Yu go dɔn si ɔ yɛri se dɛn kin gi pɔsin wata it tru tiub we i nɔ ebul fɔ it wit in mɔt. Dis kin tan lɛk se i de mek pɔsin fred smɔl ɛn i kin mek i strenj. Bɔt fɔ tru, na rili impɔtant mɛrɛsin we kin sev pipul dɛn layf ɛn ɛp fɔ mek di bɔdi strɔng. So tide, lɛ wi tɔk bɔt fɔ it tru tiub, ɔ insay mɛrɛsin, ɛntaral nyutrishɔn, insay wan rili simpul ɛn padi we.
Fɔ tɔk am simpul wan, wetin na tiub fidin?
I rili simpul. Na wan we we dɛn kin yuz fɔ gi nyutrishɔn ɛn wata to pɔsin we nɔ ebul fɔ chew ɛn swɛla it fayn fayn wan. i involv fכ fid likwid nyutrishכnal it dεn dairekt insay di bεlε כ sכmכl intestin tru wan rili sכft, fleksibul plastic tכb.
Tink bɔt wi dijestiv sistɛm (gastrointestinal tract) as wan lɔng rod. i de stat na di mכt, go dכn di εsophagus to di bεlε, εn frכm de to di sכmכl intestin. If fɔ sɔm rizin dis rod de ambɔg, dis tiub tan lɛk shɔtkat we de pas di tin we de ambɔg am. Tru am, dɛn kin sɛn nyutrishɔn dairekt to usay dɛn nid am. Sɔntɛnde, dɔktɔ dɛn kin yuz dis tiub bak fɔ gi mɛrɛsin.
Wetin mek pɔsin go want fɔ mek dɛn gi am tin fɔ it tru wan tiub lɛk dis?
If yu nɔ de gɛt bɛtɛ tin fɔ it we yu de it wit yu mɔt, yu dɔktɔ kin tɛl yu fɔ du dis. Dis impɔtant mɔ if i nɔ izi fɔ yu fɔ it ɛn swɛla it, ɔ wan sik we dɛn kɔl disfagia .
dis mεtכd de gi big sכpכt fכ mεnten di hεlth fכ yu bכ di in mεtabolism εn di כl dijestiv sistεm.
Na sɔm pan di tin dɛn we kin mek i nid fɔ du dis:
- Injury na ed ɔ nɛk: I nɔ kin izi fɔ swɛla bikɔs ɔf kansa ɔ siriɔs aksidɛnt.
- di prכblεm dεm na di dijestiv sistεm: kכndishכn dεm lεk di εsophagus we de sכmtεm, di mכsul dεm εn di nεv dεm na di dijestiv sistεm we nכ de muv.
- I nɔ de tek di nyutriɛnt fayn fayn wan: Kɔndishɔn lɛk siriɔs Crohn’s disease kin mek di bɔdi nɔ ebul fɔ tek di nyutriɛnt dɛn.
- Di sik dɛm we de na di nervɔs sistɛm : I nɔ de ebul fɔ swɛla bikɔs ɔf tin dɛm lɛk strok ɔ paralayz .
- Stet we pɔsin nɔ no natin (Kɔma): .Dis we ya impɔtant fɔ mek di bɔdi strɔng we pɔsin we sik nɔ no natin.
- Big big ɔpreshɔn ɔ sik: Afta sɔm big ɔpreshɔn ɔ siriɔs sik, i kin at fɔ swɛla fɔ sɔm tɛm.
Sɔntɛnde, dɔktɔ dɛn kin tɔk bak bɔt dis as we fɔ mek di sik pipul dɛn fil fayn we dɛn dɔn day ( hospice care ). Bɔku tɛm, dis na sɔntin we pɔsin kin disayd fɔ du we i de tɔk to di pɔsin ɛn in famili.
Us kayn lid dɛn ya na?
Tu men kategori de fɔ lid: di wan dɛn we dɛn kin yuz fɔ yuz fɔ shɔt tɛm ɛn di wan dɛn we dɛn kin yuz fɔ yuz fɔ lɔng tɛm.
Fɔ yuz fɔ shɔt tɛm (lɛs dan 4-6 wik) .
Dis na tiub dεm we dεn kin put tru di nos. Dɛn kin put dɛn insay ivin we dɛn de ledɔm na bed na ɔspitul.
| Tayp fɔ Tiub | Tɔk bɔt |
|---|---|
| Nasogastric (NG) tiub we dɛn kin yuz | we yu stat frכm di nos, di tכb de go כl di we te to di bεlε. |
| Nasoduodenal tiub (ND tiub) . | fכ stat frכm di nos, di tכb de go כl di we to di fכs pat pan di sכmכl intestin (duodenum). |
| Nasojejunal (NJ) tiub we de na di bɔdi | fכ stat frכm di nos, di tכb de go כl di we to di sεkכn pat pan di sכmכl intestin (jejunum). |
Fɔ yuz fɔ lɔng tɛm (mɔ pas 6 wik) .
dis na tכb dεm we kin kכnekt dairekt to di bεlε כ sכmכl intestin tru di skin na di bכdi, bכku tεm tru sכm כpεrayshכn.
| Tayp fɔ Tiub | Tɔk bɔt |
|---|---|
| Gastrostomy tiub (G-tyub) we dɛn kin du. | di tכb de kכnekt dayrekt to di bכdi tru di bכdi. |
| Tiub we dɛn kɔl jejunostomy (J-tyub) . | di tכb de kכnekt dayrekt tru di bכdi to di sεkכn pat pan di sכmכl intestin (jejunum). |
| Tiub gastrojejunal (GJ-tyub) . | insay dis, di tכb de go tru di bכdi εn כl di we to di sεkכn pat pan di sכmכl intestin. I gɛt tu pɔt dɛn. Dɛn kin yuz wan fɔ pul di wata we de na di bɛlɛ, ɛn dɛn kin yuz di ɔda wan fɔ gi tin fɔ it. |
Aw yu kin instɔl dis paip?
di prosidur fכ dis go difrεn dipכnt pan di kayn tiub we yu nid. Dɛn kin du wan nos tiub na di ɔspitul bed. Bɔt wan transabdominal tiub nid fɔ gɛt smɔl ɔpreshɔn. Dɛn go gi yu anestezi we dɛn de du di ɔpreshɔn, so yu nɔ go fil ɛni pen.
- Tru di nos: Di dɔktɔ go tek tɛm put lɔbrik na di tiub ɛn pas am tru yu nos, dɔŋ yu ɛsophagus, ɛn go insay yu bɛlɛ. Sɔntɛnde, dɛn kin aks yu fɔ drink sɔm wata tru di tiub fɔ mek dis izi.
- εndoskopik: insay dis, dεn kin put wan tin, fleksibul tכb (εndoskop) we gεt sכmכl kεmεra we dεn tay tru di mכt, luk insay di bεlε, εn mak di εksakεt say na di bεlε usay dεn fכ put di tכb. Dɔn, dɛn kin kɔt smɔl ɛn put di tiub insay. Dɛn kɔl dis we fɔ du tin PEG (Percutaneous Endoscopic Gastrostomy) .
- raydio: Dɛn kin du dis bay we dɛn de yuz ɛkstrem rayt pikchɔ fɔ fɛn di rayt say usay dɛn fɔ put di tiub.
- Ɔpreshɔn: Sɔntɛnde dɛn kin put dis tiub tru opin ɔpreshɔn ɔ kihol ɔpreshɔn (laparoscopy).
Wetin yu fɔ tek tɛm wit we yu de yuz ɛn kia fɔ di tiub?
If yu de yuz dis tiub na os, i rili impɔtant fɔ tek kia ɔf am gud gud wan. If nɔto dat, di tiub kin lɔk ɛn mek pɔsin gɛt infɛkshɔn.
Na dis na aw fɔ kip yu tiub ɛn di say we yu put di tiub klin:
- Wash ɛvride: Was di skin rawnd di say we yu put am jisnɔ wit sop ɛn wata wan tɛm insay di de. Tɛl yu dɔktɔ if ɛni dischaj de.
- Dray gud gud wan: Afta yu dɔn was, drɛy di say fayn fayn wan wit klin klos ɛn kip am dray. Baktri dɛn kin gro fayn fayn wan na say dɛn we wet.
- Wach fɔ sayn dɛn we de sho se yu gɛt di sik: If di say we dɛn put di tiub rɛd, swel, wam, i de fil pen, ɔ i de kɔmɔt na di pus, i kin bi infekshɔn. Tɛl yu dɔktɔ wantɛm wantɛm.
Na dis na aw fɔ kia fɔ yu paip fayn fayn wan:
- Flɔsh ɔltɛm: Bifo ɛn afta yu it, ɛn bifo ɛn afta yu gi yu mɛrɛsin, yu fɔ yuz sirinj fɔ was di tiub wit klin wata. Dis go mek di it nɔ stɔp insay di tiub.
- Chenj di tiub di rayt tɛm: Ɔl di tiub dɛn nid fɔ chenj afta sɔm tɛm. Sɔm nid fɔ chenj ɛvri ia, ɔda wan dɛn ɛvri 3-6 mɔnt. Yu dɔktɔ go tɛl yu bɔt dis.
- If di tiub kɔmɔt: Dis rili impɔtant. if na nyu tiub we dεn put tru di bכdi, i kin tek lεk 6-8 wik fכ i go insay di bכdi. If di tiub aksidɛntli kɔmɔt insay dis tɛm, na mɛdikal imejensi. Go na di ɔspitul imejensi rum (ETU) we de nia yu wantɛm wantɛm.
Wonin: Nɔ ɛva put ɛnitin lɛk drink we gɛt kabon dɔŋ di tiub. If di tiub klos, nɔ tray fɔ klin am wit ɛnitin lɛk waya. Tray fɔ was am wit wata we wam. If di blɔk nɔ kɔntinyu, kɔl yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Tiub fidin na sef ɛn impɔtant mɛrɛsin we dɛn kin yuz fɔ mek di bɔdi strɔng pan pɔsin we nɔ ebul fɔ it wit in mɔt.
- difrεn kayn fidin tyub dεm de fכ sכt tεm εn lכng tεm nid dεm. Yu dɔktɔ go disayd us kayn we go fayn fɔ yu.
- Fɔ kip di tiub ɛn di say we dɛn put am klin rili impɔtant fɔ mek yu nɔ gɛt di sik.
- If di tiub kɔmɔt, mɔ insay di fɔs wik, na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt