A nasogastric (NG) tube ndiyo inogadziriswa purasitiki yemarara kana epurasitiki iyo inopfuvura nemumhino, ichidzika nepamuviri, uye mudumbu. Inogona kushandiswa kubvisa zvinhu kubva kana kuwedzera kwavari mudumbu. An tube NG inongoratidzwa kushandiswa kwenguva pfupi uye haisi yekushandisa kwenguva refu.
NG mavhiri mushure mekuvhiyiwa kwechirwere chechirwere chirwere (IBD) chakashandiswa kuva chakajairika uye chakaiswa sechinhu chaicho.
Iko zvino inofungidzirwa kuti tube yeB NG haisi nguva dzose inodiwa kune marudzi ese ekuvhiya kana kune murwere wese. Usati wambovhiyiwa, kurukurai NG tube nechiremba wokuvhiya kuti uone kana munhu akazoiswa mushure mekuvhiyiwa, kana kana pane mamiriro ezvinhu kana zvinetso zvinogona kusimuka izvo zvinoreva kuti tube NG inodiwa.
Nei NG NG Zvipembenene Zvishandiswa?
Vanhu vane IBD dzimwe nguva vane NG tubes yakaiswa pane dzimwe nguva, kunyanya iri muchipatara. An tube NG inogona kuiswa munzvimbo dzakasiyana-siyana, kusanganisira:
- kutungamirira mishonga kana mishonga
- kubvisa zvinwiwa kana mhepo kubva mudumbu
- kuwedzera kusiyanisa nemudumbu kune x-ray
- kudzivirira chifukidzo mushure mekuvhiyiwa kana panguva yekuzorora kwemuviri
Havasi vose vanovhiya IBD vanewo NG tube: zvinoenderana nechikonzero chekuvhiyiwa uye chisarudzo cheboka rekuvhiya. Dzimwe nguva NG tubes inzira yekurapa mucheche wemukati unobatanidza neBD, pasina kuita chirwere.
Mune zvimwe zviitiko, kana munhu asingagoni kubvumira kudya kwakasimba nemuromo, tube ye NG ingashandiswa kupa mishonga. Inogonawo kushandiswa kupa mishonga, iyo inogona kubatsira chaizvo kune dzimwe mamiriro ezvehutano.
Nzira NG Tubes Inoiswa Sei
An tube NG ichaiswa neyanzvi hwehutano, sachiremba kana mukoti, uye zvinowanzoitwa muchipatara.
Zvinogona kuitwa apo murwere akarara (sedated), asi inowanzoitwa kana murwere akamuka. Dunhu rekugara kwemhino nehuddineine kana kuti anesthetic spray rinogona kushandiswa.
Iyo tube NG inosungirirwa kusvika mumumhino uye pasi necheputi uye mudumbu. Murwere anowanzotaurirwa kuti amedze apo NG tube iri kuiswa. Nzira yacho hainzwisisiki, asi haifaniri kunge inorwadza nokuti iyo inogona kuratidza kuti tube haina kuiswa zvakanaka.
Mushure mokunge tube iri mukati, sangano rehutano rinotarisa kuti rive nechokwadi chokuti riri munzvimbo yakarurama uye zvose zvaenda sezvazvakakodzera. Imwe nzira yekuita izvi ndeyokutora x-ray, iyo icharatidza kuiswa kwei tube. Imwe nzira ndeyokushandisa tipe kuti uwedzere kana kubvisa zvimwe zvemuviri mukati, izvo zvinogona kuratidza kuti tube inonyatsoiswa mudumbu. Iko kunze kwehuputi ichagadzirirwa pasi panzvimbo yeganda kuitira kuti irege kusunungurwa pangozi.
Zvichida Matambudziko
NG tubes inogona kuva yakakosha mukurapa mimwe mamiriro ezvinhu uye mukurapa mishonga, asi haisi kunze kwekukwanisa kune zvimwe zvishoma-kupfuura-zvinoda kuwanikwa. Vanhu vane tube yeNG vanogona kuwana zvimwe zviratidzo zvakadai sehara, kusuruvara, kurutsira, kana kumapfupa emimba kana kuzvimba.
Dambudziko
Kunyange zvazvo vazhinji NG mabheji akaiswa pasina chero chiitiko, kune dzimwe njodzi. Chimwe chezvinhu zvinogona kuitika apo bhuti iri kuiswa kunekukuvadza kune sophagus, throir, sinuses, kana mudumbu. Zvinogoneka kuti Kana tube yeNG ichivharwa kana yakabvamburwa, kana kana ikabuda kunze, pane zvimwe zvinetso. Kunewo mukana wekuti chero chikafu kana mishonga iri kuiswa mukati me tube kuitira kuti idzoreswe kana kupinda kumapapu ( aspirated ). Vadzidzisi vehutano avo vanoisa nasogastric tubes vanodzidziswa kuti vatarise chero zvingangodaro zvinetso.
Iko NG Tube Inofanirwa Kufanana
Vakawanda vanorwara vanobvuma kuti NG tube ndiyo chinhu chakaoma kubata nayo, uye inogona kunge isina kunetseka, kunyanya kana iri kuiswa.
Kunyange zvakadaro, inogona kubatsira kudzivirira kuvhiyiwa pane dzimwe nguva, zvakadai sekuvhara mumubvu. Hazvina kunaka, asi hazvifaniri kuva zvinorwadza. An NG tube ndiyo yenguva pfupi, saka inongova yakagadzirirwa kwenguva yakareba kana ichidiwa, iyo, muzviitiko zvakawanda inogona kunge iri kwemazuva mashoma.
Sources:
Nelson R, Edwards S, Tse B. "Prophylactic nasogastric decompression mushure mekuvhiyiwa mumimba." Cochrane Database Syst Rev. 2007 Jul 18; (3): CD004929.
Medscape. Shlamovitz GZ, Kate V. "Nasogastric Intubation." Emedicine.Medscape.com. 7 Aug 2015.