Tracheostomy

Ukuhlinzwa Kwe-Tracheostomy e-Hyderabad, e-India

I-tracheostomy inqubo lapho odokotela abahlinzayo bevula imbobo ohlangothini olungaphambili lwentamo kanye nasepayipini lomoya. Ishubhu lifakwa embobeni elisiza ekuphefumuleni. Lena inqubo yokuhlinzwa ehlinzeka ngomgudu womoya futhi esiza ekuphefumuleni njengoba umzila ovamile wokuphefumula ungase uvinjwe. Kwabanye abantu i-tracheotomy ingunaphakade. Izizathu zokuthi kungani kwenziwa i-tracheostomy zihlanganisa; 

• Kudingeka ukusebenzisa i-ventilator isikhathi eside.

• Izimo zezokwelapha ezivimba indlela yokuphefumula ngenxa yokukhubazeka kwezwi noma kungase kube ngenxa yomdlavuza womphimbo.

• Izinkinga zemizwa zingenza kube nzima ukukhwehlela futhi zidinga ukumuncwa uqhoqhoqho.

• Ukulimala kwekhanda noma intamo okuphazamisa ukuphefumula.

Izici zobungozi ze-Tracheostomy

Nakuba ngokuvamile kuphephile, kunezinkinga ezithile ezingase ziphakame. Kunjalo;

• ukopha

• Ukulimala kwe-trachea noma indlala yegilo entanyeni.

• Ukususwa kwe-tracheostomy tube.

• Umoya ungavaleleka esicutshini ngaphansi kwesikhumba sentamo.

• Umoya uyakheka phakathi kodonga lwesifuba namaphaphu okungabangela ubuhlungu nezinkinga zokuphefumula.

Izinkinga zesikhathi eside kungenzeka kakhulu uma i-tracheostomy isendaweni. Lezi zinkinga zihlanganisa:

• Kungase kube khona ukutheleleka ku-trachea nasemaphashini.

Udokotela angase akucele ukuthi ugweme ukudla noma ukuphuza ngaphambi kwenqubo futhi futhi uyeke eminye imithi.

Inqubo ye-Tracheostomy

Inqubo ngokuvamile yenziwa nge-anesthesia jikelele lapho ungeke wazi noma iyiphi inqubo yokuhlinzwa. Kukhona ikakhulukazi i-tracheostomy yokuhlinzwa emibili kanye ne-percutaneous tracheotomy.

I-tracheostomy yokuhlinzwa inqubo lapho udokotela ezosikela khona indawo engezansi yesikhumba phambi kwentamo. Imisipha ezungezile iyadonswa futhi ingxenye yegland yegilo iyasikwa.

I-Percutaneous tracheostomy inqubo lapho udokotela enza khona ukusika esisekelweni phambi kwentamo, njengengxenye yokwelashwa kwe-tracheostomy. Kukhona ilensi efakwe emlonyeni ukuze ibuke ingaphakathi lomphimbo. Kuzo zombili izinqubo, udokotela ohlinzayo uzofaka ithubhu le-tracheostomy emgodini.

Ngemuva kwenqubo

Kuzodingeka uchithe izinsuku ezithile esibhedlela ukuze umzimba ululame. Uzofundiswa ngezinyathelo zokuphepha okufanele zilandelwe. Ishubhu le-tracheostomy kufanele linakekelwe ukuze umhlengikazi asize futhi afundise ukunakekela ishubhu le-tracheostomy.

I-tracheostomy ivimbela ukukhuluma kodwa udokotela noma unesi uzokusiza ngendlela efanele ukuxhumana. Uma udla noma ugwinya kungase kube nzima. Izakhamzimba zizonikezwa ngemithambo. Umoya owuphefumulayo uvame ukuba wome kakhulu ngoba awudluli emakhaleni nasemphinjeni.

I-tracheostomy yenziwa ezibhedlela ze-CARE ngodokotela abahlinzayo abangochwepheshe. Sinabasebenzi abazinikele nabanekhono abazokusiza ngaphambi nangemuva kwenqubo ukuze kube lula kuwena. Ezibhedlela ze-CARE, siphinde sinikeze ubuchwepheshe obuthuthukisiwe, okwenza uhambo lwakho lokululama lube lula, kuthuthukise izinga lakho lempilo. 

I-tonsillectomy 

Lena inqubo yokuhlinzwa yokukhishwa kwamathoni. Lokhu futhi kwenziwa ukuze kunqotshwe ukuphazamiseka kokulala nokusiza izinkinga zokuphefumula. Isikhathi sokubuyisela ngokuvamile siyizinsuku eziyi-10 kuya emavikini amabili.

Ngubani odinga i-Tonsillectomy? 

Lokhu kuhlinzwa kuba yisidingo uma unayo;

• i-tonsillitis enzima.

• tonsils eziyinkimbinkimbi.

• ukopha emathanjeni.

Inqubo

Njengoba inqubo yenziwa ngokunikeza i-anesthesia jikelele ngeke uphaphame noma uzwe noma yiluphi uhlobo lobuhlungu. Udokotela uzosika amathoni futhi akhiphe izicubu futhi amise ukopha. Ezinye izinkinga zingase ziphakame ngemva kwenqubo ezimweni ezingavamile. Kunjalo;

• Ubuhlungu emphinjeni isonto elilodwa noma amabili.

• Kungase kube nobuhlungu ezindlebeni, entanyeni nasemihlathini.

• Ungathola isicanucanu noma ukuhlanza.

• Kuphazamise ubuthongo.

• Ukuphefumula okubi amasonto ambalwa.

I-Adenoidectomy

Lokhu ukuhlinzwa okuvamile okusiza ekususeni i-adenoids. Lezi yizindlala ezisophahleni lomlomo.

Kungani kubalulekile ukususa i-adenoids?

Uma unezifo zomphimbo kaningi, okwenza i-adenoid ikhule. Lapho i-adenoid ikhula bese idala ukuphazamiseka ekuphefumuleni futhi iphinde ivimbe indlela esuka endlebeni ephakathi ukuya ngemuva kwekhala. Ama-adenoid akhulisiwe abangela ukuvaleka kwamashubhu e-eustachian futhi angathinta ukuzwa kwezingane nempilo yokuphefumula.

Izimpawu ze-adenoids ekhulisiwe

• izifo zendlebe njalo.

• Umphimbo obuhlungu.

• ubunzima ngenkathi ukugwinya.

• ukuphefumula ngamakhala kuzoba nzima.

Ukutheleleka kwezindlebe njalo ngenxa yokwanda kwama-adenoids kungadala izinkinga ezinkulu ezingase zidale ukungezwa okuholela ezinkingeni zokukhuluma. Ngakho, ukungenelela kwezokwelapha ngokushesha kuyadingeka.

Inqubo ye-Adenoidectomy

Inqubo yenziwa ngokunikeza i-anesthesia jikelele lapho uzobe ulele ubuthongo obukhulu phakathi nenqubo. Ama-adenoids ngokuvamile akhishwa ngomlomo. Insimbi encane ifakiwe futhi i-adenoids iyasuswa. Ukususwa kwenziwa nge-incision encane.

Indawo igcwele ukuze kunqandwe ukopha. Uzothunyelwa ekhaya ngalolo suku. Imithi izobekwa udokotela ukuze aqede ubuhlungu. Uzolulama ngokuphelele evikini elilodwa noma amabili.

Ngemuva kwenqubo

Uzoba nomphimbo obuhlungu amasonto amabili kuya kwamathathu okuyinto evamile. Ngesikhathi sokululama, kubalulekile ukuphuza uketshezi oluningi ikakhulukazi ukugwema ukuphelelwa amanzi emzimbeni. Kufanele futhi ugweme noma yikuphi ukudla okubabayo noma okuqinile izinsuku ezimbalwa. 

Yiziphi izinzuzo ze-tracheostomy?

I-tracheostomy inikeza izinzuzo eziphawulekayo uma iqhathaniswa ne-tracheal intubation, ehlanganisa ukufaka ishubhu emphinjeni kanye nasepayipini lomoya. Lezi zinzuzo zihlanganisa:

• Ukunethezeka okuthuthukisiwe.
• Ukuncipha kokuthembela ekudambisweni.
• Ukulunyulwa lula kokungena komoya ngomshini.
• Ukuvuselela ngokushesha.
• Ukwesekwa okunomsoco okuthuthukisiwe.
• Ukuqala kokuxhumana.

Yiziphi izingozi noma izinkinga ze-tracheostomy?

Ngokufanayo nanoma iyiphi inqubo yokuhlinzwa, kunezingozi ezingaba khona ezihlobene ne-tracheostomy. Lezi zingozi zihlanganisa:

• Ukuphuza.
• Ukutheleleka.
• Ukulimaza umminzo.
• Ukulimala kuqhoqhoqho (uqhoqhoqho).
• I-tracheo-esophageal fistula (ukuxhumana okungavamile phakathi koqhoqhoqho kanye nomminzo).
• Ukulimala ku-recurrent laryngeal nerve (inzwa elawula ukunyakaza kwentambo yezwi).
• Ukuvinjelwa kwe-tracheostomy ngenxa yamafinyila noma amahlule egazi.
• Ukunqwabelana komoya ovaleleke emaphashini, esifubeni, noma eduze kwesizinda se-tracheostomy.

Ukunamathela ekuhlanzekeni okufanele kweshubhu le-tracheostomy nokulandela iziqondiso ezinconyiwe kunganciphisa ubungozi bokuhlangabezana nalezi zinkinga.