Mālama Tracheostomy

ʻO kahi tracheostomy kahi ʻoki e hana ai i puka ma kou ʻāʻī e hele i kāu aniani. Inā makemake ʻoe ia no kahi manawa pōkole wale nō, e pani ʻia ia ma hope. Pono kekahi poʻe i ka lua no ko lākou ola a pau.

Pono ka lua i ka wā i ālai ʻia kāu ala ʻāpana, a i ʻole no kekahi mau ʻano e paʻakikī ai ʻoe e hanu. Pono paha ʻoe i kahi tracheostomy inā ʻoe ma kahi mīkini hanu (ventilator) no kahi manawa lōʻihi; 'oluʻolu loa kahi paipu hanu mai kou waha mai no kahi hopena lōʻihi.

Ma hope o ka hana ʻia ʻana o ka lua, hoʻokomo ʻia kahi ʻōmole palaka i loko o ka lua e hāmama ai. Nakinaki ʻia kahi lipine ma ka ʻāʻī e mālama i ka paipu ma kahi.

Ma mua o kou haʻalele ʻana i ka haukapila, e aʻo aku nā mea mālama ola iā ʻoe pehea e hana ai i kēia:

• E hoʻomaʻemaʻe, hoʻololi, a omo i ka paipu
• E mālama i ka ea āu e hanu ai
• E hoʻomaʻemaʻe i ka lua me ka wai a me ke kopa māmā a hydrogen peroxide paha
• Hoʻololi i ka lole a puni ka lua

Mai hana i ka hana koʻikoʻi a i ʻole hoʻoikaika kino no 6 mau pule ma hope o ke kaha ʻana. Ma hope o kāu ʻoki ʻana, ʻaʻole hiki iā ʻoe ke ʻōlelo. E noi i kāu mea nāna e hāʻawi i kahi kuhikuhi i kahi haʻi ʻōlelo e kōkua iā ʻoe e aʻo e kamaʻilio me kāu tracheostomy. Hiki ke hana maʻamau i ka manawa e hoʻomaikaʻi ai kāu kūlana.

Ma hope o kou hoʻi ʻana i ka home, e hāhai i nā ʻōkuhi pehea e mālama ai i kāu tracheostomy. E hoʻohana i ka ʻike ma lalo i mea hoʻomanaʻo.

E loaʻa iā ʻoe kahi liʻiliʻi o ka mucus a puni ka paipu. He maʻamau kēia. ʻO ka lua o kou ʻāʻī e pono e poni a ʻeha hoʻi.

He mea nui e mālama i ka ʻōmole me ka ʻole o ka mucus mānoanoa. Lawe mau ʻoe i kahi ʻōmole keu me ʻoe inā e hoʻopili ʻia kāu paipu. Ke kau nei ʻoe i loko o ka ʻōmole hou, hoʻomaʻemaʻe i ka mea kahiko a mālama pū me ʻoe e like me kāu paipu keu.

Ke kūleʻa ʻoe, e hoʻomākaukau kahi lole a lole paha e hopu i ka mucus e hele mai ana mai kāu paipu.

ʻAʻole e mālama hou kou ihu i ka ea āu e hanu ai. E kamaʻilio me kāu mea lawelawe e pili ana i ka mālama ʻana i ka ea e hanu ai ʻoe a pehea e pale ai i nā palaka i kāu pahu.

ʻO kekahi mau ala maʻamau e mālama ai i ka ea āu e hanu mau ai:

• Ke kau nei i kahi lole mākū a lole paha ma waho o kāu paipu. E mālama mau i ka pulu.
• Ke hoʻohana nei i kahi mea hoʻohaʻahaʻa i kou home ke paʻa ka mea hoʻomehana a maloʻo ka ea.

ʻO kekahi mau kulu o ka wai paʻakai (saline) e hoʻonā i kahi plug o ka mucus mānoanoa. E kau i kahi mau kulu i loko o kāu paipu a me ka puka makani, a laila e huki i ka hanu hohonu a me ka puʻu e kōkua i ka lawe ʻana i ka mucus.

Palekana i ka lua i kou ʻāʻī me ka lole a i ʻole ka uhi tracheostomy ke hele ʻoe i waho. Hiki i kēia mau uhi ke kōkua i ka hoʻomaʻemaʻe i kou kapa mai ka mucus a hana i kou kani ʻana me ka leo ʻole.

Mai hanu i ka wai, ka meaʻai, ka pauka, a me ka lepo. Ke holoi ʻoe, e uhi i ka lua me kahi uhi tracheostomy. ʻAʻole hiki iā ʻoe ke hele e ʻauʻau.

E ʻōlelo, pono ʻoe e uhi i ka lua me kou manamana lima, pāpale, a i ʻole kiwikā e ʻōlelo ai.

I kekahi manawa hiki iā ʻoe ke pāpale i ka paipu. A laila hiki iā ʻoe ke ʻōlelo maʻamau a hanu ma kou ihu a me kou waha.

I ka manawa ʻaʻole ʻeha ka puka o kou ʻāʻī mai ke ʻoki, hoʻomaʻemaʻe i ka lua me kahi pulupulu a i ʻole ka popo pulupulu ma ka liʻiliʻi hoʻokahi manawa i ka lā e pale i ka maʻi.

ʻO ka bandage (lole lole) ma waena o kāu paipu a me ka ʻāʻī e kōkua ai i ka hopu ʻana i ka mucus. Mālama pū ʻia ia i kāu ʻōmole mai ka ʻānai ʻana ma kou ʻāʻī. Hoʻololi i ka bandage inā haumia ia, ma ka liʻiliʻi hoʻokahi manawa i ka lā.

Hoʻololi i nā lipine (pili trach) e mālama pono i kāu paipu inā e haumia lākou. E mālama pono i ka paipu ma kahi āu e hoʻololi ai i ka lipine. E hōʻoia hiki iā 'oe ke komo i 2 mau manamana lima ma lalo o ka lipine e hōʻoiaʻiʻoʻaʻaʻaʻole paʻa.

Kāhea i kāu kauka inā loaʻa iā ʻoe:

• Fiva a i ʻole haʻalulu
• ʻUlaʻula, pehu, a ʻeha paha e ʻinoʻino ana
• Kahe ʻana a kahe paha o ka lua
• ʻOi aku ka nui o ka mucus paʻakikī i ke omo a i ʻole ka uha
• Cough a pōkole paha o ka hanu, ʻoiai ma hope o kou omo ʻana i kāu paipu
• Nausea a i ʻole ka luaʻi
• ʻO nā hōʻailona hou a ʻano ʻē paha

Kāhea iā 911 a i ʻole ka helu kūloko kūloko inā hāʻule kāu pahu tracheostomy a ʻaʻole hiki iā ʻoe ke pani.

Hoʻopilikia hanu - mālama tracheostomy; Ventilator - mālama tracheostomy; Ka lawa ʻole o ka hanu ʻana - mālama tracheostomy

Greenwood JC, Winters ME. Mālama Tracheostomy. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 7.

ʻO Smith SF, Duell DJ, Martin BC, Aebersold M, ʻo Gonzalez L. Tracheostomy mālama. I: Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L, eds. Nā mākau hanai maʻi lapaʻau: Nā Pono i nā Manaʻo Pale. 9th ed. Hoboken, NJ: Pearson; 2017: chap 30.6.

• Pākuʻi ka waha a me ka ʻāʻī - hoʻokuʻu
• Mālama ʻeha ʻeha - wehe

• Mālama koʻikoʻi
• Nā maʻi Tracheal