Nzira yekudyisa munhu ane nasogastric tube

Zvemukati

• Nhanho nhanhatu dzekupa munhu chikafu neprobe
• Zvinyorwa zvinodiwa pakudyisa chubhu
• Kuchengeta mushure mekudyisa kuburikidza nehubhu
• Maitiro ekugadzirira chikafu chekushandisa muprobe
• Mharidzo chubhu kudyisa menyu
• Nguva yekuchinja probe kana kuenda kuchipatara

Iyo nasogastric chubhu itetetete uye inochinjika chubhu, inoiswa muchipatara kubva mumhino kusvika mudumbu, uye iyo inobvumidza kuchengetedzwa uye kupihwa mishonga kune vanhu vasingakwanise kumedza kana kudya zvakajairika, nekuda kwerumwe rudzi rwekuvhiya mukati. mukanwa nehuro nharaunda, kana nekuda kwezvirwere zvinodzikira.

Kupa chikafu kuburikidza nehubhu inzira iri nyore, zvisinei, zvakakosha kutora matanho ekuchengetedza chubhu kuti isafambe uye kudzivirira chikafu kusvika pamapapu, izvo zvinogona kukonzera mabayo, semuenzaniso.

Sezvineiwo, nzira yekupa chubhu inofanirwa kugara ichidzidziswa nemuchengeti ari muchipatara, nerubatsiro uye nhungamiro yemukoti, munhu asati aenda kumba. Mune zviitiko apo munhu ane probe ari akazvimiririra, basa rekudyisa rinogona kuitwa nemunhu iyeye.

Nhanho nhanhatu dzekupa munhu chikafu neprobe

Usati watanga nasogastric chubhu yekudyisa michina, zvakakosha kugara munhu pasi kana kusimudza musana nepiro, kudzivirira chikafu kuti chisadzokere kumuromo kana kuyamwa mumapapu. Wobva watevera nhanho-nhanho:

1. Isa jira pasi peshubhu ye nasogastric kudzivirira mubhedha kana munhu kubva kuzvimedu zvezvikafu zvinogona kuwira kubva mujekiseni.

2. Peta muromo wepasogastric tube, uchisvinira zvine simba kuitira kuti pasave nemhepo inopinda mutepu, sezvakaratidzwa mumufananidzo, wobvisa kapu yacho, uchiisa pamucheka.

3. Pinza muromo wepasirinji ye100 ml mukuvhurika kwesprobe, tambanudza chubhu uye udhonza iyo plunger kuti usve mvura irimo mudumbu.

Kana zvichikwanisika kuyamwa inopfuura hafu yehuwandu hwemvura kubva muchikafu chekare (anenge 100 ml) zvinokurudzirwa kupa munhu iyeye gare gare, kana zvirimo zviri pasi pe50 ml, semuenzaniso. Izvo zvinoshuvira zvemukati zvinofanirwa kugara zvichidzoserwa mudumbu.

4. Peta muromo wepasogastric chubhu kumashure uye umisimbise zvakasimba kuti pasave nemhepo inopinda mutepu painobvisa sirinji. Tsiva chivharo usati waburitsa probe.

5. Zadza sirinji nechikafu chakatswanywa uye chakamanikidzwa, wochidzosera muchirongwa, uchikotama chubhu usati wabvisa kapu. Chikafu hachifanirwe kunge chakanyanya kupisa kana kutonhora zvakanyanya, sezvo chinogona kukonzera kupisa kwemhepo kana kupisa kana chasvika mudumbu. Mishonga inogona zvakare kusanganiswa nechikafu, uye zvinokwanisika kupwanya mapiritsi.

6. Tambanudza chubhu zvakare uye zvishoma nezvishoma pusha pini yesirinji, uchidurura iyo 100 ml mumaminitsi angangoita matatu, kudzivirira chikafu kupinda mudumbu nekukurumidza. Dzokorora nhanho iyi kusvikira wapedza kufudza chikafu chose, uchipeta nekukanda probe nekapu nguva dzese paunobvisa sirinji.

Mushure mekudyisa munhu zvakakosha kugeza jekiseni uye nekuisa kanokwana 30 ml yemvura muprobe yekugeza chubhu uye kudzivirira kuti irege kuzara. Nekudaro, kana mvura isati yadirwa kuburikidza nesprobe, unogona kushambidza probe neinosvika 70 ml yekudzivirira kupera mvura mumuviri.

Pamusoro pechikafu, zvakakosha kuti urangarire kupa magirazi mana kusvika kumatanhatu emvura pazuva kuburikidza nehubhu, kana chero nguva munhu aine nyota.

Zvinyorwa zvinodiwa pakudyisa chubhu

Kuti udyise zvakanaka munhu ane nasogastric chubhu zvakakosha kuve nezvinhu zvinotevera:

• 1 100 ml sirinji (yekudyisa sirinji);
• 1 girazi remvura;
• 1 jira (kusarudza).

Iyo sirinji yekudyisa inofanira kushambidzwa mushure mekushandisa kwega kwega uye inofanira kuchinjwa kanokwana kwega kwega mavhiki maviri kune imwe nyowani, inotengwa kukhemisi.

Uye zvakare, kudzivirira kuti probe isavharike, uye zvinodikanwa kuchichinja, chete zvekudya zvine mvura, senge muto kana mavitamini, semuenzaniso, ndizvo zvinofanirwa kushandiswa.

Kuchengeta mushure mekudyisa kuburikidza nehubhu

Mushure mekudyisa munhu neasogastric chubhu, zvakakosha kuti vagare vakagara kana nemisana yavo yakasimudzwa kwemaminitsi makumi matatu, kubvumira kugaya kuri nyore uye kudzivirira njodzi yekurutsa.Nekudaro, kana zvisingaite kuti munhu agare pasi kwenguva yakareba, vanofanirwa kutenderedzwa kurudyi kuremekedza chimiro chedumbu uye kudzivirira kusagadzikana kwechikafu.

Uye zvakare, zvakakosha kupa mvura kuburikidza nehubhu nguva dzose uye nekuchengetedza hutsanana hwemurwere nekuti, kunyangwe kana dzisingape chikafu kuburikidza nemuromo, mabhakitiriya anoenderera mberi achikura, izvo zvinogona kukonzera mhango kana thrush, semuenzaniso. Ona nzira yakapusa yekusuka mazino emunhu akarara pamubhedha.

Maitiro ekugadzirira chikafu chekushandisa muprobe

Kudya kune nasogastric chubhu, inonzi iyo enteral chikafu, inogona kuitwa nechero chero rudzi rwechikafu, zvisinei, zvakakosha kuti chikafu chakabikwa zvakanaka, chakapwanywa mu blender uyezve chakamanikidzwa kubvisa zvidimbu zvefibre izvo zvinogona kupedzisira zvavhara. chirongwa. Uye zvakare, majusi anofanirwa kugadzirwa mukati meiyo centrifuge.

Sezvo yakawanda yefaibha inobviswa muchikafu, zvakajairika kuti chiremba vakurudzire kushandiswa kwekuwedzera kwekuvaka muviri, uko kunogona kuwedzerwa uye kusanganiswa mukugadzirira kwekupedzisira kwechikafu.

Kune zvekare zvekugadzirira-kudya, senge Fresubin, Cubitan, Nutrirink, Nutren kana Diason, semuenzaniso, izvo zvinotengwa mumafamasi muhupfu fomu kuti isanganiswe mumvura.

Mharidzo chubhu kudyisa menyu

Uyu muenzaniso menyu ndeimwe sarudzo yekudya kwezuva kune munhu anoda kupihwa chikafu nasogastric chubhu.

• Kudya kwemangwanani - Liquid manioc porridge.
• Collation - Strawberry vhitamini.
• Kudya -Karoti, mbatatisi, manhanga uye sosi nyama nyama. Chinwiwa cheranjisi.
• Kudya - Avocado Smoothie.
• Kudya - Koliflower muto, pasi huku uye pasta. Acerola muto.
• Chirairo -Liquid yogati.

Uye zvakare, zvakakosha kupa murwere mvura kuburikidza neprobe, ingangoita 1.5 kusvika 2 litita zuva rese uye kwete kushandisa mvura kungogeza probe.

Nguva yekuchinja probe kana kuenda kuchipatara

Mazhinji nasogastric machubhu anoshingirira uye, nekudaro, anogona kuramba ari munzvimbo kweanenge mavhiki matanhatu akateedzana kana sekurairwa nachiremba.

Uye zvakare, zvakakosha kuti uchinje probe uye uende kuchipatara pese panobvunzwa nzvimbo uye chero paya pakavharwa.