Kan riltam laia chaw tui tak ei hi a va nuam em? Mahse mi thenkhat tan chuan, a bikin damdawi lam thil engemaw avanga ei harsat tan chuan hei hi mumang ang mai a ni thei. Hetiang hunah hian doctor-te chuan damlo mamawh ei tur pe turin PEG tube an tih solution chungchang an sawi thin. He thu hi i hre tawh mai thei. Vawiin hian engkim hi awlsam leh chiang takin sawi ila.
PEG tube chu eng nge ni?
A awlsam zawngin sawi ila, PEG tube chu tube te tak te, flexible tak, i pum chhungah direct-a dah, chu chu i pum chhungah a ni. Vun kaltlangin i pum chhungah a lut a ni. Hei hi damdawi lam chuan Percutaneous Endoscopic Gastrostomy (PEG) an ti a. Mahse kan ti tlangpui a PEG tubes emaw G tubes emaw .
Hei hi a tum ber chu ka ei thei lo mi pakhat tan liquid nutritional food leh tui direct-a pum chhunga pek a ni. Hetiang hi enteral nutrition kan ti a . Hei hian damlo chuan chakna leh ei leh in mamawh chu tlakchhamna awm lovin a dawng thei a ni.
Hetiang pipe hi tuin nge mamawh?
I ei harsatna, emaw , dysphagia i neih chuan PEG tube hmangin i hlawkpui thei a ni. I ei harsat chhan hrang hrang a awm thei.
- Thai .
- Thluak hliam a awm .
- Lu leh kawng cancer .
- Cancer ang chi natna khirh tak tak avanga hun rei tak chhunga ei duhna hloh .
Chu mai ni lovin, he tube hi taksain ei tur tha a lakluh theih lohna damdawi lam harsatna nei tan pawh a hlawkpui hle.
Entirnan, doctor-te chuan he tube hi cystic fibrosis vei emaw, kal natna avanga dialysis nei emaw tan hman an rawt a ni. Coma-a awm mi pakhat nunna chhanchhuah chu thil pawimawh tak a ni thei bawk.
Surgery neih hmain eng nge thleng?
Hei hi operation tenau tak ni mahse, a hmaa inbuatsaih tur thil tlemte a awm.
1. Doctor nen sawiho: Surgery neih hmain i doctor chuan a tih dan tur chu uluk takin a sawipui ang che. I doctor hnenah thinlung natna eng pawh, thisen chhuah hlauhawmna, leh damdawi eng pawh allergy i neih theih dan te hrilh a pawimawh .
2. Damdawi siamrem dan: I hriselna dinhmun azirin i damdawi ei lai thenkhat chu hun eng emaw chen i thlak emaw, i ei tawh loh emaw a ngai mai thei.
- Diabetes tan insulin i ei thin.Miin a ei a nih chuan a dose thlak turin an hrilh ang.
- Thisen tithianghlimtu , warfarin ang chi.
- Painkillers , chu chu nonsteroidal anti-inflammatory drugs (NSAIDs) - entirnan, aspirin emaw ibuprofen emaw a ni.
3. Ei leh in loh tur: Surgery hma darkar 8 tal engmah ei leh in theih loh.
4. In lama lirthei khalhtu tur che: Operation hnuah nangmah ngeiin i khalh thei dawn lo a nih avangin, mi pakhatin in lam pan tur che chu i ruahman lawk tur a ni.
Engtin nge surgery hi tih a nih?
Hei hi endoscopic procedure anga tih a ni fo a, chu chu incision lian tak siam lovin tih a ni a, chu ai chuan tube sei tak, flexible tak (endoscope) hmanga tih a ni a, chu chu khur te tak te atanga camera dah a ni.
I surgery ni-ah chuan IV hmangin anesthesia pek i ni ang a, chu chuan i rilru a hahdam ang a, natna i nei lo ang. Infection laka inven nan antibiotics pek i ni bawk ang. Tin, local anesthetic pek i ni thei bawk a, chu chuan incision siamna tur hmun chu a ti hlim thei a ni.
A kalphung chu hetiang hi a ni:
1. Doctor chuan i pum chunglam ah hian incision te tak te a siam ang.
2. Chu incision hmang chuan PEG tube chu dah a ni.
3. Endoscope hmangin tube chu pum nen chiang takin a inzawm a ni .
A pum pui hi minute 20-30 vel a ni . A tam zawkah chuan a ni vek emaw, a tuk zingah emaw i haw thei.
Risk leh harsatna awm thei te
Damdawi lam thil dang ang bawkin PEG tube dah luh hian hlauhawmna tlemte tak tak a awm a. Hengte hi fimkhur a pawimawh hle.
| Risk/Complication awm thei | Hrilhfiahna |
|---|---|
| Accidental atanga chhuak tube | Tube dah tawh chu a lo chhuak emaw, a lo chhuak vek emaw a ni. |
| Duhthusam (Aspiration) a ni | Accidental a liquid emaw ei tur emaw chu pum atanga thawkna kawng (lungs) ah a luh tir. |
| Thisen chhuah leh Perforation | Intestine emaw stomach wall-ah khur a awm a, tube dah a nih chuan thisen a chhuak bawk. |
| Kaichhawng | Incision na hmun vel ah vun natna a awm. |
| Gastric fluid a chhuak thin | Tube chhehvela pum chhunga thil awmte chu vun chunglam a luang chhuak. |
I doctor chuan hetiang complication chi khat symptoms leh engtikah nge enkawlna i zawn tur tih a hrilhfiah ang che. PEG tube leh a chhehvel hi nitin fai taka vawn reng a pawimawh a, chu chuan harsatna a thlen theihna tur a ti tlem a ni.
Doctor hmuh hun tha ber chu eng nge ni?
Hei hi i fimkhur hle a ngai a ni . I PEG tube chu a lo chhuak palh emaw, a hmun atanga a kal loh emaw chuan doctor i pan nghal tur a ni .
Tube dahna pum chhunga khur chu a khar nghal vat thin tih hre reng ang che. Chuvangin, tube a chhuak a nih chuan darkar 24 chhunga damdawi lam pan a pawimawh hle . Hetiang a nih chuan damdawi in hnai ber Emergency Department (ETU) pan hun tikhawtlai suh.
Take-Home Thuchah a ni
- PEG tube hi ka ei harsatna nei tan chuan chaw ei tur dik tak chu pum chhunga direct-a thlen theihna awlsam leh him tak a ni.
- Hei hi endoscopy tih hming pu procedure awlsam tak hmanga tih a ni. A tam zawkah chuan chu ni vek chuan i haw thei bawk.
- Tube leh a chhehvel hi nitin fai taka vawn reng a pawimawh hle a, chutiang chuan harsatna a awm loh nan.
- Tube chu a lo chhuak palh a nih chuan minute khat pawh tihkhawtlai suh la, doctor hmu la, darkar 24 chhungin damdawi in Emergency Department (ETU)-ah kal suh .
- Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen zalen takin sawipui rawh. I mamawh thurawn zawng zawng a pe ang che.











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