Kua kite pea koe i tētahi ngongo iti, angiangi e whakaurua ana ki roto i te ihu o ētahi tūroro i te hōhipera. Kua kī atu rānei tō tākuta ki a koe e hiahia ana tētahi o tō whānau ki tētahi. He mea noa te mataku, te hiahia ki te mōhio, me te pouri anō hoki ina kite koe i tēnei. Koinei te mea e kiia nei e mātou he ngongo NG, arā, he ngongo nasogastric i roto i ngā kupu hauora. Āe, me kōrero tātou mō tēnei i roto i tētahi huarahi tino māmā, hoahoa hoki, kia mārama ai ō pātai katoa mō tēnei.
He whakarāpopototanga, he aha tēnei ngongo NG?
He ngongo kirihou angiangi, ngāwari hoki te ngongo NG. E whakamahia ana mō ngā take hauora rangitahi. Ko te tikanga o te kupu "nasogastric" ko te "ihu ki te puku." Ko te tikanga o tēnei, kua hangaia tēnei ngongo kia whakaurua ki te taha kotahi o tō ihu, kia tukuna mā roto i tō korokoro, kia heke iho i tō korokoro, kia tae atu ki roto i tō puku . Ko te nuinga o te wā, ka whakamahia tēnei ngongo e ngā tākuta hei whakauru mea ki roto i tō puku, hei tango rānei i ngā mea mai i tō puku.
He aha i tika ai kia whakaurua tēnei ngongo NG?
E rua ngā take matua mō te whakauru i tētahi ngongo NG. Ko tētahi hei hoatu kai me te rongoā. Ko tētahi hei tango i ngā mea o roto o te puku. Me titiro motuhake tātou ki ēnei e rua.
| Te kaupapa o te whakamahinga | Whakaahuatanga me ngā take e hiahiatia ana |
|---|---|
| Whāngai Ngongo | Ka whakamahia tēnei ngongo hei tuku i ngā matūkai me ngā rongoā e tika ana i roto i te āhua wai tika ki roto i te puku ina kore e taea e te tangata te kai, te inu rānei i te tikanga noa mā te waha. Ka kiia tēnei ko te 'whangai ngongo' (kai enteral). Ka taea tēnei āhuatanga te puta:
|
| Te Momi Puku | Ka whakamahia hoki tēnei ngongo hei tango i ngā mea o roto i te puku. Ka kiia hoki tēnei ko te 'wāhanga horoi puku'. Ka taea tēnei āhuatanga te puta:
|
He momo ngongo NG matua kei reira?
Ae, e rua ngā momo matua. Kua hangaia kia rite ki ngā kaupapa matua e rua i kōrerotia i runga ake nei.
1. Lumen Kotahi
Kotahi noa te ngongo angiangi. Ka taea anake e ia te tuku i ngā mea pēnei i te kai me te rongoā ki te taha kotahi, arā, ki roto i te puku. He mea angiangi rawa kia kore ai e mamae ina mau mō ētahi wiki.
2. Rua Lumen
E rua ngā ngongo e hono ana tetahi ki tetahi. He whānui ake tetahi, he whaiti ake tetahi. Ko te ngongo whānui hei ngongo i ngā mea o roto i te puku (momi). Kātahi ka uru he hau iti ki roto i te puku mā roto i taua ngongo whaiti. He rite ki te horoi korehau ka piri ki te pakitara ka mahi anō mēnā ka hangaia he kōhao iti, nā tēnei ngongo whaiti e tuku ana i te hau kia puta, kāore te ngongo nui e piri ki te pakitara o te puku, ā, ka piri.
He aha te mea ka mahia i mua i te whakaurunga o te ngongo?
Mā te tākuta, te nēhi rānei kua whakangungua tēnei mahi e mahi. Nō reira, ka tino whakarite rātou i a koe mō tēnei.
- Whakamārama: Tuatahi, ka whakamāramahia e mātou te tukanga ki a koe, ā, ka whiwhi mātou i tō whakaaetanga kua hainatia.
- Tūnga: Ki te taea, ka whakatakotoria koe ki runga i te moenga.
- Whakahinuhinu: Ka pania he momo tiēre whakahinuhinu motuhake ki te pito o te ngongo mō ētahi inihi te roa hei whakahaere i te whakaurunga.
- Te ngoikore: Ka werohia he rongoā whakangote, pērā i te lidocaine, ki roto i te ihu me te korokoro hei whakangote i te wāhi. Ka taea e tēnei te whakaiti i te mamae.
- Te ine i te roa: Inehia i mua i te roa e hiahiatia ana kia uru te ngongo ki roto i te puku kia uru ki te rahi o tō tinana, ka tohua taua wāhi i runga i te ngongo.
Me pēhea te whakauru i te ngongo NG?
He mahi tēnei e mahia ana me te tino ātaahua, me te āta tupato.
1. Mā te tākuta, mā te nēhi rānei kua whakangungua e whakauru te ngongo mā roto i tētahi o ō pongaponga, ka ārahi tika atu ki raro i te tuarongo o tō korokoro.
2. Ina tae te ngongo ki muri o tō korokoro, ka tonoa koe kia piko whakamuri, ka mitimiti i te wai mā te ngongo, kātahi ka horomia.
3. I a koe e horomia ana te wai, ka ngawari te neke o te ngongo ki raro i te korokoro ki roto i te puku. Koinei te taahiraa tino nui.
4. Ki te pāngia koe e tētahi mamae nui, pērā i te maremare, te kōkō rānei, ka mutu tonu rātou, ka tatari mō tētahi wā, kātahi ka ngana anō.
5. Kia tika te tūnga o te ngongo i te inenga me te tohu i mua, whakapiri māriretia ki te ihu me te paparinga mā te whakamahi i te pāreti kia kore ai e neke.
Ko te mea nui ko te noho marino i tēnei wā. Ehara tēnei i te mea uaua pērā i tō whakaaro mēnā ka whai koe i ngā tohutohu a te hunga hauora.
Me pēhea te tirotiro mēnā kua tika te whakaurunga o te ngongo ki roto i te puku?
Koinei te mea tino nui, me mahi hoki . Nā te mea he tino morearea mēnā ka uru hē te ngongo ki roto i ngā pukahukahu. Nō reira, e rua ngā huarahi matua hei whakaū kei roto tonu te ngongo i te puku.
1. X-ray o te uma: Koinei te tikanga tino tika, tino pai hoki. Whai muri i te whakaurunga tuatahi o te ngongo, ka tangohia he hihi-X hei tirotiro i te pito o te ngongo. Heoi, kāore e tika ana te tango hihi-X i ia wā ka mau te ngongo ki te wāhi tika.
2. Whakamātautau pH ngongo: Koinei te tuarua o ngā tikanga pai rawa atu, ā, ko te tikanga e whakamahia whānuitia ana. I konei, ka tāpirihia he ngira ki te ngongo, ā, ka tangohia he wai iti i roto i te puku. Kātahi ka whakamātauria te waikawa (pH) o taua wai. Nā te mea kei roto i te puku he wai waikawa (waikawa puku), ki te iti te pH, ko te tikanga kei roto te ngongo i te puku.
He nui te mamae ina mau koe i tēnei?
Ki te pono, he 'whakamā' noa iho tēnei, ehara i te 'mamae'. Tērā pea ka pāngia koe e te ahua rerekē, pērā i te ngau i te korokoro, i te wā e werohia ana. Engari ka mahi ngā tākuta ki te whakaiti i tēnei whakamā i te mea ka taea.
- Te hoatu rongoā hei whakangāwari i te mamae.
- Te whakamahi i te hinu whakahinuhinu.
- Whakapiria pai te ngongo kia kore ai e neke.
- Me horoi tonu te wāhi e pā ana te ngongo ki te ihu, ka pania he kirīmi hei ārai i te kino o te kiri.
Ka taea e ēnei mea te āwhina nui ki te whakahaere i te mamae.
Kia pēhea te roa ka taea te waiho i te ngongo NG ki roto?
Ko te tikanga he iti iho i te ono wiki te roa o te ngongo NG.Te Whakamahinga. Mena me whāngai te tangata mā roto i tētahi ngongo mō te wā roa, ka tohutohu te tākuta i a ia ki tētahi atu tikanga. Hei tauira, he tikanga kei reira te tapahi iti i te kiri o te puku, ā, ka whakaurua tika he ngongo ki roto i te puku (ngā ngongo gastrostomy). Ahakoa he pokanga iti noa iho, he haumaru ake i te wā roa.
He aha ngā painga me ngā raruraru pea o tēnei tikanga?
Pērā i ngā tikanga hauora katoa, he painga kei reira, engari he iti anō hoki ngā mōrearea.
| Ngā Painga | Ngā raruraru pea |
|---|---|
| He onge ngā raruraru nui ina tika te whakaurunga o te ngongo, engari ka puta pea ēnei e whai ake nei:
Ko te raruraru tino kino, he mea tino onge pea te puta , ko te urunga pōhēhē o te ngongo ki roto i te trachea ka uru ki roto i ngā pukahukahu. Heoi, nā te mea ka mahia tēnei e ngā kaimahi whakangungu, ā, ka tirohia mā te hihi-X i muri mai, he tino iti te tūponotanga ka puta tēnei. |
Ngā āhuatanga me whakamōhio tonu koe ki tō tākuta
Mena kei a koe, kei tētahi atu rānei e mōhio ana koe he ngongo NG, whakamōhio atu ki te tākuta, ki te nēhi rānei mēnā ka pāngia koe e tētahi o ēnei tohu e whai ake nei:
- Mena he whero te wāhi i werohia ai te ngongo, he pupuhi, he kirika rānei (he tohu mate ēnei).
- Mena ka maremare koe, ka uaua ki te manawa, ka ruaki rānei i te wā e mau ana te ngongo.
- Mena kei te ahua purua te ngongo, kāore rānei e mahi ana.
- Ki te mea ka motuhia te ngongo mā te hē, ki te mea rānei ka tangohia e koe anō.
- Mena ka puta mai te toto mā roto i te ngongo, mā roto rānei i te tūtae.
Ahakoa he āhua kore whakamarie te whakamahi i tētahi ngongo NG, he mea tēnei e taea te whakamanawanui, ā, i ētahi wā he mea tika hei whakaora i te ora, hei tere ake rānei te ora mai i tētahi mate. Nō reira, kaua e manukanuka. He mea rangitahi noa iho tēnei mō tō oranga.
Karere Tangohia ki te Kāinga
- He ngongo angiangi, rangitahi te ngongo NG e whakaurua ana mā te ihu ki roto i te puku.
- Ko ōna kaupapa matua e rua he tuku kai/rongoā me te tango i ngā mea o roto i te puku.
- Ka whakaurua tēnei e ngā kaimahi hauora kua whakangungua, e mahi ana i ngā mahi hei whakaiti i te mamae.
- Mā te whakamātautau hihi-X, te whakamātautau pH rānei e whakaū kei te tika te tūranga o te ngongo.
- Ki te pā mai he raruraru ki te ngongo (kirika, mamae, uaua ki te manawa), me whakamōhio tonu atu ki tō tākuta.











💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero