I-Nasogastric Intubation nokondla

-Delile

• Ungayidinga nini intubation ye-nasogastric?
• Kufanele uyilungiselele kanjani i-nasogastric intubation?
• Inqubo izobandakanya ini?
• Ziyini izinzuzo ze-nasogastric intubation?
• Ziyini izingozi ze-nasogastric intubation?
• Ungayinciphisa kanjani ingozi yezinkinga?

Uma ungakwazi ukudla noma ukugwinya, ungadinga ukufakwa ithubhu le-nasogastric. Le nqubo yaziwa ngokuthi i-nasogastric (NG) intubation. Ngesikhathi se-NG intubation, udokotela noma umhlengikazi wakho uzofaka ishubhu lepulasitiki elincanyana ngamakhala akho, ezansi nesisu sakho, nasesiswini sakho.

Uma le tube isikhona, bangayisebenzisa ukukunikeza ukudla nemithi. Bangayisebenzisa futhi ukususa izinto esiswini sakho, njengezinto ezinobuthi noma isampula lokuqukethwe esiswini sakho.

Ungayidinga nini intubation ye-nasogastric?

I-NG intubation isetshenziswa kakhulu ngenxa yezizathu ezilandelayo:

• ukondla
• ukuletha imithi
• ukususa nokuhlola okuqukethwe yisisu
• kuhlinzeka umehluko we-radiographic wezifundo ze-imaging
• decompressing blockages

Iphinde isetshenziselwe ukusiza ukuphatha ezinye izingane ezingakafiki isikhathi.

Udokotela noma umhlengikazi wakho angakunika ukudla nemithi ngepayipi le-NG. Bangasebenzisa futhi ukuncela kuyo, okubavumela ukuthi basuse okuqukethwe esiswini sakho.

Isibonelo, udokotela wakho angasebenzisa i-NG intubation ukusiza ukuphatha ubuthi ngengozi noma ukweqisa izidakamizwa. Uma ugwinye okuthile okuyingozi, bangasebenzisa ithubhu le-NG ukuyisusa esiswini sakho, noma ukuletha ukwelashwa.

Isibonelo, bangafaka amalahle acushiwe ngeshubhu lakho le-NG ukusiza ukumunca into eyingozi. Lokhu kungasiza ukwehlisa amathuba akho okuphendula okunzima.

Udokotela wakho noma umhlengikazi angasebenzisa futhi ithubhu le-NG ukwenza lokhu:

• susa isampula lokuqukethwe esiswini sakho ukuze lihlaziywe
• susa okunye okuqukethwe yisisu sakho ukuze unciphise ingcindezi ekuvinjelweni kwamathumbu noma kokuvaleka
• khipha igazi esiswini sakho

Kufanele uyilungiselele kanjani i-nasogastric intubation?

Ukufakwa kwe-NG tube ngokuvamile kwenzeka esibhedlela noma ekhaya lakho. Ezimweni eziningi, awudingi ukuthatha noma yiziphi izinyathelo ezikhethekile ukuzilungiselela.

Ngaphambi nje kokuba ifakwe, kungadingeka ukuthi ushaye ikhala lakho bese uthatha amanzi ambalwa.

Inqubo izobandakanya ini?

Umhlinzeki wakho wezokunakekelwa kwempilo uzofaka ithubhu yakho ye-NG ngenkathi ulele embhedeni ikhanda liphakeme noma uhleli esihlalweni. Ngaphambi kokufaka le tube, bazosebenzisa ukuthambisa okuthile kuyo futhi mhlawumbe nemithi ethile ekindayo.

Cishe bazokucela ukuthi ugobise ikhanda, intamo, nomzimba wakho ezinhlangothini ezahlukahlukene njengoba befaka ishubhu emakhaleni akho, ezansi nesisu sakho, nasesiswini sakho. Lokhu kuhamba kungasiza ukunciphisa ibhubhu ibe sesikhundleni ngokungakhululeki okuncane.

Bangase futhi bakucele ukuthi ugwinye noma uthathe amanzi amancane lapho ithubhu lifinyelela esophagus yakho ukuze lisize lishelele esiswini sakho.

Uma ishubhu lakho le-NG selikhona, umhlinzeki wakho wezokunakekelwa kwempilo uzothatha izinyathelo zokubheka ukubekwa kwalo. Isibonelo, bangazama ukukhipha uketshezi esiswini sakho. Noma bangafaka umoya ngeshubhu, ngenkathi belalele isisu sakho nge-stethoscope.

Ukugcina ithubhu yakho ye-NG isendaweni, umhlinzeki wakho wokunakekela cishe uzoyivikela ebusweni bakho ngesiqeshana seteyipu. Bangayibeka kabusha uma izwa ingakhululekile.

Ziyini izinzuzo ze-nasogastric intubation?

Uma ungakwazi ukudla noma ukuphuza, i-NG intubation nokondla kungakusiza uthole umsoco nemithi oyidingayo. I-NG intubation ingasiza nodokotela wakho ukuthi aphathe ukuvinjelwa kwamathumbu ngezindlela ezingezwakali kangako kunokuhlinzwa kwamathumbu.

Bangayisebenzisa futhi ukuqoqa isampula lokuqukethwe esiswini sakho ukuze lihlaziywe, okungabasiza ukuthi bathole izimo ezithile.

Ziyini izingozi ze-nasogastric intubation?

Uma ithubhu yakho ye-NG ingafakwanga kahle, ingalimaza izicubu ezingaphakathi kwekhala lakho, amasinusi, umphimbo, isisi noma isisu.

Kungakho ukubekwa kwebhubhu le-NG kuhlolwe futhi kuqinisekiswe ukuthi kusendaweni efanele ngaphambi kokuba kwenziwe esinye isenzo.

Ukondla nge-NG tube nakho kungadala:

• ukuqunjelwa esiswini
• ukuvuvukala kwesisu
• isifo sohudo
• isicanucanu
• ukuhlanza
• ukuvuselelwa kokudla noma umuthi

Ithubhu yakho ye-NG nayo ingahle ivinjwe, idwengulwe, noma ikhishwe. Lokhu kungaholela ezinkingeni ezengeziwe. Ukusebenzisa ithubhu le-NG isikhathi eside kakhulu kungadala nezilonda noma ukutheleleka ezonweni zakho, emphinjeni, emqaleni noma esiswini.

Uma udinga ukuphakelwa kweshubhu isikhathi eside, udokotela wakho kungenzeka ancoma ithubhu ye-gastrostomy. Bangakwazi ukufaka ngokufaka ithubhu le-gastrostomy esiswini sakho ukuvumela ukudla ukuthi kungeniswe ngqo esiswini sakho.

Ungayinciphisa kanjani ingozi yezinkinga?

Ukwehlisa ubungozi bezinkinga ezivela ekunciphiseni kwe-NG nokondla, iqembu lakho lezempilo lizo:

• qinisekisa ukuthi ishubhu lihlale liqoshwe ngokuvikelekile ebusweni bakho
• hlola ishubhu ukuthola izimpawu zokuvuza, ukuvimba, nezinkinobho
• phakamisa ikhanda lakho ngesikhathi sokuphakelwa nangehora ngemuva kwalokho
• bukela izimpawu zokucasuka, izilonda nokutheleleka
• gcina ikhala nomlomo kuhlanzekile
• qapha isimo sakho se-hydration nesondlo njalo
• hlola amazinga e-electrolyte ngokuhlolwa kwegazi njalo
• qiniseka ukuthi isikhwama sokukhipha amanzi siyathululwa njalo, uma kudingeka

Buza umhlinzeki wakho wezokunakekelwa kwempilo ngolwazi oluthe xaxa mayelana nohlelo lwakho oluthile lokwelashwa nombono.