I chhungkuaa mi tu emaw, pitar upa tawh emaw, pi leh pu emaw, natna vei emaw pawh nise, ei leh in tur ei harsa an ti a, doctor chuan, "Feding tube-ah i dah a ngai" a ti em? Chu thu i hriat chuan tlem a hlauhthawn leh hlauhna i neih chu thil pangngai a ni. "PEG tube" tih ang chi thu i hriat hian hei hian eng nge a tih tih i ngaihtuah mai thei. Lungngai suh. Vawiin hian PEG tube hi eng nge a nih, tute nge mamawh, leh he procedure hian engtin nge hna a thawh tih te kan sawi dawn nia.
A awlsam zawngin, he PEG tube hi eng nge ni?
PEG tube hi special tube a ni a, vunah incision te tak te hmanga dah a ni a, chu chuan ka ei harsatna nei tan chuan chaw ei tur direct a pe thei a ni. A hming hi a buaithlak deuhin a lang thei a, mahse, i then darh ang u.
- Percutaneous: Hei hi "vun kaltlangin" tihna a ni.
- Endoscopic: Hei hian flexible tube (endoscope) camera dahna hman tihna a ni.
- Gastrostomy: Hei hian pum chhunga hawnna te tak te (`stomy`) siam (`Gastro`) tihna a ni.
Chuvangin heng thumal pathumte hi kan inzawm khawm chuan a awmzia awlsam tak chu "vun kaltlangin pum chhungah kawngkhar siam, camera puihnain, tube dah" tih hi a ni. Mi thenkhat chuan he tube hi G-tube an ti bawk. Damdawi lamah chuan hetianga liquid nutrition pek dan hi `(Enteral Nutrition)` an ti a.
Tute nge PEG tube mamawh?
A chhan ber chu ei harsat vang a ni . Damdawi lamah chuan hei hi ``dysphagia`` kan ti thin. Chaw ei hi kan tan chuan thil pangngai tak ni mah se, thluak, nerve leh muscle tam tak huam chhunga thil buaithlak tak a ni. Hetiang kalphung hi tihtawp a nih apiangin feeding tube mamawhna a lo awm thei a ni. Ngaihtuah teh, i ei tha thei lo a nih chuan ei leh in tur chu lung chhungah a lut thei a ni. Hei hian pneumonia na tak (`Aspiration Pneumonia`) a thlen thei a ni.
PEG tube dah chhan ber berte chu a hnuaia table hi han en ila.
| Damdawi lam dinhmun | Engvangin nge PEG tube hi a mamawh? |
|---|---|
| Thai | Stroke hian thluaka ei leh in tur control tu te a tichhe thei a, chu chuan ei tur mamawh taksa peng te chu a thawk tha thei tawh lo. |
| Lu leh Kawng Cancer a ni | Cancer vang ngei pawh hian ei a harsa thei. A nih loh leh, radiation ang chi enkawlna hnuah chuan rilru a chhe thei a, a natna chuan chaw ei theih loh a siam thei bawk. |
| Thluak Hliam | Car accident ang chi thilin thluak a tihchhiat chuan taksa hnathawh tam tak, ei leh in kalphung pawh a tichhe thei a ni. |
| Natna khirh tak avanga anorexia lo awm | Natna khirh tak, cancer ang chiah chuan chaw ei chakna hloh leh taksa chak lo lutuk hian ka kaltlanga ei tur mamawh chu a hip theih loh phah a ni. |
| Thil awmdan dang | Damlo thenkhat (e.g. Cystic Fibrosis) te hian nutrients an hip tha lo hle. Kidney failure nei, dialysis nei te, leh coma-a awm te pawhin an nunna chhanhim nan he method hi an mamawh a ni. |
He surgery neih hma hian eng nge i hriat tur?
Hei hi surgery lian tak a ni lo va, procedure tenau tak a ni. Mahse chumi hma chuan i doctor hnenah i damlo hriselna dinhmun chu zalen takin i sawipui tur a ni.
- Natna awm tawh zawng zawng, thinlung natna leh zunthlum te pawh sawi tel ngei ang che.
- Damdawi: Thisen tithianghlimtu (e.g. `Warfarin`, `Aspirin`, `Clopidogrel`) emaw, ``NSAIDs`` category-a tel natna tidamtu (e.g. `Ibuprofen`) emaw i ei a nih chuan doctor hnenah i hrilh tur a ni. Surgery neih hma ni engemaw zat chhung chu hengte hi ei tawh loh turin an ngen ang che. Hei hi a chhan chu heng damdawi te hian thisen chhuah theihna a tipung a ni.
- Allergy: Damdawi eng pawh allergy i neih chuan sawi la.
Surgery hma darkar 8 vel chu engmah ei leh in loh tur a ni . Damdawi in atanga haw tur lirthei ruahman a pawimawh bawk.
PEG tube dah a nih hian eng nge thleng tak tak?
Hetiang tih hian minute 20-30 vel a awh thin. Hemi hun chhung hian damlo chu a hahdam theih nan a tul angin hmalak a ni.
1. Anesthesia hmanga enkawlna:Pakhatnaah chuan damlo chu thisen kalna kawng (intravenous anesthesia) hmangin mut hahdam takah an dah a. Chuvang chuan natna leh lungawi lohna a awm lo. Hetih lai hian natna hrik kai loh nan antibiotics pek thin a ni bawk.
2. Local anesthesia: Injection te tak te (local anesthetic) pek a ni a, chu chu tube dahna tur pum vun vel chu a numb tir thin.
3. Endoscope dah dan: Tunah chuan doctor chuan tube te tak te (endoscope) a dah ang a, chutah chuan camera a dah ang a, chu chu ka chhung leh pum chhungah a dah ang. Hei hian pum chhung lam chu chiang takin a hmu thei a ni.
4. Incision leh tube insertion: Endoscope atanga êng lo chhuak chu pum vun kaltlangin a lang. Chu êng chu a en chuan doctor chuan vunah chuan incision te tak te a siam a, chu chu hmun khatah chuan centimetre khat vel a ni. Tichuan, chu incision hmang chuan PEG tube chu pum chhungah dahin an secure ta a ni.
Hei hi a hlauhawm deuhin a lang thei a, mahse damlo chuan engmah a hre dawn lo tih hre reng ang che. Tin, kalphung him tak leh hman tlanglawn tak a ni bawk.
A tam zawkah chuan zan vek emaw, a tuk zingah emaw i haw thei.
Operation hnuah eng nge beisei tur?
Operation hnuah natna engemaw zat hriat hi thil pangngai a ni. I incision na hmuna i pum chhungah natna emaw, a khat emaw i nei thei. He natna hi darkar 24-48 chhungin a reh ang.
- Hliam: Incision chungah hian bandage te tak te dah a ni ang. Ni hnih hmasa berah tui tlem a chhuak hi thil pangngai a ni. Doctor chuan ni hnih vel hnuah bandage chu la chhuak turin a fuih ang che.
- Nutrition: Tube dah a nih hnu lawkah tui chaw pek tan a ni ang. Dietitian chuan hetiang tih dan tur te, nutritional fluid chi hrang hrang pek tur te, ni khatah vawi engzat nge pek tur tih te a zirtir ang che.
- Tube A lan dan: Ni e, tube thenkhat chu taksa pawnah a awm. A tlangpuiin pencil ang vela sei, inches 6-12 vel a sei tube a ni. Vun chung lamah hian disc ang chi (`external bumper`) te tak te a awm a, chu chuan tube chu a lut leh thei lo a, a tawp lam chu cap te tak te in a khuh a ni. Hei hian stomach acid a chhuah loh nan a veng a ni. He cap hi ei tur, tui, damdawi pek a ngaih hunah hawn theih a ni.
Risk leh complication a awm em?
Damdawi lam thil dang ang bawkin, hlauhawmna tlemte a awm. Mahse, hengte hi a tlem hle. Tube hi uluk taka tihfai leh enkawl hian heng hlauhawmnate hi nasa takin a tihziaawm thei a ni.
| Risk/A buaithlakna | I ngaihven tur thilte |
|---|---|
| Kaichhawng | Tube vel a sen, a hring, a lum, a hring emaw, a khawsik emaw. |
| Thisen chhuak | Tube vel emaw, pum chhungah emaw thisen chhuak. |
| Pipe vel a leakage awm | Tube leh vun kaltlangin pum chhunga thil awmte a luang chhuak. |
| Dislodgement tih hi a ni | Tube chu a rawn chhuak nghal vek. Hei hi emergency a ni! |
| Duhthusam (Aspiration) a ni | Pum chhunga thil awmte chu lung chhunga lut. Chumi ven nan chuan chaw pek dawnin damlo lu chawi sang reng a pawimawh. |
PEG tube hi engtin nge kan enkawl ang?
Tube vel vun hi nitin fai taka vawn reng a pawimawh hle .
- A hmasa berin i kut chu sahbawn hmangin uluk takin silfai ang che.
- Tichuan, puan fai emaw gauze phek emaw chu sahbawn tuiah hnim la, tube chhehvel vun chu zawi zawiin silfai rawh.
- Tui thianghlim hmangin silfai leh la, sahbawn chu paih chhuak rawh.
- A tawp berah chuan a vawt tha hle ang. Doctor thurawn lo chuan cream leh powder engmah hnawih loh tur a ni.
Ṭhenkhat chuan zawhna an zawt fo ṭhin
PEG tube nei mi pakhatin ka ei leh in a ei thei em?
Hei hi tube dahna chhan (underlying medical condition)-ah a innghat a ni. Tube hi ei harsat vanga dah a nih chuan ka atanga ei leh in ei khap a ni ang a, hei hian chaw chu lung chhungah a lut leh thei a ni. Amaherawhchu, mi \henkhat chu an doctor-in kai hmanga a ei tlem a phalsak mai thei. Hemi chungchang hi i doctor zawt la, chiang takin.
He tube hi eng chen nge ka dah tur?
PEG tube hi thla tam tak emaw kum tam tak emaw pawh hman theih a ni. Hun a kal zel a, tube hi a rawng a danglam thei a, a block thei bawk. Tube hi a rawng a inthlak a, fluid a leak a, a lumpy angin a lang a nih chuan thlak a hun tawh. Tube thar dah hi a awlsam hle a, anesthesia emaw operation emaw a ngai lo. Damlo dinhmun a ṭhat a, an ei leh thei a nih chuan a tube chu lakchhuah vek theih a ni. Chumi hnuah chuan pum chhunga khur chu ni engemaw zat chhungin a mah chauhin a khar ang.
Tube chu a lo chhuak nghal a nih chuan engtin nge i tih ang?
Hei hi emergency a ni. Damdawi in, Emergency Treatment Unit (ETU) pan nghal a ngai a ni. A chhan chu darkar tlemte chhungin pum leh vunah khur chu a inkhar tan dawn a ni. Chutiang a nih chuan tube thar dah leh chu a harsa dawn a, chuvangin tube chu a chhuak a nih chuan darkar 24 chhunga damdawi lam pan a pawimawh hle
PEG tube hi damdawi atana hmanraw pawimawh tak a ni a, mi nunna a chhanhim thei a, ei leh in lama harsatna a veng thei a, a nunphung a titha thei bawk. A pawimawh ber chu hlau lo tur, dik taka hriatthiam a, uluk taka enkawl hi a ni.
Take-Home Thuchah a ni
- PEG tube hi ka ei thei lo tan chuan chaw ei tur direct-a pum chhunga thlen theihna hmanraw him tak a ni.
- Hetiang tih hi minute 30 aia rei lovah tih theih a ni a, a na lo.
- Nitin tube leh a chhehvel vun thianghlim taka vawn hian natna hrik a veng thei a ni.
- Tube chhehvelah hian natna lan chhuah dan, a sen, a hring, a hring, a khawsik ang chi i hmuh chuan doctor hnenah hriattir nghal rawh.
- Tube chu a lo chhuak nghal a nih chuan emergency a ni. Damdawi inah a rang thei ang bera kal la, darkar 24 chhungin.
- Hemi chungchanga zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.
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