Kua tae atu koe ki tētahi wāhanga hōhipera, ā, kua kite koe i ētahi tūroro me te ngongo angiangi e whakaurua ana ki roto i ō rātou ihu? Kua kite pea koe i tētahi i roto i tō whānau, i tō hoa rānei. He maha ngā tāngata e mataku ana ina kite i tēnei, ā, e pouri ana mōna. Engari he aha rawa tēnei ngongo e whakaurua ana ki roto i ō rātou ihu? He aha i whakaurua ai? He mamae? I tēnei rā ka kōrerohia e tātou ēnei mea katoa me te tino māmā.
He aha tēnei ngongo NG?
Ki te whakarapopoto, koinei te mea e kiia nei e tātou he Ngongo Nasogastric i roto i te rongoā, he Ngongo NG rānei. He tikanga anō tō te ingoa. Ko te tikanga o te 'Naso' he ihu, ko te tikanga o te 'Gastric' he puku. Nō reira, he ngongo kirihou angiangi, ngāwari tēnei e whakaurua ana mā roto i tētahi kōhao i te ihu, ki raro i te korokoro, mā roto i te korokoro, ki roto i te puku.
Ehara tēnei i te mea hei pupuri tonu. He mea e whakamahia ana mō ngā take hauora rangitahi. E rua ngā mahi matua. Ka tukuna he mea ki roto i te puku, ka tangohia rānei he mea mai i te puku.
I roto i ēhea āhuatanga ka whakamahia te ngongo NG?
E ai ki tā mātou i kōrero ai i mua ake nei, e rua ngā take matua mō te whakamahi i te ngongo NG. Me titiro tātou ki tēnei huarahi kia mārama ai.
| Kaupapa Matua | Ngā āhuatanga pea ka hua ake ai |
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| 1. Hei whakarato kai me rongoā (Whāngai Tube) Ka whakamahia tēnei ngongo hei tuku tika i ngā matūkai me ngā rongoā e tika ana ki roto i te puku mō te tangata kāore e taea te kai, te inu rānei i ngā wā katoa mā te waha. |
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| 2. Hei tango i ngā mea o roto o te puku (Te Momi i te Puku) Ka whakamahia tēnei ngongo hei tango i ngā mea o roto i te puku (kai, wai, paitini). Ka whakamahia hoki e mātou hei mahi i te "haunga puku" (te horoi i te puku). |
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He mea nui: Ki te horomia e tetahi tetahi mea paitini, haria tonutia te tūroro ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata. He mea nui hoki kia waea atu ki te Pokapū Mōhiohio Paitini ā-Motu i te Hōhipera ā-Motu o Colombo mō ētahi atu kōrero.
Me pēhea te whakauru i tētahi ngongo NG?
Mā te tākuta, te nēhi rānei kua whakangungua tēnei mahi e mahi. Ahakoa te āhua whakamataku, ka ngana rātou kia māmā ake te mahi mā te tūroro.
Ngā whakaritenga i mua i te whakaurunga o te ngongo
- Tuatahi, ka whakamārama katoa te tākuta, te nēhi rānei i te tikanga ki a koe, ki te kaitiaki rānei o te tūroro, kātahi ka tono whakaaetanga .
- Ki te taea, me whakatakoto te tūroro ki runga i te moenga .
- Ka pania he momo tiēre hinu motuhake ki te pito o te ngongo kia māmā ake ai te whakauru.
- Hei whakaiti i te mamae o te ihu me te korokoro, ka whakamahia he rehu rongoā whakangote hei whakangāwari i te wāhi.
- I runga i te rahi o te tinana o te tūroro, ka inehia i mua i te wā te roa o te ngongo ka whakaurua, ā, ka tohua te wāhi o te ngongo .
Me pēhea te whakauru i te ngongo
Whakaarohia, kua rite katoa ngā mea. Ka āta whakaurua e te tākuta te ngongo mā roto i tētahi o ngā ihu, ka anga atu ki muri o te korokoro. Ina tae te ngongo ki te korokoro, ka hoatu he kakau witi ki te tūroro, ā, ka tonoa kia inu wai mā roto . Ina horomia e koe he inu wai, ka tuwhera te korokoro. I taua wā tonu, ka tino pēhia te ngongo ki raro. Mā tēnei, kāore te ngongo e tomo ki te puku manawa, engari ka heke tika atu i te korokoro ki te puku.
Ki te maremare te tūroro, ki te uaua rānei te manawa, ka mutu tonu te whakauru i te ngongo, ā, ka tuaruatia te whakaurunga i muri i tētahi wā. Kia tae ki te wāhi i tohua i mua, ka āta pania he pāreti ki te ihu me te paparinga hei ārai i te nekeneke o te ngongo.
Me pēhea te whakarite kia tika te urunga o te ngongo ki roto i te puku?
Koinei te taahiraa tino nui . Nā te mea he tino morearea mēnā ka uru te ngongo ki roto i ngā pukahukahu mā te hē. Nō reira, me whakarite kei roto te ngongo i te puku. E rua ngā huarahi hei mahi i tēnei.
1. X-ray o te uma: Koinei te tikanga tino tika me te tino haumaru.I muri i te whakaurunga tuatahi o te ngongo, ka tangohia he hihi-X hei tirotiro i te tūnga tuturu o te ngongo.
2. Whakamātautau pH mimiti: Nā te mea he uaua ki te tango i te hihi-X i ia wā, ka whakamahia anō hoki tēnei tikanga. Mā te whakamahi i te ngira, ka tangohia he wai puku iti mā roto i te ngongo. Kātahi ka whakamātauria te taumata waikawa (pH) o taua wai. Mena he waikawa te puku, ā, he iti te pH, kei te wāhi tika te ngongo.
He mamae te ngira ina kua mau te ngongo NG?
Ki te pono, ehara tēnei i te "mamae nui." Engari tera pea he āhua koretake , he āhua tauhou hoki. Tērā pea he rite ki te mea kei roto i tō korokoro te mea e mau ana. Engari ka mahi ngā tākuta me ngā nēhi i ngā mahi hei whakaiti i tēnei āhua koretake i te mea ka taea. Hei tauira, ka whakamahia e rātou he rehu whakangote, ka mau te ngongo kia kore ai e neke, ā, ka pania he hinu motuhake ki te kiri huri noa i te ihu.
Kia pēhea te roa e taea ai te pupuri i tēnei ngongo ki roto? Ā, he aha ngā pānga taha?
He wā poto noa te ngongo NG. Kāore e waihotia kia neke atu i te 6 wiki . Mena me whāngai te tangata mā te ngongo mō te wā roa atu i tērā, ka tūtohu pea te tākuta i tētahi atu tikanga. Hei tauira, he ngongo gastrostomy, ka whakaurua mā te tapahi iti i roto i te puku, ā, ka uru tika ki roto i te puku mā te kiri.
Mena ka tika te whakaurunga o te ngongo, ā, ka tika hoki te tiaki, he onge noa iho ngā pānga kino kino. Heoi anō, ka puta pea ētahi mea iti noa iho.
- Te mamae me te kore whakamarie i te ihu me te korokoro.
- Toto ihu.
- Mate pāwera o te sinus.
- I marere noa te paipa.
Heoi, ki te hē te whakaurunga o te ngongo, ka pā mai pea ngā raruraru nui pēnei i te urunga o te ngongo ki te puku o te ihu . Heoi, he iti rawa te tūponotanga ka puta tēnei i raro i te tirotiro a ngā kaimahi hauora kua whakangungua.
Āhea me whakamōhio tonu atu ki te tākuta
Mena kei a koe, kei tētahi atu rānei e mōhio ana koe he ngongo NG kei roto, whakamōhio atu ki tō tākuta, ki tō nēhi rānei mēnā ka pāngia koe e tētahi o ēnei tohu e whai ake nei:
- Ngā tohu o te mate, pērā i te kirika, te whero, te pupuhi rānei i te wāhi i werohia ai.
- Mena he uaua ki a koe te manawa .
- Ki te maremare ohorere koe, ka kōroke, ka ruaki rānei .
- Mena he toto e puta mai ana i te ngongo, he toto rānei kei roto i te tūtae.
- Mena kei te ahua puru te ngongo.
- Ki te taka noa te ngongo , ki te puta rānei ki waho.
I roto i tēnei āhuatanga, ina koa he uaua ki te manawa, he mea nui kia haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
Karere Tangohia ki te Kāinga
- He ngongo rangitahi te ngongo NG e whakaurua ana mā te ihu ki roto i te puku. Ka whakamahia hei hoatu kai, hei tango rānei i ngā mea o roto o te puku.
- Ahakoa he ahua kore whakamarie te whakakakahu i tēnei, ehara i te mamae e kore e taea te pupuri. Ka whakapau kaha ngā kaimahi hauora ki te whakaiti i te mamae.
- Kia whakauruhia te ngongo, ka tino whakaūtia mā te hihi-X, mā tētahi atu tikanga rānei kei te wāhi tika.
- He mea nui tēnei hei whakaora i ngā oranga i roto i ngā āhuatanga ohorere pērā i te paihana, ā, hei whakarato hoki i te kai e hiahiatia ana hei whakaora i ngā mate noa.
- Mena ka pā mai ētahi āhuatanga rerekē ki a koe (te uaua ki te manawa, te toto, te wetewete rānei o te ngongo) i te wā e tū ana te ngongo, me whakamōhio tonu atu ki tō tākuta.











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