Kungenzeka ukuthi uke wabona ipayipi elincane, elincane lifakwa ekhaleni leziguli ezithile esibhedlela. Noma mhlawumbe udokotela wakho ukutshelile ukuthi othile emndenini wakho uyalidinga. Kuvamile ukuzizwa wesaba kancane, unelukuluku, futhi udabukile uma ubona lokhu. Lokhu yilokho esikubiza ngokuthi ipayipi le-NG, noma ngokwezokwelapha, ipayipi le-nasogastric. Kulungile, ake sixoxe ngalokhu ngendlela elula kakhulu nenobungane futhi sicacise yonke imibuzo onayo ngalokhu.
Kalula nje, iyini le tube ye-NG?
I-NG tube iyipayipi elincane kakhulu, eliguquguqukayo lepulasitiki. Isetshenziselwa izinjongo zesikhashana zokwelapha. Igama elithi "nasogastric" lisho "ikhala kuye esiswini." Lokhu kusho ukuthi le payipi yenzelwe ukufakwa ohlangothini olulodwa lwekhala lakho, idlule emphinjeni wakho, yehle ngomqala wakho, futhi ingene esiswini sakho . Odokotela basebenzisa le payipi ngokuyinhloko ukufaka izinto esiswini sakho, noma ukususa izinto esiswini sakho.
Kungani kudingeka ukufaka leli payipi le-NG?
Kunezizathu ezimbili eziyinhloko zokufaka ipayipi le-NG. Esinye ukunikeza ukudla kanye nemithi. Esinye ukukhipha okuphakathi esiswini. Ake sibheke lezi ezimbili ngokwehlukana.
| Inhloso yokusebenzisa | Incazelo kanye namacala adingekayo |
|---|---|
| Ukondla Ngepayipi | Leli payipi lisetshenziselwa ukuletha ukudla okunomsoco okudingekayo kanye nemithi ngendlela ewuketshezi ngqo esiswini lapho umuntu engakwazi ukudla noma ukuphuza ngendlela evamile ngomlomo. Lokhu sikubiza ngokuthi 'ukuncelisa ngepayipi' (ukudla okunempilo). Lesi simo singase senzeke:
|
| Ukumunca Kwesisu | Leli payipi liphinde lisetshenziselwe ukukhipha amanzi esiswini. Lokhu sikubiza nangokuthi 'ukuhlanza isisu'. Lesi simo singase senzeke:
|
Ingabe zikhona izinhlobo eziyinhloko zamashubhu e-NG?
Yebo, kunezinhlobo ezimbili eziyinhloko. Zombili zenzelwe ukuhambisana nezinjongo ezimbili eziyinhloko esixoxe ngazo ngenhla.
1. I-Lumen Eyodwa
Inepayipi elilodwa elincane. Ingathumela izinto ezifana nokudla nemithi ohlangothini olulodwa, okungukuthi, esiswini. Yenziwa ibe mncane kakhulu ukuze kuncishiswe ukungakhululeki uma igqokwa amasonto amaningana.
2. I-Lumen Ephindwe Kabili
Lokhu kunamapayipi amabili axhunywe ndawonye. Elinye libanzi kancane, elinye lincane. Ipayipi elibanzi lisetshenziselwa ukumunca okuqukethwe yisisu (ukumunca). Bese kuthi, umoya omncane ungene esiswini ngaleyo payipi elincane. Kalula nje, kufana nomshini wokuhlanza obhajwa odongeni bese usebenza futhi uma wenza imbobo encane, ngenxa yale payipi elincane elivumela umoya ukuthi udlule, ipayipi elikhulu alibhajwa odongeni lwesisu bese libhajwa.
Yini oyenzayo ngaphambi kokufaka ithubhu?
Lokhu kwenziwa udokotela noma umhlengikazi oqeqeshiwe. Ngakho-ke bakulungisela ngokucophelela lokhu.
- Incazelo: Okokuqala, sizokuchazela inqubo bese sithola imvume yakho esayiniwe.
- Indawo: Uma kungenzeka, uzobekwa uqonde embhedeni.
- Ukugcotshwa: Uhlobo olukhethekile lwejeli lokugcotshwa lufakwa esicongweni sethubhu amasentimitha ambalwa ukuze kube lula ukufaka.
- Ukuba ndikindiki: Umuthi wokubulala izinzwa, njenge-lidocaine, ufakwa ekhaleni nasemphinjeni ukuze kuncishiswe indawo. Lokhu kunganciphisa kakhulu ukungakhululeki.
- Ukukala ubude: Kala kusengaphambili ukuthi ithubhu idinga ukungena esiswini isikhathi esingakanani ukuze ilingane nosayizi womzimba wakho, bese uphawula lelo phuzu ethubhuni.
Ithubhu le-NG lifakwa kanjani?
Lokhu kuyinto eyenziwa ngobunono nangokucophelela.
1. Udokotela noma umhlengikazi oqeqeshiwe uzofaka ipayipi ngekhala lakho elilodwa bese eliqondisa ngqo ngemuva komphimbo wakho.
2. Uma ipayipi lifika ngemuva komphimbo wakho, uzocelwa ukuthi ugobe kancane bese uphuza amanzi ngotshani bese ugwinya.
3. Njengoba ugwinya amanzi, ithubhu lihamba kalula emphinjeni liye esiswini. Lesi yisinyathelo esibaluleke kakhulu.
4. Uma uzwa noma yikuphi ukungakhululeki okukhulu, njengokukhwehlela noma ukuminyana, bazoyeka ngokushesha, balinde isikhashana, bese bezama futhi.
5. Uma ithubhu selisesimweni esifanele njengoba kwalinganiswa futhi kwaphawulwa ngaphambilini, linamathisele ngobumnene ekhaleni nasesihlathini nge-plaster ukuze linganyakazi.
Into ebaluleke kakhulu ukuhlala uzolile ngalesi sikhathi. Lokhu akunzima njengoba ungase ucabange uma ulandela imiyalelo enikezwa abasebenzi bezokwelapha.
Uhlola kanjani ukuthi ipayipi lifakwe kahle esiswini?
Lena yinto ebaluleke kakhulu futhi okumele yenziwe . Ngoba kuyingozi kakhulu uma ipayipi lingena emaphashini ngephutha. Ngakho-ke, kunezindlela ezimbili eziyinhloko zokuqinisekisa ukuthi ipayipi empeleni lisesiswini.
1. I-X-ray Yesifuba: Lena yindlela enembile kakhulu futhi engcono kakhulu engu-100%. Ngemva kokufakwa kwepayipi okokuqala, kuthathwa i-X-ray ukuze kubonakale ukuthi ikuphi ngqo ukuphela kwepayipi. Kodwa-ke, akusebenzi ukuthatha i-X-ray njalo uma othile enepayipi endaweni yalo.
2. Ukuhlolwa kwe-pH ye-Aspirate: Lena yindlela yesibili engcono kakhulu nesetshenziswa kakhulu. Lapha, i-syringe inamathiselwa epayipini bese kukhishwa inani elincane loketshezi esiswini. Bese kuhlolwa i-acidity (pH) yalolo ketshezi. Njengoba isisu siqukethe uketshezi olune-acidic (i-gastric acid), uma i-pH iphansi, kusho ukuthi ipayipi lisesiswini.
Ingabe kubuhlungu kakhulu uma ugqoka lokhu?
Uma ngikhuluma iqiniso, 'kuyinto engakhululekile' kunokuba 'ubuhlungu'. Ungase uzizwe ngendlela engavamile, njengokukhafula emphinjeni, ngesikhathi sokufakwa. Kodwa odokotela bathatha izinyathelo zokunciphisa lokhu kungakhululeki ngangokunokwenzeka.
- Ukunikeza umuthi wokudambisa ubuhlungu.
- Ukusebenzisa ijeli yokugcoba.
- Namathisela kahle ithubhu ukuze lingashukumi.
- Hlanza njalo indawo lapho ipayipi lithinta khona ikhala bese ufaka ukhilimu ukuze uvimbele ukulimala kwesikhumba.
Lezi zinto zingasiza ekuphatheni ukungakhululeki ngezinga elikhulu.
Ishubhu le-NG lingashiywa isikhathi esingakanani?
Ithubhu le-NG livame ukuklanywa ukuthi lihlale isikhathi esingaphansi kwamasonto ayisithupha.Ukusetshenziswa. Uma umuntu edinga ukuphakelwa ngepayipi isikhathi eside, udokotela uzomdlulisela kwenye indlela. Isibonelo, kukhona indlela lapho kwenziwa khona ukusikwa okuncane esikhumbeni sesisu bese kufakwa ipayipi ngqo esiswini (ipayipi le-gastrostomy). Nakuba kudinga ukuhlinzwa okuncane, kuphephile ngokuhamba kwesikhathi.
Yiziphi izinzuzo kanye nezinkinga ezingaba khona zale ndlela?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo kanye nezingozi ezincane.
| Izinzuzo | Izinkinga Ezingaba Khona |
|---|---|
| Izinkinga ezinkulu azivamile uma ipayipi lifakwe kahle, kodwa okulandelayo kungenzeka:
Inkinga enkulu kakhulu, engenzeka kaningi , ipayipi elingena ngengozi ku-trachea lingene emaphashini. Kodwa-ke, ngoba lokhu kwenziwa ngabasebenzi abaqeqeshiwe futhi kuhlolwa nge-X-ray ngemuva kwalokho, amathuba okuba lokhu kwenzeke mancane kakhulu. |
Izimo lapho kufanele wazise udokotela wakho ngokushesha
Uma wena noma othile omaziyo enepayipi le-NG, yazisa udokotela noma umhlengikazi ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu ezilandelayo:
- Uma indawo lapho ipayipi lifakwe khona ibomvu, ivuvukile, noma inomkhuhlane (lezi yizimpawu zokutheleleka).
- Uma ukhwehlela, unenkinga yokuphefumula, noma uhlanza ngenkathi ipayipi likhona.
- Uma ithubhu lizwakala livalekile noma lingasebenzi.
- Uma ithubhu liphuma ngephutha noma uma ulikhipha wena.
- Uma igazi liphuma ngepayipi noma ngendle.
Ukuba ne-NG tube kungaba yinto engakhululekile, kodwa kuyinto engabekezeleleka, futhi ngezinye izikhathi kuyadingeka ukuze usindise impilo noma usheshise ukululama ekuguleni. Ngakho-ke, ungakhathazeki ngakho. Lokhu kuyinto yesikhashana nje yenhlalakahle yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ithubhu le-NG lithubhu elincane, lesikhashana elifakwa ngekhala liye esiswini.
- Izinjongo zayo ezimbili eziyinhloko ukuletha ukudla/imithi kanye nokukhipha okuqukethwe esiswini.
- Lokhu kufakwa ngabasebenzi bezokwelapha abaqeqeshiwe, abathatha izinyathelo zokunciphisa ukungakhululeki.
- Ukuhlolwa kwe-X-ray noma i-pH kuzoqinisekisa ngokuqinisekile ukuthi ithubhu lisendaweni efanele.
- Uma uhlangabezana nanoma yiziphi izinkinga ngepayipi (umkhuhlane, ubuhlungu, ubunzima bokuphefumula), yazisa udokotela wakho ngokushesha.











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