He mea noa te mataku me te manukanuka ina kī atu tō tākuta ki a koe, ki tētahi rānei o tō whānau me whāngai koe mā te ngongo. "Me pēhea taku kai ināianei?", "Ka roa rānei tēnei?", me ētahi atu. He maha ngā pātai ka puta ake pea ki te hinengaro. Engari he huarahi tino nui, he huarahi haumaru hoki tēnei hei whakarato i te tinana ki ngā matūkai me ngā wai e tika ana mō te tangata kāore e taea te ngaungau me te horomi tika i te kai. Me kōrero tātou mō ngā mea katoa i tēnei rā.
He aha te whāngai ngongo?
Ko te whāngai ngongo, arā, ko te "Ngā Kai Enteral" i roto i ngā kupu hauora, ko te whakamahinga o tētahi ngongo kirihou angiangi, ngāwari (he ngongo) hei tuku tika i ngā kai wai ki roto i tō "Ara Gastrointestinal". I ētahi wā, ka whakamahia hoki ēnei ngongo hei hoatu rongoā.
Whakaarohia pēnei. I te nuinga o te wā, ka kai tātou i te kai mā roto i ō tātou mangai, ā, ka haere mā roto i tō tātou korokoro ki tō tātou puku, mai i reira ki ō tātou whekau. Engari ki te kore e taea tēnei haerenga, ka hangaia e tātou tētahi atu ara. Koia te āhua o tēnei. Ka whakamahia tēnei ngongo hei tuku kai e kore e taea te haere tika mā roto i ō tātou mangai me te korokoro ki tō tātou puku, ki te whekau iti rānei.
He momo ngongo whāngai kei reira?
Ae, he maha ngā momo, i runga i te wāhi e whakatakotoria ana, me te roa o te whakamahinga.
Ngā ngongo whakamahinga poto (iti iho i te 4-6 wiki)
Ko te tikanga ka tukuna ēnei mā te ihu. Tērā pea ka whakauruhia he ngongo i te tuatahi kia kite ai koe i te urupare a tō tinana ki ēnei kai wai.
| Momo Ngongo | Te ara |
|---|---|
| Ngongo nasogastric (NG) | Mai i te pito ki te puku. |
| Ngongo nasoduodenal (Nasoduodenal - ngongo ND) | Mai i te pito ki te wāhanga tuatahi o te whekau iti (duodenum). |
| Ngongo nasojejunal (NJ) | Mai i te pito ki te wāhanga tuarua o te whekau iti (jejunum). |
Ngā ngongo whakamahinga roa (neke atu i te 4-6 wiki)
Mena he roa te wā e hiahiatia ana he ngongo whāngai, ka tūtohu pea ngā tākuta kia whakaurua he ngongo mā te pakitara o te puku ki roto i te puku, i te whekau iti rānei. Ka mahia tēnei mā te pokanga iti.
| Momo Ngongo | Whakaahuatanga |
|---|---|
| Ngongo Gastrostomy (ngongo-G) | He ngongo e whakaurua tika ana ki roto i te puku mā te kiri o te puku. |
| Ngongo Jejunostomy (ngongo-J) | He ngongo ka whakaurua mā te kiri o te puku ki roto i te wāhanga tuarua o te whekau iti (jejunum). |
| Ngongo Gastrostomy-jejunostomy (ngongo GJ) | Ka whakaurua tēnei ngongo ki roto i te puku, kātahi ka tukuna ki raro ki te jejunum, te whekau iti. E rua ōna putanga. Ko te putanga-G hei tango i ngā wai mai i te puku me te hoatu rongoā, ā, ko te putanga-J hei hoatu kai. |
He aha te momo tāngata e tika ana kia whāngaihia mā roto i tētahi ngongo pēnei?
Tērā pea kei te whakaaro koe, "He aha te take e hiahiatia ai e te tangata tētahi mea pēnei?" Ko te take matua he kore e taea e rātou te whiwhi i te nui o te kai mā roto i ō rātou mangai. He mea nui rawa tēnei tikanga mēnā he mate kei a rātou e kiia nei ko te "Dysphagia", e uaua ai te ngaungau, te horomi rānei i te kai.
Ka āwhina tēnei tikanga ki te pupuri i te hauora o te pākia o te tinana me te pūnaha nakunaku.
Ko ētahi āhuatanga e hiahiatia ai he ngongo:
- Te uaua ki te horomi nā te mate pukupuku o te pane me te kaki, nā ngā whara rānei o aua wāhi.
- Ngā mate kai kino.
- Ngā raruraru o te puku me te whekau, pērā i te whaiti o te paipa kai.
- Ngā mate e whakararuraru ana i te mimiti o ngā matūkai e te tinana, pērā i te mate kino o Crohn.
- Ngā mate o te pūnaha io pērā i te whiu .
- Te ngaronga o te kaha ki te horomi mō te wā poto nā te pokanga tata nei, nā te mate rānei.
- Ngā āhuatanga o te kore mohio `(Coma)`.
He aha te momo wheako ka puta mai i te wā e whakauruhia ana he ngongo ki roto?
Ka rerekē tēnei i runga i te momo ngongo kei a koe me te take i whakamahia ai. I a koe i te hōhipera, mā ngā nēhi koe e whāngai mā roto i te ngongo me te horoi. Heoi, ki te hoki koe ki te kāinga me te ngongo, ka whakangungua koe me ō kaitiaki ki te whakamahi me te tiaki i a ia.
Me pēhea te whakauru i te ngongo ki roto i te tinana?
I te nuinga o te wā ka whakaurua ēnei ki te hōhipera, engari ka taea tonu te whakamahi i te kāinga.
- Ngongo ihu: Ehara tēnei i te tikanga nui. Ka taea te mahi i a koe e takoto ana i te moenga. Ka whakangāwari te ngongo e te tākuta, e te nēhi rānei kua whakangungua, ā, ka āta whakaurua mā roto i tō ihu ki roto i tō puku, i tō whekau rānei. Tērā pea ka tonoa koe kia inu wai mā roto i te ngongo i tēnei wā, kia māmā ake ai te heke o te ngongo.
- Ngongo puku: Me pokanga iti tēnei. Me nohopuku koe mō te 8 hāora i mua i te pokanga. Mena kei te tango koe i ngā rongoā ārai toto, ka tonoa koe kia mutu te tango i aua rongoā mō ētahi rā. Ka hoatu he rongoā whakamoe kia kore ai koe e mamae . He maha ngā huarahi hei mahi i tēnei pokanga:
- Endoscopy: Ka whakauruhia he ngongo me te kāmera e piri ana mā te waha hei tirotiro i roto i te puku. Ka mahia he tapahi iti ki te kiri o te puku, kātahi ka whakauruhia te ngongo.
- Mā te hihi-X: Ka whakaurua te ngongo mā te titiro ki ngā whakaahua hihi-X hei tautuhi i te wāhi tika.
- Mā te pokanga: I ētahi wā ka whakaurua te ngongo mā te pokanga tuwhera, mā te laparoscopy rānei (mā ētahi tapahi iti me te āwhina o te kāmera).
Me pēhea te kawe i te kai mā te ngongo?
E rua ngā huarahi hei mahi i tēnei.
1. Ngā whāngaitanga bolus: Pērā i tā tātou kai i ngā wā e toru i te rā, ka tukuna he kai wai ki roto i te ngongo i ngā wā motuhake o te rā mā te whakamahi i te ngira. Ko te tikanga o tēnei tikanga he mea mahi mā te hunga he ngongo kei roto i ō rātou puku nā te mea ka taea e te puku te whakahaere i te nui o te kai i te wā kotahi.
2. Te whāngai tonu: Ki te whakanohoia te ngongo ki roto i te whekau iti, kāore e taea te whāngai i te nui i te wā kotahi. Nō reira, ka whakamahia he papu hei whāngai tonu i te pēpi i roto i ngā haora.
Mā tō tākuta me tō tohunga kai e tatau te nui o ngā kaora, ngā huaora, me te pūmua e hiahiatia ana e koe, ā, ka tūtohu i te tauira wai e tika ana māu.
He mea nui:He mea tino nui kia takoto te pēpi ki te 45 nekehanga i te wā e whāngai ana, me ētahi haora i muri i te whāngai. Ki te kore e pērā, ka uru te kai ki roto i te ara manawa, ā, ka pāngia e te niumōnia manawa.
Me pēhea te tiaki i te ngongo me te kiri e karapoti ana?
Me ārai e koe te aukati i te ngongo, me te ārai hoki i te whanaketanga o ngā mate huri noa i te ngongo.
| He aha ngā mea hei tiaki | Me aha? |
|---|---|
| Pae whakaurunga |
|
| Ko te ngongo tonu |
Whakatūpato: Kaua rawa e ngana ki te whakakore i tētahi ngongo kua purua ki tētahi mea pēnei i te waea. Ka kino pea tēnei ki te ngongo me tō tinana.
He aha ngā mōrearea?
Tērā pea ka mamae te puku me te pupuhi i ngā rā tuatahi i muri i te whakaurunga o te ngongo. Tērā pea ka pāngia koe e te mamae o te puku me te mate korere i te wā e taunga ana tō tinana ki te kai hou. I te nuinga o te wā ka memeha haere ēnei i roto i ētahi rā.
He iti te mōrearea o ētahi atu raruraru, engari he mea pai kia mōhio koe:
- Kua mau te ngongo, kua pakaru, kua tangohia rānei.
- Te mate i te wāhi i whakaurua ai te ngongo.
- Te koretake tonu o te puku, te whakapairuaki, te mate korere rānei.
- Te kai e tomo ana ki ngā pukahukahu (Aspiration pneumonia).
Mena he ruarua āu mō tētahi mea pēnei, kōrero tonu atu ki tō tākuta.
Karere Tangohia ki te Kāinga
- He huarahi haumaru, he huarahi whai hua hoki te whāngai mā te ngongo hei whāngai i te kai mā te tangata kāore e taea te kai mā te waha. Kaua e mataku.
- He mea tino nui kia noho ma te ngongo me te kiri e karapoti ana. Me ata whai i ngā tohutohu a te tākuta.
- Ki te mau te ngongo, ki te wetekina, ki te whakaatu rānei i ngā tohu o te mate (whero, pupuhi, mamae), rapua tonutia he tohutohu hauora.
- Ki te wetekina te ngongo hou kua whakaurua, he āhuatanga ohorere tēnā. Haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) .
- Ahakoa kāore pea e rite te reka ki te kai, ka hoatu e tēnei tikanga ki tō tinana te kaha me te matūkai e hiahiatia ana hei oranga mōna. He tino āwhina tēnei ki tō haerenga whakaora.
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