Kuchiza kwa Malo Otsogola
Ngakhale kuti njira zothandizira zothandizira, kuphatikizapo chithandizo chabwino chapansi (PAP) chithandizo, pali nthawi zina pamene mankhwala opatsirana ambiri amasonyeza kuti ndi oyenera. Kugwiritsidwa ntchito kwa opaleshoni ya tracheostomy mu kugona kwa kugona kumakhalabe kowopsa kwambiri, ngati nthawi zina vuto, mwayi kwa omwe ali ovuta kuchiza kapena kuopseza moyo wopumula kugona.
Sungakhale kusankha koyamba, koma kwa ena kungakhale kotsiriza, yabwino kwambiri. Phunzirani za kugwiritsidwa ntchito kwa tracheostomy kuti mukhale ndi matenda obisala.
Kodi Tracheostomy Ndi Chiyani?
Tracheostomy ndiyo yopanga opaleshoni ya chokopa pa trachea, kapena mphepo yamkuntho, kutsogolo kwa khosi. Phukusi la pulasitiki laling'ono likhoza kulowetsedwa kuti likhale loyamba. Kutsegula kotereku kumapangitsa kayendetsedwe ka mphepo kuti ichitike popanda kugwiritsa ntchito pamwamba pamtunda, mofulumira kudutsa pamwamba pamtima, lilime, pakamwa, ndi m'mimba. Pamene kugona kwa apnea kuli kovuta, kungakhale kofunikira.
Ndichifukwa ninji mumagwiritsa ntchito tracheostomy mu tulo tofa?
Asanafike pakadutsa mpweya wabwino (CPAP), tracheostomy inali mankhwala opaleshoni ochiritsira kuti athe kuchiza matenda obisala. Zimagwira ntchito bwino kwambiri ngati matenda obisala obstructive, omwe amapezeka chifukwa chakuti mphepo yam'mwamba imagwa pamene wagona, zomwe zimabwereza kupuma mobwerezabwereza. Mwa kuchotsa kukana kwa mphepo yam'mwamba, yomwe imakwaniritsidwa pambuyo pa tracheostomy monga kupuma kumachitika kudzera kutseguka pammero, kugona kwa mpweya kumakhala bwino kwambiri.
Izi zikhoza kuimika mpweya wa oxygen ndi carbon dioxide ndi zizindikiro zina.
Tracheostomy ingagwiritsidwe ntchito pamene kupuma sikulephera, ndipo mankhwala oyenera, monga CPAP kapena bilevel , saloledwa kapena ogwira ntchito. Izi zikhoza kuchitika pamene kugona kwa apnea ndi koopsa kwambiri ndipo kungakhale kofala kwambiri kwa anthu omwe ali ochepa kwambiri, monga amapezeka mu kunenepa kwambiri-matenda a hypoventilation.
Zingathenso kuyesedwa kwa ana omwe ali ndi zovuta zomwe zimalepheretsa kupuma.
Mavuto ndi Tracheostomy
Mofanana ndi njira iliyonse yothandizira, pali mavuto ndi mavuto omwe amapezeka ndi tracheostomy kusungidwa, monga:
- Kulankhula kungakhale kovuta, kufuna malo ogona monga "batcheostomy batani."
- Pakhoza kuthetsa mavuto aakulu, kuphatikizapo kulemala ndi mavuto a m'banja.
- Pali chiopsezo chotenga kachilombo ka HIV, makamaka ma episodes of bronchitis.
- Kuphatikizidwa khungu kungakhale kofunikira kuti tipewe kupweteka kochulukira pa trachea site.
- Mu odwala ovuta kwambiri, opaleshoni yokhayo ndi yovuta komanso bataniostomy ingakhale yovuta kwambiri.
Chenjezo kwa Odwala Onse
Ngati mukuganiza za tracheostomy, odwala ambiri amafunika kudziwa kuti akhoza kukhala pangozi yowonongeka ndi njirayi. Pankhani ya kunenepa kwambiri-hypoventilation syndrome, kupuma kwa kugonana kosiyana ndi kupuma kwaumphawi komwe kumachitika kwa anthu ochepa kwambiri, pangakhale mavuto otsalira pambuyo pa tracheostomy. Mphamvu yochepetsetsa mu minofu ya kupuma kapena kuchepa kukwanitsa kufalitsa mapapu kungapitirize kupuma kupuma ngakhale mutachita.
Monga mankhwala othandizira osagwira ntchito monga CPAP, bilevel, ndi zipangizo zina zothandizira tsopano zilipo, tracheostomy tsopano siigwiritsidwe ntchito kawirikawiri kuti athetse kugona.
Komabe, ikhoza kukhala njira yopulumutsa moyo kwa iwo omwe amafunikira izo ngati njira yomaliza.
Zotsatira:
Camacho M et al. "Mini Tracheostomy Yopanda Kugonana Mpweya Wopanda Kugonana: Umboni Womwe Uyenera Kuchita." Int J Otolaryngol. 2016; 2016: 7195349. Epub 2016 Jan 26.
> Cielo CM, Gungor A. "Njira Zothandizira Mankhwala Ochepetsa Matenda Atupulo Akagona." Mwana wamwamuna wodwala mkaka wothandizira ana. 2016 Jan; 46 (1): 27-33. Epub 2015 Nov 17.
> Conway, W et al . "Zotsatira Zoipa za Tracheostomy ya Kugonana Kwakufa." JAMA 1981; 246: 347.