Usenokuba ukhe wabona ityhubhu encinci, ebhityileyo ifakwa empumlweni yezigulane ezithile esibhedlele. Okanye mhlawumbi ugqirha wakho ukuxelele ukuba kukho umntu kusapho lwakho owudingayo. Kuqhelekile ukuba uzive usoyika kancinci, unomdla, kwaye udanile xa ubona oku. Oku sikubiza ngokuba yityhubhu ye-NG, okanye ngokwezonyango, ityhubhu ye-nasogastric. Kulungile, masithethe ngale nto ngendlela elula neyobuhlobo kwaye sicacise yonke imibuzo onayo malunga noku.
Ngamafutshane, yintoni le tube ye-NG?
Ityhubhu ye-NG yityhubhu yeplastiki ebhityileyo kakhulu, eguquguqukayo. Isetyenziselwa iinjongo zonyango lwexeshana. Igama elithi "nasogastric" lithetha "impumlo ukuya esiswini." Oku kuthetha ukuba le tyhubhu yenzelwe ukufakwa kwelinye icala lempumlo yakho, idlule emqaleni wakho, iye emphinjeni wakho, iye esiswini sakho . Oogqirha basebenzisa le tyhubhu ikakhulu ukufaka izinto esiswini sakho, okanye ukususa izinto esiswini sakho.
Kutheni kuyimfuneko ukufaka le tube ye-NG?
Kukho izizathu ezibini eziphambili zokufaka ityhubhu ye-NG. Esinye kukunika ukutya kunye namayeza. Esinye kukususa okungaphakathi esiswini. Makhe sijonge ezi zimbini ngokwahlukeneyo.
| Injongo yokusetyenziswa | Inkcazo kunye neemeko ezifunekayo |
|---|---|
| Ukondla ngetyhubhu | Le tube isetyenziselwa ukuhambisa izondlo ezifunekayo kunye namayeza ngendlela engamanzi ngqo esiswini xa umntu engakwazi ukutya okanye ukusela ngendlela eqhelekileyo ngomlomo. Oku sikubiza ngokuba 'kukutyisa ngetyhubhu' (isondlo sokutya). Le meko inokwenzeka:
|
| Ukufunxwa kwesisu | Le tube ikwasetyenziselwa ukukhupha amanzi esiswini. Oku sikubiza ngokuba yi-'gastric lavage'. Le meko inokwenzeka:
|
Ngaba kukho iintlobo eziphambili zeetyhubhu ze-NG?
Ewe, kukho iintlobo ezimbini eziphambili. Zombini zenzelwe ukuhambelana neenjongo ezimbini eziphambili esixoxe ngazo apha ngasentla.
1. I-Lumen enye
Inetyhubhu enye ebhityileyo. Ingathumela kuphela izinto ezifana nokutya namayeza kwicala elinye, oko kukuthi, esiswini. Yenziwe ibe ncinci kakhulu ukunciphisa ukungonwabi xa inxitywa kangangeeveki eziliqela.
2. I-Lumen ephindwe kabini
Oku kuneetyhubhu ezimbini ezidityanisiweyo. Omnye ubanzi kancinci, omnye umncinci. Ityhubhu ebanzi isetyenziselwa ukufunxa okungaphakathi esiswini (ukufunxa). Emva koko, umoya omncinci ungena esiswini ngaloo tyhubhu incinci. Ngamafutshane, kufana ne-vacuum cleaner enamathela eludongeni kwaye isebenze kwakhona ukuba wenza umngxuma omncinci, ngenxa yale tyhubhu incinci evumela umoya ukuba ungene, ityhubhu enkulu ayibambeki eludongeni lwesisu kwaye ibambeke.
Wenza ntoni ngaphambi kokufaka ityhubhu?
Oku kwenziwa ngugqirha okanye umongikazi oqeqeshiweyo. Ngoko ke bakulungiselele ngononophelo olukhulu oku.
- Ingcaciso: Okokuqala, siza kukuchazela inkqubo size sifumane imvume yakho esayiniweyo.
- Indawo: Ukuba kunokwenzeka, uza kubekwa uthe nkqo ebhedini.
- Ukuthambisa: Uhlobo oluthile lwejeli yokuthambisa lufakwa kwincam yombhobho kangangeesentimitha ezimbalwa ukuze kube lula ukufaka.
- Ubungqindilili: I-anesthetic, efana ne-lidocaine, ifakwa empumlweni nasemqaleni ukuze ivale indawo. Oku kunokunciphisa kakhulu ukungonwabi.
- Ukulinganisa ubude: Linganisa kwangaphambili ukuba umbhobho kufuneka ungene esiswini kangakanani ukuze ulingane nobukhulu bomzimba wakho, uze uphawule loo ndawo kumbhobho.
Ifakwa njani ityhubhu ye-NG?
Le yinto eyenziwa ngobuchule nangocoselelo.
1. Ugqirha okanye umongikazi oqeqeshiweyo uza kufaka ityhubhu kwenye yeempumlo zakho aze ayikhokele ngqo ngasemva komqala wakho.
2. Xa umbhobho ufikelela ngasemva komqala wakho, uza kucelwa ukuba ugobe kancinci phambili uze usele amanzi ngengca uze uginye.
3. Njengoko uginya amanzi, umbhobho uhamba lula ezantsi kwi-esophagus uye esiswini. Eli lelona nyathelo libalulekileyo.
4. Ukuba ufumana naluphi na uvakalelo olukhulu, njengokukhwehlela okanye ukukrwitshwa, baya kuyeka ngoko nangoko, balinde okwethutyana, baze bazame kwakhona.
5. Nje ukuba ityhubhu ikwindawo eyiyo njengoko yayilinganisiwe kwaye iphawulwe ngaphambili, yincamathisele kancinci empumlweni nasesidleleni ngeplasta ukuze ingashukumi.
Eyona nto ibalulekileyo kukuhlala uzolile ngeli xesha. Oku akunzima njengoko unokucinga ukuba ulandela imiyalelo enikwe ngabasebenzi bezonyango.
Ujonga njani ukuba ityhubhu ifakwe kakuhle esiswini?
Le yeyona nto ibalulekileyo nekufuneka yenziwe . Kuba kuyingozi kakhulu ukuba ityhubhu ingena emiphungeni ngempazamo. Ke ngoko, kukho iindlela ezimbini eziphambili zokuqinisekisa ukuba ityhubhu isesiswini.
1. I-X-reyi yesifuba: Le yeyona ndlela ichanekileyo neyona ilungileyo. Emva kokuba ityhubhu ifakiwe okokuqala, kuthathwa i-X-reyi ukuze kubonwe ukuba isiphelo setyhubhu sikuphi kanye kanye. Nangona kunjalo, akusebenzi ukuthatha ii-X-reyi ngalo lonke ixesha umntu enetyhubhu endaweni yayo.
2. Uvavanyo lwe-pH ye-Aspirate: Le yindlela yesibini engcono nesetyenziswa kakhulu. Apha, i-syringe incamathiselwa kwityhubhu kwaye kukhutshwa inani elincinci lolwelo olusesiswini. Emva koko i-acidity (pH) yolo lwelo iyavavanywa. Ekubeni isisu sinolwelo olune-acidic (i-gastric acid), ukuba i-pH iphantsi, oko kuthetha ukuba ityhubhu ikwisisu.
Ngaba kubuhlungu kakhulu xa unxiba oku?
Inyaniso kukuba, 'kukungakhululeki' kunokuba 'kubuhlungu'. Usenokuziva ungaqhelekanga, njengokukruquka emqaleni, ngexesha lokufakwa. Kodwa oogqirha bathatha amanyathelo okunciphisa oku kungakhululeki kangangoko kunokwenzeka.
- Ukunika amayeza okuthomalalisa iintlungu.
- Ukusebenzisa ijeli yokuthambisa.
- Yincamathisele kakuhle ityhubhu ukuze ingashukumi.
- Soloko ucoca indawo apho umbhobho uchukumisa khona impumlo uze uthambise ikhrimu ukuthintela umonakalo kulusu.
Ezi zinto zinokunceda kakhulu ekulawuleni ukungonwabi.
Ingakanani ixesha elinokugcinwa ityhubhu ye-NG?
Ityhubhu ye-NG idla ngokuba yeyokuhlala ixesha elingaphantsi kweeveki ezintandathu.Ukusetyenziswa. Ukuba umntu ufuna ukutyiswa ngetyhubhu ixesha elide, ugqirha uza kumthumela kwenye indlela. Umzekelo, kukho indlela apho kwenziwa khona umngxuma omncinci eluswini lwesisu kwaye kufakwe ityhubhu ngqo esiswini (ityhubhu ye-gastrostomy). Nangona ifuna utyando oluncinci, ikhuselekile ekuhambeni kwexesha.
Ziziphi iingenelo kunye neengxaki ezinokubakho zale ndlela?
Njengakweyiphi na inkqubo yezonyango, kukho iingenelo kunye neengozi ezincinci.
| Iingenelo | Iingxaki ezinokwenzeka |
|---|---|
| Iingxaki ezinkulu azixhaphakanga xa ityhubhu ifakiwe kakuhle, kodwa oku kulandelayo kunokwenzeka:
Eyona ngxaki inzima, enokwenzeka rhoqo , kukuba ityhubhu ingene ngengozi kwi-trachea ize ingene emiphungeni. Nangona kunjalo, ngenxa yokuba oku kwenziwa ngabasebenzi abaqeqeshiweyo kwaye kuhlolwa nge-X-ray emva koko, amathuba okuba oku kwenzeke aphantsi kakhulu. |
Iimeko apho kufuneka wazise ugqirha wakho ngoko nangoko
Ukuba wena okanye umntu omaziyo unetyhubhu ye-NG, yazisa ugqirha okanye umongikazi ngokukhawuleza ukuba ufumana naziphi na kwezi mpawu zilandelayo:
- Ukuba indawo apho ityhubhu ifakwe khona ibomvu, idumbile, okanye inomkhuhlane (ezi ziimpawu zosulelo).
- Ukuba ukhohlela, unengxaki yokuphefumla, okanye uhlanza ngelixa ityhubhu ikwindawo yayo.
- Ukuba ityhubhu ivakala ivalekile okanye ayisebenzi.
- Ukuba ityhubhu iphuma ngempazamo okanye ukuba uyisusa ngokwakho.
- Ukuba igazi liphuma ngetyhubhu okanye ngendle.
Ukuba netyhubhu ye-NG kunokuba yinto engathandekiyo, kodwa yinto enokunyamezela, kwaye ngamanye amaxesha kuyimfuneko ukusindisa ubomi okanye ukukhawulezisa ukuchacha kwisifo. Ngoko ke, ungakhathazeki ngayo. Le yinto yexeshana nje yempilo-ntle yakho.
Umyalezo Wokuya Ekhaya
- Ityhubhu ye-NG yityhubhu encinci, yexeshana efakwa ngempumlo iye esiswini.
- Iinjongo zayo ezimbini eziphambili kukuhambisa ukutya/amayeza kunye nokukhupha umxholo esiswini.
- Oku kufakwa ngabasebenzi bezonyango abaqeqeshiweyo, abathatha amanyathelo okunciphisa ukungonwabi.
- Uvavanyo lwe-X-ray okanye lwe-pH luya kuqinisekisa ngokuqinisekileyo ukuba ityhubhu ikwindawo eyiyo.
- Ukuba ufumana naziphi na iingxaki ngetyhubhu (umkhuhlane, iintlungu, ubunzima bokuphefumla), yazisa ugqirha wakho ngoko nangoko.
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