Damdawi inah hian damlo thenkhat hnar chhungah tube te tak te, te tak te dah i hmu tawh mai thei. A nih loh leh i doctor chuan i chhungkuaa mi tu emaw chuan a mamawh tih a hrilh che pawh a ni thei. Hei hi i hmuh hian tlem a hlauthawng, thil hriat duhna leh lungngaihna pawh hi thil pangngai tak a ni. Hei hi NG tube kan tih chu a ni a, damdawi lam tawngkam chuan nasogastric tube kan tih chu a ni. Okay, he thu hi awlsam tak leh friendly takin sawi ila, he thil chungchanga zawhna i neih zawng zawng hi i tichiang vek ang.
A awlsam zawngin, he NG tube hi eng nge ni?
NG tube hi plastic tube te tak te, flexible tak a ni. Hun eng emaw chen damdawi atana hman a ni. "Nasogastric" tih thumal hi "hnar atanga pum thleng" tihna a ni. Chumi awmzia chu he tube hi i hnar sir khatah dahin, i rilruah kal tlangin, i chaw kawng hnuai lam, leh i pum chhunga luh theih tura siam a ni tihna a ni . Doctor-te chuan he tube hi i pum chhunga thil dah nan emaw, i pum chhunga thil paih nan emaw an hmang ber a ni.
Engvangin nge he NG tube hi dah luh a ngai?
NG tube dah luh chhan lian tak pahnih a awm. Pakhat chu chaw leh damdawi pek hi a ni. A dang chu pum chhunga thil awmte paih chhuah a ni. Heng pahnih hi a hranin han thlir ila.
| Hman tumna | Description leh case mamawh te |
|---|---|
| Tube Feeding pek a ni | He tube hi mi pakhatin a ka hmanga a ei leh in pangngaia a ei theih loh hunah ei leh in tur tul tak tak liquid form-a direct-a pum chhunga thlenna atan hman a ni. Hei hi ‘tube feeding’ (enteral nutrition) kan ti a. Hetiang dinhmun hi a lo thleng thei a ni:
|
| Gastric Suction hmanga tihfai a ni | He tube hi pum chhunga thil awmte tui chhuahna atan pawh hman a ni. Hei hi ‘gastric lavage’ kan ti bawk. Hetiang dinhmun hi a lo thleng thei a ni:
|
NG tube chi hrang hrang lian ber ber a awm em?
Ni e, chi hnih a awm a. An pahnih hian a chunga kan sawi tawh thil tum lian pahnih nena inmil tura siam an ni.
1. Lumen pakhat chauh a awm
Tube te tak te pakhat chauh a nei. Chaw leh damdawi ang chi thilte chu kawng khatah, chu chu pum chhungah chauh a thawn thei a ni. Kar engemaw zat a hak chuan a nuam lo tih tlem nan a te tak te siam a ni.
2. Lumen pahnih a awm
Hei hian tube pahnih inzawmkhawm a nei a. Pakhat chu a zau deuh a, pakhat zawk chu a tawi zawk. Tube zau zawk hmang hian pum chhunga thil awmte chu suck out (suction) a ni. Tichuan, chu tube tawi tak atang chuan boruak tlem te chu pum chhungah a lut ta a ni. A awlsam zawngin sawi ila, vacuum cleaner chu bang chhungah a tang a, khur te tak te i siam chuan a thawk leh ang, he tube te tak te hian boruak a luh tir avang hian tube lian tak chu pum bang ah a tang lo va, a tang lo.
Tube i dah hmain eng nge i tih thin?
Hei hi doctor emaw nurse emaw trained ten an ti thin. Chuvangin hemi atan hian uluk takin an buatsaih che a ni.
- Thuziak: A hmasain, a kalphung kan hrilhfiah ang che a, i signed consent kan la ang.
- Position: A theih chuan khumah ding chungin i dah ang.
- Lubrication: Lubricating gel chi khat bik chu tube tip-ah inches tlemte chhung hnawih a ni a, chu chuan awlsam taka dah theih a ni.
- Numbness: Anaesthetic, lidocaine ang chi chu hnar leh kawr chhungah an inject a, chu chu a hmun chu a ti na thei lo. Hei hian lungawi lohna nasa takin a tihziaawm thei a ni.
- A sei zawng tehna: I taksa lian leh te nena inmil turin tube chu i pum chhunga a luh hun chhung chu teh la, chu hmun chu tube-ah chuan chhinchhiah rawh.
Engtin nge NG tube hi dah a nih?
Hei hi nalh tak leh uluk taka tih a ni.
1. Trained doctor emaw nurse emaw chuan i hnar kawngkhar pakhat hmangin tube chu a thun ang a, i kawr hnunglam atanga a hruai thla nghal ang.
2. Tube hian i rilru hnunglam a thlen chuan hmalam hawi deuhin straw kaltlangin tui tlem tal in la, ei turin an ti ang che.
3. Tui i ei rual hian tube chu awlsam takin chaw kawng hnuai lamah a kal thla a, pum chhungah a lut a. Hei hi a pawimawh ber a ni.
4. Harsatna lian tham, khuh emaw, riltam emaw i neih chuan an reh nghal ang a, rei vak lo nghak la, an tum leh ang.
5. Tube chu a hmaa teh leh chhinchhiahna angin a awmna tur dik takah a awm tawh chuan a che lo turin plaster hmangin hnar leh hmuiah zawi zawiin tape la.
A pawimawh ber chu he hun lai hian thlamuang taka awm hi a ni. Hei hi damdawi lam thawktute thupek i zawm chuan i ngaihtuah angin a harsa lo.
Engtin nge tube hi pum chhungah a inthun tha em tih i enfiah ang?
Hei hi thil pawimawh ber leh tih ngei ngei tur a ni . A chhan chu tube chu lung chhungah a lut palh a nih chuan a hlauhawm hle a ni. Chuvangin, tube hi pum chhungah a awm tak tak tih finfiahna kawng lian pahnih a awm.
1. Chest X-ray: Hei hi 100% a dik ber leh tha ber a ni. Tube an dah hmasak hnuah X-ray an la a, tube tawp lam chu khawiah nge a awm tih chiang takin an hmu a ni. Mahse, mi pakhatin tube a dah apiangin X-ray lak hi thil tangkai tak a ni lo.
2. Aspirate pH test: Hei hi a tha ber pahnihna leh hman tlanglawn ber a ni. Hetah hian tube-ah hian syringe an bun a, pum chhunga tui tlem te chu an la chhuak a ni. Tichuan chu tui acidity (pH) chu test a ni. Pum chhungah acidic fluid (gastric acid) a awm avangin pH a hniam chuan tube chu pum chhungah a awm tihna a ni.
Hetiang i hak hian a na em?
Dik tak chuan ‘pain’ aiin ‘discomfort’ a ni zawk. Insertion lai hian thil mak deuh, rilru chhunga tickle ang maiin i inhria mai thei. Mahse doctor-te chuan he harsatna hi a theih ang anga tihtlem tumin hma an la thin.
- Natna numb turin damdawi pek.
- Lubricating gel hmanga siam a ni.
- Tube chu a che lo turin glue tha takin dah rawh.
- Tube hian hnar a khawih na hmun chu tifai fo la, vun a tihchhiat loh nan cream hnawih bawk ang che.
Heng thilte hian nasa takin hrehawmna chu a enkawl thei a ni.
Eng chen nge NG tube chu a chhunga dah theih ang?
NG tube hi a tlangpuiin kar ruk aia rei lo daih thei tura siam a ni.Hmang. Mi pakhat chu tube hmanga hun rei zawk pek a ngai a nih chuan doctor chuan kawng dangah a refer ang. Entirnan, kan pum vunah hian incision te tak te siamin, pum chhungah direct-a tube dah a ni (gastrostomy tube) tih dan a awm. Surgery tenau tak tak ngai mahse hun rei tak chhung chu a him zawk.
Hetiang hmanraw hian a thatna leh harsatna awm thei te chu engte nge ni?
Damdawi lam thil dang ang bawkin, a hlawkna bakah hlauhawmna tenau te pawh a awm bawk.
| A thatna te | Harsatna awm thei |
|---|---|
| Tube hi uluk taka dah a nih chuan harsatna lian tham a awm tlem hle a, mahse a hnuaia mi hi a thleng thei a ni:
The most serious complication, which can occur very rarely , chu tube chu accident-a trachea-a lut leh lung chhunga lut hi a ni. Mahse, hei hi trained staff-te tih a nih avangin leh a hnuah X-ray hmanga enfiah a nih avangin hetiang thil thleng theihna hi a tlem hle. |
I doctor hriattir nghal tur dinhmun
Nangmah emaw i hriat miin emaw NG tube i neih chuan a hnuaia symptoms te hi i neih chuan doctor emaw nurse emaw hnenah hriattir hmasak phawt ang che:
- Tube dahna hmun chu a sen, a hring, emaw, khawsik a neih chuan (hengte hi natna kai chhinchhiahna a ni).
- Tube awmna hmuna khuh, thawk harsa, emaw, luak chhuak emaw i neih chuan.
- Tube chu a khar emaw, a thawk lo emaw a nih chuan.
- Tube chu a lo chhuak palh a nih chuan emaw, nangmah ngeiin i la chhuak a nih chuan.
- Tube hmanga thisen chhuak emaw, bawlhhlawh hmanga chhuak emaw a nih chuan.
NG tube neih hi a nuam lo deuh thei a, mahse tuar theih thil a ni a, a chang chuan nunna chhanhim emaw, natna atanga dam chakna emaw a ngai thin. Chuvangin, ngaihtuah buai suh. Hei hi i hriselna atana hun rei lote chhunga thil awm mai a ni.
Take-Home Thuchah a ni
- NG tube chu hnar kaltlanga pum chhunga thun, hun eng emaw chen atana hman tur tube te tak te a ni.
- A thil tum ber pahnih chu ei tur/damdawi thawn chhuah leh pum chhunga thil awmte paih chhuah a ni.
- Hei hi medical staff trained ten an dah lut a, anni hian harsatna tih tlem nan hma an la thin.
- X-ray emaw pH test emaw hian tube chu a awmna tur dik takah a awm tih a nemnghet ngei ang.
- Tube-a harsatna (khawsik, natna, thawk harsa) i neih chuan doctor hnenah hriattir nghal tur a ni.
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