Te tiaki Tracheostomy

Ko te tracheostomy he pokanga ki te hanga poka i to kaki ka uru ki to pehanga hau. Mena ka hiahiatia e koe mo te wa poto nei, ka kati ka whai ake. Ko etahi taangata e hiahia ana ki te kohao mo te toenga o o ratau oranga.

Ko te poka e hiahiatia ana ka aukatia to ara rererangi, mo etahi ahuatanga ranei kia uaua ki a koe te manawa. Akene he mate tracheostomy koe mena kei runga koe i te miihini manawa (ventilator) mo te wa roa; ko te ngongo manawa mai i to waha kaore e pai ki te rongoa mo te wa roa.

Whai muri i te hanga o te poka, ka whakatakotoria he ngongo kirihou ki roto i te poka kia tuwhera tonu ai. Ka herea he rīpene ki te kakī kia pai ai te ngongo.

I mua i to wehenga mai i te hohipera, ma te hunga hauora koe e ako ki te mahi i nga mahi e whai ake nei:

• Whakapai, whakakapi, ka ngongo i te ngongo
• Tiakina te hau e puhia ana e koe
• Whakapai i te koha ki te wai me te hopi ngawari te hauwaiwai ranei
• Hurihia te kakahu huri noa i te poka

Kaua e mahi i te mahi uaua, i te whakapeto ngoi ranei mo te 6 wiki i muri o te pokanga. Whai muri i to pokanga, kaore pea i taea e koe te korero. Tonoa to kaiwhakarato kia tukuna atu ki tetahi kaiwhakaako whaikorero korero hei awhina i a koe ki te korero ki te korero ki to tracheostomy. Ka taea tenei i te wa ka pai ake to mate.

Ka hoki ana koe ki te kaainga, whai i nga tohutohu mo te tiaki i to mate pukupuku. Whakamahia nga korero i raro nei hei whakamahara.

Ka whai koe i tetahi makuku iti huri noa i te ngongo. He tikanga noa tenei. Ko te kohao o to kaki kia mawhero me te kore mamae.

He mea nui ki te pupuri i te ngongo kia kore o te hūpē matotoru. Me mau tonu he ngongo taapiri ki a koe mena ka piri to ngongo. Ka hoatu ana e koe ki roto i te ngongo hou, horoia te mea tawhito ka mau ki a koe hei toipu nui.

Ka mare ana koe, kia rite he kiko mo tetahi kakahu kia mau ki te huka e ahu mai ana i to ngongo.

Kaore to ihu e pupuri i te hau e manawa ana koe. Korero ki to kaiwhakarato me pehea te pupuri i te hau e hau ana koe, me te peera ki te aukati i nga pungarehu o to ngongo.

Ko etahi huarahi hei pupuri i te hau e hanu ana koe:

• Whakanohoia he whiu makuku he kakahu ranei ki waho o to ngongo. Kia maku ano.
• Ma te whakamahi i te whakamahana i to kaainga ka wera ana te whakamahana ka maroke te hau.

Ko etahi pata o te wai tote (saline) ka wewete i te pungarehu o te huu mātotoru. Kuhua etahi pata i roto i to ngongo me te peepi hau, katahi ka mau te manawa hohonu me te mare ki te awhina i te huka.

Tiakina te kohao i to kaki ki te kakahu, ki te uhi tracheostomy ranei ka puta atu koe ki waho. Ma enei hipoki e ahei te noho ma o ou kakahu i te huhu, kia ata noho marie to manawa.

Kaua e manawa ki te wai, ki te kai, ki te paura, ki te puehu ranei. Ka horoi koe, ka hipoki i te poka ki te uhi tracheostomy. Kaore e taea e koe te haere ki te kaukau.

Hei korero, me hipoki e koe to rua ki to maihao, potae, ki te waha korero ranei.

I etahi wa ka taea e koe te potae i te ngongo. Akene ka taea e koe te korero noa me te manawa ki roto i to ihu me to mangai.

Ki te kore te poka o to kaki i te mamae mai i te pokanga, horoia te kohao ki te hakihaki miro he poi miro ranei kia kotahi neke atu i te ra kia kore e pangia e te mate.

Ko te takai (te taatai ​​whatu) i waenga i to ngongo me to kaki ka awhina i te hopukia. Ka kore e taea e to ngongo te komukumuku ki to kaki. Hurihia te takai ka paru ana, kia kotahi neke atu i te ra.

Hurihia nga rīpene (here trach) hei pupuri i to ngongo mena ka poke. Kia mahara ki te pupuri i te ngongo ki te waahi ka huri koe i te riipene. Kia mahara kia uru koe ki nga maihao e 2 i raro i te riini kia mohio koe ehara i te mea kuiti.

Karangahia to taakuta mena kei a koe:

• He kirika, he wiri ranei
• Whero, pupuhi, mamae ranei e kino haere ana
• Te whakaheke toto, te waikeri ranei mai i te poka
• He nui rawa nga huhu he uaua ki te ngote, ki te mare ranei
• Te mare me te poto o te manawa, ahakoa i muri i te ngongo o to ngongo
• Te whakapairuaki, te ruaki ranei
• Tetahi tohu hou, rereke ranei

Karangahia te 911, te nama whawhati tata ranei o te rohe mena ka taka atu to ngongo tracheostomy ka kore e taea e koe te whakakapi.

Te ngoikore o te manawa - te tiaki i te tracheostomy; Ventilator - te tiaki tracheostomy; Te koretake o te manawa - te tiaki i te tracheostomy

Greenwood JC, Winters ME. Te tiaki Tracheostomy. I roto i: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts me Hedges ’Nga Tikanga Haumanu mo te Maimoatanga ohorere me te Tiakitanga Tino. Ed 7. Philadelphia, PA: Elsevier; 2019: chap 7.

Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L. tiaki Tracheostomy. I roto i: Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L, eds. Pūkenga Tapuhi Haumanu: Tikanga ki nga Pūkenga Matatau. 9th ed. Hoboken, NJ: Pearson; 2017: chap 30.6.

• Te radiation o te waha me te kaki - te tuku
• Tiaki patunga whara - tuwhera

• Tiaki Tino
• Nga Wharekarakia