Yu go dɔn si wan smɔl, tin tiub we dɛn put insay sɔm pasɛnt dɛn na di ɔspitul dɛn nos. Ɔ sɔntɛm yu dɔktɔ dɔn tɛl yu se sɔmbɔdi na yu famili nid wan. Na nɔmal tin fɔ mek yu fred smɔl, want fɔ no mɔ, ɛn ivin sɔri we yu si dis. dis na wetin wi kin kכl NG tכb, כ insay mεdikal tεm, nasogastric tכb. Okay, lɛ wi tɔk bɔt dis insay wan rili simpul ɛn fayn we ɛn klia ɔl di kwɛstyɔn dɛn we yu gɛt bɔt dis.
Simply put, wetin na dis NG tube?
NG tiub na wan plastic tiub we rili tin, we kin chenj. Dɛn kin yuz am fɔ mɛn pipul dɛn fɔ sɔm tɛm. di wɔd "nasogastric" min "nos to bɛlɛ." Dis min se dɛn mek dis tiub fɔ put am na wan say na yu nos, pas am na yu trot, go dɔŋ yu ɛsophagus, ɛn go insay yu bɛlɛ . Dɔktɔ dɛn kin yuz dis tiub mɔ fɔ put tin dɛn na yu bɛlɛ, ɔ fɔ pul tin dɛn na yu bɛlɛ.
Wetin mek i nid fɔ put dis NG tiub insay?
Tu men rizin de we mek yu put NG tiub. Wan na fɔ gi it ɛn mɛrɛsin. Di ɔda wan na fɔ pul di tin dɛn we de insay di bɛlɛ. Lɛ wi luk dɛn tu tin ya wan bay wan.
| Di rizin we mek dɛn yuz am | Diskripshɔn ɛn kes dɛn we dɛn nid |
|---|---|
| Tub Fidin we dɛn de gi | dis tyub de yuz fכ gi di nyutrishכn dεm we nid εn mεdikeshכn dεm we de insay likwid fכm dεn wan dεm dεn de go insay di bεlε we pכsin nכ ebul fכ it כ drink nכmal wan bay mכt. wi kכl dis ‘tyub fכ it' (enteral nyutrishכn). Dis tin kin apin:
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| Gastrik Sɔkshɔn | Dɛn kin yuz dis tiub bak fɔ pul di tin dɛn we de insay di bɛlɛ. Wi kin kɔl dis bak ‘gastric lavage’. Dis tin kin apin:
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Men kayn NG tiub dɛn de?
Yɛs, tu men kayn dɛn de. Dɛn mek dɛn ɔl tu fɔ fit di tu men tin dɛn we wi bin dɔn tɔk bɔt ɔp.
1. Wan wan Lumen
Na wan tin tiub nɔmɔ i gɛt. I kin jɔs sɛn tin dɛn lɛk it ɛn mɛrɛsin na wan say, dat na, insay di bɛlɛ. Dɛn kin mek am rili tin fɔ mek i nɔ fil fayn we dɛn wɛr am fɔ sɔm wiks.
2. Dabl Lumen we de na di bɔdi
Dis gɛt tu tiub dɛn we dɛn kɔnɛkt togɛda. Wan wayd smɔl, di ɔda wan smɔl. di tiub we big de yuz fכ sok di tin dεm we de insay di bεlε (sכkshכn). Dɔn, smɔl briz kin go insay di bɛlɛ tru da smɔl tiub de. Fɔ tɔk am simpul wan, i tan lɛk vaykum klin we kin stɔp na di wɔl ɛn wok bak if yu mek smɔl ol, bikɔs ɔf dis smɔl tiub we de mek di briz pas, di big tiub nɔ kin stɔp na di wɔl na di bɛlɛ ɛn i kin stɔp.
Wetin yu kin du bifo yu put di tiub insay?
Na dɔktɔ ɔ nɔs we tren fɔ du dis. So dɛn kin tek tɛm rɛdi yu fɔ dis.
- Ɛksplen: Fɔs, wi go ɛksplen di we aw dɛn de du am to yu ɛn gɛt yu sayn fɔ gri.
- Pozishɔn: If i pɔsibul, dɛn go put yu stret na bed.
- Lubrik: Dɛn kin put spɛshal kayn lɔbrik jel na di tip na di tiub fɔ sɔm inch fɔ mek i izi fɔ put am insay.
- Numbness: Dɛn kin injekt wan anestetik, lɛk lidocaine, na di nos ɛn trot fɔ mek di say nɔ gɛt bɛtɛ trɛnk. Dis kin mek yu nɔ fil fayn bad bad wan.
- Fɔ mɛzhɔ di lɔng we i lɔng: Mekɔp bifo tɛm aw lɔng di tiub nid fɔ go insay di bɛlɛ fɔ fit yu bɔdi saiz, ɛn mak da say de na di tiub.
Aw dɛn kin put di NG tiub insay?
Dis na sɔntin we dɛn kin du rili fayn ɛn tek tɛm.
1. Di dɔktɔ ɔ nɔs we dɛn tren go put di tiub tru wan pan yu nos ɛn gayd am stret dɔŋ di bak pat na yu trot.
2. We di tiub rich bak yu trot, dɛn go aks yu fɔ ledɔm bifo smɔl ɛn sip sɔm wata tru wan straw ɛn swɛla.
3. As yu de swɛla di wata, di tiub kin izi fɔ muv dɔŋ di εsophagus ɛn go insay di bɛlɛ. Dis na di tin we impɔtant pas ɔl.
4. If yu gɛt ɛni big prɔblɛm, lɛk fɔ kɔf ɔ chok, dɛn go stɔp wantɛm wantɛm, wet fɔ sɔm tɛm, ɛn tray bak.
5. We di tiub dɔn de na di kɔrɛkt pozishɔn lɛk aw dɛn bin dɔn mɛzhɔ am ɛn mak am bifo, tep am jisnɔ na di nos ɛn chɛk wit plasta so dat i nɔ go muf.
Di tin we impɔtant pas ɔl na fɔ de kol at dis tɛm. Dis nɔ kin tranga lɛk aw yu go tink if yu fala di instrɔkshɔn dɛn we di dɔktɔ dɛn gi yu.
Aw yu kin chɛk if dɛn put di tiub fayn fayn wan na di bɛlɛ?
Dis na di tin we impɔtant pas ɔl ɛn we pɔsin fɔ du . Bikɔs i rili denja if di tiub go insay di lɔng dɛn bay mistek. fכ dat, tu men we dεn de fכ kכnfכm se di tכb de insay di bεlε.
1. Chεst X-ray: Dis na di 100% mכst akכda εn bεst mεtכd. Afta dɛn dɔn put di tiub fɔs, dɛn kin tek ɛkstrem rayt fɔ si ustɛm di ɛnd pan di tiub de. Bɔt i nɔ fayn fɔ tek ɛkstrem rayt ɛvri tɛm we pɔsin gɛt di tiub insay in ples.
2. Aspirate pH test: Dis na di sεkכn bεst εn we dεn kin yus mכst. na ya, dεn kin tay sirinj na di tכb εn dεn kin pul sכm sכm wata we de na di bεlε. Dɔn dɛn kin tɛst di asid (pH) fɔ da wata de. biכs di bכdi gεt asid fכluid (gastric acid), if di pH lכw, i min se di tכb de insay di bεlε.
I kin at bad bad wan we yu wɛr dis?
Fɔ tɔk tru, na ‘diskɔmfɔt’ pas ‘pen’. Yu kin fil smɔl strenj, lɛk tikl na yu trot, we yu de put am insay. Bɔt dɔktɔ dɛn kin du tin fɔ mek dɛn nɔ fil dis kayn we as dɛn ebul.
- Gi mɛrɛsin fɔ numb di pen.
- Yuz jel fɔ lɔbrik.
- Glu di tiub fayn fayn wan so dat i nɔ go muf.
- Ɔltɛm klin di say we di tiub tɔch di nos ɛn put krim fɔ mek di skin nɔ pwɛl.
Dɛn tin ya kin ɛp fɔ kɔntrol de diskɔmfɔt to bɔku bɔku wan.
Aw lɔŋ dɛn kin lɛf NG tiub insay?
NG tiub dεn kin mek am fכ las lεs siks wik.Yuz. If pɔsin nid fɔ gi am tin fɔ it tru tiub fɔ lɔng tɛm, di dɔktɔ go sɛn am to ɔda we. fכ egzampl, wan mεtכd de we dεn kin mek sכm sכm pat na di bεlε in skin εn dεn kin put wan tכb dairekt insay di bεlε (gastrostomy tube). Pan ɔl we i nid fɔ du smɔl ɔpreshɔn, i go sef fɔ lɔng tɛm.
Wetin na di bɛnifit ɛn di prɔblɛm dɛn we pɔsin kin gɛt we i de du dis we?
Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit dɛn de ɛn smɔl smɔl prɔblɛm dɛn de bak.
| Di bɛnifit dɛn we pɔsin kin gɛt | Kɔmplikɛshɔn dɛn we kin apin |
|---|---|
| Big big prɔblɛm dɛn nɔ kin apin we dɛn put di tiub fayn fayn wan, bɔt dɛn tin ya kin apin:
di mכst siriכs kכmplikεshכn, we kin apin rεli , na di tכb we aksidεntli go insay di trakya εn insay di lכng. Bɔt bikɔs na di wan dɛn we tren kin du dis ɛn dɛn kin chɛk am wit ɛkstrem rayt afta dat, di chans fɔ mek dis apin rili smɔl. |
Situeshɔn dɛn we yu fɔ tɛl yu dɔktɔ wantɛm wantɛm
If yu ɔ pɔsin we yu sabi gɛt NG tiub in ples, tɛl dɔktɔ ɔ nɔs we nɔ de te if yu gɛt ɛni wan pan dɛn sik ya:
- If di say we dɛn put di tiub rɛd, i swel, ɔ i gɛt fiva (dɛn tin ya na sayn fɔ se yu gɛt di sik).
- If yu de kɔf, i nɔ izi fɔ yu fɔ blo, ɔ yu de vɔmit we di tiub de na in ples.
- If di tiub fil se i dɔn klos ɔ i nɔ de wok.
- If di tiub kɔmɔt bay mistek ɔ if yu pul am yusɛf.
- If blɔd kɔmɔt tru di tiub ɔ wit di stɔl.
Fɔ gɛt NG tyub kin mek yu nɔ fil fayn smɔl, bɔt na sɔntin we pɔsin kin telɛ, ɛn sɔntɛnde i kin nid fɔ sev pɔsin in layf ɔ fɔ mek pɔsin wɛl kwik kwik wan frɔm sik. So, nɔ wɔri bɔt am. Dis na jɔs fɔ shɔt tɛm fɔ yu wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- NG tכb na tכn tכb we dεn kin put tru di nos insay di bεlε.
- di tu men tin dεm we i de du na fכ gi it/mεdisin εn fכ pul di tin dεm we de insay di bεlε.
- Na di mɛdikal wokman dɛm we tren kin put dis insay, we kin tek stɛp fɔ mek dɛn nɔ fil fayn.
- X-ray ɔ pH tɛst go mɔs kɔnfyus se di tiub de na di kɔrɛkt pozishɔn.
- If yu gɛt ɛni prɔblɛm wit di tiub (fiva, pen, at fɔ blo), tɛl yu dɔktɔ wantɛm wantɛm.
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