Enteral Nutrition: Hlau suh, he thu hi han sawi ila!

Mi pakhatin a ei theih loh laiin tube hmanga tui tui pek a nih thu i hmu tawh emaw, i hre tawh emaw pawh a ni thei. Hei hi a hlauhawm leh mak deuhin a ri thei. Mahse a takah chuan damdawi lam thil pawimawh tak a ni a, nunna chhanhim thei leh taksa chak taka awm theihna tura puitu a ni. Chuvangin vawiin hian tube hmanga chaw pek chungchang emaw, damdawi lam hawi chuan enteral nutrition emaw, awlsam tak leh friendly takin kan sawi dawn nia.

A awlsam zawngin, tube feeding tih hi eng nge ni?

A awlsam khawp mai. Chaw ei leh ei tha thei lo tan nutrition leh fluid pekna atana hman thin a ni. Plastic tube nêm tak, flexible tak hmangin liquid nutritional food chu pum emaw, small intestine emaw-ah direct-a pek a ni.

Kan chaw ei dan (gastrointestinal tract) hi kawng thui tak pakhat angin han ngaihtuah teh. Kawng atanga tan a ni a, chaw kawng atanga chhuk thlain pum thlengin a kal a, chuta tang chuan small intestine thlengin a kal a ni. Eng emaw chhan vanga he kawngpui hi a dal a nih chuan he tube hi shortcut ang mai a ni a, chu chuan a daltu chu a paltlang a ni. Chumi hmang chuan nutrition chu a mamawhna hmunah direct-in a thawn thei a ni. A châng chuan doctor-te pawhin he tube hi damdawi pek nan an hmang bawk.

Engvangin nge mi pakhatin hetiang tube hmanga chaw pek a duh ang?

Ka ei atanga nutrition i hmuh tlem chuan i doctor chuan he method hi a rawn rawt thei ang. Hei hi ei leh in ei leh ei harsatna i neih chuan a pawimawh hle a, a nih loh leh dysphagia tih ang chi natna i neih chuan a pawimawh hle.

Hetiang method hian i taksa metabolism leh digestive system zawng zawng hriselna vawng reng turin tanpuina nasa tak a pe a ni.

Hei hi a tulna tur dinhmun thenkhat chu hetiang hi a ni:

• Lu emaw, kawng emaw hliam: Cancer vang emaw, accident na tak emaw avanga ei harsa.
• Digestive system lama harsatna: Chaw ei kawng (Esophagus) a tawi, chaw ei kawng (muscles and nerves) a inthlak danglam (dysmotility) ang chi dinhmun.
• Nutrient absorption tihchhiat: Crohn natna khirh tak ang chi dinhmun hian taksain nutrient a lakluh theih loh nan a veng thei a ni.
• Nervous system natna : Stroke emaw paralysis emaw ang chi natna avanga ei theihna hloh .
• Hriat lohna dinhmun (Coma): .Hetiang method hi damloin a hriat loh laia taksa chak taka a awm theih nan a pawimawh hle.
• Surgery lian emaw, natna emaw: Surgery lian tham thenkhat emaw, natna khirh tak tak emaw a awm hnuah chuan rei lo te chhung chu ei harsa a ni thei.

Hengte hi eng chi reed nge ni?

Reed hi chi hnih a awm a, chungte chu hun rei lote atana hman leh hun rei tak hmanna atana hman te an ni.

Hun rei lote chhunga hman tur (kar 4-6 aia rei lo) atan .

Hengte hi hnar atanga thun lut tlangpui tube an ni. Damdawi inah khum chunga mu chung pawhin an thun theih a ni.

Hun rei tak hman tur (kar 6 aia rei) atan .

Hengte hi tube an ni a, a tlangpuiin pum emaw, small intestine emaw nena inzawm tlat, pum vun hmanga inzawm a ni a, a tlangpuiin surgery tenau tak hmanga inzawm a ni.

Engtin nge he pipe hi i install ang?

Hei hi i mamawh tur tube chi hrang hrang a zirin a kalphung a inang lo ang. Damdawi in khumah hnar tube siam theih a ni. Mahse, transabdominal tube chu operation tenau a ngai a ni. Procedure chhung hian anesthesia pek i ni ang a, chuvangin natna engmah i nei lovang.

• Hnar kaltlangin: Doctor chuan uluk takin tube-ah hian lubricant a hnawih ang a, i hnar kaltlangin, i chaw kawng hnuai lam thlengin, i pum chhungah a kal lut ang. A chang chuan, hei hi a awlsam zawk nan tube kaltlangin tui tlem in turin an ti mai thei bawk.
• Endoscopically: Hetah hian camera te tak te dahna (endoscope) te tak te, flexible tak (endoscope) chu ka chhungah dahin, pum chhung an en a, pum chhunga tube dahna tur hmun dik tak chu an chhinchhiah a ni. Tichuan, incision te tak te siamin tube chu an dah lut a. Hetiang tih dan hi PEG (Percutaneous Endoscopic Gastrostomy) an ti a.
• Radiologically: Hei hi X-ray images hmanga tube dahna tur hmun dik tak zawn nan tih a ni.
• Surgery hmanga: A chang chuan he tube hi open surgery emaw keyhole surgery (laparoscopy) hmangin an dah thin .

Tube hman leh enkawl hunah eng nge i fimkhur tur?

He tube hi in lama i hman chuan uluk taka enkawl a pawimawh hle. Chutiang a nih loh chuan tube chu a inkharkhip thei a, natna hrik a thlen thei bawk.

I tube leh tube dahna hmun thianghlim taka vawn dan tur chu hetiang hi a ni:

• Nitin silfai: Inserhna hmun vel vun chu ni khatah vawi khat tal sahbawn leh tui hmangin zawi zawiin silfai thin ang che. Discharge a awm chuan doctor hnenah hrilh rawh.
• Dry tha: Silfai zawhah a hmun chu puan fai hmangin uluk takin vawt la, a vawt reng tur a ni. Bacteria hi hmun hnim takah an thang lian thin.
• Infection chhinchhiahna en rawh: Tube dahna hmun chu a sen, a hring, a lum, a na emaw, a hring chhuak emaw a nih chuan natna hrik a ni thei. I doctor hnenah hrilh nghal rawh.

I pipe enkawl dan tur dik tak chu hetiang hi a ni:

• Silfai fo tur: Chaw ei hma leh ei zawhah, leh damdawi pek hma leh pek hnuah, syringe hmangin tube chu tui thianghlim hmangin silfai tur a ni. Hei hian chaw chu tube chhungah a tlakbuak loh nan a veng ang.
• Tube chu a hun takah thlak: Tube zawng zawng hi hun bituk hnuah thlak vek a ngai. Ṭhenkhat chu kum tin tihdanglam a ngai a, ṭhenkhat chu thla 3-6 danah tihdanglam a ngai. Hemi chungchang hi i doctor chuan a hriattir ang che.
• Tube a chhuah chuan: Hei hi a pawimawh hle. Pum chhunga tube thar dah a nih chuan taksaa a innghah theih nan kar 6-8 vel a ngai a ni. Hetih lai hian tube a lo chhuak palh a nih chuan medical emergency a ni. Damdawi in hnai ber emergency room (ETU) ah kal nghal rawh.