tube.

Zvinotora nguva yakareba kukura mutauro kana uine:

• Vocal tambo kukuvara
• Kukuvadza kumutsara wezwi, izvo zvinogona kuchinja mafambiro ezwi

Trach - kutaura

Dobkin BH. Neurological Kuvandudza. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 57.

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

Mirza N, Goldberg AN, Simoni MA. Kumedza uye kusagadzikana kwekutaurirana. Mune: Lanken PN, Manaker S, Kohl BA, Hanson CW, eds. Inotarisira Kuchengeta Chikamu Chinyorwa. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2014: chitsiko 22.

• Matambudziko eTracheal