Tracheostomy tube - ikwu okwu

Ikwu okwu bụ ihe dị mkpa n’iso ndị mmadụ na-ekwurịta okwu. Inwe tracheostomy tube nwere ike igbanwe ikike gị ikwu na iso ndị ọzọ nwee mmekọrịta.

Agbanyeghị, ịnwere ike ịmụ etu esi eji ụbọ akwara tracheostomy ekwu okwu. Ọ na-ewere omume. Enwere ngwaọrụ ndị nwere ike inyere gị aka.

Ikuku na-agafe ụda olu (larynx) na-eme ka ha maa jijiji, na -emepụta ụda na okwu.

Tubegbọ mmiri tracheostomy na-egbochi ikuku ikuku site na ịgafe akwara ụda olu gị. Kama, ume gị (ikuku) na-apụ na tube tracheostomy gị (trach).

N'oge ịwa ahụ gị, akpa trach akpa ga-enwe balloon (cuff) nke dị na trachea gị.

• Ọ bụrụ na afụli ọnya ahụ (juputara na ikuku), ọ ga-egbochi ikuku ịgafe akwara ụda gị. Nke a ga - egbochi gị ịme mkpọtụ ma ọ bụ ikwu okwu.
• Ọ bụrụ na etinyere eriri ahụ, ikuku nwere ike ịgagharị na trach yana site na ụda olu gị, ị ga-enwe ike ịme ụda. Agbanyeghị, ọtụtụ oge, a na-agbanwe tube trach mgbe ụbọchị 5 ruo ụbọchị 7 gachara gaa na obere trach nke pere mpe. Nke a na-eme ka ikwu okwu dị nnọọ mfe.

Ọ bụrụ na tracheostomy gị nwere akwa, ọ ga-adị mkpa ịkọwapụta ya. Onye na-elekọta gị kwesịrị ịme mkpebi banyere mgbe ị ga-ewepu akwa gị.

Mgbe etinyere akwa ahụ ma ikuku nwere ike ịgafe trach gị, ị kwesịrị ịnwa ikwu okwu ma mee ụda.

Ikwu okwu ga-esiri gị ike karịa tupu ị nwee trach gị. Ikwesiri iji ike karie ike ikuku site na onu gi. Iji kwuo okwu:

• Were ume miri emi n'ime.
• Kụpụ ume, na-eji ike karịa ka ị na-ejikarị eme ka ikuku pụọ.
• Mechie trach tube na mkpịsị aka gị wee kwuo okwu.
• May gaghị anụ ọtụtụ ihe na mbido.
• Ga - ewulite ike iji kpalie ikuku n’onu gị ka ị na-eme ihe.
• Da ị na-ada ga-adawanye ụda.

Iji kwuo okwu, ọ dị mkpa ka ị tinye mkpịsị aka gị dị ọcha n’elu trach ahụ iji gbochie ikuku ịpụ site na trach. Nke a ga - enyere ikuku aka isi n’ọnụ gị mee mkpọtụ.

Ọ bụrụ na ọ siri ike ikwu okwu na trach na ebe ahụ, ngwaọrụ pụrụ iche nwere ike inyere gị aka ịmụta imepụta ụda.

A na-etinye valves otu ụzọ, a na-akpọ valves na-ekwu okwu, na tracheostomy gị. Ikwu okwu valves na-ekwe ka ikuku banye na tube na ụzọ ọpụpụ site n'ọnụ gị na imi. Nke a ga - enyere gị aka ịme mkpọtụ ma kwuo okwu n’ụzọ dị mfe n ’enweghị mkpa iji mkpịsị aka gị gbochie ọnya gị oge ọ bụla ị na - ekwu okwu.

Patientsfọdụ ndị ọrịa agaghị enwe ike iji valvụ ndị a. Onye na-ahụ maka okwu ọnụ ga-eso gị rụọ ọrụ iji hụ na ị bụ ezigbo nwa akwukwo. Ọ bụrụ na etinye valvụ na-ekwu okwu na trach gị, ma ị nwere nsogbu iku ume, valvụ ahụ nwere ike ọ gaghị ekwe ka ikuku zuru ezu gabiga trach gị.

Obosara nke tracheostomy tube nwere ike ịrụ ọrụ. Ọ bụrụ na ọkpọkọ ahụ ewere ohere buru ibu n’ akpịrị gị, e nwere ike ọgaghị enwe ohere maka ikuku ịgafe ọkpọkọ ahụ.

Trach gị nwere ike fenestens. Nke a pụtara na trach nwere oghere ndị ọzọ etinyere n’ime ya. Oghere ndị a na-eme ka ikuku gabiga akwara ụda olu gị. Ha nwere ike ime ka ọ dịkwuo mfe iri nri na iku ume site na tube tracheostomy.

Ọ nwere ike iwe ogologo oge iji zụlite okwu ma ọ bụrụ na ị nwere:

• Mbibi akwara ụda olu
• Mmetụta nke akwara ụda olu, nke nwere ike ịgbanwe ụzọ akwara ụda si agagharị

Trach - na-ekwu okwu

Dobkin BH. Mgbanwe Neurological. Na: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Ọkpụkpụ Bradley na Clinical Practice. Nke 7. Philadelphia, PA: Elsevier; 2016: isi 57.

Greenwood JC, Winters M. Na: Tracheostomy na-elekọta. Na: Roberts JR, Custalow CB, Thomsen TW, eds. Usoro ọgwụgwọ Clinical nke Roberts na Hedges na Medicine Mberede na Nnukwu Nlekọta. Nke 7. Philadelphia, PA: Elsevier; 2019: isi 7.

Mirza N, Goldberg AN, Simonian MA. Loda na nsogbu nkwukọrịta. Na: Lanken PN, Manaker S, Kohl BA, Hanson CW, eds. Nlekọta Ntuziaka Na-adịghị Anya. Nke abụọ ed. Philadelphia, PA: Elsevier Saunders; 2014: isi 22.

• Ọrịa Tracheal