I-nasogastric (NG) iyitayipi eguquguqukayo yerabha noma ipulasitiki edluliselwa emakhaleni, ngaphansi kwesisu, nasesiswini. Kungasetshenziselwa ukususa izinto kusuka noma ukuzithengeza esiswini. I-tube ye-NG ihloselwe ukusetshenziselwa okwesikhashana futhi akusiyo ukusetshenziswa kwesikhathi eside.
I-tub ye-NG ngemuva kokuhlinzwa kokugula kwesifo sofuba (IBD) esetshenziselwa ukuba yinto evamile futhi ibekwa njengendaba.
Manje sekucatshangwa ukuthi i-tube ye-NG ayidingi njalo kuzo zonke izinhlobo zokuhlinzwa noma kuzo zonke iziguli. Ngaphambi kokuba uhlinzekwe, xoxisana nodokotela we-NG ngodokotela ohlinzayo ukuze uthole ukuthi umuntu uzobe esebekwe ngemuva kokuhlinzwa, noma uma kukhona izimo noma izinkinga ezingase ziphakame okuzosho ukuthi ithuluzi le-NG liyadingeka.
Kungani Izicubu ze-NG Zisebenziswa?
Abantu abane-IBD ngezinye izikhathi banama-tubs NG afakwe ngezikhathi ezithile, ikakhulukazi esesibhedlela. I-tube ye-NG ingase ibekwe ngezizathu eziningana, kufaka phakathi:
- ukulawula izakhi noma imithi
- ukususa uketshezi noma umoya kusuka esiswini
- engeza ukungafani nesisu se-x-ray
- ukuvikela isidumbu ngemuva kokuhlinzwa noma ngesikhathi sokuphumula kwesilwane
Akuwona wonke umuntu ohlinzekwa i-IBD futhi onesibindi se-NG: kuxhomeke esizathu sokuhlinzwa kanye nesinqumo seqembu elihlinzayo. Ngezinye izikhathi ama-tubs NG ayindlela yokwelapha ukuvimbela emathunjini okuhambisana ne-IBD, ngaphandle kokuhlinzwa.
Kwezinye izimo, uma umuntu engakwazi ukubekezelela ukudla okuqinile ngomlomo, it tube NG ingase isetshenziselwe ukunikeza izakhi. Kungasetshenziswa futhi ukunikeza imithi, engasiza kakhulu kwezinye izimo zezokwelapha.
Yeka ukuthi ama-tubs afakwa kanjani
I-tube ye-NG izobekwa ochwepheshe bezempilo, njengodokotela noma umhlengikazi, futhi ngokuvamile kwenziwa esibhedlela.
Kungenziwa ngenkathi isiguli silele (sedated), kodwa kuvame ukwenziwa lapho isiguli siphapheme. Ukusekelwa kwendawo emakhaleni angenawo ama-lidocaine noma i-spycletic spray ingasetshenziswa.
I-tube ye-NG ifakwe phezulu emakhaleni nasehla ngaphesheya kwesisindo nasesiswini. Isigulane sivame ukutshelwa ukugwinya ngenkathi i-NG ithathwa. Le nqubo ayinandaba, kodwa akufanele ibe buhlungu ngoba lokho kungabonisa ukuthi ithubhu ayifakiwe kahle.
Ngemuva kokuthi ithubhu ingene, ithimba lezokunakekela lizohlola ukuze liqiniseke ukuthi lisendaweni efanele futhi konke sekuhambeni ngendlela efanele. Enye indlela yokwenza lokhu ngokuthatha i-x ray, ezobonisa ukubekwa kwebhu. Enye indlela ukusebenzisa i-tube ukwengeza noma ukususa okuqukethwe kwesisu, okungabonisa ukuthi i-tube ifakwe kahle esiswini. Ngaphandle kwe-tube kuzofakwa phansi endaweni esikhumbeni ukuze kungabikho ukulahlekelwa ngengozi.
Izinkinga ezingenzeka
Ama-tub a-NG angasebenza kakhulu ekwelapheni izimo ezithile futhi ekuhlinzekeni imithi, kodwa ayinakho imiphumela engaphansi kwe-efiselekayo. Abantu abane-tube ye-NG bangase babe nezibonakaliso ezithile ezifana nesifo sohudo, isicanucanu, ukuhlanza, noma izikhwama zesisu noma ukuvuvukala.
Izingozi
Ngenkathi ama-tubs amaningi we-NG efakwe ngaphandle kwesigameko, kunezingozi ezithile. Enye yezinto ezingenzeka ngenkathi ithebhu ingeniswa ukulimala kwesifo, umphimbo, izono noma isisu. Kungenzeka ukuthi Uma i-tube ye-NG ivinjelwe noma ichithekile, noma uma ivela endaweni, kungaba nezinkinga ezingaphezulu. Kukhona futhi ukuthi kungenzeka noma yikuphi ukudla noma imithi efakazwa ngaphakathi kwipayipi ukuze ivuselelwe noma ingene emaphashini (i- aspirated ). Abaqeqeshiwe bezempilo ababeka amathoyizi asezindaweni eziphuthumayo baqeqeshwe ukuba babheke noma yiziphi izinkinga ezingenzeka.
Ngabe i-NG Tube izwa kanjani
Iningi leziguli ziyavuma ukuthi i-NG tube iyinto enzima yokubhekana nayo, futhi ingase ingakhathazeki, ikakhulukazi lapho ifakwa.
Kodwa-ke, kungasiza ekuvimbeleni ukuhlinzeka kwezinye izimo, njengokungavinjelwa kwamathumbu. Akumnandi, kodwa akufanele kube buhlungu. I-tube ye-NG yesikhashana, ngakho-ke iyobe isendaweni kuphela uma nje kudingeka, okuyinto, ezimweni eziningi kungenzeka kuphela izinsuku ezimbalwa.
Imithombo:
UNelson R, u-Edwards S, i-Tse B. "Ukuchithwa kwe-prophylactic nasogastric emva kokuhlinzwa kwesisu." I-Cochrane Database Syst Rev. 2007 Jul 18; (3): CD004929.
I-Medscape. Shlamovitz GZ, Kate V. "Intubation Nasogastric." Emedicine.Medscape.com. 7 Agasti 2015.