Ask:My mother is a last phase of lung cancer patient, because one mouthful the phlegm could not cough but arrive a hospital to beg to diagnose, result, the body had another two kinds of pipes, 1 kind infuses food to use, another is to take out phlegm to use, the doctor tells recently that we want to change to use a method of slice the windpipe.
My problem is:Change can also talk, have a meal so?Why want to change a method again?The patient who slices the device doctor of windpipe to say big part would because of infection but die, true of?Is the meeting very quick?
Answer:Talk first that the windpipe puts the function of tube:It one for help the windpipe, bronchus secretion to eject or the artificial take out phlegm convenience, it two in order to make the pass of air more and easily help a patient breath smoothly, usually be a patient to have weak a lot of phlegms but physical strength, spit out phlegm ability bad, oneself even can't spit out phlegm need the windpipe to put a tube.
The way contains 2 kinds and 1 kind is through nose or mouth cavity, insert a pipe into the windpipe, for inside windpipe to put a tube:
The advantage can quickly insert, avoid surgery injury.The weakness is with long hours to use a larynx would dropsy, debauched, the base of the tongue oppression ulcerate, the vocal cord get hurt, or lung department infection, not fixedly easily move the , patient also easily bites at pipe or secretion to jam pipe and influence to take out phlegm ill success, in the meantime the nose department sweep hygiene a not easy maintenance also, therefore iner keeping with short date usage.
Another is in the neck second, the third or the fourth windpipe wreath make a surgery to slice, windpipe set the tube pass by to slice into windpipe, for a windpipe to cut open to build.The advantage sweeps hygiene to easily support to the nose department, make to take out phlegm more thoroughly, the infection opportunity is a little bit low, while using over a long period of time patient need not always Zhang Zhu3 Zui3 so would be more comfortable, the weakness is to need surgery injury.
As for the windpipe cuts open after the Shu a food problem is adopt nose stomach a tube to infuse food or is take a meal by, usually depend on the patient's condition to decide, swallow to respond normal after the Shu can immediately be taken a meal liquid substance or soft food by for 24 hours, be for the first time take a meal or drink water may have a cough and inhale food phenomenon, while need give to take out to absorb, but the patient slowly go to school meeting if ever set tube existence, can also smoothly take a meal or drink water.
Windpipe after cut open build a people Shu can't talk is a palliation of, the initial stage can talk with the pen, signal, chart to communicate, long-term hereafter plug a set of tube with the cork of openings or make use of first to one by one in order breathe, then by hand point to cover up a set of tube can talk, had better be a word or two word in order to prevent weariness, at ordinary times the set tube can use gauze Lian son the sort cover a set of tube with maintain the degree of humidity in the windpipe and clean degree.
To sum it up, because the physical strength become bad, and then have an outside thing,such as windpipe, to put a tube, nose stomach tube etc. the detention, need to lie a bed over a long period of time infection the opportunity will increase unavoidable, infect the phenomenon will also repeat occurrence and as far as possible and with concentrated effort look after be.
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