Tracheostomy

Ukuvulwa komlomo womoya (tray-key-OS-tuh-me) iwumgodi ochwepheshe be-zokwelapha abawenzayo phambi kwentamo bese bengena emoyeni, owaziwa nangokuthi yi-trachea. Ochwepheshe be-zokwelapha beka i-tube yokuvulwa komlomo womoya emgodini ukuze ihlale ivulekile ukuze kuphefumule. Igama le-surgical procedure yokwenza lo mgodi yi-tracheotomy.

Ukuxokozela umgudu kungase kudingeke uma: Izimo zezokwelapha zenza ukusetshenziswa komshini wokuphefumula, owaziwa nangokuthi yi-ventilator, kudingeke isikhathi eside, ngokuvamile ngaphezu kweviki elilodwa noma ezimbili. Izimo zezokwelapha, ezifana nokuqina kwezintambo zezwi, umdlavuza wendlebe noma umdlavuza womlomo, zivala noma zinyathelise indlela yomoya. Ukuqina, izimo ezihlasela ubuchopho nezinzwa, noma ezinye izimo kwenza kube nzima ukukhokha i-mucus ehlombe lakho futhi kwenze ukudonsa ngqo kwe-windpipe, okuyaziwa nangokuthi yi-trachea yakho, kudingeke ukuhlanza indlela yomoya. Ukuhlinzwa okukhulu kwekhanda noma entanyeni kuhlelwe. Ukuxokozela umgudu kusiza ekuphefumuleni phakathi kokutamba. Ukulimala okukhulu ekhanda noma entanyeni kuvala indlela evamile yokuphefumula. Ezinye izimo eziphuthumayo zenzeka ezivala ikhono lakho lokuphefumula futhi abasebenzi bezimo eziphuthumayo abakwazi ukufaka ipayipi lokuphefumula emlonyeni wakho bese bengena kwi-windpipe yakho.

Ukufakwa kwephepha lomoya (tracheostomy) kuphephile ngokuvamile, kodwa kunengozi. Ezinye izinkinga zivame kakhulu ngesikhathi noma ngokushesha ngemva kokuthi kwenziwe ukucutshungulwa. Ingozi yezinkinga iyanda uma ukufakwa kwephepha lomoya kwenziwa njengesiqubu. Izinkinga ezingase zenzeke ngokushesha zihlanganisa: Ukuphuza igazi. Ukwenzakala kwephepha lomoya, i-thyroid gland noma imithambo yezinzwa ebusweni. Ukuhamba kwephepha lomoya noma ukufakwa kwephepha lomoya okungalungile. Ukubanjwa komoya oqhele ngaphansi kwesikhumba ebusweni. Lokhu kuwaziwa ngokuthi yi-subcutaneous emphysema. Le nkinga ingabangela izinkinga zokuphefumula nokwenzakala kwephepha lomoya noma umthambo wokudla, owaziwa nangokuthi yi-esophagus. Ukubunjwa komoya phakathi odongeni lwesibeletho nemiphunga okubangela ubuhlungu, izinkinga zokuphefumula noma ukuwa kwemiphunga. Lokhu kuwaziwa ngokuthi yi-pneumothorax. Ukuqoqwa kwegazi, okuwaziwa nangokuthi yi-hematoma, okungase kube khona ebusweni futhi kubambe iphepha lomoya, kubangele izinkinga zokuphefumula. Izinkinga zesikhathi eside zivame kakhulu uma iphepha lomoya lihlala isikhathi eside. Lezi zinkinga zihlanganisa: Ukubambezeleka kwephepha lomoya. Ukuhamba kwephepha lomoya ekuphumeni komoya. Ukwenzakala, ukwenzakala noma ukuncipha kwephepha lomoya. Ukukhula kwendlela engavamile phakathi kwephepha lomoya ne-esophagus. Lokhu kwenza kube lula ukuthi izinto ezinwetshiwe noma ukudla kungene emiphungeni. Ukukhula kwendlela phakathi kwephepha lomoya nomthambo omkhulu wegazi opha i-arm yasekunene necala lasekunene lekhanda nebuso. Lokhu kungabangela ukuphuza igazi okubulalayo. Ukutheleleka eduze kwephepha lomoya noma ukutheleleka emiphungeni nasemiphungeni noma emiphungeni. Ukutheleleka emiphungeni nasemiphungeni kuwaziwa ngokuthi yi-tracheobronchitis. Ukutheleleka emiphungeni kuwaziwa ngokuthi yi-pneumonia. Uma usadinga ukufakwa kwephepha lomoya ngemva kokushiya isibhedlela, cishe uzodinga ukuqhubeka nokuya ezikhungweni zokwelapha njalo ukuze uqaphele izinkinga ezingase zenzeke. Cishe uzothola imiyalo mayelana nokuthi kufanele ubizela nini udokotela wakho mayelana nezinkinga, ezifana nokuphuza igazi endaweni yokuqheleka noma ekuphumeni komoya. Ukuba nesikhathi esinzima sokuphefumula ngephepha lomoya. Ubuhlungu noma ukushintsha kwezinga lokududuzeka. Ukushintsha kombala wesikhumba noma ukukhula eduze kwephepha lomoya. Ukushintsha kwendawo yephepha lomoya.

Ukulungiselela kwakho i-tracheostomy kuncike ohlotsheni lokuhlinzwa ozokwenza. Uma uzokwenza i-anesthesia jikelele, ochwepheshe bakho bezempilo bangacela ukuba ungadli noma uphuze amahora amaningana ngaphambi kwenqubo yakho. Ungase ucelwe futhi ukuba uyeke ukuthatha imithi ethile.