Kusamalira tracheostomy mu odwala mwakayakaya

Care la wodwala ndi tracheostomy ndi imagwiridwa kuchipatala pambuyo lomasuliridwa ICU mtima. Nthawi zambiri, ndi tracheostomy chikangoperekedwa panjira conductive mpweya ngati n'koyenera mpweya wabwino.

Zikuonetsa kuti ndondomeko

Kuchita tracheostomy mu zikhalidwe ambiri abwino n'kupuma kumafuna mulingo woyenera kusankha njira ndi kung'ambika bwino trachea homeostasis. Nthawi zambiri ntchito opaleshoni kapena endotracheal ochititsa dzanzi timitu ntchito novocaine njira.

Kufunika opareshoni kuti airway tracheostomy lakuti:

• zinachitikira yaitali makina mpweya wabwino;
• pamaso pa matenda bulbar;
• popanda kuthekera kwa ufulu mpweya permeability wa njira conductive m'njira ina;
• otsika Mwachangu airway chimbudzi;

Njira ya tracheostomy

Ntchito tracheostomy airway amafuna mitundu yambiri scalpels - chotupa akunja zigawo za khungu ndi tracheal ang'ambe thupilo. Komanso pa ndondomeko adzakhala ntchito: kutsetsereka mbedza, spreaders wa khungu ndi minofu, tatifupi, swabs wosabala ndi Pochotsa.

Wodwala aikidwa mu malo supine ndi mutu n'kuponyedwanso. Khungu padziko trachea ndi kupopera mankhwala ndi mowa, antiseptics, njira ya ayodini ndi mosamala kuwapukuta ndi nsalu wosabala.

Pa ndondomeko ntchito odulidwa ofukula ku chithokomiro chichereŵechereŵe m'mphepete chapamwamba sternum lapansi. Komanso malangizo yopingasa Kadulidwa fascia, kenako ntchito zida zatchulidwazi MEDINSTRUMENT amapezeka razdvizheniya minofu ndi kutulutsidwa trachea a. Scalpel puncture trachea ndi kuligaŵa ndi kuchotsedwa kwa khumudwitsidwa ka minofu, yokwanira kuwaganizira airway chubu.

Free tracheal konsekonse mu malo kudula wolemera khumudwitsidwa sutured khungu, zomwe zimalimbikitsa kusintha machubu tracheostomy. Ngakhale njira m'malo zovuta inu kuchita tracheotomy, ndondomeko kwambiri ntchito ndi intubation chisanadze mtima.

Kusankha machubu

Odalirika, samalani zisamalire tracheostomy mu chisamaliro tima ankafunika kusankha chubu abwino, kusankha potsata zochitika. Panopa ambiri anagula zitsulo awiri chubu ndi khafu a. Ndi zotheka kugwiritsa ntchito mipope pulasitiki, kuthamanga amene ali okhazikika mwa zonenepa wapadera.

Moyenera kusankha chubu apamwamba amapereka chisamaliro zosavuta kwa tracheostomy mu odwala mwakayakaya popanda kuchititsa mavuto mosayenera mtima. Kusankha ndi mavuto zosafunika chubu zambiri uka monga blockage wa lumen wandiweyani ntchofu zouma. Choncho, kusankha wake sudzasiyidwa kuti akatswiri.

machubu Service tracheotomy

Pankhani ya zitsulo cannula amafuna m'zigawo za chubu mkati kamodzi pa tsiku kuyeretsa ndi kukonzekera antiseptic mankhwala. Komabe, mbali yakunja ya kusintha cannula ali osowa kwambiri, osapitirira kamodzi pa sabata.

Khafu cannula kwa tracheotomy sayenera adzakhala mu boma mpweya. Nthawi kuchotsedwa therefrom mpweya owonjezera ndipo anali m'tulo pafupifupi mphindi 10, ndiyeno kubwerera danga. Asanayambe zopewera kuchira khafu ayenera mosamala kuchotsa extraneous nkhani za oropharynx ndi Skopje.

Makamaka chisamaliro ostomy

chisamaliro nthawi ya tracheostomy ndi imagwiridwa ntchito wosabala gauze ndi thonje swabs. Ozungulira minofu kutsukidwa kayendedwe theka-zozungulira outwards. minofu Komanso imawunikidwa kwa mavuto ndi matenda opatsirana.

Care la tracheostomy amafuna m'malo maloko mu chochitika chinyezi kwambiri kapena dothi kudzikundikira kwambiri. Agwire ndondomeko m'malo akhale ngati pali thandizo lililonse. munthu amene akuzigwira chubu mu malo okhazikika, ndi wachiwiri wake m'malo zopalira chubu.

Pamasiku oyamba pambuyo opaleshoni ndi zofunika kusamalira tracheostomy ndi peristomalnoy m'dera pa intervals wa maola 6-8. Pa nthawi yomweyo, inu nthawi zonse m'malo gauze Mavalidwe ngati akufunika kutero. , Zida ndi kukonzekera chisamaliro ayenera kukhala pa dzanja.

Care la tracheostomy kuti: aligorivimu

Koyamba m'malo chubu opangidwa patapita masiku angapo pambuyo ntchito. Komanso, ndondomeko ayenera kuchitidwa waluso, kuyambira nthawi ino si zokwanira kupanga stoma wandiweyani.

The aligorivimu wochita:

• wodwalayo aikidwa pa nsana wake ndi kuponyera mutu wake;
• anachita kuyeretsedwa kwathunthu kwa m'maenje tracheobronchial;
• kuchotsa phlegm ndi akutsokomola mtima anachititsa chongopeka;
• Iwo anadzetsa chubu M'mimbamo kusintha catheter, ndiye yotengedwa tracheostomy cannula;
• M'malo machubu chidakupangitsani kuchotsedwa wochititsa;
• A chitoliro yatsopano ananamizira ndi kuliika pa malo khola;

Polumikiza odwala ndi tracheostomy kwa othandizira

Nthawi zambiri kusamalira odwala ndi tracheostomy amafuna kugwirizana kwa airway othandizira. Kulumikizitsidwa chipangizo kudzera cannula kale unakhazikitsidwa mu kukhalapo kwa mankhwala wothandiza.

Chifukwa cha kugwirizana khola la wodwalayo kwa othandizira muyezo cannula akhoza m'malo mwa mwapadera endotracheal chubu kapena kamangidwe ochiritsira ndi khafu kufufuma. Mwachindunji unit lokha kwa chubu mpweya amamangiriridwa ku mapeto a muyezo zidayika zipangizo.

zosokonezeka zotheka

Care la tracheostomy nthawi zambiri kumatsogolera kuthana ndi mavuto ena amene angaoneke mwamsanga opaleshoni uli wathunthu, ndi zambiri m'tsogolo, ngakhale pa khazikika wodwala.

The Vuto ambiri ndi pakutchulidwa magazi, makamaka ngati tracheostomy ndi imagwiridwa ntchito zida zimapezeka mwamsanga, pa mbali ya kama. Kuthetsa magazi ochuluka akhoza pulsatile psinjika ndi mtsempha wamagazi khafu. Komabe, kupewa imfa kwambiri kwa magazi wodwala apatsidwe chisamaliro mwadzidzidzi katswiri.

Terms of kusamalira tracheostomy amafuna nthawi mosamala mtima kuti kamtima mavuto m'malo aakulu monga subcutaneous ndiko kumayambitsa. Chifukwa cha yamasika mwina lidali unsembe wa tracheal chubu.

Other zofala Vuto - airway kutsekeka angayambe zokha pa nthawi iliyonse imene konzanso wodwalayo. Nthawi zambiri chifukwa cha maphunziro zizindikiro obstructive amakhala Nkhata Bay wandiweyani, anapanga wa ntchofu wandiweyani. Ngati tracheotomy chitachitidwa ntchito cannula mkati, vuto angathe kuthetsedwa mwa kuyeretsedwa kwake. Kuchepetsa kutsekeka mtima imaperekanso kuphedwa zingalowe kukhumba njira.