He pule hoʻomaopopo ʻana i ka paipu hānai
Ma 2011, ka Kahuna Hoʻonaʻauao Tube Feeding (FTAF) i hoʻokuʻu ʻia i ka Week Feeding Tube Awareness Week mua makahiki:
"ʻO ka misionari o ka Awareness Week ka hoʻolaha ʻana i nā pōmaikaʻi maikaʻi o ka hānai ʻana i nā paipu e like me ke ola olakino. E aʻo ana ka pule i ka lehulehu e pili ana i nā kumu lapaʻau e hānai ʻia ai nā keiki a me nā pākeke, nā pilikia a nā ʻohana e kū nei, a me ke ola o kēlā me kēia lā me ka hānai paipu. Hoʻopili ʻo Feeding Tube Awareness Week® i nā ʻohana ma ka hōʻike ʻana i ka nui o nā ʻohana ʻē aʻe e hele nei i nā mea like a me ka hoʻohaʻahaʻa ʻana i ka poʻe.
Ma mua o ka hānau ʻia ʻana o kaʻu kaikamahine, ʻo Romy, i Nowemapa 2019, ʻaʻole wau i ʻike nui e pili ana i ka hānai ʻana i nā paipu a ʻaʻole au i ʻike i kahi mea hoʻohana. Ua loli nā mea a pau i ko mākou kokoke ʻana i ka hōʻailona 50-lā o kā mākou neonatal intensive care unit (NICU) noho me ka ʻole o ka ʻike. I mea e hoʻokuʻu ʻia ai ʻo Romy, ua hoʻoholo mākou me kāna kauā no ka hoʻokomo ʻana i kahi paipu Gastric i loko o kona ʻōpū aʻo kāna hui mālama e hoʻāʻo e noʻonoʻo i kā mākou mau koho no ka hoʻoponopono ʻana i ke koena fistula ma waena o kona esophagus a me ka trachea. Hiki iā ʻoe ke heluhelu hou aku e pili ana i ka moʻolelo o Romy maanei!
No laila, he aha ke ʻano o ka paipu hānai? A paipu hānai he lāʻau lapaʻau i hoʻohana ʻia no ka hānai ʻana i ka mea hiki ʻole ke ʻai a inu ʻole (nau a ʻai paha). Nui nā kumu e makemake ai kekahi i ka paipu hānai, a ua loaʻa nā ʻano paipu hānai ma muli o nā pono o kēlā me kēia. Wahi a ka FATF, ua pau 350 kūlana ka mea e pono ai ke kau i kahi paipu hānai.
Hoʻokomo mua ʻia nā paipu hānai inā ʻaʻole hiki i ke kanaka ke loaʻa i ka meaʻai kūpono mai ka ʻai ʻana a me ka inu ʻana iā lākou iho no ka maʻi maʻi mau, ke kīnā, ka maʻi pōkole, a me nā mea ʻē aʻe. ola.
Nui nā ʻano like ʻole/ʻano o nā paipu hānai, akā hāʻule nā paipu āpau ma lalo o nā ʻano ʻelua:
- Nā paipu hānai wā pōkole:
- Hoʻokomo ʻia kahi paipu nasogastric (NG) i loko o ka ihu a hoʻopaʻa ʻia i ka esophagus i loko o ka ʻōpū. Hiki i kēia mau paipu ke noho ma kahi no ʻehā a ʻeono pule ma mua o ka pono e hoʻololi.
- Ua like ke ala o ka paipu orogastric (OG) me ka paipu NG akā waiho ʻia i loko o ka waha e hoʻomaka ai a hiki ke noho ma kahi no ʻelua pule ma mua o ke pani ʻia ʻana.
- ʻO nā paipu hānai lōʻihi:
- Hoʻokomo ʻia ka ʻōpū ʻōpū (g-tube) i loko o ka ʻōpū, e hāʻawi ana i ke komo pololei i ka ʻōpū, a me ke kaʻe ʻana i ka waha a me ka ʻāʻī. ʻAe kēia i ka poʻe hiki ʻole ke ale no ka loaʻa ʻana o ka meaʻai, ka wai, a me ka lāʻau lapaʻau.
- Ua like ka paipu jejunostomy (j-tube) me ka paipu g akā waiho ʻia ma ka hapakolu waena o ka ʻōpū liʻiliʻi.
Ma mua o ka hānau ʻana ʻo Romy, ʻaʻohe oʻu ʻike i ka hānai ʻana i nā paipu, a ma hope o 18 mau mahina o ka hānai ʻana iā ia ma kāna g-tube ʻehā a ʻelima mau manawa i kēlā me kēia lā, ʻaʻole wau he loea, akā eia kaʻu mau ʻōlelo aʻoaʻo ʻekolu no ka holomua g-tube:
- E mālama maʻemaʻe a maloʻo ka pae o ka stoma (g-tube). Hoʻemi kēia i ka likelika o ka maʻi a me ka hoʻokumu ʻana o ka ʻiʻo granulation.
- E hoʻololi i kāu pihi g-tube e like me ke kuhikuhi ʻana a kāu kauka. Ua loaʻa iā Romy kahi "pihi baluna," a he mea nui e hoʻololi i kēlā me kēia ʻekolu mahina. E emi ana ka pono o ka baluna i ka manawa a hiki ke kahe, no laila e hemo ke pihi g-tube mai ka stoma.
- E mālama mau i kahi pihi pani ma ka lima inā pilikia, a i ʻole e pani iā ʻoe iho ma ka home a i ʻole e lawe i ke keʻena pilikia (ER). ʻAʻole paha i loaʻa i ka ER kāu hōʻailona/nui kikoʻī i ka waihona.
Keia makahiki, He pule hoʻomaopopo ʻana i ka paipu hānai Hoʻolauleʻa ʻia ka honua mai ka Pōʻakahi, Pepeluali 6, a hiki i ka Pōʻalima, Pepeluali 10. Ma muli o kāna g-tube, ua ola kaʻu kaikamahine i kēia manawa he ʻekolu makahiki ke olakino a holomua. E hoʻomau wau i ka haʻi ʻana i kāna moʻolelo no ka hoʻonui ʻana i ka ʻike no ka hānai ʻana i nā paipu, kahi hana hoʻopakele ola no oi ma mua o 500,000 nā keiki a me nā mākua ma ʻAmelika Hui Pū ʻIa wale nō.
loulou:
feedingtubeawareness.org/condition-list/
feedingtubeawareness.org/g-tube/
nationaltoday.com/feeding-tube-awareness-week/