Sɔntɛnde, wi ɔ sɔmbɔdi na wi famili kin gɛt prɔblɛm fɔ it ɔ swɛla bikɔs wi sik, big ɔpreshɔn, ɔ ol. Fidin tiub na spɛshal tin we dɛn kin yuz fɔ gi di bɔdi di tin dɛn we i nid. Pan ɔl we bɔku pipul dɛn kin fred smɔl fɔ di nem, fɔ tru, i rili impɔtant fɔ mɛn pipul dɛn we go ɛp fɔ sev pipul dɛn layf. So, mek wi tok abaut am ol tide.
Wetin na fidin tyub? Aw i kin wok?
Fɔ tɔk am simpul wan, fidin tyub na plastic tiub we kin chenj ɛn we dɛn kin put insay yu bɛlɛ ɔ insay yu insay fɔ gi yu di it we yu nid. dis mεtכd dεn kכl am mεdikal wan ``enteral nyutrishכn''. If yu gɛt wan sik we de mek i nɔ izi fɔ it ɔ swɛla it, lɛk Pakinsin sik, ɔ if yu nɔ ebul fɔ it bikɔs ɔf siriɔs sik lɛk kansa, yu dɔktɔ kin tɛl yu fɔ du dis.
dipכnt pan yu kכndishכn, dεn kin put dis tכb tru di nos, tru di mכt, כ כpεrayshכn put am dεrekt insay di bεlε כ insay di intestכn dεm. Nasal ɔ ɔral tyub dɛn nɔ nid ɔpreshɔn. Bɔku tɛm dɛn kin yuz dɛn fɔ sɔm tɛm . Ɔda kayn tyub dɛn nid fɔ put smɔl ɔpreshɔn insay.
Na tru se fɔ gɛt fidin tyub kin mek yu nɔ fil fayn smɔl sɔntɛnde. Yu fɔ chenj di say we yu de slip ɛn spɛn ɛkstra tɛm fɔ kip di tiub klin.
Bɔt, i nɔ go stɔp yu layf. Yu kin go wit yu padi dɛn, ɛksesaiz, ɛn du mami ɛn dadi biznɛs na yu mared layf we yu nɔ gɛt ɛnitin fɔ stɔp yu. Yu kin kip dis tiub insay fɔ as lɔng as yu nid. Sɔm pipul dɛn kin it dis we fɔ di res ɔf dɛn layf.
wan spεshal fכmulayt likwid nyutrishכnal miksכp dεn gi yu tru di tכb. Yu dɔktɔ ɔ pɔsin we sabi bɔt it go pik wan miksɔp we gɛt ɔl wetin yu nid, lɛk prɔtin, kabɔhaydrɛt, fat, vaytamɛn, ɛn minral. Dɛn kin gi wata ɛn sɔm mɛrɛsin dɛn bak tru dis tiub.
Us mɛrɛsin dɛn we yu nid fɔ gɛt fidin tyub?
Bɔku men rizin dɛn de we mek yu dɔktɔ kin tɛl yu fɔ yuz tyub fɔ gi yu tin fɔ it. Lɛ wi tek wan luk pan wetin dɛn bi.
| Rizin | Fɔ ɛgzampul, sik dɛn |
|---|---|
| Sik dɛm we de afɛkt di dijestiv sistɛm | Dijestiv sistɛm kansa, siriɔs Crohn in sik, intestinal ɔbstrɔkshɔn, shɔt bɔdi sindrom. |
| I nɔ izi fɔ it ɔ swɛla it | Strɔk, ed ɛn nɛk kansa, nyurolɔjik sik dɛn, we di εsophagus de smɔl. |
| Yu nɔ go want fɔ it ɔ yu nɔ go ebul fɔ it yusɛf | Sɔm siriɔs kansa, paralayz, ɛn siriɔs prɔblɛm wit aw pɔsin de it. |
| Ɔda rizin dɛn | Di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn we kin afɛkt di it ɔ digest, we i nɔ kin no natin (koma). |
Us kayn fidin tyub dɛn de?
di fכd tכb dεm dεn kin mεnli sheb to difrεn tכp dεm bay di say εn di we aw dεn put dεm insay di bכdi. Mɛmba se if dɛn nid it fɔ lɛs 6 wik, dɛn kin yuz tiub we dɛn put tru di nos ɔ mɔt, we if dɛn nid am fɔ lɔng tɛm, dɛn kin yuz tiub we dɛn kin put insay ɔpreshɔn.
Tεmporari tכb dεm we dεn kin put tru di nos εn mכt
Dɛn tin ya na fɔ yuz fɔ shɔt tɛm.
- Nasogastric tubes: Dɛn tiub ya de stat na di nos ɛn dɔn na di bɛlɛ. Dɛn kin yuz dɛn na ɔspitul fɔ gi dɛn tin fɔ it ɛn mɛrɛsin fɔ shɔt tɛm.
- Nasojejunal & Nasoduodenal tubes: dεn ya de stat na di nos εn de dכn na di jejunum כ duodenum, we na pat dεm na di sכmכl intestin.
- Orogastric & Oroenteric tubes: dεn kin put dεn ya tru di mכt insay di bεlε כ sכmכl intestin insted fכ di nos. Dɛn tin ya bak na fɔ shɔt tɛm nɔmɔ.
Tiub dɛn we kin de fɔ lɔng tɛm we dɛn kin put ɔpreshɔn insay
Dɛn kin yuz dɛn tin ya fɔ it tin fɔ lɔng tɛm.
- di gεstrik (G) tכb dεm: dεn kin כpכt dεn kin put am tru di skin na di bכdi dairekt insay di bεlε.
- Jejunostomy (J) tubes: These are surgically placed directly into the jejunum.
- PEG tyub `(Percutaneous endoscopic gastrostomy)`: dis na we dεn kin du `(endoscopic)` כpεrayshכn, dat na, dεn kin put tכb wit sכmכl kεmεra (wan `endoscope`) tru di mכt, luk insay di bεlε, εn dεn kin pik di bεst ples fכ instכl di tכb εn instכl am tru di bכdi.
- RIG ɔ RIJ Tiub: .fכ pכsin we nכ kin ebul fכ du εndoskopi, dεn kin yuz wan tεknik lεk εks-ray fכ put di tכb na di kכrekt posishכn.
- PEG-J tכb: insay dis, dεn de put di tכb tru di bכdi insay di bכdi εn afta dat dεn de fiks am na di jεjunum.
insay di tכb insay di bכdi εn rεkכvεshכn
Di ɔpreshɔn fɔ put fidin tyub kin simpul. di dכkta kin mek sכm sכm pat na di bכdi in skin εn put di tכb insay di bεlε כ insay di bכdi.
Dɛn go advays yu fɔ avɔyd fɔ it ɔ drink fɔ lɛk 8 awa bifo di ɔpreshɔn. Na di ɔspitul, dɛn go gi yu mɛrɛsin fɔ mɛn pen, slip pils, ɛn antibayɔtiks tru wan vein. Dɛn go injɛkt wan mɛrɛsin we de mek pɔsin nɔ fil fayn na di say we dɛn go put di tiub. Dis go ɛp yu nɔ go fil bɔku pen.
כl di tεm dεm, dεn kin du dis כpεrayshכn lεk ``εndoskopi.'' Dat min se dεn kin put tכb wit kεmεra tru di mכt εn dεn kin put di tכb we dεn de luk insay. Dis ɔpreshɔn kin tek lɛk 30-45 minit.
Afta dɛn dɔn du di ɔpreshɔn, dɔktɔ ɛn nɔs dɛn go de wach yu gud gud wan fɔ si if yu gɛt infɛkshɔn ɛn if yu gɛt blɔd. Yu kin gɛt smɔl wata rawnd di tiub fɔ di fɔs ɔ tu dez. Dis na nɔmal tin. Afta di wund dɔn wɛl, yu go nid fɔ klin di say ɛvride wit sop ɛn wata.
Fɔ di fɔs dez, yu kin fil smɔl pen usay dɛn put di tiub, lɛk se dɛn de pul wan pat pan di bɔdi. Di dɔktɔ go gi yu pen kil fɔ dis. Bɔku tɛm, dɛn kin yuz dis tiub fɔ sɔm mɔnt, sɔntɛnde dɛn kin ivin yuz tu ɔ tri ia.
Tube care ɛn fidin
Dɔktɔ ɛn nɔs dɛn go ɛp yu fɔ kia fɔ di tiub we yu de na ɔspitul. We yu go na os, pɔsin we de kia fɔ wɛlbɔdi biznɛs na os (lɛk nɔs) go gi yu klia instrɔkshɔn bɔt aw fɔ yuz ɛn kip di tiub klin.
Jɛnɛral instrɔkshɔn fɔ kia fɔ di tiub:
- Kip yu an dɛn klin: Ɔltɛm was yu an dɛn fayn fayn wan wit sop bifo yu tɔch di tiub.
- Fɔ mek di tiub nɔ klɔg: Dis na di prɔblɛm we kin apin mɔ. So, `flush` di tiub wit di wata we yu dɔktɔ tɛl yu fɔ yuz bifo ɛn afta yu gi yu it ɔ mɛrɛsin . Yu fɔ `flush` di tiub ivin pan de dɛn we yu nɔ de yuz am.
- Wach fכ infεkshכn: Kip di εria we di tכb de go insay di skin - wi kכl am ``stoma'' - klin εn dray כltεm. Chek am ɛvride fɔ si if i dɔn rɛd, i swel, ɛn if i gɛt sayn dɛn we de sho se i gɛt di sik.
- Ɔral wɛlbɔdi: Ivin if na tyub fidin nɔmɔ yu de gi, brus yu tit, yu gam, ɛn yu tɔng ɛvride. Yuz lip balm fɔ mek yu lip nɔ dray.
Di sayd ɛfɛkt dɛm ɛn ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Jɔs lɛk ɛni ɔda mɛrɛsin, wan tiub we dɛn kin yuz fɔ gi pikin tin fɔ it kin mek sɔm bad tin dɛn apin. Dɔn bak, sɔm tɛm dɛn de, dɛn fɔ go to dɔktɔ wantɛm wantɛm. Mek wi seperet di tu.
| Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt | Ustɛm fɔ go to dɔktɔ wantɛm wantɛm |
|---|---|
| Diskɔmfɔt na di nos ɔ trot. | Di tiub de kɔmɔt na do. |
| Nɔs, bɛlɛ at, blo, ɔ kɔnstipɛshɔn. | Inability fכ pas it tru di tכb (stכk). |
| Dihaydreshɔn (we nɔ gɛt wata na di bɔdi). | Liquid we de lik frɔm rawnd di tiub. |
| Infεkshכn na di say we dεn put di tכb insay. | Bɛlɛ ful-ɔp ɔ vɔmit. |
Tɔk to yu dɔktɔ bɔt dɛn tin ya. Dɛn kin sɔlv dɛn tin ya bay we dɛn chenj di nyutrishɔn miks ɔ di doz, ɔ bay we dɛn gi ɔda mɛrɛsin dɛn.
Aw yu de liv nɔmal layf wit fidin tyub?
We yu nɔ ebul fɔ it lɛk ɔlman, yu kin fil lɛk se yu dɔn kɔmɔt biɛn yu wit ɔda pipul dɛn. Yu kin mis di teist fɔ it. Yu kin wɔnda wetin ɔda pipul dɛn go tink bɔt di tiub. Bɔt if yu plan smɔl, yu go ebul fɔ kɔntrol ɔl dis.
- Sɔshial ivin ɛn it: Dis na smɔl prɔblɛm. Yu kin kip wan smɔl kad wit yu we de ɛksplen smɔl wetin mek yu nɔ de it. If yu gɛt kɔnfidɛns, i go bi nɔmal tin fɔ ɔda pipul dɛn bak. Sɔm pipul dɛn kin kɔnɛkt dɛn `pɔmp` ɛn jɔyn di ɔda wan dɛn fɔ ``it''.
- Intimate rileshɔnship ɛn mami ɛn dadi biznɛs:If yu tɔk to yu ɛn yu plan smɔl, yu ɛn yu patna go ebul fɔ liv nɔmal layf. Fɔ ɛgzampul, una kin spɛn tɛm togɛda we una nɔ de it. Nɔ shem fɔ tɔk to yu dɔktɔ bɔt dis.
- Stay active: Yu nɔ nid fɔ stɔp fɔ du ɛksɛsayz jɔs bikɔs yu gɛt tiub. Yu kin du tin dɛn lɛk fɔ rɔn ɛn waka. Bɔt aks yu dɔktɔ bɔt ɛksesaiz dɛn we de wok yu bɛlɛ mɔsul dɛn, lɛk yoga. We di wund dɔn wɛl ɔl, yu kin swim bak na klin wata (lɛk swimin pul we dɛn dɔn kia fɔ fayn fayn wan).
- Gɛt sɔpɔt: Di sɔpɔt we yu famili ɛn padi dɛn de gi yu rili impɔtant dis tɛm. Dɔn bak, fɔ gɛt advays ɛn sɔpɔt frɔm spɛshal pɔsin (saykolojist, nɔs) we de wok wit dɛn kayn sik pipul ya go bi big tin fɔ mek yu gɛt trɛnk.
Mɛsej we dɛn kin kɛr go na os
- Fidin tiub na sef ɛn fayn we fɔ gi yu it we yu nɔ ebul fɔ it nɔmal wan.
- Difrεn kayn tiub dεm de fכ sכt tεm εn lכng tεm nid dεm.
- I impɔtant fɔ klin di tiub fayn fayn wan, was am, ɛn kia fɔ am fɔ mek prɔblɛm nɔ apin.
- Ivin wit fidin tyub, yu kin liv ful ɛn aktif layf.
- If yu gɛt ɛnitin fɔ wɔri bɔt ɔ dawt, tɔk to yu dɔktɔ wantɛm wantɛm. Nɔ fred ɔ shem.
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