تركيب أنبوب أنفي معدي (NG) وأنبوب أنفي صائمي (NJ)

يُعد تركيب أنبوب تغذية عبر الأنف إجراءً شائعًا لدى الأطفال المصابين بالسرطان. يتم تمرير أنبوب رفيع، مرن، مجوّف عبر الأنف مرورًا بالمريء وصولاً إلى المعدة (أنبوب أنفي معدي) أو الأمعاء (أنبوب أنفي صائمي (NJ) أو أنفي اثنا عشري (ND)). ويتيح هذا إمكانية تقديم دعم التغذية والأدوية عبر أنبوب التغذية. يمكن أيضًا استخدام الأنابيب الأنفية المعدية لإزالة الهواء أو المحتويات الأخرى من المعدة.

إذا تم تركيب أنبوب التغذية باستخدام التخدير، ينبغي ألا يأكل المرضى أو يشربوا أي شيء عن طريق الفم طوال المدة المحددة قبل العملية. من المهم جدًا اتباع هذه التعليمات الخاصة بعدم تناول شيء بالفم. قد يتلقى المرضى أيضًا تعليمات الامتناع عن الأكل أو الشرب بعد الإجراء.

What to expect before nasal feeding tube placement 

NG tubes are usually placed when your child is awake. Patients who have NJ and ND tubes may get anesthesia or sedation medicines for the procedure.  

If your child is having anesthesia, they should not eat or drink anything by mouth, including candy and gum, for several hours before the procedure. This is called fasting. Your care team will tell you when your child should start fasting. You might also hear it called NPO. It is short for a Latin phrase that means “nothing by mouth." It is important to follow all fasting instructions from your care team.  

What to expect during nasal feeding tube placement 

What to expect after feeding tube placement

Nasal feeding tubes can usually be used right away once the correct placement has been confirmed. A member of your care team will go over feeding tube care and instructions. Be sure to keep a list of questions and write down information to make it easier to remember. 

Your child may be able to eat and drink by mouth with a feeding tube. Ask your care team about this.  

Risks of nasal feeding tubes

Serious problems are rare during feeding tube placement. But problems can happen. Risks include: 

• Pain or discomfort during placement 
• Reactions to anesthesia 
• Injury to the nose, throat, or digestive tract 
• Tube moving out of place 
• Tube blockage 
• Skin irritation or infection 

Care at home

Follow your care team’s instructions for tube care and use. General home care tips include: 

• Wash your hands before touching the tube. 
• Clean the skin around the nose and tape daily with mild soap and water. 
• Replace the tape if it becomes loose or dirty. 
• Flush the tube with the recommended amount of water before and after feedings or medicines. 
• Use only the type of formula or liquid medicine your care team approves. 
• Check that the tube is not pulling when your child moves. 
• Watch for redness or irritation where the tube or tape presses or rubs against the skin.   

When to call your care team

Call your child’s care team right away if you notice any of these problems: 

• Your child has trouble breathing, severe coughing, or choking. 
• There is bleeding from the nose or throat. 
• Your child has severe pain or cannot swallow. 
• There are signs of infection, such as fever, redness, swelling, or pus around the nose or tape site. 
• The tube comes out or looks like it has moved out of position. 
• The tube is blocked, and you cannot flush it as instructed. 
• Your child vomits repeatedly or has stomach pain that does not go away. 

Questions to ask your care team

• Why does my child need this type of feeding tube? 
• How long will my child need the tube? 
• Will my child be awake or asleep during placement? 
• Can I stay with my child before and after the procedure? 
• What medicines will be used to help with pain or relaxation? 
• How do I care for the tube at home? 
• Can my child eat or drink by mouth while they have a feeding tube? 
• How often will the tube need to be changed? 
• Are there any activities my child should avoid? 

المحتوى ذو الصلة