Yeh guide ghar walon ke liye aam maloomat hai, tibbi mashwara nahin. Feed ki qisam aur miqdar, aur kitna paani kab dena hai, yeh mareez ka doctor ya dietitian tay karta hai. Unhi ke plan par amal karein.
Aham haqaiq
- Har feed se pehle jaanchein ke tube meday mein hai: NHS ki hidayaat ke mutabiq pH strip par reading pH 5.5 ya us se kam ho, aur naak ke paas lambai ka nishan na badla ho.
- Jab tak yeh jaanch tube ki jagah ki tasdeeq na kar de, tube se kuch na dein, paani bhi nahin.
- Mareez ko 30 se 45 degree ke zaviye par bitha kar feed dein, aur us ke baad kam az kam 30 minute seedha rakhein.
- Agar mareez ko khansi aaye, dam ghute, saans lene mein mushkil ho ya qai aaye to foran feed rok dein.
Ryle’s tube feeding kya hai?
Ryle’s tube feeding nasogastric tube se khurak dene ka woh naam hai jo ghar wale aksar istemal karte hain. Yeh tube naak se hoti hui meday tak jati hai. Kisi buzurg ke liye naak ki feeding tube ko bhi kisi doosri NG tube ki tarah isi mareez ke liye bane feeding plan aur training ki zaroorat hoti hai; sirf umar se ghar walon ko yeh pata nahin chalta ke kaun si tube ya feed istemal ki jaye.
Feeding tube ke saath ghar aane se pehle
Dekh bhaal ki team se kahein ke feed dene wale fard ko sikhaye ke tube kaise jaanchni hai, feed aur paani ke schedule par kaise amal karna hai, manzoor shuda dawaiyan kaise deni hain aur naak aur munh ki dekh bhaal kaise karni hai. Likha hua plan, zaroori saaman aur masle ki soorat mein rabte ki tafseel hasil karein. Yeh guide isi training mein madad ke liye hai; is mein ghar walon ko tube dalna nahin sikhaya jata.
Har feed se pehle
- Apne haath dhoyein, aur tajweez shuda feed, saaf paani aur saaf syringe tayyar rakhein.
- Mareez ko seedha ya neem seedha, 30 se 45 degree ke zaviye par bithayein. Bilkul chit lete hue fard ko feed na dein.
- Dekh bhaal ki team ke sikhaye hue tareeqe se jaanchein ke tube ab bhi meday mein hai: naak ke paas lambai ka nishan nahin badalna chahiye, aur tube se kheenche gaye thore se namoone ki pH strip par reading pH 5.5 ya us se kam aani chahiye.
- Jab tak jaanch se yeh zahir na ho ke tube sahi jagah par hai, tube se kuch na dein, paani bhi nahin. Agar 5.5 ya us se kam reading na aaye to feed na dein; nurse ya doctor se rabta karein.
Feed ke dauran aur baad mein
- Har feed ya dawai se pehle aur baad mein, dekh bhaal ki team ki batayi hui miqdar mein paani se tube flush karein. Is se tube band nahin hoti.
- Feed usi raftar se dein jo aap ko sikhayi gayi hai, us se tez nahin.
- Feed ya flush ke baad kam az kam 30 minute tak mareez ko seedha bithaye rakhein, taake feed wapas upar na aaye.
- Tube se dawaiyan sirf usi soorat mein dein jab doctor ya pharmacist ne kaha ho ke unhein is tarah diya ja sakta hai. Kuch goliyan peesna mana hai aur kuch capsule kholna mana hai, is liye in mein se kuch bhi karne se pehle pooch lein.
Tube hil jane ka imkaan ho to dobara jaanchein
Khansi ke daure, qai, ubkai, saans lene mein mushkil ya reflux ke baad agli feed se pehle tube ki jagah dobara jaanchein, kyunke in mein se kisi se bhi tube apni jagah se hil sakti hai.
Ghar par NG tube ki rozana dekh bhaal
- Baqaida munh ki safai se munh saaf aur nam rakhein, chahe mareez munh se kuch na kha raha ho.
- Tube ko tape se achhi tarah jama kar rakhein, dheeli ho jane wali tape badlein, aur naak ki jild par zakhm ya dukhan ki jaanch karein.
- Agar tube band ho jaye to zor laga kar is mein paani na daalein aur is mein koi cheez neeche na dhakelein. Nurse se rabta karein.
Kab rukein aur madad lein
Agar feed ke dauran mareez ko khansi aaye, dam ghute, saans lene mein mushkil ho ya qai aaye to foran feed rok dein, kyunke mumkin hai feed phephron mein ja rahi ho. Agar saans ki takleef jari rahe to Rescue 1122 par call karein.
Agar tube juzvi ya mukammal taur par bahar nikal aaye to ise khud wapas andar na dhakelein aur na dobara daalein, jab tak aap ko is ki training na di gayi ho aur aap ki maharat jaanchi na gayi ho. Agar yeh feed ke dauran nikli ho to tibbi mashwara lein. Warna ise dobara lagwane ke liye nurse ya doctor se rabta karein.
Nurse se kya madad mil sakti hai
Feeding tube care ke visit mein Registered Nurse ki taraf se tube, us ke gird ki jild aur feeding plan jaanche jate hain, mehfooz hone par tajweez shuda feed, paani ya dawai di jati hai, dekha jata hai ke mareez ise kaise bardasht kar raha hai aur kisi bhi tashweesh ka record rakha jata hai. Is visit ke liye doctor ki hidayat zaroori hai, aur tajweez shuda feed aur dawaiyan ghar wale mohayya karte hain. Nurse at Home launch ki tayyari kar rahi hai aur abhi booking nahi ho rahi.