Tracheostomy tube - ho ja

Batho ba bangata ba nang le tube ea tracheostomy ba tla khona ho ja ka mokhoa o tloaelehileng. Leha ho le joalo, e kanna ea ikutloa e fapane ha o koenya lijo kapa lino.

Ha o fumana tube ea hau ea tracheostomy, kapa teraka, o kanna oa qala ka lijo tse metsi kapa tse bonolo haholo. Hamorao tube ea trach e tla fetoloa ho ba boholo bo bonyenyane bo tla nolofalletsa ho koenya. Maemong a mang, mofani oa hao oa tlhokomelo ea bophelo o tla u joetsa hore u se ke ua ja hang-hang haeba ho na le ngongoreho ea hore ho metsa ha hao ho senyehile. Sebakeng seo, o tla fumana limatlafatsi ka IV (catheter e kenang methapong e kenngoang mothapong) kapa phaepheng ea phepo. Leha ho le joalo, sena ha se tloaelehileng.

Hang ha u se u folile ho tloha ts'ebetsong, mofani oa hau o tla u joetsa ha ho bolokehile ho ntšetsa pele lijo tsa hau ho noa lintho tse tiileng le tse metsi ka molomo. Ka nako ena, setsebi sa lipuo se tla u thusa ho ithuta ho metsa ka teraka.

• Setsebi sa puo se ka etsa liteko tse ling ho batla mathata le ho netefatsa hore o bolokehile.
• Setsebi se tla u bontša hore na u ka ja joang 'me se tla khona ho u thusa ho loma pele.

Lintho tse ling li ka etsa hore ho ja kapa ho metsa ho be thata, joalo ka:

• Liphetoho sebopehong kapa kahehong ea tsela ea hau ea moea.
• A sa ja nako e telele,
• Boemo bo entseng hore tracheostomy e hlokahale.

Mohlomong ha u sa na tatso ea lijo, kapa mesifa e kanna ea se sebetse hantle. Botsa mofani oa hau kapa setsebi mabapi le hore na hobaneng ho le thata ho uena ho koenya.

Malebela ana a ka thusa ka mathata a ho metsa.

• Boloka linako tsa lijo li phutholohile.
• Lula u otlolohile ka hohle kamoo u ka khonang ha u ja.
• Nka ho longoa hanyane, ka tlase ho teaspoon e 1 ea lijo ka ho longoa.
• Hlafuna hantle 'me u metse lijo tsa hau pele u loma hape.

Haeba phaephe ea hau ea tracheostomy e na le cuff, setsebi sa puo kapa mofani oa litšebeletso o tla etsa bonnete ba hore khafa e senyehile nakong ea lijo. Sena se tla etsa hore ho be bonolo ho metsa.

Haeba u na le sephahla sa ho bua, u ka se sebelisa ha u ntse u ja. E tla etsa hore ho be bonolo ho e koenya.

Hlalosa mothapo oa tracheostomy pele u ja. Sena se tla u thibela ho khohlela ha u ntse u ja, e leng se ka etsang hore u fafatse.

Uena le mofani oa hau le tlameha ho shebella mathata a mabeli a bohlokoa:

• Ho bipetsa le ho hema likaroloana tsa lijo moeeng oa hau (o bitsoang aspiration) o ka lebisang tšoaetsong ea matšoafo
• Ho se fumane lik'halori le limatlafatsi tse lekaneng

Bitsa mofani oa hau haeba ho na le mathata a latelang a hlahang:

• Ho kgama le ho hohlola ha o ja kapa o noa
• Khohlela, feberu kapa phefumoloho e khuts'oane
• Lihlahisoa tsa lijo tse fumanoang liphiring tse tsoang ho tracheostomy
• Metsi a mangata kapa a masoeu a tsoang ho tracheostomy
• Ho theola boima ba 'mele ntle le ho leka, kapa ho nona hampe
• Matšoafo a utloahala a petetsane
• Lefuba le fetang hangata kapa sefuba
• Mathata a metsang a ntse a mpefala

Ho ja - ho ja

Dobkin BH. Ntlafatso ea methapo. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 57.

Greenwood JC, Mariha ME. Tlhokomelo ea Tracheostomy. Ka: Roberts JR, Custalow CB, Thomsen TW, li-eds. Mekhoa ea Tleliniking ea Roberts le Hedges ho Meriana ea Tšohanyetso le Tlhokomelo e Ntle. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 7.

Mirza N, Goldberg AN, Simonian MA. Mathata a ho koenya le a puisano. Ka: Lanken PN, Manaker S, Kohl BA, Hanson CW, bahlophisi. Bukana ea Setsi sa Tlhokomelo e Khethehileng. Lekhetlo la bobeli. Philadelphia, PA: Elsevier Saunders; 2014: khaolo ea 22.

• Mathata a Tracheal