Mai makaʻu i ka hānai ʻana ma o kahi ʻōmole (Enteral Nutrition)! E kamaʻilio kākou e pili ana i kēia

He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana e pono ʻoe e hānai ʻia ma o kahi ʻōmole. "Pehea wau e ʻai ai i kēia manawa?", "E lōʻihi anei kēia?", a pēlā aku. Nui nā nīnau e hiki mai ana i ka noʻonoʻo. Akā, he ala koʻikoʻi loa kēia a palekana hoʻi e hāʻawi i ke kino i ka meaʻai a me nā wai e pono ai no kekahi mea hiki ʻole ke nau a ale pono i ka meaʻai. E kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi i kēia lā.

I ka ʻōlelo maʻalahi, he aha kēia ʻano hānai ʻana o ka paipu?

ʻO ka hānai ʻana i loko o ka paipu, a i ʻole ma ka ʻōlelo lapaʻau, "Enteral Nutrition," ʻo ia ka hoʻohana ʻana i kahi paipu plastik lahilahi a palupalu (he paipu) e lawe pololei i ka meaʻai wai kūpono i loko o kāu "Gastrointestinal Tract." I kekahi manawa, hoʻohana ʻia kēia mau paipu e hāʻawi i ka lāʻau lapaʻau.

E noʻonoʻo i kēia ʻano. ʻO ka maʻamau, ʻai mākou i ka meaʻai ma o ko mākou waha, a hele ia ma o ko mākou esophagus i ko mākou ʻōpū, a mai laila aku i ko mākou ʻōpū. Akā inā no kekahi kumu ʻaʻole hiki kēia huakaʻi, hana mākou i kahi ala ʻē aʻe. Pēlā nō ia me kēia. Hoʻohana ʻia kēia ʻōmole e hoʻouna i ka meaʻai ʻaʻole hiki ke hele ma o ko mākou waha a me ka esophagus pololei i ko mākou ʻōpū a i ʻole ka ʻōpū liʻiliʻi.

Aia kekahi ʻano ʻōmole hānai?

ʻAe, ua māhele ʻia lākou i kekahi mau ʻano, ma muli o kahi i waiho ʻia ai a me ka lōʻihi o ka hoʻohana ʻia ʻana.

Nā ʻōmole hoʻohana pōkole (ʻaʻole i ʻoi aku ma mua o 4-6 mau pule)

Hāʻawi pinepine ʻia kēia mau mea ma o ka ihu. Hiki paha iā ʻoe ke hoʻokomo mua i kahi ʻōmole e ʻike ai pehea e pane ai kou kino i kēia mau meaʻai wai.

Nā ʻōmole hoʻohana lōʻihi (ʻoi aku ma mua o 4-6 mau pule)

Inā pono ka ʻōmole hānai no ka manawa lōʻihi, hiki i nā kauka ke ʻōlelo aku e hoʻokomo i kahi ʻōmole ma o ka paia ʻōpū pololei i loko o ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi. Hana ʻia kēia ma o kahi ʻoki liʻiliʻi.

He aha ke ʻano o ka poʻe e pono e hānai ʻia ma o kahi ʻōmole e like me kēia?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "No ke aha e pono ai kekahi i kahi mea e like me kēia?" ʻO ke kumu nui, ʻaʻole hiki iā lākou ke loaʻa ka lawa o ka meaʻai ma o ko lākou waha. He mea pono loa kēia ʻano hana inā loaʻa iā lākou kahi maʻi i kapa ʻia ʻo "Dysphagia", kahi e paʻakikī ai ke nau a ale paha i ka meaʻai.

Kōkua kēia ʻano hana i ka mālama ʻana i ke olakino o ka metabolism o kou kino a me ka ʻōnaehana hoʻoheheʻe.

ʻO kekahi mau kūlana kahi e pono ai ka paipu:

• Ke paʻakikī i ka moni ʻana ma muli o ke kanesa o ke poʻo a me ka ʻāʻī a i ʻole nā ​​​​​​ʻeha i kēlā mau wahi.
• Nā maʻi ʻai koʻikoʻi.
• Nā pilikia o ka ʻōpū a me ka naʻau, e like me ka hāiki ʻana o ka paipu meaʻai.
• Nā maʻi e hoʻopilikia ai i ka omo ʻana o ke kino i nā meaola, e like me ka maʻi koʻikoʻi o Crohn.
• Nā maʻi o ka ʻōnaehana nerve e like me ka hahau ʻana .
• Ka nalowale ʻana o ka hiki ke ale no kekahi manawa ma muli o ke ʻoki kino hou a i ʻole ka maʻi.
• Nā kūlana o ka ʻike ʻole ʻana `(Coma)`.

He aha ke ʻano o ka ʻike āu e loaʻa ai ke hoʻokomo ʻia kahi paipu?

E loli kēia ma muli o ke ʻano o ka paipu āu a me ke kumu no ia mea. ʻOiai ʻoe ma ka haukapila, e mālama nā limahana kahu maʻi i ka hānai ʻana iā ʻoe ma o ka paipu a hoʻomaʻemaʻe iā ia. Eia nō naʻe, inā ʻoe e hoʻi i ka home me ka paipu, e aʻo ʻia ʻoe a me kāu poʻe mālama i ke ʻano o ka hoʻohana ʻana a me ka mālama ʻana iā ia.

Pehea e hoʻokomo ʻia ai ka ʻōmole i loko o ke kino?

Hoʻokomo pinepine ʻia kēia mau mea i loko o ka haukapila, akā hiki iā ʻoe ke hoʻomau i ka hoʻohana ʻana iā lākou ma ka home.

• ʻŌmole ihu: ʻAʻole kēia he hana nui. Hiki ke hana ʻia i kou wā e moe ana ma kahi moe. E hoʻomāʻū ke kauka a i ʻole ke kahu maʻi i aʻo ʻia i ka ʻōmole a hoʻokomo pono iā ia ma kou ihu i loko o kou ʻōpū a i ʻole nā ​​ʻōpū. E noi ʻia paha ʻoe e inu i kahi wai ma o kahi ʻōpala i kēia manawa, no laila e iho maʻalahi ka ʻōmole.
• ʻŌpū ʻōpū: Pono kēia i kahi ʻoki liʻiliʻi. Pono ʻoe e hoʻokē ʻai no kahi 8 mau hola ma mua o ke kaʻina hana. Inā ʻoe e lawe ana i nā anticoagulants, e noi ʻia ʻoe e hoʻōki i ka lawe ʻana iā lākou no kekahi mau lā. E hāʻawi ʻia ʻoe i ka anesthesia i ʻole ʻoe e ʻeha . Aia kekahi mau ala e hana ai i kēia ʻoki:
• Endoscopy: Hoʻokomo ʻia kahi ʻōmole me kahi kāmela i hoʻopili ʻia ma o ka waha e nānā i loko o ka ʻōpū. Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻili o ka ʻōpū a hoʻokomo ʻia ka ʻōmole.
• Ma o X-ray: Hoʻokomo ʻia ka ʻōmole ma ka nānā ʻana i nā kiʻi X-ray e ʻike i ka wahi kūpono.
• Ma o ke ʻoki kino: I kekahi manawa hoʻokomo ʻia ka ʻōmole ma o ke ʻoki kino hāmama a i ʻole ka laparoscopy (ma o kekahi mau ʻoki liʻiliʻi me ke kōkua o kahi kāmela).

Pehea e loaʻa ai ka meaʻai ma o ka paipu?

ʻElua ala e hana ai i kēia.

1. Ka hānai ʻana me ka bolus: E like me kā mākou ʻai ʻana i ʻekolu mau pāʻina i ka lā, hāʻawi ʻia ka meaʻai wai i loko o ka ʻōmole i nā manawa kikoʻī o ka lā me ka hoʻohana ʻana i kahi syringe. Hana pinepine ʻia kēia ʻano hana no ka poʻe me kahi ʻōmole i loko o ko lākou ʻōpū no ka mea hiki i ka ʻōpū ke lawelawe i ka nui o ka meaʻai i ka manawa hoʻokahi.

2. Ka hānai mau ʻana: Inā kau ʻia ka ʻōmole i loko o ka ʻōpū liʻiliʻi, ʻaʻole hiki ke hānai nui i ka manawa hoʻokahi. No laila, hoʻohana ʻia kahi pamu e hānai mau i ka pēpē me ka liʻiliʻi i loko o kekahi mau hola.

E helu kāu kauka a me ka meaʻai meaʻai i ka nui o nā calorie, nā wikamina, a me ka protein āu e pono ai a e paipai i ke ʻano wai kūpono nāu.

Pehea ʻoe e mālama ai i ka ʻōmole a me ka ʻili a puni ia?

Pono ʻoe e mālama i ka ʻōmole mai ka paʻa ʻana a pale i nā maʻi ʻili a puni ia.

He aha nā pilikia?

Aia paha kekahi ʻeha o ka ʻōpū a me ka pehu ʻana no nā lā mua ma hope o ke komo ʻana o kahi paipu. Hiki nō hoʻi iā ʻoe ke ʻike i ka ʻeha o ka ʻōpū a me ka maʻi kahe i ka wā e hoʻomaʻamaʻa ai kou kino i ka meaʻai hou. Hoʻopau pinepine kēia i loko o kekahi mau lā.

He haʻahaʻa ka pilikia o nā pilikia ʻē aʻe, akā he mea maikaʻi ke ʻike:

• Ua paʻa, ua hōʻino ʻia, a ua hemo paha ka paipu.
• Ka maʻi ma kahi i hoʻokomo ʻia ai ka paipu.
• Ka paʻa mau ʻana o ka paʻa ʻana, ka nausea, a i ʻole ka diarrhea.
• Ke komo ʻana o ka meaʻai i loko o nā māmā (Aspiration pneumonia).

Inā he kānalua kou no kekahi mea e like me kēia, e kamaʻilio koke me kāu kauka.