Bɔku tɛm wi kin si na fim ɛn TV drama se we pɔsin drink pɔyzin ɔ tek bɔku pils, dɛn kin kɛr am go na ɔspitul ɛn dɛn kin du ‘bɛlɛ was’. Dɛn kin put wan tiub ɛn pul di tin dɛn we de insay di bɛlɛ. fכ tru, dis na wetin wi de kכl mεdikal wan ‘Gastric Lavage’ כ ‘Stomach Pumping’. Fɔ tɔk am simpul wan, fɔ was di bɛlɛ. Bɔt yu tink se dis simpul lɛk aw i tan lɛk na di fim dɛn? Dɛn kin du dis pan ɛni kes we pɔyzin gɛt? Lɛ wi tɔk bɔt dis tide.
Wetin rili na Gastric Lavage?
Fɔ tɔk am simpul wan, dis na mɛrɛsin we dɛn kin yuz tyub fɔ pul di tin dɛn we de insay yu bɛlɛ. Dis min se yu fɔ put wan tint tiub tru yu nos ɔ yu mɔt insay yu bɛlɛ, pas smɔl wata ɔ salin sɔlvushɔn tru am, dɔn yu sok di tin dɛn we de insay yu bɛlɛ wit di wata. Dis min se dɛn de was di bɛlɛ ɛn klin am, ɛn di sem tɛm dɛn de pul di tin dɛn we de insay.
Insay us sityueshɔn dɛn nid fɔ gɛt ‘Stɔma Pɔmp’?
Bɔku pipul dɛn no dis as tritmɛnt we dɛn kin gi kwik kwik wan. Yɛs, na tru. Ilɛksɛf pɔsin drink pɔyzin ɔ tek mɛrɛsin pasmak , dɛn kin yuz dis we fɔ sev in layf bay we dɛn kin pul di pɔyzin na in bɛlɛ bifo i go insay di bɔdi.
Bɔt nɔto jɔs fɔ dɛn kayn imejensi ya nɔmɔ dɛn kin yuz dis tritmɛnt, bɔt dɛn kin yuz am bak fɔ ɔda rizin dɛn.
- Ridyus di prɛshɔn na di bɛlɛ we i ful-ɔp wit it, wata, ɔ briz.
- Klin di blɔd we de kɔmɔt pasmak na di bɛlɛ.
- Ɛmpti ɛn klin yu bɛlɛ bifo yu du big ɔpreshɔn. Dis kin ɛp fɔ mek di tin dɛn we de insay yu bɛlɛ nɔ go ɔp yu trot we yu de du ɔpreshɔn.
| Situeshɔn dɛm usay gastric lavage kin nid fɔ de | Medikal prosidur dɛn we de yuz gastric lavage |
|---|---|
| Pɔyzin we pɔsin it/Poyzin | Ɔpreshɔn we dɛn kin du na di bɛlɛ |
| Kɔndishɔn dɛn we de mek yu bɛlɛ ɛmti (Gastroparesis) . | Asist ventilashɔn |
| Smɔl bɔdi we de ambɔg | Test fɔ asid na di bɛlɛ |
| Nɔs ɛn vɔmit we de kɔntinyu fɔ de | Bifo dɛn du ɛndoskopi (Upper Endoscopy) . |
| Blɔd we de kɔmɔt na di ɔpa dijestiv trakt |
Yu tink se gastric lavage kin kɔmɔn pan imejensi naw?
Fɔ tɔk tru, i nɔ kɔmɔn lɛk aw i bin de trade. Ɛspɛshali as tritmɛnt fɔ pɔyzin. Dis biɛn tɛm, di big big ɔganayzeshɔn dɛn we de stɔdi bɔt pɔyzin na di wɔl dɔn tɔk se nɔto fɔ lɛ dɛn yuz gastric lavage nɔmɔ fɔ mɛn ɔl di pɔyzin dɛn, bɔt dɛn fɔ tink bɔt ɔda tritmɛnt dɛn. Sɔntɛnde, tritmɛnt dɛn lɛk aktiv chakɔl kin sef ɛn i kin wok fayn. So, dɔktɔ dɛn kin disayd di tritmɛnt we go fayn pas ɔl bay bɔku tin dɛn, lɛk aw di pɔsin de sik, di kayn pɔyzin we i it, ɛn di tɛm we i dɔn pas.
Aw dis tritmɛnt kin rili wok?
Dis prɔses kin sheb to tri men pat dɛn.
1. Fɔ pripia: We yu rich na ɔspitul, dɔktɔ ɛn nɔs wokman dɛn go de chɛk yu impɔtant sayn dɛn ɔltɛm - lɛk yu at rit, blɔd prɛshɔn, ɛn di rit we yu de blo. If yu no, dɛn go ɛksplen di we aw dɛn fɔ du am ɛn gɛt yu kɔnsɛntmɛnt. If nid de, dɛn kin put wan tiub fɔ blo fɔ mek di tin dɛn we de insay yu bɛlɛ nɔ go insay yu lɔng dɛn we dɛn de du di ɔpreshɔn.
2. Intubation: Dis involv fכ put tכb insay yu bεlε εn kכnekt am to pכmp we de na do. if dεn put dis tכb tru yu nos, dεn kכl am ``nasogastric tube'', εn if dεn put am tru yu mכt, dεn kכl am ``orogastric tube.'' bכku tεm dεn kin yuz tכb we wayd sכmtεm, we dεn put tru yu mכt, fכ was yu bεlε.
- Yu kin du dis bay we yu ledɔm stret ɔ tɔn to di lɛft ɛn put yu ed dɔŋ smɔl.
- A kin sprɛy wan mɛrɛsin fɔ mek mi trot nɔ gɛt bɛtɛ trɛnk. Dis kin ridyus di pen ɛn diskɔmfɔt bad bad wan.
- Smɔl bayt blɔk de na di mɔt fɔ mek yu nɔ it di tiub.
- Mekɔp di lɔng we di tiub we yu nid fɔ yu bɛlɛ ɛn mak am.
- di tip pan di tiub dεn kin lכbrik wit gud lכbrik εn i kin pas dכn yu trot sכmtεm insay yu bεlε. If yu kɔnshɛns dis tɛm, dɛn go aks yu fɔ drink sɔm wata. Dis go ɛp di tiub fɔ go insay izi wan.
- mek 100% shɔ se di tiub de na di bɛlɛ.Dɛn kin du ɛkstrem rayt ɛgzamɛn, ɔ dɛn kin tek smɔl smɔl wata frɔm di tiub ɛn chɛk in asid (pH).
3. Gastric Suctioning/Lavage: afta dεn kכnfכm se di tכb de insay in ples, sכm sכm wata (wata כ salin) de pas tru di tכb insay di bεlε. Afta wan ɔ tu minit, dɛn kin pul di wata wit di tin dɛn we de insay di bɛlɛ. Dɛn kin du dis bɔku tɛm te di wata we de kam bak klin ɔl. Sɔntɛnde, dɛn kin ad aktiv chakɔl to di las wata. Dis kin ɛp fɔ trap ɛni pɔyzin we lɛf we dɔn go insay di insay ɛn flɔsh dɛn kɔmɔt wit di stɔl.
Yu tink se i kin at we yu du dis? Fɔ tɔk tru, i kin mek yu nɔ fil fayn smɔl ɛn yu kin fil se sɔntin de kam dɔŋ yu trot we yu put di tiub insay ɛn pul am. Bɔt di wan dɛn we de wok na di dɔktɔ dɛn kin du ɔl wetin dɛn ebul fɔ mek dat nɔ bɔku. Nɔ pen nɔ de we dɛn pul di tin dɛn na di bɛlɛ.
Ustɛm yu fɔ disayd fɔ was yu bɛlɛ if yu gɛt pɔyzin?
Dis rili impɔtant. Dis nɔ de wok fɔ ɛvri pɔyzin. Di dɔktɔ kin disayd fɔ du dis afta we i dɔn tink bɔt bɔku tin dɛn.
| Fɔ mek disizhɔn bɔt aw fɔ pɔmp yu bɛlɛ | |
|---|---|
| Bɔrku tɛm dɛn kin yuse dis tritmɛnt wae: | |
| If dɛn nɔ it di pɔyzin fɔ lɔng tɛm (bɔku tɛm insay wan awa). | |
| If di pɔyzin we dɛn it na wan kayn we we rili bad, we kin mek pɔsin in layf de pan denja . | |
| If ɔda tritmɛnt dɛn (lɛk Activated Charcoal) nɔ go du ɔ dɛn nɔ go ebul fɔ gi am. | |
| Situeshɔn dɛm wae dis tritmɛnt nɔr fayn ɔr kin gɛt risk: | |
| we dεn it tin dεm we de mek yu inflameshn (e.g. asid, kεrosin). (Di damej kin go ɔp if dɛn put di tiub insay). | |
| If di pɔsin nɔ no natin ɔ nɔ no natin (we nɔ sikyuɔr di say we di briz de blo). | |
| If di pɔsin de gɛt sik we de mek i sik (fit) . | |
| If sɔm awa dɔn pas frɔm we dɛn it di pɔyzin (bikɔs di pɔyzin dɔn ɔlrɛdi absɔb da tɛm de). |
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu ɔ pɔsin we yu de kia fɔ yu tink se yu dɔn tek drɔgs pasmak, yu dɔn it pɔyzin, ɔ yu dɔn rɔm, yu fɔ go to dɔktɔ wantɛm wantɛm ɛn nɔ de te . Yu fɔ de wach fɔ dɛn sik ya:
Di tin we impɔtant pas ɔl: Nɔ ɛva tray fɔ mek pɔsin vɔmit ɔ ɔda tritmɛnt dɛn na os. I impɔtant fɔ gi advays to dɔktɔ dɛn. If yu gɛt dawt, yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
| Imejɛnsi wɔnin sayn dɛm fɔ pɔyzin | |
|---|---|
| Diziz we pɔsin kin gɛt | Nɔs ɛn vɔmit |
| Di at we de blo | I nɔ kin izi fɔ yu fɔ blo |
| Bɔn insay ɛn rawnd di mɔt | Kεmikכl smεl pan di briz |
| Di sik dɛn we kin mek pɔsin sik | We pɔsin nɔ de rɛst |
| Fɔ slip ɔ fɔ nɔ no natin | Kɔnfyushɔn na yu maynd |
| If yu gɛt dɛn sik ya, go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm! | |
Mɛsej we dɛn kin kɛr go na os
- ‘Stomach Pumping’ nɔto simpul tin lɛk aw dɛn kin sho am na fim, na tritmɛnt we pipul dɛn we tren kin du fɔ sɔm patikyula mɛrɛsin rizin dɛn.
- Dɛn kin yuz dis tritmɛnt mɔ pan kes dɛm we gɛt siriɔs pɔyzin (insay shɔt tɛm we i apin) ɛn fɔ ɔda mɛrɛsin nid dɛm.
- Gastric lavage nɔ fayn fɔ ɛvri pɔyzin. Yu dɔktɔ go disayd di tritmɛnt we go fayn ɛn we nɔ go mek i sik.
- If yu ivin tink se yu gɛt pɔyzin, nɔ tray fɔ trit am na os, bɔt go wantɛm wantɛm na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU).
- If yu gɛt ɛnitin fɔ wɔri ɔr kwɛstyɔn bɔt dis, nɔr frayd fɔ tɔk to yu dɔktɔ opin wan.
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