{"id":1295,"date":"2012-09-12T14:52:36","date_gmt":"2012-09-12T13:52:36","guid":{"rendered":"http:\/\/www.rontgen.com\/metod\/?p=1295"},"modified":"2017-01-16T13:36:47","modified_gmt":"2017-01-16T12:36:47","slug":"om-sonder","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/metod\/om-sonder\/","title":{"rendered":"Om sonder"},"content":{"rendered":"<p><strong>Om sonder<em><\/em><br \/>\n<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-1554\" title=\"compat-sond-adapter\" src=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2012\/09\/compat-sond-adapter-1_liten.jpg\" alt=\"\" width=\"206\" height=\"275\" srcset=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2012\/09\/compat-sond-adapter-1_liten.jpg 369w, https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2012\/09\/compat-sond-adapter-1_liten-75x100.jpg 75w, https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2012\/09\/compat-sond-adapter-1_liten-225x300.jpg 225w\" sizes=\"auto, (max-width: 206px) 100vw, 206px\" \/>Enteral nutrition betyder att en patient f\u00e5r sondmat.<\/p>\n<p>Sond f\u00f6r <em>enteral nutrition<\/em> ges till patienter med risk f\u00f6r sjukdomsrelaterad undern\u00e4ring (sv\u00e4lt) som inte p\u00e5 annat s\u00e4tt tillgodog\u00f6r sig ett tillr\u00e4ckligt n\u00e4ringsintag, v\u00e4tska, medicinering, etc.<br \/>\n<span style=\"color: #ff0000;\">F\u00f6r sondmatning kr\u00e4vs att patienten har en fungerande mag-tarmfunktion.<\/span><\/p>\n<p><em>Kontraindikationer<\/em> f\u00f6r att erh\u00e5lla sond f\u00f6r sondmatning kan vara:<\/p>\n<ul>\n<li>st\u00f6rd\/upph\u00e4vd tarmpassage<\/li>\n<li>pancreatit<\/li>\n<li>chock<\/li>\n<li>l\u00e4ttbl\u00f6dande esophagus eller ventrikel<\/li>\n<li>mm.<\/li>\n<\/ul>\n<p>Nutritionssonder ben\u00e4mns efter var sondens spets ligger d\u00e4r d\u00e5 sondmaten distribueras. Det finns s\u00e5ledes:<\/p>\n<ul>\n<li><span style=\"color: #000000;\"><em>Nasogastrisk sond<\/em><\/span> f\u00f6r placering i mags\u00e4cken.<\/li>\n<li><span style=\"color: #000000;\"><em>Nasoduodenal<\/em><\/span>(nasoenterisk) sond placeras s\u00e5 att sondspetsens \u00e4ndh\u00e5l \u00e4r i duodenum.\n<ul>\n<li><span style=\"color: #ff0000;\">L\u00e5ngsam tillf\u00f6rsel och noggrann\u00a0 hygien!<\/span> (avsaknad av\u00a0magsyra f\u00f6r bakterier)<\/li>\n<\/ul>\n<\/li>\n<li><span style=\"color: #000000;\"><em>Nasojejunal<\/em><\/span>d\u00e4r sondens spets d\u00e5 ligger i jejunum.\n<ul>\n<li><span style=\"color: #ff0000;\">L\u00e5ngsam tillf\u00f6rsel och noggrann hygien!<\/span> (avsaknad av magsyra f\u00f6r bakterier)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Vanliga nutritionsonder kan \u00e4ven l\u00e4ggas ut i duodenum eller jejunum via en PEG eller &#8221;knapp&#8221;<\/p>\n<p><strong>Material<\/strong><\/p>\n<ul>\n<li>PVC \u00e4r f\u00f6r kortidsbruk (ca. 1 vecka).<\/li>\n<li>Polyuretan kan ligga\u00a04 till 6 veckor.<\/li>\n<\/ul>\n<p>Avses sondmatningen enbart en kortare tid (dagar\/veckor) utan passagest\u00f6rningar i mag-tarmkanalen l\u00e4ggs l\u00e4mpligen en nasogastrisk sond.<br \/>\nVid l\u00e4ngre tids nutrieringsbehov via sond kan det finnas anledning att \u00f6verv\u00e4ga n\u00e5gon form av gastrostomi (PEG, knapp, etc.) som har en h\u00e5llbarhet p\u00e5 3-6 m\u00e5nader.<\/p>\n<p>Sond f\u00f6r <em>dekompression<\/em> av ventrikeln ges till patienter med intermittenta kr\u00e4kningar med aspirationsrisk, avlastning av ventrikel, mm.<br \/>\nDessa sonder f\u00f6r detta \u00e4ndam\u00e5l \u00e4r oftast av h\u00e5rdare plastmaterial (polyuretan, PVC&#8230;) d\u00e5 lumen \u00e4r\u00a0st\u00f6rre och sonden\u00a0d\u00e4rf\u00f6r beh\u00f6ver vara mer stabil.<br \/>\nEn kombination av nutrition- och ventrikelsond f\u00f6r dekompression\u00a0\u00e4r sk. 3-lumensonder (FREKA).<\/p>\n<p><strong>ENFit-standard<\/strong><\/p>\n<p><em>ENFit<\/em>-standard \u00e4r en kommplingssystem f\u00f6r material avsedd f\u00f6r enterar nutrition.<\/p>\n<p><span style=\"color: #ff0000;\">Denna standard ers\u00e4tter alla tidigare kopplingar f\u00f6r sonder, mataggregat, etc. <em>\u00c4ven ENLock systemet utg\u00e5r<\/em>!<\/span><\/p>\n<p><strong>ENLock-standard <\/strong><span style=\"color: #ff0000;\">(utg\u00e5r)<strong><br \/>\n<\/strong><\/span><\/p>\n<figure id=\"attachment_4626\" aria-describedby=\"caption-attachment-4626\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2015\/06\/ENlock_kopplingar_1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-4626\" title=\"ENLock\" src=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2015\/06\/ENlock_kopplingar_1-100x60.jpg\" alt=\"ENLock\" width=\"100\" height=\"60\" srcset=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2015\/06\/ENlock_kopplingar_1-100x60.jpg 100w, https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2015\/06\/ENlock_kopplingar_1-300x181.jpg 300w, https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2015\/06\/ENlock_kopplingar_1.jpg 560w\" sizes=\"auto, (max-width: 100px) 100vw, 100px\" \/><\/a><figcaption id=\"caption-attachment-4626\" class=\"wp-caption-text\">ENLock<\/figcaption><\/figure>\n<p><span style=\"color: #808080;\">Flertalet nya nutritions sonder har idag\u00a0 speciella fattningar (lila f\u00e4rg). Detta f\u00f6r att minskar risken f\u00f6r att ge enteral nutrition (sondmat) intraven\u00f6st (i blodet) av misstag.<\/span><\/p>\n<p><span style=\"color: #808080;\">Denna &#8221;kommande industristandard&#8221; f\u00f6r kopplingsystem, som \u00e4r framtagen av initierad av branschorganisationen MNI\u00a0[<a title=\"MNI\" href=\"http:\/\/www.medicalnutritionindustry.com\/\" target=\"_blank\"><span style=\"color: #808080;\">Medical Nutrition Industry group<\/span><\/a>], \u00e4r enbart f\u00f6r enteral nutrition kallas <em>ENLock-fattning<\/em>. Inga andra sprut- eller slangkopplingar passar till denna fattning. Sj\u00e4lva adaptersystemet \u00e4r framtaget sedan h\u00f6sten 2012 av [<a title=\"Fresenius Kabi ENLock\" href=\"http:\/\/www.fresenius-kabi.se\/Produkter\/Enteral-nutrition\/ENLockENPlus\/ENLock\/\" target=\"_blank\"><span style=\"color: #808080;\">Fresenius Kabi<\/span><\/a>] i samarbete med [<a title=\"Nestl\u00e9 Helath Science\" href=\"https:\/\/www.nestlehealthscience.se\/nyheter\/compat-nyhet!-enlock-och-enplus\" target=\"_blank\"><span style=\"color: #808080;\">Nestl\u00e9 HealthScience<\/span><\/a>] och Nutricia Advanced Medical Nutrition.<\/span><\/p>\n<figure id=\"attachment_4635\" aria-describedby=\"caption-attachment-4635\" style=\"width: 100px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-4635\" title=\"ENLock logga\" src=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2015\/06\/enlock_logga_stor-100x80.jpg\" alt=\"\" width=\"100\" height=\"80\" srcset=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2015\/06\/enlock_logga_stor-100x80.jpg 100w, https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2015\/06\/enlock_logga_stor-300x241.jpg 300w, https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2015\/06\/enlock_logga_stor.jpg 400w\" sizes=\"auto, (max-width: 100px) 100vw, 100px\" \/><figcaption id=\"caption-attachment-4635\" class=\"wp-caption-text\"><\/span><\/a><\/span> <span style=\"color: #808080;\">ENLock-logga<\/span><\/figcaption><\/figure>\n<p><span style=\"color: #808080;\">ENLock-systemet best\u00e5r av sonder d\u00e4r kopplingarna som, s\u00e5 sm\u00e5ningom, ej \u00e4r avtagbara samt d\u00e4r enbart material (adaptrar, sprutor, uppdrag, etc) inom ENLock-systemet passar ihop.<\/span><br \/>\n<span style=\"color: #808080;\"> Denna avvikande fattning g\u00f6r \u00e4n s\u00e5 l\u00e4nge att man kan komma i den sits att det ej g\u00e5r att koppla den befintliga sondmaten, sprutor, etc.<\/span><br \/>\n<span style=\"color: #808080;\"> Det \u00e4r d\u00e4rf\u00f6r viktigt att inf\u00f6r nutriering via dessa ENLock-sonder se till att kopplingar, sondmat, etc. finns att tillg\u00e5.<\/span><\/p>\n<p><span style=\"color: #808080;\">Sonder och adaptrar som ing\u00e5r i ENLock-systemet \u00e4r m\u00e4rkt med logga.<\/span><\/p>\n<p><strong>Att s\u00e4tta sond<\/strong><\/p>\n<p>Trots mycket goda f\u00f6ruts\u00e4tningar med en <span style=\"color: #ff0000;\">[<\/span> <a title=\"Normal anatomi\" href=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2012\/09\/ventrikel_normal_1.jpg\">normal anatomi<\/a> <span style=\"color: #ff0000;\">]<\/span>, ingen patologi, etc. kan man \u00e4nd\u00e5 misslyckas med att s\u00e4tta sonden s\u00e5 som \u00f6nskat.<\/p>\n<p><span style=\"color: #ff0000;\">\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-1580\" style=\"border: 0pt none; margin: 10px 5px 10px 10px;\" title=\"Viktigt!\" src=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2012\/09\/Ad-Aware-100x100.png\" alt=\"\" width=\"42\" height=\"42\" \/>Om <em>en befintlig sond ska korrigeras eller bytas<\/em> p\u00e5 r\u00f6ntgen l\u00e5t d\u00e5 den befintliga sonden <em>vara kvar<\/em>!<\/span><span style=\"color: #ff0000;\"> Man kan undersl\u00e4tta mycket f\u00f6r patienten och den som s\u00e4tter sonden genom att ev. byta sonden \u00f6ver ledare. Detta speciellt viktigt vid sv\u00e5ra anatomiska eller tr\u00e5nga (patologiska strikturer) f\u00f6rh\u00e5llanden i \u00f6vre mag-tarmsystemet.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Om sonder Enteral nutrition betyder att en patient f\u00e5r sondmat. Sond f\u00f6r enteral nutrition ges till patienter med risk f\u00f6r sjukdomsrelaterad undern\u00e4ring (sv\u00e4lt) som inte<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[169],"tags":[],"class_list":["post-1295","post","type-post","status-publish","format-standard","hentry","category-httpwww-rontgen-commetodom-sonder"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/posts\/1295","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/comments?post=1295"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/posts\/1295\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/media?parent=1295"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/categories?post=1295"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/tags?post=1295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}