Kodi ndiyenera kuyika chubu chodyetsera? (Chubu Chodyetsera) Musadandaule, tidzadziwa izi.

Nthawi zina, ife kapena wina m'banja mwathu tingavutike kudya kapena kumeza chifukwa cha matenda, opaleshoni yaikulu, kapena ukalamba. Chubu chodyetsera ndi chipangizo chapadera chomwe chimagwiritsidwa ntchito kupatsa thupi michere yomwe limafunikira. Ngakhale anthu ambiri amaopa dzinalo, kwenikweni ndi chipangizo chofunikira kwambiri chachipatala chomwe chingathandize kupulumutsa miyoyo. Chifukwa chake, tiyeni tikambirane za zonsezi lero.

Kodi chubu chodyetsera n'chiyani? Chimagwira ntchito bwanji?

Mwachidule, chubu chodyetsera ndi chubu chapulasitiki chosinthasintha chomwe chimayikidwa m'mimba kapena m'matumbo kuti chikupatseni zakudya zomwe mukufuna. Njirayi imatchedwa "zakudya zamkati". Ngati muli ndi vuto lomwe limakuvutani kutafuna kapena kumeza chakudya, monga matenda a Parkinson, kapena ngati simungathe kudya chifukwa cha matenda oopsa monga khansa, dokotala wanu angakulangizeni njira iyi.

Kutengera ndi vuto lanu, chubu ichi chimayikidwa kudzera m'mphuno, pakamwa, kapena kuyikidwa mwachindunji m'mimba kapena m'matumbo. Machubu a mphuno kapena pakamwa safuna opaleshoni. Nthawi zambiri amagwiritsidwa ntchito kwakanthawi . Mitundu ina ya machubu imafuna opaleshoni yaying'ono kuti iikidwe.

N’zoona kuti kukhala ndi chubu chodyetsera mwana nthawi zina kumakhala kovuta. Muyenera kusintha malo anu ogona ndikukhala ndi nthawi yochulukirapo kuti chubucho chikhale choyera.

Koma, sizingalepheretse moyo wanu. Mutha kupita kunja ndi anzanu, kuchita masewera olimbitsa thupi, komanso kugonana muukwati wanu popanda zoletsa zilizonse. Mutha kusunga njira imeneyi kwa nthawi yayitali momwe mukufunira. Anthu ena amadyetsedwa motere moyo wawo wonse.

Chosakaniza chamadzimadzi chopangidwa mwapadera chimaperekedwa kwa inu kudzera mu chubu. Dokotala wanu kapena katswiri wa zakudya adzasankha chosakaniza chomwe chili ndi zonse zomwe mukufuna, kuphatikizapo mapuloteni, chakudya, mafuta, mavitamini, ndi mchere. Madzi ndi mankhwala ena angaperekedwenso kudzera mu chubu ichi.

Ndi matenda ati omwe amafunika chubu chodyetsera?

Pali zifukwa zingapo zazikulu zomwe dokotala wanu angakulangizeni kugwiritsa ntchito chubu chodyetsera ana. Tiyeni tiwone zomwe zili.

Kodi pali mitundu yanji ya machubu odyetsera?

Machubu odyetsera ana amagawidwa m'mitundu yosiyanasiyana kutengera malo ndi njira yowayikira m'thupi. Kumbukirani, ngati zakudya zikufunika kwa milungu yosakwana 6, chubu cholowetsedwa kudzera m'mphuno kapena pakamwa chimagwiritsidwa ntchito, pomwe ngati chikufunika kwa nthawi yayitali, chubu cholowetsedwa opaleshoni chimagwiritsidwa ntchito.

Machubu osakhalitsa omwe amaikidwa kudzera m'mphuno ndi pakamwa

Izi ndi zogwiritsidwa ntchito kwa kanthawi kochepa.

• Machubu a Nasogastric: Machubu awa amayambira pamphuno ndikuthera pamimba. Amagwiritsidwa ntchito m'zipatala popereka zakudya ndi mankhwala kwakanthawi kochepa.
• Machubu a Nasojejunal ndi Nasoduodenal: Awa amayambira m'mphuno ndikuthera mu jejunum kapena duodenum, zomwe ndi ziwalo za matumbo ang'onoang'ono.
• Machubu a Orogastric ndi Oroenteric: Awa amalowetsedwa kudzera pakamwa kupita m'mimba kapena m'matumbo ang'onoang'ono m'malo mwa mphuno. Awanso ndi akanthawi kochepa.

Machubu a nthawi yayitali omwe amaikidwa opaleshoni

Izi zimagwiritsidwa ntchito pa zakudya za nthawi yayitali.

• Machubu a m'mimba (G): Chubu chimalowetsedwa kudzera pakhungu la mimba mwachindunji m'mimba.
• Machubu a Jejunostomy (J): Opaleshoni imayikidwa mwachindunji mu jejunum.
• Chubu cha PEG `(Percutaneous endoscopic gastrostomy)`: Iyi ndi njira ya opaleshoni ya `(endoscopic)`, kutanthauza kuti, chubu chokhala ndi kamera yaying'ono (`endoscope`) chimalowetsedwa kudzera pakamwa, kuwonedwa mkati mwa mimba, ndipo malo abwino kwambiri oikira chubucho amasankhidwa ndikuyikidwa kudzera m'mimba.
• Chubu cha RIG kapena RIJ:Kwa munthu amene sangathe kuchitidwa endoscopy, njira monga X-ray imagwiritsidwa ntchito kuti chubucho chiyike pamalo oyenera.
• Chubu cha PEG-J: Mu ichi, chubucho chimalowetsedwa kudzera m'mimba kupita m'mimba kenako chimakhazikika ku jejunum.

Kuyika chubu m'thupi ndi kuchira

Opaleshoni yoika chubu chodyetsera nthawi zambiri imakhala yosavuta. Dokotala amadula pang'ono pakhungu la mimba ndikuyika chubucho m'mimba kapena m'matumbo.

Mudzalangizidwa kuti musamadye kapena kumwa kwa maola pafupifupi 8 musanachite opaleshoni. Ku chipatala, mudzapatsidwa mankhwala ochepetsa ululu, mapiritsi ogonetsa, ndi maantibayotiki kudzera mumtsempha. Mankhwala oletsa dzanzi adzabayidwa pamalo omwe chubucho chidzayikidwe. Izi zidzakuthandizani kuti musamve kupweteka kwambiri.

Pambuyo pa opaleshoni, madokotala ndi anamwino adzakuyang'anirani mosamala kuti muwone ngati muli ndi matenda komanso ngati mukutuluka magazi. Mungakhale ndi madzi pang'ono kuzungulira chubu kwa tsiku loyamba kapena awiri. Izi ndi zachilendo. Chilonda chikachira, muyenera kuyeretsa malowo tsiku lililonse ndi sopo ndi madzi.

Kwa masiku oyamba, mungamve kupweteka pang'ono pamene chubucho chinayikidwa, ngati kuti chidutswa cha mnofu chikukokedwa. Dokotala adzakupatsani mankhwala ochepetsa ululu pa izi. Nthawi zambiri, chubuchi chingagwiritsidwe ntchito kwa miyezi ingapo, nthawi zina ngakhale zaka ziwiri kapena zitatu.

Kusamalira ndi kudyetsa chubu

Madokotala ndi anamwino adzakuthandizani kusamalira chubucho muli kuchipatala. Mukapita kunyumba, wogwira ntchito zachipatala kunyumba (monga namwino) adzakupatsani malangizo omveka bwino a momwe mungagwiritsire ntchito ndikusunga chubucho chili choyera.

Malangizo ambiri okhudza kusamalira chubu:

• Sungani manja anu oyera: Nthawi zonse muzisamba m'manja mwanu bwino ndi sopo musanakhudze chubu.
• Pewani kuti chubucho chisatseke: Ili ndiye vuto lofala kwambiri. Chifukwa chake, `tsukani` chubucho ndi madzi omwe dokotala wanu wakuuzani kuti mugwiritse ntchito musanapereke chakudya kapena mankhwala komanso mutapereka . Muyenera `tsukani` chubucho ngakhale masiku omwe simukugwiritsa ntchito.
• Samalani ndi matenda: Sungani malo omwe chubucho chimalowa pakhungu - timachitcha kuti ``stoma'' - oyera komanso ouma nthawi zonse. Yang'anani tsiku lililonse ngati pali kufiira, kutupa, ndi zizindikiro za matenda.
• Thanzi la pakamwa: Ngakhale mutapatsidwa mankhwala ochepetsa ululu m'kamwa, tsukani mano, mkamwa, ndi lilime lanu tsiku lililonse. Gwiritsani ntchito mafuta odzola pakamwa kuti milomo yanu isaume.

Zotsatirapo zoyipa ndi nthawi yoti muwone dokotala nthawi yomweyo

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, chubu chodyetsera mwana chingayambitse zotsatirapo zina. Komanso, nthawi zina, upangiri wa dokotala uyenera kufunidwa nthawi yomweyo. Tiyeni tikambirane mwachidule.

Lankhulani ndi dokotala wanu za mavuto awa. Izi zitha kuthetsedwa mwa kusintha zakudya kapena mlingo, kapena mwa kupereka mankhwala ena.

Kodi mumakhala bwanji moyo wabwinobwino ndi chubu chodyetsera ana?

Ukapanda kudya monga ena onse, ungamve ngati wanyansidwa ndi anthu. Ungaphonye kukoma kwa chakudya. Ungadabwe kuti ena angaganize chiyani za chubu. Koma pokonzekera pang'ono, zonsezi zitha kuyendetsedwa.

• Zochitika za anthu ndi kudya: Izi ndi zovuta pang'ono. Mutha kukhala ndi khadi laling'ono lomwe limafotokoza mwachidule chifukwa chake simukudya. Ngati muli ndi chidaliro, zidzakhala zachilendo kwa ena. Anthu ena amalumikiza 'pampu' yawo ndikugwirizana ndi ena mu "kudya".
• Maubwenzi apamtima ndi moyo wogonana:Mukalankhulana momasuka komanso kukonzekera pang'ono, inu ndi mnzanuyo mungakhale ndi moyo wabwinobwino. Mwachitsanzo, mutha kukhala limodzi nthawi yomwe simukudya. Musachite manyazi kulankhula ndi dokotala wanu za izi.
• Kukhalabe ndi zochita zolimbitsa thupi: Simuyenera kusiya kuchita masewera olimbitsa thupi chifukwa choti muli ndi chubu choyezera. Mutha kuchita zinthu monga kuthamanga ndi kuyenda. Koma funsani dokotala wanu za masewera olimbitsa thupi omwe amagwira ntchito minofu yanu ya m'mimba, monga yoga. Chilonda chikachira bwino, mutha kusambiranso m'madzi oyera (monga dziwe losambira losamalidwa bwino).
• Pezani chithandizo: Chithandizo cha banja lanu ndi anzanu n'chofunika kwambiri panthawiyi. Komanso, kupeza upangiri ndi chithandizo kuchokera kwa katswiri (katswiri wa zamaganizo, namwino) amene amagwira ntchito ndi odwala amtunduwu kudzakuthandizani kwambiri.