Kusiyana pakati pa tracheotomy ndi tracheostomy

By Cristiano Antonino On Jun 16, 2022

Tracheotomy m'chipatala ndi njira yopangira opaleshoni yomwe imadziwika ndi kudulidwa kwa trachea, ndi cholinga chopanga njira ina yodutsa mpweya m'khosi la wodwalayo kupita kukamwa / mphuno zachilengedwe.

Tracheostomy mu zachipatala imatanthawuza njira yopangira opaleshoni yomwe imagwiritsidwa ntchito popanga kutsegula (kapena stoma) mu khosi, pa mlingo wa trachea.

Izi zimachitika polumikizana m'mphepete mwa chikopa cha khungu, chopangidwa pakhosi, ndi chubu cha tracheal.

Mitsempha iwiriyo ikalumikizidwa, kachubu kakang'ono, kotchedwa tracheostomy cannula, kamalowa m'mapapo ndi kupuma.

Tracheostomy kawirikawiri ndi mankhwala okhalitsa.

Tracheotomy ndi tracheostomy: kwakanthawi kapena kosatha?

Pazochitika zonsezi, zikuwonekeratu kuti cholinga chake ndi chofala ndipo ndikulola kupuma mwa anthu, omwe pazifukwa zosiyanasiyana - zosakhalitsa kapena zosatha - sangathe kupuma mwakuthupi.

Komabe, mawu awiriwa sali ofanana ndipo amawonetsa njira zosiyanasiyana, zomwe zimagwiritsidwa ntchito m'matenda ndi zikhalidwe zosiyanasiyana, ngakhale kuti nthawi zina zimakhala zofanana.

Tracheotomy imaphatikizapo kupanga kutsegula kwakanthawi kwa trachea, komwe kumachitidwa ndi khosi losavuta lomwe limalowetsamo chubu kuti mpweya udutse; Komano, tracheostomy, nthawi zambiri (koma osati kwenikweni) yokhazikika ndipo imaphatikizapo kusinthidwa kwa tracheal thirakiti.

Tracheotomy: imachitika liti?

Opaleshoniyi imachitika muzochitika zosiyanasiyana, mwachitsanzo:

pafupipafupi odwala omwe amafunikira endotracheal intubation kwa nthawi yayitali kuposa sabata (mwachitsanzo, chikomokere chotalikirapo);
kumayambiriro kwa opaleshoni ya mutu ndi khosi yomwe imapangitsa kuti intubation kudzera pakamwa ikhale zosatheka;
pakachitika ngozi, ngati kutsekedwa kwa mpweya kumtunda kumalepheretsa kupuma bwino.

Kumapeto kwa intubation, opaleshoni ndi zochitika zadzidzidzi, tracheotomy imachotsedwa, pokhapokha ngati ili yofunikira pazifukwa zosayembekezereka.

Tracheostomy: imachitidwa liti ndipo siikhalitsa?

Tracheostomy nthawi zambiri imachitidwa ngati njira yochiritsira nthawi zonse (zowopsa kapena zosawopsa) pomwe kuchira kwabwinobwino kupuma sikuyembekezereka.

Zomwe zimagwiritsidwa ntchito pa tracheostomy ndizo:

pakulephera kupuma (ngati ictu, chikomokere, ziwalo, amyotrophic lateral sclerosis (ALS), multiple sclerosis, etc.)
ngati kutsekeka / kutsekeka kwa njira yakumtunda kwa mpweya (mwachitsanzo, khansa ya m'mphuno);
ngati madzi achulukana mkati mwa mpweya wochepa komanso m'mapapu (pakakhala zoopsa, matenda aakulu kapena matenda omwe amalepheretsa chifuwa, monga Msana atrophy ya minofu)

Pamene vuto la kupuma likutalika koma limachiritsidwa, tracheostomy ikhoza kuyimira yankho lakanthawi, koma kwa nthawi yochepa, yogwiritsidwa ntchito poyembekezera kuti wodwalayo achire: pamene matenda achiritsidwa, tracheostomy ikhoza kuchotsedwa.