ʻO ka ʻokoʻa ma waena o ka tracheotomy a me ka tracheostomy
ʻO ka tracheotomy ma ke kahua lapaʻau e pili ana i kahi kaʻina hana i hōʻike ʻia e ka ʻoki ʻoki ʻana o ka trachea, me ka manaʻo e hana i kahi ala ea ʻē aʻe ma ka ʻāʻī o ka mea maʻi i ka waha maoli.
ʻO ka tracheostomy ma ke kahua lapaʻau e pili ana i kahi kaʻina hana i hoʻohana ʻia no ka hana ʻana i kahi wehe (a i ʻole stoma) ma ka 'ā'ī, ma ka pae o ka trachea.
Hana ʻia kēia ma ka hoʻohui ʻana i nā kihi o kahi ʻoki ʻili, i hana ʻia ma ka ʻāʻī, i ka paipu tracheal.
Ke hoʻopili ʻia nā puka ʻelua, ua hoʻokomo ʻia kahi paipu liʻiliʻi, i kapa ʻia ʻo tracheostomy cannula, kahi e hiki ai i ka ea ke kaomi i loko o ka māmā a me ka hanu.
ʻO ka tracheostomy ka mea maʻamau he lāʻau lōʻihi.
Tracheotomy a me ka tracheostomy: no ka manawa a mau loa paha?
Ma nā hihia ʻelua, maopopo ka mea maʻamau ka pahuhopu a e ʻae i ka hanu ʻana i nā poʻe, no nā kumu like ʻole - no ka manawa lōʻihi a mau paha - ʻaʻole hiki ke hanu physiologically.
Eia naʻe, ʻaʻole like nā huaʻōlelo ʻelua a hōʻike i nā ʻenehana like ʻole, i hoʻohana ʻia i nā pathologies a me nā kūlana like ʻole, ʻoiai i kekahi mau hihia ua uhi lākou.
ʻO ka tracheotomy ka hana ʻana i kahi wehe manawa mau i loko o ka trachea, i hana ʻia me kahi ʻoki maʻalahi ma ka ʻāʻī kahi i hoʻokomo ʻia ai kahi paipu e hiki ai i ka ea ke hele; ʻO ka tracheostomy, ma ka ʻaoʻao ʻē aʻe, pinepine (akā ʻaʻole pono) mau loa a pili i ka hoʻololi ʻana o ka ʻāpana tracheal.
Tracheotomy: i ka manawa hea e hana ʻia ai?
Hana ʻia kēia hana ma nā kūlana like ʻole, no ka laʻana:
- maʻa mau i nā poʻe maʻi e koi ana i ka intubation endotracheal no nā manawa maʻamau ma mua o hoʻokahi pule (e like me ka lōʻihi o ka coma);
- i ka hoʻomaka ʻana o ke ʻoki poʻo a me ka ʻāʻī e hiki ʻole ai ke hoʻokomo ʻia ma ka waha;
- i ka ulia pōpilikia, i ka hopena o ke ala ea o luna e pale ana i ka hanu maʻamau.
I ka pau ʻana o ka intubation, ʻokiʻoki a me nā pilikia pilikia, hoʻoneʻe ʻia ka tracheotomy, ke ʻole he mea nui ia no nā kumu ʻike ʻole.
Tracheostomy: i ka manawa hea e hana ʻia ai a ʻaʻole mau loa?
Hana ʻia ʻo Tracheostomy ma ke ʻano he lāʻau lapaʻau mau i nā kūlana āpau (koʻikoʻi a i ʻole koʻikoʻi) kahi i manaʻo ʻole ʻia ai ka hoʻihoʻi ʻana o ka hanu maʻamau.
ʻO nā hihia maʻamau o ka hoʻohana ʻana i ka tracheostomy:
- i nā hihia o ka hanu hanu (inā he ictu, coma, paralysis, amyotrophic lateral sclerosis (ALS), multiple sclerosis, etc.)
- inā paʻa/keakea ke ala ea o luna (e laʻa, mai ka maʻi maʻi laryngeal);
- i ka hopena o ka hōʻiliʻili ʻana o ka wai i loko o nā alaloa haʻahaʻa a i loko o ka māmā (i ka wā o ka trauma, ka maʻi koʻikoʻi a i ʻole nā pathologies e pale ai i ka ʻū, e like me spinal atrophy muscular)
Ke hoʻolōʻihi ʻia ka maʻi hanu akā hiki ke mālama ʻia, hiki i ka tracheostomy ke hōʻike i kahi hopena no ka manawa lōʻihi, akā no ka manawa haʻahaʻa, hoʻohana ʻia ʻoiai e kali ana i ka hoʻōla ʻana o ka mea maʻi: ke hoʻōla ʻia ka maʻi, hiki ke wehe ʻia ka tracheostomy.
E heluhelu pū nō hoʻi:
UK / Keʻena ʻEpekema, Pediatric Intubation: ʻO ke kaʻina hana me kahi keiki i ke kūlana koʻikoʻi
Hoʻopau Endotracheal i nā maʻi Pediatric: Pūnaewele No nā Alanui Supraglottic
ʻO ka Sedation a me ka analgesia: nā lāʻau lapaʻau e hoʻomaʻamaʻa i ka intubation
Intubation: Nā pilikia, Anesthesia, Resuscitation, ʻEha Puʻu
ʻO Tracheostomy i ka wā o Intubation i nā maʻi COVID-19: He ana ma nā hana lapaʻau o kēia manawa