Kariya don kula da abinci mai gina jiki

Kariyar don kula da abinci mai gina jiki na ciki sune kamar haka:
1. Tabbatar cewa maganin gina jiki da kayan aikin jiko suna da tsabta kuma ba su da lafiya
Ya kamata a shirya maganin gina jiki a cikin yanayi mara kyau, sanya shi a cikin firiji da ke ƙasa da 4 ℃ don ajiya na ɗan lokaci, kuma a yi amfani da shi cikin sa'o'i 24. Akwatin shirye-shiryen da kayan aikin jiko ya kamata a kiyaye su da tsabta da kuma bakararre.

2. Kare mucous membranes da fata
Marasa lafiya tare da bututun nasogastric na dogon lokaci ko bututun hanji suna da saurin kamuwa da gyambo saboda ci gaba da matsa lamba akan hanci da pharyngeal mucosa. A rika shafa man shafawa a kullum domin kiyaye kogin hanci da mai da kuma kiyaye fatar da ke kusa da yoyon fitsari da bushewa.

3. Hana buri
3.1 Matsar da bututun ciki kuma kula da matsayi; kula da hankali na musamman don kula da matsayi na bututun nasogastric yayin jiko na maganin abinci mai gina jiki, kuma kada ku motsa shi zuwa sama, zubar da ciki yana jinkirin, kuma an shayar da maganin gina jiki daga bututun nasogastric ko gastrostomy Mai haƙuri yana ɗaukar matsayi na wucin gadi don hana reflux da buri.
3.2 Auna yawan ragowar ruwa a cikin ciki: yayin jiko na maganin gina jiki, zubar da ragowar adadin a cikin ciki kowane awa 4. Idan ya fi 150ml, ya kamata a dakatar da jiko.
3.3 Lura da Jiyya: Lokacin jiko maganin abinci mai gina jiki, yakamata a lura da halayen mai haƙuri a hankali. Da zarar tari, tari na samfuran maganin abinci na gina jiki, shaƙewa ko ƙarancin numfashi ya faru, ana iya ƙaddara shi azaman buri. Ƙarfafa wa mara lafiya tari da shaƙatawa. , Idan ya cancanta, cire abin da aka shaka ta hanyar bronchoscope.

4. Hana matsalolin ciki
4.1 Matsalolin catheterization:
4.1.1 Nasopharyngeal da raunin mucosal na esophageal: Ana haifar da shi ta hanyar bututu mai wuyar gaske, rashin aiki mara kyau ko tsawon lokacin intubation;
4.1.2 Toshewar bututun bututu: Yana faruwa ne ta hanyar lumen da yake da siriri sosai, maganin sinadirai yana da kauri sosai, rashin daidaito, damtse, kuma yawan kwararar ya yi jinkiri.
4.2 Ciwon ciki: tashin zuciya, amai, ciwon ciki, ciwon ciki, gudawa, maƙarƙashiya, da sauransu, waɗanda ke haifar da yanayin zafi, saurin gudu da tattarawar maganin gina jiki da rashin dacewa da matsa lamba osmotic da ke haifar da shi; gurɓataccen bayani na abinci mai gina jiki yana haifar da ciwon hanji; Magunguna suna haifar da ciwon ciki da gudawa.
Hanyar rigakafin:
1) Natsuwa da matsa lamba na osmotic na shirye-shiryen abinci mai gina jiki: Matsakaicin yawan abubuwan gina jiki taro da matsa lamba na osmotic na iya haifar da tashin zuciya, amai, ciwon ciki da gudawa. Farawa daga ƙananan maida hankali, gabaɗaya farawa daga 12% kuma a hankali yana ƙaruwa zuwa 25%, ƙarfin yana farawa daga 2.09kJ/ml kuma yana ƙaruwa zuwa 4.18kJ/ml.
2) Sarrafa ƙarar ruwa da saurin jiko: farawa da ƙaramin adadin ruwa, ƙarar farko shine 250 ~ 500ml/d, kuma a hankali ya kai cikakken ƙara a cikin sati 1. Adadin jiko yana farawa daga 20ml/h kuma a hankali yana ƙaruwa zuwa 120ml/h kowace rana.
3) Sarrafa zazzabi na maganin abinci mai gina jiki: zafin zafin jiki bai kamata ya yi girma ba don hana ƙonewa na ƙwayar gastrointestinal. Idan ya yi ƙasa sosai, yana iya haifar da kumburin ciki, ciwon ciki, da gudawa. Ana iya dumama shi a wajen bututun da ke kusa da bututun ciyarwa. Gabaɗaya, ana sarrafa zafin jiki a kusan 38 ° C.
4.3 Rikicin kamuwa da cuta: Ciwon huhu yana haifar da rashin daidaituwa na catheter jeri ko ƙaura, jinkirin ɓarnawar ciki ko haɓakar ruwa mai gina jiki, magunguna ko cututtukan neuropsychiatric waɗanda ke haifar da ƙarancin reflexes.
4.4 Rikicin metabolism: hyperglycemia, hypoglycemia, da rikice-rikice na electrolyte, wanda ya haifar da rashin daidaituwa na abinci mai gina jiki ko dabarar abubuwan da ba ta dace ba.

5. Kula da bututun ciyarwa
5.1 Gyara da kyau
5.2 Hana karkatarwa, naɗewa, da matsawa
5.3 Tsaftace da bakararre
5.4 Yin wanka akai-akai