Wetin na PEG tiub? (Percutaneous Endoscopic Gastrostomy) - Lɛ wi ɔndastand am simpul wan

Sɔmbɔdi na yu famili, sɔntɛm na ol grani, granpa, ɔ pɔsin we gɛt sik, gɛt prɔblɛm fɔ swɛla it ɛn drink, ɛn di dɔktɔ se, "Yu nid fɔ put insay fidin tyub"? Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we yu yɛri dat. We yu yɛri wɔd dɛn lɛk "PEG tube," yu go mɔs de wɔnda wetin dis de du. Nɔ wɔri. Tide, lɛ wi tɔk bɔt wetin na PEG tiub, udat nid am, ɛn aw dis prɔsidyu de wok.

Fɔ tɔk am simpul wan, wetin na dis PEG tiub?

PEG tyub na spɛshal tiub we dɛn kin put tru smɔl say we dɛn kɔt na di skin fɔ gi nyutrishɔn dairekt insay di bɛlɛ fɔ pɔsin we i nɔ kin izi fɔ it wit in mɔt. Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, lɛ wi brok am.

• Pεrkyuta: Dis min "tru di skin."
• Ɛndoskopik: Dis min se yu fɔ yuz wan fleksibul tiub (ɛndoskop) we gɛt kamɛra we dɛn tay.
• Gastrostomy: dis min se fכ mek wan sכmכl opin (`stomy`) na di bεlε (`Gastro`).

so we dεn tri wכd ya kam togεda, di simpul minin na "fכ mek wan opin na di bεlε tru di skin, wit di εp fכ kεmεra, εn put tכb insay." Sɔm pipul dɛn kin kɔl dis tiub bak G-tyub. insay mεdikal, di mεtכd fכ gi likwid nyutrishכn dis we dεn kכl am `(Enteral Nutrition)`.

Udat nid PEG tiub?

Di men rizin na we i nɔ kin izi fɔ swɛla . Insay mɛrɛsin, wi kin kɔl dis ``dysphagia``. Pan ɔl we fɔ swɛla it na tin we nɔmal fɔ wi, na kɔmpleks tin we kin mek wi gɛt bɔku bɔku bren, nerv dɛn, ɛn mɔsul dɛn. eni tεm we dεn intarap dis prכsεs, di nid fכ fכ it tyub kin kam. Imajin, if yu nɔ ebul fɔ swɛla fayn, it ɛn drink kin go insay di lɔng. Dis kin mek yu gɛt siriɔs nyumonia (`Aspiration Pneumonia`).

Lɛ wi luk di tebul we de dɔŋ fɔ si wetin na di men rizin fɔ put PEG tyub.

Wetin yu nid fɔ no bifo dɛn du dis ɔpreshɔn?

Dis nɔto big ɔpreshɔn, bɔt na smɔl ɔpreshɔn. Bɔt bifo dat, yu fɔ tɔk opin wan wit yu dɔktɔ bɔt yu pɔsin in wɛlbɔdi prɔblɛm.

• Mek shɔ se yu tɔk bɔt ɛni sik we yu dɔn gɛt, lɛk at sik ɛn dayabitis.
• Mɛrɛsin dɛm: If yu de tek tin dɛm wae de mek yu blɔd tan (e.g. `Warfarin`, `Aspirin`, `Clopidogrel`) ɔr mɛrɛsin wae de mek yu fil pen we de insay di ``NSAIDs`` kategori (e.g. `Ibuprofen`), yu fɔ tɛl yu dɔktɔ. Dɛn go aks yu fɔ stɔp fɔ tek dɛn tin ya sɔm dez bifo di ɔpreshɔn. Dis na bikɔs dɛn mɛrɛsin ya kin mek pɔsin gɛt blɔd.
• Alɛji: If yu gɛt ɛni alɛji to ɛni mɛrɛsin, duya tɔk bɔt am.

Nɔ it ɔ drink ɛnitin fɔ lɛk 8 awa bifo di ɔpreshɔn. I impɔtant bak fɔ arenj motoka fɔ kam na os frɔm ɔspitul.

Wetin kin rili apin we dɛn put PEG tiub insay?

Dis prɔses kin tek lɛk 20-30 minit. Dɛn kin du tin dɛn we nid fɔ du fɔ mek di pɔsin fil fayn insay dis tɛm.

1. Anɛstɛsia: .Fɔs, dɛn kin put di pɔsin insay layt slip bay we dɛn de yuz anestezi we dɛn kin put insay in bɛlɛ. So, no pen ɔ diskɔmfɔt nɔ de. Dɛn kin gi antibayɔtik bak dis tɛm fɔ mek dɛn nɔ gɛt di sik.

2. Lokal anεsthεsia: dεn kin gi sכm injεkshכn (lokal anεsthεtik) fכ numb di εria we de rawnd di skin na di bכdi usay dεn go put di tכb.

3. Fɔ put di ɛndoskɔp insay: Naw di dɔktɔ go put wan smɔl tiub (ɛndoskɔp) we gɛt kamɛra we dɛn tay tru di mɔt ɛn insay di bɛlɛ. Dis kin mek yu si di insay pat pan di bɛlɛ klia wan.

4. Insishכn εn insay di tכb: di layt we de kכmכt na di εndoskop de si tru di skin na di bכdi. We di dɔktɔ luk da layt de, i kin kɔt smɔl pat na di skin, we na lɛk wan sɛntimita so na di sem say. afta dat, tru da insishכn de, dεn de put di PEG tכb insay di bεlε εn sikyuכr am.

Bɔku tɛm, yu kin go na os di sem ivintɛm ɔ di nɛks mɔnin.

Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?

I nɔmal fɔ fil sɔm pen afta dɛn dɔn du di ɔpreshɔn. Yu kin fil pen ɔ fil se yu bɛlɛ ful-ɔp usay dɛn kɔt di say we dɛn kɔt am. Dis pen go stɔp insay 24-48 awa.

• Wund: Dɛn go put smɔl bandej oba di say we dɛn kɔt am. I nɔmal fɔ mek smɔl wata kɔmɔt fɔ di fɔs tu dez. Di dɔktɔ go advays yu fɔ pul di bandej afta lɛk tu dez so.
• Nutrishɔn: Liquid fidin go bigin jɔs afta dɛn dɔn put di tiub. Wan dɔktɔ we sabi bɔt it go tich yu aw fɔ du dis, us kayn wata fɔ gi yu tin fɔ it, ɛn ɔmɔs tɛm insay di de fɔ gi am.
• Aw di tiub de luk: Yɛs, wan pat pan di tiub de na do na di bɔdi. I kin bi tiub we tik lɛk pensil ɛn i kin lɔng lɛk 6-12 inch. wan sכm pat we lεk disk (`external bumper`) de na di skin fכ mek di tכb nכ go bak insay.Dεn kכba di εnd pan di tכb wit sכmכl kכp. Dis kin mek di bɛlɛ asid nɔ kɔmɔt. Dɛn kin opin dis kap we dɛn nid fɔ gi dɛn tin fɔ it, wata, ɔ mɛrɛsin.

Risk ɛn prɔblɛm dɛn de we kin apin?

Jɔs lɛk ɛni ɔda mɛrɛsin, smɔl risk dɛn de. Bɔt, dɛn tin ya nɔ kin bɔku. If yu klin ɛn kia fɔ di tiub fayn fayn wan, dat kin mek yu nɔ gɛt dɛn prɔblɛm ya bad bad wan.

Aw fɔ kia fɔ wan PEG tiub?

I rili impɔtant fɔ kip di skin we de rawnd di tiub klin ɛvride.

• Fɔs, was yu an dɛn fayn fayn wan wit sop.
• Dɔn, sok klin klos ɔ goz insay sop wata ɛn klin di skin we de rawnd di tiub jisnɔ.
• Rinse bak wit klin wata fɔ pul di sop.
• Fɔ dɔn, lɛ i dray fayn fayn wan. Nɔ put ɛni krim ɔ paoda if yu nɔ gɛt advays frɔm dɔktɔ.

Sɔm kwɛstyɔn dɛn we dɛn kin aks bɔku tɛm

Pɔsin we gɛt PEG tiub kin it ɛn drink bay mɔt?

Dis dipכnt pan di כndalayn mεdikal kכndishכn we mek dεn put di tכb insay. If dɛn bin put di tiub bikɔs i nɔ izi fɔ swɛla, dɛn go stɔp fɔ it ɛn drink bay mɔt, bikɔs dis kin mek di it go insay di lɔng dɛn bak. Bɔt dɛn dɔktɔ kin alaw sɔm pipul dɛn fɔ it smɔl smɔl bay dɛn mɔt. Aks yu dɔktɔ bɔt dis fɔ mek shɔ.

Aw lɔng a fɔ kip dis tiub?

Yu kin yuz PEG tiub fɔ mɔnt ɔ ivin ia. As tɛm de go, di tiub kin chenj in kɔlɔ ɔ i kin blok. If di tiub chenj in kɔlɔ, i lik wata, ɔ i tan lɛk se i gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Fɔ put nyu tiub insay na tin we rili simpul, ɛn i nɔ nid fɔ gɛt anestezi ɔ ɔpreshɔn. If di sikman in kɔndishɔn bɛtɛ ɛn dɛn kin swɛla bak, dɛn kin pul di tiub ɔl. Dɔn di ol na di bɛlɛ go lɔk insɛf insay sɔm dez.

Wetin yu kin du if di tiub kɔmɔt wantɛm wantɛm?

Dis na imejensi. Yu nid fɔ go na ɔspitul, di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. Bikɔs di ol we de na di bɛlɛ ɛn di skin go bigin fɔ lɔk insay sɔm awa. If dat apin, i go at fɔ put nyu tiub bak insay.So if di tiub kɔmɔt, i impɔtant fɔ go to dɔktɔ insay 24 awa .