I-tracheotomy kwicandelo lezonyango ibhekiselele kwinkqubo yotyando ebonakaliswe kukuqhawuka koqhoqhoqho, ngenjongo yokudala enye indlela yomoya entanyeni yesigulana ukuya emlonyeni/empumlweni yendalo.

I-tracheostomy kwicandelo lezonyango ibhekiselele kwinkqubo yotyando esetyenziselwa ukudala ukuvuleka (okanye i-stoma) kwindawo. entanyeni, kwinqanaba le-trachea.

Oku kwenziwa ngokudibanisa imida yokusikwa kwesikhumba, esenziwe entanyeni, kumbhobho wetracheal.

Zakuba ziqhagamshelwe ezi zithuba zimbini, kufakwa umbhobho omncinane obizwa ngokuba yitracheostomy cannula, ovumela umoya ukuba uphonswe emiphungeni uze uphefumle.

I-tracheostomy idla ngokuba liyeza elihlala ixesha elide.

I-tracheotomy kunye ne-tracheostomy: okwethutyana okanye isigxina?

Kuzo zombini iimeko, kucacile ukuba injongo ixhaphakile kwaye kukuvumela ukuphefumla kubantu ngabanye, abathi ngenxa yezizathu ezahlukahlukeneyo - okwethutyana okanye isigxina - abakwazi ukuphefumla physiologically.

Nangona kunjalo, la magama mabini awafani kwaye abonisa iindlela ezahlukeneyo, ezisetyenziswa kwii-pathologies kunye neemeko ezahlukeneyo, nangona kwezinye iimeko ziyahambelana.

I-tracheotomy ibandakanya ukudalwa kokuvuleka kwexeshana rhoqo kwi-trachea, eyenziwa nge-incision elula entanyeni apho kufakwa ityhubhu ukuze kudlule umoya; I-tracheostomy, kwelinye icala, ihlala (kodwa kungekhona) ngokusisigxina kwaye ibandakanya ukuguqulwa kwendlela yoqhoqhoqho.

Tracheotomy: yenziwa nini?

Lo msebenzi wenziwa kwiimeko ezahlukeneyo, umzekelo:

• rhoqo kwizigulana ezifuna i-endotracheal intubation kangangexesha elingaphezu kweveki (umz. isiqaqa);
• ekuqaleni kotyando lwentloko kunye nentamo eyenza intubation ngomlomo ayinakwenzeka;
• kwiimeko ezingxamisekileyo, xa kukho umqobo womoya ophezulu othintela ukuphefumla okuqhelekileyo.

Ekupheleni kwe-intubation, utyando kunye nongxamiseko, i-tracheotomy iyasuswa, ngaphandle kokuba iyimfuneko ngenxa yezizathu ezingalindelekanga.

I-tracheostomy: yenziwa nini kwaye ayihlali isigxina nini?

I-tracheostomy idla ngokuqhutywa njengeyeza elisisigxina kuzo zonke iimeko (ezinzulu okanye ezingekho nzulu) apho ukubuyiswa kwamandla okuphefumula okuqhelekileyo akulindelekanga.

Iimeko eziqhelekileyo zokusetyenziswa kwe-tracheostomy zezi:

• kwiimeko zokungaphumeleli kokuphefumula (kwimeko ye-ictu, i-coma, ukukhubazeka, i-amyotrophic lateral sclerosis (ALS), i-multiple sclerosis, njl.
• xa kwenzeka ukuvaleka / ukuvaleka kwendlela yomoya ephezulu (umz. ukusuka kumhlaza we-laryngeal);
• kwimeko yokuqokelelana kolwelo ngaphakathi kwimibhobho yomoya esezantsi nakwimiphunga (kwimeko yokwenzakala, usulelo oluqatha okanye iipathologies ezithintela ukukhohlela, njengoku Umgudu i-muscular atrophy)

Xa isifo sokuphefumula sihlala ixesha elide kodwa sinyangwa, i-tracheostomy inokumela isisombululo sexeshana, kodwa ixesha elilinganisiweyo, lisetyenziswe ngelixa lilindele ukuba isigulane sibuyiselwe: xa i-pathology iphilisiwe, i-tracheostomy inokususwa.

Funda kwakhona:

Ubomi obuNgxamisekileyo ngakumbi…Bukhoma: Khuphela i-App eNtsha yaSimahla kwiphephandaba lakho le-IOS kunye ne-Android

I-UK / Igumbi likaNgxamiseko, Intubation yaBantwana: Inkqubo kunye nomntwana okwiMeko eMandundu

I-Endotracheal Intubation kwizigulana zabantwana: Izixhobo zeSupraglottic Airways

Ukunqongophala kwamayeza okunyusa ubhubhane eBrazil: amayeza onyango lwezigulana ezine-Covid-19 ziyasilela

I-Sedation kunye ne-Analgesia: Iziyobisi zokuququzelela i-Intubation

I-Anxiolytics kunye ne-Sedatives: Indima, uMsebenzi kunye noLawulo nge-Intubation kunye ne-Mechanical Ventilation

Ijenali eNtsha yaseNgilani yezoNyango: I-Intubations eyimpumelelo ngoNyango lweempumlo oluPheleleyo oluPhezulu kwiintsana ezisanda kuzalwa

Intubation: Imingcipheko, i-anesthesia, ukuvuselela, iintlungu zoMqala

I-Tracheostomy ngexesha le-Intubation kwi-COVID-19 yezigulana: Uphando ngokuziqhelanisa neKlinikhi yangoku

umthombo:

I-Medicina kwi-Intanethi