I-tube yogundas (NG) yinkampu eguquguqukayo yerubha okanye iplastiki edlulayo kwiipumlo, phantsi kwe-esophagus, nase kwisisu. Ingasetyenziselwa ukususa izinto ukusuka okanye ukuzongeza kwisisu. I-tube ye-NG isetyenziselwa ukuba isetyenziswe ngokusisigxina kwaye asiyiyo ukusebenzisa ixesha elide.
Iibhubhu ze-NG emva kokuhlinzwa ngenxa yesifo sesibindi (IBD) esisetyenziselwa ukuba siqhelekileyo kwaye safakwa njengento.
Ngoku kucinga ukuba i-tube ye-NG ayisoloko ifunekayo kuyo yonke into yokuhlinzwa okanye kuyo yonke isigulane. Ngaphambi kokuhlinzwa, xubusha i-NG ngogqirha ukuze ufumane ukuba umntu uya kufakwa emva kokuhlinzwa, okanye ukuba kukho nayiphi na imeko okanye iingxaki ezinokuvela eziza kuthetha ukuba ityhubhu ye-NG iyadingeka.
Kutheni ii Tub Tub zisetyenzisiwe?
Abantu abane-IBD maxa wambi banama-tubs NG afakwe ngamanye amaxesha, ingakumbi ngelixa esibhedlele. I-tube ye-NG ingasetyenziselwa izizathu ezininzi, kuquka:
- ukulawula izondlo okanye amayeza
- ukususa utywala okanye umoya ukusuka esiswini
- ukongeza ukungafani kwisisu se-x-ray
- ukukhusela isidumbu emva kokuhlinzwa okanye ngexesha lokuphumla kwesilonda
Akunjalo wonke umntu otyunjwe kwi-IBD une-tube ye-NG: kuxhomekeke kwisizathu sokuhlinzwa kunye nesigqibo seqela elisebenzayo. Ngamanye amaxesha ii-tubes ze-NG ziyindlela yokuphatha ukukhutshwa kwamathumbu emathunjini anxulumene ne-IBD, ngaphandle kokuhlinzwa.
Kwezinye iimeko, xa umntu engakwazi ukunyamezela ukutya okuqinileyo ngomlomo, it tube ye-NG ingasetyenziselwa ukunika izondlo. Ingasetyenziselwa ukunika amayeza, enokukunceda ngokwenene kwiimeko ezithile zonyango.
Njani i-Tub Tubes
I-tube ye-NG iya kufakwa ngumsebenzi wezonyango, njengogqirha okanye umongikazi, kwaye ngokuqhelekileyo ukwenziwa esibhedlele.
Kungenziwa ngelixa isigulane silele (sihlala), kodwa senziwa rhoqo xa isigulane siphaphile. Ukusetyenzwa kwendawo yamacangci kunye ne-lidocaine okanye i-anesthetic spray ingasetyenziswa.
I-tube ye-NG ifakwe kwi-nostril kwaye iphantsi ngaphaya kwesisu kunye nesisu. Isigulane sidla ukuba sitshise ngelixa i-tube ye NG isetyenziswe. Inkqubo ayinakulungeleka, kodwa akufanele ibuhlungu kuba oko kungabonisa ukuba ityhubhu ayifakiwe ngokufanelekileyo.
Emva kokuba ityhubhu ingene, iqela lezononophelo lwezempilo liya kuhlola ukuze liqiniseke ukuba lendawo efanelekileyo kwaye yonke into iye yahamba ngendlela efanele. Enye indlela yokwenza oku kukuthatha i-x-ray, eya kubonisa ukufakwa kwebhubhu. Enye indlela ngokusebenzisa ityhubhu ukuba yonge okanye isuse ezinye izifo zesisu, ezingabonisa ukuba ityhubhu ifakwe kakuhle kwisisu. Ingaphandle kwiphubhu iya kutsalwa phantsi kwindawo yesikhumba ukwenzela ukuba ingagxothwa ngengozi.
Iingxaki
Iibhubhu ze-NG zingasebenza kakhulu ekuphatheni iimeko kunye nokulawulwa kweyeza, kodwa azinako ukufumana iziphumo ezincinci kunokuba zifuna. Abantu abane-tube ye-NG banokufumana iimpawu ezinjenge-diarrhea, i-nausea, ukuhlanza, okanye i-cramps okanye ukuvuvukala.
Iingozi
Ngelixa ezininzi ze-TB zifakwa ngaphandle kwesiganeko, kukho iingozi. Enye yezinto ezinokuthi zenzeke ngelixa ityhubhu ingeniswa ngumonakalo kwi-esophagus, throat, sinuses, okanye esiswini. Kungenzeka ukuba Ukuba i-tube ye-NG ivalwe okanye ikhutshwe, okanye xa ivela ngaphandle, kukho iingxaki ezingaphezulu. Kukho nokuba kukho nawuphi na ukutya okanye amayeza afakwa kwi-tube ukuba ibuyiswe kwakhona okanye ingene emiphungeni ( ifuthe ). Abaqeqeshi bezempilo ababeka iipasogastric tubes baqeqeshwe ukuba bajonge nayiphi na ingxaki.
Yiyiphi i-NG Tube Eyiyo
Uninzi lwezigulane ziyavuma ukuba i-tube ye-NG yinto enzima ukujongana nayo, kwaye ingenakukhathazeka, ingakumbi xa isetyenziswe.
Nangona kunjalo, kunokukunceda ukuthintela ukuhlinzwa kwezinye iimeko, ezifana nokukhutshwa kwamathumbu. Ayinakulungeleka, kodwa akufanele kube buhlungu. I-tube ye-NG yesikhashana, ngoko kuya kuba yindawo kuphela njengoko ifunekayo, leyo, kwiimeko ezininzi kunokuphela kweentsuku ezimbalwa.
Imithombo:
UNelson R, Edwards S, Tse B. "Ukuxilongwa kwe-prophylactic nasogastric emva kokuhlinzwa kwesisu." Cochrane Database Syst Rev. 2007 Julayi 18; (3): CD004929.
Medscape. Shlamovitz GZ, Kate V. "Intubation". Emedicine.Medscape.com. 7 Agasti 2015.