He aha kēia ʻōmole NG? (ʻōmole Nasogastric) E ʻike pono kākou.

Ua hele anei ʻoe i kahi keʻena haukapila a ʻike i kekahi mau maʻi me kahi ʻōmole lahilahi i hoʻokomo ʻia i loko o ko lākou ihu? Malia paha ua ʻike ʻoe i kekahi i loko o kou ʻohana ponoʻī a i ʻole hoaaloha paha. Nui ka poʻe e makaʻu iki i ka ʻike ʻana i kēia, a kaumaha lākou no ia mea. Akā he aha maoli kēia ʻōmole i hoʻokomo ʻia i loko o ko lākou ihu? No ke aha i hoʻokomo ʻia ai? ʻEha anei? I kēia lā e kamaʻilio mākou e pili ana i kēia mau mea a pau me ka maʻalahi.

He aha kēia paipu NG?

I ka ʻōlelo maʻalahi, ʻo kēia ka mea a mākou e kapa ai he Nasogastric Tube i ka lāʻau lapaʻau, a i ʻole NG Tube no ka pōkole. He manaʻo ko ka inoa ponoʻī. ʻO 'Naso' ke ʻano o ka ihu, ʻo 'Gastric' ke ʻano o ka ʻōpū. No laila, he ʻōmole palaki lahilahi a palupalu kēia i hoʻokomo ʻia ma kahi lua i loko o ka ihu, i lalo o ka puʻu, ma o ka esophagus, a i loko o ka ʻōpū.

ʻAʻole kēia he mea i manaʻo ʻia e mālama mau ʻia. Hoʻohana ʻia no nā kumu lapaʻau no ka manawa pōkole. Hana ia i ʻelua mau mea nui. Hoʻouna ia i kahi mea i loko o ka ʻōpū, a i ʻole e wehe i kahi mea mai loko mai o ka ʻōpū.

I nā kūlana hea e hoʻohana ʻia ai ka ʻōmole NG?

E like me kā mākou i ʻōlelo ai ma mua, aia ʻelua mau kumu nui no ka hoʻohana ʻana i ka ʻōmole NG. E nānā kākou i kēia ala e hoʻomaopopo pono ai.

Pehea e hoʻokomo ʻia ai kahi paipu NG?

Hana ʻia kēia e ke kauka a kahu maʻi paha i aʻo ʻia. ʻOiai paha he mea weliweli ia, hoʻāʻo lākou e maʻalahi i ka mea maʻi.

Nā hoʻomākaukau ma mua o ke kau ʻana i ka paipu

• ʻO ka mea mua, e wehewehe piha ke kauka a kahu maʻi paha i ke kaʻina hana iā ʻoe a i ʻole ke kahu o ka mea maʻi a loaʻa ka ʻae .
• Inā hiki, e kau ʻia ka mea maʻi ma luna o kahi moe .
• Hoʻopili ʻia kahi ʻano gel lubricating kūikawā ma ka hopena o ka ʻōmole i mea e maʻalahi ai ke hoʻokomo.
• No ka hōʻemi ʻana i ka ʻeha ma ka ihu a me ka puʻu, hoʻohana ʻia kahi ʻaila anesthetic e hoʻomānoʻino i ka wahi.
• Ma muli o ka nui o ke kino o ka mea maʻi, e ana mua ʻia ka lōʻihi o ka ʻōmole e hoʻokomo ʻia a ua hōʻailona ʻia kahi o ka ʻōmole .

Pehea e hoʻokomo ai i ka paipu

E noʻonoʻo, ua mākaukau nā mea a pau i kēia manawa. Hoʻokomo pono ke kauka i ka ʻōmole ma kekahi o nā puka ihu a kuhikuhi iā ia i ke kua o ka puʻu. Ke hiki ka ʻōmole i ka puʻu, hāʻawi ʻia ka mea maʻi i kahi ʻōpala a noi ʻia e inu i ka wai ma o ia mea . Ke moni ʻoe i kahi wai, wehe ka esophagus. I kēlā manawa, ua paʻi mālie ʻia ka ʻōmole i lalo. Ma kēia ʻano, ʻaʻole e komo ka ʻōmole i loko o ka ʻōpū hanu, akā e iho pololei i lalo i ka esophagus a hiki i ka ʻōpū.

Inā ʻū ka mea maʻi a paʻakikī paha ka hanu ʻana, e hoʻōki koke ʻia ka ʻōmole, a hana hou ʻia ke komo ʻana ma hope o kekahi manawa. Ma hope o ke komo ʻana o ka ʻōmole a hiki i kahi i hōʻailona mua ʻia, e hoʻopili mālie ʻia kahi plaster i ka ihu a me ka papālina e pale aku i ka neʻe ʻana o ka ʻōmole.

Pehea ʻoe e hōʻoia ai ua hele pololei ka ʻōmole i loko o ka ʻōpū?

ʻO kēia ke kaʻina hana koʻikoʻi loa . No ka mea, he mea weliweli loa ia inā komo hewa ka ʻōmole i loko o nā māmā. No laila, pono e hōʻoia i loko o ka ʻōpū ka ʻōmole. ʻElua ala e hana ai i kēia.

1. X-ray umauma: ʻO kēia ke ʻano pololei a palekana loa.Ma hope o ka hoʻokomo mua ʻia ʻana o ka ʻōmole, lawe ʻia kahi X-ray e nānā i kahi kikoʻī o ka ʻōmole.

2. Hoʻāʻo pH aspirate: ʻOiai he paʻakikī ke lawe i kahi X-ray i kēlā me kēia manawa, hoʻohana ʻia kēia ʻano hana. Me ka hoʻohana ʻana i kahi syringe, ua huki ʻia kahi liʻiliʻi o ka wai o ka ʻōpū ma o kahi paipu. A laila hoʻāʻo ʻia ka pae waikawa (pH) o kēlā wai. Inā he waikawa ka ʻōpū, a haʻahaʻa ka pH, aia ka paipu ma kahi kūpono.

He ʻeha anei ke hoʻokomo ʻia kahi paipu NG?

ʻO kaʻoiaʻiʻo, ʻaʻole kēia he "ʻeha nui." Akā aia paha kekahi ʻoluʻolu ʻole a me kahi manaʻo maʻamau ʻole. Manaʻo paha e like me ke paʻa ʻana o kekahi mea i loko o kou puʻu. Akā hana nā kauka a me nā kahu maʻi i nā hana e hōʻemi i kēia ʻoluʻolu ʻole i ka hiki. No ka laʻana, hoʻohana lākou i ka pīpī hoʻomāʻū, hoʻopaʻa i ka ʻōmole i ʻole e neʻe, a hoʻopili i nā ʻaila kūikawā i ka ʻili a puni ka ihu.

Pehea ka lōʻihi e hiki ai ke mālama ʻia kēia ʻōmole i loko? A he aha nā hopena ʻaoʻao?

He manawa pōkole ka ʻōmole NG. ʻAʻole ia e waiho ʻia ma kahi no nā pule he 6 a ʻoi. Inā pono e hānai ʻia ke kanaka ma o kahi ʻōmole no ka manawa lōʻihi ma mua o kēlā, hiki i ke kauka ke kuhikuhi i kahi ʻano hana ʻē aʻe. No ka laʻana, he ʻōmole gastrostomy, kahi i hoʻokomo ʻia ma o kahi ʻoki liʻiliʻi i loko o ka ʻōpū a pololei i loko o ka ʻōpū ma o ka ʻili.

Inā hoʻokomo pono ʻia ka ʻōmole a mālama pono ʻia, he kakaikahi nā hopena ʻaoʻao koʻikoʻi. Eia nō naʻe, hiki ke hana ʻia kekahi mau mea liʻiliʻi.

• ʻO ka ʻoluʻolu ʻole a me ka ʻeha ma ka ihu a me ka puʻu.
• Kokoke ka ihu.
• Ka maʻi sinus.
• Ua hemo hewa ka paipu.

Eia nō naʻe, inā hana hewa ʻia i ka wā e hoʻokomo ʻia ai ka paipu, hiki ke loaʻa nā pilikia koʻikoʻi e like me ke komo ʻana o ka paipu i loko o ka ʻōpū hanu . Eia nō naʻe, he mea paʻakikī loa kēia e hana ma lalo o ka nānā ʻana o nā limahana lapaʻau i aʻo ʻia.

I ka manawa hea e hoʻomaopopo koke ai i ke kauka

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

• Nā hōʻailona o ka maʻi, e like me ke kuni, ka ʻulaʻula, a i ʻole ka pehu ʻana ma kahi i hoʻokomo ʻia ai.
• Inā pilikia ʻoe i ka hanu ʻana .
• Inā ʻoe e ʻū koke, ʻūlū, a luaʻi paha .
• Inā he koko e puka mai ana mai ka ʻōmole a inā paha he koko i loko o ka ʻōpala.
• Inā manaʻo ʻia ua paʻa ka ʻōmole.
• Inā hāʻule hewa ka paipu a puka paha i waho.

Ma ke kūlana e like me kēia, ʻoiai inā he pilikia ka hanu ʻana, he mea nui e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.