I doctor-in nangmah emaw, i chhungte zinga mi emaw tube hmanga chaw pek i mamawh thu a hrilh hian tlem a hlauhthawn leh lungkhamna i neih hi thil pangngai a ni. "Tunah engtin nge ka ei ang?", "Hei hian rei a daih dawn em?", etc. Zawhna tam tak ka rilruah a lo lang mai thei. Mahse hei hi a takah chuan chaw ei leh ei tha thei lo tan taksain ei leh in leh tui mamawh a pek theihna tur kawng pawimawh tak leh him tak a ni. Vawiin hian engkim hi a awlsam zawngin sawi ila.
A awlsam zawngin, tube feeding tih hi eng nge ni?
Tube feeding, emaw, damdawi lam tawngkam chuan ``Enteral Nutrition,'' tih hi plastic tube (tube pakhat) flexible, te tak te hmanga i ``Gastrointestinal Tract''-a liquid nutritional food direct-a thlen theihna tur a ni.A châng chuan, heng tube te hi damdawi pekna atan pawh hman a ni.
Hetiang hian han ngaihtuah teh. A tlangpuiin kan ka atanga chaw kan ei a, chu chu kan chaw kawng kaltlangin kan pum thlengin a kal a, chuta tang chuan kan intestines thlengin a kal a ni. Mahse eng emaw chhan vanga he zinkawng hi a theih loh chuan kawng dang kan siam ta a ni. Chutiang chu he thil hi a ni. He tube hmang hian kan ka leh chaw kawng kaltlanga ei tur kal thei lo chu kan pum emaw, kan intestine te emaw ah direct-in kan thawn thin a ni.
Feeding tube chi hrang hrang a awm em?
Ni e, chi hrang hrangah an inthen a, a bik takin an dahna hmun leh an hman rei dan azirin a ni.
Hun rei lote chhunga hman tur tube (kar 4-6 aia rei lo) .
Chungte chu hnar hmanga pek a ni tlangpui. I taksain heng tui tui tak takte hi engtin nge a chhan tih hriat nan tube i dah hmasa thei bawk.
| Tube chi hrang hrang | Kawng chu |
|---|---|
| Nasogastric (NG) atanga chhuak a ni | Navel atanga pum thlengin. |
| Nasoduodenal tube (Nasoduodenal - ND tube) a awm a, a chhuahna tur hmun hi a awm lo. | Navel atanga small intestine (duodenum) hmun hmasa ber thlengin. |
| Nasojejunal (NJ) atanga chhuak a ni | Navel atanga small intestine (jejunum) hmun hnihna thlengin. |
Hun rei tak hman tur tube (kar 4-6 aia rei) .
Feeding tube rei tak a mamawh chuan doctor-te chuan abdominal wall kaltlangin tube hi direct-in pum chhungah emaw, small intestine-ah emaw dah luh a rawt thei a ni. Hei hi surgery tenau tak hmanga tih a ni.
| Tube chi hrang hrang | Hrilhfiahna |
|---|---|
| Gastrostomy tube (G-tube) hmanga tihchhuah a ni. | Tube, pum chhunga vun hmanga pum chhunga lut nghal mai. |
| Jejunostomy tube (J-tube) hmanga tih a ni. | Tube chu pum vun kaltlangin small intestine hmun hnihna (jejunum)-ah direct-a luhtir a ni. |
| Gastrostomy-jejunostomy tube (GJ-tube) hmanga tihdam theih a ni. | He tube hi pum chhungah dahin, chumi hnuah jejunum, small intestine-ah a kal thla a ni. Port pahnih a nei a. G-port hmang hian pum atanga tui luang chhuakin damdawi pek a ni a, J-port hi ei tur pekna atan hman a ni bawk. |
Hetiang tube hmang hian eng ang mi nge chawm ngai?
Tunah chuan, "Engvangin nge mi pakhatin hetiang thil hi a mamawh ang?" A chhan ber chu an ka atanga ei leh in tha tawk an hmuh theih loh vang a ni. Hetiang hmanrua hi ``Dysphagia'' tih natna an neih chuan a tul hle a, chu chuan ei tur ei emaw ei emaw a ti harsa hle.
Hetiang method hian i taksa metabolism leh digestive system hriselna a vawng reng thei a ni.
Tube mamawhna tur dinhmun thenkhat chu:
- Lu leh kawng cancer emaw, chutiang hmuna hliam emaw avanga ei harsa.
- Ei leh in lama harsatna nasa tak.
- Pum leh intestinal lama harsatna, ei tur pipe a tawi ang chi te.
- Taksain nutrients a lakluhna tibuaitu natna, Crohn natna khirh tak ang chi te.
- Nervous system natna te stroke ang chi te .
- Tun hnaia operation emaw, natna emaw avanga ei theihna hun engemaw chen hloh.
- Hriat lohna dinhmun `(Coma)`.
Tube i dah hian eng ang experience nge i neih?
Hei hi tube i neih chi leh a chhan a zirin a danglam ang. Damdawi ina i awm chhung hian nursing staff te chuan tube hmanga chaw pek che leh tihfai dan tur an buaipui ang. Mahse, tube kengin i haw chuan nang leh i enkawltute chu a hman dan tur leh enkawl dan tur zirtir in ni ang.
Engtin nge taksa chhungah tube hi dah luh a nih?
Hengte hi damdawi inah dah luh a ni tlangpui a, mahse in lamah i hmang chhunzawm thei a ni.
- Nasal tube: Hei hi tih dan lian tak a ni lo. Khumah i mut laiin tih theih a ni. Doctor emaw, nurse trained emaw chuan tube chu a numb ang a, uluk takin i hnar hmangin i pum emaw, i intestines emaw-ah a luhtir ang. Hetih lai hian straw hmanga tui tlem in turin an ti mai thei che a, chuvangin tube chu awlsam zawkin a tla thla ang.
- Stomach tube: Hei hi operation tenau a ngai a ni. I tih hmain darkar 8 vel chaw nghei a ngai ang. Anticoagulant i ei a nih chuan ni engemaw zat ei tawh loh turin an ti ang che. Anesthesia pek i ni ang a chuvang chuan natna i nei lo ang . He surgery hi tih dan hrang hrang a awm a:
- Endoscopy: Tube camera vuah chu ka chhungah dahin pum chhung lam en theih a ni. Pum vunah hian incision te tak te siamin tube chu dah a ni.
- X-ray hmangin: Tube hi X-ray thlalak enin a hmun dik tak hriat theih nan dah a ni.
- Surgery hmangin: A châng chuan open surgery emaw laparoscopy (camera hmanga incision tenau tlemte hmangin) hmangin tube hi dah a ni.
Engtin nge tube kaltlangin ei tur i hmuh theih?
Hei hi kawng hnih a awm a.
1. Bolus feedings: Ni khata chaw vawi thum kan ei ang bawkin, ni khata hun bitukah tui tui (liquid food) chu syringe hmangin tube chhungah kan dah lut thin. Hetiang tih dan hi an pum chhunga tube nei tan tih a ni tlangpui a, a chhan chu pum hian vawi khatah ei tur tam tak a tuar thei a ni.
2. Chaw pek chhunzawm zel: Tube chu small intestine-ah dah a nih chuan vawi khatah tam tak pek theih a ni lo. Chuvangin, pump hmangin darkar khat chhungin naute chu tlem tlem tein chaw pek chhunzawm zel a ni.
I doctor leh nutritionist te chuan i mamawh calorie, vitamin leh protein te chu an chhut ang a, i tan liquid formula dik tak an rawn rawt ang che.
Pawimawh:Naute chu chaw pek lai leh chaw pek hnu darkar engemaw zat chhung chu 45 degree recline position-ah dah a pawimawh hle. Chutianga tih loh chuan ei tur chu thawkna kawngah a lut thei a, aspiration pneumonia a thlen thei bawk.
Engtin nge tube leh a chhehvel vun hi i enkawl?
Tube chu a khar loh nan leh tube chhehvelah natna hrik a lo awm loh nan i ven a ngai a ni.
| Eng nge enkawl tur | Eng nge tih tur |
|---|---|
| Insertion awmna hmun |
|
| Tube ngei pawh a ni |
Warning: Tube blocked chu wire ang chi thil hmangin clear tum ngai suh. Hei hian tube leh i taksa a tichhe thei a ni.
Eng nge a hlauhawmna?
Tube an dah hnu ni engemaw zat chhung chu pum na leh pum na a awm thei. I taksain ei leh in thar a insiamrem chhoh zel chuan pum na leh riltam i nei thei bawk. Chungte chu ni engemaw zat chhungin a reh tlangpui.
Harsatna dang a thlen theihna a tlem hle a, mahse hriat a tha:
- Tube chu a tang a, a chhe emaw, a chhuak emaw a ni.
- Tube dahna hmuna natna hrik awm.
- Constipation awm reng, luak chhuak emaw, riltam emaw.
- Chaw chu lung chhunga lut (Aspiration pneumonia).
Hetiang thil hi rinhlelhna i neih chuan i doctor nen inbia nghal rawh.
Take-Home Thuchah a ni
- Tube hmanga chaw pek hi ka ei thei lo tan nutrition pekna kawng him leh tangkai tak a ni. Hlau suh.
- Tube leh a chhehvel vun fai taka vawn reng a pawimawh hle. Doctor thupek dik takin zawm rawh.
- Tube a lo inkhung a, a lo chhuak a, natna hrik (a sen, a hring, a na) a lan chuan doctor lam pan nghal tur a ni.
- Tube dah thar chu a lo chhuak a nih chuan emergency a ni. Emergency Treatment Unit (ETU) ah kal nghal rawh.
- Chaw ei angin a thlum lo mai thei a, mahse he hmanrua hian i taksa chu a dam khawchhuahna atana a mamawh chakna leh ei leh in a pe a ni. I damna zinkawng tichaktu ropui tak a ni.











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