G/GJ tubes: What to do if your child’s feeding tube is pulled outGG/GJ tubes: What to do if your child’s feeding tube is pulled outG/GJ tubes: What to do if your child’s feeding tube is pulled outEnglishGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Abdomen;Stomach;Small IntestineDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2019-09-17T04:00:00Z7.7000000000000067.00000000000001138.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn what to do if your child's G tube or GJ tube is accidentally pulled out. </p><h2>What are feeding tubes?</h2><p>Gastrostomy tubes (G tubes) and gastrojejunostomy tubes (GJ tubes) are feeding devices. A G tube gives liquid nutrition, medication and other fluids directly into the stomach. A GJ tube gives liquid nutrition, medication and other fluids directly into the small intestine (the jejunum). Both G tubes and GJ tubes are placed through a small opening in the stomach. This opening is called a "stoma". The tunnel from the outside of the body to the stomach is called the "tract".</p><h2>What to do if your child's feeding tube is accidentally pulled out</h2><p>If your child has a <a href="/article?contentid=2908&language=english">balloon type G tube</a>, and it has accidentally pulled out, check if the balloon is broken. If the balloon is not broken, you may re-insert the balloon type G tube if you have learned how to do so. </p><p>If your child has a non-balloon type G tube or a GJ tube that has accidentally pulled out, it is important to insert a Foley type tube into the tract as soon as possible to prevent the stoma and tract from closing. </p><p>The Foley type catheter should be one size smaller than your child’s G or GJ tube. For example, if your child has a 16 FR tube, the Foley catheter should be 14 FR.</p><p>The sooner you insert the Foley catheter, the easier it will be to insert. You will need to carry the Foley catheter and emergency supplies with you at all times in case the tube is accidentally pulled out.</p><p>You will need the following emergency supplies:</p><ul><li>A Foley catheter one size smaller than your child’s tube</li><li>A wash cloth, soap and water</li><li>Water-based lubricating jelly</li><li>Tape</li><li>Sterile or distilled water</li><li>3 x 5mL slip-tip syringes – 1 filled with water to fill the balloon, 1 empty to check the pH and 1 filled with water to flush the tube </li><li>pH strips</li><li>pH colour reference guide</li><li>An adaptor or extension set </li></ul><h2>Key points</h2><ul><li>If your child’s G tube or GJ tube is accidentally pulled out, you must insert a Foley catheter into the tract as soon as possible.</li><li>You must keep the emergency supplies with your child at all times.</li><li>The Foley catheter should be one size smaller than your child’s G tube or GJ tube.</li><li>If your child’s tube is accidentally pulled out within 8 weeks of when it was first put in, insert a Foley catheter but do not use the catheter for feeds, medication or fluid. Do not inflate the Foley catheter’s balloon. </li><li>If your child’s tube is accidentally pulled out after 8 weeks of when it was first put in, insert the Foley catheter. Once you verify that the Foley catheter is in the stomach, inflate the Foley catheter balloon, and use it for feeds, medication or fluid.</li><li>Stop feeding your child with the Foley catheter if they have a hard bloated stomach, severe stomach pain, vomiting, gagging, high fever, trouble breathing, or diarrhea.</li><li>If you cannot insert the Foley catheter, contact your G tube specialist or go to your nearest emergency department. </li></ul><h2>When to get medical help</h2><p>Contact your G tube specialist or go to the nearest emergency department if:</p><ul><li>you cannot insert a Foley catheter after a tube has been accidently dislodged </li><li>you cannot verify the Foley catheter is in the stomach</li><li>your child has lots of pain after the insertion of a Foley catheter</li></ul><p>Stop feeding and get medical help if your child has any of the following signs and symptoms after the Foley catheter is inserted:</p><ul><li>a hard bloated stomach</li><li>severe pain in the stomach</li><li>vomiting, coughing or gagging</li><li>sudden high fever</li><li>diarrhea</li><li>problems with feeds and liquids getting into the lungs (aspiration)</li><li>breathing problems</li></ul><div class="asset-video"> <iframe src="https://www.youtube.com/embed/7Zaz4jHLPYc?rel=0" frameborder="0"></iframe> </div><ul><li> <a href="#gtube">G tube instructions</a></li><li> <a href="#gjtube">GJ tube instructions</a></li></ul><h2 id="gtube">Inserting a Foley catheter after a G tube has been accidently pulled out</h2><p>The steps for inserting the Foley catheter are different depending on if your child’s G tube is new or if they have had it for a while. </p><h3>Within eight weeks of getting a G tube</h3><p>If your child’s G tube is accidentally pulled out within eight weeks of when it was first put in, do the following.</p> <figure> <span class="asset-image-title">Foley catheter</span> <img src="https://assets.aboutkidshealth.ca/AKHAssets/GTubes_FoleyCatheter.jpg" alt="Foley catheter showing feeding tube, feeding port, balloon port and balloon" /> </figure> <ol><li>Gather your Foley catheter and all of your emergency supplies.</li><li>Wash your hands and the skin around your child’s feeding tube with soap and water.</li><li>Lubricate the tip of the Foley catheter with the lubricating jelly. If you do not have lubricating jelly, you can wet the tip of the Foley catheter with water.</li><li>Measure the Foley catheter against your index finger. If your child weighs less than 3kg (6.6 lbs), measure about 3 to 4 cm in length. This is about half the length of your index finger. If your child weighs more than 3 kg, the tube should measure 4 to 6 cm. This is the full length of your index finger.</li><li>With your dominant hand, insert the Foley into the stoma at the length you measured. This length should be enough for the tip of the Foley catheter to reach the stomach.</li><li>Tape the Foley catheter to your child’s abdomen.</li></ol><p>Your child’s tract takes about eight weeks to heal after their tube is first inserted. Because the tract may not be completely healed, there is a risk that the Foley catheter may not be in the stomach. Therefore, do not use the Foley catheter to give your child feeds, fluids or medications. If your child cannot eat or drink by mouth, you may insert a nasogastric tube if you have been trained to do this. Contact your G tube specialist as soon as you insert the Foley catheter. If they are unavailable, go to the nearest emergency department as soon as possible.</p><h3>Eight or more weeks after getting the tube</h3><p>If your child’s G tube is pulled out eight or more weeks after it was first put in, do the following.</p><ol><li>Gather your Foley catheter and all of your emergency supplies.</li><li>Wash your hands and the skin around your child’s feeding tube with soap and water.</li><li>Lubricate the tip of the Foley catheter with the lubricating jelly. If you do not have lubricating jelly, you can wet the tip of the Foley catheter with water.</li><li>Measure the Foley catheter against your index finger. If your child weighs less than 3kg (6.6 lbs), measure about 3 to 4 cm in length. This is about half the length of your index finger. If your child weighs more than 3 kg, the tube should measure 4 to 6 cm. This is the full length of your index finger.</li><li>With your dominant hand, insert the Foley into the stoma at the length you measured. This length should be enough for the tip of the Foley catheter to reach the stomach.</li><li>Tape the Foley catheter to your child’s abdomen.</li><li>You will likely see stomach contents coming from the end of the Foley catheter. This is a good sign that the Foley catheter is in the stomach. </li><li>If you do not see stomach contents seeping out of the Foley, you will need another way to verify the Foley is in the stomach. To do this, connect a syringe to the end of the Foley catheter and pull back. You may need to use an adaptor or extension to connect the syringe to the Foley catheter. </li><li>Confirm that the Foley tube is in the stomach by checking the pH (acidity) of the stomach contents in the syringe. You can confirm that the Foley catheter is in the stomach by: <ul><li>checking that the stomach contents have a pH of 6.0 or less (see below for how to check the pH)</li><li>observing that what is in the syringe looks like stomach contents</li></ul></li><li>Flush the tube with 5 mL of water to ensure the Foley is working well. </li><li>Fill the Foley catheter balloon with the amount of water recommended on the balloon port of the tube. Use only sterile or distilled water. This will help to keep the Foley tube in place while you are feeding your child. </li><li>Close the Foley catheter with either a catheter plug, the plunger of the syringe or an extension set. </li></ol><p> <strong>Do not use the Foley catheter to feed or give liquids or medications until you confirm it is in the right place</strong>. Contact your G tube specialist before feeding if: </p><ul><li>You cannot get stomach contents back from the Foley catheter</li><li>The pH of the stomach contents is greater than 6.0</li><li>What you pull back from the Foley does not look like stomach contents</li></ul><h2>How to check the pH of the stomach contents</h2><p>Before using the newly changed tube for feeds and medications, you will need to check that it is in the stomach by checking the pH of the contents that are pulled from the tube.</p><h3>How to check the pH</h3><p>You will need:</p><ul><li>One empty 5 mL slip tip syringe</li><li>pH strips</li><li>pH colour reference guide</li></ul><p>What to do:</p><ol><li>Attach the 5 mL syringe to the Foley catheter. You may need to use an adaptor or extension to connect the syringe to the Foley. </li><li>Pull back to get stomach contents. If you cannot get stomach contents, move your child side to side or sit them upright.</li><li>Empty the stomach contents from the syringe onto a pH strip.<br></li><li>Compare the colours on the pH strip to the colours on the reference guide. </li></ol><p> <strong>If the pH is 6.0 or less</strong>, this means the Foley catheter tube is in the stomach. You can flush the tube and use the Foley catheter for feeds, fluids and medications.</p><p> <strong>If the pH is 6.0 or higher</strong>, do not use the tube for feeds, fluids or medications because the Foley catheter may not be in the stomach. Medications and recent feedings can cause the pH to be high. If the pH is 6.0 or higher, check it again in one hour. If the reading is still higher than 6.0 after one hour, do not use the Foley catheter. Contact your G tube specialist to have the position checked. </p><h2 id="gjtube">Inserting the Foley catheter after a GJ tube has been accidently pulled out</h2><p>If your child’s GJ tube is accidentally pulled out, do the following.</p><ol><li>Gather your Foley catheter, and all of your emergency supplies. </li><li>Wash your hands and the skin around your child’s feeding tube with soap and water.</li><li>Lubricate the tip of the Foley catheter with the lubricating jelly. If you do not have lubricating jelly, you can wet the tip of the Foley catheter with water.</li><li>Measure the Foley catheter against your index finger. If your child weighs less than 3kg (6.6 lbs), measure the Foley at about 3 to 4 cm in length. This is about half the length of your index finger. If your child weighs more than 3 kg, measure 4 to 6 cm in length. This is the full length of your index finger. Hold the Foley at the length your measures with your dominant hand. </li><li>Insert the Foley into the stoma at the length your measured. This length should be enough for the tip of the Foley catheter to reach the stomach. </li><li>Tape the Foley catheter to your child’s abdomen. </li></ol><p> <strong>Do not use the Foley catheter to give your child feeds, fluids or medications.</strong> Call your G tube specialist. If they are unavailable, go to the nearest emergency department as soon as possible.</p>
ما الذي يجب أن تفعله إذا تم سحب أنبوب التغذية الخاص بطفلكمما الذي يجب أن تفعله إذا تم سحب أنبوب التغذية الخاص بطفلكWhat to do if your child’s feeding tube is pulled outArabicGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Abdomen;Stomach;Small IntestineDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2019-09-17T04:00:00Z7.7000000000000067.00000000000001138.00000000000Flat ContentHealth A-Z<p>تعلم ماذا تفعل إذا اتعرض أنبوب التغذية الخاص بطفلك للسحب.</p><h2>ما هي أنابيب التغذية؟</h2><p>أنابيب الفُغْر المَعِديّة والأنابيب المَعِديّة المِعَويّة هي أجهزة مخصصة للتغذية. أنابيب الفُغْر المَعِديّة تستخدم لإدخال الأغذية السائلة أو الأدوية أو السوائل الأخرى في المعدة بشكل مباشر. أنابيب الفُغْر المَعِديّة تستخدم لإدخال الأغذية السائلة أو الدوية أو السوائل الأخرى في المعدة بشكل مباشر. توضع أنابيب الفُغْر المَعِديّة والأنابيب المَعِديّة المِعَويّة من خلال فتحة صغيرة في المعدة. تسمى هذه الفتحة "الفُغْرة". وتسمى القناة من الخارج إلى المعدة "المجرى".</p><h2>ما الذي يجب أن تفعله إذا تعرض أنبوب التغذية الخاص بطفلك للسحب عن طريق الخطأ</h2><p>إذا تعرض <a href="/article?contentid=2908&language=arabic">أنبوب الفُغْر المَعِدي المزود ببالون</a>, للسحب عن طريق الخطأ، تحقق من عدم تعرض البالون للتلف. إذا لم يتعرض البالون للتلف، يمكنك إعادة إدخال أنبوب الفُغْر المَعِدي المزود ببالون إذا تعلمت كيفية القيام بذلك.</p><p>إذا كان لدى طفلك أنبوب فغر مَعِدي او أنبوب مَعِدي مِعَوي غير مزود ببالون وتعرض للسحب عن طريق الخطأ، من الضروري إدخال أنبوب قسطرة فولي في المجرى في أقرب وقت ممكن لمنع إغلاق الفُغْرة والمجرى.</p><p>يجب أن يكون أنبوب قسطرة فولي أصغر حجمًا من أنبوب الفُغْر المَعِدي أو الأنبوب المَعِدي المِعَوي لطفلك. على سبيل المثال، إذا كان لدى طفلك أنبوب 16 FR، يجب أن يكون أنبوب قسطرة فولي 14 FR.</p><p>كلما أسرعت في إدخال أنبوب قسطرة فولي كلما كان إدخاله أكثر سهولة. سوف يلزمك أخذ أنبوب قسطرة فولي ولوازم الطوارئ معك في جميع الأوقات في حال تم سحب الأنبوب عن طريق الخطأ.</p><p>سوف تحتاج إلى اللوازم الطارئة التالية:</p><ul><li>أنبوب قسطرة فولي أصغر حجمًا من أنبوب طفلك.</li><li>مِنشفة وصابون وماء.</li><li>مادة زيتية من الماء أو جيلي</li><li>شريط</li><li>ماء معقم أو مقطر</li><li>3 محاقن مانعة للانزلاق 5 ملل - واحدة مليئة بالماء لملء البالون، وواحدة فارغة للتحقق من درجة الحموضة، وواحدة مليئة بالماء لنفخ الأنبوب</li><li>شرائط قياس درجة الحموضة</li><li>دليل مرجعي لألون درجة الحموضة</li><li>محول أو وصلة تغذية</li></ul><p>شاهد هذا الفيديو للتعرف على كيفية إدخال انبوب قسطرة فولي بعد سحب أنبوب الفُغْر المَعِدي أو الأنبوب المَعِدي المِعَوي عن طريق الخطأ.</p><h2>النقاط الرئيسية</h2><ul><li>إذا تم سحب أنبوب الفُغْر المَعِدي أو الأنبوب المَعِدي لطفلك عن طريق الخطأ، فيجب عليك إدخال أنبوب قسطرة فولي في المجرى في أقرب وقت ممكن.</li><li>يجب أن تحتفظ بجميع اللوازم الطارئة لطفلك في جميع الأوقات.</li><li>يجب أن يكون أنبوب قسطرة فولي أصغر حجمًا من أنبوب الفُغْر المَعِدي لطفلك.</li><li>إذا تم سحب أنبوب طفلك عن طريق الخطأ في غضون 8 أسابيع من تاريخ وضعه لأول مرة، قم بإدخال أنبوب قسطرة فولي، ولكن لا تستخدم أنبوب القسطرة للتغذية أو إعطاء الأدوية أو السوائل. لا تنفخ بالون أنبوب قسطرة فولي.</li><li>إذا تم سحب أنبوب طفلك عن طريق الخطأ بعد 8 أسابيع من تاريخ وضعه لأول مرة، أدخل أنبوب قسطرة فولي. عندما تتحقق أن أنبوب قسطرة فولي في داخل المعدة، انفخ بالون أنبوب قسطرة فولي واستخدمه في التغذية أو إعطاء الأدوية أو السوائل.</li><li>توقف عن إطعام طفلك بأنبوب قسطرة فولي إذا كان يعاني من انتفاخ أو ألم شديد في المعدة أو قيء أو كِعام أو حمى شديدة أو صعوبة في التنفس أو الإسهال.</li><li>إذا لم تتمكن من إدخال أنبوب قسطرة فولي، اتصل بأخصائي أنابيب الفُغْر المَعِديّة أو اذهب إلى أقرب قسم للطوارئ.</li></ul>
如果孩子的饲管被拔出来了,怎么办如果孩子的饲管被拔出来了,怎么办What to do if your child's feeding tube is pulled outChineseSimplifiedGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Abdomen;Stomach;Small IntestineDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2019-09-17T04:00:00Z7.7000000000000067.00000000000001138.00000000000Flat ContentHealth A-Z<p>如果孩子的G管或GJ管不小心被拉了出来,学会怎么办</p><h2>什么是饲管?</h2><p>胃造口饲管(G管)和胃空肠造口饲管(GJ管)都是喂食器具。G管将营养液、药物、和其他的液状体直接灌入胃里。GJ管将营养液、药物、和其他的液状体直接灌入小肠(空肠)。G管和GJ管两者都是通过胃部的一个小开口来置入的。这个开口称作胃造口。身体外部抵达胃内部的通道就叫做“瘘管”。</p><h2>如果孩子的饲管不小心被拔出来了,怎么办</h2><p>如果孩子用的是<a href="/article?contentid=2908&language=chinesesimplified">气囊型G管</a>,已经不小心被拔出来了,检查气囊是否破裂。如果气囊没有破裂,并且您学习过如何处理,则可以将气囊型G管从新插回去。</p><p>如果孩子用的是非气囊型G管或GJ管,已经不小心被拉了出来,重要的是尽快将一根Foley类型的导管插入瘘管,以避免胃造口和瘘管闭合。</p><p>Foley导管应该比孩子的G管或GJ管小一号。例如,如果孩子用的是16号的FR饲管,则Foley导管应该是14FR。</p><p>您越早插入Foley导管,则越容易插进去。您需要随时随地地随身携带Foley导管和应急用品,以免饲管不小心被拔出来。</p><p>您需要下列的应急用品:</p><ul><li>Foley导管,比孩子的饲管小一号。</li><li>毛巾,肥皂和水</li><li>水基润滑剂或胶剂</li><li>胶带</li><li>无菌或蒸馏水</li><li>三支5毫升的滑锁型注射器 - 一支用来装水灌注气囊;一支空的用来检测pH值;一支用来装水冲洗饲管</li><li>pH试纸</li><li>pH色板</li><li>转接头或延长管组件</li> 观看这个视频,学会在G管或GJ管不小心被拔出来后,如何插入Foley导管。</ul><h2>要点</h2><ul><li>如果孩子的G管或GJ管不小心被拉了出来,您必须尽快将一根Foley导管插入瘘管之中。</li><li>您随时随地都要随身给孩子带有应急用品。</li><li>Foley导管应该比孩子的G管或GJ管小一号。</li><li>如果孩子的饲管在首次置入之后的八周内,被不小心拉了出来,插入一根Foley导管,但不要用导管来喂食、给药或喂水。不要给Foley导管的气囊充气。</li><li>如果孩子的饲管在首次置入之后的八周以后,被不小心拉了出来,插入一根Foley导管。一旦您确认Foley导管是在胃中,将Foley导管的气囊充上气,可将导管用于喂食、给药或喂水。</li><li>在下列情况下,停止用Foley导管给孩子喂食:胃部肿硬、严重胃痛、呕吐、做呕、高烧、呼吸困难或腹泻。</li><li>如果您无法插入Foley导管,联系您的G管专家或者前往最近的急诊部。</li></ul>
Qué hacer si se extrae la sonda de alimentación de su hijoQQué hacer si se extrae la sonda de alimentación de su hijoG/GJ tubes: What to do if your child’s feeding tube is pulled outSpanishGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Abdomen;Stomach;Small IntestineDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2019-09-17T04:00:00Z7.7000000000000067.00000000000001110.00000000000Flat ContentHealth A-Z<p>Sepa qué hacer si la sonda G o G-Y de su hijo se extrae accidentalmente.</p><h2>¿Qué son las sondas de alimentación?</h2><p>Las sondas de gastrostomía (sondas G) y las sondas gastroyeyunales (sondas G-Y) son dispositivos de alimentación. La sonda G proporciona nutrición líquida, medicamentos y otros fluidos directamente al estómago. Una sonda G-Y proporciona nutrición líquida, medicamentos y otros fluidos directamente al intestino delgado (el yeyuno). Tanto las sondas G como las sondas G-Y se colocan a través de una pequeña abertura en el estómago. Esta apertura se llama «estoma». El túnel desde el exterior del cuerpo hasta el estómago se llama «tracto».</p><h2>Qué hacer si se extrae accidentalmente la sonda de alimentación de su hijo</h2><p>Si su hijo tiene una <a href="/article?contentid=2908&language=spanish">sonda G con globo</a> y se ha extraído accidentalmente, verifique si el globo está roto. Si el globo no está roto, puede volver a insertar la sonda G con globo si ha aprendido cómo hacerlo.</p><p>Si su hijo tiene una sonda G sin globo o una sonda G-Y que se ha extraído accidentalmente, es importante insertar una sonda tipo Foley en el tracto lo antes posible para evitar que el estoma y el tracto se cierren.</p><p>El catéter de Foley debe ser un tamaño más pequeño que la sonda G o G-Y. Por ejemplo, si su hijo tiene una sonda de 16 FR, el catéter de Foley debe ser de 14 FR.</p><p>Entre más pronto inserte el catéter Foley, más fácil será insertarlo. Deberá llevar consigo el catéter Foley y los suministros de emergencia en todo momento en caso de que la sonda se extraiga accidentalmente.</p><p>Necesitará los siguientes suministros de emergencia:</p><ul><li>Un catéter Foley de un tamaño más pequeño que la sonda de su hijo</li><li>Una toallita, jabón y agua</li><li>Gelatina lubricante a base de agua</li><li>Cinta adhesiva</li><li>Agua destilada o estéril</li><li>3 jeringas de punta deslizante de 5 ml: 1 con agua para llenar el globo, 1 vacía para verificar el pH y 1 con agua para enjuagar la sonda</li><li>Tiras de pH</li><li>Guía de referencia de color de pH</li><li>Un adaptador o juego de extensión</li></ul><p>Vea este video para saber cómo insertar un catéter Foley después de que una sonda G o G-Y se haya extraído accidentalmente.</p><h2>Puntos claves</h2><ul><li>Si la sonda G o G-Y de su hijo se extrae accidentalmente, debe insertar un catéter Foley en el tracto lo antes posible.</li><li>Debe tener los suministros de emergencia cerca de su hijo en todo momento.</li><li>El catéter de Foley debe ser un tamaño más pequeño que la sonda G o G-Y.</li><li>Si la sonda de su hijo se extrae accidentalmente dentro de las 8 semanas posteriores a su colocación, inserte un catéter Foley, pero no lo use para alimentación, medicamentos o líquidos. No infle el globo del catéter Foley.</li><li>Si se extrae accidentalmente la sonda de su hijo después de 8 semanas de cuando se lo colocó por primera vez, inserte el catéter Foley. Una vez que verifique que el catéter de Foley está en el estómago, infle el globo del catéter de Foley y úselo para alimentos, medicamentos o líquidos.</li><li>Deje de alimentar a su hijo con el catéter Foley si tiene el estómago hinchado, dolor de estómago intenso, vómitos, náuseas, fiebre alta, dificultad para respirar o diarrea.</li><li>Si no puede insertar el catéter Foley, comuníquese con su especialista en sondas G o vaya al departamento de emergencias más cercano.</li></ul>
உங்கள் குழந்தையின் உணவூட்டல் குழாய் வெளியே இழுக்கப்பட்டால் என்ன செய்ய வேண்டும்உங்கள் குழந்தையின் உணவூட்டல் குழாய் வெளியே இழுக்கப்பட்டால் என்ன செய்ய வேண்டும் G/GJ tubes: What to do if your child’s feeding tube is pulled outTamilGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Abdomen;Stomach;Small IntestineDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2019-09-17T04:00:00Z7.7000000000000067.00000000000001138.00000000000Flat ContentHealth A-Z<p>உங்கள் குழந்தையின் G குழாய் அல்லது GJ குழாய் தற்செயலாக வெளியே இழுக்கப்பட்டால் என்ன செய்வது என்று அறியவும்.</p><h2>உணவூட்டல் குழாய்கள் என்றால் என்ன?</h2><p>காஸ்ட்ரோஸ்டமி குழாய்கள் (G குழாய்கள்) மற்றும் காஸ்ட்ரோஜெஜுனோஸ்டமி குழாய்கள் (GJ குழாய்கள்) ஆகியவை உணவூட்டல் சாதனங்களாகும். ஒரு G குழாயானது திரவ ஊட்டச்சத்து, மருந்து மற்றும் பிற திரவங்களை நேரடியாக இரைப்பைக்குள் செலுத்துகின்றது. GJ குழாய் ஒன்று திரவ ஊட்டச்சத்து, மருந்து மற்றும் பிற திரவங்களை நேரடியாக சிறுகுடலுக்குள் (ஜெஜூனம்) செலுத்துகின்றது. G குழாய்கள் மற்றும் GJ குழாய்கள் இரண்டும் வயிற்றில் ஒரு சிறிய திறப்பு வழியாக வைக்கப்படுகின்றன. இந்தத் திறப்பு "ஸ்டோமா" என்று அழைக்கப்படுகிறது. உடலின் வெளிப்புறத்திலிருந்து இரைப்பை வரையுள்ள உணவுப் பாதை "பாதை" என்று அழைக்கப்படுகின்றது.</p><h2>உங்கள் பிள்ளையின் உணவூட்டல் குழாய் தற்செயலாக வெளியே இழுக்கப்பட்டால் என்ன செய்ய வேண்டும்</h2><p>உங்கள் பிள்ளைக்கு <a href="/article?contentid=2908&language=tamil">பலூன் வகை G குழாய்</a> இருந்தால், அது தற்செயலாக வெளியே இழுக்கப்பட்டிருந்தால், பலூன் உடைந்துவிட்டதா என்று பார்க்கவும். பலூன் உடைக்கப்படாவிட்டால், அதை எப்படி செருகுவது என்று நீங்கள் கற்றுக்கொண்டிருந்தால், பலூன் வகை G குழாயை நீங்கள் மீண்டும் செருகலாம்.</p><p>உங்கள் பிள்ளைக்கு பலூன்அற்ற G குழாய் அல்லது GJ குழாய் இருந்து அது தற்செயலாக வெளியே இழுக்கப்பட்டால், ஸ்டோமா மற்றும் உணவுப் பாதை மூடப்படுவதைத் தவிர்ப்பதற்கு ஒரு ஃபோலே வகைக் குழாயை இயலுமானளவு விரைவிலே அப்பாதையில் செருகுவது முக்கியம்.</p><p>ஃபோலே வகை வடிகுழாய் உங்கள் குழந்தையின் G அல்லது GJ குழாயை விட ஒரு அளவு சிறியதாக இருக்க வேண்டும். உதாரணமாக, உங்கள் பிள்ளைக்கு 16 FR குழாய் இருந்தால், ஃபோலே வடிகுழாய் 14 FR ஆக இருக்க வேண்டும்.</p><p>ஃபோலே வடிகுழாயை எவ்வளவு விரைவில் நீங்கள் செருகுகின்றீர்களோ, அவ்வளவுக்கு செருகுவது எளிதாக இருக்கும். குழாய் தற்செயலாக வெளியே இழுக்கப்படக் கூடுமாகையால், எல்லா நேரங்களிலும் ஃபோலே வடிகுழாய் மற்றும் அவசரகாலப் பொருட்களை உங்களுடன் எடுத்துச் செல்ல வேண்டும்.</p><p>உங்களுக்குப் பின்வரும் அவசரகாலப் பொருட்கள் தேவைப்படும்:</p><ul><li>உங்கள் குழந்தையின் குழாயை விட ஒரு அளவு சிறிய ஃபோலே வடிகுழாய்</li><li>ஒரு கழுவும் துணி, சோப்பு மற்றும் நீர்</li><li>வளவளப்பாக்கும் நீர் சார்ந்த ஜெல்லி</li><li>ஒட்டுநாடா</li><li>தொற்று நீக்கிய அல்லது கொதிக்க வைத்து வடிகட்டிய நீர்</li><li>5 மிலி ஸ்லிப்-டிப் ஊசிக்குழல்கள் 3, பலூனை நிரப்ப நீரினால் நிரப்பப்பட்ட 1, pH ஐ சரிபார்க்க வெறுமையாக உள்ள 1 , குழாயை அலசிக்கழுவ நீரினால் நிரப்பப்பட்ட 1 </li><li>pH கீற்றுகள்</li><li>வண்ண pH குறிப்பு வழிகாட்டி</li><li>ஒரு அடாப்டர் அல்லது இணைப்புத் தொகுப்பு</li></ul><p>G அல்லது GJ குழாய் தற்செயலாக வெளியே இழுக்கப்பட்ட பிறகு ஃபோலே வடிகுழாயை எவ்வாறு செருகுவது என்பதை அறிய இந்த வீடியோவைப் பார்க்கவும்.</p><h2>முக்கிய குறிப்புகள்</h2><ul><li>உங்கள் குழந்தையின் G குழாய் அல்லது GJ குழாய் தற்செயலாக வெளியேற்றப்பட்டால், நீங்கள் விரைவில் ஒரு ஃபோலே வடிகுழாயை அந்தப் பாதையில் செருக வேண்டும்.</li><li>எல்லா நேரங்களிலும் உங்கள் குழந்தையுடன் அவசரகாலப் பொருட்களை வைத்திருக்க வேண்டும்.</li><li>ஃபோலே வடிகுழாய் உங்கள் குழந்தையின் G குழாய் அல்லது GJ குழாயை விட ஒரு அளவு சிறியதாக இருக்க வேண்டும்.</li><li>உங்கள் குழந்தையின் குழாய் முதன்முதலில் வைக்கப்பட்ட 8 வாரங்களுக்குள் தற்செயலாக வெளியேற்றப்பட்டால், ஃபோலே வடிகுழாயைச் செருகவும், ஆனால் உணவூட்டங்கள், மருந்துகள் அல்லது திரவங்களுக்கு வடிகுழாயைப் பயன்படுத்த வேண்டாம். ஃபோலே வடிகுழாயின் பலூனை நிரப்ப வேண்டாம்.</li><li>உங்கள் குழந்தையின் குழாய் முதன்முதலில் போடப்பட்ட 8 வாரங்களுக்குப் பின்னர் தற்செயலாக வெளியேற்றப்பட்டால், ஃபோலே வடிகுழாயைச் செருகவும். ஃபோலே வடிகுழாய் வயிற்றில் இருப்பதை நீங்கள் சரிபார்த்தவுடன், ஃபோலே வடிகுழாயின் பலூனை ஊதி, அதை உணவூட்டங்கள், மருந்துகள் அல்லது திரவத்திற்குப் பயன்படுத்தவும்.</li><li>உங்கள் பிள்ளைக்கு வயிற்றில் வாயு, கடுமையான வயிற்று வலி, வாந்தி, கசப்பு, அதிக காய்ச்சல், சுவாசிப்பதில் சிக்கல் அல்லது வயிற்றுப்போக்கு இருந்தால் ஃபோலே வடிகுழாய் மூலம் உணவூட்டுவதை நிறுத்தவும்.</li><li>நீங்கள் ஃபோலே வடிகுழாயைச் செருக முடியாவிட்டால், உங்கள் G குழாய் நிபுணரைத் தொடர்பு கொள்ளவும் அல்லது உங்கள் அருகிலுள்ள அவசர சிகிச்சைப் பிரிவுக்குச் செல்லவும்.</li></ul>

 

 

 

 

G/GJ tubes: What to do if your child’s feeding tube is pulled out2910.00000000000G/GJ tubes: What to do if your child’s feeding tube is pulled outG/GJ tubes: What to do if your child’s feeding tube is pulled outGEnglishGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Abdomen;Stomach;Small IntestineDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2019-09-17T04:00:00Z7.7000000000000067.00000000000001138.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn what to do if your child's G tube or GJ tube is accidentally pulled out. </p><h2>What are feeding tubes?</h2><p>Gastrostomy tubes (G tubes) and gastrojejunostomy tubes (GJ tubes) are feeding devices. A G tube gives liquid nutrition, medication and other fluids directly into the stomach. A GJ tube gives liquid nutrition, medication and other fluids directly into the small intestine (the jejunum). Both G tubes and GJ tubes are placed through a small opening in the stomach. This opening is called a "stoma". The tunnel from the outside of the body to the stomach is called the "tract".</p><h2>What to do if your child's feeding tube is accidentally pulled out</h2><p>If your child has a <a href="/article?contentid=2908&language=english">balloon type G tube</a>, and it has accidentally pulled out, check if the balloon is broken. If the balloon is not broken, you may re-insert the balloon type G tube if you have learned how to do so. </p><p>If your child has a non-balloon type G tube or a GJ tube that has accidentally pulled out, it is important to insert a Foley type tube into the tract as soon as possible to prevent the stoma and tract from closing. </p><p>The Foley type catheter should be one size smaller than your child’s G or GJ tube. For example, if your child has a 16 FR tube, the Foley catheter should be 14 FR.</p><p>The sooner you insert the Foley catheter, the easier it will be to insert. You will need to carry the Foley catheter and emergency supplies with you at all times in case the tube is accidentally pulled out.</p><p>You will need the following emergency supplies:</p><ul><li>A Foley catheter one size smaller than your child’s tube</li><li>A wash cloth, soap and water</li><li>Water-based lubricating jelly</li><li>Tape</li><li>Sterile or distilled water</li><li>3 x 5mL slip-tip syringes – 1 filled with water to fill the balloon, 1 empty to check the pH and 1 filled with water to flush the tube </li><li>pH strips</li><li>pH colour reference guide</li><li>An adaptor or extension set </li></ul><h2>Key points</h2><ul><li>If your child’s G tube or GJ tube is accidentally pulled out, you must insert a Foley catheter into the tract as soon as possible.</li><li>You must keep the emergency supplies with your child at all times.</li><li>The Foley catheter should be one size smaller than your child’s G tube or GJ tube.</li><li>If your child’s tube is accidentally pulled out within 8 weeks of when it was first put in, insert a Foley catheter but do not use the catheter for feeds, medication or fluid. Do not inflate the Foley catheter’s balloon. </li><li>If your child’s tube is accidentally pulled out after 8 weeks of when it was first put in, insert the Foley catheter. Once you verify that the Foley catheter is in the stomach, inflate the Foley catheter balloon, and use it for feeds, medication or fluid.</li><li>Stop feeding your child with the Foley catheter if they have a hard bloated stomach, severe stomach pain, vomiting, gagging, high fever, trouble breathing, or diarrhea.</li><li>If you cannot insert the Foley catheter, contact your G tube specialist or go to your nearest emergency department. </li></ul><h2>When to get medical help</h2><p>Contact your G tube specialist or go to the nearest emergency department if:</p><ul><li>you cannot insert a Foley catheter after a tube has been accidently dislodged </li><li>you cannot verify the Foley catheter is in the stomach</li><li>your child has lots of pain after the insertion of a Foley catheter</li></ul><p>Stop feeding and get medical help if your child has any of the following signs and symptoms after the Foley catheter is inserted:</p><ul><li>a hard bloated stomach</li><li>severe pain in the stomach</li><li>vomiting, coughing or gagging</li><li>sudden high fever</li><li>diarrhea</li><li>problems with feeds and liquids getting into the lungs (aspiration)</li><li>breathing problems</li></ul><div class="asset-video"> <iframe src="https://www.youtube.com/embed/7Zaz4jHLPYc?rel=0" frameborder="0"></iframe> </div><ul><li> <a href="#gtube">G tube instructions</a></li><li> <a href="#gjtube">GJ tube instructions</a></li></ul><h2 id="gtube">Inserting a Foley catheter after a G tube has been accidently pulled out</h2><p>The steps for inserting the Foley catheter are different depending on if your child’s G tube is new or if they have had it for a while. </p><h3>Within eight weeks of getting a G tube</h3><p>If your child’s G tube is accidentally pulled out within eight weeks of when it was first put in, do the following.</p> <figure> <span class="asset-image-title">Foley catheter</span> <img src="https://assets.aboutkidshealth.ca/AKHAssets/GTubes_FoleyCatheter.jpg" alt="Foley catheter showing feeding tube, feeding port, balloon port and balloon" /> </figure> <ol><li>Gather your Foley catheter and all of your emergency supplies.</li><li>Wash your hands and the skin around your child’s feeding tube with soap and water.</li><li>Lubricate the tip of the Foley catheter with the lubricating jelly. If you do not have lubricating jelly, you can wet the tip of the Foley catheter with water.</li><li>Measure the Foley catheter against your index finger. If your child weighs less than 3kg (6.6 lbs), measure about 3 to 4 cm in length. This is about half the length of your index finger. If your child weighs more than 3 kg, the tube should measure 4 to 6 cm. This is the full length of your index finger.</li><li>With your dominant hand, insert the Foley into the stoma at the length you measured. This length should be enough for the tip of the Foley catheter to reach the stomach.</li><li>Tape the Foley catheter to your child’s abdomen.</li></ol><p>Your child’s tract takes about eight weeks to heal after their tube is first inserted. Because the tract may not be completely healed, there is a risk that the Foley catheter may not be in the stomach. Therefore, do not use the Foley catheter to give your child feeds, fluids or medications. If your child cannot eat or drink by mouth, you may insert a nasogastric tube if you have been trained to do this. Contact your G tube specialist as soon as you insert the Foley catheter. If they are unavailable, go to the nearest emergency department as soon as possible.</p><h3>Eight or more weeks after getting the tube</h3><p>If your child’s G tube is pulled out eight or more weeks after it was first put in, do the following.</p><ol><li>Gather your Foley catheter and all of your emergency supplies.</li><li>Wash your hands and the skin around your child’s feeding tube with soap and water.</li><li>Lubricate the tip of the Foley catheter with the lubricating jelly. If you do not have lubricating jelly, you can wet the tip of the Foley catheter with water.</li><li>Measure the Foley catheter against your index finger. If your child weighs less than 3kg (6.6 lbs), measure about 3 to 4 cm in length. This is about half the length of your index finger. If your child weighs more than 3 kg, the tube should measure 4 to 6 cm. This is the full length of your index finger.</li><li>With your dominant hand, insert the Foley into the stoma at the length you measured. This length should be enough for the tip of the Foley catheter to reach the stomach.</li><li>Tape the Foley catheter to your child’s abdomen.</li><li>You will likely see stomach contents coming from the end of the Foley catheter. This is a good sign that the Foley catheter is in the stomach. </li><li>If you do not see stomach contents seeping out of the Foley, you will need another way to verify the Foley is in the stomach. To do this, connect a syringe to the end of the Foley catheter and pull back. You may need to use an adaptor or extension to connect the syringe to the Foley catheter. </li><li>Confirm that the Foley tube is in the stomach by checking the pH (acidity) of the stomach contents in the syringe. You can confirm that the Foley catheter is in the stomach by: <ul><li>checking that the stomach contents have a pH of 6.0 or less (see below for how to check the pH)</li><li>observing that what is in the syringe looks like stomach contents</li></ul></li><li>Flush the tube with 5 mL of water to ensure the Foley is working well. </li><li>Fill the Foley catheter balloon with the amount of water recommended on the balloon port of the tube. Use only sterile or distilled water. This will help to keep the Foley tube in place while you are feeding your child. </li><li>Close the Foley catheter with either a catheter plug, the plunger of the syringe or an extension set. </li></ol><p> <strong>Do not use the Foley catheter to feed or give liquids or medications until you confirm it is in the right place</strong>. Contact your G tube specialist before feeding if: </p><ul><li>You cannot get stomach contents back from the Foley catheter</li><li>The pH of the stomach contents is greater than 6.0</li><li>What you pull back from the Foley does not look like stomach contents</li></ul><h2>How to check the pH of the stomach contents</h2><p>Before using the newly changed tube for feeds and medications, you will need to check that it is in the stomach by checking the pH of the contents that are pulled from the tube.</p><h3>How to check the pH</h3><p>You will need:</p><ul><li>One empty 5 mL slip tip syringe</li><li>pH strips</li><li>pH colour reference guide</li></ul><p>What to do:</p><ol><li>Attach the 5 mL syringe to the Foley catheter. You may need to use an adaptor or extension to connect the syringe to the Foley. </li><li>Pull back to get stomach contents. If you cannot get stomach contents, move your child side to side or sit them upright.</li><li>Empty the stomach contents from the syringe onto a pH strip.<br></li><li>Compare the colours on the pH strip to the colours on the reference guide. </li></ol><p> <strong>If the pH is 6.0 or less</strong>, this means the Foley catheter tube is in the stomach. You can flush the tube and use the Foley catheter for feeds, fluids and medications.</p><p> <strong>If the pH is 6.0 or higher</strong>, do not use the tube for feeds, fluids or medications because the Foley catheter may not be in the stomach. Medications and recent feedings can cause the pH to be high. If the pH is 6.0 or higher, check it again in one hour. If the reading is still higher than 6.0 after one hour, do not use the Foley catheter. Contact your G tube specialist to have the position checked. </p><h2 id="gjtube">Inserting the Foley catheter after a GJ tube has been accidently pulled out</h2><p>If your child’s GJ tube is accidentally pulled out, do the following.</p><ol><li>Gather your Foley catheter, and all of your emergency supplies. </li><li>Wash your hands and the skin around your child’s feeding tube with soap and water.</li><li>Lubricate the tip of the Foley catheter with the lubricating jelly. If you do not have lubricating jelly, you can wet the tip of the Foley catheter with water.</li><li>Measure the Foley catheter against your index finger. If your child weighs less than 3kg (6.6 lbs), measure the Foley at about 3 to 4 cm in length. This is about half the length of your index finger. If your child weighs more than 3 kg, measure 4 to 6 cm in length. This is the full length of your index finger. Hold the Foley at the length your measures with your dominant hand. </li><li>Insert the Foley into the stoma at the length your measured. This length should be enough for the tip of the Foley catheter to reach the stomach. </li><li>Tape the Foley catheter to your child’s abdomen. </li></ol><p> <strong>Do not use the Foley catheter to give your child feeds, fluids or medications.</strong> Call your G tube specialist. If they are unavailable, go to the nearest emergency department as soon as possible.</p><p>If you cannot insert the Foley catheter, contact your G tube specialist or go to the nearest emergency department. </p><p>Once the Foley catheter is in place, you will need to make arrangement to have your child's original G or GJ tube replaced. </p><p>If your child has a G tube or a GJ tube that was inserted <strong>less than 8 weeks ago</strong>, make arrangements to have their original tube replaced as soon as possible. During business hours, contact your G tube specialist. After hours, on the weekend, or during holidays, go to the nearest emergency department of the hospital that looks after your child’s tube. </p><p>If your child’s G tube had been in for <strong>eight weeks or longer</strong>, this is not an urgent situation; contact your G tube specialist on the next business day. You can use the Foley catheter to give feeds, fluid and medications for up to one month.</p>G/GJ tubes: What to do if your child’s feeding tube is pulled outFalse