Tube Tracheostomy - ʻai ʻana

ʻO ka hapa nui o nā poʻe me kahi ʻōpala tracheostomy e hiki ke ʻai maʻamau. Eia nō naʻe, ʻokoʻa paha ke ʻano ke ʻānai ʻoe i nā meaʻai a wai paha.

Ke kiʻi ʻoe i kāu pahu tracheostomy, a i ʻole trachost, hoʻomaka mua ʻia ʻoe i ka wai a i ʻole ka palupalu o ka papaʻai. Ma hope e loli ʻia ka ʻōpala trach i kahi liʻiliʻi e hoʻomaʻemaʻe ai i ka ale ʻana. I kekahi mau hihia, e haʻi aku kāu mea mālama ola iā ʻoe ʻaʻole e ʻai koke inā aia he hopohopo no ka hōʻino ʻole ʻia o kou ale ʻana. Ma kahi o, e loaʻa ʻoe i nā mea momona ma o ka IV (kahi catheter intravenous i hoʻonoho ʻia i loko o kahi aa) a i ʻole kahi paipu hānai. Eia naʻe, ʻaʻole maʻamau kēia.

I ka manawa i hoʻōla ai ʻoe mai ke ʻoki ʻana, e haʻi aku kāu mea lawelawe iā ʻoe ke palekana i mua i kāu papaʻai e lawe i nā mea paʻa a me nā wai e ka waha. I kēia manawa, kōkua pū kahi mea hoʻoponopono ʻōlelo iā ʻoe e aʻo pehea e ale ai me kahi trach.

• Hana paha ka luna hoʻoponopono ʻōlelo i kekahi mau hoʻokolohua e nānā ai i nā pilikia a me ka hōʻoia ua palekana ʻoe.
• E hōʻike ka mea hoʻomaʻamaʻa iā ʻoe pehea e ʻai ai a hiki ke kōkua iā ʻoe e lawe i kāu nahu mua.

Hiki i kekahi mau mea ke hoʻoikaika i ka ʻai ʻana a me ka ale ʻana paha, e like me:

• Nā loli i ke ʻano a i ʻole ka anatomy o kāu alaloa.
• ʻAʻole ʻai no ka wā lōʻihi,
• ʻO ke kūlana i kūpono ai ka tracheostomy.

ʻAʻohe paha ʻono ʻoe i ka meaʻai, a i ʻole ʻaʻole hana pū nā mākala. E noi i kāu mea lawelawe a mea hoʻoponopono paha e pili ana i ka mea paʻakikī iā ʻoe e ale.

Hiki paha i kēia mau ʻōlelo aʻoaʻo ke kōkua i ka ale ʻana i nā pilikia.

• E hoʻomaha i nā manawa papaʻaina.
• Noho kū pololei i ka wā hiki ke ʻai.
• E lawe i nā nahu liʻiliʻi, ma lalo o 1 teaspoon (5 mL) o ka meaʻai no ka nahu.
• E nau pono a ale i kāu meaʻai ma mua o ka nahu hou ʻana.

Inā loaʻa i kāu pahu tracheostomy cuff, e hōʻoia ka mea haʻi ʻōlelo a mea lawelawe paha i ka deflated cuff i nā manawa ʻai. E maʻalahi kēia e ale.

Inā loaʻa iā ʻoe kahi kiwikā e ʻōlelo ai, hiki iā ʻoe ke hoʻohana iā ia ke ʻai ʻoe. E maʻalahi ia e ale.

E omo i ka pahu tracheostomy ma mua o ka ʻai ʻana. Mālama kēia iā ʻoe mai ka huehue ʻana i ka wā e ʻai ana, kahi e hoʻolei ai iā ʻoe.

Pono ʻoe a me kāu mea lawelawe e nānā no 2 mau pilikia nui:

• ʻO ke ʻoki a me ka hanu ʻana i nā mea ʻai i loko o kou ala kaʻa (i kapa ʻia he aspiration) i hiki ke alakaʻi ʻia i kahi maʻi lolo
• ʻAʻole lawa ka nui o nā calorie a me nā meaʻai

Kāhea i kāu mea hāʻawi inā loaʻa kekahi o kēia mau pilikia:

• ʻO Choking a me ka puʻe ʻana i ka wā e ʻai ana a inu paha
• Cough, fever, a i ʻole ka liʻiliʻi o ka hanu
• Loaʻa nā ʻāpana meaʻai i nā huna huna mai ka tracheostomy
• ʻO ka nui o nā huna wai a i ʻole discolored mai ka tracheostomy
• ʻO ka lilo ʻana o ke kaupaona me ka hoʻāʻo ʻole ʻana, a i ʻole ka loaʻa ʻana o ke kaumaha maikaʻi ʻole
• Pākuʻi hou nā lepa
• ʻO nā anuanu pinepine a i ʻole nā ​​maʻi maʻi o ka umauma
• ʻOi aku ka maikaʻi o ka ale ʻana i nā pilikia

Trach - ʻai ʻana

ʻO Dobkin BH. Hoʻoponopono Neurological. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 57.

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 Mirza N, Goldberg AN, Simonian MA. ʻO nā maʻi e ale a me ka kamaʻilio ʻana. I: Lanken PN, Manaker S, Kohl BA, Hanson CW, eds. Papa Manuahi Unit Intensive Care. ʻElua ed. Piladelapia, PA: Elsevier Saunders; 2014: chap 22.

• Nā maʻi Tracheal