Kodi kudya chakudya chokoma kwambiri tikakhala ndi njala n'kosangalatsa bwanji? Koma kwa anthu ena, makamaka omwe amavutika kumeza chifukwa cha matenda enaake, izi zitha kukhala zovuta kwambiri. Nthawi zina madokotala amalankhula za njira yotchedwa chubu cha PEG kuti apatse wodwalayo zakudya zofunika. Mwina mwamvapo za izi. Tiyeni tikambirane za chilichonse m'njira yosavuta komanso yomveka bwino lero.
Kodi chubu cha PEG n'chiyani?
Mwachidule, chubu cha PEG ndi chubu chaching'ono, chosinthasintha chomwe chimayikidwa mwachindunji m'mimba mwanu, kutanthauza, m'mimba mwanu. Chimayikidwa kudzera pakhungu kupita m'mimba mwanu. Izi zimatchedwa Percutaneous Endoscopic Gastrostomy (PEG) . Koma nthawi zambiri timazitcha machubu a PEG kapena machubu a G.
Cholinga chachikulu cha izi ndikupereka chakudya chamadzimadzi ndi madzi mwachindunji m'mimba kwa munthu amene sangathe kumeza chakudya ndi pakamwa. Njirayi timaitcha kuti enteral nutrition . Izi zimathandiza wodwalayo kulandira mphamvu ndi zakudya zofunikira popanda kusowa kulikonse.
Ndani akufuna chitoliro chonga ichi?
Ngati mukuvutika kumeza, kapena dysphagia, mungapindule ndi chubu cha PEG. Pakhoza kukhala zifukwa zingapo zomwe zingakupangitseni kukhala ndi vuto kumeza.
- Stroke .
- Kuvulala kwa ubongo .
- Khansa ya mutu ndi khosi .
- Kusowa chilakolako kwa nthawi yayitali chifukwa cha matenda aakulu monga khansa.
Si zokhazo, chubu ichi chilinso chothandiza kwa iwo omwe ali ndi matenda ena omwe amalepheretsa thupi kuyamwa michere moyenera.
Mwachitsanzo, madokotala amalimbikitsa kugwiritsa ntchito chubu ichi kwa anthu omwe ali ndi cystic fibrosis kapena omwe akulandira dialysis chifukwa cha matenda a impso. Zingakhalenso zofunikira kuti munthu amene ali ndi chikomokere apulumuke.
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Ngakhale kuti opaleshoniyi ndi yaying'ono, pali zinthu zingapo zomwe muyenera kukonzekera pasadakhale.
1. Kukambirana ndi dokotala wanu: Dokotala wanu asanachite opaleshoni, adzakambirana nanu bwino za njirayi. Ndikofunikira kuuza dokotala wanu za matenda aliwonse a mtima, zoopsa zotuluka magazi, komanso ziwengo zilizonse zomwe mungakhale nazo chifukwa cha mankhwala aliwonse .
2. Kusintha mankhwala: Kutengera ndi thanzi lanu, mungafunike kusintha kwakanthawi kapena kusiya kumwa mankhwala ena omwe mukumwa.
- Mumamwa insulin ngati muli ndi matenda a shuga.Ngati wina akumwa, adzamuuza kuti asinthe mlingo.
- Mankhwala ochepetsa magazi , monga warfarin.
- Mankhwala ochepetsa ululu , kutanthauza, mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) - mwachitsanzo, aspirin kapena ibuprofen.
3. Pewani kudya kapena kumwa: Simungadye kapena kumwa chilichonse kwa maola osachepera 8 musanachite opaleshoni.
4. Munthu woti akuyendetseni kunyumba: Popeza simudzatha kuyendetsa nokha mutachita opaleshoni, muyenera kukonzekera pasadakhale kuti wina akuyendetseni kunyumba.
Kodi opaleshoniyi imachitidwa bwanji?
Izi nthawi zambiri zimachitika ngati njira yofufuzira endoscopic , zomwe zikutanthauza kuti zimachitika popanda kudula kwakukulu, koma pogwiritsa ntchito chubu chachitali, chosinthasintha (endoscope) chokhala ndi kamera yolumikizidwa kudzera mu dzenje laling'ono.
Pa tsiku la opaleshoni yanu, mudzapatsidwa mankhwala oletsa ululu kudzera mu IV kuti mukhale bata komanso opanda ululu. Mudzapatsidwanso mankhwala opha tizilombo toyambitsa matenda kuti mupewe matenda. Mungapatsidwenso mankhwala oletsa ululu kuti athetse ululu pamalo omwe adzapachikidwapo.
Ndondomekoyi ndi iyi:
1. Dokotala adzadula pang'ono kwambiri pamimba panu.
2. Chubu cha PEG chimayikidwa kudzera mu mng'alu umenewo.
3. Pogwiritsa ntchito endoscope, chubucho chimalumikizidwa bwino ndi mimba .
Zonsezi zimatenga mphindi 20-30 . Nthawi zambiri, mutha kupita kunyumba tsiku lomwelo kapena m'mawa wotsatira.
Zoopsa ndi zovuta zomwe zingachitike
Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zazing'ono zomwe zimachitika poika chubu cha PEG. Ndikofunikira kudziwa izi.
| Chiwopsezo/Zovuta | Kufotokozera |
|---|---|
| Kutulutsidwa mwangozi kwa chubu | Chubu chomwe chinayikidwacho chimamasuka kapena chimamasuka kwathunthu. |
| Kukhumba | Kutulutsa madzi kapena chakudya kuchokera m'mimba mwangozi kupita m'mapapo. |
| Kutuluka Magazi ndi Kubowoka | Bowo pakhoma la matumbo kapena m'mimba ndipo limatuluka magazi akalowetsedwa mu chubucho. |
| Matenda | Matenda a pakhungu kuzungulira malo odulidwa. |
| Kutuluka kwa madzi m'mimba | Kutuluka kwa zinthu zomwe zili m'mimba mozungulira chubucho pakhungu. |
Dokotala wanu adzakufotokozerani zizindikiro za vutoli komanso nthawi yoti mupeze chithandizo. Ndikofunikira kusunga chubu cha PEG ndi malo ozungulira kuti zikhale zoyera tsiku lililonse kuti muchepetse chiopsezo cha mavuto.
Kodi nthawi yabwino yokaonana ndi dokotala ndi iti?
Izi ndi zomwe muyenera kusamala nazo kwambiri . Ngati chubu chanu cha PEG chatuluka mwangozi kapena kusuntha pamalo ake, muyenera kuwona dokotala nthawi yomweyo .
Kumbukirani, dzenje m'mimba momwe chubucho chimalowetsedwa limayamba kutseka mwachangu kwambiri. Chifukwa chake, ngati chubucho chatuluka , ndikofunikira kufunafuna chithandizo chamankhwala mkati mwa maola 24. Ngati izi zitachitika, musazengereze kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
Uthenga Wopita Nawo Kunyumba
- Chubu cha PEG ndi njira yosavuta komanso yotetezeka yoperekera zakudya m'mimba mwachindunji kwa anthu omwe ali ndi vuto lodya ndi pakamwa.
- Izi zimachitika kudzera mu njira yosavuta yotchedwa endoscopy. Nthawi zambiri, mutha kupita kunyumba tsiku lomwelo.
- Ndikofunikira kwambiri kusunga chubu ndi malo ozungulira kuti zikhale zoyera tsiku lililonse kuti tipewe mavuto.
- Ngati chubucho chatuluka mwangozi, musachedwetse kwa mphindi imodzi, pitani kwa dokotala kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala mkati mwa maola 24 .
- Khalani omasuka kulankhula ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Iye adzakupatsani upangiri wonse womwe mukufuna.
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