Tracheostomy Tube - ʻōlelo ʻana

ʻO ka ʻōlelo ʻana he kī nui o ke kamaʻilio pū ʻana me nā poʻe. Hiki i ka paipu tracheostomy ke hoʻololi i kou hiki ke kamaʻilio a me ka launa pū me nā poʻe ʻē aʻe.

Eia nō naʻe, hiki iā ʻoe ke aʻo pehea e ʻōlelo ai me kahi ʻōpala tracheostomy. Hoʻomaʻamaʻa wale nō ia. Aia kekahi mau ʻōlelo e hiki ke kōkua iā ʻoe.

ʻO ke ea e hele ana i nā kaula leo (larynx) ke kumu e haʻalulu ai lākou, e hana ana i nā kani a me ka walaʻau.

Hoʻopili kahi pahu tracheostomy i ka hapa nui o ka ea mai ka hele ʻana i kāu mau kaula leo. Akā, hele i waho kou hanu (ea) ma o kāu pahu tracheostomy (trach).

I ka manawa o kou ʻoki kino ʻana, e loaʻa i ka ʻōpala trach Tube kahi balloon (cuff) e waiho ana i kāu trachea.

• Inā hoʻonui ʻia ka cuff (piha i ka ea), e pale ia i ka neʻe ʻana o ka ea ma waena o kāu mau kaula leo. E hoʻokau kēia iā ʻoe mai ka walaʻau ʻana a i ʻole walaʻau.
• Inā deflated ka cuff, hiki i ka lewa ke neʻe a puni ka trach a ma o kāu mau leo ​​leo, a hiki iā ʻoe ke hana i nā kani. Eia nō naʻe, hoʻololi ʻia ka hapanui o ka manawa o ka pahu trach ma hope o 5 a 7 mau lā i kahi trach liʻiliʻi liʻiliʻi. ʻOi aku ka maʻalahi o kēia kamaʻilio ʻana.

Inā loaʻa kahi truffostomy i kahi cuff, pono ia e deflated. Pono kāu mea mālama e hoʻoholo e pili ana i ka manawa e deflate ai kāu cuff.

Ke hoʻopau ʻia ka cuff a hiki i ka ea ke hele a puni kāu trach, pono ʻoe e hoʻāʻo e kamaʻilio a hana i nā kani.

E paʻakikī ka ʻōlelo ʻana ma mua o kāu trach. Pono paha ʻoe e hoʻohana i ka ikaika hou aku e pahu i ka ea ma o kou waha. E ʻōlelo:

• E hanu nui i loko.
• E hanu i waho, e hoʻohana ana i ka ikaika hou aku ma mua o ka maʻamau e pahu ai i ka ea.
• Pani aku i ka wehe ʻana o ka ʻōmole trach me kou manamana lima a laila ʻōlelo.
• ʻAʻole paha ʻoe e lohe nui ma ka mua.
• E kūkulu ʻoe i ka ikaika e pahu ai i ka ea ma waho o kou waha i kou hoʻomaʻamaʻa ʻana.
• E nui loa ana nā kani āu e kani ai.

I mea e ʻōlelo ai, he mea nui ʻoe e kau i kahi manamana lima maʻemaʻe ma luna o ka waihona e pale ai i ka ea mai ka puka ʻana ma waena o ka trach. E kōkua kēia i ka ea e puka i waho o kou waha e hana i ka leo.

Inā paʻakikī e ʻōlelo me kahi trach ma kahi, hiki i nā hāmeʻa kūikawā ke kōkua iā ʻoe e aʻo e hana i nā kani.

Hoʻokomo ʻia nā kiwikā hoʻokahi, i kapa ʻia he mau kiwikā ʻōlelo, ma luna o kāu tracheostomy. ʻ vallelo nā kiwikā e ʻae i ka ea e komo i loko o ka paipu a puka ma o kou waha a me kou ihu. E ʻae kēia iā ʻoe e hana i nā kani a ʻōlelo maʻalahi me ka ʻole o ka hoʻohana ʻana i kou manamana lima e ālai ai i kāu trach i kēlā me kēia manawa āu e kamaʻilio ai.

ʻAʻole hiki i kekahi mau mea maʻi ke hoʻohana i kēia mau kiwikā. E hana pū ka mea haʻi ʻōlelo me ʻoe e hōʻoia i ka moho maikaʻi. Inā kau ʻia kahi kiwikā e ʻōlelo ai ma kāu trach, a pilikia ʻoe i ka hanu ʻana, ʻaʻole paha e ʻae ka valve i ka nui o ka ea e hele a puni kāu trach.

Hoʻokani paha ka laulā o ka pahu tracheostomy i kahi kuleana. Inā lawe ka paipu i kahi ākea i kou puʻu, ʻaʻohe lawa paha ka lumi no ka ea e hele a puni ka ʻōpala.

Hoʻokomo ʻia paha kāu pahu. Kuhi kēia i ka lua o ke trach i kūkulu ʻia i loko. ʻAe kēia mau lua i ka lewa e hele ma waena o kāu mau leo ​​leo. Hiki iā lākou ke maʻalahi e ʻai a hanu me kahi ʻōpala tracheostomy.

Lōʻihi paha ka lōʻihi o ka hoʻomohala ʻana i ka ʻōlelo inā loaʻa iā ʻoe:

• Poino ke kaula leo
• Hoʻopilikia i nā aʻalolo leo, kahi hiki ke hoʻololi i ke ala e neʻe ai nā kaula leo

Trach - ʻōlelo ʻana

ʻO Dobkin BH. Hoʻoulu 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