Ngongo kai Gastrostomy - bolus

Ko te ngongo gastrostomy (G-ngongo) to tamaiti he ngongo motuhake kei roto i te kopu o to tamaiti ka awhina i te kawe kai me nga rongoa kia taea ra ano e to tamaiti te ngau me te horomia. Ma tenei tuhinga e whakaatu ki a koe nga mea me mohio koe ki te whangai i to tamaiti ma te ngongo.

Ko te ngongo gastrostomy (G-ngongo) to tamaiti he ngongo motuhake kei roto i te kopu o to tamaiti ka awhina i te kawe kai me nga rongoa kia taea ra ano e to tamaiti te ngau me te horomia. I etahi wa, ka whakakapihia e te paatene, e kiia ana ko te Paatene Bard, te MIC-KEY ranei, 3 ki te 8 wiki i muri o te pokanga.

Ma enei whangai e awhina to tamaiti kia pakari kia hauora hoki. He maha nga maatua i mahi i tenei me nga hua pai.

Ka waia koe ki te whangai i to tamaiti ma te ngongo, te patene ranei. Ka rite ki te wa e rite ana ki te whangai auau, tata ki te 20 ki te 30 meneti. E rua nga huarahi hei whangai ma te punaha: te tikanga pueru me te tikanga taumaha. Kei raro nei nga tikanga e whakaahuatia ana. Kia mahara ki te whai i nga tohutohu katoa i tukuna atu e to kaiwhakaora hauora ki a koe.

Ma te Kaiwhakarato e whakaatu ki a koe te ranunga tika o te raarangi, te whakaranu whakaranu ranei hei whakamahi, me te maha o nga waa hei whangai i to tamaiti. Kia rite tenei kai i te mahana o te ruuma i mua i to tiimata, ma te kawe atu i te pouaka whakamātao mo te 30 ki te 40 meneti. Kaua e taapirihia he tauira, he kai totoka ranei i mua i to korero ki te kaiwhakarato a to tamaiti.

Ko nga putea whangai me whakarereke ia 24 haora. Katoa o nga taputapu ka taea te horoi ki te wai wera, hopi ka whakairihia kia maroke.

Kia maumahara ki te horoi i o ringaringa i nga wa katoa kia kore ai e horapa atu nga iroriki. Kia pai te tiaki i a koe ano, kia pai ai to noho marie me te pai, me te aro atu ki nga taumahatanga.

Ka horoi e koe to kiri o to tamaiti huri noa i te ngongo G-1 ki te 3 wa i te ra me te hopi ngawari me te wai. Whakamātauria ki te tango i tetahi rerenga wai ranei, i te kiri ranei o te ngongo. Kia ngawari Kia maroke te kiri ma te tauera ma.

Kia ora te kiri i roto i te 2 ki te 3 wiki.

Akene kei te hiahia pea to kaiwhakarato ki a koe kia whakanohoia e koe he papa ngongo motuhake he whara ranei ki te takotoranga ngongo G. Me whakarereke tenei i ia ra, ki te makuku ranei ka poke.

Kaua e whakamahia he hinu, he paura, he miihini ranei huri noa i te ngongo G te kore e kii mai na to kaiwhakarato.

Kia mahara ki to tamaiti e noho ana i runga i o ringaringa, i tetahi tuuru teitei ranei.

Mena ka tangi a tamaiti, ka tangi ranei ia i te wa e whangai ana, ka whakawiri i te ngongo ki o maihao ki te aukati i te whangai kia marino ra ano to tamaiti.

Ko te wa whangai he waa hapori, he waa koa. Kia pai, kia ngahau. Ka pai ki to tamaiti te korero ngawari me te takaro.

Ngana ki te aukati i to tamaiti kia kaua e kukume i te ngongo.

I te mea kaore ano i te whakamahia e to tamaiti to waha, ka korerohia e to kaiwhakarato etahi atu huarahi ka taea e to tamaiti te ngote me te whakawhanake i nga uaua o te waha me te kauae.

Ka whakaatuhia e to kaiwhakarato te huarahi pai ki te whakamahi i to punaha me te kore e uru te hau ki roto i nga ngongo. A pee i enei kaupae i te tuatahi:

• Horoia o ringaringa.
• Kohikohia au taputapu (huinga kai, huinga whakaroanga mena e hiahiatia ana mo te paatene G te MIC-KEY ranei, te ipu ine me te pungarehu, te kai o te temahana ruuma, me te karaihe wai).
• Tirohia mena e mahana ana to kai, to kai ranei, i te mahana ranei o te ruuma ma te tuku i etahi riiki ki to ringa.

Mena he ipu-ngongo to tamaiti, katia te rawhi i runga i te ngongo kai.

• Whakairihia te peeke ki runga ake i te matau ka pehi i te ruakari whakaheke i raro o te peke kia whakakiihia ki te haurua o te kai.
• Muri iho, whakatuwherahia te rawhi kia kapi ai te kai i te ngongo roa kaore he hau e toe i roto i te ngongo.
• Katia te rawhi.
• Whakauruhia te pouaka ki roto i te ipu-G.
• Whakatuwherahia ki te rawhi me te whakatika i te reeti kai, whai i nga tohutohu a to kaiwhakarato.
• Ka mutu ana te whangai, ka kii pea to tapuhi kia whakauruhia e koe he wai ki te ngongo hei tuku atu ki waho.
• Katahi ka tikina nga ngongo G ki te ngongo, ka tangohia te punaha kai.

Mena kei te whakamahi koe i te paatene G-MIC-KORE ranei, punaha:

• Whakapirihia te ngongo kai ki te punaha whangai i te tuatahi, ka whakakii ki te kai, ki te kai ranei.
• Tukua te rawhi ina rite ana koe ki te whakatika i te reeti kai, whai i nga tohutohu a to kaiwhakarato.
• Ka mutu ana to whangai, ka tohu pea to kaiwhakarato kia whakauru koe i te wai ki roto i te ngongo ki te paatene.

Ma to kaiwhakarato koe e ako te huarahi pai ki te whakamahi i to punaha me te kore e uru te hau ki roto i nga ngongo. Whaaia nga hikoinga nei:

• Horoia o ringaringa.
• Kohikohia au taputapu (he hirau, he ngongo kai, he huinga toronga mena e hiahiatia ana mo te paatene G, te MIC-KEY ranei, me te kapu me te kohu, te kai o te ruuma o te ruuma, te wai, te roopu rapa, te miti, me te pou haumaru
• Tirohia mena e mahana ana to kai, to kai ranei, i te mahana ranei o te ruuma ma te tuku i etahi riiki ki to ringa.

Mena he ngongo-ngongo to tamaiti:

• Whakauruhia te hikoi ki te pito tuwhera o te ngongo kai.
• Ringihia te tauira ki roto i te putiputi, kia tae ki te haurua o te waa, ka unuhia ai te ngongo.

Mena kei te whakamahia e koe he paatene G-MIC-KORE ranei, punaha:

• Whakatuwherahia te taapiri ka whakauru i te ngongo kai poipoi.
• Whakauruhia te syringe ki te pito tuwhera o te huinga toronga ka kapi i te huinga toronga.
• Ringihia nga kai ki roto ki te hinu o te heramana tae noa ki te haurua o te wa. Tangohia te waahanga taapiri kia whakakiihia ki tonu i te kai ka kati ano i te rawhi.
• Whakatuwherahia te paatene paatene ka hono i te huinga toronga ki te paatene.
• Whakakorehia te waahanga taapiri kia tiimata te whangai.
• Kia mau ki te pito o te pute o te peke ki runga ake i nga pakihiwi o to tamaiti. Mena kaore i te rere nga kai, ka kotia te ngongo ki nga whiu o raro kia heke iho ai nga kai.
• Ka taea e koe te takai i te peapa rapa ki te taha o te hirau ka tiakina ki te tihi o to koti kia kore ai o ringaringa.

Ka mutu ana te whangai, ka kii pea to tapuhi kia whakauruhia e koe he wai ki te ngongo hei tuku atu ki waho. Katahi ka tikina nga ngongo G ki te ngongo me te punaha whangai, ka nekehia atu. Mo te paatene G ranei te MIC-KATU, ka kati i a koe te rawhi ka tango i te ngongo.

Mena ka pakeke te kopu o to tamaiti, ka pupuhi ranei i muri o te whangai, ngana ki te whakaputa, ki te tarai ranei i te ngongo, paatene ranei:

• Taapirihia he pihi hirikiri ki te ngongo-G ka unuhia kia pai ai te rere o te hau.
• Whakapirihia te toronga kua taatatia ki te patene MIC-KATU ka tuwhera i te ngongo kia puta te hau.
• Tonoa atu ki to kaiwhakarato mo tetahi ngongo ngongo motuhake mo te tanu i te Pene Pato.

I etahi wa ka hiahia pea koe ki te tuku rongoa ki to tamaiti ma te ngongo. Whaaia enei aratohu:

• Ngana ki te tuku rongoa i to tamaiti i mua i te whangai kia pai ai tana mahi. Ka tonoa pea koe ki te tuku rongoa i to tamaiti i runga i te kopu waatea i waho o te kai.
• Me waipiro te rongoa, kia maru ranei, kia rewa ki te wai, kia kore ai e aukatia te ngongo. Tirohia ki to kaiwhakarato, ki to kaimuku ranei me pehea e mahi ai tenei.
• Panuihia te ngongo me te wai iti i waenga o nga rongoa. Ma tenei ka mohio ka uru katoa nga rongoa ki te kopu kaore e waiho ki te ngongo kai.
• Kaua rawa e whakaranu i nga rongoa.

Karangahia te kaiwhakarato a to tamaiti mena ko to tamaiti:

• Te ahua hiakai i muri o te whangai
• He korere i muri i te whangai
• He puku pakeke tona, ka pupuhi 1 haora i muri i te whangai
• Te ahua nei kei te mamae
• He panoni i o raatau ahua
• Kei runga rongoa hou
• He kōpipiri, he haere pakeke, maroke tueke

Karangahia hoki mena:

• Kua puta te ngongo kai, ana kaore koe e mohio me pehea te whakakapi.
• He turuturu huri noa i te ngongo te punaha ranei.
• He whero he riri ranei kei runga i te kiri o te taha o te ngongo.

Te whangai - te ngongo gastrostomy - bolus; Ngongo-ngongo - bolus; Pato Gastrostomy - bolus; Paatene Bard - bolus; MIC-KY - bolus

La Charite J. Te kai totika me te tipu. I roto i: Kleinman K, Mcdaniel L, Molloy M, eds. Harriet Lane Handbook, Te. 22nd ed. Philadelphia, PA: Elsevier; 2021: chap 21.

LeLeiko NS, Shapiro JM, Cerezo CS, Pinkos BA. Te kai totika whakauru. I roto i: Wyllie R, Hyams JS, Kay M, eds.Pediatric Gastrointestinal me te Mate ate. 6 ed. Philadelphia, PA: Elsevier; 2021: chap 89.

Samuels LE. Nasogastric me te whangainga ngongo ngongo. I roto i: Roberts JR, Custalow CB, Thomsen TW, eds.Roberts me Hedges ’Nga Tikanga Haumanu mo te Maimoatanga ohorere me te Tiakitanga Tino. Ed 7. Philadelphia, PA: Elsevier; 2019: chap 40.

Paetukutuku UCSF Tari Waka. Ngongo Gastrostomy. pokanga.ucsf.edu/conditions--procedures/gastrostomy-tubes.aspx Whakahoutia 2018. Kua uru ki Hanuere 15, 2021.

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