Tracheostomy: Menene menene kuma Yadda za'a kula dashi

Wadatacce

• Abin da za a yi don magance tracheostomy
• 1. Yadda ake tsaftace cannula
• 2. Yadda za a canza farfajiya
• Yadda ake yin tracheostomy
• Alamun gargadi don zuwa likita

Tracheostomy karamin rami ne da ake yi a cikin maƙogwaro, a kan yankin trachea don sauƙaƙe shigar iska cikin huhu. Ana yin wannan galibi idan akwai toshewa a cikin hanyar iska sanadiyyar ciwace-ciwace ko kumburin maƙogwaro bayan tiyata, misali, sabili da haka ana iya kiyaye shi kawai na foran kwanaki ko na tsawon rayuwa.

Idan ya zama dole a kula da tracheostomy na dogon lokaci, yana da mahimmanci a san yadda za'a kula da kyau, don kaucewa manyan matsaloli kamar su shaƙa ko ma yiwuwar kamuwa da huhu. Wannan kulawa za a iya yin ta daga mai kulawa, lokacin da mutum ya kwanta, ko kuma mai haƙuri da kansa, lokacin da ya ga dama.

Abin da za a yi don magance tracheostomy

Don kaucewa haɗarin mummunan rikitarwa, yana da mahimmanci a kiyaye cannula mai tsabta ba tare da ɓoyewa ba, tare da canza dukkan abubuwan haɗin gwargwadon umarnin likita.

Bugu da kari, yana da mahimmanci a lura ko shafin tracheostomy yana da ja ko kumbura, domin idan ka gabatar da wadannan alamu na iya nuna bayyanar wata cuta, wanda ya kamata a sanar da shi nan da nan ga likita.

1. Yadda ake tsaftace cannula

Don kiyaye cannula na tracheostomy mai tsabta kuma ba tare da ɓoyewa ba, wanda zai iya haifar da cutar asphyxiation ko cututtuka, dole ne:

1. Sanya safofin hannu masu tsabta;
2. Cire cannula na ciki kuma sanya shi a cikin akwati tare da sabulu da ruwa na mintina 5;
3. Buga cikin cannula na waje tare da mai buya na sirri. Idan baku da aspirator mai ɓoyewa, zaku iya yin allurar gishiri 2 mL a cikin cannula ta waje, wanda zai haifar da tari da taimakawa cire abubuwan da aka tara a hanyoyin iska;
4. Sanya cannula mai ciki mara tsabta;
5. Rubuta cannula na ciki, ciki da waje, ta amfani da soso ko goga;
6. Sanya cannula mai datti a cikin ruwan zãfi na kimanin minti 10;
7. Bushe cannula tare da matattarar bakararre kuma adana a cikin akwatin da aka sha da barasa, don amfani dashi a musayar ta gaba.

Ya kamata a maye gurbin cannula na waje na tracheostomy daga ƙwararren masanin kiwon lafiya kawai, saboda akwai babban haɗarin shaƙa idan aka yi shi a gida. Sabili da haka, ya kamata mutum ya je asibiti a kalla sau ɗaya a mako don canza duka tsarin tracheostomy, ko kuma kamar yadda likita ya umurta.

2. Yadda za a canza farfajiya

Matashin kansa

Matsi kushin

Yakamata a canza yanayin matattarar tracheostomy duk lokacin da yayi datti ko rigar. Bayan cire dattin daskararriyar datti, tsaftace fatar da ke kusa da tracheostomy tare da dan gishiri sannan a shafa dan moisturizer mara kanshi.

Don sanya sabon matashin kai, zaku iya amfani da kushin da suka dace da tracheostomy, kamar yadda aka nuna a hoton farko, ko amfani da matattara masu tsabta guda 2 tare da yankewa a saman, kamar yadda aka nuna a hoto na biyu.

Yadda ake yin tracheostomy

Ana yin Tracheostomy ta hanyar aikin tiyata a asibiti tare da maganin rigakafi na gaba ɗaya, kodayake a wasu lokuta likita na iya zaɓar maganin rigakafin cikin gida, gwargwadon wahala da tsawon lokacin aikin.

Bayan haka, ana yin karamar yanka a cikin maƙogwaro don fallasa bututun iska kuma ana yin sabon yanka a cikin guringuntsi na trachea, don ba da damar wucewar bututun tracheostomy. A ƙarshe, a matakin farko ko kuma idan mutum yana buƙatar tracheostomy kawai a asibiti, ana haɗa injina don taimakawa numfashi.

Kodayake zaku iya komawa gida tare da tracheostomy, ana amfani da wannan hanyar gaba ɗaya ga mutanen da ke da matsaloli masu tsanani waɗanda ke buƙatar zama a cikin ICU na dogon lokaci, misali.

Alamun gargadi don zuwa likita

Wasu alamomin da suke nuna cewa ya kamata ku hanzarta zuwa asibiti ko ɗakin gaggawa sune:

• Clogging na cannula na waje ta ɓoye;
• Fitowar haɗari na cannula na waje;
• Mutuwar jini;
• Kasancewar alamun kamuwa da cuta, kamar jan fata ko kumburi.

Lokacin da mai haƙuri ya ji ƙarancin numfashi, dole ne ya cire cannula na ciki ya tsabtace shi da kyau. Koyaya, idan alamar ta ci gaba, ya kamata kai tsaye zuwa dakin gaggawa.