Ngaba wakha waya kwigumbi lesibhedlele waza wabona abanye abaguli benombhobho omncinci ofakwe empumlweni yabo? Mhlawumbi ukhe wambona nakusapho lwakho okanye kumhlobo wakho. Abantu abaninzi bayoyika kancinci xa bebona oku, baze bazive bebuhlungu ngako. Kodwa yintoni kanye kanye le mbhobho ifakwe empumlweni yabo? Kutheni ifakwa? Ingaba ibuhlungu? Namhlanje siza kuthetha ngayo yonke le nto ngokulula.
Yintoni le tyhubhu ye-NG?
Ngamafutshane, le yinto esiyibiza ngokuba yiNasogastric Tube kunyango, okanye iNG Tube ngamafutshane. Igama ngokwalo linentsingiselo. 'Naso' lithetha impumlo, 'Gastric' lithetha isisu. Ngoko ke le yityhubhu yeplastiki ebhityileyo, eguquguqukayo efakwa ngembobo empumlweni, ezantsi emqaleni, edlula emqaleni, nasesiswini.
Le asiyonto eyenzelwe ukugcinwa ngonaphakade. Isetyenziselwa iinjongo zonyango lwexeshana. Yenza izinto ezimbini eziphambili. Ithumela into esiswini, okanye ikhuphe into esiswini.
Kuphantsi kweziphi iimeko apho kusetyenziswa ityhubhu ye-NG?
Njengoko besitshilo ngaphambili, kukho izizathu ezibini eziphambili zokusebenzisa ityhubhu ye-NG. Masiyijonge ngale ndlela ukuze siyiqonde kakuhle.
| Injongo Ephambili | Iimeko ezinokwenzeka ezinokubangela oku |
|---|---|
| 1. Ukubonelela ngokutya namayeza (Ukutyisa ngeetyhubhu) Le tube isetyenziselwa ukuhambisa izondlo ezifunekayo kunye namayeza ngqo esiswini kumntu ongakwaziyo ukutya okanye ukusela ngendlela eqhelekileyo ngomlomo. |
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| 2. Ukususa okungaphakathi esiswini (Ukufunxa isisu) Le tube isetyenziselwa ukukhupha amanzi esiswini (ukutya, ulwelo, iityhefu). Sikwayisebenzisela "ukuhlamba isisu" (ukuhlamba isisu). |
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Kubalulekile: Ukuba umntu utya into enetyhefu, mthathe ngoko nangoko umse kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane. Kubaluleke kakhulu ukufowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ulwazi oluthe kratya.
Ifakwa njani ityhubhu ye-NG?
Oku kwenziwa ngugqirha okanye umongikazi oqeqeshiweyo. Nangona kusenokubonakala kusoyikisa, bazama ukukwenza kube lula kangangoko kunokwenzeka kwisigulana.
Amalungiselelo ngaphambi kokufaka ityhubhu
- Okokuqala, ugqirha okanye umongikazi uza kukuchazela ngokupheleleyo ngenkqubo kuwe okanye kumgcini wesigulana aze afumane imvume .
- Ukuba kunokwenzeka, isigulana sibekwe ebhedini sime nkqo .
- Uhlobo olukhethekileyo lwejeli yokuthambisa lufakwa esiphelweni setyhubhu ukuze kube lula ukuyifaka.
- Ukunciphisa ukungonwabi empumlweni nasemqaleni, kusetyenziswa i-anesthetic spray ukuze kuthintelwe loo ndawo.
- Ngokuxhomekeke kubukhulu bomzimba wesigulane, ubude bombhobho oza kufakwa bulinganiswa kwangaphambili kwaye indawo yombhobho iphawulwe .
Indlela yokufaka ityhubhu
Khawucinge nje, ngoku yonke into ilungile. Ugqirha ufaka ityhubhu ngononophelo olukhulu ngempumlo enye aze ayibhekise ngasemva komqala. Xa ityhubhu ifikelela emqaleni, isigulane sinikwa ingca kwaye sicelwe ukuba sisele amanzi ngayo . Xa uginya isiselo samanzi, i-esophagus iyavuleka. Ngaloo mzuzu, ityhubhu ityhalelwa phantsi kancinci. Ngale ndlela, ityhubhu ayingeni kwi-windpipe, kodwa yehla ngqo kwi-esophagus iye esiswini.
Ukuba isigulane siyakhohlela okanye sinengxaki yokuphefumla, ityhubhu iyayekiswa ngoko nangoko, kwaye ukufakwa kwayo kuyaphindwa emva kwexesha elithile. Emva kokuba ityhubhu ifakwe ukuya kuthi ga kwindawo ephawulwe ngaphambili, kufakwa iplasta kancinci empumlweni nasesidleleni ukuthintela ukuba ityhubhu ingashukumi.
Uqinisekisa njani ukuba ityhubhu ingene ngqo esiswini?
Eli lelona nyathelo libalulekileyo . Kuba kuyingozi kakhulu ukuba ityhubhu ingena emiphungeni ngempazamo. Kungoko ke, kuyimfuneko ukuqinisekisa ukuba ityhubhu isesiswini. Zimbini iindlela zokwenza oku.
1. I-X-ray yesifuba: Le yeyona ndlela ichanekileyo nekhuselekileyo.Emva kokuba ityhubhu ifakiwe okokuqala, kuthathwa i-X-ray ukujonga indawo echanekileyo yetyhubhu.
2. Uvavanyo lwe-pH oluphuma kwi-Aspirate: Ekubeni kunzima ukuthatha i-X-ray rhoqo, le ndlela ikwasetyenziswa. Kusetyenziswa isirinji, kukhutshwa ulwelo oluncinci esiswini ngetyhubhu. Emva koko kuvavanywa inqanaba le-asidi (pH) yolo lwelo. Ukuba isisu sine-asidi, kwaye i-pH iphantsi, ityhubhu ikwindawo efanelekileyo.
Ngaba kubuhlungu xa unetyhubhu ye-NG endaweni yayo?
Inyaniso kukuba, oku akusiyo "intlungu enzima." Kodwa kunokubakho ukungakhululeki okuthile kunye nemvakalelo engaqhelekanga. Kusenokuvakala ngathi kukho into ebambeke emqaleni wakho. Kodwa oogqirha kunye nabongikazi bathatha amanyathelo okunciphisa oku kungakhululeki kangangoko kunokwenzeka. Umzekelo, basebenzisa i-numbing spray, baqinise ityhubhu ukuze ingashukumi, baze bafake amafutha akhethekileyo kulusu olujikeleze impumlo.
Ingaba le tube ingagcinwa ixesha elingakanani? Kwaye zithini iziphumo ebezingalindelekanga?
Ityhubhu ye-NG yeyexeshana. Ayihlali ishiywe endaweni yayo kangangeeveki ezingaphezu kwezi-6 . Ukuba umntu ufuna ukondliwa ngetyhubhu ixesha elide kunelo, ugqirha angacebisa enye indlela. Umzekelo, ityhubhu ye-gastrostomy, efakwa ngesikhewu esincinci esiswini ize ingeniswe ngqo esiswini ngesikhumba.
Ukuba ityhubhu ifakwe kakuhle kwaye igcinwe kakuhle, iziphumo ebezingalindelekanga ezibi azixhaphakanga. Nangona kunjalo, kukho izinto ezincinci ezinokwenzeka.
- Ukungonwabi kunye nentlungu empumlweni nasemqaleni.
- Ukopha empumlweni.
- Usulelo lweSinus.
- Umbhobho waphuma ngengozi.
Nangona kunjalo, ukuba kwenziwe impazamo ngexesha lokufakwa kwetyhubhu, iingxaki ezinkulu ezifana nokungena kwetyhubhu kwi-windpipe zinokwenzeka. Nangona kunjalo, oku akunakwenzeka ukuba kwenzeke phantsi kweliso labasebenzi bezonyango abaqeqeshiweyo.
Ixesha lokwazisa ugqirha ngoko nangoko
Ukuba wena okanye umntu omaziyo unetyhubhu ye-NG, yazisa ugqirha wakho okanye umongikazi ngokukhawuleza ukuba ufumana naziphi na kwezi mpawu zilandelayo:
- Iimpawu zosulelo, ezinje ngomkhuhlane, ukubomvu, okanye ukudumba kwindawo efakwe kuyo.
- Ukuba unengxaki yokuphefumla .
- Ukuba ngequbuliso ukhohlela, ukrwitshwa, okanye uhlanza .
- Ukuba kukho igazi eliphuma kwityhubhu okanye ukuba kukho igazi kwindle.
- Ukuba ityhubhu ivakala ivalekile .
- Ukuba ityhubhu iwela okanye iphuma ngengozi .
Kwimeko efana nale, ingakumbi ukuba kukho ubunzima bokuphefumla, kubalulekile ukuya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Ityhubhu ye-NG yityhubhu yexeshana efakwa ngempumlo esiswini. Isetyenziselwa ukunika ukutya okanye ukususa okungaphakathi esiswini.
- Nangona kungathandeki kancinci ukuyifaka, ayisiyontlungu inganyamezelekiyo. Abasebenzi bezonyango benza konke okusemandleni abo ukunceda ukunciphisa intlungu.
- Emva kokuba ityhubhu ifakiwe, ngokuqinisekileyo kuqinisekiswa nge-X-ray okanye ngenye indlela ukuba ikwindawo elungileyo.
- Oku kubalulekile ukusindisa ubomi kwiimeko ezingxamisekileyo ezifana nokutyhefa, nokubonelela ngesondlo esifunekayo ukuze umntu aphile kwizifo eziqhelekileyo.
- Ukuba ufumana naziphi na iingxaki (ubunzima bokuphefumla, ukopha, okanye ityhubhu ikhululeka) ngelixa ityhubhu ikwindawo yayo, yazisa ugqirha wakho ngoko nangoko.
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