Tracheostomy

Tracheostomy hanya ce ta tiyata don ƙirƙirar buɗewa ta cikin wuya zuwa cikin bututun iska (bututun iska). Sau da yawa ana sanya bututu ta wannan buɗewar don samar da hanyar iska da cire abubuwan ɓoye daga huhu. Wannan bututu ana kiran sa bututun tracheostomy ko kuma trach tube.

Ana amfani da rigakafin cutar gabaɗaya, sai dai in yanayin yana da wuya. Idan hakan ta faru, ana sanya magani mai sanya numfashi a cikin yankin don taimaka muku jin ƙarancin ciwo yayin aikin. Sauran magunguna kuma ana basu ne don su shakata su huce (idan akwai lokaci).

Wuyan an tsaftace kuma an lullubeshi. Ana yin yankan tiyata don bayyana zoben guringuntsi masu kauri wanda ke haifar da bangon waje na bututun iska. Likita ya kirkiro buɗaɗɗen bututu a ciki kuma ya saka bututun tracheostomy.

Za'a iya yin tracheostomy idan kana da:

• Babban abu yana toshe hanyar iska
• Rashin ikon numfashi da kanku
• Rashin lafiyar gado na larynx ko trachea
• An shaka cikin abubuwa masu cutarwa kamar hayaki, tururi, ko wasu iskar gas masu guba waɗanda suka kumbura kuma suka toshe hanyar iska
• Ciwon daji na wuyansa, wanda zai iya shafar numfashi ta latsa hanyar iska
• Paralysis na tsokoki waɗanda ke shafar haɗiya
• Mai tsananin wuya ko rauni a baki
• Yin aikin tiyata a kusa da akwatin murya (larynx) wanda ke hana numfashi na al'ada da haɗiyewa

Haɗarin haɗarin duk wani maganin sa barci shine:

• Matsalar numfashi
• Amsawa ga magunguna, gami da ciwon zuciya da bugun jini, ko halin rashin lafiyan (kurji, kumburi, wahalar numfashi)

Rashin haɗarin kowane tiyata sune:

• Zuban jini
• Kamuwa da cuta
• Raunin jijiya, gami da inna
• Ararfafawa

Sauran haɗarin sun haɗa da:

• Haɗin mahaɗa tsakanin trachea da manyan jijiyoyin jini
• Lalacewa ga glandar thyroid
• Yashewar trachea (ba safai ba)
• Harshen huhu da huhun huhu
• Tissuearfin ƙwayar a cikin trachea wanda ke haifar da ciwo ko matsalar numfashi

Mutum na iya samun firgita da jin ba zai iya numfashi da magana ba lokacin da ya farka da farko bayan tracheostomy da sanya wurin bututun tracheostomy. Wannan jin zai rage lokaci. Za a iya ba da magunguna don taimakawa rage damuwar mai haƙuri.

Idan tracheostomy na ɗan lokaci ne, ƙarshe za'a cire bututun. Waraka zai faru da sauri, ya bar ƙaramin tabo. Wani lokaci, ana iya buƙatar aikin tiyata don rufe shafin (stoma).

Lokaci-lokaci matsi, ko matse bututun iska na iya bunkasa, wanda na iya shafar numfashi.

Idan bututun tracheostomy ya kasance na dindindin, ramin zai kasance a buɗe.

Yawancin mutane suna buƙatar kwana 1 zuwa 3 don daidaitawa da numfashi ta cikin bututun tracheostomy. Zai ɗauki lokaci kaɗan don koyon yadda ake yin magana da wasu. Da farko, zai iya yiwuwa mutum ya yi magana ko yin sauti.

Bayan horo da atisaye, yawancin mutane zasu iya koyan magana da bututun tracheostomy. Mutane ko dangi suna koyon yadda ake kula da tracheostomy yayin zaman asibiti. Hakanan ana iya samun sabis na kula da gida.

Ya kamata ku sami damar komawa rayuwar ku ta yau da kullun. Lokacin da kake waje, zaka iya sa sakakken sutura (gyale ko wata kariya) akan tracheostomy stoma (rami). Yi amfani da kiyaye kariya lokacin da ruwa ko iska, aurosol, hoda, ko kuma kayan abinci suka bayyana.

• Tracheostomy - jerin

Greenwood JC, Winters NI. Kulawa da Tracheostomy. A cikin: Roberts JR, Custalow CB, Thomsen TW, eds. Hanyoyin Clinical na Roberts da Hedges a cikin Magungunan gaggawa da Kulawa Mai Girma. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 7.

Kelly AM Gaggawa na numfashi. A cikin: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, eds. Littafin rubutu na Magungunan gaggawa na Balagaggu. 4th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: babi na 6.