He aha ka ʻōmole NG (ʻōmole Nasogastric)? E kamaʻilio maʻalahi kākou e pili ana i kēia.

Ua ʻike paha ʻoe i kahi ʻōmole liʻiliʻi a lahilahi i hoʻokomo ʻia i loko o ka ihu o kekahi mau maʻi ma ka haukapila. A i ʻole ua haʻi aku kāu kauka iā ʻoe e pono ana kekahi o kou ʻohana i hoʻokahi. He mea maʻamau ka manaʻo makaʻu iki, ka hoihoi, a me ke kaumaha ke ʻike ʻoe i kēia. ʻO kēia ka mea a mākou e kapa nei he ʻōmole NG, a i ʻole ma nā huaʻōlelo lapaʻau, he ʻōmole nasogastric. ʻAe, e kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi a aloha hoʻi a hoʻomālamalama i kāu mau nīnau a pau e pili ana i kēia.

I ka ʻōlelo maʻalahi, he aha kēia ʻōmole NG?

He paipu palakiko lahilahi a palupalu ka paipu NG. Hoʻohana ʻia ia no nā kumu lapaʻau no ka manawa pōkole. ʻO ke ʻano o ka huaʻōlelo "nasogastric" ʻo ia hoʻi "mai ka ihu i ka ʻōpū." ʻO ke ʻano kēia, ua hoʻolālā ʻia kēia paipu e hoʻokomo ʻia i loko o kekahi ʻaoʻao o kou ihu, e hoʻokomo ʻia ma kou puʻu, i lalo o kou esophagus, a i loko o kou ʻōpū . Hoʻohana nui nā kauka i kēia paipu e hoʻokomo i nā mea i loko o kou ʻōpū, a i ʻole e wehe i nā mea mai kou ʻōpū.

No ke aha he mea pono e hoʻokomo i kēia paipu NG?

ʻElua kumu nui no ke komo ʻana i kahi ʻōmole NG. ʻO kekahi e hāʻawi i ka meaʻai a me ka lāʻau lapaʻau. ʻO kekahi e wehe i nā mea o loko o ka ʻōpū. E nānā kākou i kēia mau mea ʻelua ma ke kaʻawale.

Aia kekahi mau ʻano nui o nā paipu NG?

ʻAe, ʻelua ʻano nui. Ua hoʻolālā ʻia nā mea ʻelua e kūpono i nā kumu nui ʻelua a mākou i kūkākūkā ai ma luna.

1. Lumen Hoʻokahi

Hoʻokahi wale nō ʻōmole lahilahi kona. Hiki iā ia ke hoʻouna wale i nā mea e like me ka meaʻai a me nā lāʻau lapaʻau i hoʻokahi ʻaoʻao, ʻo ia hoʻi, i loko o ka ʻōpū. Hana ʻia ia he lahilahi loa e hōʻemi i ka ʻoluʻolu ʻole ke komo ʻia no kekahi mau pule.

2. Lumen pālua

He ʻelua mau paipu kēia i hoʻopili ʻia. ʻOi aku ka laulā o kekahi, ʻoi aku ka haiki o kekahi. Hoʻohana ʻia ka paipu ākea e omo i nā mea o loko o ka ʻōpū (suction). A laila, komo kahi ea liʻiliʻi i loko o ka ʻōpū ma o kēlā paipu haiki. I ka ʻōlelo maʻalahi, ua like ia me kahi mīkini hoʻomaʻemaʻe e paʻa ana i ka paia a hana hou inā ʻoe e hana i kahi lua liʻiliʻi, ma muli o kēia paipu haiki e hoʻokuʻu ai i ka ea, ʻaʻole e paʻa ka paipu nui i loko o ka paia o ka ʻōpū a paʻa.

He aha kāu e hana ai ma mua o ke kau ʻana i ka paipu?

Hana ʻia kēia e ke kauka a kahu maʻi paha i aʻo ʻia. No laila, hoʻomākaukau pono lākou iā ʻoe no kēia.

• Wehewehe: ʻO ka mea mua, e wehewehe mākou i ke kaʻina hana iā ʻoe a e loaʻa iā ʻoe kāu ʻae i kau inoa ʻia.
• Kūlana: Inā hiki, e kau pololei ʻia ʻoe ma kahi moe.
• Lubrication: Hoʻopili ʻia kahi ʻano gel lubricating kūikawā ma ka piko o ka ʻōmole no kekahi mau ʻīniha e maʻalahi ai ka hoʻokomo ʻana.
• ʻO ka maeʻa: Hoʻokomo ʻia kahi lāʻau hoʻomaha, e like me ka lidocaine, i loko o ka ihu a me ka puʻu e maeʻa ai ka wahi. Hiki i kēia ke hōʻemi nui i ka ʻeha.
• Ke ana ʻana i ka lōʻihi: E ana mua i ka lōʻihi e pono ai ke komo ʻana o ka ʻōmole i loko o ka ʻōpū e kūpono i ka nui o kou kino, a e kaha i kēlā wahi ma ka ʻōmole.

Pehea e hoʻokomo ʻia ai ka paipu NG?

He hana kēia i hana ʻia me ke akahele a me ke akahele loa.

1. E hoʻokomo ke kauka a kahu maʻi paha i ka ʻōmole ma kekahi o kou mau puka ihu a alakaʻi pololei iā ia i lalo o ke kua o kou puʻu.

2. Ke hiki aku ka ʻōmole i ke kua o kou puʻu, e noi ʻia ʻoe e kūlou iki i mua a inu i ka wai ma o ka ʻōpala a moni.

3. I kou moni ʻana i ka wai, neʻe maʻalahi ka ʻōmole i lalo o ka esophagus a i loko o ka ʻōpū. ʻO kēia ka hana nui loa.

4. Inā loaʻa iā ʻoe kekahi ʻeha nui, e like me ke kuni ʻana a i ʻole ka ʻū ʻana, e hoʻōki koke lākou, e kali iki, a hoʻāʻo hou.

5. Ke kau ka ʻōmole i ke kūlana kūpono e like me ke ana ʻia a me ka māka ʻana ma mua, e hoʻopili mālie iā ia i ka ihu a me ka papālina me ka plaster i ʻole e neʻe.

Pehea e nānā ai inā ua hoʻokomo pono ʻia ka ʻōmole i loko o ka ʻōpū?

ʻO kēia ka mea nui loa a pono e hana ʻia . No ka mea, he mea weliweli loa ia inā komo hewa ka ʻōmole i loko o nā māmā. No laila, aia ʻelua mau ala nui e hōʻoia ai aia maoli ka ʻōmole i loko o ka ʻōpū.

1. X-ray umauma: ʻO kēia ke ʻano pololei loa a maikaʻi loa 100%. Ma hope o ke komo mua ʻana o ka ʻōmole, lawe ʻia kahi X-ray e ʻike pono i kahi o ka hopena o ka ʻōmole. Eia nō naʻe, ʻaʻole kūpono ke lawe i nā X-ray i kēlā me kēia manawa e kau ai ka ʻōmole i kahi.

2. Hoʻāʻo pH aspirate: ʻO kēia ka lua o ke ʻano hana maikaʻi loa a hoʻohana pinepine ʻia. Maanei, hoʻopili ʻia kahi syringe i ka paipu a lawe ʻia kahi liʻiliʻi o ka wai i loko o ka ʻōpū. A laila hoʻāʻo ʻia ka acidity (pH) o kēlā wai. No ka mea, aia ka wai acidic (gastric acid) i loko o ka ʻōpū, inā haʻahaʻa ka pH, ʻo ia hoʻi aia ka paipu i loko o ka ʻōpū.

He ʻeha nui anei ke komo ʻoe i kēia?

ʻO kaʻoiaʻiʻo, ʻoi aku ka nui o ka 'ʻoluʻolu ʻole' ma mua o ka 'ʻeha'. Hiki iā ʻoe ke manaʻo iki i kahi mea ʻē, e like me ka ʻūlū ma ka puʻu, i ka wā e hoʻokomo ʻia ai. Akā hana nā kauka i nā hana e hōʻemi i kēia ʻoluʻolu ʻole i ka hiki.

• Ke hāʻawi ʻana i ka lāʻau lapaʻau e hoʻopau ai i ka ʻeha.
• Ke hoʻohana nei i ka gel lubricating.
• E hoʻopili pono i ka paipu i ʻole e neʻe.
• E hoʻomaʻemaʻe mau i kahi e pā ai ka ʻōmole i ka ihu a kau i kahi kirīmi e pale ai i ka hōʻino ʻana i ka ʻili.

Hiki i kēia mau mea ke kōkua nui i ka hoʻoponopono ʻana i ka pilikia.

ʻEhia ka lōʻihi e hiki ai ke waiho ʻia kahi paipu NG i loko?

Hoʻolālā pinepine ʻia kahi ʻōmole NG e mau ma lalo o ʻeono pule.Hoʻohana. Inā pono e hānai ʻia kekahi ma o kahi ʻōmole no kahi manawa lōʻihi, e kuhikuhi ke kauka iā lākou i kahi ʻano hana ʻē aʻe. No ka laʻana, aia kekahi ʻano hana e hana ʻia ai kahi ʻoki liʻiliʻi ma ka ʻili o ka ʻōpū a hoʻokomo pololei ʻia kahi ʻōmole i loko o ka ʻōpū (gastrostomy tube). ʻOiai pono ia i kahi ʻoki liʻiliʻi, ʻoi aku ka palekana i ka wā lōʻihi.

He aha nā pōmaikaʻi a me nā pilikia e hiki mai ana o kēia ʻano hana?

E like me nā hana lapaʻau a pau, aia nā pono a me nā pōʻino liʻiliʻi.

Nā kūlana kahi e pono ai ʻoe e hoʻomaopopo koke i kāu kauka

Inā ʻoe a i ʻole kekahi āu i ʻike ai he paipu NG i hoʻokomo ʻia, e hoʻomaopopo koke i ke kauka a kahu maʻi paha inā ʻike ʻoe i kekahi o kēia mau hōʻailona:

• Inā ʻulaʻula ka wahi i hoʻokomo ʻia ai ka paipu, pehu, a i ʻole he kuni (he mau hōʻailona kēia o ka maʻi).
• Inā loaʻa iā ʻoe ka ʻūhū, pilikia ka hanu ʻana, a i ʻole ka luaʻi ʻana i ka wā e paʻa ana ka ʻōmole.
• Inā manaʻo ʻia ua paʻa ka ʻōmole a ʻaʻole paha e hana ana.
• Inā hemo hewa ka ʻōmole a inā ʻoe e wehe iā ʻoe iho.
• Inā puka mai ke koko ma o ka ʻōmole a i ʻole me ka ʻōpala.

Hiki ke lilo i mea ʻoluʻolu ʻole ka loaʻa ʻana o kahi ʻōmole NG, akā he mea ia e hiki ke hoʻomanawanui ʻia, a i kekahi manawa he mea pono ia e hoʻopakele i ke ola a i ʻole e wikiwiki i ka hoʻōla ʻana mai kahi maʻi. No laila, mai hopohopo no ia mea. He mea manawa pōkole wale nō kēia no kou pono.