Ukunyamekela tracheostomy labagula kakhulu

Ukulondolozwa isigulane kunye tracheostomy lwenziwa esibhedlele emva inguqulelo-ICU izigulane. Amaninzi, kukho tracheostomy akumiselweyo umendo conductive zezulu ukuba kuyimfuneko umoya.

Izinto ezibonisa ukuba inkqubo

Ukwenza tracheostomy kwiimeko ezininzi ezifanelekileyo zokubhala lubandakanya indlela yokukhetha ophezulu kunye asike kakuhle homeostasis noqhoqhoqho. zisetyenziswa ukuze utyando okanye endotracheal zomzimba ngokwemixholo isicelo isisombululo novocaine.

Imfuneko utyando ukuze ngokuma tracheostomy umbuzo:

• kwimeko yomatshini elide;
• phambi ukuphazamiseka bulbar;
• ngaphandle nokwenzeka ukuba umoya ezamahala permeability lomendo conductive ngenye indlela;
• ukusebenza eliphantsi ngokuma yangasese;

Su tracheostomy

Nokusebenza tracheostomy ngokuma kufuna eziliqela iintlobo ingadla yogqirha - sisilonda esidumbileyoesingaphakathi maleko zangaphandle kunye tracheal liqatywe. Kwakhona ngexesha nkqubo iya kusebenza, namagwegwe sliding, spreaders ulusu kunye nezihlunu, umboniso, ilaphu abulawe usula.

Isigulane ibekwa kwindawo lisalele nentloko aphoswe umva. Ulusu phezu komhlaba uqhoqhoqho kukho iintsholongwane kunye notywala, ebulala, nesisombululo ayodini waza wazisula ngononophelo ngelaphu wawuqalekisa.

Ngexesha inkqubo isicelo cut nkqo ukusuka lengqula intlala ukuya kwikona engentla kwentamo. Ngaphezu koko, indlela tye uyagawulwa ifascia, andule ke ukusebenzisa loo kwekhithi ekhankanywe MEDINSTRUMENT yenzeka razdvizheniya kwezihlunu kunye nokukhululwa uqhoqhoqho. Kuphungula okuhlatywa uqhoqhoqho na dissected kunye nokususwa iphaphazelise encinane kwithishyu, ezaneleyo ukuhlalisa ithumbu umgudu.

imiphetho tracheal Free kwiindawo caba eshunqulweyo sutured nolusu, leyo negalelo ekutshintsheni kwimibhobho tracheostomy. Nangona njengobuchule kunokuba nzima ukuba enze uqhoqhoqho, nkqubo lula kakhulu ekumfakeni pre-nomonde.

Ukukhethwa ngemibhobho

Oluthembekileyo, ukukhathalela ngononophelo a tracheostomy labagula kakhulu ezifunekayo ekukhetheni ityhubhu efanelekileyo, ukhetho apho ixhomeke kwiimeko ezikhoyo. Okwangoku ngokubanzi wathenga metal tube kabini nge cuff. Unako ukusebenzisa imibhobho zeplastiki, uxinzelelo apho yazinza ngendlela cylinder ezizodwa.

Ukukhetha eyiyo of tube ezikumgangatho ophezulu inika ukhathalelo lula ukuba tracheostomy kwi labagula ngaphandle ibangela inkxamleko engeyomfuneko kumguli. Xa kukhethwe i iingxaki ityhubhu ezingafanelekanga kuvela rhoqo nje ukuvaleka mithambo yencindi zamafu womile. Ngoko ke, ukukhetha yakhe kusala ukuba iingcali.

wesizalo Service uqhoqhoqho

Kwimeko cannula wentsimbi kufuna nezokukhupha ityhubhu yangaphakathi ubuncinane kanye ngemini nokucoca amalungiselelo magciwane unyango. Noko ke, iinxenye zangaphandle utshintsho cannula kunqabile kakhulu, hayi ngaphezulu kwe kanye ngeveki.

Kuhlinzwa cannula for uqhoqhoqho kufuneka engahlali ngurhulumente eqolo. Ngamaxesha athile isuswe ngoko umoya kwemfuneko yaye waqhubeka belele malunga-10 imizuzu, emva koko wabuyela isithuba. Ngaphambi kokuqalisa cuff ukuchacha zokuthintela kufuneka ukususa ngenyameko Skopje imixholo nendaba le oropharynx.

Ikakhulu ukunakekelwa ostomy

ukunakekela Periodic of a tracheostomy olwenziwa usebenzisa engenazintsholongwane igozi kunye cotton ilaphu. inyama ndana acoca iintshukumo semi-setyhula ngaphandle. inyama Further zihlolwe iingxaki kunye izilonda esosulelayo.

Care kule tracheostomy kufuna nezitshixo replacement xa kuthe ukufuma ngokugqithisileyo okanye ukungcola abekwe kakhulu. Iqalise le nkqubo replacement kufuneka xa kukho naluphi na uncedo. Omnye Umntu ophethe ityhubhu kwindawo oluzinzileyo, kunye nomncedisi wakhe indawo abanini ityhubhu.

Kwiintsuku zokuqala emva kokuba umsebenzi kuyanqweneleka ukunyamekela tracheostomy kunye peristomalnoy indawo ngamathuba iiyure 6-8. Kwangaxeshanye, ungakwazi esikhundleni rhoqo zokubopha igozi njengoko imfuno yoko. , Izixhobo kunye namalungiselelo ukhathalelo kufuneka kusoloko kusondele.

Ukulondolozwa le tracheostomy: algorithm

Kuba yokuqala replacement ityhubhu ixesha emva kweentsuku nje ezimbalwa emva kotyando. Ngaphezu koko, inkqubo kufuneka kwenziwe abanezakhono, ekubeni eli xesha akwanelanga ukwenza stoma ashinyeneyo.

Igama le nkqubo:

• isigulane ibekwe emqolo abaphose intloko yakhe;
• wenza lidini elipheleleyo le mingxuma tracheobronchial;
• ukususa phlegm a ukukhohlela nomonde kwabangela okwenziwe;
• Le eyaziswa ityhubhu lweHo- catheter bhetyebhetye, ngoko atsalwa tracheostomy cannula;
• ngemibhobho Replacement lenziwa isuswe umqhubi;
• Umbhobho entsha abe eqiniselweendlwini, wayifaka kwindawo ezinzileyo;

Ukuxhuma izigulane kunye tracheostomy for mpilo

Amaxesha amaninzi ukunyamekela izigulane kunye tracheostomy ifuna uqhagamshelwano mpilo umgudu. isixhobo Ixhulumene ngokusebenzisa cannula ngaphambili esekwe phambi iikhompawundi abancedisayo.

Ukulungiselela injongo uxhulumaniso zizinze ze isigulane mpilo cannula esezantsi ingathathelwa indawo kumbhobho endotracheal eyenzelwe ngokukodwa okanye uyilo aqhelekileyo kunye cuff sawa. Ngqo kwicandelo ngokwayo umoya tube iqhotyoshelwe ekupheleni umgangatho wabeka phantsi izixhobo.

iingxaki kunokwenzeka

Ukulondolozwa le tracheostomy kukhokelela ukujongana iingxaki ezithile enokuthi ivele ngokukhawuleza kokuba usebenzo lugqityiwe, yaye kamva, nangona imeko ngcembe malunga nesigulane eso.

Obona bunzima eqhelekileyo xa kukuvela ukopha, ngakumbi xa kwenziwa i tracheostomy usebenzisa izixhobo ezifumaneka kuzo ngokungxamisekileyo, ngexesha kwebhedi. Aphelise ukopha kakhulu nga pulsatile ucinezelo yi Umthambo cuff. Noko ke, ukuba siphephe ukulahleka ngokugqithisileyo igazi ukuba isigulane kufuneka banikwe specialist uncedo olungxamisekileyo.

Imigaqo ukukhathalela tracheostomy ifuna uviwo ngamaxesha ze isigulane ukuze ukubona i iingxaki kunokuba ezibukhali ezifana emphysema ongama. Unobangela lo wokugqibela kuba ufakelo olungachanekanga ithumbu tracheal.

Okunye eliqhelekileyo ingxaki - isithintelo ngokuma kunokwenzeka ngokuzenzekelayo nangaliphi na ixesha ngethuba kwimo yesigulane. Amaninzi unobangela yemfundo iimpawu obstructive uba nale ashinyeneyo, ukusekwa yencindi zamafu. Ukuba uqhoqhoqho wenziwa usebenzisa cannula engaphakathi, ingxaki lupheliswe ngokusebenzisa lokuhlanjululwa yayo. Zokudambisa isithintelo isigulane ivumela uphumezo ezincamathelayo mgomo ezijikelezayo.