Na nɔmal tin fɔ mek yu fred ɛn wɔri smɔl we yu dɔktɔ tɛl yu ɔ pɔsin na yu famili se yu nid fɔ gi yu tin fɔ it tru tiub. "Aw a go it naw?", "Dis go las long?", etc. Bɔku kwɛstyɔn dɛn kin kam na mi maynd. Bɔt dis na rili impɔtant ɛn sef we fɔ gi di bɔdi di it ɛn wata we i nid fɔ pɔsin we nɔ ebul fɔ chew ɛn swɛla it fayn fayn wan. Lɛ wi tɔk bɔt ɔltin insay simpul wɔd tide.
Fɔ tɔk am simpul wan, wetin dis tiub de fid?
tכb fכ it, כ insay mεdikal tεm dεm, ``Enteral Nutrition,'' na di yus fכ wan fleksibul, tin plastic tyub (wan tiub) fכ delivεr likwid nyutrishכnal it dεn wan dεm dεn wan insay yu ``Gastrointestinal Tract.'' sכmtεm, dεn kin yus dεn tyub dεm ya bak fכ gi mεdikeshכn.
Tink bɔt am dis we. Nɔmal wan, wi kin it it tru wi mɔt, ɛn i kin pas na wi ɛsophagus to wi bɛlɛ, ɛn frɔm de to wi intestin. Bɔt if fɔ sɔm rizin dis waka nɔ pɔsibul, wi kin mek ɔda rod. Na so i bi wit dis. dis tכb de yuz fכ sεnd it we nכ kin pas tru wi mכt εn εsophagus dεn wan to wi bεlε כ sכm sכm intestכn.
Ɛni kayn tyub dɛn de we dɛn kin yuz fɔ it tin dɛn?
Yɛs, dɛn sheb dɛn to difrɛn kayn dɛn, mɔ dipen pan usay dɛn put dɛn ɛn aw lɔng dɛn yuz dɛn.
sכt tεm yus tכb dεm (lεs dan 4-6 wik) .
Dɛn kin gi dɛn tin ya tru di nos. Yu kin mek dɛn put wan tiub bak fɔs fɔ si aw yu bɔdi de du dɛn tin ya we gɛt wata.
| Tayp fɔ Tiub | Di rod we de go |
|---|---|
| Nasogastric (NG) tiub we dɛn kin yuz | Frɔm di nɛf to di bɛlɛ. |
| Nasoduodenal tiub (Nasoduodenal - ND tiub) . | frכm di nεvεl to di fכs pat pan di sכmכl intestכn (duodenum). |
| Nasojejunal (NJ) tiub we de na di bɔdi | frכm di nεvεl to di sεkכn pat pan di sכmכl intestכn (jejunum). |
di tכb dεm we yu kin yuz fכ lכng tεm (mכr dan 4-6 wik) .
If dɛn nid fɔ yuz tyub fɔ gi tin fɔ it fɔ lɔng tɛm, dɔktɔ dɛn kin se yu fɔ put tyub tru di bɛlɛ wɔl dairekt insay di bɛlɛ ɔ smɔl intestin. Dɛn kin du dis tru smɔl ɔpreshɔn.
| Tayp fɔ Tiub | Tɔk bɔt |
|---|---|
| Gastrostomy tiub (G-tyub) we dɛn kin du. | wan tכb we dεn kin put dεn wan dεm dεn wan insay di bεlε tru di skin na di bεlε. |
| Tiub we dɛn kɔl jejunostomy (J-tyub) . | wan tכb we dεn kin put tru di skin na di bεlε dεn dεn kin put insay di sεkכn pat pan di sכmכl intestin (jejunum). |
| Gastrostomi-jejunostomi tiub (GJ-tyub) . | dis tכb de insay di bεlε εn afta dat i de pas dכn to di jejunum, di sכmכl intestin. I gɛt tu pɔt dɛn. di G-port dεn de yuz fכ pul wata we de kכmכt na di bεlε εn gi mεdikeshכn, εn di J-pכt dεn de yuz fכ gi it. |
Us kayn pipul dɛn nid fɔ it tru tiub lɛk dis?
Naw yu go de wɔnda se, "Wetin mek pɔsin go nid sɔntin lɛk dis?" Di men rizin na bikɔs dɛn nɔ kin ebul fɔ gɛt inof it tru dɛn mɔt. Dis we ya nid fɔ du am mɔ if dɛn gɛt wan sik we dɛn kɔl ``Dysphagia'', we de mek i nɔ izi fɔ it ɔ swɛla it.
Dis we ya de ɛp fɔ mek yu bɔdi in mɛtabolism ɛn di dijestiv sistɛm gɛt wɛlbɔdi.
Sɔm tin dɛn we kin mek dɛn nid fɔ yuz tiub na:
- I nɔ izi fɔ swɛla bikɔs ɔf kansa na yu ed ɛn nɛk ɔ yu gɛt injury na dɛn say dɛn de.
- Siriɔs prɔblɛm dɛn we pɔsin kin gɛt we i de it.
- Bɛlɛ ɛn intestinal prɔblɛm, lɛk we di it paip de smɔl.
- Sik dɛm wae kin mek di bɔdi nɔr de tek di tin dɛm wae de it, lɛk di sik wae de kam wit Kro.
- Sik dɛm na di nervɔs sistɛm lɛk strok .
- Di ebul fɔ swɛla fɔ sɔm tɛm bikɔs ɔf di ɔpreshɔn ɔ sik we dɛn jɔs du.
- Situeshɔn dɛm we pɔsin nɔ de no natin `(Kɔma)`.
Us kayn ɛkspiriɛns yu kin gɛt we dɛn put tiub insay yu?
Dis go difrɛn difrɛn wan bay di kayn tiub we yu gɛt ɛn di rizin fɔ am. We yu de na ɔspitul, di wan dɛn we de wok na di nɔs go tek kia fɔ gi yu tin fɔ it tru di tiub ɛn klin am. Bɔt if yu go na os wit di tiub, dɛn go tren yu ɛn di wan dɛn we de kia fɔ yu bɔt aw fɔ yuz am ɛn kia fɔ am.
Aw dɛn kin put di tiub insay di bɔdi?
Dɛn kin put dɛn tin ya na ɔspitul, bɔt yu kin kɔntinyu fɔ yuz dɛn na os.
- Nasal tube: Dis nɔto big tin fɔ du. Yu kin du am we yu de ledɔm na bed. Di dɔktɔ ɔ nɔs we dɛn dɔn tren go mek di tiub nɔm ɛn tek tɛm put am tru yu nos insay yu bɛlɛ ɔ yu intestinal. Dɛn kin aks yu fɔ drink sɔm wata tru wan straw dis tɛm, so di tiub go go dɔŋ izi wan.
- Bɛlɛ tyub: Dis kin nid fɔ mek dɛn du smɔl ɔpreshɔn. Yu go nid fɔ fast fɔ lɛk 8 awa bifo di prɔsidyu. If yu de tek antikoagulant, dɛn go aks yu fɔ stɔp fɔ tek am fɔ sɔm dez. Dɛn go gi yu anestezi so dat yu nɔ go fil ɛni pen . Bɔku we dɛn de fɔ du dis ɔpreshɔn:
- εndoskopi: dεn kin put wan tכb we gεt kεmεra we dεn tay tru di mכt fכ luk insay di bεlε. dεn kin mek sכm sכm pat na di bכdi in skin εn dεn kin put di tכb insay.
- Bay X-ray: Dɛn kin put di tiub insay bay we dɛn de luk di X-ray pikchɔ dɛn fɔ no di rayt say.
- Tru ɔpreshɔn: Sɔntɛnde dɛn kin put di tiub tru opin ɔpreshɔn ɔ laparoskopi (tru sɔm smɔl smɔl say dɛn we dɛn kɔt wit di ɛp fɔ kamɛra).
Aw yu kin gɛt it tru di tiub?
Tu we dɛn de fɔ du dis.
1. Bolus fidin: Jɔs lɛk aw wi kin it tri it insay di de, dɛn kin gi likwid it insay di tiub pan patikyula tɛm dɛn insay di de we dɛn de yuz sirinj. Dɛn kin du dis we fɔ pipul dɛn we gɛt tiub na dɛn bɛlɛ bikɔs di bɛlɛ kin ebul fɔ ol bɔku it wan tɛm.
2. fכ kכntinyu fכ it: If dεn put di tכb insay di sכmכl intestin, i nכ pכsibul fכ gi bכku wan tεm. So, dɛn kin yuz pɔmp fɔ kɔntinyu fɔ gi di pikin tin fɔ it smɔl smɔl fɔ sɔm awa.
Yu dɔktɔ ɛn pɔsin we sabi bɔt it go kɔl di kalori, vaytamɛn, ɛn prɔtin we yu nid ɛn dɛn go tɛl yu fɔ yuz di rayt wata fɔmula fɔ yu.
Impɔtant:i rili imכtant fכ kip di pikin na 45 digri rεklin posishכn we yu de it εn fכ fכ awa afta i gi am it. If yu nɔ du dat, i kin mek it go insay di say we yu de blo ɛn mek yu gɛt aspireshɔn nyumonia.
Aw yu kin kia fɔ di tiub ɛn di skin we de rawnd am?
Yu nid fɔ mek di tiub nɔ klɔg ɛn mek yu nɔ gɛt infɛkshɔn na di skin we de rawnd am.
| Wetin fɔ tek kia ɔf | Wetin fɔ du |
|---|---|
| Sayt we dɛn put insay |
|
| Di tiub insɛf |
Wonin: Nɔ ɛva tray fɔ klia tiub we dɔn blok wit ɛnitin lɛk waya. Dis kin pwɛl di tiub ɛn yu bɔdi.
Wetin na di prɔblɛm dɛn we kin apin?
Sɔm bɛlɛ kin pen ɛn blo fɔ di fɔs dez afta dɛn dɔn put tyub. Yu kin gɛt bɛlɛ bak ɛn yu kin gɛt dayarɛa as yu bɔdi de ajɔst to di nyu it. Bɔku tɛm, dɛn tin ya kin sɔlv insay sɔm dez.
Di risk fɔ ɔda prɔblɛm dɛn nɔ bɔku, bɔt i fayn fɔ no:
- Di tiub dɔn stɔp, i dɔn pwɛl, ɔ i dɔn kɔmɔt na di say we i de.
- Infεkshכn na di say we dεn put di tכb insay.
- Kɔnstipɛshɔn we nɔ de dɔn, nɔs, ɔ dayarɛa.
- Fɔd we de go insay di lɔng dɛn (Aspiration pneumonia).
If yu gɛt ɛni dawt bɔt ɛnitin lɛk dis, tɔk to yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Fɔ it tru tiub na sef ɛn fayn we fɔ gi nyutrishɔn to pɔsin we nɔ ebul fɔ it wit in mɔt. Nɔ fred am.
- I rili impɔtant fɔ kip di tiub ɛn di skin we de rawnd am klin. Fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
- If di tiub stɔp, i lɔs, ɔ sho sayn dɛn fɔ infekshɔn (rɛd, swel, pen), go to dɔktɔ wantɛm wantɛm.
- If nyu tiub we dɛn dɔn put kam lɔs, na imejensi. Go na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
- Pan ɔl we i nɔ go te lɛk fɔ it it, dis we ya de gi yu bɔdi di trɛnk ɛn it we i nid fɔ liv. Na big big bɔst to yu hiling joyn.
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